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Generate impression based on findings. | Female, 28 years old, history of melanoma, known hemorrhagic metastases, with altered mental status. Parenchymal hemorrhage within the inferior left frontal lobe has expanded somewhat since the prior examination. In the coronal plane, the hemorrhage measures 3.8 by 3.0 cm, previously 3.6 x 2.4 cm. There has been some e... | Mild progression of parenchymal hemorrhage in the left inferior frontal and left parietal lobes with associated progression of parenchymal edema. |
Generate impression based on findings. | Malignant neoplasm corpus uteri, except isthmus. Evaluate extent of disease. ABDOMEN:LUNG BASES: 6-mm nodule laterally at the left lung base (image 6; series 4) should be followed at subsequent examinations. Consider dedicated chest CT as clinically indicated.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN... | 6-mm nodular the left lung base which should be followed. No definite additional findings to suggest metastatic disease. |
Generate impression based on findings. | 29-year-old male with left lower abdominal pain and diarrhea. Evaluate for diverticulitis. 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 abnor... | Mild diffuse distal colonic wall thickening, suggestive of uncomplicated early or mild colitis which may account for the patient's symptoms. |
Generate impression based on findings. | Fall with subsequent altered mental status. Rule out intracranial hemorrhage. There are bilateral frontal burr holes with underlying tracts of encephalomalacia extending to the basal ganglia bilaterally likely related to lead placement for deep brain stimulator unchanged from 2007 (there are no leads in place). There i... | No acute intracranial abnormality including hemorrhage. If there is concern regarding acute ischemia, MRI could be considered. Unchanged findings including those related to prior deep brain stimulator placement and chronic right orbital blowout fracture. |
Generate impression based on findings. | Light-headedness, pre-syncope. 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 partial opacification of the left frontal sinus. The mastoid air cells are clear. The skull a... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Female 59 years old; Reason: eval for liver lesions, ascites History: ascites ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs. Given these limitations, the following observations were made:LUNGS BASES: The heart is enlarged with vascular congestion in the bilateral lung bases. 6-mm no... | 1.Esophageal stent NG tube with innumerable metastatic lesions in the liver as referenced above. |
Generate impression based on findings. | Female 78 years old; Reason: 78yo F h/o Crohn's, h/o abdominal surgery for ?SBO, eval for obstruction History: LLQ abdominal pain, small stools, urinary frequency ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs. Given this limitation, the following observations were made:LUNGS BASES: ... | 1.Extensive diverticulosis. No evidence of inflammation, though early or mild diverticulitis may be radiographically occult.2.A 2.3 cm cystic lesion contiguous with the pancreas is incompletely characterized. If further evaluation is clinically warranted, a contrast enhanced exam would be recommended. |
Generate impression based on findings. | Altered mental status. History of Roux-en-y gastrectomy in 2000 and alcohol abuse, admitted for UGI bleed. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is perhaps mild cerebellar vermis volume loss. The ventricles and basal cisterns are otherwise normal in size and configuration. Ther... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Assess for persistent right hydronephrosis CHEST:LUNGS AND PLEURA: Multiple lung nodules in the right middle lobe. An index nodulemeasures 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: H... | Mild right-sided hydronephrosis and hydroureter caused by right distalureteral 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.Enlarged... |
Generate impression based on findings. | eval for vertebral artery dissection,syncope, neck pain Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant ... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease. No evidence for dissection.3.Degenerative is present in the cervical spine4.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | Male, 8 months old, status post fenestration of cystic lesion. Evaluate for hemorrhage and size of cystic lesion. Pneumocephalus and a small amount of intraventricular air are consistent with recent instrumentation. A right parietal approach ventricular shunt catheter is reidentified in relatively stable position with ... | 1. Improving dilatation of the lateral ventricles with associated expansion of the cortex and the extra-axial spaces as above.2. Mild interval expansion of the fourth ventricle.3. Cystic lesion within the left basal ganglia/thalamus has increased in size slightly. |
Generate impression based on findings. | 75-year-old male with history of right upper lobe lung cancer status post lobectomy with recent pneumonia LUNGS AND PLEURA: Postoperative changes of right upper lobe lobectomy with volume loss and mediastinal shift. Persistent atelectasis and consolidation of the right lung with underlying edema and bronchiectasis. A c... | Persistent atelectasis and consolidation of the residual right lung. |
Generate impression based on findings. | Reason: Evaluate for PE History: Tachycardic, hypoxic PULMONARY ARTERIES: The apices are not included in the field-of-view. Technically adequate study. There is no pulmonary embolus is noted to the subsegmental level. LUNGS AND PLEURA: No significant change in the extensive nodular opacities with coalescence in the bil... | No pulmonary embolus. Stable but extensive nodular opacities with coalescence in the upper lobes, worse on the right. This on a background of innumerable pulmonary micronodules. Considerations continue to include sarcoidosis, severe fungal or mycobacterial infection. |
Generate impression based on findings. | Sudden onset dizziness and headache. There is no intracranial mass, hemorrhage or edema. The midline is intact. Ventricles and cisterns demonstrate normal size and morphology. Sinuses and mastoid air cells are clear. There are no bony lesions and the orbits are unremarkable. | No acute intracranial abnormality. |
Generate impression based on findings. | Weakness and intracerebral hemorrhage. There is no significant interval change in the size of the hematoma within the left thalamus, cerebral peduncle, midbrain, pons, and inferior cerebellar peduncle and the punctate focus of hemorrhage within the left parietal lobe. There is persistent hemorrhage layering within the ... | 1. No significant interval change in the size of the hematoma within the left thalamus, cerebral peduncle, midbrain, pons, and inferior cerebellar peduncle, as well as the punctate focus of hemorrhage within the left parietal lobe. 2. Persistent layering hemorrhage within the lateral ventricles, but the hemorrhage with... |
Generate impression based on findings. | 77-year-old male with chest wall mass LUNGS AND PLEURA: Large circumscribed mass in the left lower lobe measures 16.1 x 13.9 cm (image 63, series 3) and previously measured 2.0 x 12.6 cm.. Extension into the mediastinum and pericardial fat is again noted. There is compressive atelectasis of the left lower lobe. No pleu... | Slight interval increase in size of recurrent left lower lobe solitary fibrous tumor, malignant transformation cannot be excluded. |
Generate impression based on findings. | Severe headache and stiff neck. 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. There is mucosal retention cyst in left maxillary sinus. | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: pt with small cell lung ca s/p treatment with 4 cycles of chemotherapy History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Left pleural catheter remains in stable position at the left lung base. Mild emphysema unchanged.Progressively improved aeration of the left ... | Stable size of the primary anterior mediastinal mass. Continued improved aeration of the left upper lobe with residual opacities, considerations include lymphatic tumor or radiation pneumonitis. No interval measurable mass.Two right lower lobe endobronchial nodules unchanged since first CT at this institution, 5/2013.D... |
Generate impression based on findings. | 24 year old female with Crohn's disease with multiple fluid collections requiring drainage and pleural effusions. CHEST:LUNGS AND PLEURA: Moderate left pleural effusion is improved. Persistent left base consolidation/atelectasis. Right lung unremarkable.MEDIASTINUM AND HILA: Multiple enlarged upper mediastinal lymph no... | 1.Interval decrease in left moderate pleural effusion.2.Interval decrease in right lower quadrant abscess, with percutaneous drain in place.3.Superior portion of the complex, multiloculated left upper quadrant and left pericolic gutter abscess has increased in size. A percutaneous drain is present in the inferior, left... |
Generate impression based on findings. | Unspecified cerebral artery occlusion with cerebral infarction. 59 yo female. Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria th... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease.3.Status post cervical spine surgery |
Generate impression based on findings. | Reason: pt with Hnc s/p chemoradiation in 2011. please reeval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Left upper lobe nodularity associated with scarring is stable at 6 mm (series 6 image 12).Anterior upper lobe traction bronchiectasis compatible with prior radiation exposure. Ill-defined f... | No evidence of pulmonary metastasis. |
Generate impression based on findings. | Male, 14 years old, recurrent neuroblastoma. Assess disease status. Since the prior examination, there has been extensive interval progression of an infiltrating multi-spatial tumor within the left neck. Tumor involves the masticator, parotid, carotid, parapharyngeal and submandibular spaces as well as the floor of mou... | Marked interval progression of a multi-spatial infiltrating tumor which involves nearly every space of the left neck extending from the skull base down to the superior mediastinum.Mass-effect associated with this process has increased. Most notably, there is encasement and narrowing of left ICA. Areas of new osseous er... |
Generate impression based on findings. | Reason of episodic diplopia and dizziness, hx of Kawasakis disease Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no s... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease.3.No evidence for acute intracranial hemorrhage mass effect or edema |
Generate impression based on findings. | Female 30 years old; Reason: Stage IV gastric cancer with new right hip pain please compare to previous scans and provide index lesion measurements History: As above CHEST:LUNGS AND PLEURA: New small right and moderate left pleural effusions, with associated left-sided compressive atelectasis.MEDIASTINUM AND HILA: Ante... | 1.Stable to equivocal progression of scattered diffuse mesenteric adenopathy.2.Redemonstration of omental and peritoneal nodularity, not significantly worsened from prior exam.3.New bilateral pleural effusions, left greater than right. |
Generate impression based on findings. | 27 year-old male with headache and neck stiffness. 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 structures are un... | 1. No acute intracranial abnormality. 2. No evidence of aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation. |
Generate impression based on findings. | 79-year-old male 3 years after left upper lobectomy for management of stage IB squamous cell carcinoma LUNGS AND PLEURA: Status post left upper lobectomy without evidence of recurrent disease. Scattered foci of bronchial thickening and left basilar scar like opacity are unchanged. Unchanged right middle lobe micronodul... | Status post left upper lobectomy without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | T1N2b right tonsil cancer status post chemo RT completed September 2011. There are stable post-treatment findings, including minimal pharyngeal edema and stranding of the fat in the right neck. No mass lesion is identified to suggest locoregional tumor recurrence. There is no significant cervical lymphadenopathy by CT ... | No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | 68-year-old male with history of small cell cancer CHEST:LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysema. Architectural distortion and scarring consistent with radiation changes on the right not significantly changed. Several previously identified ground glass and partially solid nodules have resolved.... | Stable reference lesions and postradiation change of the right lung. Interval resolution of previously identified pulmonary ground glass nodules. |
Generate impression based on findings. | pTxN2c cM0 SCC of unknown primary, likely head/neck origin, s/p 5 cycles TFHX completed in December 2010. There are post-treatment findings related to neck dissection and radiation therapy. There is no evidence of mass lesions -- the suspected neuroma described on clinical exam is not clearly discerned on this exam. Th... | No evidence for mass lesions or significant lymphadenopathy in neck. |
Generate impression based on findings. | 53-year-old male with history metastatic renal cell carcinoma. Assess for disease status during therapy. CHEST:LUNGS AND PLEURA: There has been an overall increase in size and number of pulmonary parenchymal metastases. Reference parenchymal nodule in left lower lobe measures 1.1 x 1.9 cm on image 58/111. Reference les... | Mixed response to therapy as detailed above |
Generate impression based on findings. | 76-year-old male with history of renal cancer. CHEST:LUNGS AND PLEURA: Multiple calcified and uncalcified pulmonary nodules are unchanged. No new suspicious nodules.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy. Severe coronary artery calcifications. Heart size normal.CHEST WALL: No significant abnormality noted... | 1.Status post right nephrectomy.2.Stable calcified and noncalcified lung nodules.3.Stable appearance of right iliac bone contour deformity. |
Generate impression based on findings. | Aphasia.Exudative senile macular degeneration of retina The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Atherosclerotic calcifications ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | 52 year-old female, lung nodule of evaluation LUNGS AND PLEURA: Peripheral nodule in the posterior right lower lobe measures 2.0 x 1.2 cm and previously measured 2.0 x 1.4 cm (image 67, series 4). Peribronchialvascular nodules extending within the superior segment of the right lower lobe appear similar to the prior stu... | Peripheral right lower lobe nodule with additional smaller nodules in a peri-bronchovascular distribution are unchanged and most likely represent sequelae of granulomatous/atypical infection. |
Generate impression based on findings. | 56-year-old male with history of bladder cancer. CHEST:LUNGS AND PLEURA: Groundglass nodule in right middle lobe measures 6 mm, not significantly changed since 12/2011. No new suspicious nodules. No consolidation or pleural effusions.MEDIASTINUM AND HILA: Minimal coronary artery calcifications. No lymphadenopathy. Hear... | 1.Stable right middle lobe groundglass nodule. No new nodules.2.No specific evidence of metastatic disease. |
Generate impression based on findings. | 63-year-old male patient with history of head and neck cancer. Compared to previous examinations and provide measurements. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heart size within normal limits without pericardial effusion. Mild coronary artery calcifications.Small mediastinal ly... | No evidence of metastases or other significant abnormality. |
Generate impression based on findings. | 72-year-old male with squamous cell carcinoma of the cricoid status post chemoradiation therapy, reevaluate Limited intracranial and orbital views are unremarkable. The visualized paranasal sinuses and mastoid air cells are clear.No measurable hypopharyngeal mass is present on the current examination. The cricoid and t... | Stable size of small reference lymph nodes. No measurable hypopharyngeal mass is present. |
Generate impression based on findings. | 77-year-old female with history of GIST tumor. CHEST:LUNGS AND PLEURA: Bilateral lung micronodules are unchanged. No new suspicious nodules. Mild basilar scarring/atelectasis and associated mild traction bronchiectasis.MEDIASTINUM AND HILA: No pathologically enlarged mediastinal lymph nodes; borderline enlarged right p... | 1.Stable hyper-enhancing liver lesions consistent with metastases. No new lesions identified.2.Stable heterogeneous pelvic mass.3.Multiple mildly enlarged retroperitoneal lymph nodes are not significantly changed. |
Generate impression based on findings. | Female, 93 years old, status post fall, on Coumadin. No intracranial hemorrhage, abnormal extra-axial fluid collections or other definite acute intracranial findings are seen. Ventricles and sulci are mildly prominent, somewhat more so than on the prior exam, likely reflecting parenchymal volume loss. There is relative... | No acute intracranial abnormality. No evidence of intracranial hemorrhage. |
Generate impression based on findings. | previous parathyroid surgery Now has recurrence Please loalize There are several nodules present in the soft tissues of the lower neck . Their locations and serial Hounsfield units on dynamic CT or listed below along with some density units of normal structures:Houndsfield units through nodules (0seconds, 25 seconds, 5... | 1.There is a small nodule immediately inferior and posterior to the right lobe of the thyroid. It is not adequately visualized on the 4D CT to a large degree due to artifact.2.There is a nodule visually contiguous with the posterior aspect of the right thyroid. Although it may represent adenoma it is not adequately vis... |
Generate impression based on findings. | 96-year-old female with GI bleeding, source unclear. ABDOMEN:LUNG BASES: Mild basilar atelectasis and trace pleural effusions.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: Multiple splenic granulomas.PANCREAS: No significant abnormality notedADRENAL GLANDS: Stable nonspecific left adrenal thickening.KIDNEYS... | Extensive diverticulosis without evidence of contrast extravasation to suggest active hemorrhage. |
Generate impression based on findings. | Male 80 years old; Reason: lymphoproliferative dz (B cell), complete staging History: sore throat 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 significan... | 1.No significant adenopathy suggest recurrent or metastatic lymphoma.2.Left inguinal hernia containing loops of bowel without obstruction |
Generate impression based on findings. | Female 57 years old; Reason: Pt is a 57 y/o female with met melanoma, evaluate for progression of disease History: met melanoma CHEST:LUNGS AND PLEURA: Multiple lobulated nodules are again seen in all lobes, appearing similar to the prior exam. The reference left upper lobe nodule is unchanged at 1.9 x 1 .3 cm, previou... | Stable pulmonary metastases. No evidence of disease progression. |
Generate impression based on findings. | 67 year old male. Reason: please evaluate etiology of hematuria. please perform a CT urogram. History: gross hematuria. ABDOMEN:LUNG BASES: Status post median sternotomy. Mediastinal calcification is probably due to lymph node. No infiltrates, nodules or effusions. LIVER, BILIARY TRACT: No significant abnormality noted... | Right bladder wall contour abnormality near the ureteral orfice without associated hydroureter. Prominent pelvic lymph nodes bilaterally, left greater than right. No other evidence for metastatic disease. |
Generate impression based on findings. | Mesothelioma status post-pleurectomy decortication CHEST:LUNGS AND PLEURA: Bilateral pleural thickening and fluid consistent with mesothelioma. Left hemithorax volume loss has progressed compared to the previous examination with development of significant paramediastinal tumor causing extrinsic compression of the left ... | Intra-abdominal spread of tumor, contralateral disease and subjective worsening of tumor burden in the left hemithorax. The left mainstem bronchus is compressed by tumor, consider consultation with pulmonary medicine for possible palliative stent placement. |
Generate impression based on findings. | Metastatic prostate carcinoma. Evaluate disease after 6 cycles of investigational therapy. ABDOMEN:LUNG BASES: Note that the upper lobe reference nodule and adenopathy cannot be assessed on this exam.LIVER, BILIARY TRACT: Stable bilobar hepatic cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abno... | Marked regression of adenopathy. Increasing and enlarging areas of bony sclerosis throughout the spine and pelvis; whether this represents progression of disease or healing is unclear given regression of adenopathy. |
Generate impression based on findings. | Reason: h/o HNC, CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Interval appearance of focal bronchial wall thickening, mucoid impaction and ground glass within the right upper lobe this appears inflammatory in nature.No interval pleural effusion.MEDIASTINUM AND HILA:. Dense mitral ann... | Bronchial wall thickening and mucoid impaction within the right upper lobe favoring inflammatory etiology. No evidence of metastatic disease. |
Generate impression based on findings. | Lung nodule, preop eval. CHEST:LUNGS AND PLEURA: Dense pleural nodule at the apex of the left lung measuring 18 x 35mm (3/18), previously 18 x 31 mm although measurement at an identical anatomical level is not possible due to differences in scan variability regarding orientation of the lesion relative to the scan plane... | Indeterminate dense pleural-based nodule in the left apex which may demonstrate either calcification or enhancement (this cannot be determined without an unenhanced scan or conventional radiograph). It is not possible to provide comparable measurements of the lesion however there is no conclusive evidence of significan... |
Generate impression based on findings. | 53 year old male. Reason: h/o B side pain evaluate acute abnormalities. History: Side pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormali... | No specific abnormality was found to explain bilateral flank pain. |
Generate impression based on findings. | Metastatic medullary thyroid carcinoma s/p total thyroidectomy and central neck dissection. The patient was on cabozantinib and has recently started vandetinib. There are postoperative findings related to total thyroidectomy and central neck dissection. There is no significant interval change in size of the heterogeneo... | 1.No significant interval change in the numerous subcutaneous nodules in the neck and scalp, which likely represent metastases.2.No significant interval change in the appearance of the thyroidectomy bed.3.The cervical lymph nodes are unchanged and there is no significant cervical lymphadenopathy by CT size criteria. 4.... |
Generate impression based on findings. | Male, 6 months old, trigonocephaly. Preoperative planning for synostosis reconstruction. The metopic suture is fused resulting in a trigonal configuration of the frontal bone. The coronal, sagittal and lambdoid sutures as well as the squamosal and skull base sutures remain patent.Shading of the posterior aspect of the ... | Synostosis of the metopic suture resulting in trigonocephaly. |
Generate impression based on findings. | Male, 60 years old, history of tongue and lung cancer, status post surgery. Evaluate for recurrence. The left fossa of Rosenmueller is effaced without evidence of discrete mass. This may represent adherent secretions and is similar to the prior study.The oral tongue and floor of mouth are unremarkable. The pharyngeal m... | 1. No evidence of recurrent disease in the neck.2. A suspicious lesion in the right lung apex is better assessed on the separately dictated chest CT. |
Generate impression based on findings. | 72-year-old male with prostate cancer. Reason: prostate cancer with recurrence; lung lesions. History: prostate cancer rising PSA LUNGS AND PLEURA: Lingular nodule measures 16 x 17 mm (series 4, image 42), larger. Left upper lobe nodule measures 9 x 15 mm (series 4, image 38), larger.Left lower lobe nodule measures 5 x... | Increase in size of left lingular and left upper lobe pulmonary nodules. New mid-sternal fracture.No new lesions. Otherwise stable exam. |
Generate impression based on findings. | 53-year-old male. Reason: urothelial cancer, recurrent hematuria, evaluate for recurrence. CT Urogram, 3D reconstruction, delayed views. History: urothelial cancer CHEST:LUNGS AND PLEURA: Mild to moderate centrilobular emphysema is stable. Scattered pulmonary micronodules are unchanged from the prior study.MEDIASTINUM ... | 1.No change in bilateral hydronephrosis.2.No evidence of recurrent or metastatic disease.3.Marked distension of neobladder suggests outlet obstruction. 4.Stable examination. No measurable metastatic disease. |
Generate impression based on findings. | T3N1M0 SCC of the right tongue, currently on salvage therapy with cetuximab and tivantinib. Head: There is no evidence of intracranial masses or abnormal enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid... | 1. No evidence of locoregional tumor recurrence or significant lymphadenopathy by size criteria.2. No evidence of intracranial metastases. |
Generate impression based on findings. | Female, 39 years old, history of sinus cancer status post surgery. Please note that evaluation for tumor is somewhat limited to the noncontrast technique. Within this limitation, the following observations are made.Redemonstrated are extensive post surgical changes including frontotemporal and midline craniotomies affi... | 1.Redemonstration of extensive facial and paranasal sinus surgical alteration. Soft tissue thickening along the walls of the sinus resection bed is nonspecific but stable and likely represents scarring or post treatment change.2.A soft tissue mass seen on the prior exam along the superolateral margin of the right orbit... |
Generate impression based on findings. | Male 33 years old; Reason: Rectal Cancer: Restaging CHEST:LUNGS AND PLEURA: The previously referenced 13 x 10 millimeter nodule at the right lung base is stable to slightly smaller, currently measuring 11 x 10 mm (series 6 image 54). This correlates to a mild FDG avid lesion seen on the PET. A few scattered micronodul... | 1.Stable right lower lobe pulmonary nodule.2.Interval decrease in size of the mediastinal and hilar lymph nodes.3.No new evidence of metastatic disease or local recurrence. |
Generate impression based on findings. | Lung cancer with recent finding of manubrial lytic lesion. LUNGS AND PLEURA: Postoperative volume loss on the right consistent with right upper lobectomy. The right middle lobe it is collapsed and the proximal airways of the middle lobe are markedly narrowed suspicious for stenosis. There some adjacent calcified lymph ... | 1. Interval healing of manubrial pathologic fracture with appearance suggesting interval bone biopsy.2. Chronic collapse of the right middle lobe with stenosis of the right middle lobe bronchus which may be the result of extrinsic compression of the bronchus by calcified lymph nodes.3. No signs of localized recurrence ... |
Generate impression based on findings. | 61-year-old male with non-Hodgkin's lymphoma and squamous cell carcinoma of the head and neck, follow-up pulmonary nodule LUNGS AND PLEURA: Right upper lobe subsolid nodule measures 6 mm and appears to measure 6 mm (image 33 series 4) unchanged. Interval decrease in size of left upper lobe nodule which now measures 8 m... | Unchanged right upper lobe ground glass nodule and interval decrease in size of two additional pulmonary nodules. |
Generate impression based on findings. | Female 59 years old; Reason: Rectal cancer compare to last Ct \T\ measure 1) LLL lung lesion, 2) left axillary lymph node, 3) peri aortic lymph node, 4) level 4 node, 5) left supraclavicular mass History: post 2 cycles of therapy CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary lesions are reidentified. The refe... | 1.Progression of malignant left pleural effusion with slight increase in the size of the pulmonary lesions.2.Interval increase in size and number of hepatic metastatic lesions3.IVC clot, progressed from previous4.Dr. Janisch Notified of the findings at 2:08 on 11/22/13 |
Generate impression based on findings. | Male 74 years old; Reason: pt with striuvite crystals seen on U/A History: AnuriaAdditional history: Patient presented to Elmhurst hospital 11/18/2013 with jaundice, chills. Now status post ERCP with biliary stent placement and biopsy of ampullary mass. ABDOMEN: The absence of intravenous and oral contrast limits evalu... | 1.No evidence of nephrolithiasis, as clinically questioned.2.Extensive pneumobilia with patent common duct stent.3.Bilateral small pleural effusions with atelectasis/consolidation.4.Bilateral hyperdense renal lesions are incompletely evaluated. If clinically warranted, contrast enhanced exam would be recommended.5.Hypo... |
Generate impression based on findings. | 53-year-old female with weight loss. Evaluate for cause. CHEST:LUNGS AND PLEURA: Micronodules in the right middle and lower lobe are seen.MEDIASTINUM AND HILA: Left main coronary artery stent is noted. Mild atherosclerotic calcification of the thoracic aorta.CHEST WALL: Sternotomy wires intact.ABDOMEN:LIVER, BILIARY TR... | 1.Intrahepatic biliary ductal dilatation of unclear etiology. M.R.C.P. is recommended for further evaluation of the biliary system.2.Pattern of cortical thinning and scarring of the kidneys bilaterally is suggestive of chronic reflux nephropathy. |
Generate impression based on findings. | 64 year old female with metastatic thyroid cancer CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary metastases. Reference left pulmonary nodule measures 1.7 cm (image 67, series 4), and previous measured 1.6 cm. No new pulmonary nodules. Probable endobronchial lesions are unchanged.MEDIASTINUM AND HILA: Status post ... | 1. Extensive metastatic disease involving the chest and abdomen with interval increase in osseous and abdominal disease. Subtle densities extending within the spinal canal are too small to characterize but could reflect leptomeningeal involvement.2. Persistent left hydronephrosis and hydroureter with delayed nephrogram... |
Generate impression based on findings. | Altered mental status. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is unchanged nonspecific mild cerebral white matter hypoattenuation that may represent microangiopathy. The ventricles and basal cisterns are stable in size and configuration. There is no midline shift or herniation. ... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | 65-year-old female patient with history of right IJV DVT 11/19/2013 and history of PE, on anticoagulation. Presents with shortness of breath x 1 day. Evaluate for a pulmonary embolus. PULMONARY ARTERIES: Technically adequate study and limited by patient motion. The pulmonary trunk is not enlarged. There is a nonocclusi... | 1.Multiple small segmental, nonocclusive pulmonary emboli.2.Right heart dilatation and interventricular septal straightening consistent with right heart strain.3.New bilateral pleural effusions.4.Interval resolution of multifocal nodular ground glass opacities with remaining cavitary lesion in the left upper lobe.Findi... |
Generate impression based on findings. | COPD now with increasing S.O.B. and respiratory failure on a ventilator. History of AFB positive. Evaluate for PE or cavitary lesion. PULMONARY ARTERIES: Technically adequate examination without evidence of pulmonary embolus.LUNGS AND PLEURA: Severe emphysema. Thick walled cavitary lesion in the right upper lobe measur... | No evidence of acute pulmonary embolus. Right upper and lower lobe pneumonia, probably related to superimposed aspiration. Cavitary mass in the right upper lobe not significantly changed in size and presumably represents active TB. Moderate right pleural fluid collection and a small volume of ascites. |
Generate impression based on findings. | History of sinus cancer rule out metastases LUNGS AND PLEURA: Unchanged pulmonary micronodules. No new or suspicious lesions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Stable sclerotic lesion in the cranial aspect of right scapula, unchanged over multiple scans, favoring a benign lesion. Small l... | No specific evidence of metastatic disease. |
Generate impression based on findings. | Male 52 years old; Reason: pancreatitis History: pancreatitis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: A pseudocyst measuring 12.4 x 5.8 centimeters in greatest axial dimensions, grossly unchanged in s... | Pancreatic pseudocyst measuring 12.4 x 5.8 cm, grossly unchanged in size from prior MR exam. |
Generate impression based on findings. | Male 69 years old; Reason: h/o buccal cancer and testicular cancer History: r/o mets/recurrence CHEST:LUNGS AND PLEURA: Irregularly-shaped peripheral nodule in the lingula has increased in size since previous exam, measuring 1.1 x 1.4 cm on image 64/118, previously measuring approximately 0.5 x 0.7 centimeters on prior... | 1.Enlarging and irregular pulmonary nodule is worrisome for metastatic disease vs. primary lung tumor. 2.Nonspecific stable 1.2 x 1.9 cm nodule inferior to the liver, unclear clinical significance. |
Generate impression based on findings. | Head and neck cancer and pulmonary nodules check response. Cough. CHEST:LUNGS AND PLEURA: Branching scarlike lesion at the left apex (5/12) continues to slightly increased in size and density. Right lower lobe nodule measures 5 x 5 mm (6/206), previously 5 x 4 mm on the last two scans. Additional solid and subsolid nod... | 1. Possible subtle increase in size in one of the right lower lobe solid nodules since prior examinations.2. Branching subselective lesion in the left apex increased in size and density and could be post inflammatory or possibly a primary pulmonary lesion. Continued follow-up recommended.3. The remainder of the lesions... |
Generate impression based on findings. | 26-year-old male with recurrent and metastatic head and neck cancer CHEST:LUNGS AND PLEURA: Scarring and bronchiectasis of the posterior right lower lobe appear similar to the prior study. Hazy left paramediastinal and peripheral right upper lobe opacities are also unchanged. There are new right peripheral groundglass ... | New faint nodular opacities adjacent to the right minor fissure for which continued follow-up is recommended given the patient's history of metastatic disease. No other specific evidence of metastases. |
Generate impression based on findings. | 74 year-old female with left cheek skin cancer, evaluate extent Brain:Old right cerebellar hemisphere stroke. Intracranial atherosclerotic vascular calcifications.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, ... | Limited exam due to lack of contrast. 1. Redemonstration of a left cheek soft tissue lesion without involvement of the adjacent maxillary sinus and orbit.2. No cervical lymphadenopathy. |
Generate impression based on findings. | Male, 4 years old, headache, vomiting. Evaluate for worsening hydrocephalus. A right frontal approach ventricular shunt catheter is in stable position, tip within the right frontal horn.The caliber of the ventricular system as a whole has increased mildly when compared to the prior study. For example, the left lateral ... | 1. Stable positioning of a right frontal approach ventricular shunt catheter.2. Continued mild increase in ventricular caliber. Ventricular size does, however, still fall within the range of normal. |
Generate impression based on findings. | Male 51 years old; Reason: r/o mesenteric ischemia History: abdominal pain ABDOMEN:LUNGS BASES: Bilateral basilar atelectasis.LIVER, BILIARY TRACT: A flash filling 1.4-cm lesion in the peripheral right lobe liver likely represents hemangioma.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality ... | 1.No evidence of mesenteric ischemia as clinically questioned.2.3.4-cm abdominal aortic aneurysm with mural thrombus and surrounding inflammatory fibrosis causing ureteral obstruction. Consider inflammatory aneurysm with periarteritis versus primary retroperitoneal fibrosis with incidental small adjacent AAA.3.Bilatera... |
Generate impression based on findings. | 60 year-old male with tongue and lung cancer, rule out recurrence LUNGS AND PLEURA: Status post interval right upper lobectomy with pleural fluid tracking medially along the heart border. Irregular nodule in the superiorly displaced right lower lobe measures 2.8 x 1.0 cm (image 20, series 5). This lesion may correspond... | 1. Irregular nodule in the superior right lower lobe which may correspond to a previously identified nodule in the right lower lobe that was FDG avid on PET, suspicious for malignancy.2. Progression of T10 vertebral body compression fracture. |
Generate impression based on findings. | Colon cancer CHEST:LUNGS AND PLEURA: A index left upper lobe spiculated nodule measures 8mm in diameter (image 26; series 5) roughly stable compared to previous study and radiographically more suggestive of a primary neoplasm then a metastasis. Other bilateral smaller nodules are also stable.MEDIASTINUM AND HILA: Bilat... | Stable bilateral lung nodules with largest reference nodule having a radiographic appearance more compatible with primary lung carcinoma than a metastasis. |
Generate impression based on findings. | NHL with nodule left post auricular region and T2N0 anal cancer here s/p 2 cycles of mitomycin and 5FU completed on 8/10/12. There is a new 10 x 15 mm soft tissue nodule in the subcutaneous tissues inferior to the left auricle, which extends to the surface of the parotid gland. Anterior to this is a 4 mm subcutaneous n... | 1. Multiple soft tissue masses in the subcutaneous tissues of the head and neck, including inferior to the left auricle overlying the parotid gland, left tragus, right premalar fat pad, and overlying the left lateral orbital rim, which likely represent extra-nodal recurrence of lymphoma, appear to be new since November... |
Generate impression based on findings. | 75-year-old male with history of lung cancer, restaging exam CHEST:LUNGS AND PLEURA: Increased size of left lower lobe cystic solid lesion measuring 1.6 x 4.2 cm (image 50 series 5) and previously measuring 1.6 x 3.2 cm. The solid component is also increased in size and now measures 1.1 x 1.2 cm. Unchanged mild pleural... | Increased size of cystic and part solid left lower lobe lesion with increasing solid component highly compatible with primary adenocarcinoma, likely with an invasive component. |
Generate impression based on findings. | Reason: evaluate for source of hypoxia, consolidation, infection, interstitial lung disease History: hypoxia LUNGS AND PLEURA: The examination is significantly limited by respiratory motion artifact, apparently due to the patient's inability to cooperate by suspending respiration.Dense interstitial opacity is present i... | 1.Limited examination due to the patient's inability to cooperate by suspending respiration.2.Extensive bilateral predominantly groundglass opacities with cystic areas that likely represent underlying emphysema especially if the patient is a cigarette smoker. There is no reliable evidence of fibrosis on this suboptimal... |
Generate impression based on findings. | Eval integrity of sternum (instability) / Eval abdomen and pelvis for free air, bowel gas pattern, evidence of bowel wall edema and intrabdominal fluid collection Signs and Symptoms: Sternal Click / Ileus / Hypothermia following Aortic Valve Replacement and CABG Renal failure limits us to no contrast The following obse... | Median sternotomy appears to be unstable inferiorly with the median sternotomy plate in the right sternal moiety and lower sternal wires in left sternal moiety rather than spanning the sternum . Small pleural effusions with atelectasis. Diffuse ileus. Nonspecific left 2-cm adrenal nodule.Findings discussed with the cli... |
Generate impression based on findings. | Lung cancer on treatment CHEST:LUNGS AND PLEURA: Spiculated necrotic nodule inseparable from the posterior pleural surface in the left upper lobe measures 15 x 16 mm (5/33), previously 13 x 13 mm (4/36). Cranial caudal length is 2.6-cm (coronal image 14). Nodular high density pleural thickening is present on the left w... | 1. 15 x 16 x 26-mm necrotic left upper lobe nodule compatible with known neoplasm inseparable from the adjacent pleural surface and measures slightly larger. 2. New mildly enlarged lymph node near the left inferior pulmonary ligament and additional small mediastinal and left hilar lymph nodes should be followed, probab... |
Generate impression based on findings. | Male, 62 years old, right base cancer status post chemoradiation. Also evaluate right jaw osteoradionecrosis. Lysis affecting predominantly the buccal cortex of the right mandible has slightly progressed when compared to the recent facial CT, with more substantial progression seen on comparison to the more remote neck ... | 1. No evidence of recurrent malignancy in the neck.2. Slow continued progression of lysis involving the right mandible. Findings are compatible with osteoradionecrosis. |
Generate impression based on findings. | 48 year-old male with metastatic RCC. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. Small calcified pineal cyst. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast enhan... | No evidence of intracranial metastatic disease or acute abnormality. |
Generate impression based on findings. | 69-year-old male with mucoepidermoid buccal cancer, status post surgery, reevaluate Limited intracranial and orbital views are unremarkable. Partial opacification of the ethmoid air cells. Mucosal thickening of the maxillary sinuses with associated sclerosis is compatible with chronic sinusitis. The visualized mastoid ... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Female, 63 years old, nasal congestion and discharge. A left nasolacrimal tube is redemonstrated grossly stable in position extending from the region of the medial canthus directly into the left middle meatus.The frontal sinuses are clear. The left frontoethmoidal recess is occluded. The right frontoethmoidal recess is... | 1. Evidence of interval endoscopic sinus surgery. The neo-antra are patent. There remains moderate mucosal thickening and a fluid level within the left maxillary sinus.2. Stable left nasolacrimal duct tube. |
Generate impression based on findings. | 62-year-old male with shoulder pain. Evaluate for glenohumeral joint deformity. Dilute contrast fills the glenohumeral joint space. Contrast is not seen in the subacromial subdeltoid bursa, arguing against rotator cuff tear. However, a linear focus of contrast extending from the undersurface of the supraspinatus tendon... | 1.No full-thickness rotator cuff tear. Undersurface partial tear of the supraspinatus tendon.2.Severe osteoarthritis of the glenohumeral joint. |
Generate impression based on findings. | Left cheek skin cancer rule out chest metastases. Patient also has a history of esophageal cancer. LUNGS AND PLEURA: No pleural fluid or pneumothorax. Mild subpleural reticulation and bronchiectasis bilaterally consistent with fibrosis. In the paramediastinal region this is likely the result of RT. Debris in the right ... | 1. No signs of pulmonary metastases. 2. New small focus of sclerosis in the sternum, indeterminate. Suggest correlation with bone scan.3. Mild ectasia of the thoracic aorta.4. Interval development of the adrenal gland calcifications bilaterally suspicious for previous episode of adrenal gland hemorrhage though some typ... |
Generate impression based on findings. | 73-year-old male. Reason: Pt with metastatic melanoma, evaluate for progression. CHEST:LUNGS AND PLEURA: Scattered areas of focal ground glass opacities are seen throughout the left lung and to a much lesser degree in the right lung without solid components, stable since outside CT examination 6/14/13. Stable subcentim... | 1. Two stable foci of tumor masses in the ileum, consistent with metastatic melanoma. 2. Stable enhancing lymph node about right hip, most likely, metastatic melanoma. 3. Scattered bilateral pulmonary groundglass disease and small nodules are stable. 4. New enlarged subcarinal lymph node and right external iliac node a... |
Generate impression based on findings. | Male, 32 years old, fever, leukocytosis, on ventilator. Evaluate for sinusitis. The frontal sinuses and frontoethmoidal recesses are clear. There is peripheral mucosal thickening and some frothy debris in the right sphenoid sinus with occlusion of the sphenoethmoidal recess. Minimal mucosal thickening is evident within... | Relatively mild inflammatory changes in the paranasal sinuses. No |
Generate impression based on findings. | Male, 85 years old, back pain after a fall with abnormal T12 vertebral body on outside MRI. History of prostate cancer. Evaluate for benign fracture versus metastasis. There is a compression deformity of the T12 vertebral body with approximately 60% loss of height. The vertebral body itself is heterogeneous and slightl... | 1. Compression fracture of the T12 vertebral body is likely benign given the lack of a discrete underlying lesion, presence of air within the fractured vertebral body, and lack of any other suspicious lesions in the spine.2. Small fluid-filled lesion within the L5 vertebral body is also likely benign representing a var... |
Generate impression based on findings. | Male 56 years old; Reason: Assess for left hydronephrosis, abscess, s/p cystectomy/neobladder 5/2013 c/b multiple recurrent infections/abscesses History: Left flank pain, fever ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No significant abnormality notedPA... | 1. Hypoattenuating foci in the midpole left kidney with perinephric fat stranding and fluid along the Gerota's fascia, consistent with multifocal pyelonephritis. No drainable fluid collections, or stones detected.. |
Generate impression based on findings. | 32 year old male. Reason: intraabdominal infection? History: fever, leukocytosis. DM, HTN and pneumomediastinum of unclear etiology. Respiratory failure. ABDOMEN:LUNG BASES: Bilateral lower lobe opacities consistent with aspiration pneumonia. Right lower lobe consolidation. Small pleural effusions. LIVER, BILIARY TRACT... | Right lower lobe consolidation. Left lower lobe atelectasis. Bilateral small pleural effusions. G-tube. |
Generate impression based on findings. | Malignant neoplasm of the pancreas. Possible recurrent pancreatic cancer. Left breast lumpectomy. Abdominal discomfort CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Multiple mediastinal lymph nodes. For reference purposes, a low right paratracheal lymph node measures 1.6 x 1.3 cm. This ... | No substantial interval change compared to the prior outside examination exception of regression of omental infiltration in the left upper quadrant. Mediastinal adenopathy is stable. Status post partial pancreatectomy. Possible right breast mass; correlate with mammography. Status post left lumpectomy. |
Generate impression based on findings. | 34-year-old male with hematuria, pelvic pain and urethral pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypoattenuating liver parenchyma consistent with hepatic steatosis. No lesions identified. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL G... | Punctate non-obstructing stones in left kidney. |
Generate impression based on findings. | Chronic VAD drive line infection. Evaluate for fluid collection. CHEST:LUNGS AND PLEURA: Dense, well circumscribed micronodules appears benign and most likely represent granulomas.No pleural fluid or pneumothorax.MEDIASTINUM AND HILA: LVAD in place. There is a significant amount of streak artifact from the metallic com... | Limited assessment due to significant streak artifact from metallic component of the LVAD. No large fluid collections are appreciated. Suggest abdominal wall ultrasound if there is a high level of clinical suspicion . Note is made of an asymmetric skin thickening in the right anterior abdominal wall below the level of ... |
Generate impression based on findings. | 53-year-old female with intermittent shortness of breath, evaluate for PE PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: No focal pulmonary opacities or pleural effusions. Postsurgical change consistent with right upper lobectomy.MEDIASTINUM AND HILA: 14-mm right ... | Technically adequate study without evidence of pulmonary embolus. 14-mm right paratracheal soft tissue opacity suspicious for lymphadenopathy. Small lipoma causes mass effect on the right jugular vein at the thoracic inlet. |
Generate impression based on findings. | Female 30 years old. Reason: right renal abscess, eval for resolution. ABDOMEN: Evaluation of bowel is limited by lack of oral contrast.LUNG BASES: Moderate large bilateral pleural effusions have resolved. No infiltrates. Visualized mediastinal structures are unremarkable.LIVER, BILIARY TRACT: No significant abnormalit... | Right pyelonephritis is resolving. No abscess. Hypoperfused right upper pole cortex adjacent to a dilated calyx may be an infarct. Otherwise there was marked improvement since the prior exam. Right renal stent is in the expected position.Ascites has resolved.Moderate bilateral pleural effusions have resolved. Anasarca ... |
Generate impression based on findings. | 50 year old female status post two cycles of chemotherapy for primary mucinous peritoneal mesothelioma. CHEST:LUNGS AND PLEURA: Mild bilateral basilar atelectasis/scarring. No suspicious nodules, effusions, or consolidation.MEDIASTINUM AND HILA: Hypoattenuating nodule in left thyroid lobe unchanged.CHEST WALL: No signi... | 1.No significant change in mesenteric and retroperitoneal soft tissue lesions as well as pelvic fluid collection.2.Slight increase in dilation of right collecting system. |
Generate impression based on findings. | 40 year-old female with obstructive hydrocephalus, procedural imaging Redemonstrated is a well-demarcated low attenuation (nearly CSF density) lesion/arachnoid cyst in the right thalamus with extension into the interpeduncular cistern and the third ventricle, unchanged. The lateral and third ventricles have increased i... | 1.Redemonstrated is a well-demarcated low attenuation lesion/arachnoid cyst in the right thalamus with extension into the interpeduncular cistern and the third ventricle, unchanged.2.The lateral and third ventricles have increased in size with findings suggestive of transependymal CSF resorption. |
Generate impression based on findings. | Other primary cardiomyopathies. acute AMS, R sided weakness The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. A for melena hypodense foc... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. A hypodense 4-mm focus in the right basal ganglia could represent a lacunar infarct age indeterminant. There are no early stigmata for large vessel intracranial infarction compared CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | L3 lesion, hx thymoma.OPERATORS: Greg Christoforidis, Harut HaroyanEBL < 5ml Serial CT images obtained during the biopsy procedure demonstrate needle placement within the L3 vertebra. Following needle removal images obtained that demonstrate no complications . Some air bubbles are present along the biopsy tract | L3 biopsy under CT guidance. A total of 6 biopsy specimens were delivered to pathology for analysis. |
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