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Generate impression based on findings. | 64-year-old female with history of mesothelioma. ABDOMEN:LUNG BASES: Large right and pleural effusion appears increased since 9/5/2013. Overlying right basilar consolidation/atelectasis.Right pleural thickening and pleural nodules (series 8028, image 7, 17).Cardiophrenic angle node appears similar, measuring 10 mm, pre... | 1.Interval decrease in ascites fluid and omental/mesenteric nodularity. Small pockets of residual fluid are present; lower quadrant fluid pocket appears loculated and is associated with thickened peritoneum, which likely represents inflammation although tumor is also possible.2.Large right pleural effusion with pleural... |
Generate impression based on findings. | Clinical question: Acute hemorrhagic stroke, evaluate for interval change. Signs and symptoms: Right-sided weakness. Nonenhanced head CT:Examination demonstrate an acute hematoma likely hypertensive bleed in the left basal ganglia measuring 19 x 41 x 25-mm in size. Minute surrounding edema is also present. Subtle mass ... | 1.Acute hematoma in the left basal ganglia measuring 19 x 41 x 25-mm with minute surrounding edema and no appreciable significant mass effect.2.Mild age indeterminate small vessel ischemic strokes.3.Complete opacification of left maxillary sinus, minimal sinus wall thickening and well pneumatized other paranasal sinuse... |
Generate impression based on findings. | Male, 53 years old, history of recurrent laryngeal cancer, new baseline scans. Circumferential enhancing thickened soft tissue is evident at the presumed level of the glottis and the supraglottic larynx compatible with stated history of recurrent tumor. This process results in obliteration of the airway and obscuration... | A large circumferential enhancing tumor is present affecting the larynx with obscuration of normal laryngeal anatomy and airway effacement. This process extends superiorly at least to the level of the piriform sinuses and aryepiglottic folds. Tumor also appears to extend through a deficiency in the right thyroid cartil... |
Generate impression based on findings. | 78 yer-old female with left leg weakness. Motion degraded exam. There appears a focus of hypoattenuation in the anterior limb of the right internal capsule (image 15 of series 3). The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect... | 1. No acute intracranial hemorrhage or territorial infarct. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Focus of hypoattenuation in the anterior limb of the right internal capsule could represent age indeterminate ischemic change. |
Generate impression based on findings. | 35-year-old female with possible adnexal mass. 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 abno... | 1.Large predominantly cystic mass arising from left adnexa, most consistent with ovarian neoplasm such as serous cystadenocarcinoma. 2.No evidence of metastatic disease. |
Generate impression based on findings. | 74-year-old male with urothelial cancer status post surgery and chemotherapy. Evaluate lung nodule. CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema.Left apical nodule is increased in size, currently measuring 8 mm, previously measured 4 mm (series 4, image 16). No new suspicious nodules.MEDIASTINUM AND HILA: No pa... | 1.Increase in size of left apical lung nodule, suspicious for metastatic focus.2.New soft tissue lesion in right hemipelvis adjacent to surgical clip, highly suspicious for local recurrence. |
Generate impression based on findings. | 77-year-old female with history of colon cancer with liver metastases status post resection, now with elevated CEA. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Prominent right hilar lymph node is unchanged measuring 1.9 x 1.2 cm (image 46, series #3).CHEST WALL: No significant abnorma... | 1.Newly demonstrated ill-defined subcentimeter right dome liver lesion, too small to further characterize.2.Redemonstrated postsurgical changes of the liver with resolving small perihepatic fluid collections. |
Generate impression based on findings. | 55-year-old male with history of rectal cancer. Evaluate pre-sacral lymph nodes seen on 8/23/2013 exam. CHEST:LUNGS AND PLEURA: Cluster of tree in bud opacities in lateral aspect of right middle lobe and subsegmental consolidation in the right base, which may be result of mild aspiration (series 4, image 54 and 78).No ... | Stable presacral thickening and pelvic lymph nodes. |
Generate impression based on findings. | Reason: h/o recurrent laryngeal ca, new baseline scans, measurements pls History: none CHEST:LUNGS AND PLEURA: Paraseptal emphysematous changes, most prominent in the upper lungs. Calcified granuloma in the right upper lobe. There is diffuse bronchial wall thickening and mucoid impaction within right middle lobe and me... | Evidence of active aspiration with mucoid impaction in the right middle lobe.No suspicious lesions suggestive of metastatic disease. |
Generate impression based on findings. | 66 year-old female with chronic sinusitis. The orbits are unremarkable apart from lens prostheses. The mastoids are underdeveloped. Limited view of the intracranial structure is unremarkable. There is minimal mucosal thickening in the left maxillary sinus. The frontal sinuses, frontal-ethmoid recesses, anterior/posteri... | No evidence of sinusitis. |
Generate impression based on findings. | 54-year-old female with GIST, evaluate for recurrence/metastatic disease. CHEST:LUNGS AND PLEURA: Scattered bilateral calcified and noncalcified pulmonary micronodules are stable. MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast mat... | Stable exam with no evidence of recurrent or metastatic disease. |
Generate impression based on findings. | chronic sinusitis s/p ESS x3 The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The patient is status post right-sided turbinectomy and bilateral uncinectomies.The frontal sinuses are clear.Maxillary sinuses are clear. Ethmoid air cells are clear . Sphe... | Status post paranasal sinus surgery. No evidence for paranasal sinus outlet obstruction |
Generate impression based on findings. | L sided frontal HA, in pt with prostate ca hx, L sided tinnitus. visual disturbances Headache. LUE numbness 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 ... | 1.No evidence for intracranial mass lesion.2.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 72 year old female. Reason: Pancreas cancer. Please compare to all previous scans and provide index lesion measurements for RECIST. CHEST:LUNGS AND PLEURA: The focal, patchy RML groundglass opacities have resolved. Subcentimeter nodules in the right middle lobe. Calcified granulomata compatible with old granulomatous d... | Increased size and number of multiple hepatic metastases.Probable increase in the size of the patient's known pancreatic head mass. |
Generate impression based on findings. | Reason: COPD with history of nodules History: dyspnea LUNGS AND PLEURA: Unchanged subcentimeter nodules, likely benign. Left lower lobe granuloma. No suspicious pulmonary nodules. Near complete resolution of previous bibasilar atelectasis.MEDIASTINUM AND HILA: The heart size remains normal. Moderate inferior mitral ann... | Unchanged subcentimeter nodules, likely benign. Left lower lobe granuloma. No suspicious pulmonary nodules. Near complete resolution of previous bibasilar atelectasis. |
Generate impression based on findings. | Reason: 53yo female - assess lung nodule History: as above - abnormal CXR LUNGS AND PLEURA: Minimal apical scarring.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Cardiac size is normal evidence of pericardial effusion.CHEST WALL: Intraspinal... | No significant pulmonary or pleural abnormalities. Specifically no pulmonary nodule or mass can be identified. |
Generate impression based on findings. | Prostate carcinoma; left-sided pelvic lymph node dissection aborted secondary to presence of mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abn... | Left ectopic pelvic kidney as described. No evidence for regional adenopathy, lymphocele, or other mass lesion other than ectopic left pelvic kidney.Status post prostatectomy with usual postoperative findings. |
Generate impression based on findings. | 68-year-old male with history of HCC status post resection. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: No parenchymal lung abnormalities of significance seen. No pleural abnormalities or effusions.MEDIASTINUM AND HILA: Scattered mildly prominent lymph node nodes are seen, the largest of which, in the anterior med... | 1. Scattered mildly prominent mediastinal lymph nodes, which are nonspecific. No other thoracic abnormalities of significance seen. 2. Status post right hepatectomy with multiple enhancing lesions adjacent to the resection one of which meets AASLD criteria for HCC, but all of which are new since 5/13/13 and suspicious ... |
Generate impression based on findings. | 46 year old female. Carcinoid tumor. PET scan on 10/2/2013 showed increased activity in multiple left axillary and supraclavicular lymph nodes. History of flushing, diarrhea. 6 mm rectal carcinoid tumor and a history of flushing, diarrhea. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: N... | Borderline left axillary adenopathy. No other measurable metastatic disease. Fatty liver. Cholelithiasis. |
Generate impression based on findings. | Reason: patient with AML, neutropenic fever, previous CT showing extensive sinusitis. Concern for mucor History: neutropenia, fever CHEST:LUNGS AND PLEURA: Stable calcified and noncalcified micronodules.Moderate upper lobe predominant centrilobular and paraseptal emphysema.Mild bronchial wall thickening and pleural thi... | 1.Upper lobe predominant emphysema and mild bronchial wall thickening unchanged from the prior exam.2.No specific evidence of acute infection. |
Generate impression based on findings. | 58 year old female. Reason: History of bladder cancer with cystectomy, Indiana Pouch. Assess for recurrence. CHEST:LUNGS AND PLEURA: Stable micronodules. Chronic right middle lobe atelectasis and volume loss at image 63 series 4 is stable. MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significan... | Ileal loop marked distension with new mild hydronephrosis. Otherwise stable examination. No measurable metastatic disease. |
Generate impression based on findings. | Reason: preop coronary eval prior to atrial fib ablation, previous pulmonary vein isolation History: palpitations Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no sign... | 1. There are no significant coronary artery stenoses present.2. Common origin of the right superior and middle pulmonary veins with early branching. Orthogonal ostial pulmonary vein measurements, as above. |
Generate impression based on findings. | History of malignant neoplasm of tongue (squamous cell carcinoma, 2002) and free flap retromolar trigone for trismus. Abnormal involuntary movements. Postoperative changes including surgical clips within the left masticator and carotid spaces are demonstrated in addition to a calcific density possibly representing dyst... | 1.Postoperative changes without evidence of acute tumor recurrence or spread.2.Extensive dental disease including periapical lucencies likely representing abscesses, some of which are communicating with the maxillary sinuses.3.Findings suggestive of sinusitis. |
Generate impression based on findings. | Reason: staging for head and neck cancer History: tongue cancer LUNGS AND PLEURA: 9-mm groundglass nodule in the apical segment of the right upper lobe, not definitely changed in measurement but questionably slightly denser compared to the previous scan. This finding is suspicious for primary adenocarcinoma, which is u... | 9-mm right upper lobe pure groundglass nodule, which may represent atypical adenomatous hyperplasia (AAH), adenocarcinoma in situ or minimally invasive adenocarcinoma. A follow-up CT scan is recommended in approximately 3 months to evaluate for interval growth. |
Generate impression based on findings. | 78-year-old female with history of recurrent adrenocortical carcinoma, status post two liver resections. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Scattered subcentimeter pulmonary nodules are unchanged.MEDIASTINUM AND HILA: Large lateral hernia, unchanged. Transvenous cardiac pacemaker leads are in the expected... | Hypodense lesion, 2.5 cm diameter, at liver resection margin is better seen on this scan, especially in non-contrast and delayed series. Recommend follow-up. No other significant change from previous study. |
Generate impression based on findings. | 61-year-old patient with right-sided weakness. CT head: There is diffuse prominence of CSF spaces in addition to patchy periventricular hypoattenuation which is most prominent in the right frontal white matter and internal capsule. There is a region of hypoattenuation representing encephalomalacia within the left poste... | 1.Multifocal hypoattenuation in keeping with both small vessel and watershed (left temporal/occipital/parietal) strokes of indeterminate age. If there is concern for ischemia, MRI examination is recommended. 2.No intracranial mass or hemorrhage.3.Multilevel degenerative changes in the cervical spine asymmetric to the l... |
Generate impression based on findings. | 63-year-old male with metastatic pancreas cancer -- restaging. CHEST:LUNGS AND PLEURA: Multiple micronodules, many of which are calcified are all unchanged and no new nodules, masses, or other parenchymal abnormality seen to suggest metastatic disease. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: N... | 1. No evidence of metastatic disease in the chest. 2. Continued decrease in size of liver metastases throughout the liver. Minimal residual persists compared with more remote CT examinations. 3. No discrete omental masses, now identified. |
Generate impression based on findings. | Female, 19 months old, autoimmune neutropenia with swollen by. Evaluate for septic orbit. The periorbital soft tissues are infiltrated and swollen on the left. In addition, there is a rim enhancing low density collection at the inferior medial aspect of the orbit, situated at the orifice of the nasolacrimal duct. This ... | Rim enhancing collection along the medial aspect of the left orbit at the orifice of the nasolacrimal duct. This may represent an infected dacryocystocele and likely accounts for the generalized left periorbital inflammation. |
Generate impression based on findings. | 1 year-old male with altered mental status. There appears a focus of hypoattenuation in the posterior left lateral ventricle body (image 26 of series 2 and image 33 of series 80369). The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass eff... | 1. No acute intracranial abnormality. 2. Probable lesion in or adjacent to the posterior left lateral ventricle body. MRI brain is recommended for further evaluation. |
Generate impression based on findings. | 47-year-old male with metastatic renal cell carcinoma. CHEST:LUNGS AND PLEURA: Reference right lower lobe nodule is smaller in size, and measuring 6 mm in maximal dimension, previously measured 8 mm (series 5 image 61). The reference pleural-based left lower lobe nodule not significantly changed, measuring 1.4 x 1.5 cm... | 1.Postsurgical changes status post left nephrectomy and resection of pancreatic tail. Soft tissue nodule in left nephrectomy bed appears similar; this is nonspecific and may represent inflammatory change/scarring.2.Interval decrease in the right lower lobe lung nodule size. Stable left lower lobe pleural based nodule.3... |
Generate impression based on findings. | symptoms consistent with stroke The patient is status post left-sided craniotomy. Aneurysm clip is present along the left sylvian fissure. Some encephalomalacia is present in the left temporal lobe anteriorlyThe visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA.3.Patient is status post left-sided craniotomy for aneurysm clip placement |
Generate impression based on findings. | A 57-year-old male with right upper quadrant abdominal pain, weight loss, alcohol abuse. Assess hepatomegaly and assess for liver lesion, gallbladder pathology. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse low-attenuation of the liver is seen, suggestive of diffuse hepatic steatosis... | Number one. Diffuse hepatic steatosis. 2. Slightly prominent lymph nodes in the gastrohepatic and retroperitoneal region. There is nonspecific and of uncertain significance. 3. Small amount of free fluid in the pelvic mesentery. 4. No other abnormality seen and no findings seen to account for patient's symptomatology. |
Generate impression based on findings. | Reason: pt with h/o lung ca s/p surgery and RT History: doing well now needs disease evulation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Status post left upper lobectomy. 3-mm micronodule in the right lower lobe unchanged and presumably benign. Moderately severe upper lobe predominant centrilobular ... | No significant change and no specific evidence of metastases. |
Generate impression based on findings. | 50 year-old female with right shoulder pain. Evaluate prior to surgery. Dilute contrast and foci of air fill the glenohumeral joint space. A small amount of contrast is seen in the subdeltoid bursa (image 26, series 80430), consistent with a full-thickness rotator cuff tear. There is generalized atrophy of the supraspi... | 1.Small amount of contrast in the subdeltoid bursa, consistent with a full-thickness rotator cuff tear. Generalized atrophy of the rotator cuff muscles.2.Severe osteoarthritis of the glenohumeral joint. |
Generate impression based on findings. | History of papillary thyroid cancer metastatic to brain for follow up of primary thyroid lesion. The mixed cystic solid lobulated mass extending from the thyroid bed demonstrates a similar configuration and pattern of intralesional calcification. This lesion is similar in size when accounting for technical differences ... | 1.The mixed cystic solid lesion within the thyroid bed is similar to the prior examination when accounting for differences between techniques.2.Interval slight decreased size of the partially calcified conglomerate nodal mass within the left supraclavicular fossa.3.Interval stability af a left level III node without ov... |
Generate impression based on findings. | Female, 73 years old, status post surgery, evaluate hardware. Postoperative findings are demonstrated following resection of the posterior elements from T3 through T5. The spinous process of T2 has also been partially resected. Fluid and a small bubble of air are evident within the operative bed consistent with recent ... | Surgical findings are seen status post spinal canal decompression from T3 through T5 as well as placement of posterior fusion hardware as above. Fluid and air within the laminectomy bed is consistent with recent surgery. The degree of canal decompression would be better assessed on MRI. |
Generate impression based on findings. | 88 year-old female with headache since yesterday. There is patchy hypoattenuation in the cerebral white matter. There is a punctate calcification in the right basal ganglia. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edem... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Small vessel ischemic disease of indeterminate age. 3. Severe paranasal sinus inflammatory disease or sinusitis. |
Generate impression based on findings. | 64-year-old male with history of renal cell carcinoma, enrolled in clinical trial -- please evaluate per RECIST. CHEST:LUNGS AND PLEURA: No significant abnormality notedwithout nodules or masses seen. No pleural abnormality seen.MEDIASTINUM AND HILA: Scattered small anterior and middle mediastinal lymph nodes are again... | 1. Stable appearance to the diffuse osseous metastatic lesions. 2. Slightly smaller referenced left external iliac lymph node with predominately stable appearance to the other slightly enlarged. Bilateral external iliac lymph nodes. 3. While still small, an enlarging anterior mediastinal lymph node worrisome for metast... |
Generate impression based on findings. | Clinical question: Pituitary tumor, preop planning for Thompson and hypophysectomy. Signs and symptoms: Headache. Medtronic fusion sinus CT:All paranasal sinuses are well pneumatized and without evidence of acute or chronic sinus disease.Bilateral ostiomeatal units and the sphenoethmoidal recesses remain patent.Images ... | .1.No evidence of acute or chronic sinus disease.2.Mild nasal septum deviation to the right, concha bullosa of the left middle turbinate with slight expansion of its size.3.Sphenoid sinus demonstrate to vertically oriented bony septation in bilateral paramedian location (with the right closer to the midline at the leve... |
Generate impression based on findings. | 64 year old female with mesothelioma LUNGS AND PLEURA: Interval increase in right pleural effusion which extends along the right major fissure. Unchanged 5-mm right upper lobe nodule (image 35 series 10282) which is likely benign in etiology. Calcified left upper lobe granuloma is again noted. Resolution of patchy righ... | 1. Increased right pleural effusion and unchanged cardiophrenic lymph nodes.2. See separately dictated abdomen and pelvis CT report for further detail. |
Generate impression based on findings. | 79-year-old male with GIST. CHEST:LUNGS AND PLEURA: Stable pleural based nodule in left lower lobe containing internal calcification and suspected to be benign in nature (series 5 image 61).Mild basilar atelectasis and scarring.MEDIASTINUM AND HILA: Stable mediastinal lymph nodes, not pathologically enlarged (series 3,... | 1.Postsurgical changes in stomach without evidence of recurrence.2.Stable prominent retroperitoneal lymph nodes.3.Right liver lobe hypodensity is too small to characterize but appears slightly smaller. 4.Stable appearance of aneurysmal dilation of abdominal aorta and iliac arteries. |
Generate impression based on findings. | Male 77 years old; Reason: pancreatic cancer surveillance History: none CHEST:LUNGS AND PLEURA: Numerous new pulmonary nodules are noted throughout the lungs measuring up to 7 mm. For example, nodule in the right lung apex measuring 0.7-cm (series 5 image 22) and left lower lobe (series 5 image 52), are new since previ... | 1. Stable retroperitoneal lymphadenopathy. Peri-celiac and porta hepatis soft tissue infiltration, unchanged.2. Postsurgical changes of Whipple procedure, unchanged3. Interval development of numerous pulmonary nodules, worrisome for metastatic disease |
Generate impression based on findings. | Reason: evaluate for progression. History: synovial sarcoma. LUNGS AND PLEURA: Reference right middle lobe nodule (series 5 image 41) 11 x 11 mm, unchanged.Superior segment left lower lobe nodule (series 5 image 28) 19 x 22 mm, decreased from 22 x 25 mm previously with interval development of cavitation.Multiple other ... | Slight decrease in one of the reference pulmonary nodules, and no other significant change. |
Generate impression based on findings. | 71-year-old male patient with small cell lung cancer, reevaluating disease after two cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Left upper lobe subpleural nodule measures 4.5 x 1.8 cm (series 4 image 26), previously 2.6 x 1.1 cm. Additionally, there is interval increase in size of the previous documented adjacent ... | 1.Significant interval increase in subpleural and peripheral left upper lobe nodules.2.Interval increase in mediastinal lymphadenopathy. |
Generate impression based on findings. | 59-year-old female with history of chest wall sarcoma. Reason: 59-year-old female with history of chest wall sarcoma and subpleural fluid collections, evaluate for resolution. CHEST:LUNGS AND PLEURA: Postoperative changes in the right lower lobe and right chest wall consistent with history of multiple chest wall resect... | New large right lower thorax mass is compatible with recurrence of chest wall sarcoma. Interval resolution of the subhepatic fluid collection. |
Generate impression based on findings. | 76-year-old male with history of colon cancer and pleural nodule. CHEST:LUNGS AND PLEURA: Right lower lobe pleural-based nodule is slightly increased in size, currently measuring 14 x 9 mm, previously measured 10 x 7 mm (series 4, image 66). More inferiorly located right lower lobe nodule also slightly increased since ... | 1.Mild increase in size of right lower lobe lung nodules, suspicious for metastases.2.Bilateral renal stones, with increase in size of large left renal stone which measures 2.4 cm in maximal dimension.3.Status post colectomy. |
Generate impression based on findings. | 80 year-old female with weight loss of over 100 pounds in the last year -- evaluate for mass, partial small bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver parenchyma appears normal with normal vascular structures. Gallstone is seen in the neck of the gallbladder witho... | 1. No evidence for abnormal abdominal mass. 2. Sigmoid diverticulosis without complication. 3. Small amount of free mesenteric fluid in the pelvis. 4. No abnormality seen to account for patient's symptomatology. |
Generate impression based on findings. | 40 year-old male with history of small bowel carcinoid. Status post laparoscopic bowel resection. Evaluate for interval nodal growth. CHEST:LUNGS AND PLEURA: The lungs are clear with no nodules identified.MEDIASTINUM AND HILA: A low-density structure adjacent to the right trachea is smaller than previously measured and... | Slow progressive growth of a solitary mesenteric lymph node. |
Generate impression based on findings. | 60-year-old female with history of GIST of jejunal origin, status post surgical resection. Reason: evaluate for recurrent GIST. CHEST:LUNGS AND PLEURA: Minimal bibasilar atelectasis. Small subpleural nodule in the left lower lobe is of uncertain significance.MEDIASTINUM AND HILA: Small right hilar lymph node is noted.C... | 1. Stable postoperative changes of the jejunum. No evidence of recurrence or metastatic disease in the abdomen or pelvis.2. Likely subserosal uterine fibroid is unchanged. |
Generate impression based on findings. | Reason: cad History: chest discomfort, previously reported myocardial infarct in 10/11, angioplasties in 1/2011 and 1/2012. Reported history of hypertension, dyslipidemia, recent ex-smoking, obesity, family history of ischemic heart disease. Calcium Score:LM: 0LAD: 128LCx: 39RCA: 525PDA: 100Total: 792, This represents ... | 1. Multiple coronary artery stents and native coronary stenoses, as detailed above. 2. Total Calcium score was 792; 77th percentile for age and gender. |
Generate impression based on findings. | Male, 60 years old, glottic cancer, baseline exam. Head:Multiple intraparenchymal enhancing lesions are redemonstrated compatible with metastases. A lesion adjacent to the right frontal horn has increased in size measuring 6 mm in diameter, previously 3 mm, with an increase in surrounding edema. A lesion within the lef... | 1. Redemonstration of multiple subcentimeter metastatic lesions in the brain. Some of these have increased in size with increasing vasogenic edema.2. Redemonstration of thickening/irregularity of the vocal cords appearing similar to the prior exam.3. Adenopathy in the right supraclavicular space has not significantly c... |
Generate impression based on findings. | 48 year-old female with squamous cell carcinoma of the tongue, metastatic, postradiation and multiple dissections, reevaluate Head:Hypoattenuating focus in the left basal ganglia and genu of the left internal capsule similar to the prior. Mineralization of the globus pallidi. The ventricles, sulci, and cisterns are sym... | 1. Interval increase in amount of extensive necrotic trans-spatial lymph node conglomerates throughout the neck.2. At the level of C5, soft tissue density appears to at least extend up to the right foramen transversarium with diminished caliber of the right vertebral artery at this level. If clinically warranted, MRI o... |
Generate impression based on findings. | 60 year-old male with diffuse large B-cell lymphoma status post 4 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Right chest wall port catheter.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No sign... | No evidence of lymphadenopathy. |
Generate impression based on findings. | 31 year-old female with acute onset right flank pain radiating to the right upper quadrant with nausea and vomiting. Assess for kidney stone. 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 B... | 1.No nephrolithiasis or other findings to explain patient's acute abdominal pain.2.Large ovarian cyst versus cystic ovarian lesion in the cul-de-sac. Recommend correlation with physical examination. Ultrasound may be used for further characterization if clinically indicated. |
Generate impression based on findings. | Male, 60 years old, history of stage IIE diffuse large B-cell lymphoma of the oral cavity status post 4 cycles of chemotherapy. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium are intact. Previously demonstrated enhancing soft tis... | 1. Response to therapy with resolution of a previously seen right extraconal orbital mass as well as significant improvement in the degree of mucosal thickening overlying the left hard palate and left alveolar surface. A deficiency within the floor of the left maxillary sinus seems to have at least partially healed. So... |
Generate impression based on findings. | Female 55 years old; Reason: re-evaluate upper abdominal lymphadenopathy seen on prior ct History: vaginal cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No... | No significant interval change. Stable postsurgical changes of hysterectomy. Sigmoid colonic diverticulosis without evidence of diverticulitis. |
Generate impression based on findings. | 83 year old female with mediastinal nodes seen on neck CT. Abdominal pain. CHEST:LUNGS AND PLEURA: Nodule adjacent to fissure in right middle lobe most likely represents interpulmonary lymph node (series 5, image 41). Cyst noted in the left upper lobe, without evidence of solid component (series 5, image 43).MEDIASTINU... | 1.Multiple nonspecific small to borderline enlarged mediastinal and chest wall lymph nodes, of unclear clinical significance. No evidence of mass or suspicious lesion.2.Diverticulosis without evidence of diverticulitis.3.No significant change in non-obstructing stone in the inferior calix of the right kidney. |
Generate impression based on findings. | 70 year old female. Reason: metastatic breast CA to lung and liver. Also intermittent abdominal pain and constipation. Evaluate state of disease, History: intermittent abdominal pain. CHEST:LUNGS AND PLEURA: Reference right upper lobe nodule is stable and measures 11 x 10 mm on image 36 series 4. Scattered punctate mic... | Metastatic breast cancer with new large left hepatic lobe metastasis. Probable additional new smaller hepatic lesions are not as well seen. |
Generate impression based on findings. | Reason: eval for progression History: metastatic SCC of tongue, post radiation and multiple dissection CHEST:LUNGS AND PLEURA: Large left pleural effusion, slightly decreased compared to previous with underlying atelectasis.Subsegmental atelectasis posteriorly at the right base, unchanged.MEDIASTINUM AND HILA: Large en... | 1.Marked interval increase in axillary and abdominal lymphadenopathy, and likely increase in partially visualized the tumor mass at the thoracic inlet.2. Persistent large left pleural effusion with underlying atelectasis. |
Generate impression based on findings. | 60 year-old male patient with metastatic thyroid cancer. Evaluate mass in posterior right flank and evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Extensive metastatic disease throughout both lungs and pleura. There is interval increase in pleural based disease, more prominent in the right lung base, with dif... | 1.New right posterolateral chest wall mass consistent with metastatic disease.2.Interval increase in right lower hemithorax pleural-based disease.3.No significant change in reference pulmonary masses.4.Age indeterminate hypoattenuating liver lesion is suspicious for metastatic disease. |
Generate impression based on findings. | Reason: h/o nasal cavity cancer History: s/p surgery, r/o recurrence LUNGS AND PLEURA: Moderate to severe upper lobe predominant centrilobular emphysema.Interval development of moderate-sized right sided pleural effusion .Right basilar atelectasis.Stable nonspecific calcified and noncalcified micronodules.No suspicious... | 1.Interval development of a moderate-sized right pleural effusion with lobe with the suggestion of round atelectasis in the right lower lobe.2.Stable micronodules without evidence of new suspicious pulmonary nodules or masses.3.Mediastinal mass most likely representing goiter. |
Generate impression based on findings. | 83-year-old male with history of nasal cavity cancer (sinonasal adenocarcinoma) status post resection (9/2013) There's been interval resection of a large mass within the left nasal cavity with extensive postsurgical changes including removal of left-sided ethmoid air cells, nasal turbinates, left orbital wall and media... | 1.Postsurgical changes of left nasal cavity mass resection. There is small amount of residual soft tissue density within the left maxillary sinus which is nonspecific and while this may be treatment related, tumor cannot be completely excluded.2.Multi-nodular goiter with large pedunculated nodule exerting mass effect o... |
Generate impression based on findings. | 87 year-old female with nasal congestion. The orbits are unremarkable except for mild posterior staphyloma on the right. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There appears thinning of the bilateral parietal bones, clinical correlation is advised. There is scattered minimal... | No evidence of sinusitis. Minimal paranasal sinus mucosal thickening. |
Generate impression based on findings. | 60 year-old male with head and neck cancer, baseline evaluation CHEST:LUNGS AND PLEURA: Reference left lower lobe pulmonary nodule measures 1.2 x 1.2 cm and previously measured 1.0 1.0 cm (image 59, series 4). Multiple additional bilateral nodules are identified many of which are also increased in size. Large right inf... | 1. Interval increase in size of multiple pulmonary metastases.2. Stable mediastinal lymphadenopathy.3. No new sites of disease. |
Generate impression based on findings. | 66-year-old female, follow-up previously noted nodules Exam limited by motion artifact.LUNGS AND PLEURA: Extensive peribronchial and subpleural ground glass opacity with mild bronchiectasis is again noted. Ill-defined opacity in the lingula is not significantly changed. Mosaic attenuation is similar to the prior exam. ... | 1. Mild unchanged unchanged basilar predominant nonspecific pulmonary fibrosis.2. Stable small pulmonary nodules.3. Unchanged lingular opacity which is likely postinflammatory in etiology. |
Generate impression based on findings. | Male, 86 years old, tonsil cancer status post chemo. No enhancing brain parenchymal lesions are seen. Periventricular hypoattenuation is demonstrated, likely indicating age indeterminate small vessel ischemic disease.An ill-defined heterogeneously enhancing tumor is reidentified centered on the right tonsillar fossa wi... | Redemonstration of an ill-defined infiltrating tumor centered on the right tonsillar fossa and soft palate with extension into the right masticator space, hard palate and maxillary sinus. Tumor also extends through the right central skull base with minimal invasion of the right middle cranial fossa. Since the prior exa... |
Generate impression based on findings. | Urothelial carcinoma CHEST:LUNGS AND PLEURA: Interval increase in size of left apical lung nodule best seen on image 13 of series 5 now measuring 1.5 x 1.4 cm; this is comparison to 1.3 x 1.1 cm on 7/16/2013. This lesion has definitely increased in size when compared to 4/3/2012when it measured 0.9 x 0.9 cm.MEDIASTINUM... | Left apical peripheral nodule demonstrates slow but definite interval increase in size. Accordingly, a slow growing neoplasm such as carcinoid or even an indolent primary lung carcinoma cannot be excluded.Otherwise stable examination. |
Generate impression based on findings. | 58-year-old female with history of HCV/EtOH cirrhosis, pre-liver transplant. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver contour: Nodular, cirrhotic Features of portal hypertension: Gastroesophageal varices are identified. Portal vein: Patent and normal caliberHepatic veins: Patent a... | 1.Cirrhotic morphology of the liver.2.Four hepatic lesions meeting AASLD criteria for HCC, as delineated above. |
Generate impression based on findings. | Female 52 years old; Reason: 52F with Crohn's involving ilio-colonic anastomosis, eval for more proximal involvement of small bowel History: diarrhea ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post prior liver resection with nonspecific hypoattenuating lesion measuring 2 x 1.8 cm... | 1.Status post prior hepatic and ileal resection with ileocolonic anastomosis without evidence of obstruction or active disease. |
Generate impression based on findings. | 79 year-old female with metastatic lung adenocarcinoma. Left rib pain. CHEST:LUNGS AND PLEURA: Significant pleural thickening, volume loss, and cavitation with air-fluid level/hydropneumothorax in left hemithorax. Heterogeneous left mid lung mass measures approximately 6.4 x 4.8 cm (series 3, image 46). Nodule in right... | 1.Left lung mass consistent with known lung neoplasm, with associated significant left hemithorax volume loss, hydropneumothorax, and pleural thickening consistent with diffuse involvement by tumor.2.Metastatic disease noted involving osseous structures, axilla, chest wall, and liver, as described above. 3.Extensive sc... |
Generate impression based on findings. | Male 25 years old; Reason: Met Adenocarcinoma of unknown primary: Restaging History: s/p 4 cycles chemotherapy CHEST:LUNGS AND PLEURA: Bilateral multiple parenchymal masses consistent with metastatic disease are again noted and slightly smaller and less conspicuous. The reference nodule in the right lung measures 1.1 x... | Slight interval improvement of the large hepatic mass causing tumor thrombus in the main portal vein . Slight interval decrease in the metastatic lung lesions and metastatic adenopathy. |
Generate impression based on findings. | 84-year-old female with benign resected. Small bowel carcinoid tumor. Evaluate for disease. CHEST:LUNGS AND PLEURA: Scattered micronodules -- no old studies for comparison, but these are most likely prior inflammatory micronodules from old granulomatous disease.No other parenchymal nodules, masses or airspace consolida... | 1. Postsurgical changes in the ileum. 2. No evidence of recurrent or residual tumor. No evidence of metastatic disease. 3. Gallstones without change and no other complication. |
Generate impression based on findings. | Reason: h/o hnc, s/p chemo, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Stable scattered nonspecific micronodules.No suspicious pulmonary nodules or masses.Incidental azygos lobe.No pleural effusion.MEDIASTINUM AND HILA: The previously referenced high right paratracheal lymph node is sta... | No evidence of pulmonary metastases. |
Generate impression based on findings. | Paraganglioma syndrome ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable subcentimeter right lobe cystic foci. Previously noted temporally enhancing lesion within segment 4/5 seen on the prior MR is not appreciated on the current examination.SPLEEN: No significant abnormality notedPANCREA... | Negative for acute, inflammatory, or neoplastic process. Specifically, no evidence for adrenal mass or periaortic paraganglioma. |
Generate impression based on findings. | 64 -year-old female with new diagnosis of non-small cell lung cancer -- needs staging CHEST:LUNGS AND PLEURA: Increasing left pleural effusion. Left lower lobe consolidation persists. The left hila again is ill-defined, but in light of history, most likely contains an immeasurable, hilar mass encompassed by the distal ... | 1. No change diffuse left lung air space consolidation representing atelectasis distal to the presumed left hilar tumor. 2. Increasing pericardial effusion. 3. Increasing left pleural effusion. 4. Diffuse retroperitoneal enhancing lymph nodes, most likely, metastatic disease. |
Generate impression based on findings. | Clinical question: Stroke? Signs and symptoms: Pinpoint pupils and lethargic. Nonenhanced head CT:No detectable acute intracranial process CT however is intensity for early detection of acute nonhemorrhagic ischemic strokes.Mild to moderate periventricular and subcortical low attenuation or white matter grossly similar... | No acute intracranial process. Please see above comments. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Trauma to head after fall. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentia... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule out acute stroke. Signs and symptoms: Weakness and aphasia. Nonenhanced head CT:No detectable acute intracranial process however CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray --... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Acute left-sided weakness and sensory loss. Signs and symptoms: Acute left-sided weakness. Nonenhanced head CT:No detectable acute intracranial process CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular syst... | Negative nonenhanced head CT. |
Generate impression based on findings. | 8 year old female with history of abdominal pain multiple surgeries. Assess for obstruction, acute process. ABDOMEN:LUNG BASES: The lung bases are without evidence of consolidation or effusion. No pericardial effusion is seen.LIVER, BILIARY TRACT: No focal hepatic lesions are identified. Old dilatation is seen. The por... | Thick walled collection containing foci of air in the pelvis as discussed above may represent normal bowel, however an abscess is also possible given its appearance. No evidence of bowel obstruction. |
Generate impression based on findings. | 54-year-old male with abdominal pain, pancreatitis versus progression of known mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Ill-defined, linear hypoattenuating area in inferior right lobe appears slightly increased (series 3, image 61); this may perfusion difference. The previously se... | Interval increase in extensive stranding around pancreatic head and uncinate process with associated multiple well-defined, hypoattenuating foci consistent with pseudocysts; findings are most consistent with progression of chronic pancreatitis. |
Generate impression based on findings. | Celiac artery compression consistent with median arcuate ligament syndrome (MALS)? Please render 3D images as well. History: Post prandial abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signifi... | 1. Large right retroperitoneal fatty mass which is incompletely imaged. Differential includes lipoma and liposarcoma. A MRI of the abdomen and pelvis is recommended to better characterize this lesion.2. "J" configuration of the celiac artery on expiration compatible with celiac artery compression syndrome in the approp... |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:No detectable acute intracranial process CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation.Unrem... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for focal abnormality. Signs and symptoms: Evaluate for focal abnormalities. Nonenhanced head CT:Small focus of low attenuation in the right cerebellum is believed to represent a small focus of age indeterminate cerebellar stroke.Focus of encephalomalacia in the right occipital lobe consiste... | Mild to moderate age indeterminate small associated strokes as detailed. |
Generate impression based on findings. | 84 year-old female with abdominal pain and worsening diarrhea. ABDOMEN:LUNG BASES: Focus of consolidation in lingula likely represents atelectasis/scarring.LIVER, BILIARY TRACT: Status post cholecystectomy. Mild intrahepatic biliary ductal dilation in the left lobe, and to a lesser degree in the right lobe, not signifi... | 1.No acute abnormality to account for patient's symptoms.2.Status post cholecystectomy, with mild intrahepatic biliary ductal dilation, of doubtful clinical significance and not significantly changed since 2011. |
Generate impression based on findings. | Clinical question: Evaluate for acute stroke, hemorrhage, edema or evolution of intracranial metastatic disease. Signs and symptoms: History of lung adenocarcinoma with known brain metastases status post recent WB RT (ending 11 -- 12). Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, midline sh... | 1.No evidence of acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Slight interval increased peritumoral vasogenic edema in the right parietal lobe with resultant regional mass-effect as detailed above.3.No convincing evidence of any new foci of echogenic edem... |
Generate impression based on findings. | 63 year old female with abdominal pain. Evaluate for mesenteric ischemia. The following observations are made given limitations of an arterial weighted study.ABDOMEN:LUNG BASES: Probable left lower lobe pulmonary embolus (image 7; series 11). This finding was communicated to the clinical service (Dr. Moses Kim) prior t... | High-grade small bowel obstruction. Probable left lower lobe pulmonary embolus; chronicity is unclear and the patient has an indwelling IVC filter. Abdominal and pelvic ascites. Gallstones.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 56 year old female status post gastric fistula and abscess status post failed endoscopic repair of sleeve gastrectomy. ABDOMEN:LUNG BASES: Small left pleural effusion. Elevation of right hemidiaphragm due to large subdiaphragmatic fluid collection, described below. There is associated atelectasis/consolidation in parti... | 1.Large subdiaphragmatic fluid collection in the right upper quadrant containing multiple foci of gas and percutaneous drain, consistent with abscess. 2.Extensive postsurgical changes in around stomach consistent with history of sleeve gastrectomy. Extraluminal fluid collection in left upper quadrant containing contras... |
Generate impression based on findings. | 40 year-old female with right lower quadrant pain. Rule out worsening ovarian cyst hemorrhage versus appendicitis. ABDOMEN:LUNG BASES: Mild bibasilar atelectasis.LIVER, BILIARY TRACT: Two gallstones are identified in the gallbladder, one at the gallbladder neck. Partial volume averaging likely accounts for pericholecys... | 1.No evidence of appendicitis or hemorrhagic ovarian cyst.2.Cholelithiasis without specific evidence of cholecystitis. Pericholecystic fluid is equivocal. If there is clinical concern for cholecystitis, right upper quadrant ultrasound would be recommended. |
Generate impression based on findings. | 54-year-old female with intracranial hemorrhage 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. There are minimal calcifications of the caverno... | 1.Acute hematoma in the left basal ganglia is stable in size and likely hypertensive in etiology. There is mild local mass effect and minimal midline shift, unchanged. No aneurysms are identified.2.Mild age indeterminate small vessel ischemic disease.3.Opacification of the left maxillary sinus is unchanged and likely r... |
Generate impression based on findings. | Female, 50 years old, history of leukemia with fevers and headache. The frontal sinuses and frontoethmoidal recesses are clear. The sphenoid sinuses and sphenoethmoidal recesses are clear. The ethmoid air cells are clear.The maxillary sinuses are free of significant mucosal thickening and debris. The maxillary outflow ... | No evidence of active sinus disease. |
Generate impression based on findings. | Staging for new prostate cancer. CHEST:LUNGS AND PLEURA: Scattered micronodules should be followed. No dominant masses.MEDIASTINUM AND HILA: Small mediastinal lymph nodes. For reference purposes, a precarinal node measures 1.7 x 1.1 cm (image 38; series 3).CHEST WALL: A few bony sclerotic areas in the spine should be c... | Slight interval progression of disease with growth of reference liver metastasis. Adenopathy is roughly stable. Possible bony metastases; correlate with bone scan. Measurements are given above paired |
Generate impression based on findings. | Female, 70 years old, with headache and sinus pain. Head:Periventricular and patchy subcortical hypoattenuation is a non-specific finding which most commonly represents age-indeterminate small vessel ischemic disease.No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of ma... | 1. Age indeterminate small vessel ischemic disease. No acute intracranial abnormality.2. Groundglass proliferative bony change involving the right maxillary sinus, similar to prior. This may represent fibrous dysplasia. The small residual right maxillary sinus remains completely opacified.3. Complete opacification of t... |
Generate impression based on findings. | 79-year-old male with altered mentation and dehydration. ABDOMEN:LUNG BASES: Subsegmental bilateral basilar atelectasis. LIVER, BILIARY TRACT: Cholelithiasis. No suspicious liver lesions.SPLEEN: No significant abnormality notedPANCREAS: Hypoattenuating lesion in tail of pancreas measures 1.4 x 1.1 cm; nonspecific but m... | 1.Right buttock hematoma.2.Hypoattenuating lesion in tail of pancreas nonspecific but may represent cystic neoplasm such as IPMN.3.Extensive atherosclerotic changes in the aorta with eccentric plaque appearing sharply contoured in several areas, raising suspicion for ulceration.4.Cholelithiasis. |
Generate impression based on findings. | Reason: r/o worsening ILD History: dyspnea LUNGS AND PLEURA: Reticular, groundglass opacities with areas of mild honeycombing most prominent in the lower lungs is consistent with history of ILD and is not significantly changed from prior. Pleural thickening at the anterior aspect of the right lung is stable with new pl... | 1.Interval increase in posterior right lung pleural thickening.2.Stable interstitial lung disease pattern.3.Slight interval increase in mediastinal lymph node size. |
Generate impression based on findings. | 36-year-old female with a question of widened mediastinum on recent chest radiograph. CHEST:VASCULATURE: There is no evidence of aortic dissection or aneurysm. The thoracic aorta is otherwise unremarkable.LUNGS AND PLEURA: There is no evidence of focal consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HI... | 1. No evidence of aortic dissection or aneurysm.2. Nonspecific right paratracheal lymphadenopathy as described above. The differential diagnosis would include reactive lymphadenopathy, lymphoproliferative disorders, or metastatic disease. |
Generate impression based on findings. | Female, 30 years old, history of paraganglioma syndrome status post resection of bilateral carotid body tumors. Evaluate for abnormal masses. An enhancing left carotid space mass is reidentified measuring 3.3 x 2.2 cm (image 18 series 7), previously 3.2 x 1.8 cm. This lesion displaces the internal carotid artery medial... | Mild interval increase in size of bilateral carotid space masses. |
Generate impression based on findings. | 67 year-old female with colon cancer. Evaluate for metastatic disease. Polyps removed on colonoscopy 10/29/2013, one came back malignant in sigmoid colon. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis. A right upper lobe micronodule is identified. Left upper lobe calcified focus is consistent with prior granulomatous d... | No evidence of metastatic disease, as clinically questioned. |
Generate impression based on findings. | Female 73 years old; Reason: bladder cancer with lung mets and retroperitoneal adenopathy please measure measurable lesions using recist criteria History: pre chemo ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cholecystectomy clips. Nonspecific irregular shaped hypoattenuating focus in se... | Pulmonary metastasis. Retroperitoneal nodes. Status post left nephrectomy. Other findings as above. |
Generate impression based on findings. | 56-year-old male with tonsillar cancer CHEST:LUNGS AND PLEURA: Few scattered nonspecific micronodules.MEDIASTINUM AND HILA: Central venous catheter extends to the SVC. No mediastinal or hilar lymphadenopathy. Mild coronary arterial calcification. Small hiatal hernia.CHEST WALL: Right chest wall port.ABDOMEN: Absence of... | No evidence of metastatic disease. Age indeterminate L1 vertebral body compression fracture. |
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