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Generate impression based on findings. | Reason: s/p ileocecectomy, POD 13, now with tachycardia, r/o PE History: s/p ileocecectomy, POD 13, now with tachycardia, r/o PE PULMONARY ARTERIES: No evidence of PE.LUNGS AND PLEURA: Mild nonspecific bronchial wall thickening and basilar linear atelectasis. No evidence of consolidation or significant pulmonary edema.... | No evidence of PE.Mild nonspecific bronchial wall thickening and basilar linear atelectasis. No evidence of consolidation or significant pulmonary edema. |
Generate impression based on findings. | Reason: FU CT to eval lung nodule History: s/p resection for early stage lung cancer CHEST:LUNGS AND PLEURA: Evidence of postsurgical changes in the right upper lobe . At this opacity at the surgical site (image 46 series 5) measuring approximately 10 mm x 10 mm in size is unchanged in comparison to prior outside exams... | 1.Postsurgical changes in the right upper lobe with nodular opacity noted at the surgical site most likely represents postsurgical changes. There has been no interval change in comparison to exams dated 2/12/13 and 5/14/13. Recurrent or residual neoplasm cannot be definitively excluded, however is considered to be less... |
Generate impression based on findings. | 79-year-old female with continued weight loss, CHEST:LUNGS AND PLEURA: Stable 3mm right upper lobe nodule (image 14, 5) and left lower lobe (image 50, 5).Two calcified granuloma in the left lower lobe.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILI... | Multiple dilated small bowel loops in the abdomen and pelvis, measuring up to 4 cm without any definite transition point most likely representing an ileus pattern over a partial small bowel obstruction. Findings mostly unchanged from recent MRI study. Mild to moderate amount of ascites grossly unchanged.Stable pancreat... |
Generate impression based on findings. | Female 76 years old; Reason: 76 yr old patient with ST 3C ovarian cancer s/p 9 cycles of Gemzar/Avastin eval disease process History: none CHEST:LUNGS AND PLEURA: Moderate right sided pleural effusion is stable since prior exam. There is stable scattered right-sided atelectasis. Scattered micronodules are unchanged.MED... | 1.Stable peritoneal soft tissue implants compatible with peritoneal carcinomatosis.2.Mild ascites, decreased from the prior exam with stable to slightly smaller loculated perihepatic ascitic collections. |
Generate impression based on findings. | T3N2b right tonsil SCCa s/p chemoRT, completed in June 2013. There is interval increase in the degree of supraglottic edema, likely related to radiation. Otherwise, there is no discernable residual mass in the right tonsillar fossa, although streak artifact related to dental amalgam obscures portions of this region. Th... | No measurable residual tumor in the treated right tonsillar fossa. Interval decrease in size of the right cervical metastatic lymphadenopathy. |
Generate impression based on findings. | 61 year old with prostate cancer CHEST:LUNGS AND PLEURA: Interval reduction in previously described right pleural effusion.Right upper lobe apical scarring. Basilar atelectasis has also improved. Scattered pulmonary nodules are unchanged.MEDIASTINUM AND HILA: Trace Pericardial effusion.CHEST WALL: Known thoracic metast... | Overall mixed response1. Interval resolution of right pleural effusion. Stable left rib expansile soft tissue lesion.2. Minimal interval decrease in segment 6, right lobe of liver hypodense lesion. Interval resolution of perihepatic fluid with rim enhancement3. Interval increase in retroperitoneal lymphadenopathy.4. Co... |
Generate impression based on findings. | Right maxillary There is near complete opacification of the right maxillary sinus, extending into the right infundibulum and middle meatus with secretions that measure up to approximately 45 HU. There is dehiscence of the medial floor of the right maxillary sinus as well as demineralization of the right hard palate. Th... | Near complete opacification of the right maxillary sinus, extending into the right infundibulum and middle meatus. Dehiscence of the medial floor of the right maxillary sinus may represent an oroantral fistula. |
Generate impression based on findings. | T4N0M0 supraglottic carcinoma S/P chemoradiation completed in 1/2011. There are post-treatment findings in the region of the larynx, including persistent hypopharyngeal mucosal edema. However, there is no evidence of recurrent tumor in the treatment bed. There is no significant cervical lymphadenopathy, including an un... | 1. No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2. Partially imaged right paraclinoid meningioma. |
Generate impression based on findings. | Reason: abnormal CXR, +ANA/dsDNA, granuloma on BM bx - eval for sarcoid vs other ILD History: as above LUNGS AND PLEURA: Bilateral upper lobe predominant small subcentimeter centrilobular nodular opacities. No significant bronchial wall thickening or traction bronchiectasis. Small 5-mm isolated nodule in medial right m... | 1. Diffuse upper lobe predominant nodular abnormality which is suggestive of sarcoidosis. There is no significant thoracic lymphadenopathy though the lower images of the scan show upper abdominal lymphadenopathy. While this may be related to the same process, it is incompletely evaluated.2. 5-mm pulmonary nodule in the... |
Generate impression based on findings. | 20 year-old female. Rule-out appendicitis ABDOMEN:LUNG BASES: No significant abnormality noted inLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnorm... | No evidence of acute appendicitis as clinically questioned. |
Generate impression based on findings. | Reason: evaluate for right apical nodule seen on CTA neck History: evaluate for right apical nodule seen on CTA neck. patient is a smoker. LUNGS AND PLEURA: Three partially calcified roughly 1 cm thick areas of subpleural nodularity with associated calcification (right upper lobe posteriorly image 23, 42, and 49/128) a... | 1. Three partially calcified roughly 1 cm thick areas of subpleural nodularity with associated calcification are not significantly changed, though were poorly evaluated on prior due to technique. The appearance favors a post inflammatory abnormality, possibly calcified pleural plaques from previous asbestos exposure or... |
Generate impression based on findings. | Female 32 years old; Reason: 32 year old female with Hodgkin lymphoma. In remission after ABVD chemotherapy. Compare to prior scan. History: Chronic cough. CHEST:LUNGS AND PLEURA: Minimal scarring and atelectasis in the anterior aspect of the right upper lobe. No suspicious pleural effusions. Pleural spaces are clear.M... | 1.Stable exam with no significant change in the size of the reference lesions. |
Generate impression based on findings. | 61-year-old female status post craniotomy. Changes from right calvarial craniotomy are present from resection of right frontal extra axial mass lesion. This includes pneumocephalus, fluid admixed with blood products, subcutaneous soft tissue swelling and air, an extracalvarial subcutaneous drain, calvarial fixation dev... | Expected postoperative findings status post right craniotomy for resection of a right frontal extra-axial mass lesion, without complicating intracranial hematoma formation. |
Generate impression based on findings. | 87-year-old male with subdural hemorrhage. Redemonstrated are bilateral subdural hemorrhages, unchanged in depth when measuring on coronal view (7 mm right, 4 mm left). There has been some redistribution of hyperdense components on the left, without evidence of interval frank new subdural hemorrhage. Small amount of bi... | No significant interval change from prior exam. |
Generate impression based on findings. | 36 year-old female status post ileocecectomy 13 days ago, now with tachycardia. Evaluate for anastomotic leak or abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GL... | 1.Status post ileus technique without evidence of intra-abdominal abscess or leak.2.New foci of low attenuation in the right lower quadrant abdominal wall surgical site, which likely represent postsurgical seroma although superimposed infection/early abscess formation is also possible if there is focal tenderness in th... |
Generate impression based on findings. | 60 year-old male with history of colon cancer. Restaging exam. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules are redemonstrated, suspicious for metastatic disease. No new lesions are seen, and no definite interval growth of any nodule is appreciated. Left lower lobe index lesion measures 9 x 5 mm (image ... | 1.Essentially stable examination without evidence of disease progression. Multiple bilateral pulmonary nodules as well as hypoattenuating liver lesions are grossly unchanged from prior exam. An index left lower lobe lung lesion is centrally necrotic and slightly decreased in size, consistent with posttreatment changes.... |
Generate impression based on findings. | Stage IIIB nodular sclerosing Hodgkin lymphoma treated with ABVD x 6 cycles, which was completed in July, 2011. There is no significant cervical lymphadenopathy. The Waldeyer ring structures are unremarkable. The thyroid gland and major salivary glands appear unchanged. The airways are patent. There is a right internal... | No significant cervical lymphadenopathy. |
Generate impression based on findings. | NHL lymphoma. Re-evaluate and compare CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Interval removal of right-sided Port-A-CathIndex right paratracheal lymph node measures 0.5 x 0.5 cm (series 3 image 13), previously measured 0.5 x 0.5 cm.Reference right hilar lymph node measures 0.5 x 0... | No interval change. No evidence of new metastatic disease. |
Generate impression based on findings. | 66-year-old male with history of hoarseness in January 2013 diagnosed with cancer right true vocal cord February 2013. Underwent 18/34 radiation treatments, with subsequent concern for radiation exposure On direct inspection, "white lesion along free edge of right anterior half of true vocal cord crossing the anterior ... | 1. No CT evidence of vocal cord abnormality to correspond with those seen on direct inspection.2. Concern for thrombosis of the left internal jugular vein given lack of contrast opacification. Recommend vascular ultrasound for further evaluation. 3. Heterogeneous, primarily hypodense left thyroid lobe nodule. Recommend... |
Generate impression based on findings. | Stage IIA DLBCL (IPI 0) presented today for cycle 4 of R-CHOP treatment. There is persistent asymmetric enlargement of the right palatine tonsil with associated effacement of the right glossotonsillar sulcus and mild narrowing of the oropharynx. There is no significant cervical lymphadenopathy. The major salivary gland... | Persistent asymmetric enlargement of the right palatine tonsil, which is unchanged. There is no significant cervical lymphadenopathy. |
Generate impression based on findings. | 64-year-old female smoker with history of 5 mm left lower lobe nodule LUNGS AND PLEURA: Mild paraseptal and centrilobular emphysema. Left lower lobe nodule measures 5 mm (image 25, series 6) and previously measured 5 mm. Several additional micronodules are unchanged. Diffuse bronchial wall thickening which is nonspecif... | 1. Stable 5 mm nonspecific pulmonary nodule, left lower lobe. The size and short term stability favor a benign etiology, however, these nodules are typically followed to 2 years to exclude malignancy.2. Emphysema.3. Nonspecific bronchial wall thickening suggestive of chronic bronchitis. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis LUNGS AND PLEURA: Bronchiectasis and diffuse bronchial wall thickening identified throughout both lungs most pronounced in the left lower lobe.Pleural and subpleural scarring/fibrosis with mild septal thickening identified predominantly at the bases more pronounced on th... | Diffuse bronchial wall thickening and bronchiectasis throughout both lungs. No evidence of significant pulmonary fibrosis. |
Generate impression based on findings. | 10-year-old female, assess for liver pathology. Correlate with hypodensity on previous CT. Please assess for metastasis in setting of facial myxoid sarcoma. ABDOMEN:LUNG BASES: The lung bases are clear without evidence of effusion or consolidation. No pericardial effusion.LIVER, BILIARY TRACT: A 1.2 x 0.9 cm hypoattenu... | 1. A 1.2-cm hypodense lesion in the right hepatic lobe remains nonspecific on post contrast imaging. An MRI may be helpful for further evaluation. Alternatively, close interval follow up is suggested. 2. Bilateral punctate non obstructing renal calculi and 3mm non-obstructing calculus in the distal left ureter. |
Generate impression based on findings. | 59 year-old female with breast cancer on chemotherapy, assess response CHEST:LUNGS AND PLEURA: Moderate emphysema. Linear scarring in the region of the previously identified reference right lower lobe nodule (image 60 series 4), essentially no longer measurable and 4 x 1 mm. Multiple scattered additional nodules appear... | 1. Continued decrease in pulmonary metastases.2. Stable axillary nodes and breast nodules. Some nodules are conspicuous on current study though this is likely due to phase of contrast enhancement. |
Generate impression based on findings. | Reason: pulmonary nodules History: pulmonary nodules LUNGS AND PLEURA:Reference ground glass right upper lobe nodule measures 5 mm on image 36/100 (7-mm on prior). Similar groundglass nodule in superior segment of the right lower lobe also slightly decreased to 6 mm on image 50/100 (8 mm on prior).4 mm micro-nodule the... | Stable to slightly decreased nonspecific pulmonary nodules. Though malignancy cannot be entirely excluded, the findings are more suggestive of benign postinflammatory nodules than metastases or primary lung malignancy. In the absence of known malignancy, nonspecific pulmonary nodules are typically followed to two years... |
Generate impression based on findings. | 63-year-old male with respiratory distress, rule out PE PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. The main pulmonary artery is enlarged, measuring 3.3 cm, suggesting pulmonary arterial hypertension. LUNGS AND PLEURA: Small left pleural effusion with compressive atelectasis.ME... | No evidence of pulmonary embolus. Findings suggestive of CHF. |
Generate impression based on findings. | Cough and congestion. The paranasal sinuses are clear. There is a right Onodi cell. There is no significant nasal septal deviation and the nasal cavity is clear. The inferior turbinates do not appear particularly enlarged. The mastoid air cells are clear. The partially imaged intracranial structures and orbits are gros... | No evidence of sinusitis. |
Generate impression based on findings. | 51-year-old male with lymphoma status post 4 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Mild dependent atelectasis. No suspicious nodules or masses.MEDIASTINUM AND HILA: No pathologically enlarged mediastinal lymph nodes. Right chest wall port catheter terminates in upper right atrium.CHEST WALL: No significant ab... | Mild decrease in previously measured right inguinal lymph node. No pathologically enlarged lymph nodes on current exam. |
Generate impression based on findings. | Reason: Patient with a h/o scca left vocal cord s/p partially treated with radiation. now with persistant disease and cough History: Patient with a h/o scca left vocal cord s/p partially treated with radiation. now with persistant disease and cough LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules com... | No evidence of metastatic disease. |
Generate impression based on findings. | 77-year-old male with left lower lobe nodule seen on chest x-ray LUNGS AND PLEURA: Multiple calcified nodules consistent with prior granulomatous disease. No pulmonary nodule corresponds with that seen on chest radiograph; the abnormality on CXR correlates with a cutaneous nodule in the left back. Correlate with dermat... | The abnormality on CXR correlates with a cutaneous nodule in the left back. Correlate with dermatologic exam. |
Generate impression based on findings. | 53 year-old female with abdominal epigastric pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypoattenuating lesion in left lobe of the liver with nodular peripheral enhancement is most consistent with benign hemangioma. No suspicious liver lesions identified. Gallbladder appears unremar... | 1.Large uterus containing multiple heterogeneous lesions most compatible with leiomyomas. The uterus extends superiorly into abdomen and is likely source of patient's discomfort.2.Peripherally enhancing lesion in left lobe of liver compatible with benign hemangioma. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis, UCTD poss sarcoid LUNGS AND PLEURA: Mild diffuse bronchial wall thickening with very mild cylindrical bronchiectasis bilaterally. Scattered small cysts. No definitive areas of fibrosis or architectural distortion though there is very minimal reticulation at the subpleur... | Mild diffuse bronchial wall thickening with very mild cylindrical bronchiectasis bilaterally. No definitive areas of fibrosis or architectural distortion though there is very minimal reticulation at the subpleural right lung base which persists on prone imaging and may be related to very mild interstitial disease rathe... |
Generate impression based on findings. | 72-year-old female with pain. ABDOMEN:LUNG BASES: Basilar scarring/atelectasis, right more the left.LIVER, BILIARY TRACT: Hepatic steatosis without suspicious lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Thickening bilaterally without discrete nodules.KIDNEYS... | 1.No evidence of bowel obstruction or other acute to account for symptoms.2.Diverticulosis without diverticulitis.3.Hepatic steatosis.4.Punctate nonobstructing stone in right kidney. |
Generate impression based on findings. | 67-year-old with history of bladder cancer and shortness of breath CHEST:LUNGS AND PLEURA: Stable left lower lobe subpleural nodule.No pleural effusion.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Metallic fragment adjacent to the right lower T11 thoracic vertebral body.ABDOMEN:LIVER, BILIARY TRACT... | Slightly more prominent bladder wall nodularity and irregular thickening with infiltration in the peri-vesicular fat.Indeterminate stable left adrenal nodule.Stable right lobe of liver hypodense lesion. |
Generate impression based on findings. | 88 year-old male with dilated bowel on radiographs. Evaluate for ileus or fluid collection. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with bilateral basilar consolidation/atelectasis, right more than left. Bilateral pleural calcifications and thickening.Severe coronary artery calcifications and stents. Mode... | 1.Dilation of multiple small bowel loops in the left hemiabdomen with transition point in the right hemipelvis, consistent with low-grade small bowel obstruction. 2.Changes status post cystoprostatectomy and creation of ileal conduit. Presacral soft tissue thickening and rectal wall thickening may be treatment related ... |
Generate impression based on findings. | 69-year-old male with history of RCC (status post partial right nephrectomy October 2011, clear cell renal carcinoma), pulmonary nodules. Evaluate for metastases. CHEST:LUNGS AND PLEURA: Left upper lobe 7-mm pulmonary nodule is significantly decreased in size, now measuring 2 mm. Multiple other subcentimeter bilateral ... | No evidence of disease progression. Interval decrease in size of left upper lobe nodule. Remainder of pulmonary nodules are stable in size. |
Generate impression based on findings. | 35-year-old female with history of suprapubic 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: No significant ... | Unremarkable study. |
Generate impression based on findings. | Congestive heart failure, chronic air or obstruction, preop evaluation, evaluate for free air versus ascites CHEST:LUNGS AND PLEURA: Bilateral Mosaic perfusion and patchy groundglass opacities, nonspecific and may secondary to edema or chronic airway obstruction. 7-mm nodule in the right lower lobe image number 62 seri... | A limited study of the of IV contrast. Bilateral subcentimeter nodules. Follow-up imaging with chest CT is recommended.Mosaic perfusion in bilateral lungs which may be secondary to edema, heart failure and/or small airway obstruction.Bilateral lesions in the kidneys which cannot be optimally characterizing to lack of i... |
Generate impression based on findings. | Male 61 years old; Reason: gastric cancer s/p neoadjuvant chemo but upon resection two peritoneal nodules not present prior to chemo. Restaging CT prior to palliative chemotherapy History: none CHEST:LUNGS AND PLEURA: Right basilar atelectasis. Scattered air cysts.MEDIASTINUM AND HILA: Increasing amount of borderline a... | Progression of the gastric mass with metastatic disease as described above.Dr. Catenacci notified of the findings at 3:30pm on 11/18/13. |
Generate impression based on findings. | Possible retroperitoneal bleed CHEST:LUNGS AND PLEURA: Bilateral moderate pleural effusions. Dependent atelectasis. Mild to moderate pulmonary edema.MEDIASTINUM AND HILA: Cardiomegaly. Enlarged pulmonary arteries suggestive of pulmonary arterial hypertension.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BI... | Limited study due to lack of IV contrast. No evidence of retroperitoneal bleed.Bilateral moderate pleural effusions and changes secondary to congestive heart failure. Changes suggestive of pulmonary arterial hypertension and likely cardiac cirrhosis.Cholelithiasis. |
Generate impression based on findings. | History of metastatic colon cancer CHEST:LUNGS AND PLEURA: Index left basilar nodule measures 1.3 x 1.4 cm image number 71, series number 4, not significantly changedRight middle lobe nodule measures 1 cm in diameter image number 57, series number 4, not significantly changed from previous study.Right lower lobe nodule... | Lung nodules are unchanged. Bilateral new pleural effusions.Interval development of large amount of ascites.Interval slight increase in the size of the index hepatic metastases and interval development of new metastatic hepatic lesion.Mesenteric mass invading the portal vein confluence and SMV, unchanged.Retroperitonea... |
Generate impression based on findings. | Reason: r/o PE, eval of progression of IPF History: Resp Distress PULMONARY ARTERIES: There is adequate opacification of pulmonary arterial tree only to the segmental level.Evaluation is limited by patient motion.No definite evidence of a pulmonary embolus.LUNGS AND PLEURA: Diffuse interval increase in ground glass opa... | 1.No evidence of a pulmonary embolus to the segmental level. 2.Significant interval increase in diffuse groundglass opacities throughout both lungs most likely presenting acute exacerbation of this patient's known ILD. |
Generate impression based on findings. | 60 year-old with malignant carcinoid tumor of unknown primary site, progression of hepatic metastases? ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple hepatic hypodense lesions compatible with metastases are unchanged in number in comparison with most recent scan dated 11/7/13. They a... | 1. Multiple hepatic bilobar metastases are unchanged in size and number, better seen on the postcontrast study today.2. Pancreatic head lesion with distal pancreatic ductal dilatation and atrophy unchanged.3. Distended small bowel loops reaching upto 3 cm in mid abdomen without wall thickening or interloop fluid or tra... |
Generate impression based on findings. | 68 year-old male with abdominal pain for two weeks. History of lung squamous cell carcinoma. ABDOMEN:LUNG BASES: Moderate left and trace right pleural effusions. Multiple metastases are again seen in both lung bases and mediastinum, significantly increased since 6/14/2013.Small pericardial effusion not significant chan... | 1.Extensive metastatic disease, with increase in retroperitoneal lymphadenopathy, hepatic metastases, and right inguinal lymphadenopathy since 6/14/2013.2.Large amount of stool throughout colon consistent with constipation. |
Generate impression based on findings. | Reason: Eval possible mets History: HCC, cirrhosis, HCV LUNGS AND PLEURA: Emphysema. No evidence of pulmonary metastases.MEDIASTINUM AND HILA: Hypodense nonspecific right thyroid nodule, roughly 1 cm. Scattered small subcentimeter lymph nodes. Coronary calcification.CHEST WALL: Degenerative change involving thoracic sp... | No evidence of pulmonary metastases. |
Generate impression based on findings. | Reason: Characterize bilateral infiltrates seen on CXR. ?pneumonia, pleural effusion. History: bilateral infiltrates, hypoxia, fever/nausea/vomiting x 5 days. Works cleaning cages of research animals. LUNGS AND PLEURA: Patchy multifocal multilobar bilateral groundglass and air space opacity. There is a slight nodular c... | Multifocal pulmonary opacities with slightly enlarged intrathoracic lymph nodes suggestive of infection. The imaging appearance is nonspecific though atypical pneumonias and viral etiologies should be considered. If the patient is HIV+, Pneumocystis pneumonia can appear this way. An acute hypersensitivity pneumonitis i... |
Generate impression based on findings. | 66-year-old male, evaluate for PE PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. The main pulmonary artery is mildly enlarged, measuring 3.1 cm.LUNGS AND PLEURA: Extensive bilateral interstitial opacity with traction bronchiectasis, architectural distortion and honeycombing, and s... | No pulmonary embolus. Marked interval increase in ground glass opacities with previously demonstrated underlying pulmonary fibrosis consistent with acute exacerbation of interstitial lung disease. Superimposed pulmonary edema cannot be excluded. |
Generate impression based on findings. | 46 year old male with subjective lymphadenopathy There is no acute intracranial hemorrhage, masses or edema within the visualized brain parenchyma. The visualized portions of the paranasal sinuses are clear. The mastoid air cells are opacified bilaterally with partial opacification of the right middle ear cavity.The or... | 1.Multiple small scattered cervical lymph nodes without aggressive features and do not meet CT size criteria for lymphadenpathy.2.Bilateral opacification of the mastoid air cells may represent a sequela of otomastoiditis.3.Mild asymmetry of the base of the tongue soft tissues without evidence of mass. |
Generate impression based on findings. | Reason: evaluate for changes to ILD History: worseing sob LUNGS AND PLEURA: Bilateral subpleural and basilar predominant reticulation with honeycombing and traction bronchiectasis is typical of UIP and is stable in severity and distribution. Postop change on the right from previous biopsy.MEDIASTINUM AND HILA: Large ce... | UIP pattern chronic interstitial lung disease/fibrosis stable in severity and distribution. |
Generate impression based on findings. | Reason: 71 y/o male w/ chronic cough with bibasilar crackles History: chronic cough x8 months LUNGS AND PLEURA: Subpleural basilar predominant, left greater than right, reticulation with mild traction bronchiectasis. There is no significant air trapping.Scattered clustered micronodules are not significantly changed in ... | Findings noted on recent CT persist on prone imaging and are consistent with interstitial disease with fibrotic changes including architectural distortion and mild bronchiectasis. The differential considerations are broad but primary considerations include NSIP and, less likely, UIP. |
Generate impression based on findings. | 31-year-old male patient with history of thyroid cancer. Evaluate for adenopathy or recurrence. LUNGS AND PLEURA: Scattered punctate micronodules, unchanged and presumably postinflammatory.MEDIASTINUM AND HILA: No significantly enlarged mediastinal or hilar lymph nodes.Small pericardial cyst no significantly changed.CH... | No evidence of metastases. |
Generate impression based on findings. | Clinical question :evaluate for bleed. Signs and symptoms: MVC with loss of consciousness. Nonenhanced head CT:No detectable acute posttraumatic intracranial or calvarial findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation. Unremarkable calvaria... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Hit head. Signs and symptoms: Fall. Nonenhanced head CT:No detectable acute posttraumatic intracranial or calvarial findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation.Unremarkable calvarium and soft tissues of the scalp.Unrem... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 34-year-old female with abdominal pain and vomiting. History of cervical cancer and recent SBO with sigmoid perforation status post double loop ileostomy and mucocutaneous fistula on 10/27/2013. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. Several hypodense lesi... | 1.Foci of extraluminal air in left lower quadrant suspicious for leak, likely from sigmoid.2.Foci of gas in subcutaneous fat of lower abdominal wall located to left of midline wound, which may be due to development of fistulous collection to adjacent matted bowel loops or due to dehiscence of abdominal wound. Findings ... |
Generate impression based on findings. | 70 year-old male with prostatic stromal sarcoma status post cystoprostatectomy. CHEST:LUNGS AND PLEURA: Multiple lung nodules are present; for reference, pleural-based nodule in the right middle lobe measures 6 mm (series 5, image 62). No consolidation or pleural effusions.MEDIASTINUM AND HILA: Heterogeneous nodule in ... | 1.Multiple pulmonary nodules, largest measuring 6 mm; while nonspecific, these are suspicious for metastases.2.No evidence of intra-abdominal metastatic disease. 3.Status post cystoprostatectomy. |
Generate impression based on findings. | Clinical question: Follow-up subarachnoid hemorrhage. Signs and symptoms:headache. Nonenhanced head CT:There is questionable slight interval increased subarachnoid hemorrhage in particular in the right aspect of basal cistern and interpeduncular cistern. Previously noted a small amount of hemorrhage in the right perime... | Questionable subtle interval increased subarachnoid hemorrhage and stable exam otherwise. |
Generate impression based on findings. | 10-year-old male with persistent air flow obstruction on spirometry. Rule out bronchiolitis obliterans. The evaluation of solid organ pathology and lymphadenopathy is limited by the lack of IV contrast. LUNGS AND PLEURA: There is very mild bronchial wall thickening, compatible with bronchiolitis or reactive airway dise... | Mild bronchial wall thickening compatible with bronchitis or reactive airway disease. No other significant findings are seen on this non contrast chest CT. |
Generate impression based on findings. | Clinical question: Patient with known brain metastases. Signs and symptoms: Aphasia. Nonenhanced head CT:Hemorrhage in the left inferior frontal lobe measuring at 40 x 33 mm sized is identical in measurement to prior exam.Surrounding vasogenic edema and subtle subfalcine midline shift to the right remains also similar ... | 1.Stable hemorrhagic metastatic lesions, surrounding vasogenic edema and associated regional mass-effect in the left inferior frontal and left parietal lobes since prior exam.2.Unremarkable exam otherwise and stable since prior study. |
Generate impression based on findings. | 50 year-old male status post transanal endoscopic microsurgical excision of local colon cancer, now with fever and rectal pain concerning for pelvic abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No sig... | Three likely contiguous loculated complex collections associated with rectal surgical bed likely represent abscess and/or leak. |
Generate impression based on findings. | 60 year-old male with headaches and history of right maxillary adenoid cystic carcinoma. CHEST:LUNGS AND PLEURA: No suspicious nodules or masses. Triangular shaped nodular opacity along the left major fissure most compatible with intrapulmonary lymph node (series 4, image 49).No consolidation or pleural effusions.MEDIA... | 1.New liver lesion; - fatty infiltration of liver makes characterization difficult and if better characterization is needed, dedicated liver MRI is recommended to exclude new metastasis. 2.Stable portocaval node and prominent mesenteric nodes. |
Generate impression based on findings. | Clinical question: 72-year-old male with tonic-clonic movements status post cardiac arrest history of hemorrhagic stroke. Signs and symptoms: As above. Nonenhanced portable head CT:Examination demonstrates a focus of low-attenuation involving the cortex and subcortical white matter of right occipital lobe highly suspec... | 1.Focus of late acute/early subacute nonhemorrhagic stroke in the right occipital lobe measuring at 28 x 19-mm and unremarkable nonenhanced head CT otherwise.2.Extensive fluid and suspected blood layering of the paranasal sinuses likely results of intubation.3.Unremarkable exam otherwise and in particular no evidence o... |
Generate impression based on findings. | Intracerebral hemorrhageIntracerebral hemorrhage There is a redemonstration of a 34 by 11-mm coronal dimension hematoma involving the left thalamus and left midbrain which is associated with a intraventricular blood. Intraventricular blood appears similar when compared to the prior exam. The patient is status post vent... | 1.Since the prior exam the patient's intraparenchymal and intraventricular blood has remained stable.2.Since prior exam the lateral ventricles have mildly decreased in size3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. |
Generate impression based on findings. | 82 year female, status post transurethral resection of bladder tumor complicated by intraperitoneal bladder perforation. High suspicion for urine leakage intra-abdominal. ABDOMEN: Within the limitations of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs investor structures to foll... | 1. New bilateral pleural effusions and associated atelectasis. 2. Residual bladder wall thickening and air in the bladder wall in an area of prior tumor and recent surgical procedure. 3. Free intraperitoneal air in amount typically seen following recent surgery. 4. No significant amounts of free mesenteric fluid or per... |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Status post craniofacial reconstruction. Nonenhanced head CT:Examination demonstrate extensive postoperative changes of bilateral frontal craniofacial surgery changes. Surgical changes also in involves bilateral roofs. There is no evidence of intracranial ... | 1.No evidence of subarachnoid or parenchymal hemorrhage.2.Extensive postoperative changes of bilateral frontal cranioplasty including placement of bony grafts along the floor of bilateral anterior cranial fossa and midline frontal skull.3.The bony grafts along the floor of anterior cranial fossa has a cranial cephalad ... |
Generate impression based on findings. | Intracerebral hemorrhageIntracerebral hemorrhage There is a redemonstration of a 34 by 11-mm coronal dimension hematoma involving the left thalamus and left midbrain which is associated with a intraventricular blood. Intraventricular blood appears similar when compared to the prior exam. The patient is status post vent... | 1.Since the prior exam the patient's intraparenchymal and intraventricular blood has remained stable.2.Since prior exam the lateral ventricles have increased in size3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. |
Generate impression based on findings. | 31-year-old male with bilateral lower abdominal pain, blood in stool. Evaluate for infectious process such as colitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAND... | Moderate amount of stool throughout colon without evidence of colitis or other specific abnormality to account for symptoms. |
Generate impression based on findings. | Headaches. History of right maxillary adenocarcinoma. CT facial bones: Previously described postoperative changes include the right antrectomy with middle/inferior turbinectomy and left antrostomy which has intervally been widened by an uncinectomy and is widely patent. There is intervally improved mucosal thickening w... | 1.Sinonasal postoperative changes without obvious tumor recurrence.2.Interval left uncinectomy and antrostomy with improved appearance of the left maxillary sinus.3.Stable mild mucosal thickening in the right maxillary sinus and minimal residual findings on the left likely related to inflammatory changes.4.Persistent p... |
Generate impression based on findings. | 33-year-old male with abdominal distention, dyspnea, elevated lactate. Evaluate for signs of GI ischemia or other abnormality. CHEST:LUNGS AND PLEURA: Apical septal thickening, scattered areas of basilar predominant ground glass opacity, left more than right, most consistent with edema. Subsegmental consolidation in th... | 1.Scattered lung ground glass opacities and septal thickening are most consistent with edema. Subsegmental consolidation in left base may represent superimposed aspiration and/or pneumonia. 2.Small amount of free fluid in lower abdomen and pelvis without other significant intra-abdominal abnormality, likely due to volu... |
Generate impression based on findings. | 51-year-old female with history of cholangiocarcinoma, rule out metastatic disease LUNGS AND PLEURA: Moderate right pleural effusion with adjacent consolidation and atelectasis. Bilateral pulmonary nodules measuring up to 5 x 5 mm on the right are suspicious for metastatic disease (image 58, series 4).MEDIASTINUM AND H... | 1. Multiple small pulmonary nodules and right pleural effusion suspicious for metastatic disease. 2. Extensive hepatic lesions consistent with patient's history of cholangiocarcinoma. |
Generate impression based on findings. | 54-year-old male with end-stage renal disease and gross hematuria and abdominal pain. Evaluate for kidney stones. Within the limits of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs of vessel structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant ab... | 1. No evidence of urinary tract calculus disease and no hydronephrosis. 2. Cholelithiasis again seen without complication. 3. Bladder wall diffusely, mildly thickened -- this may be accentuated by lack of distention. |
Generate impression based on findings. | Male; 15 years old. Reason: 15 y/o male with Crohn and history of possible vasculitis now with L foot swelling with darkened areas on dorsum and now plantar surface of foot concerning for cellulitis vs abscess vs other tissue compromise History: swelling, erythema, parasthesias, severe pain. Dopplars at bedside show go... | Soft tissue swelling, particularly along the dorsum of foot, which is nonspecific and may be due to cellulitis; clinical correlation is advised. No evidence of abscess. |
Generate impression based on findings. | 34-year-old female with right lower quadrant pain, nausea and vomiting. 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, URE... | 1. Small umbilical anterior wall hernia containing only mesenteric fat. 2. No other abnormality seen and no findings seen to account for patient's symptomatology. |
Generate impression based on findings. | Female 65 years old; Reason: 65Yrs old Black/African-American female with longstanding history of ileocolonic Crohn's disease s/p multiple abdominal surgeries with G-tube for decompression. RLQ pain, fevers, decreased output from g-tube History: RLQ pain, decreased output from g-tube followed by yellow/bilious output a... | No acute intraabdominal pathology detected. Stable mildly dilated loops with of small bowel thickened walls change -- element of partial small bowel obstruction cannot be excluded although markedly improved from more remote CT examinations. |
Generate impression based on findings. | 70 year-old female with abdominal pain, rule out mesenteric ischemia, splenic infarct. ABDOMEN:LUNG BASES: Left basilar atelectasis. Fibrotic changes of the right chest wall may represent posttreatment changes relating to right mastectomy and radiation.LIVER, BILIARY TRACT: Large gallstone redemonstrated in the gallbla... | 1.No evidence of mesenteric ischemia or splenic infarct, as clinically questioned.2.Large gallstone probably unchanged and without complication, however gallbladder incompletely evaluated due to motion artifact. If there is clinical concern for cholecystitis, right upper quadrant ultrasound would be recommended.3.Inter... |
Generate impression based on findings. | 58-year-old male with, tachycardia and shortness of breath PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. LUNGS AND PLEURA: New bilateral pleural effusions with associated compressive atelectasis. Multiple cavitating masses and nodules are identified, with the largest reference ri... | Bilateral cavitating nodules and masses suspicious for atypical infection. Interval development of new small bilateral pleural effusions. New abdominal ascites. |
Generate impression based on findings. | Reason: worsening sob, yellow sputum, increasing o2 requirements s/p RML, slightly worse RLL opacity from cxr on 11/13/13. LUNGS AND PLEURA: Status post right middle lobectomy. Paramediastinal air is noted adjacent to the surgical bed (series 5 image 50) and is likely postsurgical. There is right lower lobe patchy airs... | 1. Interval right middle lobectomy with small loculated right pleural effusion with findings suggestive of post surgical changes and/or infection in the right lower lobe.2. Right lateral chest wall seroma / hematoma.Small pericardial effusion. |
Generate impression based on findings. | 85 year-old male with left upper lobe mass LUNGS AND PLEURA: Large heterogeneously enhancing left upper lobe mass measures 6.3 x 6.4 cm (image 33 series 3), invades the mediastinum, compresses the left main pulmonary artery and encases the left mainstem bronchus and its branches. Debris is noted in the lower airways. M... | Large left upper lobe mass invading the mediastinum and encasing the left main pulmonary artery and mainstem bronchus most likely representing a primary carcinoma. |
Generate impression based on findings. | 45-year-old male with history of cholangiocarcinoma and increasing shortness of breath. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus..LUNGS AND PLEURA: Right lower lobe nodule measures 1.9 x 1.3 cm (image 174, series 7) and previously measured 1.1 x 0.8 cm. Basilar atelectasis.ME... | No pulmonary embolus. Enlarging right lower lobe nodule suspicious for metastatic disease. |
Generate impression based on findings. | Seizure. There is a ventriculostomy shunt extending from a right parietal approach into the right lateral ventricle with its tip in the anterior horn. There has been no interval change in catheter position or ventricular caliber since the prior examination. There is a right frontal burr hole presumably related to prior... | 1.Right ventriculostomy catheter in unchanged position. Stable ventricular size.2.Stable rounded area of gray matter attenuation associated with the cingulate gyrus suspicious for cortical dysplasia, less likely gray matter heterotopia. |
Generate impression based on findings. | Male 49 years old; Reason: CT for possible PT drain removal History: CT for possible PT drain removal 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 notedLI... | 1.Interval resolution of the previously noted pancreatic body/tail pseudocyst extended down into the left retroperitoneum. Majority of the pancreatic tail and body are not well characterized on this examination.2.Right-sided retroperitoneal fluid collection overlying the right psoas muscle is slightly smaller in size.3... |
Generate impression based on findings. | evaluate for vetebral artery compression at C1-2. Cervicalgia; Ankylosing spondylitis Neck CTA: There is opacification of great vessels from the aortic arch and carotid arteries and vertebral arteries. The origins of the great vessels from the aortic arch are not included on this exam. On the basis of NASCET criteria t... | 1.There is a right vertebral artery stenosis of approximately 70% at the C2 level related to bony proliferation at the neural foramen. There is mild narrowing of the left vertebral artery related to basilar invagination and bony proliferation. Please note the right vertebral artery is the nondominant vertebral artery2.... |
Generate impression based on findings. | Female, 52 years old, vocal cord paresis, thyroid nodule. Head:Mild periventricular and patchy subcortical hypoattenuation is seen, nonspecific but likely indicative of age indeterminant small vessel ischemic disease. No enhancing abnormality is evident. No intracranial hemorrhage or abnormal extra-axial fluid collecti... | 1. A left thyroid lobe nodule is nonspecific and has been better assessed on prior ultrasound.2. No other neck mass or pathologic adenopathy is seen.3. Secondary evidence of left vocal cord dysfunction. Correlation with direct visualization is suggested.4. No intracranial mass or other significant intracranial abnormal... |
Generate impression based on findings. | Altered mental status. There is diffuse symmetrical prominence of CSF spaces and ventricular size, as well as subcortical hypoattenuation most likely representing sequela chronic small vessel ischemic disease. There is a focus of atherosclerotic calcification along the course of the right vertebral artery. There is no ... | Mild age indeterminate small vessel ischemic changes, without CT evidence of acute pathology. |
Generate impression based on findings. | 46-year-old female with history of right jaw solitary fibrous tumor, reevaluate Limited intracranial and orbital views are grossly unremarkable. The visualized paranasal sinuses and mastoid air cells are clear.Similar to the prior, a surgical clip is present inferior to the right mandible with overlying scar tissue. Th... | No evidence of recurrent or residual disease. |
Generate impression based on findings. | Female, 52 years old, sphenoid sinusitis, vocal cord weakness. The frontal sinuses and frontoethmoidal recesses are clear. Postoperative change is evident status post resection of some of the ethmoid air cells. There is mild patchy opacification involving the remaining air cells. Previously seen soft tissue opacificati... | 1. Demonstration of postoperative findings consistent with functional endoscopic sinus surgery.2. Interval resolution of soft tissue opacification in the region of the left ethmoids and left sphenoid sinus. |
Generate impression based on findings. | Male, 67 years old, AML, neutropenic fever, previous CT showing extensive sinusitis. Concern for Mucor. Peripheral mucosal thickening is again seen within the right maxillary sinus. Centrally, there is hyperdense material also similar to prior. A bony defect persists within the posterior lateral wall of the sinus throu... | Persistent mucosal thickening and hyperdense material within the right maxillary sinus, along with persistent erosion of the sinus walls. The constellation of findings remains concerning for an aggressive or invasive fungal process, particularly given the clinical history. |
Generate impression based on findings. | 38 year-old female with cirrhosis, sepsis, respiratory failure, bloody ascites with possible SBP. ABDOMEN:LUNG BASES: Interval improvement in previously seen groundglass opacities. Bilateral basilar consolidation/atelectasis. Trace bilateral pleural effusions. Paraseptal emphysema. Central venous catheter terminates in... | 1.Evolving right inferior right renal pole hematoma is not significantly changed in size.2.Increased large amount of ascites fluid with new areas of high attenuation consistent with blood. Although no loculations are evident, superimposed infection cannot be excluded. 3.Improved ileus. 4.Consolidation in both lung base... |
Generate impression based on findings. | 70 year-old male with GI stromal tumor -- surveillance. CHEST:LUNGS AND PLEURA: No change in lung parenchyma -- small micronodular left lung base (MIP series image 44) unchanged dating back to 2011 and represents benign postinflammatory nodule. No other nodules, masses, areas of consolidation or effusion seen. MEDIASTI... | 1. No definite ascites now seen. 2. Mild colonic wall thickening descending colon, nonspecific and unchanged. 3. Small retroperitoneal lymph nodes, stable. 4. No sites of new disease seen. |
Generate impression based on findings. | Reason: vocal cord paresis History: vocal cord paresis LUNGS AND PLEURA: Minimal basilar scarring and bronchiectasis. No other significant pulmonary or pleural abnormality.MEDIASTINUM AND HILA: Heterogeneous left thyroid lobe enlargement.There is no mediastinal or hilar lymphadenopathy. CHEST WALL: No significant abnor... | No significant abnormality except for heterogeneous left-sided thyroid enlargement. |
Generate impression based on findings. | Reason: 61 yo M with AML s/p multiple BMT. Febrile, dry cough, SOB. Eval for infectious etiology History: see above LUNGS AND PLEURA: Moderate to severe emphysema.New pleural effusions are present.New basilar predominant bronchial wall thickening and patchy consolidation, which could be from recurrent aspiration or eve... | 1. New pleural effusions, basilar opacities and bronchial wall thickening likely the result of recurrent aspiration, possibly infection but not a typical fungal etiology.2. New abdominal ascites. |
Generate impression based on findings. | Reason: Please perfrom high resolution CT to assess COPD. No contrast History: hypoxia, present reported history of intraperitoneal bladder perforation following transurethral resection of bladder tumor. LUNGS AND PLEURA: Severe centrilobular emphysema extending to the lower lobes. Bilateral pleural effusions, moderate... | Severe centrilobular emphysema extending to the bases. Bilateral pleural effusions, moderate on the left and small right.Nodular consolidation peripheral right lower lobe which can be followed on subsequent CT thorax following diuresis.Postoperative pneumoperitoneum with gas that tracks along the intrahepatic veins. |
Generate impression based on findings. | 65 year-old female, evaluate lung disease LUNGS AND PLEURA: No suspicious nodules or masses. There is atelectasis and bronchiectasis in the superior segment of the right middle lobe with concave margins. No pleural effusions.MEDIASTINUM AND HILA: Right hilar lymph node measures 9 mm (image 42 series 3). No mediastinal ... | Atelectasis and bronchiectasis involving the superior segment of the right lower lobe suggestive of a resolving inflammatory process such as an organizing pneumonia. Follow up imaging in 3 months is recommended to confirm resolution. Comparison with prior imaging if available would also be helpful. |
Generate impression based on findings. | Male, 31 years old, thyroid cancer, history of neck recurrence, evaluate for adenopathy. Limited intracranial views are again significant only for a small dense focus in the region of the fourth ventricle which is unchanged from prior.The thyroid gland has been resected. Only mild nonspecific soft tissue thickening is ... | No evidence of recurrent disease in the neck. |
Generate impression based on findings. | right serous otitis media, assess for parapharyngeal or nasopharyngeal lesion The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The maxilla, mandible, sphenoid bone, nasal bones, zygoma, hard palates, pterygoid plates, visualized cervical spine and TMJs are... | 1. No nasopharyngeal lesion to account for patient's symptoms. 2. Chronic pansinusitis. |
Generate impression based on findings. | 44-year-old male with AML LUNGS AND PLEURA: Small pleural effusions and basilar atelectasis/consolidation. Left lingular consolidation.MEDIASTINUM AND HILA: Left central venous catheter extends to the mid left innominate vein. Scattered small mediastinal lymph nodes without adenopathy. Small pericardial effusion.CHEST ... | Small pleural effusions with basilar atelectasis/consolidation as well as left lingular consolidation suspicious for an infectious process. |
Generate impression based on findings. | Reason: patient is 18, use low dose, evaluate for bronchiectasis History: cough LUNGS AND PLEURA: Diffuse bronchial wall thickening with scattered foci of mucoid impaction and mild bronchiectasis. Associated centrilobular nodules and tree in bud opacities consistent with bronchiolitis.Three nodular fissural opacities i... | Diffuse bronchial wall thickening with scattered foci of mucoid impaction and mild bronchiectasis. Associated centrilobular nodules and tree in bud opacities consistent with bronchiolitis.No mediastinal lymphadenopathy. |
Generate impression based on findings. | Reason: lung Ca, reassessment on chemo after 2 months. History: cough CHEST:LUNGS AND PLEURA: Previously noted large right lower lobe mass as slightly decreased in size now measuring 6.8 cm x 5.5 cm (image 79 series 4) previously measuring 7.3 cm x 6.1 cm.Reference nodules in the right low in the also slightly decrease... | 1.Large lobulated right lower lobe mass slightly decreased in size in since the prior exam. Additional pulmonary nodules in the right lung have also minimally decreased in in size.2.Right hilar lymphadenopathy with interval decrease in size.3.Small pericardial effusion with interval increase in size. |
Generate impression based on findings. | 87 year-old male with abdominal pain. Mesothelioma. CHEST:LUNGS AND PLEURA: No significant abnormality notedin the lung parenchyma. No nodules, foci of consolidation or effusions. No pleural thickening or pleural masses.MEDIASTINUM AND HILA: Coronary artery calcification. Scattered small subcentimeter right cardiophren... | Small subcentimeter right cardiophrenic angle lymph nodes of uncertain significance -- no other thoracic abnormality seen. 2. Diffuse ascites with slight thickening diffusely of the peritoneal wiles. 3. Soft tissue mass with Infiltration in the omentum/mesentery near the right hepatic flexure and transverse colon into ... |
Generate impression based on findings. | 55-year-old female patient with history of sarcoidosis presents with lung nodule per outside hospital chest x-ray. Evaluate for lung lesion. LUNGS AND PLEURA: Bullae, bronchiectasis and scarring, predominantly in the upper lung zone is consistent with history of sarcoidosis and has decreased compared to prior examinati... | Interval improvement of sarcoidosis in the lungs. Interval decrease in lymphadenopathy.No new suspicious nodules. |
Generate impression based on findings. | Reason: Evaluate LLL Density History: Abdominal cramping, nausea, vomiting LUNGS AND PLEURA: Surgical findings reflect prior left upper lobectomy. Stable redundant tissue at the resection site but no sign of localized recurrence.New spiculated mass with central necrosis within the left lower lobe measuring 3.0 x 3.9 cm... | New spiculated mass with central necrosis within the left lower lobe measuring 3.0 x 3.9 cm (series 5 image 69). Surrounding groundglass and consolidation extending to the pleural surface and posterior basilar segment. Given the time interval when compared to the radiograph of 8/2/13, this may represent a necrotic infe... |
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