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Generate impression based on findings. | 15-year-old male with seizure evaluate for intracranial hemorrhage. 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.The visualized port... | No acute intracranial abnormalities. |
Generate impression based on findings. | 13-year-old male with history of motor vehicle accident Scalp injury along the left frontal high convexity with bifrontal metallic fragments in the subcutaneous soft tissues which likely represent foreign bodies, correlate clinically. The underlying calvarium is intact.The CSF spaces are appropriate for the patient's s... | Left frontal high convexity soft tissue scalp injury with probable subcutaneous metallic foreign bodies in the scalp. No skull fractures or acute intracranial abnormalities. |
Generate impression based on findings. | 88-year-old male with fatigue and malaise, evaluate for CVA Similar to the prior, there is extensive small vessel ischemic disease of indeterminate age as well as prominent ventricular volumes and cortical sulci compatible with cerebral volume loss. No abnormal extra-axial fluid collections or intracranial hemorrhage i... | 1. No acute intracranial abnormalities. Please note CT is insensitive for the detection of acute ischemia.2. Redemonstration of extensive small vessel ischemic disease of indeterminate age and brain parenchymal volume loss. |
Generate impression based on findings. | 65-year-old male with history of fall one month ago, headache, neck pain, left upper extremity and left lower extremity paresthesias since fall, evaluate for bleed Brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracr... | 1. No acute intracranial abnormalities.2. No evidence of cervical spine fractures with significant multilevel degenerative disk disease which may be further characterized with MRI if clinically warranted. |
Generate impression based on findings. | 63-year-old male with jaundice. ABDOMEN:LUNG BASES: Bilateral pleural effusions, moderate on the right and small on the left, with overlying basilar consolidation/atelectasis. Several nodules are seen in partially visualized lungs.LIVER, BILIARY TRACT: Although lack of IV contrast limits evaluation of parenchyma, there... | 1.Pancreatic head lesion consistent with known pancreatic adenocarcinoma.2.Extensive hepatic metastatic disease.3.Moderate ascites fluid and mesenteric nodularity suspicious for peritoneal carcinomatosis.4.Bilateral pleural effusions, right more than left.5.Multiple nodules in partially visualized lungs. |
Generate impression based on findings. | 31-year-old female with bilateral flank pain after urination. Right renal cysts found incidentally 8/2013. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signif... | 1.No evidence of stones, obstruction, or other abnormality account for symptoms.2.Simple renal cyst in right kidney; no suspicious renal lesions identified. |
Generate impression based on findings. | 28 year-old male with right lower quadrant pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant ab... | Severe appendicitis with small intramural abscess. |
Generate impression based on findings. | 60 year-old female with ovarian cancer on chemotherapy. Evaluate for small bowel obstruction and assess cancer burden. CHEST:LUNGS AND PLEURA: Dependent atelectasis and trace bilateral pleural effusions. No suspicious lung nodulesMEDIASTINUM AND HILA: Right chest wall port catheter tip in upper right atrium. No lymphad... | 1.High-grade distal small bowel obstruction, with transition point likely in most inferiorly located ventral hernia. Several other hernias identified, containing small and large bowel loops. 2.Multiple loculated collections of hypoattenuating material in the abdomen and pelvis, highly suspicious for pseudomyxoma perito... |
Generate impression based on findings. | 77-year-old male patient with right pleuritic chest pain and elevated d-dimer. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate study. No pulmonary embolus.LUNGS AND PLEURA: Mild paraseptal emphysema with bullae in the apices bilaterally. There is a scarlike nodule in the right upper lobe (seri... | 1.No pulmonary embolus.2.Paraseptal emphysema. |
Generate impression based on findings. | 83-year-old female with abdominal pain. History of CLL and colon cancer. ABDOMEN:LUNG BASES: Bilateral pleural effusions, moderate right and small left, with overlying basilar consolidation/atelectasis. Multiple nodules noted in partially visualized lung bases.Severe cardiomegaly.LIVER, BILIARY TRACT: Hepatomegaly with... | 1.Bulky retroperitoneal and pelvic lymphadenopathy, most consistent with lymphoma.2.Hepatomegaly, periportal edema, splenomegaly, and bilateral pleural effusions, most compatible with CHF/volume overload given severe cardiomegaly.3.Nonspecific hypoattenuating lesion in the spleen. |
Generate impression based on findings. | Male; 53 days old. Reason: Questionable extrinsic lesion affecting a short segment of the upper thoracic esophagus on OPM, ct recommended for further eval History: 7wo with Pierre Robin and Stickler syndrome here with reflux LUNGS AND PLEURA: Minimal bibasilar dependent subsegmental atelectasis. No suspicious pulmonary... | No lesions are evident along the course of the esophagus. No aberrant course of the subclavian arteries or vascular slings. |
Generate impression based on findings. | 82-year-old female patient with lung cancer. Please reevaluate. CHEST:LUNGS AND PLEURA: Marked interval increase in reference right lower lobe mass, measuring 10.1 cm by 5.5 cm (series 5 image 81), previously 3.5 x 4.8 cm.Right middle lobe nodule measures 12 x 9 mm (series 5 image 51), previously 11 x 8 mm.Interval res... | 1.Marked interval increase in right lower lobe mass, measuring 10.1 x 5.5 cm. Minimal interval increase in right middle lobe nodule.2.Interval decrease in hilar and mediastinal lymphadenopathy.3.Interval decrease in subcarinal/periesophageal mass with slight interval decrease in diffuse esophageal thickening.4.Interval... |
Generate impression based on findings. | Female; 6 years old. Reason: 6 yo F with 3 days of abd pain, started RUQ now suprapubic. Elevated WBC to 14 and CRP to 120. R/o appendicitis History: Abdominal pain, n/v, fever ABDOMEN:LUNG BASES: Scattered patchy air space opacities in the bilateral lung bases are most suspicious for multifocal pneumonia. No pleural e... | 1. Bilateral airspace opacities most suspicious for multifocal pneumonia. Recommend dedicated chest radiography for further evaluation.2. Slighlty enlarged right lower quadrant mesenteric lymph nodes, which may be due to infectious lymphadenitis in the appropriate clinical setting.3. No evidence of appendicitis. |
Generate impression based on findings. | 52-year-old male with abdominal pain and vomiting. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Nonspecific left adrenal nodule measures 1 cm, incompletely chara... | 1.No specific abnormality to account for patient's symptoms.2.Nonspecific 1.1-cm left adrenal nodule, incompletely characterized on current exam.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Trauma on Coumadin. Frontal hematoma. Rule out intracranial hemorrhage. There is no intracranial mass, hemorrhage, edema or hydrocephalus. Gray-white matter differentiation is maintained bilaterally and the midline is intact. There is periorbital and perioral/buccal soft tissue stranding most likely representing hemato... | Soft tissue stranding most prominent in the buccal soft tissues likely representing hematoma in this patient with recent trauma. No intracranial hemorrhage. |
Generate impression based on findings. | 66 year-old female with abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypoattenuating lesion in dome of liver compatible with benign cyst. Status post cholecystectomy.SPLEEN: Multiple calcified granulomas consistent with prior granulomatous infection.PANCREAS: No significant ... | 1.No specific abnormality to account for patient's abdominal pain.2.Postsurgical changes consistent with history of gastric bypass surgery. |
Generate impression based on findings. | 50 year-old female with persistent fevers. Assess for abscess/infection. CHEST:LUNGS AND PLEURA: Punctate calcified and noncalcified micronodules, all measuring less than 4 mm and likely benign in nature. Mild basilar scarring. No consolidation or pleural effusions.MEDIASTINUM AND HILA: Soft tissue in anterior mediasti... | 1.No specific signs of infection in the chest, abdomen, and pelvis.2.Calcified and noncalcified lung micronodules, likely benign in nature. |
Generate impression based on findings. | 85-year-old male with Crohn's disease presents with persistent weight loss, fever, and fatigue. Evaluate for Crohn's disease activity and malignancy. ABDOMEN:LUNG BASES: Bilateral basilar scarring.LIVER, BILIARY TRACT: Intra and extrahepatic biliary ductal dilation appears similar to 2006 exam. No suspicious liver lesi... | 1.No evidence of active Crohn's disease or malignancy.2.Interval increase in size of small fluid collection along rectal anastomosis, which is likely post-surgical in nature, possibly lymphocele or seroma. Lack of peripheral enhancement and surrounding inflammation makes abscess unlikely. |
Generate impression based on findings. | Midline neck pain. Rule out fracture or misalignment. There is straightening of the cervical lordosis which is likely on the basis of a combination of muscle spasm and progressed degenerative change. There is no visualized fracture. Vertebral body height is maintained. There is loss of intervertebral disk heights at ea... | Significant multilevel spondylosis resulting in multilevel neural foraminal and spinal canal stenosis without acute sequela of or trauma including fracture. |
Generate impression based on findings. | 62 year-old female with diarrhea. Evaluate for colonic inflammation. CHEST:LUNGS AND PLEURA: Several calcified and noncalcified micronodules, most likely of benign etiology (series 4, image 43). Bilateral basilar scarring/atelectasis. No consolidation or pleural effusions.MEDIASTINUM AND HILA: Moderate coronary artery ... | No evidence of bowel thickening or other specific abnormality to account for patient's diarrhea. |
Generate impression based on findings. | right hemipareses, altered mental status, and dysconjugate gaze in a patient with known left ventricular cardiac thrombus. Patient has left subclavian balloon counterpulsation device. Neck CTA: There is opacification of the vessels from the aortic arch and carotid arteries and vertebral arteries. The aortic arch and or... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.Pleural effusions right more than left.4.Findings were discussed with the clinical service at the time the images were acquired . It was decided not to proceed with embolectomy. |
Generate impression based on findings. | High speed MVC. There is straightening of cervical lordosis. Vertebral body height is normal. Intervertebral disk is normal. There is irregularity of the anterior/superior corner of the C6 vertebral body including a 1 mm calcific fragment anterosuperior to the body. There is additional fragment with rounded edges assoc... | 1.Irregularity at the anterior/superior aspect of the C6 vertebral body without obvious associated soft tissue swelling. This could represent mineralization of the anterior longitudinal ligament or a degenerative/congenital variant, however given the patient's history of trauma, fracture is a possibility. MRI could be ... |
Generate impression based on findings. | 63 year-old female with seizure, now postictal, rule out bleed The patient is intubated.The CSF spaces are appropriate for the patient's stated age with no midline shift. Atherosclerotic vascular intracranial calcifications.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identifie... | Limited portable examination without gross acute intracranial abnormalities. |
Generate impression based on findings. | 67 year old female with bilateral hydronephrosis after Foley catheter placement. Metastatic bladder cancer. ABDOMEN:LUNG BASES: Increase in innumerable nodules and masses in partially visualized lungs, consistent with metastases. New small bilateral pleural effusions with overlying basilar consolidation/atelectasis.LIV... | 1.Interval increase in severe right hydronephrosis and persistent moderate left hydronephrosis; etiology is most likely due to increased confluent retroperitoneal lymphadenopathy.2.New bilateral pleural effusions and diffuse anasarca, consistent with volume overload.3.Increased innumerable metastases in partially visua... |
Generate impression based on findings. | Blunt head trauma with forehead laceration. Syncope and collapse. There is no intracranial mass, hemorrhage, edema or hydrocephalus. There is no mass-effect or midline shift. There is soft tissue stranding and a defect in the right frontal area corresponding with hematoma and laceration. Sinuses and mastoids are clear.... | Right frontal hematoma/laceration without intracranial abnormality or fracture. |
Generate impression based on findings. | 88 year old female patient with shortness of breath and weight loss. Examination is significantly limited by patient motion.LUNGS AND PLEURA: Bilateral small pleural effusions, right greater than left, with associated atelectasis. Bibasilar groundglass opacities and septal thickening consistent with pulmonary edema. Li... | 1.Bilateral pleural effusions with moderate cardiomegaly, suggestive of CHF with edema.2.Scattered pulmonary micronodules are nonspecific. |
Generate impression based on findings. | Seizure. Rule out acute hemorrhage. There is diffuse prominence of CSF spaces in keeping with the patient's age. In addition to patchy periventricular hypoattenuation most likely represent sequela of chronic small vessel ischemic disease, there are multiple more prominent areas of hypoattenuation within the right parie... | Sequela of chronic small vessel ischemic disease in addition to multiple foci of encephalomalacia likely representing sequela of prior infarcts which correlates with the recent MRI exam. CT is suboptimal for assessment of acute ischemia and it is persisting concern, MRI could be considered. |
Generate impression based on findings. | 60 year-old male status post liver transplant and right flank incisional hernia, nausea and vomiting. Evaluate for SBO ABDOMEN:LUNG BASES: Mild basilar scarring. Moderate coronary calcifications.LIVER, BILIARY TRACT: Status post liver transplant. Portal veins, hepatic veins and hepatic artery appear patent.Biliary sten... | 1.No evidence of bowel obstruction or other specific abnormality to account for patient's symptoms.2.Status post liver transplant with biliary stent in place.3.2 mm non-obstructing stone in inferior calix of left kidney. |
Generate impression based on findings. | Known C1 mass (plasmacytoma). For assessment of stenosis. Findings are consistent with those on the recent MR. There is a lytic lesion with a large soft tissue component centered within the right lateral aspect of the anterior arch of C1. The soft tissue component extends primarily anterolaterally into the soft tissues... | Aggressive appearing lytic lesion involving the anterior/right aspect of the C1 vertebral body as described on MRI in keeping with the patient's known plasmacytoma at this level. Multiple other bony lucencies most likely representing multiple myeloma. |
Generate impression based on findings. | History of prostate cancer with new right inguinal mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signifi... | Small fat-containing bilateral inguinal hernias, right greater than left without bowel involvement. Otherwise negative examination. Specifically, no evidence for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | 59-year-old male patient with fever and abnormal chest x-ray. Evaluate for pneumonia. LUNGS AND PLEURA: Diffuse bilateral ground glass opacities with peripheral sparing. Small left pleural effusion with associated atelectasis.MEDIASTINUM AND HILA: Right internal jugular venous catheter with tip in the right atrium. Hea... | 1.Diffuse bilateral ground glass airspace opacities consistent with pneumocystis pneumonia or other atypical infection.2.Small left pleural effusion. |
Generate impression based on findings. | Cellulitis and abdominal abscess status post drain removal ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable left ... | No evidence for loculated fluid collection or abscess within the anterior subcutaneous abdominal wall. Granulating anterior abdominal wound. Interval resolution of previously noted right pelvic abscess. No bowel obstruction. |
Generate impression based on findings. | 59-year-old male with history of small bowel obstruction, right lower quadrant pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality note... | Postsurgical changes without evidence of small bowel obstruction or other specific abnormality to account for symptoms. |
Generate impression based on findings. | 45-year-old female patient with diffuse pulmonary infiltrates. ARDS. LUNGS AND PLEURA: Diffuse bilateral patchy consolidative airspace opacities and groundglass opacities.Small left pleural effusion.Small pneumothorax with chest tube entering the right anterior chest wall between the sixth and seventh ribs and terminat... | 1.Diffuse airspace opacities consistent with ARDS.2.Extensive circumferential subcutaneous emphysema, pneumomediastinum and small pneumothorax. |
Generate impression based on findings. | 22 day old male, trauma, evaluate for acute intracranial bleeding Subarachnoid blood along the anterior aspect of the right sylvian fissure. No evidence of subdural hematoma or skull fractures.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated int... | Small amount of subarachnoid hemorrhage along the anterior aspect of the right sylvian fissure. No evidence of subdural hematoma or skull fractures.These findings were discussed with the PICU resident on call at 10:00 a.m. on 11/23/2013. |
Generate impression based on findings. | 69-year-old male with unclear past medical history, found down at home, now in rhabdomyolysis and acute renal failure, altered mental status. The CSF spaces are appropriate for the patient's stated age with no midline shift. Mild patchy hypoattenuation in the periventricular white matter most likely represents small ve... | No acute intracranial abnormalities. |
Generate impression based on findings. | 40 year-old female with obstructive hydrocephalus, evaluate status post brain surgery. Expected postoperative changes of a right frontal ventriculostomy catheter placement, including pneumocephalus and small amount of subarachnoid blood along the high right frontal convexity. No postprocedural intraparenchymal hematoma... | Expected postoperative changes of a right frontal ventriculostomy catheter placement with slight interval decrease in size of the lateral ventricular system. |
Generate impression based on findings. | Back pain status post kyphoplasty. 71-year-old with history of metastatic adenocarcinoma of the lung. Findings related to previous kyphoplasty including L4 hemilaminectomy and radiopaque cement within the L4 vertebral body are demonstrated. The physiologic lumbar lordosis is minimized. There is loss of vertebral body h... | 1.Postoperative findings related to hemilaminectomy and L4 kyphoplasty.2.Sequela of previous pathologic fracture and L4 including extension of posterior cortex into the canal resulting in severe spinal stenosis at this level.3.Other bony lesions likely representing multifocal metastatic disease as described.4.Multileve... |
Generate impression based on findings. | 55 year-old male with right-sided weakness, intracerebral hemorrhage, evaluate 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 a punctate focus of hemorrhage in the left parietal lobe. There is persistent ... | 1. No significant change in size or extent of intracranial hemorrhage.2. Persistent intraventricular hemorrhage with interval decrease in layering blood within the third ventricle and interval increase in layering blood within the fourth ventricle.3. No significant interval change in the size of the ventricular system. |
Generate impression based on findings. | History of hemophagocytic lymphohistiocytosis and fungal sinusitis. Postoperative changes include bilateral maxillary antrectomy with mid/inferior turbinectomy and partial ethmoidectomy. There has been interval progression in the degree of sinus opacification in this patient with previous documented fungal sinusitis. T... | Interval progression in the degree of soft tissue attenuation demonstrated throughout all sinuses bilaterally in this patient with prior maxillary antrectomy/ethmoidectomy and fungal sinusitis. No CT evidence of invasiveness at this time. |
Generate impression based on findings. | 84-year-old female with history of malignant neoplasm of larynx, status post CRT completed in 5/2012, reevaluate Limited intracranial and orbital views are unremarkable. Opacification of the left mastoid air cells. The left mastoid air cells and visualized paranasal sinuses are clear. The clivus is hypoplastic.Interval... | 1. Post treatment changes in the neck without definite evidence of progressive primary disease or cervical lymphadenopathy.2. Redemonstration of T4 and T5 compression fractures appearing similar to the previous study. |
Generate impression based on findings. | 63 year-old female with recurrent endometrial cancer, neck mass, evaluate Limited intracranial and orbital views are unremarkable. Visualized mastoid air cells and paranasal sinuses are clear.No soft tissue density neck mass is present. In the right supraclavicular region, there is prominence of fat which is compatible... | 1. No evidence of primary malignancy or metastatic disease in the neck.2. Prominence of fat in the right supraclavicular region compatible with a lipoma. |
Generate impression based on findings. | 50 year old female with stage IV ovarian cancer status post chemotherapy in 2012, and cervical/infraclavicular lymphadenopathy at time of diagnosis, reevaluate. Limited orbital and intracranial views are unremarkable. The visualized paranasal sinuses and mastoid air cells are clear.No lymphadenopathy by CT size criteri... | 1. No evidence of a soft tissue mass in the neck.2. No evidence of cervical lymphadenopathy. |
Generate impression based on findings. | 64 year-old female evaluate for recurrence of subdural hematoma or other structural lesion, headache, history of recent subdural evacuation. No evidence of any new intracranial hemorrhage. No significant interval change in size of right anterior frontal subdural hematoma. No hyperdense components to suggest acute bleed... | 1. No evidence of new intracranial hemorrhage.2. No significant interval change in the size of a chronic appearing right hemispheric subdural hematoma. |
Generate impression based on findings. | 68 year-old female with head contusion, status post fall, history of aneurysm Subgaleal hematoma along the left frontal bone.The CSF spaces are appropriate for the patient's stated age with no midline shift. Heavy intracranial atherosclerotic vascular calcifications.No abnormal mass lesions are appreciated intracranial... | Left frontal scalp lesion without calvarial fracture or acute intracranial abnormalities. |
Generate impression based on findings. | Recurrent head and neck cancer, on therapy. Evaluate for disease and compare with previous including measurements. Head: There is no intracranial mass, hydrocephalus, hemorrhage or pathologic enhancement. The midline is intact. There is lobulated soft tissue thickening in addition to secretions within the maxillary sin... | 1.Post-therapeutic changes in the neck without focal mass or lymphadenopathy demonstrated.2.No intracranial abnormality demonstrated.3.Nodules on limited assessment of the lung apices, refer to be designated CT chest report for further detail.4.Maxillary sinus disease. |
Generate impression based on findings. | 57 year old patient with history of prostate cancer. Nonspecific finding on recent bone scan to rule out bone metastasis. There is preservation of the overall lumbar lordosis with multilevel degenerative change resulting in of L1 on 2 (2.2 mm), L2 on 3 (2.2 mm), and L3 on 4 (2.6 mm). There is intervertebral disk height... | Multilevel significant degenerative changes including multilevel neural foraminal stenosis and spinal canal stenosis as described. These findings are felt to be the cause of the uptake on prior bone scan. |
Generate impression based on findings. | 57 year old female with newly diagnosed lymphoma. Status post mediastinoscopy with biopsy, now with left lobe opacity. LUNGS AND PLEURA: There is extrinsic compression of the airways from the patient's mediastinal tumor. This is most pronounced on the left. Measurements of the airway as follows:Level of the manubrium t... | Severe compression of the airways and thoracic esophagus by the patient's known mediastinal lymphoma with interval development of complete occlusion of the left mainstem bronchus and complete to near complete atelectasis of the left lung. Interval increase in large left pleural fluid collection. |
Generate impression based on findings. | 42 year old patient with headache, vertigo, acute vestibular syndrome. Rule out vertebral artery dissection. Unenhanced head: There is focal hyperattenuation within the medial globus pallidi bilaterally most likely representing mineralization. There is no intracranial mass, edema, hydrocephalus or hemorrhage. With the ... | No acute intracranial abnormality and no significant vascular abnormality including aneurysm, stenosis or dissection. |
Generate impression based on findings. | Female 43 years old Reason: sacral abscess History: sacral swelling and pain UTERUS, ADNEXAE: High density structure is without calcification, likely fibroids. Series 4 image 16 one lesion measures 2.1 x 3.1 cm.BLADDER: No significant abnormality notedLYMPH NODES: Bilateral enlarged inguinal lymph nodes.BOWEL, MESENTER... | Probable abscess subcutaneous tissues of the back. |
Generate impression based on findings. | 57 year-old female with chest pain and difficulty breathing. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. There is no evidence of right heart strain.LUNGS AND PLEURA: There is bilateral dependent atelectasis without evidence of focal consolidation, pleural effusion,... | No evidence of pulmonary embolus. |
Generate impression based on findings. | Female 89 years old Reason: evaluate for active bleeding, free air, or fluid History: hypotension s/p trauma, abd pain Exam is not sensitive for detecting lesions in the bowel, solid organs of vasculature due to the lack of oral or intravenous contrast. Active bleeding cannot be evaluated without intravenous contrast. ... | Exam is markedly limited by lack of intravenous or oral contrast. Heterogeneity in the spleen, possible rib fractures and suggestion of layering effect and some of the intraperitoneal fluid and strongly suspicious for splenic laceration and hemoperitoneum. Suggest correlation with plain films if possible for the rib fr... |
Generate impression based on findings. | 58-year-old male with a history of non-small cell lung carcinoma. Status post left lower lobectomy with new onset atrial fibrillation and RVR with hypoxia. PULMONARY ARTERIES: Note is made of filling defects in the segmental branches of the right upper, middle, and right lower lobes consistent with pulmonary emboli. Th... | 1. Filling defects in the segmental branches of the right upper, middle, and lower lobe pulmonary arteries consistent with pulmonary emboli.2. Slight interval increase in bilateral multifocal nodular opacities and consolidation with associated mediastinal lymphadenopathy. 3. Slight interval increase in size of loculate... |
Generate impression based on findings. | History of abdominal mass. Concerns for lung abscess. Fever for 9 days, cough and coarse relation on x-ray from outside institution. LUNGS AND PLEURA: Right upper lobe and superior segment of the lower lobe consolidation, subsegmental atelectasis of the right middle lobe and underlying pleural effusion. No evidence of ... | Multifocal right lung consolidation with underlying pleural effusion. No evidence of lung abscess. |
Generate impression based on findings. | Female 25 years old Reason: Pt w/ abdominal pain , renal transplant, diarrhea, eval for colitis History: abdominal pain, diarrhea Exam is not sensitive at detecting lesions in the solid organs of vasculature due to lack of intravenous contrast. Oral contrast was given patient apparently ingested only a very small amoun... | Suspicious but not diagnostic for focal colitis. Lung micronodules which are new and ground glass appearance with small effusions. Other findings as above. Probable ovarian cyst. |
Generate impression based on findings. | 35-year-old male with altered mental status. 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 hypodense focus is present in the right... | 1.No acute intracranial hemorrhage mass effect or edema. 2.A hypodense focus in the right basal ganglia is unchanged and could represent a lacunar infarct age indeterminant versus dilated perivascular space. |
Generate impression based on findings. | New seizure like activity status post cardiac arrest. Assess for intracranial bleed. Within the limitation of portable technique including suboptimal positioning, there is no intracranial mass, hemorrhage, or hydrocephalus. There is a 3-mm focus of air at the torcular heterophili posteriorly likely on the basis of IV a... | No acute hemorrhage. An intravascular focus of air likely relates to IV access during resuscitation. |
Generate impression based on findings. | Female 31 years old Reason: rule out kidney stone History: flank pain, hematuria The exam is not sensitive for detecting lesions in the bowel, solid organs or vasculature to to lack of oral or intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormali... | No findings to explain the patient's symptoms. If hematuria persists follow-up evaluation should be done to rule out neoplasm. |
Generate impression based on findings. | 27-year-old female with altered mental status. 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.Previously demonstrated mildly hyperinte... | Negative noncontrast head CT. |
Generate impression based on findings. | 55 year-old male with intracranial hemorrhage A small amount of new hemorrhage is present within the peripheral frontal lobe parenchyma at the site of EVD insertion.No significant interval change in the size of the hematoma within the left thalamus, cerebral peduncle, midbrain, pons and inferior cerebellar peduncle as ... | 1.No significant change in size and extent of intracranial hemorrhage although some components demonstrate decreased density consistent with evolution.2.No significant interval change in the size of the ventricular system. |
Generate impression based on findings. | Female 75 years old Reason: evaluate g-j tube placement for possible leak - place water soluble contrast via g-tube port to evaluate History: evaluate g-j tube placement for possible leak - place water soluble contrast via g-tube port to evaluate The exam is not sensitive for detecting lesions in the solid organs of va... | Tube positions as described above. Decrease in amount of free intraperitoneal air. No evidence of abscess or obstruction. Other findings as above. |
Generate impression based on findings. | Fall. Rule out intracranial hemorrhage. Head: Postoperative changes include a bony defects related to left parietal craniotomy. There is underlying left parietal encephalomalacia with ex vacuo dilatation of the adjacent lateral ventricle. There is no acute intracranial abnormality including mass, hemorrhage or edema. T... | 1.Postoperative findings on head examination without acute intracranial pathology.2.Significant soft tissue density associated with the right upper lip. Correlation with clinical examination recommended as this could potentially represent hematoma, abscess or soft tissue mass.3.Periapical lucencies consistent with dent... |
Generate impression based on findings. | Female 58 years old Reason: r/o stone History: flank pain ABDOMEN:LUNG BASES: Probable centrilobular emphysema is seen in lung bases. No effusion.LIVER, BILIARY TRACT: Cholelithiasis. No obvious biliary dilatation. No evidence of fatty liver. Smooth contour to the liver.SPLEEN: No significant abnormality notedPANCREAS:... | Limited by lack of IV contrast. Findings consistent with chronic pancreatitis. Cholelithiasis without obvious biliary dilatation.Other findings as above including nonobstructive left nephrolithiasis probable emphysema lung base. |
Generate impression based on findings. | Male 80 years old; Reason: llq pain History: pain ABDOMEN:LUNG BASES: Surgical changes chest painLIVER, BILIARY TRACT: Cholelithiasis. No evidence of biliary dilatation. Punctate calcifications consistent with granulomas. Punctate hypodensity likely benign cyst. SPLEEN: No significant abnormality notedPANCREAS: No sign... | Cholelithiasis without biliary dilatation. Nonobstructive small ventral hernia. Nonobstructive adhesions small bowel in the region of the laparoscopic hernia repair. No acute findings to explain left lower quadrant pain. |
Generate impression based on findings. | Atypical migraines. JC virus carrier. There is no intracranial mass, edema, hemorrhage or hydrocephalus. The midline is intact. Visualized portions of the paranasal sinuses are unremarkable. Bony structures, mastoids and the orbits are unremarkable. | No acute intracranial pathology demonstrated. |
Generate impression based on findings. | Fall. Rule intracranial hemorrhage. There is no intracranial mass, hemorrhage, edema or hydrocephalus. There is a chronic wedge shaped region of encephalomalacia within the left posterior MCA territory with underlying ex vacuo dilatation of the left trigone likely related to prior infarct. There is a small amount of se... | Sequela of prior left posterior MCA infarct. No acute intracranial abnormality including hemorrhage. |
Generate impression based on findings. | Female 60 years old Reason: evaluate bowel obstruction History: see above Exam is not sensitive for detecting lesions in the bowel solid organs of vasculature due to lack of oral or intravenous contrast. Given the limitations, the following observations are made:ABDOMEN:LUNG BASES: Persistent small bilateral pleural ef... | Multifocal adhesions as the dominant of one of which is outside of the hernia sac along the anterior abdominal wall. Persistent but decreased small bowel dilatation in the pelvis. Persistent ascites with loculation. Case reviewed in person with Dr. Tenney |
Generate impression based on findings. | Headache post fall with frontal scalp laceration. No intracranial mass, edema, hemorrhage or hydrocephalus. The midline is intact. There is a minimally displaced left nasal bone fracture with associated with soft tissue swelling over the left aspect of the nose. There is partial opacification of left the sphenoid sinus... | No acute intracranial abnormality. Minimally displaced left nasal bone fracture and associated soft tissue swelling. |
Generate impression based on findings. | Female 40 years old Reason: assess for kidney stone History: R flank pain, hx kidney stones The exam is not sensitive for detecting lesions in the bowel, solid organs of vasculature due to lack of oral or intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: No significa... | Nonobstructive nephrolithiasis bilaterally. |
Generate impression based on findings. | Midline neck pain. Rule out fracture or misalignment. There is reversal of the physiologic lordosis. There is loss of vertebral body height with sclerotic change and C6 and C7 as well as the partially imaged T4 vertebral body. There is loss of intervertebral disk heights and C5-6, C6-7 and C7-T1. There is no prevertebr... | Severe multilevel degenerative change which does not result in central canal stenosis. There is mild left neural foraminal stenosis at C4-5. No acute anomalies including fracture. |
Generate impression based on findings. | Female 47 years old Reason: r/o stone History: hematuria The exam is not sensitive detecting lesions in the bowel, solid organs of vasculature due to lack of oral or intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: Postsurgical changes right middle lobe. Groundglass... | Multiple findings chronic in nature as described above. No evidence of nephrolithiasis or perinephric fat stranding. If unexplained hematuria persists, further evaluation with contrast-enhanced CT or MRI may be obtained. |
Generate impression based on findings. | Male 54 years old; Reason: evaluate hepatic vasculature and echotexture, Cirrhosis protocol History: NASH Cirrhosis, pre liver transplant evaluation ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Elevated location due to elevation of the right hemidiaphragm. Normal size 14 cm cephalocaudad ... | Chronic dens liver calcifications. No focal liver lesions. No evidence of fatty infiltration of the liver.Thrombus in the extrahepatic portal vein but not completely occlusive. Mesenteric venous wall calcifications, correlated for implications for liver transplantation venous anastamosis. Variant hepatic arterial anato... |
Generate impression based on findings. | Fall. Rule out intracranial hemorrhage or C-spine injury. CT head: The diffuse sulcal and ventricular prominence which is likely age related. There is patchy paraventricular/subcortical white matter hypoattenuation most likely in keeping with sequela of chronic small vessel ischemic disease. There is calcification alon... | 1.No acute intracranial findings including volume loss and sequela chronic small vessel ischemic disease without hemorrhage or fracture.2.Significant multilevel spondylosis resulting in multilevel moderate-severe neural foraminal stenosis.3.Osteopenia without visualized fracture. |
Generate impression based on findings. | Female 63 years old Reason: 63yo female recurrent endometrial CA, lung nodule. assess for dx progression History: as above CHEST:LUNGS AND PLEURA: Index left upper lobe nodule series 4 image 18, 4 x 4 mm. Previously 9 mm.Cluster of small nodules of scar abutting the medial pleural surface at the level of aortic arch se... | Decrease in size of index lesions. No new sites of disease. |
Generate impression based on findings. | Fell and struck head. INR 4.4. Rule out intracranial hemorrhage and cervical spine injury. CT head: There is minimal soft tissue swelling over the right frontal area. There is chronic encephalomalacia within the right temporoparietal lobe with associated ex vacuo dilatation of the underlying lateral ventricle in keepin... | No acute intracranial abnormality including hemorrhage. Chronic findings including sequela of an old infarct. Multilevel degenerative change within the cervical spine resulting in bilateral neural foraminal stenosis at C6-7. Incidental note of a multinodular right thyroid lobe which could be assessed by ultrasound as c... |
Generate impression based on findings. | Reason: 50 yo female with stage IV ovarian CA s/p surgery/chemo completed in Nov 2012. Assess for disease progression History: as above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: 4mm right thyroid nodule unchanged. No pathologic size lymph nodes.CHEST WALL: No significant abnormality... | Decrease in size of index lesions. No new sites of disease. |
Generate impression based on findings. | Male 53 years old Reason: 51M s/p RYGB in 1999, now s/p 2 episodes of severe GI bleeding. S/p upper and lower endoscopy with no source of bleeding. History: S/p lower GI bleeds ABDOMEN:LUNG BASES: Coronary artery calcifications. Persistent relative elevation right diaphragm.LIVER, BILIARY TRACT: No significant abnormal... | No lesion that might contribute to GI bleeding is seen. Expected postsurgical changes. |
Generate impression based on findings. | Male 53 years old; Reason: 53 yo with HCV. wt loss. cirrhosis. please screen for HCC. prior adenopathy noted History: wt loss 13# ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Prominent lateral segment left lobe. No evidence of liver surface nodularity. No focal liver lesions. No evidence ... | Splenomegaly. Prominent lateral segment left lobe and prominence of the portal vein without evidence of liver surface nodularity. No focal liver lesions. Other findings as above. |
Generate impression based on findings. | Female, 30 years old, with surgery in July for recurrent epidermoid cancer of the parotid, evaluate for disease recurrence An area of soft tissue prominence along the medial aspect of the large soft tissue flap now appears more conspicuous, masslike, with enhancement, measuring 16 x 16 mm (series 5, image 85).There is ... | Multiple new enhancing lesions as described in detail above worrisome for recurrent disease. |
Generate impression based on findings. | 43-year-old female with history of subarachnoid hemorrhage, evaluate for new hemorrhage There has been near complete interval resolution of previously demonstrated subarachnoid hemorrhage, with only a small portion remaining in the rightward basilar cisterns. There is no evidence of any mass effect, midline shift or hy... | There has been near complete interval resolution of previously demonstrated subarachnoid hemorrhage, with only a small portion remaining in the rightward basilar cisterns. |
Generate impression based on findings. | 72-year-old patient for further assessment of a small carotid aneurysm demonstrated on MRA. Unenhanced head: There is no intracranial mass, hemorrhage, edema or hydrocephalus. The midline is intact. There are secretions within the left frontal sinus. Remaining sinuses and mastoid cells are clear. Orbits are unremarkabl... | 1.3.9 x 3.7 mm aneurysm extending medially from the postorbital portion of the cavernous carotid. 2.Calcified plaque at the bifurcation of the left carotid with 50% stenosis of the internal carotid by NASCET criteria.3.The patient experienced hives following the examination which did not require intervention. |
Generate impression based on findings. | 50 year-old female with history of meningioma experiencing headache No detectable activity intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Redemonstrated are changes from prior right frontal craniotomy with small foci of underlying parenchymal encephalomalacia in the right frontal cortex id... | 1.No acute intracranial abnormality.2.Stable cortical encephalomalacia of right frontal lobe. |
Generate impression based on findings. | 43-year-old patient with headache. Rule out posterior bleed. No acute abnormality including intracranial hemorrhage, mass, edema or hydrocephalus. Paranasal sinuses and mastoids are aerated. There is no visualized fracture and orbits are unremarkable.CT angiogram: There is normal course and morphology and the intracran... | No acute intracranial abnormality including hemorrhage. No vascular abnormality on CT including aneurysm or steno-occlusive lesion. |
Generate impression based on findings. | 51 year old female status post proctocolectomy with end ileostomy, now with upper abdominal pain and decreased stoma output, leukocytosis. ABDOMEN:LUNG BASES: Left basilar scarring/atelectasis.LIVER, BILIARY TRACT: Subcentimeter hypodensity in the right lobe incompletely characterized but likely benign cyst (series 4, ... | 1.Loculated fluid collection in anterior peritoneal cavity with associated small foci of internal gas and thickened wall, most consistent with abscess given history of leukocytosis.2.No evidence of obstruction. |
Generate impression based on findings. | 40 year old female with left flank pain. ABDOMEN:LUNG BASES: Minimal basilar atelectasis and pleural thickening.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No sig... | No renal stones or other specific abnormality to account for symptoms. |
Generate impression based on findings. | 56-year-old male with history of urothelial cancer status post cystectomy/neobladder in 5/2013. Evaluate for recurrence or metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. Diffusely decreased attenuation of parenchyma consistent with hepatic stea... | 1.Due to presence of oral contrast throughout the colon, IV contrast was not administered. Patient will return after clearance of oral contrast to complete CT urogram study.2.Mild perinephric fat stranding around left kidney is not significantly changed from recent CT on 11/22/2013, suspected to be infectious in etiolo... |
Generate impression based on findings. | 66-year-old female status post laparoscopic cholecystectomy converted to open on 11/18, now with open surgical wound, fevers, tachycardia, concern for surgical site infection. ABDOMEN:LUNG BASES: Bilateral small pleural effusions, right more than left, with overlying basilar consolidation/atelectasis.LIVER, BILIARY TRA... | Mottled free air and mesenteric fat stranding in upper abdomen underlying open abdominal wound, most consistent with infection. While no drainable fluid collection is identified, a relative large focus of free air with associated air-fluid is most consistent with infected fat necrosis and early abscess formation. |
Generate impression based on findings. | 68 year-old female with altered mental status and subdural hemorrhage. There is a small hyperdense extra-axial collection overlying the right hemisphere measuring up to 7 mm in maximal depth, without significant underlying mass-effect. This was not present on the comparison study.Redemonstrated is patchy hypodensity in... | There is a small subdural hemorrhage overlying the right hemisphere measuring up to 7 mm in maximal depth, without significant underlying mass-effect. |
Generate impression based on findings. | 63 year old female with AML, neutropenia, and right lower quadrant tenderness. ABDOMEN:LUNG BASES: Interval improvement in basilar ground glass and nodular opacities, most likely representing resolving aspiration/infection.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Multiple calcified granulomas.PANCR... | 1.Sigmoid diverticulitis without evidence of complications.2.Bilateral adrenal nodules, largest on the right measuring 4.7 cm; these are nonspecific and incompletely evaluated on current exam, but not typical of benign adenomas. Given large size of right nodule, malignancy is suspected. 3.Improved basilar opacities com... |
Generate impression based on findings. | 55 year-old male with intracranial hemorrhage 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 at the ventriculostomy insertion site. There has been decrease in hemorrhage layering within the occipital horn... | 1.No significant change in size and extent of intracranial hemorrhage.2.Decrease in hemorrhage layering within the occipital horns. 3.No significant interval change in the size of the ventricular system. |
Generate impression based on findings. | 42-year-old male patient with sinus tachycardia in history chest pain postop day two. Evaluate for a pulmonary embolus. PULMONARY ARTERIES: Technically limited study. No evidence of a pulmonary embolus to the segmental level. Main pulmonary artery size within normal limits.LUNGS AND PLEURA: Small left sided pleural eff... | 1.No evidence of a pulmonary embolus to the segmental level.2.Bilateral pleural effusions with associated atelectasis.3.Expected postsurgical changes in the upper abdomen. |
Generate impression based on findings. | 40 year-old female status post third ventriculostomy Postoperative changes of a right frontal approach ventriculostomy catheter with its tip located between the suprasellar cistern and intrapeduncular cistern, unchanged in position. Postoperative pneumocephalus and a small amount of subarachnoid hemorrhage in the right... | 1.Right frontal ventriculostomy catheter unchanged in position with stable ventriculomegaly.2.Cystic lesion in right thalamus and midbrain is not significantly changed.3.Small amount of postoperative pneumocephalus, subarachnoid hemorrhage and intraventricular hemorrhage is unchanged. |
Generate impression based on findings. | Female 46 years old; Reason: evaluate post surgical changes in pelvis History: lower abdominal pain s/p THA/BSO and recent intercourse ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cholelithiasis without cholecystitis. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnor... | 1.No acute intraabdominal pathology detected. |
Generate impression based on findings. | Neoplasm of unspecified nature of brain,bleed, seizure The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a 16 x 12 mm axial dimension hyperdense mass located in the left postcentral gyrus associated with vasogenic edema measuring approximately 60 by 55 mm axi... | 1.Redemonstration and no change in size of a left parietal lobe mass associated with vasogenic edema.2.There is a small left frontal lobe lesion which is also stable compared to prior exams |
Generate impression based on findings. | Reason: hip pain History: hip pain Subchondral cysts at the sacroiliac joint and the femoral head at the level of the greater trochanter compatible with osteoarthritis. No evidence of fracture or malalignment. No soft tissue abnormalities.Note is made of vascular calcifications. Calcifications in the trochanteric bursa... | No evidence of acute fracture or dislocation. |
Generate impression based on findings. | 69 year-old female with weakness The ventricles, sulci, and cisterns are symmetric and unremarkable. The cortical gray-white matter differentiation is maintained. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasa... | No acute intracranial abnormality. |
Generate impression based on findings. | Neoplasm of unspecified nature of brain,bleed, seizure The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 16 x 12 mm axial dimension hyperdense mass located in the left postcentral gyrus associated with vasogenic edema measuring approximately 60 by 55 mm axial dimensions it is... | 1.Redemonstration and no significant change in size of a left parietal lobe mass associated with vasogenic edema when compared to the recent MRI. On the prior CT from September this was hypodense whereas on the current CT this hyperdense indicating that this contains blood products which developed in the interim, howev... |
Generate impression based on findings. | 61-year-old female with left lower quadrant abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No sig... | 1. No findings seen to account for patient's symptomatology. |
Generate impression based on findings. | Reason: 60 female with AML, r/o baseline infiltrate History: AML LUNGS AND PLEURA: Mild paraseptal emphysema.MEDIASTINUM AND HILA: Coronary calcification.CHEST WALL: Postop change right axilla and right breast. Soft tissue thickening surrounding right breast clips. Please dedicate with dedicated breast imaging.UPPER AB... | 1. No acute cardiopulmonary abnormality.2. Soft tissue thickening surrounding clips at right lumpectomy site. Correlation with dedicated breast imaging is recommended. |
Generate impression based on findings. | 66 year old female, abdominal pain, epigastric. Evaluate for obstruction. ABDOMEN: Lack of intravenous contrast limits the evaluation of abdominal organs.LUNG BASES: Bibasilar atelectasis. Small amount of pericardial fluid, similar to prior exam. LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant ... | Findings consistent with chronic small bowel obstruction which is not significantly changed compared to 11/9/13 examination. Obstruction most likely due to adhesions given the presence of surgical sutures in the right lower quadrant. |
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