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Generate impression based on findings. | Reason: Eval for PNA History: fever hypotension LUNGS AND PLEURA: Exam is limited by respiratory motion artifact. Mild emphysema.Multiple nodules in the left upper lobe measuring up to 11 mm (solid nodule on image 38/91). Scattered centrilobular nodules are noted in the left upper lobe. Scattered punctate micronodules ... | 1. Multiple nonspecific pulmonary nodules, most numerous in the left upper lobe, measuring up to 11 mm. The findings are suspicious for infection, especially fungal if the patient is immunocompromised. Given the patient's age these should be followed to resolution to exclude underlying malignancy as this is an alternat... |
Generate impression based on findings. | 51 year old female with chest pain, epigastric pain and upper back pain -- rule out aortic dissection. CHEST:LUNGS AND PLEURA: No significant abnormality noted.No parenchymal masses, nodules or foci of airspace consolidation. No pleural abnormality seen.MEDIASTINUM AND HILA: No significant abnormality noted - no abnorm... | 1. No abnormality seen in the thoracic, or abdominal aorta, without evidence of aneurysm or dissection. 2. Cirrhotic morphology to the liver, unchanged. Incomplete evaluation of the liver parenchyma and vessels due to angiographic phase of imaging only. 3. Repair of prior noted ventral hernias with no evidence of bowel... |
Generate impression based on findings. | 56-year-old male with LVAD, evaluate for hematoma or fluid collection around LVAD CHEST:LUNGS AND PLEURA: Examination limited by motion artifact. Scattered groundglass and tree in bud opacities suggest small airways disease or aspiration.MEDIASTINUM AND HILA: Left chest wall generator and biventricular ICD leads as wel... | Left rectus abdominous sheath hematoma. LVAD in appropriate position. |
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. | 53 year old female. History of metastatic anal cancer, presenting with worsening right upper quadrant abdominal pain. ABDOMEN:LUNG BASES: Left basilar subsegmental atelectasis.LIVER, BILIARY TRACT: Reference right hepatic lobe necrotic lesion measures 5.5 x 5.3 cm (image 21 series 3) previously 5.3 x 5.0 cm. Non-index ... | 1. Interval increase size and number of hepatic metastases. 2. Stable appearance of left perirectal mass with rectal wall thickening and perirectal fatty infiltration. |
Generate impression based on findings. | Reason: r/o PE History: pleuritic constant CP x 1 day, radiating down arm, to back, to epigastric region PULMONARY ARTERIES: The pulmonary artery is of normal caliber.No pulmonary emboli identified.LUNGS AND PLEURA: Nonspecific right upper lobe nodule.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIA... | No evidence of a pulmonary embolus. No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | Reason: rule out PE History: tachycardia, recent DVT, SOB PULMONARY ARTERIES: No evidence of a pulmonary embolus.LUNGS AND PLEURA: Numerous pulmonary metastatic nodules are similar in size and number compared of exam 4 days earlier.No pleural effusions or evidence of a pneumothorax.MEDIASTINUM AND HILA: Unchanged media... | No evidence of a pulmonary embolus. Stable numerous pulmonary metastatic nodules and vertebral metastases. |
Generate impression based on findings. | Reason: 71 female with AML, r/o baseline infiltrate History: AML LUNGS AND PLEURA: Scattered groundglass and interstitial opacities with some nodular components are noted in the right middle lobe. Punctate calcified granuloma in right lower lobe.MEDIASTINUM AND HILA: Scattered small mediastinal nodes. Calcified right h... | Nonspecific right middle lobe opacities suggestive of infection or aspirate. |
Generate impression based on findings. | 89-year-old female patient with fever, night sweats. Evaluate for malignancy. LUNGS AND PLEURA: Biapical scarring. Scattered micronodules, some of which are calcified.Focal air space opacity in the posterior segment of the right upper lung is consistent with aspiration / infection (series 5 image 34). Mild diffuse bron... | 1.Focal air space opacity in the posterior right lung suggestive of aspiration/infection. Recommend follow-up to resolution.2.Ectasia of the distal aortic arch, measuring 3.5 cm in diameter. |
Generate impression based on findings. | 84-year-old female with head and neck cancer, compared with prior CHEST:LUNGS AND PLEURA: Stable thickening and calcification of the pleura. Mild right middle lobe atelectasis. Unchanged right apical scarring. Unchanged calcified nodules consistent with prior granulomatous disease. No suspicious pulmonary nodules or ma... | 1. No evidence of metastatic disease.2. Stable compression deformities of T4 and T5 vertebral bodies and healed left scapular fracture.3. Mild right middle lobe atelectasis and unchanged pleural calcifications and thickening. |
Generate impression based on findings. | Reason: pt with lung ca s/p 2 cycles of chemo History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Reference left upper lobe mass has decreased to 47 x 42 mm on image 17/96 (63 x 16 mm on prior). Reference right middle lobe mass has decreased to 31 x 15 mm on image 51/96 (... | Interval decrease in reference measurements as above. |
Generate impression based on findings. | 55-year-old male with recurrent head and neck cancer, evaluate disease progression CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules consistent with metastatic disease have increased in size. Reference right lower lobe nodule measures 1.2 x 1.0 cm and previously measured 9.0 x 9.0 cm (image 77, series 7). Re... | 1. Increased size of pulmonary metastases. 2. Left axillary lymphadenopathy unchanged in size, but increased in internal hypodensity suggesting treatment effect. |
Generate impression based on findings. | 54-year-old male with metastatic renal cancer status post 4 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: Interval increase in size of multiple lung nodules; reference right middle lobe nodule is only mildly increased in size, measuring 1.5 cm, previously measured 1.2 cm (series 5, image 58). Increase in s... | 1.Increase in size of multiple lung nodules.2.Increase in size of left renal mass.3.Significant increase in pelvic lymphadenopathy. |
Generate impression based on findings. | 39-year-old female with seizures 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. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissue... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Reason: h/o parotid cancer History: r/o lung mets LUNGS AND PLEURA: Previously noted centrilobular nodules in superior segment of left lower lobe have resolved and were likely due to aspirate. No definitive evidence of pulmonary metastases. Very small bilateral pleural effusions are present.MEDIASTINUM AND HILA: Port t... | 1. Multiple new soft tissue nodules highly suggestive of metastatic disease.2. Interval resolution of pulmonary opacity likely due to aspirate. No definitive evidence of pulmonary metastases. |
Generate impression based on findings. | 50 year-old female with headache for 4 days, concern for bleed. Status post craniotomy for meningioma in 2007. Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. The distal right vertebral artery and ... | 1.Stable encephalomalacia of the right frontal lobe without acute abnormality.2.No evidence of aneurysm. |
Generate impression based on findings. | Reason: chest pain History: SOB, pain on inspiration PULMONARY ARTERIES: There is no evidence of a pulmonary embolus.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of a pericardial effusion.Moderate coronary artery... | No evidence of a pulmonary embolus. No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | Total thyroidectomy for cancer. Evaluate for metastatic disease. LUNGS AND PLEURA: Several micronodules are identified: right upper lobe (image number 27/82, superior segment right lower lobe (image 37/82 and 4.4 mm in diameter), right lower lobe (image 43/82 40/42, 49/82 and 3.1 mm in diameter).MEDIASTINUM AND HILA: M... | Continued right micronodules. |
Generate impression based on findings. | headache 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 portions of the paranasal sinuses demonstrate minor opacities. ... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: 25 yo F with ESRD s/p transplant in 2003 and 2013 who p/w colitis. Has lung nodules seen on CT abd. History: 25 yo F with ESRD s/p transplant in 2003 and 2013 who p/w colitis. Has lung nodules seen on CT abd. LUNGS AND PLEURA: New small pleural effusions with patchy ground glass and interstitial opacities at th... | New bilateral subcentimeter nodules with bronchial wall thickening suggestive of bronchiolitis, likely related to infection or aspirate. Superimposed pulmonary edema with small bilateral pleural effusions. |
Generate impression based on findings. | intracranial hemorrhage? cva?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.The visualized portions of the paran... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of hemorrhagic CVA |
Generate impression based on findings. | 87-year-old male with 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: Low attenuation lesions in... | 1. No findings seen to account for patient's symptomatology. No significant abnormalities identified. |
Generate impression based on findings. | 76 year old male with history of relapsed T-cell lymphoma. Status post 6 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: New small left pleural effusion.MEDIASTINUM AND HILA: Increased size and number of enlarged mediastinal lymph nodes. Reference prevascular lymph node measures 5.0 x 2.6 cm (image 28, series 4) previo... | 1. Interval increase in size and number of enlarged mediastinal lymph nodes2. Mixed response of retroperitoneal lymphadenopathy. 3. New small left pleural effusion. |
Generate impression based on findings. | anterior cerebral artery and left internal carotid aneurysms, follow up yearly Brain CTA: There is redemonstration of a 2 x 3-mm axial dimension a right distal cavernous internal carotid artery aneurysm with a small neckThere is redemonstration of a 1.5-mm aneurysm off the proximal portion of the left ophthalmic artery... | 1.Stable size of right internal carotid artery cavernous segment aneurysm.2.Stable 1.5-mm left ophthalmic artery aneurysm.3.No evidence for cerebral vascular occlusive disease4.Please note that imaging was repeated due to suboptimal initial images. As a result there are two sets of images |
Generate impression based on findings. | Reason: Pancreas cancer please assess for any thoracic involvement History: As above LUNGS AND PLEURA: Calcified granuloma left lower lobe. No evidence of pulmonary metastases.MEDIASTINUM AND HILA: Scattered small subcentimeter lymph nodes.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of IV and en... | No evidence of pulmonary metastases. |
Generate impression based on findings. | Reason: h/o lung cancer with mets to abd, has been givn chemo but in prolonged remission now woth new pain pleuretic in nature History: as above CHEST:LUNGS AND PLEURA: Status post left pneumonectomy. Emphysema. Scattered punctate micronodules are stable. No new pulmonary nodules.MEDIASTINUM AND HILA: No significant ab... | Stable postoperative changes. No evidence of measurable disease. |
Generate impression based on findings. | Reason: TNBC on chemotherapy now with worsening cough, evaluate for PE, pneumonia, interstitial process History: History of breast cancer, with worsening cough. Evaluate for PE PULMONARY ARTERIES: No evidence of PE.LUNGS AND PLEURA: Groundglass and interstitial opacity in superior segment left lower lobe with associate... | No evidence of PE. Groundglass and interstitial opacity in superior segment left lower lobe with associated bronchial wall thickening suggestive of bronchiolitis, likely related to aspirate or infection. Mild bilateral hilar adenopathy. |
Generate impression based on findings. | 68-year-old male with cerebellar degeneration, evaluate for malignancy. Lack of coordination. CHEST:LUNGS AND PLEURA: Calcified granulomata. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Dense atherosclerotic calcification of the coronary arteries. Cardiac size is normal without pericardial effusion.C... | 1.Prostatic seeds presumed to be from treated prostate cancer, otherwise, no other findings of primary malignancy seen in the chest, abdomen or pelvis.2.Liver morphology suggestive of chronic liver disease. |
Generate impression based on findings. | Female 65 years old; Reason: 65 y/o F with bilateral lower quadrant abdominal pain. CT abd /pelvis with oral and IV contrast requested. Schedule CT chest at same time. History: as above CHEST:LUNGS AND PLEURA: 6 x 8 mm nodule noted in the right lower lobe. Bilateral pleural thickening and atelectasis is noted.MEDIASTIN... | 1.Large multiloculated cystic lesion arising from the right adnexa. Suspicious for a cystic ovarian neoplasm.2.Non specific 6mm nodule right lung base, continued follow up advised |
Generate impression based on findings. | Male 55 years old; Reason: history of follicular NHL now with increased c/o fatigue in need of scans History: Follicular NHL CHEST:LUNGS AND PLEURA: There are scattered pulmonary nodules. The right lower lobe micronodule (image 76 series 5) measures 4-mm.The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is ... | 1.Enlarged pelvic lymphadenopathy.2.Small pulmonary nodules ; followup is suggested. |
Generate impression based on findings. | 53-year-old male with prostate cancer and rising PSA. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Well-defined hypodensities in the right lobe of the liver and are most compatible with benign cysts. No suspicious lesions identified.SPLEEN: No significant abnormality notedPANCREAS: No signi... | Pelvic lymphadenopathy suspicious for involvement by prostate cancer. |
Generate impression based on findings. | 10-year-old female with recurrent facial myxoid sarcoma, status post excision with flap reconstruction, evaluate reconstruction with 3-D techniques The patient is status post exophytic left facial tumor growth resection with subsequent flap reconstruction. There has been interval resection of a majority of the left-sid... | Extensive postoperative changes including excision of exophytic facial sarcoma with flap reconstruction including soft tissue and osseous elements. |
Generate impression based on findings. | 72-year-old male with history of metastatic esophageal cancer status post chemo, radiation and esophagectomy CHEST:LUNGS AND PLEURA:. Patchy right basilar opacities suggest aspiration. Unchanged right middle lobe nodule. Right lower lobe nodule measures 7 x 6 mm (image 76, series 4) and previously measured 2 x 3 mm.MED... | Status post partial esophagectomy with unchanged retrocrural lymphadenopathy. A subcentimeter right lower lobe nodule is mildly enlarged, nonspecific but continued follow up is recommended. |
Generate impression based on findings. | 2 year-old male with history of ALL and status post transplant with rising EBV level. Evaluate for lymphoproliferative disease. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial ... | 1. No intracranial abnormality. 2. Mild interval increase in size of multiple small lymph nodes in the neck, with the largest one at left level V. The finding can be seen in PTLD or reactive in etiology. 3. Resolution of paranasal sinus inflammatory disease and acute sinusitis. |
Generate impression based on findings. | 72-year-old female with head and neck cancer status post treatment, pancreatic head mass, compare to prior, CHEST:LUNGS AND PLEURA: Biapical scarring, possibly related to prior radiation. Scattered micronodules, some of which are calcified, likely representing prior granulomatous disease. No suspicious pulmonary nodule... | 1. No evidence of metastatic disease.2. Cystic pancreatic head lesion not significantly changed, likely representing an IPMN. |
Generate impression based on findings. | 60 year-old male with gross hematuria. 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 renal calcifications are... | 1.Markedly enlarged heterogeneous prostate.2.Diffuse bladder wall thickening, which may be due to chronic outlet obstruction or possibly non distention of bladder.3.Bladder stones. |
Generate impression based on findings. | 60-year-old male with gross hematuria and smoking history. Status post prostatectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodensities in the right lobe are incompletely characterized but most likely represent benign cysts.SPLEEN: No significant abnormality notedPANCR... | 1.Thickening of anterior bladder wall. Neoplasm is a possibility and follow up is suggested.2.Status post prostatectomy. |
Generate impression based on findings. | 50 year-old male with AML, pretreatment evaluation LUNGS AND PLEURA: Focal left lower lobe bronchial dilatation with adjacent opacity likely postinflammatory in etiology. Mild biapical scarring. No suspicious nodules or masses.MEDIASTINUM AND HILA: Mediastinal or hilar lymphadenopathy. Scattered atherosclerotic calcifi... | No evidence of acute infection. |
Generate impression based on findings. | 82-year-old female patient with history of right sided infiltrate on chest x-ray. Evaluate for hemothorax. CHEST:LUNGS AND PLEURA: Endotracheal tube with tip 5 cm above the carina.Moderate to large right pleural effusion and pneumothorax which could represent hemo/hydropneumothorax. New multifocal consolidation, worst ... | 1. Right hydro vs hemopneumothorax with air tract into right chest wall soft tissues. Superimposed infection/empyema cannot be excluded.2. Multifocal, right worse than left, air space, groundglass and nodular opacities suggestive of infection. |
Generate impression based on findings. | Reason: CT abd and pelvis with and without contrast ADRENAL PROTOCol Pt s/p left adrenalectomy myxoid adrenocortical tumor looking for recurrence History: adrenal mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Stable lesion in the spleen is hypoden... | Stable postoperative changes of left adrenalectomy. No evidence of recurrent or metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | 20 year-old male with metastatic germ cell tumor (seminoma) of mediastinum. Evaluate response to BEP. CHEST:LUNGS AND PLEURA: Interval decrease in nodular left upper lobe opacities; left apical nodule measures 1.3 cm, previously measured 1.9 cm (series 6, image 24).No new suspicious nodules identified.Unchanged elevati... | 1.Significant interval decrease in size of anterior mediastinal mass and mediastinal lymphadenopathy.2.Interval decrease in nodular left upper lobe lung opacities.3.Stable ill-defined retroperitoneal soft tissue. |
Generate impression based on findings. | Clinical question: Rule out bleed after history of fall. Signs and symptoms: Fall yesterday at 7 p.m.. Unenhanced head CT:No detectable acute posttraumatic intracranial or calvarial findings.There is however a small hematoma/edema in the right super orbital soft tissues of the scalp measuring at 26 times 11 mm size.Mil... | 1.No detectable acute posttraumatic intracranial or calvarial findings.2.Right supraorbital scalp hemorrhage/edema measuring 11 x 26 mm.3.mild age indeterminate small muscle ischemic stroke is noted.4.Small retention cyst in the right posterior ethmoid and unremarkable paranasal sinuses and mastoid air cells otherwise.... |
Generate impression based on findings. | Female 78 years old; Reason: LLQ abd pain most when urinating History: LLQ abd pain most when urinating ABDOMEN:LUNGS BASES: Calcified granuloma right lung base.LIVER, BILIARY TRACT: Normal morphology without focal lesion detected. Granuloma are noted in the liver.SPLEEN: Granuloma are noted in the spleen.PANCREAS: Sma... | 1.No evidence of acute intraabdominal pathology detected. |
Generate impression based on findings. | Male 72 years old; Reason: lung cancer follow-up History: followup scan after chemotherapy CHEST:LUNGS AND PLEURA: Severe upper lobe predominant centrilobular emphysema.The previously referenced spiculated nodule in the right lung apex is smaller, measuring 10 x 4 mm (series 4 image 32, previously 10 mm x 9 mm nodule i... | 1. New onset nodularity in the anterior mesentery, worrisome for peritoneal carcinomatosis.2. Bilateral renal lesions, most likely cysts, unchanged. No suspicious renal masses are identified.3. Interval decrease in the right upper lobe nodule.Dr. Cohen notified with the findings at 12:30 on 11/25/13 |
Generate impression based on findings. | history of ALL status post transplant with rising EBV levels Evaluate for post-transplant lymphoproliferative disease CHEST:LUNGS AND PLEURA: Dependent atelectasis in the right lower lobe and left lower lobe.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Left chest port with tip in the SVC. Multiple ... | Multiple enlarged lymph nodes in the axillary regions bilaterally which can be seen in PTLD. Findings communicated to Caitlin Beaudoin at the time of dictation. |
Generate impression based on findings. | Robotic assisted left pyeloplasty with stone formation on sonography. ABDOMEN:LUNG BASES: No focal lung opacity is present.LIVER, BILIARY TRACT: Distended gallbladder with no gallstones.SPLEEN: Normal in size.PANCREAS: Normal in appearance.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: The left renal... | Multiple stones in the left pelvicaliceal system, the largest of which is 1.1-cm in diameter. |
Generate impression based on findings. | Ventriculomegaly and hydrocephalus. Craniotomy for clipping of left PCA. Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. There is a two tandem foci of 50% narrowing along the middle cerebral artery... | 1.The patient is status-post left posterior communicating artery aneurysm clipping. Please note that in the setting of aneurysm clip placement CTA is insensitive in detecting residual or recurrent aneurysm. Overall there is no interval change since the previous year's exam.2.There are two foci of approximately 50% sten... |
Generate impression based on findings. | Male 58 years old; Reason: Hx pancreatitis and pancreatic pseudocyst History: abd pain ABDOMEN:LUNGS BASES: Trace pericardial effusion.LIVER, BILIARY TRACT: Hepatic contour is smooth. Probable right hepatic lobe cysts.SPLEEN: Multiple hypodense splenic lesions are incompletely characterized without contrast. Well-circu... | 1.Study limited without intravenous contrast. No discrete fluid collection adjacent to the pancreas.2.Nonspecific splenic lesions. |
Generate impression based on findings. | Clinical question: NPH? Signs and symptoms: Off balance and headaches. Nonenhanced head CT:Mildly dilated supratentorial ventricular system demonstrate no convincing evidence of interval change.The largest transverse diameter of the third ventricle measures approximately 13 mm identical to prior exam. The measurements ... | 1.No evidence of any acute intracranial process.2.Stable mildly dilated supratentorial ventricular system primarily of the lateral ventricles since prior study.3.Unremarkable and stable exam otherwise. |
Generate impression based on findings. | Altered mental status. History includes myelofibrosis. There is very mild patchy periventricular hypoattenuation which is stable from previous and most likely represents sequela of non-acute small vessel ischemic disease. There is no intracranial mass, edema or hydrocephalus. The midline is intact. Orbits, paranasal si... | No acute intracranial abnormality which would account for the patient's symptoms. Nonspecific mild hypoattenuation which could represent sequela of chronic small vessel ischemic disease. |
Generate impression based on findings. | Clinical question: Status post fall. Signs and symptoms: Headache. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp.Unremarkable images through maxillofacial region and including orbits.Unremarkable cerebral cortex, cortical sulci, ventricular system, C... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule out chronic sinusitis. Signs and symptoms: Recurrent sinus infection not responding to antibiotics. Chronic nasal obstruction; right-sided facial pain/pressure. Medtronic fusion sinus CT:Examination demonstrate a single small focus of mucosal thickening in the right chamber of the sphenoid sinus... | 1.Start summary very small focus of mucosal thickening in the right chamber of sphenoid sinus and unremarkable all paranasal sinuses otherwise are acute or chronic sinus.2.Significant rightward nasal septum deviation and a bony septal spur projecting to the right and with mucosal contact with the superior aspect of rig... |
Generate impression based on findings. | 55-year-old patient post craniotomy. History includes atypical meningioma. A craniectomy defect is demonstrated overlying the left frontal lobe. There's been resection with placement of a prosthetic with localized extradural air demonstrated over the left frontal lobe in addition to a small amount of subarachnoid air. ... | Expected postoperative changes including intracranial air, a small amount of blood product and left frontal edema as result of the left partial craniectomy with skull prosthetic placement. |
Generate impression based on findings. | Reason: tongue cancer History: r/o chest mets LUNGS AND PLEURA: Scattered punctate micronodules are stable and presumably postinflammatory. No new pulmonary nodules.MEDIASTINUM AND HILA: Coronary calcification. Scattered small mediastinal nodes are unchanged.CHEST WALL: Degenerative change involving the thoracic spine.... | 1. No evidence of metastatic disease.2. Known pancreatic ductal dilatation is only partially visualized. Please see prior abdomen pelvis CT for further details. |
Generate impression based on findings. | Reason: lung ca, s/p resection and adj chemo, pls c/w previous study to evaluate dz status. History: lung ca LUNGS AND PLEURA: Reference mixed solid groundglass opacity in the right upper lobe superior to the suture line (image 30/88) measures 3.7 cm x 3.0 cm, unchanged. Multiple surrounding small solid nodules are unc... | Stable CT with findings suggestive of indolent lung adenocarcinoma with intrapulmonary metastases. |
Generate impression based on findings. | Male 71 years old; Reason: Pt is a 71 y/o male with met prostate cancer, evaluate for worsening disease on abiraterone History: met prostate cancer CHEST:LUNGS AND PLEURA: Stable subcentimeter nodular opacity within the left upper lobe (image 50 ,series 5). Interval decrease in size of the spiculated lesion in the righ... | 1. Stable to slightly smaller retroclavicular and mediastinal lymph nodes with reference nodes measured.2. Stable to slightly smaller size of retroperitoneal lymph nodes. |
Generate impression based on findings. | Diffuse MAI infection with positive HIV status Diffuse scattered numerous lytic lesions observed throughout the lower lumbar, sacrum and iliac, greater on the left of midline.The few overlapping lesions previously identified on the abdomen and pelvis CT appear similar in appearance. Including the reference L5 for tubal... | Extensive scattered lytic lesions throughout the lower lumbar spine, sacrum and pelvis consistent with patient's known underlying infection |
Generate impression based on findings. | Unsteadiness. History of lung cancer. Rule out metastatic disease. There is patchy periventricular hypoattenuation in keeping with sequela of chronic small vessel ischemic disease in addition to a more focal area of hypoattenuation within the anterior limb of the right internal capsule. There stable hyperattenuation wi... | Findings most likely representing sequela of chronic small vessel ischemic disease without any lesions suspicious for metastatic disease. No definite parenchymal or leptomeningeal disease. |
Generate impression based on findings. | Reason: PT with NPX ca. s/p CRT 4 months ago. please re-eval History: as above CHEST:LUNGS AND PLEURA: Punctate micronodules are unchanged and presumably benign. No new pulmonary nodules. Scarring at left base unchanged. Emphysema.MEDIASTINUM AND HILA: Coronary calcification.CHEST WALL: Degenerative change involving th... | Stable CT with no definitive evidence of metastatic disease. |
Generate impression based on findings. | No intra-abdominal masses, aorta, prior to VAD and pretransplant Limited study. Intravenous contrast was not administered. This limits sensitivity to detect small lesions in solid organs and bowel.CHEST:LUNGS AND PLEURA: Bilateral mild pleural effusion. Calcified granuloma in the right lower lung. Bi- basilar atelectas... | 1. Mild bilateral pleural effusion. Mild cardiomegaly. Mild ground glass opacities in bilateral lower lobes could be related to atypical infection, edema, or hemorrhage. |
Generate impression based on findings. | Clinical question: Left craniotomy for meningioma resection. Signs and symptoms: Post op surveillance scan. Nonenhanced head CT:Examination demonstrate interval improvement in postoperative changes of left temporal -- parietal craniotomy.There is interval complete resolution of patchy foci of peri-surgical parenchymal ... | 1.Interval improvement of postoperative changes and including complete resolution of patchy peri-surgical site parenchymal hemorrhage and blood product from the surgical cavity.2.Mild residual left frontal encephalomalacia at the site of surgery.3.Complete resolution of mass effect and maintained midline.4.Age indeterm... |
Generate impression based on findings. | Male 61 years old; Reason: abnormal cytology urine History: urge incontience The absence of intravenous contrast limits evaluation of the solid organs and vascular structures. Given these limitations, the following observations were made:CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No a... | 1.Changes compatible with chronic pancreatitis.2.No other abnormality seen on this limited non contrast examination. |
Generate impression based on findings. | 56-year-old female with solitary pulmonary nodule LUNGS AND PLEURA: Mild apical scarring and small subpleural cysts. Reference nonspecific right upper lobe nodule measures 1.0 x 0.5 cm (previously 1.0 x 0.5 cm) in axial dimensions (image 38, series 4). No new suspicious pulmonary nodules.MEDIASTINUM AND HILA: No medias... | 1. Unchanged nonspecific 10 mm right upper lobe nodule. Though the reportedly negative PET and short stability favor a benign nodule, typically nodules are followed to at least 2 years to confirm stability before malignancy can be definitively excluded. 2. Pericardial effusion also appears similar to the prior study. |
Generate impression based on findings. | 30 year-old male with chest pain, history of pneumothorax, evaluate for blebs. LUNGS AND PLEURA: 2 - 4 cm bleb at right medial lung apex. Conceivably this could represent a small residual loculated pneumothorax, though there are some associated small subpleural cysts or very small blebs, making this less likely. Calcif... | 2 - 4 cm bleb at right medial lung apex. Conceivably this could represent a small residual loculated pneumothorax, though there are some associated small subpleural cysts or very small blebs, making this less likely. The left lung is negative. |
Generate impression based on findings. | 81-year-old female with history of malignant neoplasm of the anterior two thirds of the tongue, status post surgery, rule out recurrence Limited orbital and intracranial views are unremarkable. The visualized mastoid air cells and paranasal sinuses are clear.Redemonstration of postsurgical changes of a right neck disse... | 1. Postsurgical changes of a left hemiglossectomy and flap reconstruction without evidence of residual enhancing tumor.2. No evidence of cervical lymphadenopathy by CT size criteria. |
Generate impression based on findings. | 49-year-old female with large abdominal mass. Evaluate for vascular involvement. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple hypervascular liver lesions are identified; for reference right lobe lesion measures 1.4 x 1.7 cm (series 9, image 27). Comparison is difficult to prior exa... | 1.Large mass in the midabdomen which is closely associated with adjacent small bowel loop, raising possibility of small bowel as origin of this mass, possibly GIST. However, etiology remains uncertain. Small branches of the SMA feed this mass; main celiac, main SMA, and IMA branches remain uninvolved. 2.Multiple hyperv... |
Generate impression based on findings. | 75-year-old male with pain. Evaluate for lateral tibial plateau fracture. Comminuted, intraarticular nondisplaced fracture of the lateral tibial plateau. The fracture fragments are separated by less than 2 mm. There is also a less than 2-mm depression at the articular surface. There is a moderate-sized joint effusion. ... | Fracture of the lateral tibial plateau, as described above. |
Generate impression based on findings. | 75-year-old female with epigastric and suprapubic pain -- history of gastric B-cell lymphoma in 2003. ABDOMEN:LUNG BASES: Stable appearance to lung base micronodules as demonstrated overpass. Series of examinations. No new abnormalities. No pleural disease seen.LIVER, BILIARY TRACT: Stable appearance to the 3 small sub... | 1. No abnormality seen to account for patient's symptomatology. 2. Diffuse diverticular changes in the colon without complication seen, unchanged in appearance. 3. Stable examination without change. |
Generate impression based on findings. | 59 year old female with right laryngeal squamous cell carcinoma, status post CRT 4 months ago Limited intracranial and orbital views are unremarkable. The visualized mastoid air cells and paranasal sinuses are clear.No exophytic mass or focal effacement of the aerodigestive tract. No evidence of lymphadenopathy by CT s... | No evidence of residual cervical or metastatic disease. |
Generate impression based on findings. | 84-year-old male with new onset cervical neck pain. History of lung cancer. No acute intracranial abnormalities are seen within the skull base, cavernous sinuses, and limited view of the brain parenchyma. The right lens is thin. There is minimal mucosal thickening of the maxillary sinuses.Views of soft tissue neck is n... | 1.No evidence of metastatic disease in the neck.2.Severe degenerative changes of the cervical spine.3.Left apical pleural thickening is stable.4.Bilateral sialoliths in the sub-mandibular ducts are stable. |
Generate impression based on findings. | 68 year-old female with left jaw pain, headache, swelling, mass, evaluate Limited intracranial and orbital views are unremarkable. The visualized paranasal sinuses and orbits are clear.No soft tissue masses are present in the neck. No lymphadenopathy by CT size criteria. No exophytic mass or focal effacement of the aer... | 1. No mandibular/perimandibular lesions or cervical lymphadenopathy is present.2. Nonspecific prominence of the pharyngeal lymphoid tissue. |
Generate impression based on findings. | chronic sinusitis, h/o radiation for CNS lymphoma The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The patient is status post paranasal sinus surgery. There are bilateral uncinectomies present in the partial exenteration of the left ethmoid air cellsT... | 1.Findings are compatible with chronic sinusitis involving predominantly right-sided sinuses. This appears to wax and wane over time2.partial opacification of some mastoid air cells has been present on prior exams over the past year.3.Status post paranasal sinus surgery.4.Status post posterior fossa surgery for intracr... |
Generate impression based on findings. | 36-year-old female with metastatic adenocystic carcinoma status post chemoradiation and laser ablation The skull base, cavernous sinuses, and limited view of the brain parenchyma are unremarkable.Views of soft tissue neck is negative for discrete mass. No pathologic lymphadenopathy is appreciated based on the size crit... | 1.Infiltration of multiple fat planes throughout the neck is likely treatment related.2.No lymphadenopathy.3.For lung findings, please refer to dedicated lung CT performed on the same day. There are metastatic lesions, post radiation scarring and pleural thickening present.4.Partially calcified left thyroid nodule. |
Generate impression based on findings. | 44-year-old female patient with history of breast cancer presents with shortness of breath and syncope. LUNGS AND PLEURA: Right middle lobe with minimal linear scarring and bronchiectasis. Scattered pulmonary micronodules, some of which are calcified. No suspicious nodules.MEDIASTINUM AND HILA: Cardiac size within norm... | No evidence of pulmonary metastases no new sites of disease identified. |
Generate impression based on findings. | Reason: pt history of prostate cancer, currently receiving treatment. please eval for response/progression and compare with previous using measurements if applicable History: see above LUNGS AND PLEURA: Scattered punctate calcified and noncalcified pulmonary nodules are unchanged. Residual scarring at the site of the i... | No evidence of metastatic disease. |
Generate impression based on findings. | 35-year-old male with slurred speech, rule out hemorrhage versus ischemia Hypoattenuating region within the medial aspect of the left thalamus compatible with an acute infarct and has become more well defined. No findings to suggest hemorrhagic transformation.The CSF spaces are appropriate for the patient's stated age ... | Evolving acute left thalamic non-hemorrhagic stroke. If clinically desired, an MRI may be obtained for further characterization.These findings were discussed with the referring clinical ICU service at 3:15 p.m. on 10/25/2013 |
Generate impression based on findings. | 53 year old male with hip pain. Evaluate for osteomyelitis. Post surgical findings from amputation through the mid pelvis and sacrum are again noted. The distal osteotomy margin of the left ilium is poorly defined compared to the prior exam, with increased patchy lucency and sclerosis throughout the lower left iliac wi... | 1.New heterogeneity in the left iliac osteotomy margin, highly suspicious for acute osteomyelitis.2.Communicating abscesses in the soft tissues of the left pelvis, including an abscess along the left osteotomy margin.3.Widening and irregularity of the left sacroiliac joint, suspicious for infectious arthritis. |
Generate impression based on findings. | 52-year-old male with stage IV colon cancer, please provide index lesion measurements. CHEST:LUNGS AND PLEURA: Interval decrease in size and number of numerous bilateral small pulmonary nodules. Reference left lower lobe pulmonary nodule measures 6 mm (image 51, series 4), previously 10 mm. Reference right lower lobe p... | 1.New long segment colonic wall thickening, suggestive of colitis, which could be related to post treatment changes vs infectious/inflammatory etiology. 2.Numerous liver metastases, which have decreased in size.3.Decreased size of pulmonary nodules.4.Decreased mediastinal lymphadenopathy. |
Generate impression based on findings. | Male 74 years old; Reason: assess ongoing pancreatitis History: cholestatis liver failure, pancreatitis, s/p ercp ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs and of the vessels. Given these limitations, the following observations were made:LUNGS BASES: Bilateral pleural effusions ... | 1.Stable appearance of the pancreas although limited given lack of IV contrast. 2.Stable extensive pneumobilia with patent common duct stent.3.Subtle increase in the bilateral small pleural effusions with atelectasis/consolidation.4.Stable bilateral hyperdense renal lesions are incompletely evaluated. If clinically war... |
Generate impression based on findings. | 56-year-old male with history of bladder cancer status post cystectomy and neobladder. CHEST:LUNGS AND PLEURA: Scarlike opacity in right upper lobe but no suspicious nodules.MEDIASTINUM AND HILA: Cardiac size normal. No pericardial effusion. Atherosclerotic calcifications affect coronary arteries and thoracic aorta. No... | 1.No evidence of recurrence or metastatic disease.2.Decreased left perinephric fat stranding and persistent foci of poor corticomedullary differentiation in left renal parenchyma, most consistent with resolving infection/inflammation. |
Generate impression based on findings. | 60 year-old female with metastatic breast cancer. Baseline exam prior to starting new treatment. CHEST:LUNGS AND PLEURA: Bilateral basilar scarring/atelectasis. Several punctate micronodules are noted, which are most likely benign in nature (series 4, image 47).MEDIASTINUM AND HILA: Multiple mildly enlarged supraclavic... | 1.Multiple enlarged mediastinal, internal mammary, and retroperitoneal lymph nodes, suspicious for involvement by tumor.2.Several punctate lung micronodules are not specific but most likely benign in nature. |
Generate impression based on findings. | Reason: Evaluate for metastatic disease History: pain CHEST:LUNGS AND PLEURA: Multiple large bilateral pulmonary and pleural nodules, greater on the left, compatible with metastases, not significantly allowing for differences in technique.A large posterior pleural lesion is eroding the left seventh rib. Several of the ... | Extensive metastatic disease in the lungs, pleura, and liver. |
Generate impression based on findings. | Patient with history of sickle cell anemia. Status post synangiosis bypass for moyamoya. There are postoperative findings including stranding and swelling within the temporoparietal soft tissues and a bony defect from the right temporal craniotomy. There is focal air within subcutaneous tissues in the right parietal ar... | Expected postoperative changes following synangiosis surgery in this patient with moyamoya syndrome. |
Generate impression based on findings. | Headache. History of breast cancer. There is no intracranial mass, hemorrhage, hydrocephalus, edema or focus of pathologic enhancement. The midline is intact. The paranasal sinuses, mastoid air cells and orbits are unremarkable. | No intracranial pathology demonstrated. |
Generate impression based on findings. | Reason: h/o Left Breast Ca, s/p left MRM in 1/2013, s/p neo adj chemo for ypT3(m)N2, now with new left chest wall skin lesion, s/p biopsy with benign results, r/t metastatic disease History: h/o Left Breast Ca, s/p left MRM in 1/2013, s/p neo adj chemo for ypT3(m)N2, now with new left chest wall skin lesion, s/p biopsy... | No definitive evidence of metastatic disease. Other findings as above. |
Generate impression based on findings. | 55 year-old female with breast cancer LUNGS AND PLEURA: Extensive scarlike opacities at the lung bases. Small apical cysts and peripheral scarlike opacity in the left upper lobe. No suspicious nodules or masses..MEDIASTINUM AND HILA: Nonspecific left thyroid hypoattenuating lesion. No mediastinal or hilar lymphadenopat... | Extensive hepatic lesions, likely representing metastatic disease are only partially visualized. Posttreatment change of the left breast. |
Generate impression based on findings. | 85-year-old male with altered mental status, weakness, no focal findings Patchy hypoattenuation in the periventricular and subcortical white matter is most compatible with small vessel ischemic disease of indeterminate age. Redemonstration of prominence of the sulci with ex-vacuo dilatation of the lateral ventricles co... | 1. No acute intracranial abnormalities. Please note CT is insensitive for the detection of acute ischemia.2. Brain parenchymal volume loss and moderate small vessel ischemic disease of indeterminate age. |
Generate impression based on findings. | 64-year-old female with cervical cancer status post chemotherapy. CHEST:LUNGS AND PLEURA: Multiple bilateral lung masses, many of which are cavitary, as well as multiple punctate nodular and tree in bud opacities, not significantly changed since 11/6/2013.Reference left lower lobe masslike consolidation measures 11.8 x... | No significant change in extensive metastatic disease affecting the lungs, mediastinum, and liver. |
Generate impression based on findings. | Reason: Patient has right-sided pulmonary nodule from 10/12. Needs follow-up exam. History: Pulmonary nodule LUNGS AND PLEURA: Demonstration of 5-mm nodule along the fissure and right middle lobe and most likely representing pulmonary lymph node.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM... | Small right middle lobe nodule, unchanged from a prior Cardiac CT dated 5/18/12 and most likely represents an intrapulmonary lymph node. No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | 52 year-old female with leukocytosis, abdominal pain, tachycardia. History of urothelial cancer. CHEST:LUNGS AND PLEURA: Bilateral pleural effusions, moderate on the left and small on the right, mildly decreased. Overlying basilar subsegmental atelectasis/consolidation in both bases, left more than right.MEDIASTINUM AN... | 1.Bilateral pleural effusions, left more than right, with overlying consolidation/atelectasis.2.No specific evidence of intra-abdominal infection. 3.Left percutaneous nephroureterostomy tube in place, with resolution of hydronephrosis.4.Mesenteric and omental thickening compatible with carcinomatosis, not significantly... |
Generate impression based on findings. | 50 year-old female with left lower quadrant pain. Evaluate for diverticulitis, pyelonephritis. ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs. Given these limitations, the following observations were made:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No signific... | 1.Diverticulitis of the sigmoid colon without evidence of abscess or perforation.2.Solitary left kidney. |
Generate impression based on findings. | 46-year-old female with nonspecific abdominal pain. ABDOMEN:LUNG BASES: Mild groundglass opacities in right lung base most consistent with mild, subsegmental atelectasis. LIVER, BILIARY TRACT: Diffuse low-attenuation of liver parenchyma consistent with steatosis.SPLEEN: No significant abnormality notedPANCREAS: No sign... | Multiple foci of free intraperitoneal air, consistent with perforated viscus. Inflammatory change seen around the distal stomach/proximal duodenum makes this region most suspicious for source of perforation although this is uncertain. Findings were discussed with clinical service (Dr.Podolej) at time of dictation. |
Generate impression based on findings. | 57 year old male with right lower quadrant abdominal pain. Evaluate for appendicitis. 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 not... | 1. No sinus abnormality seen in the abdomen or pelvis. No findings seen to account for patient's symptomatology. |
Generate impression based on findings. | 48 year-old male with kidney stones. ABDOMEN:LUNG BASES: Status post cholecystectomy.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Collection of high density materi... | Collection of high density material in the upper pole of right kidney, most consistent with multiple kidney stone fragments. No evidence of obstructing stones or hydronephrosis. |
Generate impression based on findings. | Ataxia. Evaluate vasculature given previous posterior circulation stenosis. Unenhanced CT head: There is cerebellar atrophy which has increased since the prior exam. There is no intracranial mass, hemorrhage, hydrocephalus or edema. The midline is intact. Paranasal sinuses, mastoid air cells and bony structures are unr... | 1.Basilar artery occlusion extending from immediately superior to the vertebro-basilar junction to the level of the AICAs. 2.Since the previous exam the V4 segment of the left vertebral artery has recanalized.3.Perfusion of the distal basilar presumably on the basis of collateral flow from patent small posterior commun... |
Generate impression based on findings. | 76-year-old male with rectal discharge, elevated WBC. Evaluate for infection or bleeding cause. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The liver enhances homogeneously without focal lesion. The gallbladder is surgically absent, with cholecystectomy clips in the gallbladder fossa.SPL... | 1.Anastomotic leak with fluid and gas collection extending anteriorly and superiorly for approximately 21 cm.2.Left renal mass likely represents an angiomyolipoma, unchanged. |
Generate impression based on findings. | Male 69 years old; Reason: 69 yo male with a hx of metastatic clear cell RCC s/p complete nephrectomy on pazopanib recently dx with psoas abscess, check for progression of RCC as well as resolution of psoas abscess History: metastatic cancer and psoas abscess CHEST:LUNGS AND PLEURA: Right-sided pleural thickening along... | 1.Stable thickening right psoas muscle from 9/26/13 with interval removal of the previously seen drain.2.Relatively stable pulmonary nodules, mediastinal lymph nodes, and liver lesions. |
Generate impression based on findings. | 64-year-old female with G-tube placed recently and now with abdominal distention -- please evaluate for free air or fluid in abdomen. Evaluate for bowel obstruction. Within the limits of a non-IV contrast enhanced examination, limiting evaluation of solid organs parenchyma and vascular structures, following observation... | 1. Interval insertion of percutaneous gastrostomy tube without signs of leak or other abnormality. 2. No evidence of bowel obstruction or findings to correlate with abdominal distention. |
Generate impression based on findings. | 57-year-old female with right-sided weakness and paresthesias, evaluate for CVA. 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. The imaged paranasal sinuses and mastoid air cells a... | No evidence of intracranial hemorrhage, mass, or cerebral edema. Please note that CT is not sensitive for the early detection of nonhemorrhagic acute ischemic stroke and if clinically warranted, an MRI may be considered.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this repor... |
Generate impression based on findings. | Male 70 years old; Reason: Pt is a 69 y/o male with kidney cancer, evaluate for recurrence History: kidney cancer CHEST:LUNGS AND PLEURA: Stable micronodules. Scarring versus atelectasis is stable in the right lung base.MEDIASTINUM AND HILA: Dilated esophagus again noted without wall thickening or distal obstructing le... | Stable examination without overt recurrence or metastatic disease. Resolving postoperative change versus focal fat necrosis within the left nephrectomy site. |
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