instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Reason: evaluation of a left lower lobe lung nodule History: lung nodule CHEST:LUNGS AND PLEURA: Mild scarring/discoid atelectasis in the left upper lobe related to previous site of a chest tube.6 mm x 6 mm somewhat spiculated nodule medially in the left lung base (image to 30 series 6) is similar appearance the prior ... | 6-mm left lower lobe nodule appears decreased in size compared to an outside exam dated 10/3/13. Continued follow -up in 3 to 6 months is recommended. |
Generate impression based on findings. | Significant head swelling at surgical site. There are postoperative findings related to left frontotemporal craniotomy and right temporal microcraniotomy with interval removal of the electrode grids. There is low attenuation subgaleal fluid collection overlying the left craniotomy site that measures up to 13 mm in widt... | 1. Subgaleal and extra-axial fluid collections associated with the bilateral craniotomy sites, left larger than right, may represent residual post-operative fluid collections or CSF leak. Superimposed infection cannot be excluded. A brain MRI with contrast may be useful for further interrogation.2. Extensive left cereb... |
Generate impression based on findings. | 56-year-old female patient with history of interstitial lung disease and worsening shortness of breath. Evaluate for changes in ILD. LUNGS AND PLEURA: Bibasilar traction bronchiectasis and mild architectural distortion is slightly decreased compared to prior. No ground-glass opacities. Scattered right upper lobe subple... | Nonspecific pulmonary fibrosis pattern with slight interval decrease in bibasilar traction bronchiectasis. Stable subpleural reticular pattern. |
Generate impression based on findings. | 71-year-old male. Known HCC. Reassess for HCC. ABDOMEN:LUNG BASES: Interval resolution of the previously described bilateral pleural effusions. Noted are multiple pulmonary micronodules, appearing similar to the prior study.LIVER, BILIARY TRACT: Cirrhotic liver morphology is again seen. Reference heterogeneous arterial... | Interval decrease in size of dominant reference left hepatic lobe HCC, however, there is interval development of a new bilobar lesions in the liver, as described above. |
Generate impression based on findings. | 72-year-old male patient with history of head and neck cancer. LUNGS AND PLEURA: There is a 5-mm lung nodule in the superior segment of the right lower lobe (series 4 image 53). Scattered bilateral micronodules, some of which are calcified.MEDIASTINUM AND HILA: Heart size within normal limits. Severe coronary artery ca... | 1.5-mm right lower lobe nodule. Recommend continued follow-up given history of cancer.2.Prominent mediastinal lymph nodes.3.Left axillary lymphadenopathy. |
Generate impression based on findings. | Female 45 years old; Reason: STAGE III RECTAL CANCER S/P RESECTION. SURVEILLANCE SCAN. History: RECTAL CANCER CHEST:LUNGS AND PLEURA: The lungs are clear. The pleural spaces are clear. The central airways are patent.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No pathologically enlarged mediasti... | 1.Status post resection with right lower quadrant ostomy, and no evident metastatic disease detected. |
Generate impression based on findings. | 75 year old female. Check for source of infection. ABDOMEN:LUNGS BASES: Small bilateral pleural effusions, right greater than left, with associated compressive bibasilar atelectasis and consolidation.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant... | 1.Balloon of the GJ tube is extraluminal between the stomach and abdominal wall with large amount of intraperitoneal free air.2.Several gas-containing fluid collections around the stomach.3.Small bilateral pleural effusions with associated bibasilar atelectasis/consolidation.4.Cystic lesion in the upper pole of the lef... |
Generate impression based on findings. | Male 70 years old; Reason: assess for recurrence, h/o pancreatic cancer s/p resection History: h/o pancreatic cancer CHEST:LUNGS AND PLEURA: Subpleural reticular changes at the upper lobes. No dominant lung lesion.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Coronary calcifications.CHEST WALL: N... | 1.Status post resection of the mass in the uncinate. Soft tissue in expected location of the uncinate process bed may be postsurgical and is stable. No definite evidence of metastatic disease.2.Nonspecific thickening of the ascending and transverse colon, correlate for previous colitis |
Generate impression based on findings. | 74-year-old female with cholangiocarcinoma -- restaging following 4 cycles of treatment. CHEST:LUNGS AND PLEURA: Changes of prior inflammatory, old granulomatous disease without nodules or masses, suspicious for metastatic disease. No pleural abnormality seen.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST... | 1. Status post right hepatectomy with stable appearance to the remaining liver, without evidence of recurrent or metastatic disease. 2. Interval development of moderate amount of free peritoneal fluid -- no discrete masses are seen however, to suggest identifiable metastatic disease. 3. Slight thickening of the right c... |
Generate impression based on findings. | T4aN2bM0 right piriform sinus cancer, status post chemoradiation in March 2013, and subsequent right carotid pseudoaneurysm leading to blowout treated with covered stent. Head: There is no abnormal intracranial enhancement or mass lesions to suggest brain metastatic disease. There is disproportionate cerebellar volume ... | 1.Stable extensive posttreatment findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2.No evidence of intracranial metastases. |
Generate impression based on findings. | 76 show female with history of radiofrequency ablation of left renal mass in 2009. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality no... | Stable postprocedural changes of the left kidney. No evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 55 year old female with NHL -- reevaluate. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted. Patient is status post cholecystectomy without other bil... | 1. No evidence of lymphadenopathy in the chest, abdomen or pelvis. 2. Stable appearance to solitary hypodense focus in the, spleen, when compared with 5/23/13, but markedly decreased from no remote scans. 3. No other abnormality seen. |
Generate impression based on findings. | Gross hematuria; history of Leydig cell tumor 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: 2-mm nonobstructing ... | Nonobstructing 6-mm left UV junction stone. Nonobstructing subcentimeter left renal stone. No evidence for acute inflammatory or neoplastic process.Mild aneurysmal dilatation of distal aorta. |
Generate impression based on findings. | 46 year old male. T3N0 non small cell lung cancer (SCC), status post chemotherapy. CHEST:LUNGS AND PLEURA: Interval decrease in size of right infrahilar mass, now measuring 2.4 x 1.3 cm (image 53, series 3) previously 5.2 x 3.5 cm. Interval resolution of right pleural effusion. Right middle lobe subsegmental atelectasi... | 1. Significant decrease in size of the right infrahilar mass, and resolution of right pleural effusion. Decreased hilar lymphadenopathy.2. Development of right upper lobe centrilobular nodules and early tree in bud opacities with associated bronchial wall thickening, compatible with bronchiolitis, which may be due to a... |
Generate impression based on findings. | 63-year-old female patient with history of lung nodules. LUNGS AND PLEURA: Redemonstrated are postoperative changes from left upper lobectomy.Multiple nonspecific bilateral pulmonary nodules. Reference nodule in the right middle lobe measures 11 x 7 mm (series 5 image 62), stable. Pleural based nodule in the left lung ... | Stable nonspecific pulmonary nodules compared to recent examinations. Given slight increased size of pleural based left lung base nodule since 5/4/2012, recommend PET scan versus repeat CT scan in 6 months. |
Generate impression based on findings. | Male 69 years old; Reason: eval for progression History: metasttic RCC in 3rd line therapy CHEST:LUNGS AND PLEURA: Subcentimeter nodule in the right middle lobe, unchanged (series 7, image 49). No new suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Stable mediastinal lymphadenopathy. Reference subcarinal l... | 1. Interval stability in mediastinal lymphadenopathy.2. Interval increase in size of left adrenal nodule which does not meet the criteria for an adrenal adenoma. |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Stable cardiomegaly; no change in severe coronary artery calcificationCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable fissural prominenceSPLEEN: No significant abnormality notedPANCREAS: No sig... | Slight interval increase in size of reference mesenteric mass/adenopathy; otherwise stable exam. |
Generate impression based on findings. | Reason: high resolution CT, ILD protocol to evaluate pulmonary nodules History: shortness of breath LUNGS AND PLEURA: Significant progression of upper lobe predominant bronchus and bronchocentric nodular opacities that now coalesce in the apices in to dense consolidation. There are no pleural effusions.Calcified granul... | Significant worsening of upper lobe predominant nodular opacities with new areas of consolidation. The differential diagnosis includes worsening fungal infection, mycobacterial infection although not miliary TB, and even sarcoidosis. |
Generate impression based on findings. | Reason: 53yo M with COPD, OSA now with ILD found on August 2013 CT scan. Please reevaluate. Please do ILD protocol. History: DOE, SOB LUNGS AND PLEURA: Moderately severe apical paraseptal and centrilobular emphysema.Diffuse interstitial disease with fine reticulonodular opacities and focal areas with scarring and tract... | 1.Diffuse nonspecific interstitial lung disease without significant apical basilar gradient or overt honeycombing.As previously indicated the findings are consistent with atypical UIP or fibrosing NSIP, and the presence of significant upper zone emphysema suggests CPFE (combined pulmonary fibrosis and emphysema). The p... |
Generate impression based on findings. | ? stenosis of celiac artery/MALS syndrome or other vascular anomoly mesenteric ultrasound suggestive of MALS. History: Upper GI series with positional partial compression of 3rd portion of duodenum, ultrasound from outside with anatomical reversal of SMA and SMV ABDOMEN:LUNG BASES: No significant abnormality notedLIVER... | Mild narrowing and "J" configuration of the celiac artery on expiration with some normalization on inspiration suggestive of celiac artery compression syndrome in the appropriate clinical setting. |
Generate impression based on findings. | Male 74 years old; Reason: 74 M with gallbladder cancer s/p surgery, please eval for evidence of disease recurrence. History: none CHEST:LUNGS AND PLEURA: Multiple calcified and noncalcified micronodules bilaterally, unchanged over last two exams. No suspicious lesions. Lungs are otherwise clear.MEDIASTINUM AND HILA: N... | 1.Interval increase in size and number of the omental/anterior mesenteric nodes, As referenced above. |
Generate impression based on findings. | Reason: 85 y/o w/ mesothelioma s/p pleurectomy/decortication needs restaging ct; please assess for disease progression History: dyspnea CHEST:LUNGS AND PLEURA: Small right anterior loculated hydropneumothorax, not significantly changed.Marked interval progression in nodular pleural thickening in the right hemithorax wi... | Marked interval increase in multiple right pleural nodules, consistent with disease progression. |
Generate impression based on findings. | Clinical question: Evaluate 2 mm left posterior communicating artery aneurysm seen on 9 -- 11 CTA. Signs and symptoms: Headache. Nonenhanced head CT:Examination demonstrates no evidence of acute intracranial process in particular no evidence of hemorrhage. CT however is insensitive for early detection of acute non-hemo... | 1.Nonenhanced head CT demonstrate mild age indeterminate small vessel ischemic strokes and unremarkable otherwise. Please see above comments.2.CTA of neck demonstrate calcific plaque at the origin of the right vertebral artery with moderate vascular lumen compromise. There is slight interval worsening of this finding s... |
Generate impression based on findings. | 45-year-old female with history of metastatic anal cancer CHEST:LUNGS AND PLEURA: Index left upper lobe pulmonary nodule measures 5 x 2 mm on image number 35 series. Number 5, smaller compared to previous study.MEDIASTINUM AND HILA: Partially calcified right pretracheal lymph node measures 1.6 by 1.3 cm on image number... | Interval minimal decrease in the size of the index left upper lobe nodule and pretracheal lymph nodes. Patient's known hepatic metastatic lesion is unchanged. However, there is a new cystic lesion. The left lobe of the liver. Although the lesion appears fluid density, since is new from previous study suspicious for met... |
Generate impression based on findings. | Reason: pt with pleural mesothelioma s/p 4 cycles of chemotherapy History: doing well now needs disease evaluation any abnormalities? Please comment on all areas etc. CHEST:LUNGS AND PLEURA: Mild diffuse pleural thickening and volume loss with scarring in the left hemithorax. It is not clear whether any of the pleural ... | Nonspecific mild pleural thickening and scarring in the left hemithorax with a small loculated pleural effusion. |
Generate impression based on findings. | Right lower quadrant abdominal pain. ABDOMEN:LUNG BASES: Dependent opacities are present bilaterally, right greater. These are most likely atelectasis.LIVER, BILIARY TRACT: Normal enhancement. Distended gallbladder. No biliary ductal dilatation.SPLEEN: Normal in size and appearance.PANCREAS: Normal in appearance.ADRENA... | Appendicitis. |
Generate impression based on findings. | Female 35 years old; Reason: pt with h/o pertioneal mesothelioma h/o pleural effusion too History: now with increasing pressure in abdomen any abnormalities please compare to previous scan and comment CHEST:LUNGS AND PLEURA: Small residual right pleural effusion is noted, markedly decreased from previous examination. D... | 1.Progression of the haziness in the mesentery without a measurable conglomerate node or mass as referenced above, compatible with patient's known history of peritoneal mesothelioma.2.Interval decrease in the size of the right-sided pleural effusion.3.No new metastatic lesions detected. |
Generate impression based on findings. | Duodenal carcinoid CHEST:LUNGS AND PLEURA: Moderate to severe centrilobular emphysema, unchanged.MEDIASTINUM AND HILA: Dilated esophagus throughout its course, unchanged.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Arterially enhancing lesions in the right lobe of the liver are again noted,... | Patient's known duodenal carcinoid tumor is grossly unchanged. Arterially enhancing metastatic lesions are slightly more prominent compared to previous study.Interval progression of the dilatation of the second portion of duodenum with transition point in the third portion of the duodenum. Further evaluation of this fi... |
Generate impression based on findings. | 68-year-old male status post proctectomy, presenting with rising PSA CHEST:LUNGS AND PLEURA: Emphysema. Spiculated nodule in the right lower lobe, measuring 1.2 x 2 .8 cm, image number 62, series number 4, suspicious for primary or metastatic neoplasm.More anterior to this nodule. There is a focal ground glass opacity ... | Right lower lobe spiculated lung nodule, suspicious for primary or metastatic malignant neoplasm. |
Generate impression based on findings. | Female 31 years old; Reason: eval for hernia, sbo, fluid collection History: s/p tummy tuck, abd distention ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs. Given these limitations, the following observations were made:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT... | 1.No acute intra-abdominal pathology detected. No fluid collections, bowel obstruction, or inflammatory reaction detected. |
Generate impression based on findings. | Rectal cancer, status post robotic lower abdominal resection 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: Predo... | Postsurgical changes in the pelvis. Small amount of fluid with air fluid levels and loculations. These may represent postsurgical changes, however, an abscess cannot be excluded.Significantly thickened bladder wall. This may represent cystitis.Possible left renal angiomyolipoma. |
Generate impression based on findings. | Reason: pulmonary embolism and lung cancer History: shortness of breath PULMONARY ARTERIES: Technically adequate examination with no sign of pulmonary embolism.Dilated main pulmonary artery measuring 37 mm, suggestive of pulmonary hypertension.LUNGS AND PLEURA: Moderate predominantly paraseptal emphysema in the upper l... | 1. No sign of pulmonary embolism.2. Emphysema and chronic interstitial lung disease of uncertain etiology. |
Generate impression based on findings. | Evaluate for kidney stone ABDOMEN:LUNG BASES: Atelectasis at the lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral renal stones without evidence of... | Bilateral renal stones and bladder stone. |
Generate impression based on findings. | Male 27 years old; Reason: Lymphoma Restaging History: None CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Heterogeneous left thyroid and right thyroid lobe nodules.CHEST WALL: Extensive right axillary and subpectoral adenopathy is relatively stable. The reference lesion measures 4.7 x 2.... | Stable right axillary and right subpectoral adenopathy. |
Generate impression based on findings. | Chronic sinusitis. There are postoperative findings related to partial bilateral middle turbinectomy. There is a 9 x 12 mm defect in the posterior inferior nasal septum and a 3 x 4 mm defect in the anterior inferior nasal septum, perhaps related to septoplasty. There is mild nasal septal deviation to the left. The nasa... | Postoperative findings related to bilateral partial middle turbinectomy and probable septoplasty with defects in the nasal septum. No evidence of acute or chronic sinusitis. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls, s/p CRT History: none CHEST:LUNGS AND PLEURA: Biapical scarring, unchanged.4-mm micronodule in the left upper lobe, unchanged compatible with a lymph node or a healed granuloma.Basilar scarring and atelectasis, slightly improved.No suspicious nodules.MEDIASTINUM A... | Mild basilar atelectasis and scarring. No sign of metastases. |
Generate impression based on findings. | 27-year-old female with undulating right flank pain. History of 9 stones. ABDOMEN: Within the limits of a non-IV contrast enhanced examination which limits ability to evaluate solid parenchymal organs and vessels, structures, the following observations can be made:LUNG BASES: No significant abnormality notedLIVER, BILI... | 1. Multiple punctate, nonobstructing left renal calyceal calculi. 2. No evidence of hydronephrosis, no urinary tract obstruction. |
Generate impression based on findings. | Nasal congestion and discharge. History of sinus surgery. There are postoperative findings related to endoscopic sinus surgery, including left maxillary antrectomy, partial middle turbinectomy, and partial ethmoidectomy. The left maxillary sinus, neoinfundibulum, and middle meatus are nearly completely opacified. There... | 1. Postoperative findings related to left endoscopic sinus surgery with persistent left osteomeatal complex unit opacification.2. Unchanged bilateral basal ganglia mineralization, beyond expected for age, which may be related to a metabolic process. MRI of the brain may be useful for further evaluation. |
Generate impression based on findings. | Metastatic thyroid CA s/p thyroidectomy/RAI/CRT and piriform sinus CA, s/p laryngectomy 10/31, who presented to clinic with presumed nasopharyngeal leak and likely aspiration and wound breakdown. There are interval postoperative findings related to laryngectomy, neck dissection, and tracheostomy with flap reconstructio... | 1. Interval laryngectomy and tracheostomy with air tracking from the left peristomal region to the neopharynx, which may represent a fistula due to wound breakdown. Otherwise, no evidence of gross residual tumor or significant cervical lymphadenopathy.2. Partially imaged pulmonary metastases appear to have increased in... |
Generate impression based on findings. | 48 year-old female with left tongue cancer, tip and lateral border, evaluate Limited intracranial views are unremarkable. The visualized paranasal sinuses and mastoid air cells are clear.Along the lateral aspect of the mid to distal tongue, there is a region of increased enhancement measuring approximately 3.0 x 1.0 cm... | Isolated enhancing left lateral tongue lesion without cervical lymphadenopathy. |
Generate impression based on findings. | Reason: several weeks of cough and wheezing not responsive to antibiotics, prednisone, bronchodilators History: several weeks of cough and wheezing not responsive to antibiotics, prednisone, bronchodilators LUNGS AND PLEURA: Mild bronchial wall thickening with scattered areas of mucous plugging.Scarring/discoid atelect... | Mild bronchial wall thickening and scattered areas of mucous plugging compatible with bronchitis. No evidence of significant air trapping or interstitial lung disease. |
Generate impression based on findings. | 74 year old male. History of lymphoma, COPD. CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema is again noted. Right lower lobe pulmonary nodule is unchanged in size (image 57, series 5). Linear scarlike opacity in the right apex is similar to prior exam.MEDIASTINUM AND HILA: Right chest port with tip in the cavoa... | Stable appearance of severe emphysema, and apical scarring. |
Generate impression based on findings. | 74-year-old female with stage IIIB ovarian cancer. Elevated CA-125. Concern for recurrence. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abno... | New 2.7-cm lesion in the right mid pelvis and progressive nodular changes in the omentum, concerning for disease recurrence. |
Generate impression based on findings. | 75-year-old female patient with history of known infiltrate breast carcinoma and pulmonary nodules. Evaluate for metastatic disease. LUNGS AND PLEURA: Slightly lobulated, smooth solid nodule in the medial right lower lobe measures 25 x 20 mm (series 5 image 67). Right upper lobe posterior segment with nodule measuring ... | 1.At least 2 pulmonary nodules, which are highly suspicious for metastatic disease from known breast carcinoma. 2.Additional indeterminate abnormalities within the abdomen. |
Generate impression based on findings. | 69 year old male, status post laryngectomy, with chest wound and drainage. LUNGS AND PLEURA: Numerous bilateral pulmonary nodules are unchanged since prior exam. Reference left upper lobe pulmonary nodule measures 1.6 cm (image 20, series 4) previously 1.6 cm. Reference right lower lobe pulmonary nodule measures 3.0 x ... | 1.Multiple small fluid collections in the left anterior chest wall, without evidence of intrathoracic extension. These could be post procedural in etiology, however, infection cannot be excluded.2.Stable size of pulmonary metastases.3.Stable mediastinal lymphadenopathy. |
Generate impression based on findings. | Reason: 63 year old woman with LLL early stage NSCLC treated with SBRT c/b radiation pneumonitis. Please evaluate for interval change History: lung cancer posttreatment surveillance CHEST:LUNGS AND PLEURA: Severe upper lobe predominant centrilobular emphysema.Previously noted nodule in the superior segment left lower l... | 1.Stable left lower lobe nodule and associated scarring/fibrosis. 2.No evidence of metastatic disease.3.Severe centrilobular emphysema. |
Generate impression based on findings. | Hematuria ABDOMEN:LUNG BASES: Extensive coronary artery calcificationLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: 4 millimeter too small to characterize low attenuation focus within the body of the pancreas best seen on image 35 of series 8.ADRENAL GLANDS: No s... | Bilateral subcentimeter benign appearing renal cysts, some demonstrating intrinsic intermediate attenuation consistent with benign complex cyst. No worrisome mass, acute inflammatory process, or obstruction.Extensive coronary arterial calcification.Too small to characterize subcentimeter low attenuation focus within th... |
Generate impression based on findings. | Recent left tympanoplasty related to recurrent osteoma on 11/12, presents with right facial droop. There is no evidence of acute intracranial hemorrhage or mass. There is minima scattered nonspecific cerebral white matter hypoattenuation. The ventricles and basal cisterns are normal in size and configuration. There is ... | 1. No evidence of acute intracranial hemorrhage. Non-contrast CT is not sensitive for the detection of acute non-hemorraghic infarction and MRI can be performed for further evaluation if there are no contraindications.2. Postoperative findings related to recent left tympanoplasty. A dedicated temporal bone study can be... |
Generate impression based on findings. | 46-year-old male with DLBC lymphoma status post 4 cycles of treatment. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No adenopathy or other significant abnormality notedCHEST WALL: Right anterior chest wall Port-A-Cath system with the tip of the catheter at the superior vena cava -- righ... | 1. Marked reduction in size of diffuse retroperitoneal adenopathy, but with residual significantly enlarged lymph nodes remaining. 2. Reduced size of mesenteric lymph nodes with mild residual remaining. 3. No adenopathy seen in the chest or pelvis. |
Generate impression based on findings. | History of olfactory neuroblastoma resection. Facial pain and swelling. There multiple findings related to prior surgeries including a right bifrontal craniotomy with deformity of the anterior cranial fossa floor which is associated with stable/intervally improved intracranial extra-axial soft tissue density. There has... | 1.Postoperative changes which are stable since the prior MRI examination.2.Nonspecific soft tissue within the right maxillary and ethmoid cavities which is improved somewhat since the prior MR.3.Persistent opacification of sphenoid sinuses and partial opacification of left ethmoid sinuses. |
Generate impression based on findings. | Non-Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: No change in extensive coronary arterial calcificationCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable right lobe benign hemangiomas.SPLEEN: Stable subcentimeter low-attenuation focusPANCREAS: No sign... | No change in worrisome exophytic right renal mass; a primary renal malignancy is favored.No new adenopathy. |
Generate impression based on findings. | Change in mental status, on Coumadin, falling recently, concern for hematoma. There are unchanged postoperative findings related to left parasagittal meningioma resection with hypoattenuation in the left paracentral lobule. Although no gross mass is identified, non-contrast CT has limited sensitivity for the assessment... | No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | 52-year-old male with Burkitt's lymphoma. Completed chemotherapy 4/2013 -- restaging. CHEST:LUNGS AND PLEURA: Bilateral pleural effusions. No parenchymal air space and moderate size pericardial effusion again seen. No air space consolidation, nodules or masses seen.MEDIASTINUM AND HILA: Enlargement is seen in the prior... | 1. Slight increase in size of mediastinal lymph nodes. 2. Status post left renal partial nephrectomy. 3. Slightly enlarged left periaortic lymph nodes, stable since 7/29/13, but increased in size when compared to original presentation, CT scans. 4. Small amount of scattered ascites. |
Generate impression based on findings. | 76-year-old male with hematuria. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: A hypodense left adrenal lesion meets criteria for a benign adenoma.KIDNEYS, U... | 1.4 mm stone in the bladder.2.Markedly enlarged prostate gland. |
Generate impression based on findings. | 48-year-old female patient with left tongue cancer. Evaluate for metastatic disease to the chest. LUNGS AND PLEURA: Right lower lobe cyst. Scattered bilateral micronodules are nonspecific. No suspicious pulmonary lesions.MEDIASTINUM AND HILA: Heart size within normal limits without pericardial effusion. No mediastinal ... | No evidence of metastatic disease. |
Generate impression based on findings. | 70 year-old male with pancreatic neuroendocrine tumor, restaging. CHEST:LUNGS AND PLEURA: Scattered micronodules without other abnormalities to suggest metastatic disease. Foci of tree and bud nodularity is seen in the right lower lobe suggestive of inflammatory disease. No other abnormalities are seen. No pleural effu... | 1. Abnormalities in the body of the pancreas suggestive of situs tumor with encasement of arterial vessels and splenic vein occlusion, but not definitively identifying the tumor. Disrupting pancreatic parenchyma. Comparison with old films would help evaluate this further. 2. Extensive hepatic metastases. |
Generate impression based on findings. | 71 year-old female with locally advanced breast cancer and lung nodules seen on CT scan from 6/2013. Follow-up examination to evaluate nodule stability. CHEST:LUNGS AND PLEURA: The reference pleural based nodule within the right upper lobe measures 3 mm, previously 3 mm (31; series 4). The reference pulmonary nodule wi... | 1. Postoperative changes of left breast mass and left axillary lymphadenopathy resection, as described above. There is interval development of multiple sclerotic lesions in the vertebral bodies of the thoracic spine consistent with progression of disease. 2. No significant interval change in right upper and right lower... |
Generate impression based on findings. | 67-year-old female with history of cirrhosis. HCC screening. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour: The caudate lobe is enlarged with widening of the hepatic fissures. Mild atrophy of the right lobe is appreciated. Features of portal hypertension: None. Portal vein: P... | 1.Cirrhotic morphology of the liver with no evidence of HCC as clinically questioned.2.Mild splenomegaly.3.Cholelithiasis. |
Generate impression based on findings. | Clinical question:? intracranial metastasis. Signs and symptoms: Metastatic thyroid cancer. Unenhanced head CT:There is no evidence of intracranial intracranial abnormalities.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray- white matter differentiation.There is no evidence of metas... | Negative nonenhanced head CT. Lack of intravenous contrast reduces sensitivity of the exam for detection of small parenchymal or leptomeningeal metastasis. |
Generate impression based on findings. | 70 year-old male with recurrent tonsillar/base of tongue cancer status post 5 cycles of chemotherapy, reevaluate Brain:No mass effect, focal edema or suspicious enhancement is present to suggest brain parenchymal metastatic disease. Unchanged focal hypodensity in the right basal ganglia. The bones of the calvarium and ... | 1. Slight interval increase in size of left base of tongue/tonsillar pillar mass.2. No significant interval change in necrotic cervical lymphadenopathy.3. No intracranial metastatic disease. |
Generate impression based on findings. | 24 year-old female with syncope, headache and vision change. NONCONTRAST CT HEADThe ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structu... | 1. No acute intracranial abnormality. 2. No evidence of aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation. |
Generate impression based on findings. | Male 58 years old; Reason: H/O Follicular NHL s/p 2 cycels of lenalidomide Rituxan now in need of re imaging. Please compare to prior. History: H/O Follicular NHL s/p 2 cycels of lenalidomide Rituxan now in need of re imaging. Please compare to prior. CHEST:LUNGS AND PLEURA: Scattered areas of atelectasis. No dominant ... | 1.Stable lymphadenopathy in the retroperitoneum and mesentery.2.Decreased lymphadenopathy in the right iliac fossa.3.Decreased left thoracic inlet lymphadenopathy. |
Generate impression based on findings. | 80 year-old female with pain and a remote above-the-knee amputation. Evaluate bone and muscle. Fat stranding is seen in the subcutaneous tissues around the left femoral amputation. The osteotomy margin is sharp. Diffuse cortical irregularity in the distal femur is likely secondary to osteopenia. The bone marrow attenua... | Left femoral amputation, as described above, with no evidence of osteomyelitis. |
Generate impression based on findings. | 70 year-old male, with head and neck cancer, metastases to lung, recurrence. CHEST:LUNGS AND PLEURA: There is a new 5-mm, noncalcified, only nodule in the right upper lobe (image 45, series 7). Right middle lobe nodular opacity is unchanged in size (image 75, series 7). PET avid left upper lobe sub pleural nodule measu... | 1.Interval increased size of left upper lobe PET avid pulmonary nodule. New 5-mm right upper lobe pulmonary nodule.2.Stable right middle lobe nodular opacity. |
Generate impression based on findings. | Clinical question: History of kidney cancer with recent syncopal episodes; rule out metastases; give contrast if needed. Nonenhanced head CT:No detectable acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus.No evidence of a metastatic disease on this nonenhanced head CT. Lack of intravenou... | 1.Negative nonenhanced head CT for metastatic disease.2.Mild age indeterminate small vessel ischemic strokes.3.Follow-up with an MRI or enhanced head CT to exclude possibility of small metastatic lesions which can be missed on nonenhanced head CT. |
Generate impression based on findings. | Reason: concern for hypersensitivity pneumonitis vs other ILD. ILD PROTOCOL History: shortness of breath, cough LUNGS AND PLEURA: Diffuse patchy ground glass opacity with some basilar predominance.Mild bronchial thickening but no significant air trapping on the expiration scan.Several small subpleural nodules of which ... | Bronchial thickening and patchy ground glass opacity, slightly improved or possibly unchanged allowing for differences in technique. The findings are nonspecific but compatible with hypersensitivity pneumonitis. |
Generate impression based on findings. | 42 old male, lung transplant evaluation. Shortness of breath. LUNGS AND PLEURA: There is bronchiectasis and architectural distortion, as well as subpleural reticular opacities, and bilateral honeycombing seen, with a basilar predominance. Additionally, there are small areas of focal ground glass opacities throughout bo... | Basilar predominant honeycombing with associated diffuse subpleural reticular opacities, bronchiectasis, and architectural distortion, compatible with a UIP pattern. |
Generate impression based on findings. | 70 year-old female patient with history of bronchiectasis and two lung nodules with 30+ pack year smoking history. Evaluate right anterior and lower lobe nodules after initiating NTM therapy. LUNGS AND PLEURA: Minimal interval decrease in size of anterior right upper lobe nodule, currently measuring 10 x 10 mm (series ... | 1.Stable to slight decreased size of benign appearing right upper lobe pulmonary nodule. No new suspicious nodules.2.Some areas of improvement and areas of worsening mild bronchiectasis with tree in bud opacities. The pattern is suspicious for infectious etiologies such as MAI. |
Generate impression based on findings. | Male 47 years old; Reason: Pre-Kidney Transplant Evaluation, assess aorta and iliac vessels for renal transplant History: pt had 2 previous kidney transplant 1982 and 1992 ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the followin... | 1.Status post two renal transplants with vascular calcifications as above. |
Generate impression based on findings. | Male 74 years old; Reason: 74 y/o w/ recent dx of non small cell lung cancer; needs staging please History: cough ABDOMEN:LUNGS BASES: Small right pleural effusion. The heart is markedly enlarged and is status post CABG. Vascular congestion noted.LIVER, BILIARY TRACT: Cholelithiasis. The liver morphology is normal with... | 1.No definite metastatic disease detected. |
Generate impression based on findings. | Neutropenia with sepsis and abdominal pain; history of CML ABDOMEN:LUNG BASES: Small bilateral pleural effusions again noted.LIVER, BILIARY TRACT: Moderately distended gallbladder with pericholecystic fluid. Periportal edema.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAND... | Diffuse colonic wall thickening consistent with pancolitis. An infectious etiology is favored. Moderately distended gallbladder with pericholecystic fluid. While this probably is due to the diffuse ascites, acute inflammation cannot be completely excluded. Recommend correlation with ultrasound.Other chronic findings un... |
Generate impression based on findings. | 60 year-old male. Evaluate right renal mass with IVC thrombus.? Cranial extent of thrombus. Question lung metastases. Question bone metastases CHEST:LUNGS AND PLEURA: Nonspecific subpleural micronodules (series 13, image 49) without other parenchymal abnormalities. No pleural disease seen.MEDIASTINUM AND HILA: No signi... | 1. Large right renal mass with renal vein and inferior vena cava invasion. 2. Enlarged and small, but enhancing lymph nodes in retroperitoneum, most likely indicating metastatic disease. 3. Nonspecific micronodules seen in right lung without definite evidence for metastatic disease. |
Generate impression based on findings. | 57 year old female. Hemoptysis, evaluate for PE. PULMONARY ARTERIES: The quality of this examination is excellent for the evaluation of pulmonary embolism. No pulmonary embolus is present.LUNGS AND PLEURA: No pleural effusion or focal air space opacity are seen. Minimal bibasilar dependent atelectasis.MEDIASTINUM AND H... | No evidence of PE, or significant abnormality |
Generate impression based on findings. | 66-year-old male with history of lung cancer presenting with dyspnea ABDOMEN:LUNG BASES: Chest CT is dictated separately.LIVER, BILIARY TRACT: Fatty infiltration of the liver. No focal liver lesions. Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sign... | Significant distended bladder superiorly to the level of the umbilicus. Enlarged prostate. Cholelithiasis. |
Generate impression based on findings. | 66-year-old male with shortness breath, history of lung cancer, history of SVC thrombus. PULMONARY ARTERIES: The quality of this examination is excellent for the evaluation of pulmonary embolism. No pulmonary embolus is present.LUNGS AND PLEURA: There is right basilar atelectasis and right lower lobe mucus plugging, ne... | 1.No evidence of PE.2.Stable to slight increase in size of reference pulmonary nodules.3.Right basilar atelectasis and right lower lobe mucus plugging. |
Generate impression based on findings. | Assess for persistent right hydronephrosis CHEST:LUNGS AND PLEURA: Multiple lung nodules in the right middle lobe. An index nodule measures 6-mm in diameter image number 45, series number 6.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: ... | Mild right-sided hydronephrosis and hydroureter caused by right distal ureteral stone.Left upper pole stone without evidence of hydronephrosis.Hepatomegaly and fat infiltration. CT findings are concerning for chronic liver disease.Multiple right middle lobe nodules. Follow-up chest CT in 6 months is recommended.Enlarge... |
Generate impression based on findings. | 44 year-old female with right upper quadrant pain. ABDOMEN:LUNG BASES: Minimal basilar atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormal... | No specific abnormalities to account for symptoms. |
Generate impression based on findings. | 55-year-old female with a complex surgical history of Roux-en-Y bypass. Evaluate enterocutaneous fistula. ABDOMEN:LUNG BASES: Left base nodule is stable to slightly decreased in size, measuring 2.4 x 1 .3 cm, previously measured 2.4 x 1.7 cm (series 4, image 7). Atelectasis in right base.LIVER, BILIARY TRACT: No signif... | 1.Persistent enterocutaneous fistula to the open abdominal wound. No evidence of abscess.2.Linear soft tissue extending from dome of bladder to the anterior abdominal wall, suspicious for developing fistulous tract. |
Generate impression based on findings. | Diagnosis: Infection and inflammatory reaction due to nervous system device, implant, and graft. Hydrocephalus watch The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of status post left-sided ventriculostomy tube placement. A ventriculostomy tube enters the lef... | 1.Status post a left-sided ventriculostomy tube placement. The lateral ventricles are nondilated and slightly smaller than on the prior exam. |
Generate impression based on findings. | Diagnosis: Infection and inflammatory reaction due to nervous system device, implant, and graft. Hydrocephalus watch The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post recent removal of a right-sided ventriculostomy tube.The patient is a status post left-sided ... | 1.Status post a left-sided ventriculostomy tube placement and a right sided vetriculostomy tube removal. The lateral ventricles are nondilated and slightly larger than on the prior exam. |
Generate impression based on findings. | 57-year-old male with fever after recent urologic procedure. Also status post drains for abdominal fluid collections. ABDOMEN:LUNGS BASES: New bilateral small pleural effusions with associated compressive atelectasis.LIVER, BILIARY TRACT: Two enhancing masses in the left lobe measuring 2.0 x 2.4 cm (image 48, series #4... | 1.Findings consistent with early abscess formation of the right kidney.2.New small bilateral pleural effusions.3.Near-resolution of the pelvic fluid collections.4.Two stable enhancing left lobe liver lesions likely represent hemangiomas. |
Generate impression based on findings. | 44-year-old male with history of pain. Assess size of pancreatic pseudocyst. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: There is stranding around the pancreatic head consistent with pancreatitis. A lobulated... | Stranding around pancreatic head with lobulated hypoattenuating collection in the pancreatic head, most consistent with pancreatitis with associated pseudocyst. |
Generate impression based on findings. | Diagnosis: Infection and inflammatory reaction due to nervous system device, implant, and graft. Hydrocephalus watch The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post recent removal of a right-sided ventriculostomy tube.The patient is a status post right-sided... | 1.Examination was performed for the purpose of stereotactic guidance. This ventriculostomy tube in place |
Generate impression based on findings. | 78 year-old male with persistent nausea and vomiting. ABDOMEN:LUNG BASES: Calcified granuloma left lower lobe. Upper termination of retroperitoneal fat through left diaphragmatic defect, consistent with Bochdalek hernia.LIVER, BILIARY TRACT: Multiple date granulomas. No biliary ductal dilation. Several subcentimeter hy... | 1.Moderate grade partial small bowel obstruction, which may be related to internal hernia given abnormal configuration of mesentery in the midabdomen. Associated abnormal soft tissue attenuation in mesentery and right hemi-abdomen suspected to represent associated inflammation, possibly ischemia. No significant free fl... |
Generate impression based on findings. | 20 year-old male with elevated d-dimer and chest pain PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal heart size. Soft tissue in the anterior mediastinum with mi... | No pulmonary embolus or other specific findings to explain the patient's symptoms. |
Generate impression based on findings. | eval s/p brain surgery There is intracranial air throughout the anteriorly located subarachnoid spaces and within the perimesencephalic cistern and along the posterior fossa. The patient is status post resent a burr hole placements along the left occipital calvarium. There is a small hyperdense focus present in the lef... | 1.The patient is status post recent left cerebellar surgery with attendant postoperative changes. A small focus of blood is present at the surgical site centered within a lesion. Please refer to recent MRI of the brain for further details.2.Left brainstem lesion is better seen on recent MRI |
Generate impression based on findings. | Post procedural dizziness. There is no intracranial mass, hemorrhage or edema. The midline is intact. Ventricles and cisterns demonstrate normal size and morphology. There are no bony lesions and the orbits are unremarkable. Partial opacification of a few scattered ethmoid and sphenoid air cells. | No acute intracranial abnormality. Scattered fluid/soft tissue density within the ethmoid/sphenoid sinuses. |
Generate impression based on findings. | Type 1 diabetes status post islet cell transplant. Known hematoma by ultrasound. Lateral quadrant pain. ABDOMEN:LUNG BASES: Minimal basilar atelectasis and trace bilateral pleural effusions.LIVER, BILIARY TRACT: Status post cholecystectomy. 3.1 x 10.1 cm perihepatic hematoma (image 30; series 6). Portal vein is patent.... | Perihepatic hematoma. Abdominal and pelvic ascites. Trace bilateral pleural effusions. Status post cholecystectomy. |
Generate impression based on findings. | Female; 14 years old. Reason: 14 year old female with pleuritic chest pain and elevated d-dimer History: pleuritis PULMONARY ARTERIES: Due to multiple factors including contrast injection rate and body habitus, opacification of the pulmonary arteries is technically adequate for detection of pulmonary embolus only throu... | 1. No pulmonary embolus is evident through the level of the distal segmental arteries.2. Mild left basilar subsegmental atelectasis and trace left pleural effusion. |
Generate impression based on findings. | Intraoperative CT The examination is obtained with a stereotactic frame in place. The patient is known to have a left cerebellar lesion which is subtle on this exam measuring approximately 24 mm in diameter. Additionally a left brain stem lesion is present which is better seen on recent MRI .The visualized portions of ... | 1.Examination obtained for stereotactic evaluation. There is a left cerebellar mass present as well as a left brain stem lesion better seen on recent MRI. Stereotactic frame is in place. |
Generate impression based on findings. | 22-year-old female with history of lupus, connective tissue disease, restrictive lung disease, evaluate for ILD. LUNGS AND PLEURA: Mild diffuse bronchial wall thickening and subtle centrilobular groundglass opacities.MEDIASTINUM AND HILA: Scattered prominent but subcentimeter mediastinal lymph nodes. CHEST WALL: Multip... | Mild diffuse bronchial wall thickening and subtle centrilobular groundglass opacities. While bronchial wall thickening is nonspecific, the groundglass opacities suggest hypersensitivity pneumonitis. No specific evidence of UIP or NSIP patterns. |
Generate impression based on findings. | Fall after seizure with right forehead hematoma; known seizure disorder. There is a right frontal scalp hematoma that measures up to 7 mm in width. There is also a left parietal scalp hematoma that measures up to 5 mm in width. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The ventricl... | Small right frontal and left parietal scalp hematomas, but no evidence of acute intracranial hemorrhage or skull fracrture. MRI is recommended for the evaluation of potential seizure foci, if there are no contraindications. |
Generate impression based on findings. | Male 71 years old; Reason: staging CT, history of lung adeno with mets to spine History: back pain, lung cancer CHEST:LUNGS AND PLEURA: Spiculated mass in the left lung apex measures 1.3 x 1.5 cm (series 4 image 18). Ground glass attenuation is noted around the lesion with extensive interlobular septal beading and thic... | 1.Primary lung adenocarcinoma with metastatic disease to the lungs, liver and spine with a pathologic compression fracture at L4 with likely cord compression at L4. |
Generate impression based on findings. | 60 year-old male with metastatic colon cancer for restaging. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: There is a port present in the right chest with associated gas but be due to recent placement. Tip of the venous catheter is in superior ... | 1. Stable liver metastasis.2. Peritoneal nodules not easily compared with prior exam.3. Presumed fluid collection involving the anterior abdominal wall. |
Generate impression based on findings. | Male, 55 years old, left arm weakness, numbness and tingling. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cister... | No acute intracranial abnormality. No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 29-year-old female with suspicion for sarcoidosis, neurological symptoms, and high ACE, evaluate for mediastinal lymphadenopathy LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. The heart size is normal.CHEST WALL: No significant abnormality noted.UPPER A... | Normal exam, without evidence of sarcoidosis. |
Generate impression based on findings. | 55-year-old male patient with pleuritic chest pain, S1Q3T3 on EKG. Evaluate for a pulmonary embolus. PULMONARY ARTERIES: Technically adequate study without evidence of a pulmonary embolus.LUNGS AND PLEURA: Bilateral trace pleural effusions with associated atelectasis. Right lower lobe nodule measures 5 mm (series 9 ima... | 1.No evidence of acute pulmonary embolus.2.Redemonstration of osseous metastases.3.Nonspecific scattered micronodules; unable to exclude metastases. |
Generate impression based on findings. | Headache, dizziness. Evaluate for mass. There is patchy hypoattenuation within the periventricular and subcortical white matter most likely keeping with sequela of chronic small vessel ischemic disease. There is diffuse ventricular and sulcal prominence in keeping with age.There is no intracranial mass, hemorrhage or e... | No acute intracranial abnormality. Nonacute findings include findings suggestive of paranasal sinus disease and chronic small vessel ischemic disease. |
Generate impression based on findings. | Abdominal pain. Ulcerative colitis. Elevated lipase with abdominal pain. Rule out pancreatitis. ABDOMEN:LUNG BASES: Minimal subsegmental atelectasisLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Minimal, equivocal peripancreatic inflammation which may reflect und... | Probable mild pancreatitis. Small retroperitoneal lymph node. Changes in the distal colon, sigmoid, and rectum compatible with ulcerative colitis. |
Generate impression based on findings. | 80 year-old female with abdominal pain and leukocytosis. ABDOMEN:LUNG BASES: Partially visualized diffuse pulmonary nodular opacities not significantly changed.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Nonspeci... | 1.Marked dilation of urinary bladder causing mild dilation of collecting system bilaterally.2.Extensive nodularity in partially visualized lung bases, better appreciated on recent chest CT.3.Nonspecific left adrenal nodule measures 1.2 cm. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.