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Generate impression based on findings. | 15 year-old male with congenital scoliosis. There is a left sided L2/L3 hemivertebra and lumbar levoscoliosis. There is mild deformity with sclerosis of the L3 endplates. The vertebral bodies, pedicles, lamina, facets, and posterior elements are intact with no evidence of fracture or subluxation. Within the limits of C... | Left sided L2/L3 hemivertebra and lumbar levoscoliosis. Mild disc bulge of the mild and lower lumbar spine. |
Generate impression based on findings. | 24 year-old male with head injury. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. Bilateral basal ganglial calcifications. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures ... | No acute intracranial abnormality. |
Generate impression based on findings. | 28 year-old female status post MVC. There is a left frontal scalp hematoma. 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 ... | No acute intracranial abnormality or calvarial fracture. Left frontal scalp hematoma. |
Generate impression based on findings. | 20 year-old female with expressive aphasia. 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 ... | 1. No acute intracranial abnormality. 2. Unremarkable CT neck soft tissue. |
Generate impression based on findings. | 61 year-old male with altered mental status. The CSF spaces are prominent representing volume loss with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Periventricular and subcortical white matter hyp... | No intracranial hemorrhage. Stable periventricular and subcortical white matter changes of a marked degree are nonspecific. Differential considerations include vascular related lesions as well as neurodegenerative or related to prior treatment. CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | 22 year-old male with blunt 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 sin... | 1. No acute intracranial abnormality. 2. Left preseptal soft tissue thickening. Opacification of the left frontal and anterior ethmoid sinuses. The orbital contents are unremarkable. |
Generate impression based on findings. | 76 year-old male with altered mental status. There is patchy hypoattenuation in the cerebral white matter. 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 ... | No acute intracranial abnormality. Mild small vessel ischemic disease of indeterminate age. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 57 year-old male with altered mental status. 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 hemorrhage. The osseous structures are unrema... | 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. | 26 year-old female with seizure. 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. |
Generate impression based on findings. | 80 year-old male with altered mental status. There is confluent hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and prominent, representing brain volume loss. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-a... | No acute intracranial abnormality. Moderate to severe small vessel ischemic disease of indeterminate age. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 100 year-old female with altered mental status. There is patchy hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and prominent, representing brain volume loss. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-a... | No acute intracranial abnormality. Moderate small vessel ischemic disease of indeterminate age. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 78 year-old male with acute change in mental status. There is a focus of hypoattenuation in the right occipital lobe, new since prior. There are foci of hypoattenuation in the cerebellum, unchanged. There is patchy hypoattenuation in the periventricular white matter, unchanged. The ventricles, sulci, and cisterns are s... | 1. No acute intracranial hemorrhage. 2. New focus of in the right occipital lobe, which may represent an acute or subacute infarct. Given the patient's history of cancer, metastasis cannot be ruled out. MRI is recommended for further evaluation. 3. Mild chronic small vessel ischemic disease. |
Generate impression based on findings. | 65 year-old male with status epilepticus. There are confluent hypoattenuation in the cerebral white matter. There are foci of hypoattenuation in the basal ganglia. The ventricles, sulci, and cisterns are symmetric and prominent, representing volume loss. The gray-white matter differentiation is normal. There is no mass... | 1. No acute intracranial hemorrhage. 2. Confluent hypoattenuation in the cerebral white matter may be due to advanced small vessel ischemic disease of indeterminate age, neurodegeneration or treatment. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 3. Foci ... |
Generate impression based on findings. | 57 year-old female with altered mental status. There is a focus of hypoattenuation in the right insular and posterior basal ganglia. 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 hemorrhage. 2. A focus of hypoattenuation in the right insular and posterior basal ganglia may represent an acute/subacute infarct. MRI is recommended for further evaluation. |
Generate impression based on findings. | 54-year-old female with history of sickle cell disease with shortness of breath and history of venous thromboembolic disease in the right upper extremity. PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Mild bibasilar scarring. Mild centrilobular emphysema. No consol... | 1.No evidence of a pulmonary embolus.2.Right brachiocephalic stent is incompletely evaluated due to lack of contrast.3.Nonspecific bilateral lymphadenopathy is increased from the prior exam.4.Cardiomegaly with enlargement of the main pulmonary artery, suggestive of pulmonary hypertension.5.Stable aneurysmal dilatation ... |
Generate impression based on findings. | Right lower quadrant pain for 3 days ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nonspecific subcentimeter hypodensities in the liver. These are too small to characterize without most likely benign.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GL... | No CT findings to explain patient's right lower quadrant pain. Appendix is unremarkable. |
Generate impression based on findings. | 53 year old female with history of DVT, now with chest pain PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Left lower lobe pleural-based micronodule is unchanged. No consolidation or pleural effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL... | No evidence of a pulmonary embolus. |
Generate impression based on findings. | 31-year-old male with history of CF now with cough and shortness of breath and wedge shape opacity seen on chest x-ray. PULMONARY ARTERIES: Technically adequate study. Filling defect in a right lower lobe subsegmental branch is compatible with a pulmonary embolus.LUNGS AND PLEURA: Interval decrease in large left lower ... | 1.Filling defect in a right lower lobe subsegmental branch is compatible with a pulmonary embolus.2.Resolution of left lower lobe cavitary lesion with interval development of right lower lobe cavitary lesion. These findings are suggestive of infection, particularly atypical infection such as a fungal pneumonia.3.Diffus... |
Generate impression based on findings. | 58-year-old male with shortness of breath, history of GBM PULMONARY ARTERIES: Limited exam due to poor opacification. No pulmonary embolus is evident to the segmental level.LUNGS AND PLEURA: Increase in right basilar atelectasis/consolidation with complete collapse of the right lower lobe and subsegmental atelectasis o... | 1.Limited exam, however no pulmonary embolus is evident to the segmental level.2.Increased and right basilar atelectasis/consolidation with complete collapse of the right lower lobe, subsegmental atelectasis of the right middle lobe and increase in a moderate right pleural effusion.3.Left upper lobe ground glass opacit... |
Generate impression based on findings. | Right flank pain and hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis without biliary dilatationSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral nephrolithiasis ... | Bilateral nephrolithiasis and cholelithiasis. |
Generate impression based on findings. | History of left adrenal nodule ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: There is a 1.3-cm nodule in the left adrenal gland. The nodule measures 27 Hounsfield... | Left adrenal nodule with enhancement characteristics suggestive of a lipid poor adenoma. Follow-up imaging with MRI in 6 month to one year may helpful.Left nephrolithiasis without evidence of hydronephrosis. |
Generate impression based on findings. | History of recurrent stage III endometrial cancer 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: Bilateral nephro... | Slight interval increase in the size of the distal left para-aortic adenopathy and extension of the pelvic mass into the left adnexa. Right inguinal lymph node is decreased in size compared to previous study.Mild left hydronephrosis persists despite the left nephrostomy catheter. Left ureter is invaded by the pelvic ma... |
Generate impression based on findings. | 74-year-old male with possible pancreatic ductal dilatation The study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: This study is not optimal for evaluation of the pancreas... | Very limited study due to lack of intravenous contrast. Pancreas cannot be evaluated optimally with this noncontrast study. Pancreatic ductal dilatation in the tail with transition point in the mid body. Focal pancreatic neoplasm in that location cannot be excluded. Further evaluation with contrast enhanced MRI is reco... |
Generate impression based on findings. | 59-year-old female with persistent abdominal pain that worsens with peritoneal dialysis and mildly elevated liver function tests The study is limited due to lack of IV contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality not... | Limited study due to lack of IV contrast. Small amount of free fluid and free air in the abdomen likely secondary to peritoneal dialysis catheter. |
Generate impression based on findings. | 37-year-old male with history of sepsis, evaluate for source This study is limited due to lack of IV contrast.CHEST:Bilateral small pleural effusions and dependent atelectasis. There is an area of also a lesion in the right lower lobe. Although this may represent atelectasis, superimposed infection cannot be excluded. ... | Limited study due to the provided contrast. Right lower lobe consolidation. Superimposed infection cannot be excluded. Hematoma around the right iliac transplant kidney causing mild right-sided hydronephrosis and hydroureter.This hematoma contains air and is unchanged from previous study. Secondary infection of the hem... |
Generate impression based on findings. | 78-year-old male with history of colon cancer This study is limited due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Bilateral small pleural effusions and dependent atelectasis.MEDIASTINUM AND HILA: Enlarged main pulmonary artery suggestive of probably hypertension. Mild cardiomegaly.CHEST WALL: No significant abnorm... | Limited study to lack of IV contrast.Patient's known cancer is noted in the sigmoid colon.Large inguinal hernia containing nonobstructive bowel loops.Indeterminate right adrenal nodule. MRI of the adrenal glands may be helpful for further evaluation. Cardiomegaly, pulmonary arterial hypertension, small amount of pleur... |
Generate impression based on findings. | Evaluate evolution of subdural hemorrhage in a patient with headache. Evaluation is severely limited secondary to patient motion.Stable appearing 7-mm subdural hemorrhage overlying the right posterior cerebral convexity with sulcal effacement without evidence of midline shift. Stable appearing left subdural hemorrhage.... | No change from prior exam. |
Generate impression based on findings. | Motor vehicle traffic accident ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Small cysts in the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERIT... | No changes secondary to motor vehicle accident. |
Generate impression based on findings. | 42 year-old female with history of left flank pain 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: Bilateral punct... | 6-mm left proximal left ureteral stone causing mild left hydronephrosis. Bilateral nephrolithiasis. |
Generate impression based on findings. | 36-year-old female with history of left flank pain 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: There is a 4-mm... | Small left UVJ stone causing mild left hydronephrosis and hydroureter. |
Generate impression based on findings. | Dropping hemoglobin ABDOMEN:LUNG BASES: Dependent atelectasis at the lung bases.LIVER, BILIARY TRACT: Hypodense lesions in the liver are unchanged. Small amount of air in the liver may be secondary to pneumobilia. Significantly distended gallbladder is unchanged from previous study.SPLEEN: No significant abnormality no... | No evidence of intraperitoneal or retroperitoneal hematoma. |
Generate impression based on findings. | Left flank pain 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: Mildly dilated left ureter secondary to a 5 mm sto... | Small distal left ureteral stone causing mild dilatation of the left ureter. |
Generate impression based on findings. | Ventral hernia This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No ... | Small fat containing paramedical hernia is unchanged. |
Generate impression based on findings. | 73-year-old male with tachycardia and tachypnea, evaluate for pulmonary embolus PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Moderate right and small left pleural effusion, increased from the prior exam, with associated compressive atelectasis of the right lower l... | 1.No evidence of a pulmonary embolus.2.Interval development of moderate right and small left pleural effusions with associated compressive atelectasis of the right lower lobe.3.Lytic lesion in the T5 vertebral body appears similar to recent CT and may represent either benign or malignant processes.4.Increased abdominal... |
Generate impression based on findings. | 27-year-old female with CMV viremia and abdominal pain, rising transaminitis. History of graft-versus-host disease. ABDOMEN:LUNG BASES: Trace right pleural effusion and minimal basilar atelectasis.LIVER, BILIARY TRACT: Periportal edema, small amount of fluid around gallbladder, and heterogeneous enhancement of the live... | 1.Periportal edema and heterogeneous enhancement pattern of liver parenchyma, suggestive of hepatitis given history of rising transaminitis. 2.Distention of gallbladder and small amount of pericholecystic fluid most likely also due to hepatitis.3.Multiple fluid-filled, nondilated loops of small and large bowel, which m... |
Generate impression based on findings. | 44-year-old male with metastatic bladder cancer, abdominal pain, possible ileus. 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 notedKID... | 1.Left retroperitoneal and pelvic metastatic lesions/lymphadenopathy causing obstruction of left ureter and resultant moderate left hydronephrosis.2.Postsurgical changes status post cystoprostatectomy and neobladder creation. Small fluid collections in left hemipelvis and right lower quadrant likely represent seromas/l... |
Generate impression based on findings. | 62-year-old female with generalized abdominal pain radiating to bilateral flanks. History of ESRD, recent pyelonephritis. Rule out mesenteric inflammation. ABDOMEN:Within the limits of a non-IV contrast enhanced examination limiting evaluation of abdominal parenchymal organs and vascular structures, the following obser... | 1.Slight increase in the bilateral perinephric stranding with no fluid collection. Lack of contrast limits further evaluation, and pyelonephritis cannot be excluded.2.Nonspecific mesenteric haziness superior to the sigmoid colon, stable, and of questionable clinical significance.3.Extensive diverticulosis of the sigmoi... |
Generate impression based on findings. | Headache. 43 years old feamle. Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.The anterior communicating artery and the posterior communicating... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease subarachnoid hemorrhage in a pattern suggestive of benign parimesencephalic bleed which is eccentric towards the right side. |
Generate impression based on findings. | Male 31 years old; Reason: r/o stone History: L flank pain The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: No significant abnormality noted. Stable left lower lobe atelectasis versus s... | 1. 4mm left proximal ureteric stone with associated mild hydroureter and ureteritis. No hydronephrosis or perinephric fluid collections. Multiple non-obstructing subcentimeter renal stones bilaterally are unchanged. |
Generate impression based on findings. | 72-year-old male with history of laryngeal cancer presenting with hemoptysis LUNGS AND PLEURA: Moderate left pleural effusion with adjacent atelectasis. Scattered groundglass opacities in the left upper lobe. Left lower lobe consolidation. Minimal right lower lobe atelectasis/consolidation.MEDIASTINUM AND HILA: Debris ... | Moderate left pleural effusion with associated atelectasis and consolidation as well as scattered ground glass opacities suspicious for infection and/or aspiration. Given the patient's age this should be followed to resolution to exclude underlying malignancy.Findings were communicated to the ED by the radiology reside... |
Generate impression based on findings. | Female; 6 years old. Reason: eval appendicitis, R pelvic mass History: eval appendicitis, R pelvic mass ABDOMEN:LUNG BASES: There is minimal dependent subsegmental atelectasis at the right lung base. The left lung base is clear. The visualized heart is normal in size.LIVER, BILIARY TRACT: No focal hepatic lesions. No i... | 1. Multiloculated, cystic mass which may be due to ovarian neoplasm such as a cystic teratoma, dermoid, or lesion within the cystadenoma spectrum. Evaluation of the adnexa is limited by CT and correlation with pelvic ultrasonography is recommended.2. Small amount of abdominal, retroperitoneal, and pelvic ascites, which... |
Generate impression based on findings. | 47-year-old female with somnulence and altered mental status. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normall... | Normal brain CT. CT is insensitive for the early detection of non-hemorrhagic CVA and MRI may be considered. |
Generate impression based on findings. | Facial pain, periorbital edema, and pain extraocular movement. Recent oral surgery. Extensive streak artifact associated with metallic implants in both maxillary and mandibular dentition obscures the surrounding anatomy. Within this limitation, there is mild diffuse preseptal subcutaneous stranding in the region of the... | Left preseptal cellulitis without evidence of a postseptal component of abscess.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 52-year-old male with LVAD and abdominal distention. ABDOMEN:LUNG BASES: Small right pleural effusion. Bilateral pleural catheters in place. Bilateral basilar consolidation/atelectasisLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality noted... | 1.Gaseous distention of ascending and transverse colon, without evidence of bowel obstruction.2.Fluid and foci of gas along the anterior abdominal wall adjacent to LVAD; while this may in part be postsurgical in nature, superimposed infection is possible given associated gas.3.Small right pleural effusion with bilatera... |
Generate impression based on findings. | Male 63 years old; Reason: met CRC restaging History: increased pain and bloating CHEST:LUNGS AND PLEURA: No dominant lung lesion. The pleural spaces are clear. Subcentimeter right lower lobe nodules appear stable.MEDIASTINUM AND HILA: Left prevascular node measures 1.6 cm, previously 1.4-cm (image 41 / series 3). Righ... | 1.Stable size of the reference hepatic lesion and non reference metastatic disease as above. |
Generate impression based on findings. | Left sided weakness. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unrema... | No evidence of intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is not sensitive for the detection of non-hemorrhagic acute infarction. |
Generate impression based on findings. | 56-year-old female with history of rectal cancer, multiple abdominal surgeries, cholecystectomy, appendectomy, TAH-BSO, worsening right upper quadrant pain, assess for metastatic disease ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild intrahepatic biliary ductal dilatation is unchanged fr... | No definite CT findings to explain patient's right upper quadrant pain.No evidence of metastatic disease. |
Generate impression based on findings. | 26 year old female with tachycardia, shortness of breath, concern for PE PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Scattered bilateral ground glass and tree in bud opacities as well as consolidation, right greater than left, suspicious for infection.MEDIASTIN... | 1. Technically adequate study without evidence of pulmonary embolus.2. Findings suspicious for infection, possibly atypical. |
Generate impression based on findings. | Follow-up scan. History of metastatic disease and ICH. There is been interval stability in the size of the two left hemispheric masses which are associated with layering hyperdense material, edema and mass effect. The left frontal mass measures up to 4.0 x 3.4 cm and the left parietal mass measures up to 2.8 x 2.4 cm i... | Interval stability in the left frontal and parietal masses which most likely represent hemorrhagic melanoma metastases with associated mass effect including 3 mm of midline shift. |
Generate impression based on findings. | History of metastatic disease to the brain. AMS. There are two left hemispheric masses associated with hyperdense material, a portion of which is layering dependently. There is associated edema and mass effect including sulcal effacement and 3 mm of rightward midline shift at the level of the septum pellucidum. A right... | Two left hemispheric masses associated with hyperdense material most likely representing hemorrhagic metastatic disease in this patient with known metastatic melanoma. Mass effect including 3 mm of rightward midline shift. |
Generate impression based on findings. | LVAD There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Reason: lung nodules, f/u History: lung nodules LUNGS AND PLEURA: New moderate right pleural effusion. Minimal basal atelectasis on the right. Linear atelectasis or scarring in the lingula and right middle lobe.Previously reference right perifissural nodule is now seen on image 54/100 and appears to be an area of scarr... | 1. No suspicious pulmonary nodules. The previously reference subcentimeter right sided nodular opacity now appears to represent an area of scarring.2. New moderate right pleural effusion with minimal compressive atelectasis.3. The abdomen will be reported separately. Please see separate report. |
Generate impression based on findings. | 57-year-old female with swelling of the left leg and concern for bleeding. Subcutaneous edema and skin thickening in the left lower extremity, most prominent around the ankle. The subcutaneous fluid is nonspecific, though no high density fluid collection is noted to suggest a hematoma.Well corticated ossific densities ... | Soft tissue edema and skin thickening in the left lower extremity. No high density fluid collection to suggest hematoma. |
Generate impression based on findings. | 29 year female history of ventricular shunt now with shunt infection and vision changes. A right parietal approach ventriculostomy catheter courses in the right lateral ventricle with the tip unchanged in position. There has been a minimal interval increase in size of the lateral ventricles which remain slit-like. Ther... | Unchanged right ventriculostomy catheter with minimal interval increase in size of lateral ventricles which remain slit-like. |
Generate impression based on findings. | Cardiac arrest, likely due to respiratory failure. There is interval increase in the degree of diffuse cerebral edema with complete to near complete effacement of the third and lateral ventricles and sulci, as well as approximately 5 mm of inferior tonsillar herniation. There is also more pronounced hypoattenuation wit... | Interval progression of diffuse cerebral edema with 5 mm of inferior tonsillar herniation related to hypoxic-ischemic injury.Discussed Dr. Mendelson at 8:55 AM on 11/18/13. |
Generate impression based on findings. | Reason: assess for metastatic disease. 6 mm nodule found on CT abdomen, pelvis. Endometrial cancer History: none LUNGS AND PLEURA: Scattered punctate nonspecific pulmonary nodules measuring up to 6 mm (right middle lobe image 52/93). The reference pulmonary nodule is unchanged in the short interval.MEDIASTINUM AND HILA... | Scattered punctate nonspecific pulmonary nodules measure up to 6 mm. While these more likely represent benign postinflammatory nodules than metastases, continued follow-up (3 to 6 months CT) is recommended, as malignancy cannot be excluded. The nodules are too small for high yield PET or needle biopsy. |
Generate impression based on findings. | Female 62 years old; Reason: Hx of multiple myeloma and amyloidosis with peritoneal involvement s/p two transplants. Please assess for disease. History: None The exam is not sensitive for detecting lesions in the bowel or solid organs dueto lack of oral or intravenous contrast. Given those limitations, the followingobs... | Limited by lack of intravenous contrast. Decrease in the amount of ascites without measurable solid carcinomatosis. |
Generate impression based on findings. | 67-year-old male with abdominal pain, nausea, vomiting. ABDOMEN:LUNG BASES: Mild right basilar atelectasis.LIVER, BILIARY TRACT: Cholelithiasis without CT evidence of acute cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: Punctate hypodense focus in tail of pancreas is nonspecific and may represent small... | 1.Cholelithiasis without other findings to account for patient's symptoms.2.Punctate hypodense focus in tail of pancreas is nonspecific and may represent small focus of intrapancreatic fat or alternatively a cystic pancreatic neoplasm such as IPMN |
Generate impression based on findings. | 37-year-old female with history of PE, intraoperative, tachycardia PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Bilateral basilar atelectasis.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. The heart size is normal.CHEST WALL: No significant abnor... | No evidence of pulmonary embolus. |
Generate impression based on findings. | Female 33 years old; Reason: 16 cm ovarian cyst h/o endometriosis History: as above ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality ... | 1.Large left ovarian cystic lesion without soft tissue components and adjacent ascites. Differential includes, large ovarian cyst, endometrioma, hydatid cyst, cystic neoplasms such as mucinous cystadenomas cannot be excluded. And given its size, and adjacent ascites surgical consultation advised. |
Generate impression based on findings. | 57 year old female with acute drop in hemoglobin. Evaluate for hematoma. Left femoral venous catheter and right femoral arterial and venous catheters. Mild surrounding fat stranding is likely secondary to the recent procedure. No hematoma or fluid collection is evident. Soft tissue swelling and fat stranding in the lef... | No evidence of hematoma. |
Generate impression based on findings. | 23 year old male status post exploratory laparotomy 13 days ago for lysis of adhesions. ABDOMEN:LUNG BASES: Trace bilateral pleural effusions/pleural thickening.LIVER, BILIARY TRACT: Nonspecific calcifications again noted in the caudate and left lobes. No significant abnormalities.SPLEEN: No significant abnormality not... | Mild dilation of jejunal loops with suggestion of transition point in the lower midabdomen; findings may represent mild postoperative ileus or low grade partial small bowel obstruction. |
Generate impression based on findings. | Reason: please assess extent of metastatic disease; please compare to previous scans History: hx of head and neck cancer LUNGS AND PLEURA: Emphysema. Scarring at left base. Post op change left lower lobectomy.New 8mm nodule in subpleural posterior left upper lobe (image 47/105). There is also a smaller irregular roughl... | New 8mm nodule in left upper lobe suspicious for malignancy. |
Generate impression based on findings. | Acute liver failure mental status change 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.The intracranial vasculature is mildly hyperin... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of a nonhemorrhagic CVA |
Generate impression based on findings. | History of seizure and altered mental status. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. There is diffuse prominence of ventricles and sulci in related to cerebral volume loss. There is encephalomalacia within the right middle frontal gyrus. There is also patchy cerebral white matte... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. Unchanged right middle frontal gyrus encephalomalacia likely related to remote surgery and cerebral white matter hypoattenuation likely related to chronic small vessel ischemic disease. |
Generate impression based on findings. | 56-year-old female. Pain around stoma and purulence. Evaluate for infection/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 note... | 1.No fluid collection in the area of the ostomy, as clinically questioned.2.Multiple duodenal diverticula. |
Generate impression based on findings. | LVAD with possible thrombus. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are intradural vertebral artery and carotid siphon calcifications. The imaged mastoid air cells ar... | No evidence of intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is not sensitive for acute non-hemorrhagic infraction. |
Generate impression based on findings. | 86-year-old female with history of lung cancer and DVT, rule out pulmonary embolus PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Marked centrilobular and paraseptal emphysema. Reference right lower lobe nodule measures 1.7 x 0.8 cm and previously measured 1.4 x 0... | 1. Technically adequate study without evidence of pulmonary embolus.2. Right lower lobe nodule suspicious for lung cancer as well as hilar and mediastinal lymphadenopathy and large left chest wall/axillary mass. |
Generate impression based on findings. | 56 year old female with acute onset chest pain radiating to back, hypertension, shortness of breath. CHEST:LUNGS AND PLEURA: No focal air space opacities or pleural effusions.MEDIASTINUM AND HILA: There is a classical configuration of the aortic arch without evidence of aortic dissection or aneurysm. The heart size is ... | 1.No evidence of aortic dissection is clinically questioned.2.Apparent small symmetric filling defects in segmental branches of the right and left lower lobe pulmonary arteries which may be artifactual in etiology, however pulmonary embolism is not excluded. If there is continued clinical concern for pulmonary embolism... |
Generate impression based on findings. | Right sided jaw swelling. There is streak artifact related to dental amalgam, which obscures surrounding anatomy. Within this limitation, there is diffuse skin thickening, fat stranding and swelling of the musculature in the right face overlying the mandible, where there is a carious ADA 29 with dental filling and peri... | 1. Diffuse skin thickening, fat stranding and swelling of the musculature in the right face overlying the mandible, where there is a carious ADA 29 with dental filling and periodontal lucency is compatible with cellulitis and myositis, perhaps odontogenic in origin. A sheet of fluid attenuation material measuring up to... |
Generate impression based on findings. | Unresponsive with history of aneurysm. Hemorrhagic stroke versus subarachnoid hemorrhage. There are postoperative changes including a left suboccipital craniotomy with underlying encephalomalacia within the left cerebellar hemisphere and burr hole is in the right frontal and parietal bones. A tract of encephalomalacia ... | 1.Findings related to prior neurosurgical procedures as described.2.Suspected dolichoectasia of the posterior circulation. 3.Multiple lucencies in the alveolar process of the maxilla most likely representing dental abscesses.4.Nonacute findings including postoperative and chronic sequela of small vessel ischemic diseas... |
Generate impression based on findings. | 66-year-old male with abdominal pain, truck in hemoglobin, and history of GI bleeding. ABDOMEN:LUNG BASES: Small bilateral pleural effusions. Complete consolidation of left lower lobe, and partial consolidation in right lower and left upper lobes.Scattered foci of ground glass opacity in both lungs likely represent ede... | 1.No evidence of hematoma.2.New small amount of ascites fluid, small pericardial effusion, small pleural effusions, and increased infiltrative/edematous change in the anterior abdominal wall; findings likely due to volume overload. Superimposed cellulitis in anterior abdominal wall is also possible given extensive skin... |
Generate impression based on findings. | 62-year-old male with intra-abdominal abscess, elevated WBC. ABDOMEN:LUNG BASES: Interval increase of large loculated complex collection in the left pleural space, now measuring 16.7 x 15.1 cm. Cephalic aspect not visualized on this exam. Multiple right-sided pulmonary nodules, consistent with known metastatic disease,... | 1.Increased large loculated complex collection in the left pleural space. Slight increase of the deep lower pelvis fluid collection.2.Fluid and gas tracking along pelvic sidewalls. Slight decrease of the upper pelvis fluid collection.3.Evidence of worsening metastatic disease, including pulmonary disease, segment IVa h... |
Generate impression based on findings. | TxM3M1 left salivary parotid gland ductal carcinoma androgen +, H2N+, receiving palliative chemotherapy with carbo/taxol. There is a cluster of hypoattenuating There is no significant interval change in the ill-defined heterogeneous mass with cystic and calcified components and extension to the overlying skin, which me... | 1. No significant interval change in the left parotid gland ductal carcinoma that infiltrates the overlying skin.2. Interval decrease in size of the multilevel left cervical lymphadenopathy and partially imaged left axillary lymphadenopathy, with generally increased calcified components likely in response to treatment.... |
Generate impression based on findings. | 66-year-old female patient with history of breast cancer, smoking, positive d-dimer with syncope and weight loss. PULMONARY ARTERIES: No evidence of a pulmonary embolus.LUNGS AND PLEURA: Moderate centrilobular emphysematous changes. Biapical bullae. Scattered bilateral nonspecific micronodules.MEDIASTINUM AND HILA: Hea... | 1.No evidence of a pulmonary embolus.2.Severe atherosclerotic changes in the descending aorta.3.Moderate centrilobular emphysema.4.Scattered bilateral micronodules are nonspecific. |
Generate impression based on findings. | Female 79 years old; Reason: NHL, re-eval and compare to previous History: low back pain, NHL CHEST:LUNGS AND PLEURA: Unchanged right upper lobe 3-mm micronodule and other stable micronodules. No new nodules or mass detected.MEDIASTINUM AND HILA: Moderate to severe atherosclerotic calcifications of the coronary arterie... | 1. Unchanged right upper lobe pulmonary micronodules. 2. Unchanged right adnexal cyst. Further evaluation with ultrasound is recommended.3. Right-sided hydronephrosis with hydroureter up to the pelvic inlet, is also unchanged |
Generate impression based on findings. | Reason: ?mai infection progression History: nsclc LUNGS AND PLEURA: Pulmonary fibrosis in a UIP pattern with peripheral honeycombing, bronchiectasis and volume loss not significantly changed compared to the most recent previous examination. Left upper lobe mass invading the left mediastinum measures 4.2 x 3.4 cm on ima... | 1. Increasing left upper lobe mass/NSCLC. No specific signs of MAI infection.2. Increased and new hepatic metastases. |
Generate impression based on findings. | Reason: Hx mycobacterial infection/bronchiectasis- Any progression? History: cough LUNGS AND PLEURA: Mild bronchial wall thickening and borderline bronchiectasis, worst in the right middle lobe and lingula, is not significantly changed. Scattered ill-defined punctate centrilobular nodules are also unchanged. No new abn... | Stable mild findings of infectious bronchiolitis. |
Generate impression based on findings. | Reason: Lung nodules since has infected pacer lead in heart History: SOB LUNGS AND PLEURA: Bilateral pleural effusions are similar in appearance to the recent chest radiograph.Bilateral basilar atelectasis.Mild patchy groundglass opacities with areas of septal thickening compatible with a mild amount of edema.Right api... | 1.Cardiac enlargement , minimal pleural edema, and moderate bilateral pleural effusions compatible with CHF.2.Right apical discoid atelectasis and/or scarring. No suspicious pulmonary nodules or masses.3.Marked atherosclerotic disease of the aorta and coronary arteries. |
Generate impression based on findings. | 37-year-old male with history of liposarcoma and soft tissue adjacent to right psoas, surrounding appendix. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | 1. Resolution of previously seen soft tissue around appendix. No suspicious mass or soft tissue seen on current exam.2.Postsurgical changes in the left hemiabdomen. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT,compare to previous, measurements pls History: none LUNGS AND PLEURA: Punctate micronodules are stable and presumably post inflammatory. No evidence of metastatic disease. Calcified granulomas. Basilar scarring and atelectasis.MEDIASTINUM AND HILA: Borderline right paratracheal lymph node uncha... | No evidence of metastatic disease. |
Generate impression based on findings. | 83 year old male with somnolence and right-sided weakness found to have left MCA ischemic stroke, evaluate for change. There is redemonstration of an infarct in the left cerebral hemisphere with affected areas including the left anterior temporal lobe, insular region, lateral anterior parietal lobe, and posterior front... | Minimally evolved temporal/parietal lobe infarct with stable mild mass effect upon the left lateral ventricle but without midline shift or evidence of hemorrhagic transformation. |
Generate impression based on findings. | 83-year-old female with balance and gait abnormality, evaluate for vertebrobasilar stroke. Head CT: There are hypodensities within the right basal ganglia, which may represent age indeterminate lacunar infarcts or perivascular spaces. No intracranial hemorrhage is identified. There is mild periventricular white matter ... | 1.No evidence of intracranial hemorrhage, mass, or cerebral edema.2.No evidence significant cerebrovascular steno-occlusive disease.3.Mild age indeterminate small vessel ischemic disease.4.Left thyroid nodule that measures up to 35 mm. Ultrasound is recommended for further evaluation.5. Effacement of the left piriform ... |
Generate impression based on findings. | 51-year-old male with pleural mesothelioma status post 4 cycles of chemo CHEST:LUNGS AND PLEURA: Diffuse nodular pleural thickening in the right hemithorax with loculated fluid collections and pleural calcification/post pleuraldesis change. Interstitial opacity with intralobular septal thickening consistent with edema ... | Extensive pleural disease consistent with mesothelioma overall without significant interval change. |
Generate impression based on findings. | 45-year-old female with history of pheochromocytoma. Positive nuclear study on outside imaging. Evaluate for invading mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver.SPLEEN: Small splenule is noted.PANCREAS: No significant abnormality notedADRENAL GLANDS: ... | 1. Small soft tissue mass at the superior aspect of the right dome of the bladder is most likely corresponding to the extra adrenal pheochromocytoma corresponding to the area of increased uptake on the MIBG scan.2. Hepatic steatosis. |
Generate impression based on findings. | 42 year old female, palate cancer restaging LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Reference right hilar lymph node measures 2.0 x 0.6 cm (image 38, series 3) and previously measured 2.0 x 0.7 cm, unchanged. Additional smaller mediastinal lymph nodes appear similar to the prior study.C... | No significant interval change. No new evidence of metastatic disease. |
Generate impression based on findings. | Reason: mesothelioma compare to last Ct \T\ measure 1) clavicular head 110clock, 2) aortic arch 10 oclock lesion, 3) pulm artery 4 oclock , 4) GE junction 4 oclock History: post 2 cycles CHEST:LUNGS AND PLEURA: Diffuse nodular pleural thickening consistent with mesothelioma involving the left hemithorax. Reference mea... | 1. Stable reference measurements.2. New opacities in the right lower lobe suggestive of infection/aspiration though continued follow-up is recommended to exclude progression of neoplasm. |
Generate impression based on findings. | Reason: h/o met parotid gland ca, compare to previous, measurements pls. Pt w/ ESRD, on dialysis. OK to use dye per Dr. Villaflor History: none CHEST:LUNGS AND PLEURA: Stable scattered nonspecific micronodules.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal l... | 1.Significant interval reduction in left axillary lymphadenopathy, left chest wall skin thickening, and left chest soft tissue edema.2.No suspicious pulmonary nodules or masses.3.No new sites of disease identified.4.Stable ascites with redemonstration of end-stage renal disease. |
Generate impression based on findings. | 59-year-old male with possible left vertebral stenosis. CT: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The imaged mastoid air cells are clear. There is mild scattered parana... | 1.No evidence of intracranial hemorrhage, mass, or cerebral edema.2. Non-opacification of the left vertebral artery beyond the V1 segment with reconstitution in the V3 and V4 segments, which may be due to atherosclerotic steno-occlusive disease or dissection. 3. Unchanged atherosclerotic disease affecting the right int... |
Generate impression based on findings. | 74-year-old male with metastatic leiomyosarcoma. CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are unchanged, largest located in right middle lobe along fissure (series 5, image 48).New ill-defined opacities in right lower and right middle lobes with associated mild bronchial wall thickening, may be related t... | 1.No significant change in hepatic and left iliac bone lesions.2.New ill-defined opacities in the right middle and right lower lobes with associated bronchial wall thickening, suspicious for aspiration. |
Generate impression based on findings. | 68-year-old male with history of HN C. status post CRT, evaluate interval change. CHEST:LUNGS AND PLEURA: Few micronodules are unchanged. No new suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Moderate coronary arterial calcification.CHEST WALL: Degenerative changes... | Stable interval exam without evidence of metastatic disease. |
Generate impression based on findings. | 58 year-old female with shortness of breath and ILD. LUNGS AND PLEURA: Scattered micronodules some of which are calcified consistent with prior granulomatous disease appear are unchanged. No evidence of fibrosis or interstitial disease.MEDIASTINUM AND HILA: Moderate atherosclerotic calcifications of the coronary arteri... | No evidence of pulmonary fibrosis or interstitial lung disease. |
Generate impression based on findings. | Rectal cancer and anterior right neck pain. There is no evidence of mass, or significant lymphadenopathy in the neck. The nasopharynx, oropharynx, hypopharynx, and larynx appear unremarkable. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. There is unchanged mild degenerat... | No evidence of mass or significant lymphadenopathy in the neck. |
Generate impression based on findings. | T1N0 hard palate adenocarcinoma s/p wide local excision and adjuvant RT to a dose of 50 Gy to the hard palate with a boost to 60 Gy in Sept 2009. There are stable postoperative findings related to right hard palate tumor resection without evidence of recurrent mass lesions. The oropharynx, hypopharynx, larynx, and subg... | 1.Stable postoperative changes in the right hard palate without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2. Unchanged nonspecific ground-glass right apical lung nodule that measures 6 mm. |
Generate impression based on findings. | Bladder carcinoma status post cystectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable left renal cyst.RE... | Stable examination without evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | 43-year-old endstage renal disease, prekidney transplant evaluation, assess aorta and iliac vessels for a kidney transplant ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL ... | Minimal atherosclerotic calcifications seen at the aortic bifurcation, along the right common iliac artery and right internal iliac artery.Multiple renal hypodensities bilaterally, most representing cysts.Vascular calcifications versus punctate stone identified in the lower pole of the right kidney |
Generate impression based on findings. | Chronic sinusitis. There are postoperative findings related to bilateral Caldwell-Luc surgery with extensive irregular sclerosis of the maxillary sinus walls and narrowing of the maxillary sinus lumens. In addition, there is persistent opacification of the left maxillary sinus with moderate mucosal thickening and hyper... | Extensive postoperative findings with dehiscence of the bilateral lamina papyracea and evidence of chronic pansinus opacification, including hyperattenuating secretions that likely represent allergic fungal sinusitis. |
Generate impression based on findings. | History of tooth abscess. Rule out Ludwig's angina. CT head: There is a large rounded mass which is hyperdense/enhancing to adjacent parenchyma centered at the posterior floor of the anterior cranial fossa extending posteriorly to involve the anterior sella and associated with underlying hyperostosis of the right orbit... | 1.Right sided soft tissue thickening/phlegmon associated with an abscess of the right first mandibular molar.2.Large intracranial lesion associated with the floor of the anterior cranial fossa with features suggestive of a meningioma. |
Generate impression based on findings. | Reason: head and neck cancer History: head and neck cancer CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are stable and presumably post inflammatory. Calcified granulomas on the right are unchanged. Stable presumed intrapulmonary lymph node on right (image 40/99).MEDIASTINUM AND HILA: Atherosclerotic calcific... | Stable CT with no evidence of metastatic disease. |
Generate impression based on findings. | Reason: 80year with ?R pleural effusion notes abd ct History: abnormal ct finding LUNGS AND PLEURA: Right lower lobe mass measures 5.8 x 3.7 cm on image 65/106. It causes airway obstruction with near complete right lower lobe atelectasis. There is mild mass effect on the right atrium at its junction with the IVC and pr... | Right lower lobe lung mass highly suggestive of primary lung carcinoma. Associated right lower lobe atelectasis and presumed malignant moderate pleural and small pericardial effusions.Findings discussed with Dr. Semrad at the time of report. |
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