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Generate impression based on findings. | 28 year old female. Septic, bilateral low abdominal pain, right greater than left. Evaluate for PID, appendicitis, 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.ADR... | Findings suggestive of right-sided pyelonephritis with phlegmon formation. |
Generate impression based on findings. | CVA. There is no intracranial mass, hemorrhage, edema or hydrocephalus. There is focal prominence of CSF space along the left frontal convexity without scalloping of the overlying frontal bone most likely representing a prominent sulcus. The left insular ribbon is somewhat indistinct on this exam, although note is made... | No acute intracranial abnormality demonstrated on unenhanced CT. If there is persistent concern regarding acute ischemia, MRI could be considered. |
Generate impression based on findings. | 63 year old male. Reason: Assess for cause of ileus such as fluid collection or for mechanical bowel obstruction, s/p cystectomy/neobladder. History: Nausea, vomiting, distention ABDOMEN:LUNG BASES: Coronary artery calcifications. LIVER, BILIARY TRACT: Numerous hepatic cysts. Calcified hepatic granulomata. SPLEEN: Calc... | Small bowel obstruction at or near the anastomosis in the pelvis, right lower quadrant. Post-op changes of cystoprostatectomy and neobladder formation. |
Generate impression based on findings. | Vertigo, left-sided numbness, weakness. Possible posterior circulation stroke Unenhanced head: There is focal prominence of CSF density along the left frontal lobe convexity without adjacent bony scalloping likely representing prominent sulcus or arachnoid cyst. There are a few areas of hypoattenuation within the periv... | 1.Hypoattenuating lesion likely representing plaque at the left subclavian/axillary arterial junction with mild narrowing.2.Irregular partially calcified plaque along the proximal aspect of the left common carotid artery.3.No significant stenosis at the carotid bifurcation by NASCET criteria.4.Right-dominant posterior ... |
Generate impression based on findings. | 60 year old female. Reason: 60yoF with ICM and CAD presents with 10/10 sharp left-sided chest pain for 10 hours, possible STEMI on EKG in ED, cardiac cath negative for lesions, CEs neg x 3, possible drug use. Please rule out aortic dissection. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis/scarring noted. No pleural eff... | Left ventricular enlargement with thinning of the free wall. Marked coronary artery calcifications. No aortic aneurysm or dissection. |
Generate impression based on findings. | 72-year-old male with shortness of breath and possible paraneoplastic syndrome. CHEST:LUNGS AND PLEURA: Continued improvement in basilar predominant bilateral consolidation, left more than right, and bronchial thickening. Previously seen tree in bud nodular opacities in the right middle lobe are also improved. Persiste... | 1.Continued improvement in bilateral basilar predominant lung consolidation, likely resolving organizing pneumonia. Persistent subsegmental consolidation is seen in the left lower and upper lobes. 2.Basilar predominant chronic appearing interstitial opacities are not significantly changed and may represent chronic inte... |
Generate impression based on findings. | 24-year-old female patient with chest pain and shortness of breath. Evaluate for a pulmonary embolus. PULMONARY ARTERIES: Technically adequate study. No pulmonary embolus. Pulmonary artery size within normal limits.LUNGS AND PLEURA: No focal air space opacity, pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Card... | No evidence of a pulmonary embolus.No acute cardiopulmonary abnormality.Nonspecific retroperitoneal and axillary lymphadenopathy with splenomegaly, possibly representing inflammatory/infectious process. |
Generate impression based on findings. | 36 year old female. Reason: bowel obstruction s/p ileostomy takedown w/ rectal EUA, anal dilation 10/30/13. History: Abdominal pain above umbilicus. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenomegaly. The spleen measures 14 cm in length. PANCRE... | No bowel obstruction. Post-op changes in RLQ abdominal wall subcutaneous tissues after ileostomy takedown, without abscess, hernia or fistula. |
Generate impression based on findings. | 60 year-old female with history of chronic sinusitis as was undergoing functional endoscopic sinus surgery Redemonstrated are postoperative changes including medial antrostomies, uncinectomies, partial middle turbinectomies, sphenoidotomies, and partial ethmoidectomies. In this context, the major paranasal sinus ostia/... | Clear paranasal sinuses status post functional endoscopic sinus surgery. |
Generate impression based on findings. | 63-year-old female with history of left parietal glioma and headache, evaluate for postop hemorrhage There is been interval left parieto-occipital craniotomy with associated postsurgical changes. There is a small amount of pneumocephalus.. Hypodensity is noted in the left parietal lobe at the site of prior tumor, which... | 1.Expected postsurgical changes of left parieto-occipital craniotomy with a small amount of acute hemorrhage in the surgical bed. No midline shift or significant mass effect.2.Recommend MRI for further evaluation of residual tumor. |
Generate impression based on findings. | Altered mental status. There is streak artifact associated with metal hardware in the region of the left anterior temporal lobe where there is a small area of encephalomalacia underlying a temporal craniotomy defect. Operative note could not be located within the patient's EMR, however this most likely represents crani... | Postoperative and chronic changes without acute intracranial abnormality. Stable sequela of chronic small vessel ischemic disease. |
Generate impression based on findings. | 65-year-old female with HCV, concern for cirrhosis. Hypoechoic lesion seen in segment 7 on ultrasound. ABDOMEN:LUNG BASES: Stable severe cardiomegaly. Pacer wires are partially visualized in the right atrium.LIVER, BILIARY TRACT: Nodular liver contour consistent with cirrhosis.Corresponding to lesion seen on US, ill-de... | 1.Hepatic segment 7 lesion measuring 1.7 cm in maximal dimension demonstrates arterial enhancement and washout, consistent with hepatocellular carcinoma.2.Cirrhotic liver morphology.3.Stable size of nonspecific left adrenal nodule. |
Generate impression based on findings. | History of atrial fibrillation with anticoagulation. Known tumor. Rule out intracranial hemorrhage. There is right-sided temporo-occipital encephalomalacia associated with ex vacuo dilatation of the right ventricular atrium and an overlying craniotomy defect. There is no associated hemorrhage. There is no acute hydroce... | Chronic postoperative changes within the right temporal occipital region without acute intracranial pathology including hemorrhage. Findings suggesting age indeterminate sequela of small vessel ischemic disease. |
Generate impression based on findings. | 43-year-old female with subarachnoid hemorrhage Brain CTA: Two small outpouchings in the distal right internal carotid artery likely represent infundibula. No definitive aneurysms are identified.There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middl... | 1.No definitive evidence for aneurysm. 2.Continuing evolution of minimal blood products within the suprasellar cistern. No evidence of acute hemorrhage. |
Generate impression based on findings. | 70 year-old male being treated for CLL. Evaluate disease. CHEST:LUNGS AND PLEURA: Bilateral scattered micronodules, several new from prior exam.MEDIASTINUM AND HILA: The mediastinal and hilar lymphadenopathy is redemonstrated. Reference right hilar node measures 2.6 x 2.1 cm (image 45, series #3), unchanged. Reference ... | 1.Slightly improved diffuse lymphadenopathy.2.New pulmonary micronodules.3.Moderate splenomegaly, unchanged. |
Generate impression based on findings. | 27 year-old female with concern for CVA due to decreased responsiveness and elevated blood pressure Interval development of a small amount of hemorrhage within the posterior aspect of the left caudate head. Interval development of a small amount of subarachnoid blood in the parasagittal right occipital lobe adjacent to... | Interval development of a small amount of left caudate head hemorrhage and a small right parasagittal occipital subarachnoid bleed.MRI may be obtained for further characterization of these findings.These findings were discussed with Dr. DiMaggio at 9:45 am on 11/27/2013 |
Generate impression based on findings. | Right foot pain. Abnormal ankle radiographs. History of ankle injury.EXAMINATION: CT right ankle without IV contrast 11/27/13 The talonavicular joint is abnormal. It is narrowed. The articular surfaces are flattened and broadened. There are erosions medially in both the navicular and talus. Osteophyte formation is pres... | Narrowing, flattening, and erosions of the right talonavicular joint. Juvenile arthritis is likely however a fibrous coalition cannot be excluded. |
Generate impression based on findings. | 59-year-old male with non-small cell lung cancer status post neoadjuvant RT CHEST:LUNGS AND PLEURA: Interval reexpansion of the right lower lobe. Nonspecific patchy ground glass and interstitial opacities in the right lower lobe. An underlying mass is now visualized extending along the minor fissure, measuring 2.6 x 2.... | 1. Interval reexpansion of the right lower lobe with underlying mass now visualized and measured for future reference. Patchy ground glass and interstitial opacities in the right lower lobe are nonspecific.2. Reference mediastinal and right hilar lymphadenopathy, mildly decreased in size.3. Cirrhotic liver morphology w... |
Generate impression based on findings. | 65-year-old female patient with lung cancer status post 12 cycles of chemotherapy. Please evaluate for disease and compare with previous scans using the same reference lesions. CHEST:LUNGS AND PLEURA: Left lower lobe nodule adjacent to the descending thoracic aorta measures 11 x 17 mm (series 5 image 54), unchanged. Un... | Stable left lower lobe nodule. No new abnormalities suspicious for metastatic disease. |
Generate impression based on findings. | 38-year-old male with mesothelioma status post 6 doses of treatment. ABDOMEN:LUNG BASES: Left pleural effusion and postsurgical changes in the right lung. Please see dedicated chest CT report for chest findings.LIVER, BILIARY TRACT: Liver is only partially visualized due to severe elevation of right hemidiaphragm. Mild... | 1.Interval increase in bulky retroperitoneal and mesenteric lymphadenopathy as well is significant increase in large amount of ascites fluid. Retroperitoneal lymphadenopathy encases and narrows multiple abdominal vessels, as described above.2.Please see dedicated chest CT report for chest findings. |
Generate impression based on findings. | 88-year-old female with altered mental status evaluate for intracranial hemorrhage Patchy hypoattenuation in the periventricular and subcortical white matter likely represents the sequela of small vessel ischemic disease of indeterminate age. Chronic right paramedian cerebellar hemisphere stroke. Probable right basal g... | 1. No acute intracranial abnormalities. Please note CT is insensitive for the detection of acute ischemia.2. Small vessel ischemic disease of indeterminate age. Chronic right paramedian right cerebellar hemisphere stroke. Probable chronic right basal ganglia lacunar infarct. |
Generate impression based on findings. | 16-year-old male. History of pectus excavatum, evaluate anatomy and calculate Haller index. Pectus excavatum deformity is seen. Haller index measures 3.8. Otherwise, the limited view of the chest is normal. | Pectus excavatum deformity with Haller index of 3.8. |
Generate impression based on findings. | 40 year-old female patient with history of thymoma status post chemotherapy, radiation and resection. Please compare with previous examination and evaluate disease status. CHEST:LUNGS AND PLEURA: Stable elevated left hemidiaphragm suggestive of phrenic nerve paralysis.No significant change in distortion of the left par... | Stable residual anterior mediastinal mass. No specific evidence of metastatic disease or new sites of disease. |
Generate impression based on findings. | 73 year-old female with metastatic lung cancer, reevaluate disease CHEST:LUNGS AND PLEURA: Partially solid nodule in the right lower lobe measures 1.4 x 1.4 cm (image 65, series 5) and previously measured 1.2 x 1.0 cm, increased in size with increasing solid component and associated pleural thickening. Multiple additio... | Increased size of reference right lower lobe partially solid nodule with increasing solid component and adjacent pleural thickening highly suspicious for a primary adenocarcinoma. Multiple additional small groundglass nodules are not significantly changed since 2006. |
Generate impression based on findings. | 26 year old female with left flank pain and 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: Two sm... | 1.There is a 3 mm calcific density is seen at expected location of right UVJ, consistent with stone. No significant hydroureter or hydronephrosis. 2.Two nonobstructing stones in right kidney, largest measuring 3 mm. |
Generate impression based on findings. | Reason: metastatic thryoid ca, on therap, eval for dz progression with measurements History: as above CHEST:LUNGS AND PLEURA: Multiple small pulmonary nodules with reference measurements as follows:1. Apical right upper lobe nodule (series 5/25) 5 x 3 mm, previously 4 x 4 mm, not significantly changed.2. Anterior right... | Pulmonary nodules, renal masses and skeletal metastases with no significant change. . |
Generate impression based on findings. | 80 year-old female with AML, assess for pneumonia. LUNGS AND PLEURA: Interval increase in nodular and ground glass pulmonary opacities and extensive new right lower lobe lobe airspace disease. Left upper lobe masslike lesion measures 3.7 cm and previous measured 3.7 cm (image 22, series 4). New small left pleural effus... | 1. Increased pulmonary ground glass and air space opacities with several nodules and masslike lesions suspicious for atypical infection, although follow-up imaging should be obtained to exclude underlying malignancy. Mediastinal and hilar lymphadenopathy. |
Generate impression based on findings. | 64 year old female with metastatic thyroid cancer on therapy, evaluate Limited intracranial and orbital views are unremarkable. Visualized paranasal sinuses and mastoid air cells are clear. Mottled lucency is again seen involving the right parietal bone, squamous right temporal bone, and a small portion of the right re... | 1. Interval decrease in size of cervical reference lymph nodes.2. No significant interval change in osseous lytic disease involving the right aspect of the calvarium and floor of the right middle cranial fossa.3. Within the limits of CT, the epidural tumor along the right parietal and temporal bones, the floor of the r... |
Generate impression based on findings. | Mesothelioma CHEST:LUNGS AND PLEURA: Stable right hemithorax pleural thickening and nodularity with associated body and loss. Appearance remains consistent with provided history of mesothelioma. Reference measurements are as follows:1. At the level of the aortic arch (image 28 series 3), the one o'clock lesion remains ... | Right hemithorax mesothelioma without interval change. Reference measurements provided |
Generate impression based on findings. | Reason: R/O bicuspid aortic valve History: Dilated ascending aorta LUNGS AND PLEURA: Scattered stable micronodules. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal adenopathy can be identified.Cardiac size is normal without evidence of pericardial effusion.N... | No cardiopulmonary abnormalities identified. Specifically no evidence of aortic dilatation. |
Generate impression based on findings. | Reason: s/p 6 doses of treatment please evaluate for disease and compare to previous scans History: mesothelioma LUNGS AND PLEURA: Status post right pneumonectomy with a fluid-filled right pleural cavity.Nodular right pleural thickening again observed with the following measurements:1.At the level of the aortic arch at... | 1.Interval increase in left lung pulmonary nodules and left pleural effusion.2.Interval increase in mediastinal and pericardial lymph nodes with interval increase in left cardiophrenic mass.3.Right pneumonectomy with stable right pleural thickening in reference measurements. 4.Increasing ascites with increase in mesent... |
Generate impression based on findings. | 72-year-old male patient presents with shortness of breath with hypoxia and history of advanced lung cancer, progressive disease, now on B-RAF inhibitor x 2 months common dust reduced. Please compare to prior. CHEST:LUNGS AND PLEURA: Marked interval increase in bilateral pleural effusions, right greater than left. Righ... | Increased pleural effusions, bilateral air space opacities and sclerotic osseous lesions with interval decrease in liver lesions. |
Generate impression based on findings. | 70 year-old male with CLL, reevaluate Limited intracranial views are unremarkable. Mucosal thickening and bubbly secretions within the maxillary sinuses suggestive of acute sinusitis.Diffuse bilateral cervical lymphadenopathy at all nodal stations without significant interval change in distribution and appearance. Refe... | 1. No significant interval change in amount or extent of bilateral cervical lymphadenopathy at all nodal stations.2. Bubbly secretions in the maxillary sinuses suggestive of acute sinusitis. |
Generate impression based on findings. | 66-year-old male with history of prostate cancer. Rising PSA. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Unchanged mild left adrenal nodularity.KIDNEYS, U... | 1.Interval increased prominence of small soft tissue focus in the left surgical bed is nonspecific though raises question of local recurrence.2.No CT evidence of metastatic disease. |
Generate impression based on findings. | 74 year old female. Reason: Rule out CAD. GLOBAL trial. History: Chest discomfort. Height: 61 inWeight: 136 lbsBSA: 1.6 m^2BMI: 25.7 kg/m^2Calcium Score:LM: 0LAD: 103LCx: 0RCA: 4.3Total: 208. This represents the 67% for this patient's age and gender.Cardiac Function and Morphology:Left Ventricle:EDV: 92 ml The left ven... | 1. Normal ventricular volume and morphology.2. Calcium Score total: 208. This represents the 67%tile for this patient's age and gender.3. No significant coronary artery stenoses. . |
Generate impression based on findings. | 21-year-old female with intractable seizures status post occipital and parietal resections in 2004. Stable postoperative changes of right-sided craniotomies, right occipital and anterior temporal lobe resections with associated encephalomalacia. Right-sided dural thickening is decreased with an improving underlying sma... | Postsurgical changes of right craniotomies and occipital and temporal lobe resections without acute abnormalities. A chronic right subdural fluid collection is decreased in size. An occipital extra axial collection is stable. |
Generate impression based on findings. | 72 year old female status post right nephrectomy. Evaluate for hematoma. ABDOMEN:LUNG BASES: Small bilateral pleural effusions, right more than left.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abno... | Postsurgical changes in the right nephrectomy bed and flank without evidence of hematoma. |
Generate impression based on findings. | Male; 19 years old. Reason: history of metastatic osteosarcoma s/p thoracotomy and chemotherapy History: on therapy evaluation Lack of intravenous contrast limits evaluation for lymphadenopathy, solid organ, and bowel pathology.LUNGS AND PLEURA: Status post multiple bilateral wedge resections. A staple line in the righ... | 1. New nonspecific nodular opacity in the left upper lobe, for which attention at follow-up is recommended.2. Right upper lobe surgical suture row with unchanged linear and nodular opacity, most compatible with postsurgical change. |
Generate impression based on findings. | 27 year-old female with intracranial hemorrhage. Limited portable technique CT images redemonstrate a small amount of hemorrhage within the posterior aspect of the left caudate head as well as subarachnoid blood in the parasagittal right occipital lobe adjacent to the sinus confluence. No additional foci of hemorrhage ... | Limited portable technique CT images redemonstrate a small amount of hemorrhage within the posterior aspect of the left caudate head as well as subarachnoid blood in the parasagittal right occipital lobe adjacent to the sinus confluence. Given differences in technique, no significant interval change. |
Generate impression based on findings. | 15-year-old patient with history of infection at halo pin placement sites. Evaluate for osteomyelitis. Several postoperative findings are demonstrated including a suboccipital craniectomy for foreman magnum decompression, resection of the posterior arch of C1, and shunt placement with catheter tip crossing the dura at ... | Findings related to the prior suboccipital craniectomy for decompression of foreman magnum. Interval resolution of air with no bone fragments left at the site of the previously described focal left parietal comminuted fracture. No lytic lesions of bone, soft tissue stranding or extra-axial fluid collections at this sit... |
Generate impression based on findings. | Metastatic uterine carcinoma on therapy, restaging CHEST:LUNGS AND PLEURA: Stable right upper lobe spiculated nodule (image 28; series 4) measuring 1.1 x 1.3 cm. Relatively stable right lower lobe referenced nodule (image 55; series 4) measuring 0.6 cm in diameter. Increasing right pleural effusion. Presumed lymphangit... | Increasing adenopathy. Reference measurements are given above. Enlarging right pleural effusion. |
Generate impression based on findings. | 48 year old female. Reason: kidney stone History: right flank pain rad to rlq with hematuria ABDOMEN:LUNG BASES: No significant abnormality noted. Breast implants. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | Distal right ureteral 5 mm calcification and mild right hydronephrosis. |
Generate impression based on findings. | Reason: h/o HNC, CRT, lung nodules, compare to previous, measurements pls History: none LUNGS AND PLEURA: Right lower lobe small nodule (image 47 series 5) now demonstrates increased interval cavitation and measures 8 mm previously measuring 2 mm.Additional right lower lobe cavitary nodule (image 47 series 5) now measu... | 1.Interval progression in pulmonary solid and cavitary nodules.2.New hepatic metastases |
Generate impression based on findings. | 78 year old male. Reason: restaging scans, s/p 4 cycles of investigational systemic immunotherapy. History: hx of metastatic bladder cancer. CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged in size since prior examination.MEDIASTINUM AND HILA: There is old granulomatous disease. There is minimal dependent b... | 1.Resolved left hydroureter and hydronephrosis.2.No evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | Spontaneous pneumothorax and chest tube placement. Please check underlying lung anatomy for pleural blebs and possible causes. LUNGS AND PLEURA: Left chest tube is observed extending towards posterior wall and upper lobe within the major fissure. A small underlying residual pneumothorax, however a small anterior gas co... | Left chest tube with a small associated anterior pneumothorax. No underlying intrapulmonary abnormality |
Generate impression based on findings. | Bronchiectasis with out acute exacerbation. Patient had left lower lobe resection LUNGS AND PLEURA: Asymmetric lung volumes with decreased on the left with hilar clips compatible with patient's left lower lobe resection. No underlying intrapulmonary focal abnormalities, specifically no nodules or masses. No effusions. ... | Status post left lower lobe resection without evidence of recurrence or new complication. Previously identified left pleural effusion resolved |
Generate impression based on findings. | 64-year-old male with history of CLL. Reason: relapsed CLL on treatment regimen. History: Evaluation of disease status CHEST:LUNGS AND PLEURA: Diffuse, bilateral miliary pattern is unchanged from previous study.MEDIASTINUM AND HILA: Stable enlarged mediastinal lymph nodes. CHEST WALL: Index left axillary lymph node is ... | No significant change. No new lesions. |
Generate impression based on findings. | 46 showed female with metastatic thyroid cancer, on therapy. A previously demonstrated extra-axial, homogeneously enhancing lesion situated along the left sphenoid wing adjacent to the anterior left temporal lobe has not been included within the field of view on today's acquisition.Lytic changes in the clivus, particul... | 1.Stable lytic lesions involving the clivus, right occipital condyle and left lateral mass of C1. No new bony lesions are detected.2. No pathologic adenopathy in the neck.3. Status post thyroidectomy with no suspicious lesions in the operative bed. |
Generate impression based on findings. | Malignant neoplasm of the head face and neck. Currently on therapy, follow CHEST:LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysema with new extensive patchy opacities largely involving the right lower lobe with minimal sparing of the periphery consistent with small blebs. A small effusion. The remaining ... | 1. Focal nonspecific consolidation suspicious for pneumonia in the appropriate clinical setting and no superimposed findings two suggest intrapulmonary metastatic disease.2. A small fixed nodular density in the trachea also concerning for possible polyp or less likely metastatic disease. |
Generate impression based on findings. | Female 82 years old; Reason: Cause of abd pain, n/v History: Nausea, vomiting abd pain; negative EGD ABDOMEN:LUNGS BASES: Post operative changes from median sternotomy.LIVER, BILIARY TRACT: Hepatic contour is smooth. Nonspecific subcentimeter hypodense lesion possibly a cyst in segment two of the liver. The hepatic and... | 1.No evident inflammatory changes in the abdomen or pelvis. |
Generate impression based on findings. | Prostate cancer. Evaluate for progression of disease. CHEST:LUNGS AND PLEURA: Scattered micronodules again seen unchanged, some of which are calcified and likely all represent granulomatous changes. No new infiltrates or masses seen. No effusions.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No sign... | No change compared to previous. Enlarged prostate with soft tissue extending to the left posterolateral pelvic sidewall. |
Generate impression based on findings. | Benign neoplasm of the thymus. Cough CHEST:LUNGS AND PLEURA: Multiple left pleural based masses are again observed and grossly unchanged. The reference. Visual nodule is currently not well appreciated and or partially resolved. Currently this reference lesion measures 5 mm in short axis and appears flatter, previously ... | Stable pulmonary and thoracic reference measurements |
Generate impression based on findings. | Female 50 years old; Reason: left breast IDC; s/p left lumpectomy, SNBx with 5 LN involved. CT scan for metastatic work-up History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. No pleural effusions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Common... | 1.Post operative changes in the left breast with small left axillary lymph node. |
Generate impression based on findings. | 74 year old male. Reason: wt loss and microscopic hematuria CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Left thyroid lobe small cyst. Right hilar calcifications compatible with old granulomatous disease. CHEST WALL: Multiple metallic pellets in the right lateral chest wall and lung bas... | No acute abnormality to explain weight loss and hematuria. Brachytherapy seeds in the prostate. Cholelithiasis. |
Generate impression based on findings. | 56-year-old male with history of nasopharyngeal carcinoma, chemoradiation therapy, lung nodules, reevaluate Limited intracranial and orbital views are unremarkable. Opacification of the visualized right mastoid air cells. The left mastoid air cells are clear. Mucosal thickening with obliques regions in the right maxill... | 1. Interval development of a rim enhancing hypoattenuating prevertebral space collection/lesion extending from C5 to T1-T2 and permeative changes and endplate erosion of the C6-C7 vertebral bodies with a posterior epidural soft tissue component resulting in some narrowing of the central spinal canal and probable neurof... |
Generate impression based on findings. | 79-year-old patient with history of recurrent buccal cancer on therapy. Evaluate for disease progression. Head: Stable changes associated with left parietal craniotomy including bony defect and left sided dural thickening. There is stable patchy hypoattenuation within a periventricular and subcortical distribution most... | 1.Soft tissue density in centered in the right retromaxillary fossa eroding the posterior lateral wall of the maxillary sinus and alveolar ridge representing tumor recurrence. Exact margins are difficult to differentiate from mucosal thickening and granulation tissue given treatment and reconstruction.2.Slight increase... |
Generate impression based on findings. | Head and neck cancer, follow-up CHEST:LUNGS AND PLEURA: A stable irregular left lower lobe mass posteriorly with changes suggesting internal necrosis again measures 3.9 x 2.3 cm (image 16 series 5). Basilar scarring and atelectasis essentially unchanged. No superimposed new acute focal air space abnormality. No effusio... | Stable left basilar pulmonary mass representing presumed metastatic disease |
Generate impression based on findings. | Reason: evaluate for sternal/xyphoid process abnormality History: chest wall pain, protruberance in region of xyphoid process LUNGS AND PLEURA: Diffuse bronchial thickening suggestive of bronchitis or asthma.4 mm subpleural solid nodule in the left lower lobe, unchanged since 2/28/2013, and presumably benign.MEDIASTINU... | 1. Prominent xiphoid process without any significant pathology or interval change.2. Thickened and mildly dilated esophagus of uncertain etiology.3. Diffuse bronchial thickening suggestive of bronchitis or asthma. |
Generate impression based on findings. | Male 72 years old; Reason: Hx of Bladder Cancer s/p cystectomy with ileal conduit. Eval for recurrent/metastatic disease. History: See above ABDOMEN:LUNGS BASES: Well healed left posteriomedial rib fractures.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No sig... | 1.Status post cystoprostatectomy and ileal conduit; No evident metastatic disease |
Generate impression based on findings. | Head and neck cancer CHEST:LUNGS AND PLEURA: Diffuse and largely centrilobular emphysema. A stable right upper lobe pleural thickening with associated loculated small fluid collection unchanged mild volume loss as expected post radiation change with left to right mediastinal shift. Essentially resolved left basilar cha... | Largely resolved aspiration and diffuse underlying emphysema and post radiation changes. No suspicious new findings to suggest recurrent or metastatic disease |
Generate impression based on findings. | 68-year-old female with chest heaviness and abnormal chest radiograph LUNGS AND PLEURA: Multiple bilateral pulmonary cysts and scattered bullae. Basilar predominant interlobular and intralobular septal thickening. Small centrilobular nodules. No suspicious nodules or masses.MEDIASTINUM AND HILA: Atherosclerotic calcifi... | 1. Cystic/bullous disease. 2. Basilar predominant interstitial disease with centrilobular nodules and intralobular septal thickening. Correlate with history of smoking. Differential may include LIP, LAM or small airways disease. |
Generate impression based on findings. | 36-year-old female concern for ureteral injury. Reason: rule out ureteral injury History: CS with extension low into uterus concern for ureteral injury ABDOMEN:LUNG BASES: Small bilateral pleural effusions and subsegmental basilar consolidation/atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: N... | Changes status post cesarean section without evidence of collecting system injury. |
Generate impression based on findings. | Reason: 65 yr old male with h/o MDS, pre-SCT evaluation History: evaluate LUNGS AND PLEURA: Mild apical paraseptal emphysema.Scattered nonspecific micronodules.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Mildly prominent scattered mediastinal lymph nodes without definite lymphad... | No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | 46-year-old female patient with history of metastatic thyroid cancer, on therapy. Evaluate for disease and compare to previous examinations with measurements. CHEST:LUNGS AND PLEURA: Interval decrease in the size and number of pulmonary nodules. Right lower lobe reference nodule measures 11 x 11 mm (series 5 image 162)... | Slight interval decrease in the dimensions of pulmonary and mediastinal metastases.Stable adrenal metastases and osseous metastatic lesions. |
Generate impression based on findings. | 82-year-old female patient with AML and history of fungal pneumonia. Present with worsening cough. Evaluate for worsening pneumonia versus other process. LUNGS AND PLEURA: Two focal irregularly shaped opacities in the left upper lobe, each approximately 1 cm in size (series 5 images 11 and 18), are new and are suggesti... | Two new small irregularly shaped nodular opacities in the left upper lobe suggestive of fungal infection. |
Generate impression based on findings. | 70 year-old male with history of head and neck cancer CHEST:LUNGS AND PLEURA: Reference left lower lobe perimediastinal pulmonary nodule measures 2.8 x 2.0 cm and previously measured 2.8 x 2.3 cm (image 8, series 4). No significant pleural effusion. Multiple bilateral pulmonary and subpleural metastases, many are mildl... | Numerous pulmonary metastases, many which are mildly decreased in size. No new metastases. |
Generate impression based on findings. | 52-year-old female with metastatic melanoma status post 4 cycles Taxol/CArbo/AVastin. Please assess response to therapy and compare to previous imaging. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are redemonstrated. The reference lesion in the right lower lobe measures 1.7 x 1 .5 cm, previously 1.9 x 1.7 cm. Th... | 1.Stable to slight improvement in metastatic disease, as indicated by pulmonary nodules, mediastinal adenopathy, subcutaneous nodules, and mesenteric adenopathy.2.Cholelithiasis. |
Generate impression based on findings. | Reason: Pt with laryngeal CA s/p CRT completed 11/2012. please re-eval for recurrence and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Biapical scarring, slightly increased compared to previous scans.Interval clearing of right upper lobe ground glass opacity compatible with aspiration.Subpleural rig... | No sign of metastases. |
Generate impression based on findings. | Shortness of breath. Previous diffuse interstitial opacities, check for change LUNGS AND PLEURA: Diffuse new diffuse patchy groundglass opacities greater in the bases and on the right. No discrete effusions however these findings are superimposed upon previously described moderate interstitial changes and emphysema. Mi... | Interval increased airspace opacities throughout the lungs suggesting edema given the mildly enlarged silhouette however the appearance is non-specific and infection or less likely pneumonitis cannot be excluded. |
Generate impression based on findings. | 70 year-old female, history of head and neck cancer, restaging scan CHEST:LUNGS AND PLEURA: Decrease in size of cavitary right middle lobe nodule which now measures 1.6 x 1.4 cm and previously measured 2.1 x 2.4 cm (image 59, series 5). Right upper lobe ground glass opacities are not significantly changed. Scattered no... | 1. Interval decrease in size of cavitary right middle lobe nodule and peripancreatic soft tissue mass. No new metastases.2. Pathologic fracture at the site of the sternal metastasis with decreasing soft tissue component.3. Unchanged right apical ground glass nodules, which may represent indolent adenocarcinoma. |
Generate impression based on findings. | 30 year-old female with recently diagnosed with stage IIB cervical cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant ab... | 1.No evidence of intrathoracic metastatic disease.2.Multiple prominent retroperitoneal and pelvic lymph nodes. |
Generate impression based on findings. | 63-year-old female with malignant neoplasm of the mouth of unspecified site, restaging status post 4 cycles of investigational systemic immunotherapy Head:The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- o... | 1. No cervical lymphadenopathy or soft tissue masses in the neck.2. No significant interval change in destructive osseous manubrial lesion.3. Right apical part solid, part groundglass nodule which remains suspicious for indolent adenocarcinoma. Please see dedicated chest CT from today's date for further details. |
Generate impression based on findings. | 58-year-old male with right neck swelling Within the visualized brain, there is no edema, masses or acute hemorrhage.The orbits are unremarkable. There is a right maxillary mucus retention cyst/polyp. The mastoid air cells are clear. The oral cavity, oro/nasopharynx, hypopharynx, larynx and subglottic airways are unrem... | No findings to explain patient's symptoms, specifically no significant lymphadenopathy or soft tissue masses. |
Generate impression based on findings. | 62 year old female with laryngeal cancer status post CRT. Right neck pain radiating to right ear. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Redemonstrated is change related to total laryngectomy with a soft tissue flap... | No evidence of locally recurrent disease or new neck lymphadenopathy. |
Generate impression based on findings. | 39-year-old female presents with right lower quadrant pain x 1 day, nausea, vomiting, diarrhea, not tolerating p.o. Rule out appendicitis. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnorm... | 1.Findings consistent with acute appendicitis.Findings were discussed with Dr. Munitz of the emergency department at 2:28 p.m. on November 27, 2013 via telephone. |
Generate impression based on findings. | 65 year old patient with metastatic CA. Evaluate for disease with measurement. Head: There is no acute intracranial abnormality including mass, hemorrhage, hydrocephalus or edema. Gray-white differentiation is unremarkable and the midline is intact. Orbits and paranasal sinuses, mastoid air cells and bony structures ar... | No suspicious lesion demonstrated within the head and neck. Stable from previous. |
Generate impression based on findings. | 77-year-old female with metastatic breast cancer. Persistent nausea and back pain. Evaluate for GI involvement. CHEST:LUNGS AND PLEURA: Stable right apical scarring. Stable tubular/branching opacity in right apex, which may represent a bronchocele (series 6, image 26). Basilar predominant dependent atelectasis.No suspi... | 1.No abnormality to explain patient's nausea.2.No significant change in multiple sclerotic foci throughout osseous structures, presumably reflecting treated metastases. No evidence of fracture or vertebral body height loss. |
Generate impression based on findings. | 48-year-old female with persistent abdominal pain. Concern for hernia. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple hypoattenuating lesions throughout the liver, many of which are too small to characterize. While most of these likely represent cysts, there is a cluster of ill-defin... | 1.No hernia. 2.Multiple hypoattenuating lesions throughout the liver, many of which are too small to characterize. While most of these likely represent cysts, there is a cluster of ill-defined hypodense foci in segment 4B, which is of unclear etiology. Dedicated liver MRI may be helpful in further characterization. 3.B... |
Generate impression based on findings. | 82-year-old male with new onset shortness of breath and pain in right upper chest near medial scapula, evaluate for osseous disease. LUNGS AND PLEURA: Mild diffuse emphysema. Scattered micronodules some of which are calcified compatible with prior granulomatous disease. Mild bronchial wall thickening. No suspicious nod... | 1. Compression deformity of the T6 and T4 vertebral bodies. The T6 vertebral body compression fracture appears similar to the prior radiograph in 2012. The T4 vertebral body may also be chronic although mild interval progression cannot be excluded.2. Mild diffuse emphysema.3. No discrete lytic or blastic osseous lesion... |
Generate impression based on findings. | Reason: pt with metastatic melanoma s/p 4 cycles Taxol/CArbo/AVastin please assess response to therapy and compare to previous imaging History: metastatic melanoma Please note that the measurements may be affected by differences in patient positioning from the prior study.Multiple nodules and masses throughout the left... | Multiple nodules and masses compatible with metastatic melanoma, nearly all of which have decreased in size. One axillary node appears to have increased very slightly in size although this may reflect differences in patient positioning rather than a true increase in size. |
Generate impression based on findings. | 64 year old male. Reason: Mass noted on TTE believed to arise from pulmonary veins. Please evaluate this structure History: SOB. History of Crohn's disease. Height: 70 inWeight: 196 lbsBSA: 2.1 m^2BMI: 28.1 kg/m^2Left Atrium: The left atrial volume minus the pulmonary veins is 115 ml. There are four distinct pulmonary ... | No discrete abnormality to explain TTE findings. No mass in the left atrium or pulmonary veins. 1. Normal left atrial size and anatomy. 2. Normal pulmonary vein anatomy. |
Generate impression based on findings. | 63-year-old female status post left triple lumen catheter placement, rule out pneumothorax versus atelectasis LUNGS AND PLEURA: Interval total atelectasis of the left lung with volume loss and mild mediastinal shift to the left. Debris fills the left mainstem bronchus. Moderate left pleural effusion and left basilar ch... | 1. Interval collapse of the left lung with debris filling the left mainstem bronchus likely representing secretions. Moderate bilateral pleural effusions. No evidence of pneumothorax.2. Bilateral pleural effusions. |
Generate impression based on findings. | 30 year-old female with altered mental status. 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 paranas... | No acute intracranial abnormality. |
Generate impression based on findings. | 69 year-old male with newly diagnosed AML, initiation of chemotherapy. 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 u... | 1. No acute intracranial abnormality. 2. Mild ethmoid sinus inflammatory disease. No acute sinusitis. |
Generate impression based on findings. | 35 year old female. Reason: Crohn's disease w/abd pain, questionable narrowing on OSH imaging. History: abd pain, N/V ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypodense liver parenchyma, compatible with fatty infiltration. Status post cholecystectomy.SPLEEN: No significant abnormality n... | Thickened wall and mucosal contrast enhancement in mid-ileal loops is most compatible with active Crohn's disease. Findings are most prominent in a 10 cm segment of mid-ileum. Borderline inflammatory abnormalities are seen in the adjacent ilium and neoterminal ileum, as well as the distal descending colon and sigmoid. ... |
Generate impression based on findings. | Female, 25 years old. Reason: Status post renal txp, with CMV viremia, c diff and continued abdominal pain. Previous CT with poor PO contrast. Please re-evaluate. History: abdominal pain Exam is not sensitive at detecting lesions in the solid organs of vasculature due to lack of intravenous contrast. ABDOMEN:LUNG BASES... | Transverse colon has normal appearance. No bowel abnormality was found. Other findings are stable. No specific abnormality was found to explain abdominal pain. Bilateral pleural effusions. |
Generate impression based on findings. | 79 year-old female with metastatic lung adenocarcinoma. Reason: RPGN s/p renal transplant and metastatic lung adenocarcinoma presenting w abdominal pain, nausea, vomiting - eval for tumor progression, and other causes of abdominal pain. CHEST:LUNGS AND PLEURA: Marked left pleural thickening, volume loss, and cavitation... | 1.Left lung mass consistent with known lung neoplasm, with associated left lung volume loss, hydropneumothorax, and pleural thickening.2.Metastatic disease noted involving osseous structures, axilla, chest wall, and liver is stable. 3.Other findings are stable since 11/26/2013. |
Generate impression based on findings. | 57 year old male. Reason: cholecystitis? History: RUQ abd pain ABDOMEN:LUNG BASES: Bibasilar atelectasis, right greater than left.LIVER, BILIARY TRACT: No definite cholelithiasis or cholecystitis although CT is less sensitive than ultrasound to evaluate the gallbladder. If indicated, ultrasound examination may be helpf... | Polycystic kidneys. No definite cholelithiasis or cholecystitis, although ultrasound examination may be helpful for further evaluation, if indicated. |
Generate impression based on findings. | 97 year-old female with abdominal pain. Reason: eval for mass, lesion seen on EGD, melena. ABDOMEN: Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.LUNG BASES: Bilateral lower lobe atelectasis, scarring, and traction bronchiectasis. No air space opacity s... | 1. Status post cholecystectomy since the prior examination. 2. Paget's disease with involvement of the right hemipelvis and thoracic spine.3. Mid-gastric mass, ~3 cm diameter, corresponds with the abnormality found at EGD. |
Generate impression based on findings. | 63-year-old female with history of left parietal glioma. There is redemonstrationof a left parieto-occipital craniotomy with associated postsurgical changes. There is a small amount of pneumocephalus. Hypodense surgical cavity appears more defined in the left parietal lobe at the site of prior tumor. There are small hy... | Stable postsurgical changes of the left parieto-occipital craniotomy. No midline shift or significant mass effect. |
Generate impression based on findings. | 36 year old female. Reason: POD #10 from radical hysterectomy.Rule out urinoma/bladder injury. DELAYED imaging please. History: pelvic pain, pelvic fluid collection ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signif... | Pelvic fluid collection, compatible with abscess. No urinoma or other evidence of bladder injury. Bibasilar atelectasis. Subcutaneous emphysema in the abdominal wall is probably due to recent surgery. |
Generate impression based on findings. | 19 year old male. Reason: trauma, gross hematuria History: flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No subcapsular hematoma or definite evidence of liver laceration. There is heterogeneous opacification of the lateralmost right hepatic lobe inferiorly near the right kidney wh... | Right hilar and inferior pole hematoma without a definite associated renal clinical or cortical defect. Focal contusion of the inferior right hepatic lobe without subcapsular hematoma. No ascites. |
Generate impression based on findings. | 19 year-old male status post MVC. 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 paranasal sinuses an... | No acute intracranial abnormality. |
Generate impression based on findings. | 44 year old male. Reason: eval for metastases History: seminoma in L groin CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Prominent pretracheal lymph node measures 0.9 x 1.4 cm at image 42 of series 4. No other significant abnormality noted.CHEST WALL: No significant abnormality notedABDO... | Minimally prominent pretracheal lymph node. No definite lymphadenopathy. No measurable metastatic disease. |
Generate impression based on findings. | 44 year-old male with seizure. There is a 32 x 24-mm CSF collection in the right temporal pole. 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... | No acute intracranial abnormality. Right temporal arachnoid cyst. |
Generate impression based on findings. | 63 year old female. Reason: Assess for peristomal varices; evidence of portal hypertension; colostomy for Crohn's disease. Multiple surgeries for Crohn's disease culminating in short small bowel and colostomy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild hepatomegaly. The liver has nor... | No definite evidence of portal hypertension, cirrhosis or varices. The distal ileum is dilated chronically. Mild hepatomegaly. No ascites. No splenomegaly. No splenic, gastric or esophageal varices. |
Generate impression based on findings. | 42 year-old male with history of trauma. There is mild patchy hypodensity in the periventricular white matter. The ventricles, sulci, and cisterns are symmetric and mildly prominent. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/ac... | 1. No acute intracranial abnormality. 2. Minimal small vessel ischemic disease of indeterminate age. Mild brain volume loss. 3. Left orbital floor chronic blowout fracture. |
Generate impression based on findings. | 38 year old female. Reason: eval for malignancy History: bony and brain rim enhancing lesions CHEST:LUNGS AND PLEURA: There is a 1.8 x 2.3 cm right upper lobe mass, most likely a primary malignancy. Small bilateral pleural effusions with associated compressive atelectasis. Left lower lobe atelectasis.MEDIASTINUM AND HI... | Right upper lobe lung mass, probably primary malignancy. Diffuse predominantly lytic skeletal metastases. Innumerable hepatic metastases. Bilateral pleural effusions. |
Generate impression based on findings. | 71 year-old male status post fall and syncope. The ventricles, sulci, and cisterns are symmetric and prominent. 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 paranasal ... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Moderate brain volume loss. 3. Chronic blowout fracture of the left lamina papyracea. |
Generate impression based on findings. | 55 year-old male with right hemiparesis. The right frontal approached EVD is in unchanged position. The hemorrhage extends through the left thalamus, extending through the left cerebral peduncle, midbrain and cerebellar peduncle has decreased in density. A second focus is unchanged at the insertion site of the EVD with... | Stable to mildly decreased intracranial hemorrhages as described above. No new hemorrhage. Stable ventricular size. Stable right thalamic, right basal ganglial and cerebral white matter hypodensities. |
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