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Generate impression based on findings. | Clinical question: Follow-up on hydrocephalus. Signs and symptoms: As above. Nonenhanced head CT:The examination demonstrates interval decreased size of the supratentorial ventricular system cyst exam. The trigone augments lateral ventricle which measured 30-mm in size on prior study has decreased to approximately 23 m... | 1.Interval decreased size of supratentorial ventricular system cyst right study.2.Stable acute hemorrhage in the left thalamus and dissection into the ventricular system as detailed.3.Stable intraventricular hemorrhage since prior exam. |
Generate impression based on findings. | Reason: rule out PE History: shortness of breath PULMONARY ARTERIES: Exam was repeated to improve contrast within the pulmonary arteries. Second exam was improved, however, remains limited with decreased contrast in the distal pulmonary arteries. Pulmonary embolism excluded to the level of the first bifurcation. More d... | Questionable bilateral filling defects versus artifact, see description provided. Findings discussed with Dr. Shyy via telephone at 11:00 AM on 11/20/2013 by Dr. McCann. |
Generate impression based on findings. | Female 47 years old Reason: NF lesion- Large soft tissue mass which has both intraspinal and paraspinal/iliac fossa components, eval lesion for preop planning History: LE pain, weakness.Additional history from pathology report of 6/26/09 right pelvic mass malignant peripheral nerve sheath tumor grade 2. The exam is not... | Right iliac fossa and right psoas masses.Stable right adrenal mass. Stable left posterior costophrenic angle mass. Status post resection of right lower lobe mass without evidence of recurrence.Cholelithiasis. |
Generate impression based on findings. | 54-year-old male with lung cancer CHEST:LUNGS AND PLEURA: Bilateral pleural effusions appear similar to the prior study. Postsurgical/radiation changes and volume loss in the right upper lobe are again noted. Right upper lobe atelectasis with improved aeration. New nodular opacity in the medial left upper measures 6 x ... | 1. Postoperative changes and atelectasis of the right upper lobe. 2. New left upper lobe nodule. This may be metastatic and continued follow-up is recommended. 2. Unchanged bilateral pleural effusions.3. Enlarging left adrenal nodule. |
Generate impression based on findings. | 56-year-old male with right tonsil cancer, pre-screening. Brain:The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or suspicious contrast enhancement. Left f... | 1. Interval decrease in size of right palatine lesion.2. No interval change in necrotic enlarged right level 2a lymph node.3. No intracranial metastases are present. |
Generate impression based on findings. | 54 year old female with shortness of breath, evaluate ILD LUNGS AND PLEURA:. Mosaic attenuation pattern with air trapping. Mild basilar predominant traction bronchiectasis and subpleural reticulation suggesting mild fibrosis. No honeycombing or groundglass opacities. Few small subpleural micronodules.MEDIASTINUM AND HI... | Diffuse mosaic attenuation of the lungs with basilar predominant traction bronchiectasis and subpleural reticulation, compatible with small airways disease or possible hypersensitivity pneumonitis. |
Generate impression based on findings. | 47 year old female with malignant peripheral nerve sheath tumor, NF-1, evaulate for metastases. LUNGS AND PLEURA: Postsurgical changes in the right lower lobe with resection of previously identified nodule. Centrilobular and paraseptal emphysema.MEDIASTINUM AND HILA: Stable prominent left AP window mediastinal lymph no... | Stable left paraspinal mass. No new sites of disease identified. |
Generate impression based on findings. | 77-year-old male with history of high grade ureteral cancer. ABDOMEN:LUNG BASES: Nodules in right middle lobe and right lower lobe are unchanged, suspected to represent intrapulmonary lymph nodes (series 6, image 9 and 15).LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPAN... | 1.Postsurgical changes in distal left ureter and bladder. Circumferential thickening of pulled up portion of bladder wall may be post-surgical in nature and is likely not significantly changed since prior exam.2.No without evidence of metastatic disease.3.Stable hypoattenuating lesion in head of pancreas is not specifi... |
Generate impression based on findings. | 59-year-old female with ARDS, cough, evaluate for infection versus ILD LUNGS AND PLEURA: Patchy bilateral groundglass and dense air space opacities with basilar consolidation. Bilateral small pleural effusions, right greater than left. No evidence of interstitial lung disease or cavitation.MEDIASTINUM AND HILA: Right i... | Patchy bilateral groundglass opacities and consolidation with small pleural effusions suspicious for aspiration/infection. No evidence of interstitial lung disease or cavitation. |
Generate impression based on findings. | Male 66 years old; Reason: please evaluate for recurrence of upper urinary tract cancer by performing a CT urogram without contrast first, then with IV contrast only, and last please perform delayed images History: s/p TURBT for bladder tumor, non-muscle invasive ABDOMEN:LUNGS BASES: No significant abnormality noted.Co... | No evidence of recurrence, adenopathy, or metastatic disease. |
Generate impression based on findings. | 62-year-old male with shortness of breath, evaluate ILD LUNGS AND PLEURA: Bilateral diffuse centrilobular nodules, septal thickening and subpleural reticulation. Bronchiolar wall thickening. No honeycombing or groundglass opacities. Air trapping at the bases.MEDIASTINUM AND HILA:. Moderate coronary arterial calcificati... | Diffuse centrilobular nodules, septal thickening and bronchiolar wall thickening, compatible with small airways disease, which may be related to acute hypersensitivity pneumonitis or RB-ILD if there is a history of smoking. |
Generate impression based on findings. | Female 52 years old Reason: s/p 10 cycles of chemo. please evaluate for disease and compare with previous scans History: lung cancer. CHEST:LUNGS AND PLEURA: Reference irregular shaped left upper lobe mass extending and difficult to separate from the hilum, series 5 image 52, 4.9 x 1.9 cm. Previously 4.8 x 2.1 cm.Refer... | No new sites of disease. Measurements as above.Increasing consolidation left lower lobe. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage, mass/emboli. Signs and symptoms: AMS. Unenhanced head CT:No detectable acute intracranial process CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.There are mild periventricular low attenuation of white matter which considering patient's... | Mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Evaluate for CVA: Signs and symptoms: Intermittent left-sided headache with right hand numbness for several days. Nonenhanced head CT:Examination demonstrate a focus of low-attenuation off the cortex and subcortical white matter of left occipital lobe with suggestion of subtle mass effect and effacem... | 1.Late acute to early subacute left occipital cortical nonhemorrhagic stroke.2.Very minimal age indeterminate small vessel ischemic strokes is also suspected. 3.Unremarkable exam otherwise. |
Generate impression based on findings. | Male 29 years old; Reason: 29 y/o male with h/o crohn's colitis now with colon cancer noted on surveillance scope. Evaluate for metastasis. History: colon cancer ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted. No focal lesions to suggest metastatic disease.S... | No definite evidence of metastatic disease. Small nodes right lower quadrant mesentery may be related to history of inflammatory bowel disease. |
Generate impression based on findings. | Reason: r/o PNA; tumor burden History: DOE; SOB; cough LUNGS AND PLEURA: Large left pleural effusion with associated compressive atelectasis in the left lower lobe.Multiple bilateral pulmonary metastases, the largest of which in the left upper lobe measures 25 mm in diameter.MEDIASTINUM AND HILA: Right paratracheal, bi... | Extensive metastatic disease but no sign of pneumonia. |
Generate impression based on findings. | Male, 25 years old, history of adenocarcinoma, with headaches. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No masses or enhancing lesions are detected.No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or m... | Unremarkable evaluation. |
Generate impression based on findings. | 63 year old female with history of acute onset back pain. Rule out dissection. CHEST:LUNGS AND PLEURA: Air space opacities are present in the posterior right upper lobe which are suggestive of aspiration or possibly pneumonia. Bibasilar atelectasis/scarring is present. No pleural effusions.MEDIASTINUM AND HILA: Cardiom... | 1.No aortic dissection as clinically questioned.2.Right upper lobe airspace opacities may represent the sequela of aspiration or possibly pneumonia in the correct clinical setting. |
Generate impression based on findings. | Female, 63 years old, sinus drainage. The frontal sinuses are small and they, along with the frontoethmoidal recesses, are completely opacified. The right sphenoid sinus is opacified with obscuration of the sphenoethmoidal recess. The left sphenoid sinus is largely clear though the sphenoethmoidal recess is obscured. T... | Significant mucosal inflammatory findings affecting multiple paranasal sinuses as discussed above. |
Generate impression based on findings. | 61-year-old male with history of head and neck cancer. Dysphagia and odynophagia. CHEST:LUNGS AND PLEURA: Punctate micronodules in right upper and middle lobes unchanged, likely benign in nature (series 5, image 64). Thickening along left major fissure unchanged, likely intrapulmonary lymph node. No new or suspicious n... | No evidence of metastatic disease or findings to account for dysphagia. |
Generate impression based on findings. | Male 54 years old; Reason: peritoneal mesothelioma. please evaluate for disease and comapre with previous scan after 3 doses of immunotherapy. please use same reference lesions History: peritoneal mesothelioma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality noted... | 1.Increased diffuse peritoneal thickening and ascites.2.Hypodense liver lesions are more numerous with interval growth of reference lesion in the right lobe, likely representing progression of metastatic disease.3.Bilateral cystic renal lesions remain incompletely characterized, though suspicion for malignancy is low. |
Generate impression based on findings. | Reason: pt with T1aNoMo 1A lung ca s/p RUL: wedge resection and also T3No 11B RLL lobectomy History: doing well now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Left upper lobe part solid groundglass nodule measuring 25 x 14 mm, not significantly changed from the previous scan ... | Highly suspicious left upper lobe part solid nodule, increased in density since 2011 compatible with indolent primary adenocarcinoma. No evidence of metastases. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male, 80 years old, neutropenic fever, history of fungal pneumonia, shortness breath, blurred optic disks and evidence of leukemic retinopathy, evaluate for an infiltrative or compressive lesion. Head:The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. Within the limitations ... | 1. Within the limitations of a noncontrast head CT, no intracranial mass or infiltrative process is detected to account for the patient's symptoms.2. Mucosal inflammatory findings affecting several paranasal sinuses as above with some mild improvement from the prior exam. |
Generate impression based on findings. | 57 year old female with right hand numbness and unequal blood pressure in the upper extremities. VASCULATURE: No evidence of aortic dissection or aneurysm involving the thoracic or abdominal aorta. Mild calcification of the aortic arch. A focal dissection of the right common iliac artery is noted (series 12, image 197)... | 1.Focal dissection of the right common iliac artery. No evidence of dissection of the thoracic or abdominal aorta. 2.5-mm pulmonary nodule and scattered semisolid nodules as described above, for which continued follow-up is recommended.3.Results were discussed with Dr. Skjei by phone at 12:15 p.m. |
Generate impression based on findings. | 77 year old female with bladder cancer. Baseline exam prior to starting new systemic oral therapy. Lack of IV contrast limits evaluation of solid organs and vasculature.CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema. Left upper lobe nodular opacity is unchanged and measures approximately 7 x 5 mm, previously ... | 1.Increase in size of several osseous metastases, the largest located in the sacrum.2.Nodular soft tissue in the left bladder base consistent with known bladder carcinoma.3.No significant change in left upper lobe lung nodule. |
Generate impression based on findings. | Neutropenic fever, history of fungal pneumonia (aspergillus). LUNGS AND PLEURA: Mild emphysema. Scattered air space opacities bilaterally slightly improved from previous, becoming more linear in appearance and slightly decreased in size. No new lesions. Mild dependent atelectasis at the lung bases.MEDIASTINUM AND HILA:... | Slight improvement in pulmonary opacity is consistent with resolving fungal pneumonia. Signs of pulmonary hypertension. |
Generate impression based on findings. | Check for metastatic disease. Malignant neoplasm of lower limb LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Markedly enlarged bilateral thyroid with questionable numerous nodules, greater on the right. No lymphadenopathyCardiac coronary calcifications without interval change. Pericardium and... | No evidence of pulmonary metastatic disease. Stable multinodular goiter |
Generate impression based on findings. | 55-year-old female patient with history of carcinoid of the lung status post resection. Doing well and needs disease evaluation. Please compare to prior scans. CHEST:LUNGS AND PLEURA: Postsurgical changes status post left upper lobectomy. Multiple pulmonary nodules are unchanged.Reference right upper lobe nodule measur... | No significant interval change in multiple pulmonary nodules. |
Generate impression based on findings. | 63-year-old female with metastatic breast cancer and worsening cough, restaging exam. CHEST:LUNGS AND PLEURA: Unchanged left upper lobe cyst with associated small nodule (image 37, series 5). Right apical post radiation changes and scar like opacity is unchanged (image 18, series 5).MEDIASTINUM AND HILA: No mediastinal... | 1. Enlarging hepatic lesion adjacent to gallbladder suspicious for metastatic disease. 2. Unchanged left upper lobe nodule.Findings discussed with Dr. Nanda (pager 2337) at the time of dictation. |
Generate impression based on findings. | S.O.B. Lung transplant evaluation. Idiopathic pulmonary fibrosis. LUNGS AND PLEURA: Suture line in the left lung base presumably from prior biopsy. Apical predominant emphysema, moderate to severe.Near circumferential subpleural reticulation, mild peripheral bronchiectasis/bronchiolectasis and honeycombing consistent w... | 1. Pulmonary fibrosis in a pattern compatible with UIP. In the left lung base superimposed groundglass opacity is suspicious for a component of NSIP.2. Mild mediastinal and hilar lymphadenopathy, slightly improved.3. Nodular opacities in the left lung, one of which may be new, appear flat and most likely reflect post i... |
Generate impression based on findings. | Reason: ILD protocol - abnormal PFTs; chronic RA - eval for ILD; recently worsening SOB History: as above; LUNGS AND PLEURA: Small subpleural scar like and nodular opacities in the lower lung zones but no evidence of diffuse interstitial lung disease.Mild bronchial thickening and no significant air trapping.MEDIASTINUM... | Mild bronchial thickening but no sign of diffuse interstitial lung disease. |
Generate impression based on findings. | Mesothelioma, follow-up CHEST:LUNGS AND PLEURA: Patient is status post a left pneumonectomy with placement of diaphragmatic mash overlying the diaphragm. Diffuse pleural thickening with mild nodularity is again observed it better identified as compared to prior study due to differences in technique. Overall gross stabi... | Status post left pleurectomy with diffuse residual and mildly irregular heterogeneous pleural thickening. Reference measurements are stable since 2012 grossly given differences in technique, see measurements provided. Of particular note however is the questionable new left chest wall tumor involvement not clearly ident... |
Generate impression based on findings. | Reason: enlarged lymph nodes History: PET positive; possible surgical eval LUNGS AND PLEURA: Moderate bronchial thickening compatible with bronchitis. No sign of emphysema.Multiple micronodules compatible with a lymph nodes and previous infection.Focal subsegmental atelectasis in the lingula.No suspicious nodules.MEDIA... | Enlarged right hilar and lower right paratracheal lymph nodes, but no suspicious pulmonary nodules. |
Generate impression based on findings. | Male, 61 years old, base of tongue cancer, surveillance scan. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. A previously referenced enhancing focus at the left base of tongue is no longer discretely vi... | 1. Increasing treatment related mucosal edema/hyperemia. The previously referenced left tongue base lesion is no longer distinctly visualized.2. Continued interval decrease in size of a referenced left level 2 lymph node. No pathologic or progressive adenopathy.3. No intracranial metastatic disease. |
Generate impression based on findings. | S.O.B. history lung infiltrates, history of active CA. Rule-out PE, further eval of multifocal lung lesions question pneumonia versus infarct versus mets. PULMONARY ARTERIES: Adequate infusion the study. No signs of pulmonary embolus.LUNGS AND PLEURA: Moderate left and small right pleural fluid collections with associa... | No evidence of acute pulmonary embolus. Moderate volume of pleural fluid with associated atelectasis but no specific signs of pneumonia and no visible pulmonary or pleural metastases. Left heart chambers are enlarged. Small pericardial fluid collection with mediastinal fat stranding and thickening of the esophagus sugg... |
Generate impression based on findings. | Shortness of breath and fever. History of RA, connective tissue disease and hypersensitivity pneumonitis. LUNGS AND PLEURA: Patchy areas of ground glass opacity associated with volume loss adjacent to lobular areas of sparing and air trapping are consistent with chronic hypersensitivity pneumonitis, slightly improved c... | 1. Mild improvement in the pulmonary opacities since the previous examination which may have represented postinfectious or postinflammatory change superimposed upon changes of chronic hypersensitivity pneumonitis. The appearance is only slightly worsened compared to the exam of 12/14/11 in the upper lung zones.2. Impr... |
Generate impression based on findings. | 44 year-old female with metastatic uterine cancer. Reason: Uterine leiomyosarcoma. Evaluate for progression. CHEST:LUNGS AND PLEURA: Postoperative changes of bilateral upper and lower lobe wedge resections. No suspicious nodules or masses are evident. No focal air space opacities or pleural effusions.MEDIASTINUM AND HI... | Stable examination without evidence of metastatic disease. |
Generate impression based on findings. | Female, 79 years old, high-grade carotid stenosis on duplex ultrasound. Periventricular hypoattenuation is a non-specific finding which most commonly represents age-indeterminate small vessel ischemic disease.No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effec... | 1. Atherosclerotic narrowing at the origin of the right ICA with approximately 50% stenosis by NASCET criteria. The origin of the right ECA is also moderately narrowed.2. Atherosclerotic narrowing at the origin of the left ICA with approximately 60% stenosis by NASCET criteria.3. Few scattered areas of mild to moderate... |
Generate impression based on findings. | Male 57 years old; Reason: eval fluid collections, duodenal obstruction. History: gastric outlet obstruction, high G tube output. ABDOMEN:LUNG BASES: Bilateral pleural effusions with compressive atelectasis are stable.LIVER, BILIARY TRACT: No focal hepatic lesions. Pneumobilia is again noted. A metallic CBD biliary ste... | Overall mild improvement with decrease size of multiple fluid collections. 1. Mild interval decrease in size in right perinephric fluid collection with stable placement of percutaneous drain.2. Smaller size of the heterogeneous collection superior to the drain, and inferior to the liver/gallbladder containing hemorrhag... |
Generate impression based on findings. | Male; 83 years. Reason: Pt is an 83 y/o male with metastatic prostate cancer, evaluate for worsening disease History: met prostate cancer, rising PSA CHEST:LUNGS AND PLEURA: Stable postsurgical changes in the left hemithorax. Left apical bullae. Mild emphysema and groundglass opacities are unchanged. Stable micronodule... | Diffuse osseous metastases, slightly progressed compared to prior. |
Generate impression based on findings. | Retroperitoneal mass (probable sarcoma) appears to be communicating with abdominal wall on OSH CT scan. Need CT to clear chest. Cough. LUNGS AND PLEURA: Mild bronchial wall thickening and scattered small foci of emphysema. Faint diffuse centrilobular groundglass opacity bilaterally with an upper zone distribution. Few ... | 1. No specific evidence of pulmonary metastases. 2. Diffuse centrilobular/peribronchiolar groundglass opacities in the result of hypersensitivity pneumonitis or drug reaction in the appropriate clinical setting. Respiratory bronchiolitis is considered less likely as the appearance is atypical but may be considered if t... |
Generate impression based on findings. | Neuroblastoma. CHEST:LUNGS AND PLEURA: Stable appearance of micronodules of the lungs as well as right middle lobe non-dependent atelectases. Bibasilar atelectasis has are normal no visualizedMEDIASTINUM AND HILA: Right paratracheal subcentimeter lymph node is no longer visualized. Left subclavian central line again no... | Retroperitoneal abdominal mass unchanged.Stable multiple osseous metastases.Right hydronephrosis.Diffuse bowel edema mainly from the esophagus to the distal duodenum.Stable lung micronodules and atelectasis of the right middle lobe. |
Generate impression based on findings. | Female 79 years old; Reason: atypical carcinoid, evaluate for progression CHEST:LUNGS AND PLEURA: Post surgical changes from prior left lower lobectomy, stable.Reference right lower lobe ground glass of solid nodule abutting the fissure is unchanged in size, measuring 5 mm (series 5/image 49).Right lower lobe atelectas... | 1. Persistent right lower lobe sub-solid ground glass nodule in which is unchanged in size. This is compatible with diagnosis of metastatic atypical carcinoid.2. Interval increase in the size and conspicuity of the hepatic metastases.3. Left renal hypodensity enlarging over two year period -- Consider dedicated renal i... |
Generate impression based on findings. | 84 year old female. Reason: Please assess for hydronephrosis and bowel obstruction. NO PO OR IV contrast History: rising creatinine, nausea, vomiting ABDOMEN:LUNG BASES: Stable cardiomegaly and pericardial effusion. Left lower lobe consolidation / volume loss. Atelectasis at the right lung base. LIVER, BILIARY TRACT: S... | Parastomal hernia is probable site of new partial small bowel obstruction.Interval resolution of moderately severe bilateral hydronephrosis and hydroureter Interval resolution of obstruction and distention of urinary reservoir. Infrarenal fusiform abdominal aortic aneurysm with 4.5 cm diameter. |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: The spiculated large right lower lobe nodule remains 2.5 x 1.3 cm (image 65, series 4) unchanged when measured similarly. Associated pleural thickening along the adjacent fissures and pleural surfaces. Reference pleural thickening measurement remains 4 mm (image 66 series ... | Interval stability in the reference lymphadenopathy and right lower lobe spiculated nodule. |
Generate impression based on findings. | Male 75 years old; Reason: L PV thrombus, hemangioma - please follow up; evaluate for PSC (cannot obtain MRI due to pacer) History: ulcerative colitis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Left portal vein thrombosis is identified. A contiguous dilated umbilical vein also does not ... | 1.Left portal vein thrombosis with likely extension into dilated umbilical vein.2.No evidence of PSC, as clinically questioned.3.Unchanged segment two hepatic hemangioma.4.Grade 1 anterolisthesis of L5 on S1. |
Generate impression based on findings. | 70 year-old female with unstable angina and prior CABG Exam limited in evaluation of vasculature due to the lack of IV contrast.LUNGS AND PLEURA: Bilateral pleural effusions. Multiple bilateral scattered ground glass nodular opacities. Mosaic attenuation.MEDIASTINUM AND HILA: Marked coronary arterial calcification. LAD... | Status post CABG. Marked coronary arterial calcifications. Without intravenous contrast evaluation of the vasculature is limited. |
Generate impression based on findings. | 17 year-old male evaluate mass at posterior mandible, patient has nasopharyngeal lymphoma, just completed radiation therapy, tender Limited intracranial and orbital views are unremarkable. The visualized paranasal sinuses and mastoid air cells are clear.No mandibular masses are present but there are prominent submandib... | 1. Borderline enlarged level 2a lymph nodes, some of which appear fuller than on the prior examination.2. Prominent right submandibular space lymph nodes. |
Generate impression based on findings. | Follow-up lung cancer status post chemo RT for hilar recurrence. Remote history of breast CA. CHEST:LUNGS AND PLEURA: Postsurgical changes of a left lower lobectomy and left upper lobe wedge resection.Interval worsening of groundglass opacities and micronodules in the paramediastinal left upper lobe extending from the ... | 1. Interval development of several ground glass nodules most consistent with radiation pneumonitis.2. Numerous micronodules in the left upper lobe are suspicious for bronchiolitis due to infection or inflammation. Micronodules from endobronchial spread of tumor are considered unlikely.3. Improvement in mild lymphadenop... |
Generate impression based on findings. | 62 year-old female with serous ovarian cancer, and soft tissue sternal mass CHEST:LUNGS AND PLEURA: Moderate left and trace right pleural effusions. Multiple nodules along the pleura are now compatible with metastatic disease. For reference, large lesion in the right measures 5-mm (7/149). Right basilar scarring.MEDIAS... | 1. Bilateral pleural metastatic disease with extension to the chest wall and epicardium. Although no pericardial effusion is present, studding of the pericardium is highly suspicious for pericardial metastatic disease.2. Left hilar and axillary lymphadenopathy.3. Peritoneal and mesenteric metastases.4. Spread of tumor ... |
Generate impression based on findings. | Female, 54 years old, intracranial hemorrhage. Left basal ganglia acute hematoma has not significantly changed in size or morphology. On axial images, the hematoma measures 3.9 x 1.8 cm. As before, there is minimal surrounding parenchymal edema and minimal regional mass effect in the form of a sulcal effacement and sli... | Stable left basal ganglia parenchymal hematoma. No new hemorrhage is seen. |
Generate impression based on findings. | Male, 59 years old, intense headache photophobia, vomiting. Periventricular and scattered white matter 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 evidenc... | 1. No acute intracranial abnormality or other specific findings to account for the patient's symptoms.2. Mild age indeterminate small vessel ischemic disease. |
Generate impression based on findings. | cervicalgia There are several nodules present in the soft tissues of the lower neck . There is no convincing evidence for parathyroid adenoma. There is a nodule to the right of the trachea at the level of the thoracic inlet which stands out but follows contrast uptake similar to lymph node Houndsfield units through nod... | 1.Status post anterior fusion at C5-6. There is no evidence for spinal stenosis or neural foramen encroachment in the cervical spine.2.There are large right sided anterior osteophytes at C6-7 with a pseudoarthrosis appearance.3.Calcified nodule in the right lung most likely represents a granuloma in the absence of a kn... |
Generate impression based on findings. | Female 75 years old; Reason: patient with history of urothelial cancer, s/p 3 cycles of chemotherapy, please assess for disease progression History: urothelial cancer CHEST:LUNGS AND PLEURA: Few micronodules are noted throughout the lungs, largest in the lingula measuring 4 mm (series 5 image 42). Pleural spaces are cl... | 4.8 x 2.8 cm mass at the UV junction, worrisome for urothelial carcinoma with likely satellite lymph node. No distant metastatic disease detected. |
Generate impression based on findings. | 60 year-old female with history of chest pain. Evaluate for dissection. VASCULATURE: Note that arterial phase imaging was only acquired in the chest due to technical malfunction during image acquisition. Allowing for these limitations, no aortic aneurysm or dissection is identified.Moderate coronary calcifications are ... | 1.Suboptimal evaluation as arterial phase imaging was only acquired in the chest due to technical malfunction during image acquisition. Allowing for these limitations, no aortic aneurysm or dissection identified.2.A plastic biliary stent is noted in the distal common bile duct and duodenum of unclear clinical indicatio... |
Generate impression based on findings. | 42 year old male. Hypercholesterolemia. Clinical trial. Reason: rule out cad. History: chest pain. Calcium Score:LM: `0LAD: 0LCx: 0RCA: 0Total: 0, This represents the 0% for this patient's age and gender.CARDIAC | 1. Normal ventricular volume and morphology.2. No significant coronary artery disease.3. Total Calcium score was 0; 0% for age and gender. |
Generate impression based on findings. | Female 63 years old; Reason: eval for abdominal mass History: tender supraumbilical mass. Patient has history of sarcoidosis. ABDOMEN:LUNGS BASES: Posterior mediastinal adenopathy is partly imaged, with a large calcified lymph node and a second enlarged lymph node measuring 2.0 x 1.1 cm.LIVER, BILIARY TRACT: Innumerabl... | Innumerable hepatic and multiple splenic hypodense lesions likely representing sarcoidosis, given the patient's clinical history. Lymphoma and metastatic disease are far less likely differential considerations. |
Generate impression based on findings. | Female, 63 years old, neck pain status post cervical fusion. Posterior spinal fusion hardware is redemonstrated including bilateral transpedicular screws at C1 and C2. These are fixed with bilateral stabilization rods. As before, there is evidence of mild lucency surrounding the C2 screws which could reflect loosening.... | 1. Posterior spinal fusion hardware is redemonstrated at C1 and C2. Mild lucency surrounding the C2 screws persists and is similar to prior. No other evidence of hardware complication is seen.2. Fracture through the dens remains visible. Alignment of the fracture fragments is unchanged.3. Multilevel degenerative disk d... |
Generate impression based on findings. | Lung cancer, follow-up. CHEST:LUNGS AND PLEURA: Stable upper lobe scarring with staples unchanged. The residual area of presumed scarring in the left upper lobe and towards the hilar region remains 1.3 cm in similar measurement (image 30 series 5). Diffuse emphysema without additional new suspicious nodules or effusion... | No evidence of local recurrence or metastatic disease |
Generate impression based on findings. | 73-year-old female patient with interstitial lung disease, aortic stenosis with worsening shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism to the subsegmental level.LUNGS AND PLEURA: Slight interval increase in subpleural, predominantly basal reticulation and s... | Interval worsening of pulmonary fibrosis due two new nodular lesions. Correlate for signs of infection. Follow-up CT in 3 months recommended.No evidence of pulmonary embolus.No significant change in lymphadenopathy, however pattern is somewhat atypical, correlate for possibility of lymphoma. |
Generate impression based on findings. | Reason: evaluation of R-sided pleural effusion s/p PleurX drain placement History: right sided diffuse chest pain with coughing LUNGS AND PLEURA: Interval reduction in the large right-sided pleural effusion with placement of a right Pleurx catheter at the right lung base.Consolidation and atelectasis involving the righ... | 1.Interval placement of a right Pleurx catheter with significant decrease in right pleural effusion.2.Consolidation/atelectasis in the right middle and lower lobes with diffuse nodular septal thickening throughout the visualized right lung.3.Stable lymphadenopathy.4.Stable sclerotic foci within multiple vertebrae and h... |
Generate impression based on findings. | Male 41 years old; Reason: h/o HNC, CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality noted. Numerous axillary lymph nodes noted on previous PET scan are not enlarg... | 1.No evidence metastatic disease. |
Generate impression based on findings. | Female, 84 years old, history of stroke, evaluate for carotid stenosis. Fairly extensive periventricular and patchy white matter hypoattenuation is seen likely indicating age indeterminate small vessel ischemic disease. There are patchy areas of lucency in the thalami and the cerebellum likely representing a combinatio... | 1. 60% atherosclerotic stenosis at the left ICA origin.2. 60% stenosis of the right cavernous ICA. Mild stenoses affect the left cavernous ICA.3. Fusiform dilatation of the post stenotic ophthalmic segment of the right ICA with a luminal caliber measuring up to 8 mm.4. Severe atherosclerotic disease of the vertebro-bas... |
Generate impression based on findings. | 74-year-old female with shoulder dislocation. Evaluate for glenoid fracture. Glenohumeral joint alignment is within normal limits. There is a joint effusion. A 14-mm ossific density anterior inferior to the glenoid and a 5-mm ossific density inferior to the glenoid are consistent with Bankart fracture fragments. There ... | Bankart fracture fragments and small Hill-Sachs deformity. |
Generate impression based on findings. | Right upper lobe nodule, check for lung cancer LUNGS AND PLEURA: Stable mildly spiculated subcentimeter nodule in the right upper lobe (image 23 series 6) remaining 6 x 8 mm. The finding remains adjacent to a small cyst or bulla unchanged.The other benign-appearing pulmonary and micro-nodules and calcified granulomas a... | Essentially stable right upper lobe peripheral nodule adjacent to a cyst. Again given the size, serial follow up imaging is recommended in a high risk patient at 9 to 12 months from original detection. |
Generate impression based on findings. | 80 year-old female patient with tachycardia and fever. Evaluate for lung mass seen on chest x-ray. Exam limited by patient movement.LUNGS AND PLEURA: Lobulated solid mass in the left upper lobe along the major fissure measures 3.7 cm (series 4 image 18). There is an irregularly shaped lesion in the right upper lobe tha... | 1. Multiple pulmonary nodules and masses may represent fungal pneumonia if the patient is neutropenic. However, the metastatic disease cannot be excluded without follow-up CT. Recommend follow-up in 6 weeks.2. Mediastinal and hilar lymphadenopathy3. Sclerotic skeletal lesions, one of which appears atypical in for degen... |
Generate impression based on findings. | Male 42 years old; Reason: abd pain, guarding, rule out intra abd process History: abd pain, distension ABDOMEN:LUNGS BASES: Heart size is enlarged. Cardiac pacer leads.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLAN... | 1.Normal caliber of the abdominal aorta without retroperitoneal hematoma.2.No findings of appendicitis.3.No renal or ureteral calculi.4.Multiple small pelvic and retroperitoneal lymph nodes which are abnormal in number. |
Generate impression based on findings. | Tachycardia. Check for PE. Chest pain. PULMONARY ARTERIES: Adequate contrast enhancement of the pulmonary arterial system. No findings to suggest pulmonary embolusLUNGS AND PLEURA: Small bilateral pleural effusions greater on the left. Moderate central lobular emphysema with scattered micronodules. Specifically no foca... | 1. Massive anterior mediastinal mass with questionable invasion of critical adjacent structures, see detailed provided. Concern for an invasive malignant thymoma or lymphoma in the absence of additional sites of involvement. 2. The small focus of gas likely represents gas in a collateral from the IV access. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial pathology. Signs and symptoms: AMS. Nonenhanced head CT:No detectable acute intracranial process, CT however he is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system and CSF spaces for pat... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Patient fell and hit head head, please evaluate for abnormalities. Signs and symptoms: Headache. Unenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system and the CSF spaces for p... | No acute posttraumatic findings. |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms: As above. Nonenhanced head CT:No convincing evidence of any new hemorrhage or increased previously known hemorrhage since prior study. Hypertensive hematoma in the left thalamus with extension inferiorly through the left cerebral peduncle and into the four... | 1.Further decreased size of supratentorial ventricular system.2.No convincing evidence of any change of hypertensive hemorrhage in the left thalamus and its extension.3.Several interval decreased hemorrhage in the right lateral ventricle and stable intraventricular hemorrhage otherwise.4.Stable hemorrhage along the cou... |
Generate impression based on findings. | 57-year-old female with CLL with enlarging stomach mass. Question of tumor burden. CHEST:LUNGS AND PLEURA: The numerous pulmonary nodules have decreased in size and conspicuity bilaterally with the reference nodule in the left lower lobe measuring 0.5 cm previously 0.7 cm in series 6 image 70.MEDIASTINUM AND HILA: The ... | Marked interval decrease in the diffuse lymphadenopathy of the chest, abdomen, and pelvis. |
Generate impression based on findings. | Clinical question: Fall rule hematoma size. Signs and symptoms: As above. Unenhanced head CT:Stable acute left hemispheric basal ganglia hematoma measuring at 39 times 20 mm size in its transaxial dimensions. Very subtle surrounding vasogenic edema is noted without change.No significant mass effect or midline shift. Gr... | Stable acute left basal ganglia hematoma with minimal surrounding edema and no appreciable mass effect or midline shift. |
Generate impression based on findings. | 57-year-old female patient with history of lung cancer presented with chest pain and shortness of breath. Evaluate for pulmonary embolus. PULMONARY ARTERIES: Good quality study with no pulmonary embolus to the subsegmental level. There is attenuation of the left upper lobe artery secondary to tumor encasement.LUNGS AND... | 1.No evidence of a pulmonary embolus.2.New large pericardial effusion.3.Mass in the left upper lobe with scattered nodules consistent with metastatic cancer.4.Bilateral moderate pleural effusions.5.Foci of bronchial thickening and nodular opacities in the right upper lobe likely inflammatory in nature. |
Generate impression based on findings. | 64-year-old female with flank pain, hematuria, history of renal stones. Evaluate for nephrolithiasis, diverticulitis, pyelonephritis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The gallbladder is surgically absent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormal... | 1.Tiny bladder calculi likely represent passed stones.2.No evidence of diverticulitis, perinephric stranding or fluid collection, or nephrolithiasis, as clinically questioned, though contrast exam is limited in detection of small stones.3.Significant interval growth of uterine lesion. May represent obstructive changes ... |
Generate impression based on findings. | Clinical question: Status post TPA. Signs and symptoms: Status post TPA. Nonenhanced head CT:No evidence of acute intracranial process in particular no evidence of hemorrhage is detected. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventric... | No acute intracranial process. |
Generate impression based on findings. | Facial trauma. There is a skin defect in the left upper lip, consistent with a laceration. There is nearly horizontal fracture of ADA 9 with pulp exposure. There are also carious ADA 18 and 32 with associated periapical lucencies. There is no evidence of radio-opaque foreign body or nasal fracture. The paranasal sinuse... | 1. Laceration of the left upper lip with associated fracture of ADA 9, but no evidence of nasal fracture or radio-opaque foreign body.2. Carious ADA 18 and 32 with associated periapical lucencies that may represent abscesses. |
Generate impression based on findings. | -year-old female with peritoneal dialysis catheter placement 11/14 -- bleeding around catheter. 3-g hemoglobin drop. Evaluate for intra-abdominal bleeding. Abdominal pain, nausea. Within the limits of a non-IV contrast-enhanced examination which limits ability to evaluate solid organ parenchyma and vascular structures,... | 1. Peritoneal dialysis catheter with expected course and appearance without evidence of abnormal fluid collections to suggest complication or hematoma. 2. No change in appearance of right lower pole small renal mass. |
Generate impression based on findings. | Female 65 years old; Reason: Metastatic cervical cancer on chemotherapy with decline in performance status. Evaluate for progression. History: Fatigue, generalized weakness. CHEST:LUNGS AND PLEURA: Slight interval increase in size and conspicuity bilateral pulmonary metastases. Although there is decrease in the referen... | 1.Interval resolution of the previously seen colitis.2.Interval increase in size and conspicuity of the numerous pulmonary metastases.3.No new areas of metastasis in the abdomen or pelvis. 4.Stable left indeterminate adrenal nodule. |
Generate impression based on findings. | 27 year old female, hemoptysis, evaluate for PE. PULMONARY ARTERIES: The quality of this examination is excellent for the evaluation of pulmonary embolism to the subsegmental level. No pulmonary embolus is present.LUNGS AND PLEURA: There is redemonstration of two small foci of ground glass in the right lower lobe with ... | 1.No evidence of pulmonary emboli.2.Since the prior exam, the foci of ground glass have decreased in size, with increasing cystic components. These are of unclear etiology, but may represent sequela of prior infection or inflammation, however, given the chronicity vasculitis is also a consideration, although we would e... |
Generate impression based on findings. | 39-year-old male with a history of tongue cancer. Now with jaundice, nausea, vomiting, and weight loss. Foreign travel. CHEST:LUNGS AND PLEURA: Biapical scarring stable and unchanged. No lung nodules or masses are parenchymal air space disease. No pleural abnormality seen.MEDIASTINUM AND HILA: No, adenopathy or masses.... | 1. No evidence for metastatic disease. 2. Interval development of diffuse hepatic steatosis. |
Generate impression based on findings. | Right vocal cord SCCa in 2008 s/p laser treatment in remission, bilateral carotid stenosis s/p R CEA who is being worked-up for stage 4 H/N cancer with unknown primary, currently on chemotherapy. Head: There are no enhancing masses to suggest intracranial metastases. There is a left frontal lobe developmental venous an... | 1. No evidence of locoregional tumor recurrence in the larynx and no significant cervical lymphadenopathy.2. No evidence of intracranial metastases. The hypoattenuating foci in the bilateral basal ganglia likely represent lacunar infarcts of indeterminate age. These can be further evaluated via MRI.3. Moderate to sever... |
Generate impression based on findings. | Female 45 years old s/p wash-out and debridement of abdominal wound yesterday. R/O entero-cutaneous fistula. Pt has metastatic colon ca, undergoing chemotherapy. ABDOMEN:LUNGS BASES: Small bilateral pleural effusions are noted with bibasilar atelectasis.LIVER, BILIARY TRACT: Multiple metastatic liver lesions are redemo... | 1.Enterocutaneous fistula, likely from matted small bowel loops behind the rectus.2.Interval decrease in anterior wall fluid and gas collection.3.Metastatic lesions of the liver are redemonstrated. |
Generate impression based on findings. | 75-year-old female with hip pain.? Hip abscess. ABDOMEN:LUNG BASES: Bilateral pleural effusions and basilar atelectasis.LIVER, BILIARY TRACT: 4.7 x 3.5 cm hypoattenuating mass seen in the superior liver, segment 8 (series 3, image 19), unchanged since 11/6/13. Limited screening evaluation cannot characterize this lesio... | 1. No evidence for right hip abscess or abnormal fluid accumulation. 2. Bilateral pleural effusions. 3. No change in appearance in nonspecific right hepatic lobe liver lesion, which cannot be characterized further on today's screening CT examination. |
Generate impression based on findings. | Clinical question of history of ETV and Rickham; evaluate ventricles. Signs and symptoms cord and a pitch from incision site and headaches. Nonenhanced head CT:Examination demonstrates slightly decreased size of fourth ventricle since prior study. Cystic and patchy areas of low attenuation of cerebellum and vermis cons... | 1.Interval decreased size of ventricular system since prior study and with maintained the midline.2.Stable right frontal approach ventricular catheter with the tip in the right frontal horn.3.No detectable bony changes or fluid accumulation at the site of insertion of catheter of the right frontal bone.4.Interval incre... |
Generate impression based on findings. | Male 42 years old; Reason: met CRC restaging History: met CRC restaging on chemo CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. No evident suspicious pulmonary nodules. Incidentally noted is an aberrant azygos and azygos lobe, normal variant.MEDIASTINUM AND HILA: No enlarged mediastinal or hilar lymph no... | 1. Hepatic metastatic lesions are overall stable.2. Small area of stricturing in the transverse colon which appears similar to previous exam with new increased marked dilation of the colon. Although nonspecific, this could represent an area of neoplasm. Direct visualization with endoscopic exam advised.3. No evidence o... |
Generate impression based on findings. | 63-year-old female with bilateral flank pain and hematuria with history of stones -- also epigastric pain with history pancreatitis. Assess for kidney stones. Within the limits of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vascular structures, the following observations c... | 1. Bilateral, nonobstructing renal stones as described above. 2. No evidence of obstructing stones or hydronephrosis. 3. No other significant abnormality seen. |
Generate impression based on findings. | 62-year-old male with history of lung adenocarcinoma. Rule out hematoma, reevaluate for peritoneal implants/masses. ABDOMEN:LUNGS BASES: Moderate bilateral effusions with associated compressive atelectasis, new from prior study.LIVER, BILIARY TRACT: Scattered subcentimeter hypodensities are nonspecific though unchanged... | 1.Slight increase in omental thickening and ascites, suggestive of worsening worsened peritoneal disease.2.New right kidney and splenic infarcts.3.New bilateral moderate-sized pleural effusions.4.Unchanged sclerotic vertebral lesions. |
Generate impression based on findings. | 76-year-old male with obstructing mass seen on colonoscopy -- anemia. Staging CT examination. CHEST:LUNGS AND PLEURA: Scattered micronodules nonspecific, however, larger nodules are densely calcified and these all most likely represent changes from prior granulomatous disease. No suspicious lung nodules to suggest meta... | 1. Cecum/right colon mass with associated adjacent enlarged peritoneal lymph nodes. 2. Extensive mass lesions in liver, most consistent with diffuse metastatic disease. 3. No other significant abnormality seen. |
Generate impression based on findings. | Chronic lymphoid leukemia, now on study of BR and ibrutinib. There is considerable interval decrease in size of the diffuse cervical lymphadenopathy. For example, a left level 2 lymph node measures 7 x 5 mm, previously 18 x 16 mm and a right level 5 lymph node measures 6 x 4 mm, previously 17 x 12 mm. The Waldeyer stru... | Considerable interval decrease in size of the cervical lymphadenopathy, indicting treatment response. |
Generate impression based on findings. | Fever. Concern for central process as cause. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is scattered paranasal sinus opacification. The imaged mastoid air cells are clear... | No evidence of intracranial hemorrhage, mass, or cerebral edema.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 60 years old; Reason: HCV cirrhosis and abdominal pain History: abdominal epigastric pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour: The liver contour is nodular. The liver is enlarged measuring 20 cm in the right.Patient is status post cholecystectomy with no evid... | 1.Cirrhotic morphology with no evident of lesion to suggest HCC. |
Generate impression based on findings. | Neutropenic fever. The paranasal sinuses and nasal cavity are clear. There is interval decrease in the right mastoid air cells opacification, now minimal. There are bilateral lens implants. The imaged portions of the intracranial structure are grossly unremarkable. The overlying soft tissues of the face are also unrema... | No evidence of sinusitis. |
Generate impression based on findings. | Neutropenic fever. There is minimal mucosal thickening within the alveolar recesses of the bilateral maxillary sinuses. The paranasal sinuses and nasal cavity are otherwise clear. There are multiple maxillary dental caries with associated mild periodontal lucencies. The orbits and the partially imaged intracranial stru... | 1. No evidence of sinusitis.2. Extensive maxillary dental disease. |
Generate impression based on findings. | Cervical spondylosis with myelopathy. Patient motion artifact limits detail. There is rotary scoliosis. The vertebral body heights are essentially intact and there no evidence of acute fractures. There is intervertebral disk height loss at multiple levels with vacuum disc phenomenon. There are prominent anterior osteop... | 1.Extensive multilevel spondylosis of the cervical spine, most prominent at the C4-5 level where there is severe spinal canal and moderate-to-severe right neural foraminal stenosis.2.Neural foraminal stenosis demonstrated at each level from C2-3 through C6-7 as described.3.Contour irregularity of the aortic arch, which... |
Generate impression based on findings. | 63 year old male. Neutropenic fever, evaluate for pulmonary source. LUNGS AND PLEURA: Subpleural atelectasis in the right lower lobe is increased from prior exam. There is no focal lung consolidation or pleural effusion. Micronodules are unchanged.MEDIASTINUM AND HILA: Central venous catheter with tip in the SVC. Cardi... | Increased subsegmental atelectasis, but no evidence of acute infection. |
Generate impression based on findings. | Hypoxia, r/o sinusitis. There is right maxillary sinus alveolar recess retention cyst that measures up to 15 mm. The paranasal sinuses and nasal cavity are otherwise clear. The frontal sinuses are not pneumatized. The mastoid air cells are clear. There are numerous partially imaged maxillary dental caries with associat... | 1. No evidence of acute sinusitis.2. Extensive, but partially imaged dental disease. |
Generate impression based on findings. | 58-year-old male. Neutropenic patient with fevers despite antibiotic coverage, evaluate for pulmonary source. LUNGS AND PLEURA: Since the prior exam, there is been development of extensive patchy airspace and interstitial opacities throughout the right lower lobe, with a focus is along the right middle lobe. There is a... | Development of extensive patchy airspace, interstitial and ground glass opacities throughout the right lower lobe with a focus in the right middle lobe. There is also additional masslike component adjacent to the right hilum. These findings are compatible with bacterial or fungal infection. The ground glass component i... |
Generate impression based on findings. | Headaches and prior hemispherectomy and VP shunt with abdominal pseudocyst. There are postoperative findings related to left hemispherectomy. There is also an unchanged left transparietal ventricular shunt that terminates superior tip the cerebral aqueduct. However, there has been progressive increase in size of ventri... | Progressive increase in size of the ventricular system since 9/26/2013. |
Generate impression based on findings. | Female 37 years old; Reason: intermittent chronic RUQ, RLQ and LLQ abdominal pain and iron deficiency anemia. please evaluate for possible etiology. History: chronic intermitten abdominal pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No signifi... | 1.No evidence of acute intra-abdominal pathology detected. |
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