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Generate impression based on findings. | 26-year-old with history of sickle cell disease, fever and chest pain. LUNGS AND PLEURA: Please note superior most aspects of the lung apices are not included in the field-of-view of the exam. Somewhat nodular opacity in the right upper lobe posteriorly may be related to an infarct, though nonspecific in appearance. Ot... | No clearly acute finding to suggest pneumonia. Small right upper lobe opacity is more likely an area of scarring related to previous infarct.Please note that this exam was not performed with PE protocol and technique was not optimized to exclude that diagnosis. |
Generate impression based on findings. | Increasing oxygen requirement, evaluate for pneumonia. Motion artifact significantly degrades the evaluation.LUNGS AND PLEURA: Since the prior CT, there is decrease in bilateral groundglass opacity, though some persists. Bibasilar consolidation is increased compared to the prior study. Right lower lobe cavitary lesion ... | Worsening basilar consolidation compared to the last CT. These findings could be due to infection and aspiration as an underlying etiology could be considered. Stable to slight improvement in right lower lobe cavitary lesion. Small pleural effusions and interstitial opacities elsewhere that could relate to a component ... |
Generate impression based on findings. | 40 year-old with chest pain and shortness of breath. PULMONARY ARTERIES: This exam is of acceptable diagnostic quality for ruling out central PEs and lobar and some segmental level PEs. No filling defect to suggest an embolism is apparent.LUNGS AND PLEURA: There are several scattered nodular opacities in the lungs. Add... | 1. No filling defect to suggest PE, see discussion above.2. Bilateral nodular opacities in the lungs. Right hilar, small mediastinal and right axillary lymph nodes. Depending on the patient's history, infectious etiologies, including atypical infections could be considered. Alternatively, metastases are a consideration... |
Generate impression based on findings. | Syncope. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild nonspecific cerebral white matter hypoattenuation that is likely related to microangiopathy. There is also mild bilateral basal ganglia mineralization. The ventricles and basal cisterns are mildly prominent diffusely, refle... | Mild nonspecific cerebral white matter hypoattenuation that is likely related to microangiopathy and mild cerebral volume loss, but no evidence of acute intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Acute myeloid leukemia. Deep neck phlegmon treated with antibiotics. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are stable in size and configuration. There is new non opacification of the superior right internal jugular vein and jugular bulb. There ... | Slight interval decrease in the extent of the right deep neck presumed phlegmon without evidence of drainable fluid collection. However, there is now apparent severe right internal carotid artery and thrombosis of the right right internal jugular vein and jugular bulb. Dedicated vascular imaging is recommended for more... |
Generate impression based on findings. | 65 year-old male with syncope 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 paranas... | No acute intracranial abnormality. |
Generate impression based on findings. | 34-year-old female with left lower quadrant pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse hypoattenuation of the liver parenchyma consistent with steatosis. Punctate, subcentimeter hypodensity in left lobe is too small to characterize, but most likely represents benign cyst (se... | Corpus luteum in left ovary, which may explain patient's pain. The left ovary appears somewhat enlarged, which is nonspecific but may be seen in the setting of torsion. Consider further evaluation with pelvic ultrasound. |
Generate impression based on findings. | 55 year-old male with clamped EVD. 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 been stable. A second focus is unchanged at the insertion site of the EVD with in the right f... | Stable decreased intracranial hemorrhages as described above. No new hemorrhage. Stable ventricular size. Stable right thalamic, right basal ganglial and cerebral white matter hypodensities. |
Generate impression based on findings. | 52 year-old female with cellulitis. Evaluate for abscess. ABDOMEN:LUNG BASES: No significant abnormality LIVER, BILIARY TRACT: Hepatic steatosis. Hypodensity in left lobe unchanged and consistent with cyst.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | 1.Phlegmon in the anterior bowel wall, but no drainable fluid collection identified.2.Inflammatory changes in soft tissues right lower back. |
Generate impression based on findings. | 17 year-old male with headaches and nystagmus. Motion degraded exam. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast enh... | No intracranial abnormality on this motion degraded exam. |
Generate impression based on findings. | 54-year-old male with rectal pain. PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: There is a rim enhancing, multiloculated fluid collection in the right ischioanal fossa located posterior to the anal can... | Multiloculated perirectal abscess extending into the right ischioanal fossa, with likely cutaneous fistulous tract. MRI may be obtained for characterization and localization if clinically indicated. |
Generate impression based on findings. | 74-year-old male with erythema near LVAD device. Evaluate for cellulitis/abscess around driveline site. CHEST:LUNGS AND PLEURA: Again seen are small bilateral pleural effusions with underlying atelectasis/consolidation, slightly decreased on the right when compared to the prior study. Calcified micronodules in the righ... | Interval increase in a 6-cm nonspecific fluid collection along the inferior margin of the LVAD device. Superimposed infection cannot be excluded. |
Generate impression based on findings. | Male 68 years old; Reason: r/o hydronephrosis, urinary obstruction History: AKI, oliguria, urology unable to place foley ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: Pleural thick... | 1.Exam is severely limited due to lack of oral or IV contrast.2.No hydronephrosis, as clinically questioned.3.Findings suggestive of partial small bowel obstruction.4.Extensive ascites with diffuse peritoneal and mesenteric involvement of known mesothelioma.5.High density material in the left cardiophrenic angle may re... |
Generate impression based on findings. | Reason: rule out PE History: chest pain, sob PULMONARY ARTERIES: No pulmonary embolus to the subsegmental level.LUNGS AND PLEURA: Subsegmental atelectasis involving the lingula and medial segment right middle lobe. Associated bronchial wall thickening in these locations. Respiratory motion artifact is present. Possibil... | No evidence of pulmonary embolus.Subsegmental atelectasis involving the lingula and medial segment right middle lobe with associated bronchial wall thickening. This raises the question of reactive airway disease or bronchitis.Borderline enlarged mediastinal lymph nodes and right hilar lymph node are nonspecific.Low-den... |
Generate impression based on findings. | 63 year-old male status post fall and syncope. There is few patchy hypodensity in the cerebral white matter. There is a focus of hypodensity in the left lower basal ganglia. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edem... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Minimal small vessel ischemic disease of indeterminate age. 3. A focus of hypodensity in the left lower basal ganglia may present a perivascular space versus an age inde... |
Generate impression based on findings. | Headache after trauma. There is an unchanged depressed right orbital floor fracture with herniation of 7 mm of orbital fat medially towards the infundibulum. The right inferior rectus contours are slightly rounded, but the muscle is not herniated. There is no retrobulbar hemorrhage. There is minimal residual irregulari... | 1. Chronic depressed right orbital floor fracture with herniation of orbital fat and healed left mandibular ramus fracture, but no evidence of acute fracture or dislocation.2. Multiple dental caries and periodontal disease. |
Generate impression based on findings. | 25-year-old female patient with right lower rib pain, worse with movement and inspiration. Evaluate for a pulmonary embolus. PULMONARY ARTERIES: Slightly limited examination with incomplete opacification of the upper lobe subsegmental branches of the pulmonary artery. No evidence of a pulmonary embolus.LUNGS AND PLEURA... | No evidence of pulmonary embolus.Asymmetry at the right eighth rib costochondral joint may be secondary to prior trauma or much less likely a cartilaginous tumor. Suggest correlation with point tenderness on physical exam. If symptoms persist, consider follow up imaging. |
Generate impression based on findings. | 41-year-old male with abdominal pain and nausea. Evaluate for dissection. CHEST:LUNGS AND PLEURA: Mild basilar atelectasis and scarring.MEDIASTINUM AND HILA: No aortic dissection. No lymphadenopathy. Mild cardiomegaly.CHEST WALL: Deformity of T11 vertebral body, most consistent with prior trauma (coronal series image 6... | 1.No evidence of aortic dissection.2.Several peripheral foci of hypoattenuation in the right kidney with associated mild perinephric fat stranding, suspicious for pyelonephritis. Larger focus of hypoattenuation in right apex suggestive of devitalization/phlegmon formation. Interval follow-up is recommended to confirm r... |
Generate impression based on findings. | 76-year-old male with history of prostate cancer. Known anterior rectal ulcer with bleeding. Evaluate for progression or metastasis. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality ... | 1.Findings suggestive of a contained perforation of the anterior rectum with possible extension of the collection into the right seminal vesicle |
Generate impression based on findings. | 40 year-old male with right lower quadrant pain. Evaluate for colitis, diverticulitis. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormali... | Extensive inflammation of the terminal ileum and cecum with adjacent phlegmon and early abscess formation. Etiology favors Crohn's disease. |
Generate impression based on findings. | 52-year-old male patient with chest pain, dyspnea and dizziness. Evaluate for a pulmonary embolus. PULMONARY ARTERIES: Technically adequate study. Small filling defect in a right middle subsegmental branch (series 7 image 168).LUNGS AND PLEURA: There is a subpleural focal airspace opacity at the costophrenic angle dist... | Small right middle lobe subsegmental, nonocclusive pulmonary embolus. Subpleural focal air space opacity at the right costophrenic angle is most compatible with infarct in the absence of infectious symptoms. |
Generate impression based on findings. | 12-year-old male with history of facial swelling, evaluate for lymphatic malformation of the neck and lower face. Mandibular hypoplasia status post free fibula reconstruction. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No i... | 1. Slight interval decrease in the size of an extensive trans-spatial neck mass compatible with a veno-lymphatic malformation2. Postsurgical changes of a mandibular reconstruction with a fibular graft.3. Unremarkable CT of the brain. |
Generate impression based on findings. | Pulmonary embolus in segmental branch of right lower lobe. Evaluate for dissection. CHEST:LUNGS AND PLEURA: Mild scarring along left minor fissure. Minimal basilar atelectasis. No suspicious nodules or masses.Fillings defects in segmental branches of the right lower lobe, consistent with small pulmonary emboli (series ... | 1.No aortic dissection.2.Small pulmonary emboli in segmental branches of right lower lobe.Findings were discussed with patient and Dr. Gomez at 11 am 11/29/2013. |
Generate impression based on findings. | 64-year-old male with back pain and metastatic prostate cancer. CHEST:LUNGS AND PLEURA: Multiple calcified and noncalcified punctate micronodules bilaterally, largest located in right lower lobe measuring 4 mm and unchanged (series 5, image 68).MEDIASTINUM AND HILA: Severe coronary artery calcifications. Mild cardiomeg... | 1.Stable aortocaval lymph node.2.Stable sclerotic focus in T12 vertebral body, presumed metastatic lesion.3.Multiple punctate calcified and noncalcified lung micronodules, nonspecific but likely due to prior granulomatous disease. |
Generate impression based on findings. | MUD alloSCT with persistent fevers. There is no significant paranasal sinus opacification. There is a 10 mm long anterior nasal septal defect with adjacent linear opacities that may represent secretions and rhinotillexomania, although this is nonspecific. There is moderate nasal septal deviation to the left with a left... | No evidence of acute sinusitis. |
Generate impression based on findings. | Male 73 years old; Reason: metastatic Prostate Cancer, Evaluation of disease after 9 cycles of investigational therapy. History: metastatic Prostate Cancer, CHEST:LUNGS AND PLEURA: Minimal basal atelectatic changes. Calcified granuloma in the right lung base. No dominant lesion has developed. The pleural spaces are cle... | 1.Extensive osseous metastatic disease. No new lymphadenopathy or definite solid organ involvement. |
Generate impression based on findings. | Reason: characterization of effusion History: pleural effusion, anemia, recent trauma LUNGS AND PLEURA: Consolidation of the right apex with associated scarring and mild traction bronchiectasis (series 80316 image 25) favoring post inflammatory change. Adenocarcinoma is considered much less likely.Moderate left pleural... | Moderate left pleural effusion without definite hematocrit level.No evidence of acute fracture. Chronic deformity of the right glenohumeral joint and medial right clavicular head.Masslike consolidation at the right apex favoring postinflammatory change with adenocarcinoma much lower in the differential. |
Generate impression based on findings. | 63-year-old male patient with history of cough and syncope. Evaluate for lung pathology. LUNGS AND PLEURA: Lower lobe predominant mild bronchiectasis and bronchial wall thickening.Left lower lobe posterior pleural thickening with minimal atelectasis and scarring.Calcified right apical micronodule.No consolidation, pleu... | Mild bronchial wall thickening and bronchiectasis suggestive of bronchitis. |
Generate impression based on findings. | 29-year-old female with a history of metastatic rectal cancer. Evaluate extent of disease prior to starting chemotherapy. CHEST:LUNGS AND PLEURA: There is interval increase in size and number of bilateral pulmonary nodules with the largest measuring 5 mm in the lingula (series 5; image 72).MEDIASTINUM AND HILA: There i... | Interval increase in size and number of pulmonary nodules and increase in size of reference liver lesions consistent with the stated history of metastatic disease. |
Generate impression based on findings. | 56-year-old male with history of bladder cancer status post cystectomy and neobladder. CHEST:LUNGS AND PLEURA: Scarlike opacity in right upper lobe but no suspicious nodules.MEDIASTINUM AND HILA: Cardiac size normal. No pericardial effusion. Atherosclerotic calcifications affect coronary arteries and thoracic aorta. No... | 1.No evidence of recurrence or metastatic disease.2.Decreased left perinephric fat stranding and persistent foci of poor corticomedullary differentiation in left renal parenchyma, most consistent with resolving infection/inflammation. |
Generate impression based on findings. | 60-year-old 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 abno... | No significant change from previous study. |
Generate impression based on findings. | Reason: Pt with hx of MUD alloSCT, persistent fevers. History: Pnuemonia evaluate for progression - PCP vs. fungal. LUNGS AND PLEURA: Previously described groundglass opacities have become less dense when compared to 6 days earlier. Increasing left, now moderate, pleural effusion with associated atelectasis. Trace righ... | Decreasing bilateral groundglass opacities compared to 6 days earlier suggestive of partial resolution of pneumocystic pneumonia or other atypical infection.Increasing, now moderate left pleural effusion with associated atelectasis in. Trace right pleural effusion is stable. |
Generate impression based on findings. | 69-year-old male patient with new AML. Assess for lung pathology prior to initiation of chemotherapy. LUNGS AND PLEURA: There is a left apical pleural-based irregularly shaped soft tissue density that measures 12 mm in short axis (series 5 image 14).Calcified nodule in the right upper lung is consistent with prior gran... | 1.Left apical soft tissue density may represent postinflammatory change; however, lung neoplasm cannot be excluded. Recommend PET scan for further evaluation.2.Left lung base changes suggestive of aspiration.3.T4 vertebral body height loss consistent with osteoporotic compression fracture.Findings discussed with Dr. Dr... |
Generate impression based on findings. | Reason: Head and neck CA. Disease evaluation follow up. History: as above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Enlarged and heterogeneously enhancing thyroid, further described on the concurrent neck CT.Unchanged thymic enlargement, probably rebound hyperplasia.Moderate coronar... | No sign of metastases. Large heterogeneous enhancing thyroid nodules, further characterized on the neck CT scan. |
Generate impression based on findings. | 43-year-old male with leiomyosarcoma. CHEST:LUNGS AND PLEURA: Volume loss in left lung due to scoliosis. No suspicious nodules or masses.MEDIASTINUM AND HILA: Interval increase in mediastinal lymphadenopathy, most notable in right cardiophrenic angle node, which currently measures 2.8 cm, previously measured 9 mm (seri... | Increase in size of lymphadenopathy and lesions in the chest, abdomen, and pelvis. |
Generate impression based on findings. | Female 59 years old; Reason: Evaluate vasculature to support kidney transplant History: Pre-Kidney evaluation of iliac vessels ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: No sign... | Moderate atherosclerosis of the abdominal aorta and bilateral iliac arteries. |
Generate impression based on findings. | 14-year-old female with neck swelling, evaluate for thyroglossal duct cyst. Limited intracranial views are unremarkable. Limited orbital views are unremarkable. Mucosal thickening of the right maxillary sinus with a suggestion of bubbly secretions. Trace opacification of the ethmoid air cells. The visualized mastoid ai... | 1. Midline simple cystic lesion just inferior to the hyoid bone is compatible in appearance with a thyroglossal duct cyst. No CT findings to suggest superimposed infection/inflammation.2. Right maxillary sinus mucosal thickening with a suggestion of bubbly secretions may represent acute sinusitis. |
Generate impression based on findings. | Reason: h/o vocal cord cancer History: r/o chest mets, previous smoker LUNGS AND PLEURA: Mild subpleural basilar reticular opacities, chronic and unchanged.No suspicious nodules or masses.MEDIASTINUM AND HILA: Moderate coronary artery and aortic calcifications are noted. Cardiac size is normal without evidence of peric... | No sign of metastases and no significant change. |
Generate impression based on findings. | 84 year-old male with skin cancer and status post CRT. CT brain: No evidence of enhancing cerebral lesions, edema or mass effect. Minimal periventricular hypodensities, as seen on the prior study, likely represent the sequelae of chronic white matter ischemic disease. No focal parenchymal abnormalities identified. Gray... | 1. Stable examination from the prior study without evidence of cerebral metastasis, neck mass or lymphadenopathy.2. No intracranial metastasis. 3. Thickening of the vocal cords with no discrete mass. |
Generate impression based on findings. | 41 year-old female with cervical radiculopathy. Slight straightening of cervical spine curvature is present, possibly positional. Alignment is preserved. There is normal mineralization of the vertebral bodies. No compression fractures are identified. The cervicomedullary junction is normal. Degenerative endplate change... | No significant change of cervical spine degenerative disc disease, most prominent at C6-7 as described above. |
Generate impression based on findings. | Reason: metastatic SCC. Need re-staging scans prior to new treatment regimen. History: as above CHEST:LUNGS AND PLEURA: Left perihilar mass measuring 60 x 47 (series 3/68) not significantly changed from 58 x 48 mm previously when using comparable measurement parameters. The mass markedly narrows or occludes the lower l... | 1. Interval progression of several non-reference pulmonary nodules bilaterally, though reference lesions have not significantly changed.2. Jejunal intussusception, most likely transient. |
Generate impression based on findings. | 56 year old female with increased left drain output and decreased right drain output. Status post sleeve gastrectomy and development of gastrocutaneous fistula. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with basilar consolidation/atelectasis.LIVER, BILIARY TRACT: Interval decrease in size of right sub-diaph... | 1.Interval decrease in size of large right sub-diaphragmatic abscess. However, there has been retraction of percutaneous drain out of collection into soft tissues of right chest wall.2.Decrease in size of left upper quadrant abdominal collection. Percutaneous drain tip is located in collection. 3.Placement of gastric s... |
Generate impression based on findings. | 60 year old female with a history of renal cell carcinoma and lung nodules. Status post right partial nephrectomy. CHEST:LUNGS AND PLEURA: Note is made of biapical scarring/atelectasis. There is centrilobular and paraseptal emphysema with an upper lobe predominance. Note is made of scattered bilateral pulmonary microno... | Fluid collection along the inferior pole of the right kidney likely represents a post surgical fluid collection, however, follow up examination to establish resolution is recommended to exclude the possibility of residual disease. |
Generate impression based on findings. | 14 year-old male with mandibular hypoplasia and status post mandibular recontruction. Since prior, there has been removal of the external mandibular distractor and mandibular condylar reconstruction with rib graft. There is redemonstration of postsurgical changes of the mandible osteotomy, left mandibular condylar proc... | 1. Interval removal of the external mandibular distractor and mandibular condylar reconstruction with rib grafts. 2. Stable findings of prior multiple surgeries. 2. Mildly increased retroglossoptosis and airway narrowing at the naso and oropharynx, however, this could be positional. Clinical correlation is advised |
Generate impression based on findings. | Chronic sinusitis and allergies. There is a small amount of opacification within the left anterior ethmoid air cells. Otherwise, there no significant paranasal opacification. The nasal cavity is clear and there is no significant nasal septal deviation. The carotid grooves and optic nerve canals are covered by bone. The... | No evidence of sinusitis. |
Generate impression based on findings. | pT3N1 SCCa of the right oral tongue, status post FHX completed on 10/30/13, and radiation therapy. There are post-treatment findings in the oral cavity with heterogeneous enhancement in the right oral tongue that may represent a combination of necrotic tumor, myositis, and mucositis. There is no evidence of residual si... | Interval post-treatment findings in the oral cavity with heterogeneous enhancement in the right oral tongue that may represent a combination of necrotic tumor, myositis, and mucositis. No evidence of residual significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease; compare to previous scan History: None CHEST:LUNGS AND PLEURA: Postsurgical changes compatible with left lower lobectomy and right upper lobe segmental resections. Increasing size and number of the innumerable, small solid and ground glass pulmonary nodules compat... | Increasing size and number of the innumerable, small solid and ground glass pulmonary nodules compatible with diffuse metastatic disease. Reference low right paratracheal lymph node slightly increased in size. Right hilar lymph node increased, now 9 mm. Near complete resolution of the previously noted pulmonary emboli ... |
Generate impression based on findings. | Left parotid adenoid cystic carcinoma status post surgery and adjuvant RT in 2010. There are post-treatment findings related to left parotidectomy, resection of the left submandibular gland and left neck dissection. The known perineural tumor spread along the left facial nerve is better delineated on the prior MRI exam... | No evidence of recurrent tumor in the parotidectomy bed and no evidence of significant cervical lymphadenopathy. The known treated perineural tumor spread along the left facial nerve is better delineated on the prior MRI exams. |
Generate impression based on findings. | 75-year-old male with gastric cancer. CHEST:LUNGS AND PLEURA: Poorly marginated millimeter ground-glass opacity in the left upper lobe is unchanged (series 5, image 39). There is adjacent pleural thickening. Scattered punctate micronodules unchanged. Bilateral basilar scarring/atelectasis. No new suspicious nodules.MED... | 1.Improved wall thickening of distal stomach and decrease in size of multiple perigastric/upper retroperitoneal lymph nodes.2.Stable nonspecific ground-glass opacity in left upper lung lobe, which may represent scarring. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodule or interval pleural effusion.MEDIASTINUM AND HILA: Interval placement of a right port catheter that terminates at the superior caval atrial junction. Immediately inferior and possibly contiguo... | Interval appearance of a large low density lesion within the right atrium, appearing to be contiguous with the tip of the right port catheter. No filling defect within the right ventricle or the central pulmonary arteries. This is suspected to represent a large thrombus.No evidence of pulmonary metastatic disease. |
Generate impression based on findings. | 78-year-old male patient with left lung nodule. Please evaluate. LUNGS AND PLEURA: Severe upper lobe predominant centrilobular and paraseptal emphysema. Interval increase in right apical pleural thickening with course calcifications, scarring and traction bronchiectasis with volume loss is likely related to prior infec... | 1.Left upper lobe pleural-based lesion is very suspicious for neoplasm given increase in size compared to 2011. No evidence of metastatic disease.2.Severe centrilobular and paraseptal emphysema with minimal basilar predominant fibrosis raises the possibility of combined pulmonary fibrosis and emphysema (CPFE). |
Generate impression based on findings. | Reason: h/o met ACC, compare to previous, measurements pls, h/o chemo History: none CHEST:LUNGS AND PLEURA: Interval appearance of a lobulated solid nodule within the anterior left upper lobe (series 5 image 40) measuring 12 x 15 mm, suspicious for metastasis. Additional new suspicious nodule inferior to this (series 5... | Interval appearance of a lobulated solid nodule within the anterior left upper lobe and new, adjacent 5-mm nodule suspicious for metastases.Previously described lobulated nodule in the right upper lobe has become smaller. This, along with resolution of the previously described ground glass on the left, likely postinfla... |
Generate impression based on findings. | 48 year-old female with chest pain radiating to back. CHEST:LUNGS AND PLEURA: Mild basilar scarring/atelectasis. No suspicious nodules or masses. No consolidation or pleural effusions.MEDIASTINUM AND HILA: No evidence of aortic dissection. Thin peripheral atherosclerotic plaque is seen in the proximal descending thorac... | 1.No aortic dissection.2.Nonspecific dilation of pancreatic duct, mildly increased since 2009; no obstructing lesion is identified and etiology is unclear. This may be due to chronic pancreatitis, stenosis, or pancreatic divisum. Further imaging work-up with pancreas protocol MRI/MRCP can be considered for better chara... |
Generate impression based on findings. | 76 year-old male with altered mental status and dysphasia. There is patchy hypoattenuation in the cerebral white matter. The ventricles and sulci are symmetric and are prominent. The ventricles have minimal increased in size. For instance, the maximal transverse bifrontal horn dimension has increased from 45 mm to 49 m... | 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 small vessel ischemic disease of indeterminate age. Moderate brain volume loss. 3. Minimal increase in size of the ventricles. While this could be due to sampli... |
Generate impression based on findings. | 20 year-old female with frequent sinus infection. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The frontal sinuses, frontal-ethmoid recesses, anterior/posterior ethmoids, sphenoid sinuses, and maxillary sinuses are well developed and clear. The osteome... | No evidence of sinusitis. |
Generate impression based on findings. | Reason: 71F with metastatic rectal cancer with possible new lung mets History: possible new lung mets LUNGS AND PLEURA: Right lower lobe reference lesion measuring 8 x 10 mm, not significantly changed using comparable measurement parameters since the previous scan but significantly increased since 1/15/2013.New 2-mm mi... | 1.Stable right lower lobe reference nodule.2. New indeterminate micronodule anteriorly at the left base which may be inflammatory or possibly metastatic. Further follow-up is recommended. |
Generate impression based on findings. | Reason: Pre OLT evaluation HCC eval possible mets History: HCC, cirrhosis LUNGS AND PLEURA: Focal cluster of centrilobular nodules within the right posterior costophrenic sulcus may represent previous aspirated material. No other evidence to suggest active bronchiolitis. No pleural effusion. No suspicious pulmonary nod... | A cluster of centrilobular nodules within the right posterior costophrenic angle favor that of prior aspirated material rather than active bronchiolitis.No suspicious pulmonary nodules. No mediastinal lymphadenopathy. |
Generate impression based on findings. | 42-year-old male with tachycardia, pain, leukocytosis, pancreatic leak. ABDOMEN:LUNG BASES: Bilateral pleural effusions, moderate on the right and small on left, with overlying basilar consolidation/atelectasis.LIVER, BILIARY TRACT: Loculated fluid around liver. Status post cholangiojejunostomy, with small amount of pn... | Status post Whipple surgery; larger than expected amount of free fluid seen in upper abdomen and retroperitoneum suspicious for anastomotic leak. |
Generate impression based on findings. | Reason: h/o skin ca, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Mild dependent atelectasis and basilar scarring unchanged.No suspicious nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy.Severe coronary artery calcification.CHEST WALL: Well circumscribed lucency in po... | No change and no sign of metastases. |
Generate impression based on findings. | Reason: assess for evolution of ILD History: SOB and increased O2 requirement LUNGS AND PLEURA: Diffuse interstitial disease with reticular opacity and traction bronchiectasis, indicating fibrosis, most evident in the left upper lobe area.Interlobular septal thickening and ground glass opacity is also present.Extensive... | Markedly increased bilateral nonspecific airspace opacity with atelectasis and pleural thickening, superimposed on underlying interstitial fibrosis. |
Generate impression based on findings. | Reason: 82 year old woman with history of bilateral early stage NSCLC (LUL and RLL) treated with SBRT 9 months ago complicated by radiation pneumonitis 3 months ago. Please compare to prior CT for interval change History: post treatment lung cancer surveillance CHEST:LUNGS AND PLEURA: Extensive scarring, emphysema and ... | 1.No significant change in scattered pulmonary abnormalities. Bronchiectasis and bronchiolitis raises the possibility of MAI infection.2.Reference right lower lobe nodule is not significantly changed.3.Mild interval increase in focal left pleural thickening for which follow-up is recommended. |
Generate impression based on findings. | Reason: evaluate for bronchiectasis History: chronic productive cough; severe sinus disease and immunoglobulin deficiency LUNGS AND PLEURA: Multiple nonspecific micronodules, some of which are calcified, compatible with previous infection.Very mild bronchial wall thickening and a very mild focal bronchiectasis in the m... | Very mild diffuse bronchial wall thickening, and minimal bronchiectasis in the medial segment of the right middle lobe |
Generate impression based on findings. | Check for healing Post surgical placement of two screws involving the inferior and anterior aspect of the glenoid are again observed with out associated hardware complication. Artifact limits sensitivity, however the fracture plane is not well visualized consist with fusion and interval healing. Only a minimal shallow ... | Healed glenoid rim fracture with screw fixation. |
Generate impression based on findings. | Reason: lung sarcoid? patient wiht cough and fatique, cardaic MRI very suggestive of sarcoid wiht typical LGE History: cough, fatique CHEST:LUNGS AND PLEURA: Mild focal scarring in the posterior basal segment of the right lower lobe.No other significant pulmonary abnormalities.MEDIASTINUM AND HILA: No significant lymph... | No evidence of pulmonary sarcoidosis and no significant lymphadenopathy. |
Generate impression based on findings. | Diffuse metastatic disease, please check for progression Interval placement of a knee arthroplasty with an associated long stem tibial component functioning as a intramedullary rod extending through the length of the right tibia extending into the distal metaphysis. Associated methacrylate fills multiple larger lytic l... | Status post right total knee arthroplasty a longstem tibial component |
Generate impression based on findings. | 33 year-old female with new left sided facial numbness and left arm numbness. 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 structure... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: Hx of AML s/p induction chemo, felt to have fungal PNA post-chemo, getting anti-fungal treatment. Pls reasses. History: Cough LUNGS AND PLEURA: Marked interval improvement in bilateral nodular and groundglass opacities compatible with infection. Focal residual atelectasis in the medial segment of the right midd... | Marked interval improvement in diffuse pulmonary abnormalities compatible with infection. |
Generate impression based on findings. | Stem cell transplant, now with URI/sinus symptoms. There are new air-fluid levels and bubbly secretions within the right maxillary and bilateral sphenoid sinuses. There is also moderate mucosal thickening within the left frontal sinus and frontoethmoid recess. The nasal cavity and partially imaged mastoid air cells are... | New air-fluid levels and bubbly secretions within the right maxillary and bilateral sphenoid sinuses are compatible with acute sinusitis. |
Generate impression based on findings. | 33 year old female with headache since MVA 5 days age. There is minimal asymmetry of the lateral ventricles. The ventricles, sulci, and cisterns are otherwise symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collectio... | No acute intracranial abnormality. |
Generate impression based on findings. | 35 year old female with pain near left frontal sinus with rhinorrhea. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is mild mucosal thickening in the ethmoid, sphenoid and maxillary sinuses. The remainder of the sinuses are clear. The osteomeatal ... | Unremarkable CT paranasal sinus apart from minimal sinus mucosal thickening. |
Generate impression based on findings. | 68 year-old male with altered mental status. There is patchy hypodensity in the periventricular white matter. The ventricles, sulci, and cisterns are symmetric and prominent, representing brain volume loss. The gray-white matter differentiation is normal. Basal ganglial calcification. There is no mass effect, edema, mi... | No acute intracranial abnormality. Small vessel ischemic disease of indeterminate age. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 27 year-old female with recent intracranial bleed. New since prior exam is a focus of hemorrhage and edema in the posterior left cingulate gyrus. Stable appearance to hemorrhage at the left caudate head and subarachnoid blood in the parasagittal right occipital lobe adjacent to the sinus confluence. The ventricles, sul... | 1. New hemorrhage and edema in the posterior left cingulate gyrus. 2. Stable hemorrhage at the left caudate head and subarachnoid blood in the parasagittal right occipital lobe adjacent to the sinus confluence. |
Generate impression based on findings. | 52 year-old male status post fall. 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 mastoid air cells a... | 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. Left nasal bone and left zygomatic arch fractures with no soft tissue swelling, likely chronic. 4. Right sided oroantral fistula |
Generate impression based on findings. | 34-year-old male. Reason: UC POD#7 s/p ileostomy takedown, now with persistent nausea/vomiting. Assess for obstruction, abscess, leak, acute intraabdominal process. History: Persistent nausea/vomiting ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis. Patchy airspace opacity at the left lung base suggests infectio... | Small bowel obstruction with transition point in the mid abdomen. No specific evidence of ischemia or perforation. |
Generate impression based on findings. | 76 year old male. Reason: Persistent bacteremia of unknown origin, looking for sources. CHEST:LUNGS AND PLEURA: Moderate bilateral pleural effusions. Compressive atelectasis in the lower lobes.MEDIASTINUM AND HILA: Coronary artery calcifications.CHEST WALL: Mass at right nipple may be a cyst.ABDOMEN:LIVER, BILIARY TRAC... | No bowel obstruction, appendicitis or free air. Bladder wall thickening and perivesicular fluid suggests the presence of cystitis. Bilateral pleural effusions. |
Generate impression based on findings. | 72 year old female. Reason: Eval for obstruction, stage lung mass History: abdominal pain, bloating CHEST:LUNGS AND PLEURA: Paraseptal emphysema. Spiculated mass in the left upper lobe measures 2.5 x 2.5 cm on image 46 of series 5.Nonspecific 1 cm diameter pleural based nodule at the right lung base posteriorly on imag... | Left upper lobe mass is compatible with a primary malignancy. Status post repair of anterior abdominal wall. Partial small bowel obstruction with transition at the terminal ileum. |
Generate impression based on findings. | 25 year old female. Reason: Rule out choledocholithiasis. History: Abdominal pain ABDOMEN:LUNG BASES: Mild atelectasis and scar like opacities in the lung basesLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | No acute intra-abdominal abnormality. No bowel obstruction, free air, free fluid or appendicitis.No evidence of renal or ureteral stone. No hydronephrosis or hydroureter.No specific evidence of cholelithiasis or cholecystitis. If concern persists, right upper quadrant ultrasound examination is more sensitive and may be... |
Generate impression based on findings. | Male 71 years old; Reason: history of metastatic cancer, r/o acute process History: altered mental status, abdominal pain, and acute hypoxia ABDOMEN:LUNG BASES: Scattered pulmonary granulomata. Bibasilar lower lobe atelectasis and small pleural effusions. Heart size is normal. No pericardial effusion. Extensive coronar... | 1.Osseous metastatic disease.2.Stable right renal cystic renal cell carcinoma since 10/29/2013.3.Right adrenal myelolipoma.4.No acute intra-abdominal abnormality. Specifically, no evidence of bowel obstruction, free air, free fluid, appendicitis or drainable fluid collection. |
Generate impression based on findings. | 79 year old male. Reason: CT CYSTOGRAM assess for bladder perforation in the setting of intraperitoneal free air after cystoscopy, clot evacuation. ABDOMEN: LUNG BASES: Basilar atelectasis, left greater than right.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No... | Intraperitoneal contrast extravasation after retrograde filling of the bladder with iodinated contrast is consistent with intraperitoneal bladder rupture. Free intraperitoneal air from bladder wall defect. Bilateral nephrostomy tubes. |
Generate impression based on findings. | 77 year old female. Reason: intraabdominal bleed History: abd pain, supratherapeutic INR ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The gallbladder is hydropic measuring more than 13 cm in length. There are numerous radiodense gallstones in the gallbladder neck. No significant gallbladder... | Cholelithiasis without cholecystitis. Choledocholithiasis. Cystic collection anterosuperior to the urinary bladder. No hematoma. Probable cystitis. |
Generate impression based on findings. | 57 year old female. Reason: eval for lll pna, cholecystitis, pancreatitis History: sob, abd pain LUNGS AND PLEURA: Right middle lobe nodular scarring is unchanged from multiple prior studies. No new suspicious pulmonary nodules or masses are identified. Subpleural micronodule in the superior segment of the left lower l... | 1.Stable large left kidney mass, adrenal mass and pancreatic mass. Please see dedicated MR abdomen report for further details.2.Other findings appear stable. No definite acute findings of pancreatitis on this noncontrast CT exam. Cholelithiasis appears stable, without evidence of cholecystitis. |
Generate impression based on findings. | 74-year-old male. Reason: evaluate for infectious process History: s/p cholecystectomy, ex-lap for pancreatic CA, presenting with fever, RUQ tenderness ABDOMEN:LUNG BASES: Bibasilar atelectatic changes.LIVER, BILIARY TRACT: Status post cholecystectomy with a new collection measuring 4 x 7 cm in the gallbladder fossa at... | 1.Status post cystectomy. New abscess in the gallbladder fossa. 2.Common bile duct stent in the expected position. The stent contains debris. Other findings are stable. |
Generate impression based on findings. | 55 year-old male with clamped EVD. 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 been attenuated. A second focus is unchanged at the insertion site of the EVD with in the rig... | Stable to decreased intracranial hemorrhages as described above. No new hemorrhage. Stable ventricular size. Stable thalamic, basal ganglial and cerebral white matter hypodensities. |
Generate impression based on findings. | 79 year-old female status post fall. There is patchy hypodensity in the cerebral 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 hemorrhage. The ... | No acute intracranial abnormality. Small vessel ischemic disease of indeterminate age. |
Generate impression based on findings. | 79 year-old female with CVA. Motion degraded exam. There is patchy hypodensity in the cerebral 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 he... | Motion degraded exam. A repeat is recommended. With the limitation, there is no gross acute intracranial abnormality. Small vessel ischemic disease of indeterminate age. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 26 year-old female with headache. 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. Probable cerebellar tonsil ectopia. |
Generate impression based on findings. | 6 year-old female with head injury. 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 ... | No acute intracranial abnormality. |
Generate impression based on findings. | 33 year-old female with neck pain. 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 a... | 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. Mild subcutaneous fat stranding overlying the C6 and C7 spinous processes. |
Generate impression based on findings. | 14 year-old female with 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 mastoid air cells are cle... | 1. No acute intracranial abnormality. 2. Fluids in the frontal, ethmoid and sphenoid sinuses. If there is clinical concern for maxillofacial injury, a dedicate CT can be obtained. 3. Right periauricular soft tissue swelling. |
Generate impression based on findings. | 52-year-old female patient status post ex lap, LOA, small bowel resection. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus. Pulmonary artery size is within normal limits.LUNGS AND PLEURA: Bilateral dependent atelectasis, right greater than left. No pleural effusions.M... | Technically adequate study without evidence of a pulmonary embolus.Mild dependent basilar atelectasis and no other acute abnormalities. |
Generate impression based on findings. | 24 year-old female with 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 and mas... | 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. |
Generate impression based on findings. | 35-year-old female patient with palpitations, elevated d-dimer. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus. Pulmonary artery size within normal limits.LUNGS AND PLEURA: No focal opacity or pleural effusion.MEDIASTINUM AND HILA: Cardiac size within normal limits w... | No evidence of a pulmonary embolus or other acute abnormalities. |
Generate impression based on findings. | Syncope and collapse with head trauma, left orbital fractures seen on head CT. Limited views of the intracranial structures demonstrates no new acute findings; please see CT head from the same date for full description of findings.There is a left supraorbital soft tissue hematoma containing a small nonspecific hyperden... | 1.Left facial tripod fracture with blood in the left maxillary sinus and left supra-orbital hematoma with possible foreign body.2.Chronic-appearing left mandibular fracture. |
Generate impression based on findings. | Male; 9 years old. Reason: r/o stone History: right CVAT, gross hematuria 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 hepatic lesions. No intra-or extrahepat... | Normal examination. |
Generate impression based on findings. | 71-year-old male patient with acute hypoxia. Evaluate for a pulmonary embolus. PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Diffuse bilateral airspace opacities, right greater than left, with small bilateral pleural effusions.MEDIASTINUM AND HILA: Mild cardiomegal... | Technically adequate study without evidence of a pulmonary embolus.Diffuse bilateral airspace opacities suggestive of cardiogenic versus noncardiogenic pulmonary edema (aspiration, ARDS, acute drug reaction) or and less likely hemorrhage or infection. |
Generate impression based on findings. | 80 year-old female patient with chest pain. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Stable moderately severe predominately apical centrilobular and paraseptal emphysema. Mild bronchiectasis and minimal bibasilar atelectasis/sc... | Technically adequate study without evidence of a pulmonary embolus.Emphysema and bibasilar scarring without other acute abnormalities to account for symptoms. |
Generate impression based on findings. | 69-year-old female patient with syncope. Evaluate for a pulmonary embolus. PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus. Pulmonary artery size within normal limits.LUNGS AND PLEURA: Moderate centrilobular emphysema. Nonspecific scattered micronodules. Chronic mild bilateral subpleu... | Technically adequate study without evidence of a pulmonary embolus.Moderate centrilobular emphysema with chronic subpleural scarring. |
Generate impression based on findings. | 69 year old with anaplastic thyroid cancer please evaluate for progressive disease. CT brain:VENTRICLES/CSF SPACES:No midline shift. CSF spaces are prominent and symmetric but likely appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Mild to moderate periventricular and subcort... | Increase in size and interval development of extensive peripheral nodular enhancement in previously described fluid collections within the right neck; increase in size and development of enhancing nodularity within the hypodense collections at the site of the right pectoralis flap reconstruction and extending across mi... |
Generate impression based on findings. | 52-year-old male with history of head and neck cancer, evaluate and compare to prior. Visualized intracranial contents are unremarkable. Paranasal sinuses and mastoid air cells are clear.Evaluation of the larynx demonstrates no focal area of hyper enhancement or new area of soft tissue density suggests recurrent tumor.... | Stable examination without evidence of locally recurrent tumor or development of interval lymphadenopathy. |
Generate impression based on findings. | 58-year-old male patient with known invasive fungal mass, monitoring for interval changes. LUNGS AND PLEURA: Diffuse centrilobular emphysema.Interval increase in air space disease and consolidation in the previously affected areas of the right lung with new central cystic changes. Multiple new solid nodules in the righ... | 1.Interval progression of fungal infection with increased consolidation with central cystic changes and new nodules.2.Interval increase in hypoattenuating liver lesions, new compared to examination on 10/27/2013, suggestive of abscesses. |
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