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Generate impression based on findings. | 49-year-old female with history of cholangiocarcinoma and pancreatic neuroendocrine tumor, who presented with bright red blood per rectum and melena. ABDOMEN:LUNG BASES: Small right pleural effusion/pleural thickening.LIVER, BILIARY TRACT: Status post cholecystectomy. Left lobe hemangioma unchanged, measuring 1.5 x 1 .... | 1.New ill-defined soft tissue in upper retroperitoneum suspected to represent tumor.2.Complete thrombosis of portal vein and SMV. Several intrahepatic portal vein branches in the right lobe are also thrombosed, with resultant perfusion abnormalities in liver parenchyma.3.New hypoattenuating lesion in left liver lobe, s... |
Generate impression based on findings. | Speech disturbance and headache. Head CTA: There is a 2-mm outpouching along the left anterior aspect of the anterior communicating artery complex. No additional aneurysms are evident. There is no significant steno-occlusive lesion. The major venous sinuses are patent. There is mild paranasal sinus mucosal thickening.N... | 1.A 2-mm outpouching along the left aspect of the anterior communicating artery complex may represent a prominent infundibulum or aneurysm. No significant steno-occlusive lesions in the head and neck vasculature.2.Multinodular thyroid with a dominant left thyroid nodule that measures 2.9 cm. Further evolution via ultra... |
Generate impression based on findings. | 68-year-old male, evaluate for progression of aspergillosis or evidence of disseminated mucormycosis LUNGS AND PLEURA: Interval near resolution of right upper lobe pneumonia with few residual tree in bud opacities. Mild basilar atelectasis/scarring.MEDIASTINUM AND HILA: Retrosternal scarring is again noted with pericar... | Near interval resolution of right upper lobe pneumonia with few residual tree in bud opacities. No evidence of disseminated disease. |
Generate impression based on findings. | 32-year-old female with history of nephrolithiasis presents with right flank pain radiating to the groin, nausea, vomiting. ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs. Given this limitation, the following observations were made:LUNGS BASES: No significant abnormality noted.LIVER,... | 1.Tiny bladder stone.2.No renal or ureteral calculi identified. |
Generate impression based on findings. | 68-year-old female with abdominal pain and diarrhea -- evaluate source for diarrhea. 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... | 1. No findings seen to account for patient's symptomatology. 2. No diagnostic abnormalities seen in the abdomen or pelvis. |
Generate impression based on findings. | 62-year-old male patient with tachycardia and DVT. Evaluate for pulmonary embolus. PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolism. Bibasilar trace atelectasis.LUNGS AND PLEURA: Mild centrilobular emphysema. Calcified nodule in the left upper lobe consistent with prior granulomatous di... | No evidence of a pulmonary embolus.Mild centrilobular emphysema. |
Generate impression based on findings. | 15-month-old male with fever and complex seizures, evaluate size of CNS lipoma. There is redemonstration of a fat density lesion centered in the velum interpositum, encasing the internal cerebral veins. The lesion measures 2.4 x 2.8 x 1.5 cm (transverse x AP x CC), increased overall in absolute size and perhaps relativ... | The midline fat density mass centered in the velum interpositum is compatible with a lipoma and has slightly increased in absolute size and perhaps relative size.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Backache, unspecified Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. At L5-S1 there are bilateral pars interarticularis defects present associated with a broad-based central disk protrusion and anterior subluxation of L5 on S1 by approximately 7 mm. There is narrow... | 1.There is a spondylolysis with grade I spondylolisthesis present at L5-S1 associated with a central disk protrusion resulting in encroachment of the pitting nerve roots within the neural foramina bilaterally |
Generate impression based on findings. | Recurrent neuroendocrine small cell cancer of the palate admitted for chemoradiation for recurrence to right neck confirmed with FNA 9/27/13, s/p right radical neck dissection, right pectoralis major myocutaneous flap on 10/23/13. There has been interval repeat right neck dissection with resection of the necrotic right... | Interval right neck dissection for resection of metastatic lymph nodes with an air and fluid filled collection in the surgical bed and inflammatory changes in the adjacent parotid gland. An abscess cannot be excluded. Otherwise, no definite evidence of residual lymphadenopathy or locoregional tumor recurrence in the or... |
Generate impression based on findings. | 71-year-old female patient with shortness of breath. Evaluate for emphysema in location and may be responsive to valves or surgery. LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema, most prominent in the apices. Calcified nodules in the right upper lobe consistent with prior granulomatous disease. Mild... | Moderate centrilobular and paraseptal emphysema, upper lobe predominant. |
Generate impression based on findings. | 46-year-old male with history of ALL. Progressive crampy abdominal pain and neutropenic fever. Evaluate for typhlitis, other abdominal pathology. ABDOMEN: The absence of intravenous limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: Bilate... | 1.No CT evidence of bowel pathology, as clinically questioned.2.Bilateral pleural effusions, left greater than right.3.Hepatic steatosis. |
Generate impression based on findings. | Female; 17 years old. Reason: Please evaluate for pseudocyst around site History: Abdominal pain and vomiting ABDOMEN:LUNG BASES: No focal air space opacity or pleural effusions in the partially visualized lung bases. The visualized heart is normal in size without pericardial effusion.LIVER, BILIARY TRACT: No focal hep... | 1. No acute abdominal abnormality is evident.2. Ventriculoperitoneal shunt catheter without evidence of malfunction. No pseudocyst at its tip. |
Generate impression based on findings. | Malignant neoplasm of head, face, and neckPersonal history of irradiation, presenting hazards to health CT neck:Numerous surgical clips are redemonstrated in the left neck. The left sternocleidomastoid muscle is not readily identified. The left and jugular vein is not readily identified there is old likely related to p... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. There is soft tissue thickening along the left neck is likely posttreatment related2.No evidence for brain metastases. |
Generate impression based on findings. | 70 year-old male with head and neck cancer, likely tonsil primary, status post treatment CHEST:LUNGS AND PLEURA: Unchanged coarsely calcified right lower lobe granulomas. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes compatible with prior granulomatous disea... | No evidence of metastatic disease or significant interval change. |
Generate impression based on findings. | Female 59 years old; Reason: SBO, large bowel obstruction History: generalized abdominal pain, history of unspecified colitis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.A... | 1.Soft tissue attenuation projecting into the endometrial canal, incompletely characterized on CT examination. Correlation with ultrasonographic imaging advised.2.Nonspecific small bowel dilation, without evidence of zone of transition or frank obstruction. Correlate for enteritis. |
Generate impression based on findings. | 71 year old female with Hurthle cell thyroid cancer, evaluate and compare with prior studies. CHEST:LUNGS AND PLEURA: Reference right middle lobe nodule measures 9 x 7 mm and previously measured 1.2 x 1.0 cm (image 52, series 5), decreased in size. Reference left lower lobe nodule measures 2.0 x 2.8 cm (image 51, serie... | Multiple pulmonary metastases, the majority of which are not significantly changed. One reference lesion has decreased in size. No evidence of new sites of disease. |
Generate impression based on findings. | 61-year-old male with melanoma. CHEST:LUNGS AND PLEURA: Several calcified and noncalcified lung micronodules bilaterally, of unclear etiology but may be result of prior granulomatous infection.Mild basilar pleural thickening/scarring.MEDIASTINUM AND HILA: Multiple calcified mediastinal and hilar lymph nodes, consistent... | 1.Calcified and noncalcified lung micronodules, likely result of prior granulomatous infection.2.Sclerosis and heterogeneity in left iliac bone with partial ankylosis of left SI joint; this does not appear typical of metastatic disease and most likely represents Paget's disease. 3.No convincing evidence of metastatic d... |
Generate impression based on findings. | 79-year-old male with all and no metastatic non-small cell lung cancer status post chemoradiation. CHEST:LUNGS AND PLEURA: Pleural-based spiculated mass involving posterior right upper and lower lobes does not appear significantly changed. Associated bronchiectasis also appears similar. Stable elevation of left hemidia... | 1.Pleural-based spiculated mass in right lung not significantly changed. 2.Bilateral adrenal nodules are stable since most recent exam but significantly decreased since remote exams.3.Stable infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | 52 year old female with history of cirrhosis. Monitoring for HCC. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour: Left lobe and caudate hypertrophy with fissural prominence and undulation of liver contours are consistent with history of cirrhosis. Features of portal hypertensi... | 1.Cirrhotic liver morphology without focal lesion.2.Cholelithiasis. |
Generate impression based on findings. | Resected stage 3 melanoma, s/p left neck dissection. There are postoperative findings related to left neck dissection with resection of the left submandibular gland. There is diffuse skin thickening of the left neck in the region of the surgical bed that is likely treatment related and in the left temporal region that ... | 1. Postoperative findings related to left neck dissection without evidence locoregional tumor recurrence of residual significant cervical lymphadenopathy.2. An air-fluid level in the right maxillary sinus may represent acute sinusitis in the appropriate clinical setting. |
Generate impression based on findings. | 72-year-old male patient with history of head and neck cancer status post chemoradiation therapy. Please reevaluate and compare to previous scans. CHEST:LUNGS AND PLEURA: Scattered bilateral micronodules, some of which are calcified, are not significant changed. Calcified granulomas in the right lung are unchanged.MEDI... | No evidence of metastases or significant interval change. |
Generate impression based on findings. | 65-year-old female with nausea and vomiting, C. difficile. ABDOMEN:LUNG BASES: Trace bilateral pleural effusions and basilar consolidation/atelectasis, improved since 11/22/2013.Stable cardiomegaly. Partially visualized metallic lead terminates in right atrium.LIVER, BILIARY TRACT: Stable small amount of ascites fluid ... | 1.Distal small bowel obstruction with transition point in anterior lower abdomen/upper pelvis, due to large pelvic and mesenteric masses.2.Increase in size of large pelvic and mesenteric masses. 3.Increased mesenteric lymphadenopathy and ascites fluid. |
Generate impression based on findings. | Female 65 years old; Reason: History of pancreatic cancer History: na CHEST:LUNGS AND PLEURA: Bilateral scattered pulmonary micronodules, stable in size with no new nodules identified. Largest nodule in right lower lobe measures 7 mm, unchanged. Nonspecific right middle lobe ground glass opacity is unchanged. MEDIASTIN... | 1.Progression of metastatic disease in the liver.2.Stable pulmonary micronodules, mediastinal adenopathy, and retroperitoneal adenopathy. |
Generate impression based on findings. | 62-year-old male with history of tonsillar squamous cell carcinoma, status post induction chemo, reevaluate Diffuse low attention of the cerebellum and cerebellar atrophy, unchanged. Chronic deformity of the nasal bones with the nasal septum intact. Atherosclerotic intracranial vascular calcifications. Limited views of... | Significant interval decrease in size of ill-defined left tonsillar soft tissue mass and cervical lymphadenopathy, left greater than right. |
Generate impression based on findings. | 40-year-old patient following resection of meningioma. There are expected postoperative changes from resection of the right frontal meningioma which previously extended from the orbital roof. There is a resection cavity filled with CSF attenuating fluid. There are hyperattenuating blood products medially overlying the ... | Expected postoperative changes including a small amount of hemorrhage associated with the resection cavity of the large meningioma. Stable midline shift. |
Generate impression based on findings. | Assess EVD. Prior intracranial hemorrhage. The EVD is in unchanged position extending to the midline from a right frontal approach. There has been interval evolution of blood intraventricular and intraparenchymal blood products. Intraparenchymal hemorrhage extends through the left thalamus, extending through the cerebr... | Interval stability in ventricular size from EVD position with evolution of intraventricular and intraparenchymal blood products as described. |
Generate impression based on findings. | Male 73 years old; Reason: pt with melanoma History: melanoma CHEST:LUNGS AND PLEURA: 4-mm nodule is noted along the major fissure in the right lobe (series 4 image 43). While this may be intrapulmonary node, follow-up suggested.Atelectasis and scarring noted in the right lung base. Calcified granulomas noted in the lu... | 1.Multiple splenic lesions compatible with metastatic melanoma. 2.Non specific right adrenal nodule incompletely characterized. MR or dedicated adrenal CT advised.3.The right inguinal hernia containing a portion of the the bladder.4.Non specific 4mm nodule in the right lung base. Continued follow up advised.5.No other ... |
Generate impression based on findings. | 33 year old patient post subarachnoid hemorrhage. There is a trace amount of residual hemorrhage products layering within the basal cistern. There is no new intracranial hemorrhage, mass, fluid collection or hydrocephalus. The midline is intact. Visualized portions of the orbits, mastoids and paranasal sinuses are unre... | Evolution of subarachnoid blood products within the basal cistern. No new abnormality including acute hemorrhage. |
Generate impression based on findings. | 68 year old female with atypical chest pain and inconclusive stress echocardiogram. Patient is referred to evaluate coronary anatomy.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of valsalva and trifurcates into the left anterior descending, ramus intermedius, ... | 1. There are are 2 separate nearly 50% stenoses in the LAD (one at the ostium and the second in the mid-vessel). 2. Mild coronary calcification noted in the diagonal, LCx, and OM arteries. 3. Mild aortic valve calcification. This portion of the report pertains to the heart and great vessels only. The remaining soft tis... |
Generate impression based on findings. | 69-year-old female with history of ovarian cancer, status post 6 cycles chemotherapy followed, with suboptimal surgery with two cycles of Taxol/carbo post surgery. Evaluate disease CHEST:LUNGS AND PLEURA: Stable appearance to the scattered pulmonary micronodules with no new or suspicious pulmonary nodules seen to sugge... | 1. Stable appearance to chest mildly prominent, lymph nodes and micronodules. 2. Stable appearance to gastrohepatic lymph nodes and retroperitoneal lymph nodes, but slight increase in size in bilateral external iliac, lymph nodes, particularly when compared with 9/9/13. 3. Residual thickening seen in several areas invo... |
Generate impression based on findings. | 62-year-old male patient with history of head and neck cancer, status post induction chemotherapy. Please compare to prior examinations and provide measurements if applicable. CHEST:LUNGS AND PLEURA: Right upper lobe apical scarring, pleural thickening and traction bronchiectasis with associated volume loss is stable c... | 1.Stable right upper lobe scarring with mild nodularity that demonstrated mild uptake on PET is likely post-inflammatory in nature. Recommend continued attention to this area on follow up and correlation with PET scan.2.Right bronchus intermedius and right lower lobe segmental bronchial debris consistent with aspiratio... |
Generate impression based on findings. | 60 year-old male with renal cancer. CHEST:LUNGS AND PLEURA: Stable 4-mm in micronodule and right lower lobe (series 5, image 54). No new nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy. Calcified nodes consistent with prior granulomatous infection. Mild coronary artery calcifications. Heart size normal.CHE... | 1.No evidence of recurrence in left nephrectomy bed.2.No lymphadenopathy.3.Stable right lower lobe micronodule, which may be result of prior granulomatous infection.4.Findings suggestive of fatty liver infiltration; correlation with LFTs recommended if clinically indicated to see if clinical suspicion for NASH. |
Generate impression based on findings. | History of right UPJ obstruction 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: Right-sided marked hydronephrosis... | Right UPJ obstruction. No evidence of stones. |
Generate impression based on findings. | Reason: mets lung ca, EGFR +, on Erlotinib, had chemo and RT. Pls c/w previous study and evaluate dz status and tx response. History: lung ca CHEST:LUNGS AND PLEURA: Further fibrotic conversion of radiation reaction in the right lung.The previously referenced right lower lobe nodule has decreased in size, currently 3 m... | Although the previously referenced right lower lobe nodule has decreased in size, there are multiple bilateral pulmonary nodules that have become larger. Several additional nodules are new. Stable right pleural effusion.No mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | 73-year-old male with melanoma. Additional history obtained from EPIC: history of melanoma of the left forehead with metastasis to the left back, status post left parotidectomy and neck dissection. Within the visualized brain, there is no acute hemorrhage, masses or edema.There are postsurgical changes of a left paroti... | 1.Infiltration of fat planes in the left neck is likely post treatment related.2.Severe degenerative changes of the cervical spine.3.Bordeline sized lymph nodes in the left supraclavicular region and the mediastinum do not meet size criteria for lymphadenopathy. |
Generate impression based on findings. | History of kidney stones 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: Punctate stone in the right upper pole. N... | Punctate stone in the right upper pole without evidence of hydronephrosis. |
Generate impression based on findings. | T4aN2b SCCa of the left oral tongue s/p TFHX completed in 8/2011. There are stable post-treatment findings in the oral cavity region, including hyperemia of the submandibular and parotid glands. There is no evidence of discrete masses or cervical lymphadenopathy by size criteria. The airways are patent. The thyroid gla... | Stable post-treatment findings without evidence of locoregional tumor recurrence or cervical lymphadenopathy. |
Generate impression based on findings. | 60-year-old male with history of bladder neoplasm CHEST:LUNGS AND PLEURA: Mild emphysema. Punctate micronodule is unchanged.MEDIASTINUM AND HILA: Small mediastinal lymph nodes are unchanged.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Hepatic cysts are unchanged.SPLEEN: No significant abnor... | No significant change from previous study. |
Generate impression based on findings. | Reason: h/o vocal cord cancer History: r/o chest mets LUNGS AND PLEURA: Unchanged calcified granulomata and centrilobular predominant emphysema.Mild basilar scarring or fibrosis is unchanged. TheMEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.Mild to moderate coronary calcifications are present.CHES... | No evidence of metastases, or other significant abnormality. No significant change. |
Generate impression based on findings. | Chronic sinusitis and nasal polyps. There are postoperative findings related to bilateral uncinectomy, partial ethmoidectomy, middle turbinectomy, and likely septoplasty. There is moderate mucosal thickening within the bilateral maxillary sinuses as well as hyperattenuating secretions within the right maxillary sinus. ... | Pansinus opacification and polypoid opacities in the nasal cavity are compatible with sinonasal polyposis and sinusitis. |
Generate impression based on findings. | Status post laser resection of a T1 vocal cord cancer. There is an unchanged truncated appearance of the left vocal cord, likely attributable to laser resection. There is an also unchanged punctate defect and adjacent mild sclerosis in the left thyroid cartilage, which is also likely post-treatment in nature. No discre... | Stable post-treatment findings in the larynx without evidence of locoregional tumor recurrence of significant cervical lymphadenopathy. |
Generate impression based on findings. | 64-year-old male history of metastatic urothelial cancer Limited study due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Biapical scarring, unchanged. Micronodules in the right middle lobe, unchanged.MEDIASTINUM AND HILA: Small mediastinal lymph nodes are unchanged.CHEST WALL: No significant abnormality notedABDOMEN:L... | Limited study due to lack of IV contrast. No evidence of metastatic or recurrent disease within the limitations.Micronodules in the lungs and biapical scarring are unchanged. |
Generate impression based on findings. | 73-year-old male with history of bladder and prostate cancer. Status post postero-cystectomy -- CHEST:LUNGS AND PLEURA: Stable appearance to the micronodules with no development of new nodules. No lesions, suspicious for metastases seen and no significant air space disease or pleural effusions noted.MEDIASTINUM AND HIL... | 1. Moderately extensive new mesenteric adenopathy seen in the abdomen and superior pelvis worrisome for metastatic disease. 2. Minimal change in the prior referenced, mediastinal and retroperitoneal lymphadenopathy. 3. Gallstones. 4. No other changes since prior examination. |
Generate impression based on findings. | Pancreas cancer CHEST:LUNGS AND PLEURA: Stable scattered calcified and not calcified micronodules. Linear atelectasis at the lung bases.MEDIASTINUM AND HILA: Calcified lymph nodes are unchanged.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Pneumobilia is unchanged.SPLEEN: No significant abn... | Interval decrease in the size of the locally invasive pancreatic head cancer. |
Generate impression based on findings. | 74-year-old male with history of stage IV gastric cancer CHEST:LUNGS AND PLEURA: Index left lower lobe subpleural nodule is stable measuring 7 x 6 mm on image number 50, series number 4. No new nodules. Other subcentimeter nodules are also stable.MEDIASTINUM AND HILA: Left supraclavicular adenopathy is increased in siz... | Extensive metastatic disease in the lungs, liver, mediastinum, hilum, retroperitoneum, peritoneum and small bowel, mesentery, are grossly stable. Patient's large known gastric cancer is stable. Minimal interval increase in the size of the left supraclavicular lymph node. |
Generate impression based on findings. | 72-year-old female with history of colo-pericardial fistula. Status post exploratory laparotomy and drain placement CHEST:LUNGS AND PLEURA: Bilateral moderate-sized pleural effusions, slightly increased compared to previous CT study. Dependent atelectasis is present.MEDIASTINUM AND HILA: Changes secondary to colonic in... | The slight interval increase in the amount of bilateral pleural effusions.Small amount of pericardial fluid with pericardial drain in place. |
Generate impression based on findings. | 49 year-old female with metastatic melanoma. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: The clusters of small enhancing lymph nodes in the left axilla and are seen, unchanged with the. Reference left axillary node (series 3, image 27) meas... | 1. Stable appearance to lymphadenopathy as measured in the left axilla, retroperitoneum, and pelvis. No new areas of lymphadenopathy seen. 2. No change in the large left posterolateral abdominal wall mass. 3. No change in the large right adnexal mass of uncertain etiology. |
Generate impression based on findings. | Reason: small cell Ca, s/p chemo and RT, followup History: none CHEST:LUNGS AND PLEURA: Postsurgical changes reflect left lower lobectomy with associated volume loss. Subpleural reticulation in left upper lobe compatible with radiation fibrosis is stable. Right anterior paramediastinal reticulation and bronchiectasis a... | Continued interval growth of a heterogeneous, exophytic mass arising from the intra-pole the left kidney highly suspicious for renal cell carcinoma.No suspicious pulmonary nodules. |
Generate impression based on findings. | Reason: lung cancer with liver met, ck response to therapy History: cough CHEST:LUNGS AND PLEURA: Status post right lower lobectomy. Apical and basilar scarring, unchanged.Mild centrilobular upper lobe predominant emphysema. No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar o... | 1.No evidence of recurrence or pulmonary metastatic disease.2.Interval decrease in size of hepatic metastasis.3.Stable T11 and T12 vertebral metastases.4.No new sites of disease identified. |
Generate impression based on findings. | Acute change in mental status, evaluate for intracranial hemorrhage. There is cortical and subcortical welling and hypoattenuation in the right occipital lobe as well as the left orbito-frontal gyrus and pars triangularis. There is a punctate hyperattenuating focus in the left circular gyrus may represent a calcified t... | Edema within the right occipital lobe and left frontal lobes likely represent recent embolic infarcts without evidence of intracranial hemorrhage or midline shift. Brain MRI and cerebrovascular imaging is recommended for further evaluation if feasible. Discussed with Dr. Skelly at 1:25 PM on 11/26/13. |
Generate impression based on findings. | 52-year-old female with history of chordoma CHEST:LUNGS AND PLEURA: Left upper lobe mass measures 2.7 by 1.5-cm on image number 17, series number 5, not significantly changed from previous study.Lobulated index lingular mass abutting the pericardium measures 3.9 by 2.8 cm on image number 59, series number 5, slightly s... | Extensive metastatic lung lesions and mediastinal and hilar adenopathy, grossly unchanged except for minimal interval increase in the size of the left lingular mass.Mixed lytic/sclerotic sacral lesion in left femur lesion are unchanged. |
Generate impression based on findings. | Reason: asess for HCC recurrence History: Recent TACE/RFA ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver contour: The liver contour is nodular. Features of portal hypertension: Enlarged portal vein with multiple portosystemic collaterals consistent with portal hypertension. Increased mo... | 1.Segment 7 hepatic lesion status post chemoembolization without residual nodular enhancement, washout or rim enhancement.2.Redemonstration of numerous hypodense lesions, likely hepatic cysts.3.Redemonstration of thrombosis of the intrahepatic right portal vein.4.Interval coiling of splenorenal shunt collaterals and in... |
Generate impression based on findings. | Reason: pt with MBC on treatment please assess response and compare to previous imaging History: metastic breast cancer CHEST:LUNGS AND PLEURA: Solid, rounded nodules occupy the lower lobes. On the left, the nodule measures 10 x 11 mm (series 6 image 57). This is increased from the prior PET/CT of 7/25/2013, when it me... | Bilateral lower lobe nodules, increasing on the left and new on the right, compatible with pulmonary metastases.Osseous metastases involving T12, L2, right iliac bone and right scapula.Interval development of anterior mediastinal lymphadenopathy which demonstrates increased metabolic activity on the PET performed on th... |
Generate impression based on findings. | 47 year-old female status post fall and head trauma. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The p... | No acute intracranial abnormality. |
Generate impression based on findings. | 62-year-old male status post descending colon resection and Hartmann's procedure at outside hospital. Evaluate for malignancy prior to reversal. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Several hypoattenuating lesions, some of which are too small to characterize, but most likely represe... | 1.Postsurgical changes status post resection of descending colon. Hartmann's pouch and left lower quadrant ostomy appear unremarkable.2.1.2-cm exophytic, hyperdense lesion arising from right kidney is incompletely characterized on this exam, but likely represents proteinaceous or hemorrhagic cyst.3.Multiple well-define... |
Generate impression based on findings. | Renal cell carcinoma status post nephrectomy CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signif... | Status post right nephrectomy. No evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Pterygomaxillary fossa tumor. There is a well-defined soft tissue attenuation prestyloid parapharyngeal mass within the left trigeminal fat pad that measures 11 AP x 15 RL x 15 SI mm. There may be punctate calcification along the periphery of the mass. There is mild asymmetric widening of the left pterygomaxillary foss... | 1. A well-defined soft tissue attenuation mass within the let trigeminal fat pad that measures up to 15 mm may represent a peripheral nerve sheath tumor and less likely a minor salivary gland tumor or lymphatic malformation. High-resolution MRI with contrast may be useful for further characterization. 2. An air-fluid l... |
Generate impression based on findings. | Reason: advanced NSCLC on most recent PET imaging; re-evaluate to assess pace of growth of identified lesions History: none CHEST:LUNGS AND PLEURA: Large right suprahilar mass (series 5/37) with evidence of internal necrosis and dystrophic calcification measuring 46 x 56 mm, increased from 41 x 47 mm previously. The ma... | 1.Interval growth in a large right suprahilar necrotic mass.2. Suspicious right upper lobe subpleural nodule with questionable interval growth which may represent a second primary carcinoma. |
Generate impression based on findings. | Reason: pneumonia? History: neutropenic fever LUNGS AND PLEURA: Motion limits sensitivity.Again noted are bilateral pleural effusions with underlying atelectasis. Effusions have increased compared to the abdominal CT dated 11/25/13.Previously noted right lower lobe nodule is not identified.MEDIASTINUM AND HILA: Large l... | Bilateral pleural effusions, increased from the abdominal CT, dated 11/25/13. No specific evidence of acute infection. |
Generate impression based on findings. | 69-year-old male with aortic stenosis, chest pain, shortness of breath. VESSELS:DISTAL AORTA PROXIMAL TO BIFURCATION: 1.6 X 1.4 cmPROXIMAL RIGHT COMMON ILIAC ARTERY: 1.2 X 0.9 cmDISTAL RIGHT COMMON ILIAC ARTERY: 1.1 X 1.0 cmPROXIMAL RIGHT EXTERNAL ILIAC ARTERY: 1.2 X 1.0 cmMID RIGHT EXTERNAL ILIAC ARTERY: 1.1 X 1.0 cm.... | 1.Atherosclerotic disease with reference measurements as detailed above.2.There is a 1.4 x 1.3 cm cystic lesion in the pancreatic head with peripheral coarse calcifications. The differential considerations include papillary and mucinous neoplasms, as well as lesions within the cystadenoma spectrum. Further evaluation i... |
Generate impression based on findings. | Male; 17 years old. Reason: restaging of tongue and bladder cancer History: asymptomatic CHEST:LUNGS AND PLEURA: No pulmonary nodules. No pleural effusions.MEDIASTINUM AND HILA: Normal heart size without pericardial effusion. No mediastinal or hilar lymphadenopathy.CHEST WALL: No axillary lymphadenopathy.ABDOMEN:LIVER,... | 1. No metastatic disease is evident in the chest, abdomen, and pelvis.2. Numerous bladder calculi.3. Partially visualized punctate calcification within the right scrotum, which can be further evaluated with scrotal ultrasound. |
Generate impression based on findings. | Other postprocedural status Other postprocedural status OR planningLeft tremor The CSF spaces are appropriate for the patient's stated age with no midline shift. Images obtained following placement of a DBS indicates a presence of intracranial air burr hole along the right frontal bone through the right frontal lobe, i... | No evidence for acute intracranial hemorrhage mass effect or edema following placement of a DBS with placement as indicated above. Images are somewhat degraded by metal artifact. |
Generate impression based on findings. | History of laryngeal cancer status post radiation, reevaluate Limited intracranial and orbital views are unremarkable. Small right sphenoid sinus mucus retention cyst, otherwise the visualized paranasal sinuses and mastoid air cells are clear.Scattered small cervical lymph nodes without lymphadenopathy by CT size crite... | 1. No enhancing measurable laryngeal mass or cervical lymphadenopathy is present.2. Interval development of nonspecific symmetric prominence of Waldeyer's ring which completely effaces the nasopharyngeal airway. Correlate clinically. |
Generate impression based on findings. | 64-year-old female with cough, compared to previous organizing pneumonia LUNGS AND PLEURA: Interval resolution of right lower lung consolidation and diffuse groundglass opacities. Diffuse mosaic attenuation is again noted, likely due to small airways disease. No suspicious pulmonary nodules or masses. Mild bronchial wa... | Interval resolution of pulmonary consolidation and groundglass opacities. Mild diffuse mosaic attenuation and areas of bronchial wall thickening, most likely reflective of underlying small airways disease. No evidence of primary or metastatic tumor. |
Generate impression based on findings. | 84 year-old female with chronic cough, evaluate in the setting of advanced COPD and nodular lung disease. LUNGS AND PLEURA: Severe centrilobular emphysema. Marked diffuse bronchiectasis and bronchial wall thickening with foci of subpleural scarring/atelectasis. Scattered calcified micronodules compatible with prior gra... | Severe emphysema with diffuse bronchiectasis, bronchial wall thickening, and bronchiolitis suggestive of chronic bronchitis. Correlation for underlying infection with MAI is recommended. |
Generate impression based on findings. | 59 year-old female with metastatic colon cancer. Follow-up exam. CHEST:LUNGS AND PLEURA: Several bilateral pulmonary nodules are unchanged; reference pleural-based left lower lobe nodule measures 8 x 8 mm, previously measured 9 x 7 mm (series 4, image 60). No new nodules identified.MEDIASTINUM AND HILA: No significant ... | 1.No significant change in lung nodules.2.Decrease in size of hepatic metastatic lesions.3.Persistent thrombosis in right internal jugular vein; resolution of previously seen right lower neck hematoma. 4.Circumferential rectal mass with surrounding infiltrative changes in perirectal fat, consistent with know carcinoma.... |
Generate impression based on findings. | Reason: history of laryngeal cancer s/p radiation History: cough CHEST:LUNGS AND PLEURA: Scattered areas of bronchial wall thickening with intrabronchial debris most pronounced in the right lower lobe.Scattered nonspecific calcified and noncalcified micronodules. No suspicious pulmonary nodules or masses.No pleural eff... | No evidence of metastatic disease. |
Generate impression based on findings. | Degeneration of lumbar or lumbosacral intervertebral disc Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The patient is status post posterior intraspinous fusion at L4-5. There is a mild anterior subluxation of L4 on L5At L5-S1 there is no significant... | 1.There is moderate spinal stenosis at L4-5 related to disk bulge mild anterior subluxation and facet hypertrophy. There is a bony extrusion present within the left posterior lateral aspect of the spinal canal at L4-5 this partially contributes to spinal stenosis at this level.2.Patient is status post intraspinous fusi... |
Generate impression based on findings. | Metastatic RCC s/p left nephrectomy, IL-2 therapy, and sunitinib with progression of disease. There has been slight interval increase in size and degree of necrosis of the left level 3 lymphadenopathy, which measures 17 AP x 20 RL , previously 15 x 19 mm. Likewise, there has been interval increase in size of the necrot... | 1. Continued interval increase in size of the left level 3 and 4 metastatic lymphadenopathy.2. Partially imaged new large right pleural effusion. Refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Tremor for 30 years, worse for 4 years with parkinsonism. Images are degraded by motion artifact. There is significant ventricular prominence which is out of portion to the degree of atrophic change of the overlying sulci (which is mild). The third and fourth ventricles are prominent as well. There is no periventricula... | Ventricular prominence out of proportion to overlying sulcal atrophy. Correlation for normal pressure hydrocephalus as clinically indicated. Ventricular prominence on the basis of volume loss is less likely given the relative paucity of white matter hypoattenuation. Motion degraded exam. |
Generate impression based on findings. | Chronic sinusitis history of surgery in past. There are postoperative findings related to right partial uncinectomy and possibly middle turbinectomy with a clear neo-infundibulum. There is a small left maxillary sinus retention cyst. The right maxillary sinus is clear. Likewise, the frontal, ethmoid, and maxillary sinu... | Small left maxillary sinus retention cyst, but otherwise clear paranasal sinuses. |
Generate impression based on findings. | Nasal congestion and discharge; s/p sinus surgery for fungus. There are postoperative findings related to functional endoscopic sinus surgery, including bilateral uncinectomy, partial ethmoidectomy, and sphenoidotomy. There has been interval decrease in the degree of the mucosal thickening within the left maxillary sin... | Postoperative findings related to endoscopic sinus surgery with interval partial clearance of right osteomeatal complex opacification and decrease left maxillary sinus opacification, but increased left ethmoid and sphenoid sinus opacification. |
Generate impression based on findings. | 37-year-old male with metastatic renal cancer. Restaging. CHEST:LUNGS AND PLEURA: Moderate right and small left pleural effusions. Punctate calcified focus in the right upper lobe is unchanged and suggests prior granulomatous disease. Previously seen ground glass opacity of the right lower lobe is no longer seen. No su... | 1.Evidence of worsening metastatic disease including enlarging cervical lymphadenopathy, progression of diffuse peritoneal carcinomatosis.2.New bilateral pleural effusions, right greater than left.3.Pneumobilia of uncertain etiology. |
Generate impression based on findings. | Reason: r/o PE History: sob, tachypnea, chest tightness/pressure PULMONARY ARTERIES: The pulmonary artery is of normal caliber. There is no evidence of a pulmonary embolus.LUNGS AND PLEURA: Mild dependent atelectasis. No significant pulmonary or pleural abnormalities.MEDIASTINUM AND HILA: No hilar or mediastinal lympha... | No evidence of a pulmonary embolus. No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | 67 year old female with dyslipidemia referred to assess burden of atherosclerosis as part of a research study.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There... | 1.There are no significant coronary artery stenoses present. 2.Minimal coronary calcification noted. This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpreted by the attending chest radiologist and included as an addendum to ... |
Generate impression based on findings. | Recurrent sinusitis, chronic nasal congestion, sinus pain/pressure. The paranasal sinuses are clear. There is mild right lamellar conchae bullosa. The nasal cavity is clear. There is minimal nasal septal deviation. The right ethmoid roof is 2 mm lower than the left, but these are intact. The carotid grooves and optic c... | No evidence of sinusitis. |
Generate impression based on findings. | 76-year-old male patient presented with cough and has outside study with concern for interstitial lung disease/tree in bud appearance. LUNGS AND PLEURA: Mild septal thickening and bronchiectasis most prominent in the lower lung. Patchy areas of consolidation/atelectasis in the right middle lobe suggestive of prior infl... | 1.Patchy areas of consolidation/atelectasis in the right middle lobe.2.Mild septal thickening and bronchiectasis most prominent in the lower lung. |
Generate impression based on findings. | 45 year old man with chest tightness referred to rule out coronary artery disease. He is participating in the GLOBAL trial.CPT Code: 75574 Coronary Calcium:No coronary calcification is present.Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the le... | 1.There are no significant coronary artery stenoses present. 2.There is no coronary calcification.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpreted by the attending chest radiologist and included as an addendum to this... |
Generate impression based on findings. | 71 year-old female status post fall. There is mild patchy hypodensity in the periventricular white matter. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemo... | No acute intracranial abnormality. Mild small vessel ischemic disease of indeterminate age. |
Generate impression based on findings. | 68-year-old female with nasopharyngeal soft tissue swelling, evaluate Limited intracranial and orbital views are unremarkable. Partial opacification of the ethmoid air cells, right greater than left. Mucosal thickening of the right maxillary sinus with left maxillary mucous retention cyst. Partial opacification of the ... | 1. Hypoattenuating deep neck space collection extending from the right skull base to the hypopharynx which is compatible in appearance with a large phlegmon. The airway is narrowed by this collection, but remains patent.2. Opacification of the right mastoid air cells and right middle ear cavity is suggestive of otomast... |
Generate impression based on findings. | 62 year-old female with acute systolic failure, evaluate for PE PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Moderate bilateral pleural effusions and atelectasis. Patchy groundglass opacities suggestive of edema with underlying emphysema. Debris is noted in the ... | 1. No pulmonary embolus. 2. Cardiomegaly, bilateral pleural effusions with atelectasis and ground glass opacities, consistent with CHF.3. Emphysema.4. Endotracheal tube 1 cm above the carina. |
Generate impression based on findings. | 69-year-old female tobacco use, shortness of breath, left axillary lymphadenopathy. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Moderate centrilobular emphysema. Scattered micronodules and 5-mm right upper lobe nodule.MEDIASTINUM AND HILA: No mediastinal or hil... | Moderate emphysema. 5-mm right upper lobe nodule for which follow-up imaging may be obtained in 6 to 12 months in light of patient's smoking history. |
Generate impression based on findings. | 24 year-old female with diffuse abdominal pain, fever, nausea. Rule-out 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 abnormality seen in abdomen and pelvis. A |
Generate impression based on findings. | 84-year-old male with abdominal distention for 3 days. ABDOMEN:LUNG BASES: Small bilateral pleural effusions. Postsurgical changes in the right lower lobe. Bilateral basilar scarring/subsegmental consolidation.LIVER, BILIARY TRACT: Multiple large cysts in liver parenchyma; largest of these measures 12 cm in diameter.SP... | 1.Distal colonic obstruction due to sigmoid volvulus.2.Soft tissue lesion in base of bladder appears to arise from the prostate gland and likely represents hypertrophied median lobe. 3.Multiple large liver cysts.4.Large bladder and fluid density structures posterior to bladder suspected to represent large bladder diver... |
Generate impression based on findings. | 54-year-old male with history of gist CHEST:LUNGS AND PLEURA: Subpleural scarring in bilateral upper lobes and lower lobes has slightly progressed compared to previous study. Interval development of small amount of pleural effusions.MEDIASTINUM AND HILA: Ill-defined soft tissue density mass in the right apex adjacent. ... | Interval development of small amount of bilateral loculated pleural effusions and slight interval increase in the scarring in the lungs.Mesentery. Index lesion is slightly smaller compared to previous study. Superior mediastinal and retroperitoneal soft tissue index lesions are stable. |
Generate impression based on findings. | Chronic nasal congestion and PND; deviated nasal septum. There is a 3 mm wide right maxillary sinus retention cyst and mild scattered bilateral ethmoid sinus opacification. The other paranasal sinuses and nasal cavity are otherwise clear. There is minimal nasal septal deviation. There is bilateral lamellar type conchae... | 1. No evidence of sinusitis. 2. Minimal nasal septal deviation. |
Generate impression based on findings. | 56 male with history of pulmonary emboli in right lower extremity deep venous thrombosis. Evaluate IVC filter for retained clot. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADR... | 1. Inferior vena cava filter in the proximal inferior vena cava -- no evidence for any retained thrombus about the filter or any visible abnormality in the abdominal/pelvic venous |
Generate impression based on findings. | 62 year-old female status post bowel resection. Evaluate for fluid collections. ABDOMEN:LUNG BASES: Large bilateral pleural effusion and bilateral lower lobe consolidation/atelectasis. LIVER, BILIARY TRACT: CholelithiasisSPLEEN: No significant abnormality notedPANCREAS: Focal hypoattenuating foci in the pancreatic head... | 1.Moderate grade distal small bowel obstruction with transition point occurring distal to anastomosis site in the right lower quadrant. Moderate amount of free fluid in the abdomen and pelvis, with partial loculation along right aspect of pelvic fluid. 2.Postsurgical changes in the right lower quadrant with open midlin... |
Generate impression based on findings. | Spinal stenosis, lumbar region, with neurogenic claudication. h/o fall, severe pain at L2-L3 Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. There is osseous bridging the two anterior osteophytes present along the sacroiliac joints bilaterally. There i... | 1.There are multilevel degenerative changes present in the lumbar spine and sacrum worse at L3-4 where there is a moderate degree of spinal stenosis related to disk bulge and facet hypertrophy.2.There is a mild to moderate degree of spinal stenosis at L4-5 related to disk bulge and facet hypertrophy3.bridging osteophyt... |
Generate impression based on findings. | 57-year-old male patient with history of DVTs and PE. Please evaluate for residual clot burden in the lungs. PULMONARY ARTERIES: Technically adequate study without evidence of a pulmonary embolus.LUNGS AND PLEURA: Minimal bilateral scarring/atelectasis. No focal air space opacity or pleural effusion.MEDIASTINUM AND HIL... | No evidence of a pulmonary embolus. |
Generate impression based on findings. | 74 year old female with perineal cellulitis/abscess. UTERUS, ADNEXA: Multiple calcifications in uterus consistent with fibroids. 2 cm cystic appearing lesion is seen arising from left adnexa (series 3, image 47).BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No s... | 1.Extensive inflammatory change involving the subcutaneous fat of left buttock as well as left gluteus musculature, most consistent with cellulitis and myositis. A loculated fluid collection extending from mons pubis into left perineum consistent with small abscess.2.2-cm left adnexal cystic lesion is nonspecific and f... |
Generate impression based on findings. | 58 -year-old female with abdominal pain and fever. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. There is mild intra-and extrahepatic biliary ductal dilation, unchanged.SPLEEN: Status post splenectomy, with multiple associated surgical clips in left upper quadran... | 1.No acute abnormality to account for patient's fever and abdominal pain.2.Multiple prominent upper retroperitoneal lymph nodes not significantly changed. |
Generate impression based on findings. | 58-year-old male with abdominal pain and rectal bleeding. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: Bilateral basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality note... | Extensive wall thickening or of the colon, predominantly affecting the transverse and descending, consistent with colitis which is likely infectious in etiology.Findings communicated to Dr. Hogan at 8:17 a.m., 11/27/2013. |
Generate impression based on findings. | 47-year-old with advanced metastatic non-small cell carcinoma and pelvic mass status post resection and radiation therapy. Bladder and ureteral injury and abscess. Fever and rigors. Please evaluate. ABDOMEN:LUNG BASES: Unchanged left lower lobe nodule measuring 8 x 6 mm (image 17; series 4). LIVER, BILIARY TRACT: There... | 1.No substantial interval change in abdominal lymphadenopathy or pulmonary nodules.2.Interval placement of right ureteral stent which is in good position.3.Several small pelvic fluid collections.4.Interval enlargement of pelvic adenopathy.5.Clinical service notified of these findings at the time of dictation (pager 822... |
Generate impression based on findings. | 52 year-old male with syncope and fall at home. There is prominence of the superior cerebellar cistern with flattening of the underlying vermis, which raises possibility of an arachnoid cyst in the cistern. The ventricles, sulci, and cisterns are otherwise symmetric and unremarkable. The gray-white matter differentiati... | No acute intracranial abnormality. |
Generate impression based on findings. | 52-year-old female with cirrhosis. Monitoring for HCC. UTERUS, ADNEXA: Myomatous uterus. BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted | No significant abnormality in the pelvis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 46 years old female s/p TAH/BSO and appy at OSH on 6/30 p/w abdominal pain, vaginal bleeding and possible cuff dehiscence. ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs. Given this limitation, the following observations were made:LUNGS BASES: No significant abnormality noted.LIVER, ... | Postsurgical changes without CT evidence of dehiscence or abscess seen in this study limited by lack of intravenous contrast. |
Generate impression based on findings. | 29 year-old female with history of trauma. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. There is normal... | 1. No acute intracranial abnormality. 2. No evidence of cervical spine fracture or subluxation, if spinal cord or ligamentous injury is suspected MRI is recommended.3. Comminuted nasal bone fracture with probable nasal septal hematoma. |
Generate impression based on findings. | Altered mental status. History of falls. There is diffuse symmetric volume loss and periventricular/subcortical white matter hypoattenuation which most likely represents sequela of chronic small vessel ischemic disease. There is dolichoectasia of the vertebrobasilar system and significant atherosclerotic calcification ... | Unchanged chronic sequela of small vessel ischemia. No acute abnormality including mass or hemorrhage. |
Generate impression based on findings. | 67-year-old male with history of laryngeal cancer status post total laryngectomy and radiation with right neck pain and erythema, evaluate for right neck abscess/cellulitis There is a large heterogeneous fungating multilocular enhancing mass measuring 7.1 x 7.4 x 6.9 cm in the right neck extending from the paraglottic ... | 1.Large heterogeneous fungating mass in the right neck containing enhancing components likely represents recurrent tumor. This mass completely obliterates the aerodigestive tract. The right carotid arteries are partially encased and narrowed but patent.2.There are foci of air within the mass with a loculated collection... |
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