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Generate impression based on findings. | 69-year-old male patient with history of anaplastic thyroid cancer. Please evaluate for progressive disease. CHEST:LUNGS AND PLEURA: Stable bibasilar subsegmental atelectasis and scarring and mild centrilobular emphysema. Marked interval increase in 6-mm nodule in the right lower lobe (series 6 image 55).MEDIASTINUM AN... | 1.Marked interval increase in size of right lower lobe nodule. Given rate of growth, nodule may be an intrapulmonary lymph node or inflammatory in etiology. The rate of growth is unusually rapid for a metastatic lesion. Recommend further follow-up.2.Stable mildly enlarged mediastinal lymph node. |
Generate impression based on findings. | 52-year-old male patient with head and neck cancer status post CRT in 2011. Please evaluate for recurrent disease and compare to previous scans. CHEST:LUNGS AND PLEURA: Stable nonspecific scattered micronodules, some of which are calcified. Bilateral dependent atelectasis and scarring. No suspicious pulmonary nodules.M... | No specific evidence of metastatic disease. |
Generate impression based on findings. | 75 year-old male with new inability to cross gaze midline. The previously seen left basal ganglia hematoma has largely resolved. There is large hypodensity in the area. The intraventricular and subarachnoid hemorrhages have also significantly decreased, with residual in the occipital horns and parietal and occipital su... | Significant interval decrease of intracranial hemorrhages as above. No new hemorrhage or mass effect. |
Generate impression based on findings. | 52 years old male with metastatic thyroid cancer, on therapy. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. The aerodigestive tract is unremarkable.The right parotid gland has been partially resected, a stable finding. The... | Stable exam with no evidence of recurrent disease or adenopathy in the neck. |
Generate impression based on findings. | 46 year-old male 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 paranasal... | No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 66 year-old male status post fall. There is patchy hypoattenuation in the cerebral white matter. There are foci of hypodensity in the right internal capsule genu and left cerebellum. The ventricles, sulci, and cisterns are symmetric and moderately prominent. The gray-white matter differentiation is normal. There is no ... | 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. Age indeterminate lacunar infarcts in the right internal capsule genus and left cerebellum. Moderate brain v... |
Generate impression based on findings. | 48 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. | 48 year old female. Reason: r/o perforation vs abscess History: acute abdominal pain ABDOMEN:LUNG BASES: Mild bibasilar dependent atelectatic changes.LIVER, BILIARY TRACT: Subcentimeter hepatic hypodensities are compatible with small cysts or hemangiomas.SPLEEN: No significant abnormality notedPANCREAS: No significant ... | No specific abnormality to explain acute abdominal pain. |
Generate impression based on findings. | 39-year-old male with pancreatic cancer, restaging exam. Reason: Determine extent of pancreatic cancer and whether it can explain recent clinical suggestion of obstruction. History: constipation, abdominal pain, intractable nausea. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse hepati... | Stable findings. No bowel obstruction. |
Generate impression based on findings. | 19 year old male. Reason: appy? History: abd pn ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abn... | Small amount of ascites. Small amount of mesenteric fat stranding. Findings may represent enteritis or pancreatitis. No bowel obstruction. No definite signs of appendicitis. |
Generate impression based on findings. | 77-year-old male. Reason: UC s/p colectomy with ostomy, prostate cancer s/p prostatectomy, c/o emesis of ? fecal matter, abdominal pain, eval for obstruction ABDOMEN:LUNG BASES: Ovoid 2.4 cm diameter low attenuation area at the right lung base adjacent to the right atrium (image 6, series 4) is unchanged from studies d... | Low-grade adhesions of small bowel without acute obstruction.Stable abnormality at the right lung base medially. |
Generate impression based on findings. | 55 year old female. Reason: Please perform with cirrhosis protocol; patient with OLT and rising LFTs; liver biopsy with improving rejection but LFTs still rising. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Normal OLT hepatic morphology. No hepatic steatosis or a focal parenchymal lesions ... | Splenic artery aneurysm. Normal OLT hepatic morphology. Mild splenomegaly. Mildly atrophic left kidney. Fat-containing ventral hernia. |
Generate impression based on findings. | 79 year old male with chest AVM s/p resection and chest wall recon, s/p washout of surgical site with known residual extrapleural air/fluid level. Please assess for infectious source. History: hypothermia, hyperglycemia, abdominal pain. LUNGS AND PLEURA: Status post right lung wedge resection and partial resection of t... | 1.Stable right subcutaneous and extrapleural fluid collection.2.Unchanged chest drain tubes on the right. Hepatomegaly.3.No acute abnormality to explain infectious source. |
Generate impression based on findings. | 60 year old male. Reason: s/p stem cell transplant with persistent candidemia and abd distension, please evaluate for source of fungal infection. Some scrotal pain as well, please evaluate to level of scrotum. History: candidemia Absence of IV and enteric contrast material markedly limits sensitivity for abdominal path... | Small right pleural effusion. No specific abnormality to explain persistent candidemia. The scrotolith on the left may be further evaluated with ultrasound. |
Generate impression based on findings. | 86 year old male. Reason: metastatic prostate CA, local recurrence, please eval inferior bladder/prostate mass and extent of metastasis. Also eval for pelvic/RP bleed CHEST:LUNGS AND PLEURA: Small right pleural effusion. Minimal left pleural effusion with associated compressive atelectasis.MEDIASTINUM AND HILA: Coronar... | Acute bladder hemorrhage. Midline and left sided pelvic wall phlegmon and abscess. Left lateral abdominal wall hematoma extends superiorly. Left periaortic lymphadenopathy. Multiple areas of bony sclerosis are positive on outside bone scan (11/7/2013), compatible with metastases. |
Generate impression based on findings. | 55 year old female. Reason: eval for pancreatitis History: epigastric pain ABDOMEN:LUNGS BASES: Calcific granuloma in the lingula. No basilar pleural effusions.LIVER, BILIARY TRACT: Status post cholecystectomy. No biliary ductal dilatation. Subcentimeter hypodense segment 7 lesion is too small to characterize. Hepatic ... | No evidence of acute appendicitis. No evidence of acute pancreatitis. No specific abnormality to explain epigastric pain. |
Generate impression based on findings. | 59 year old female. Reason: evaluate RUQ, obstruction History: RUQ/epigastric abdominal pain, nausea, vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No cholelithiasis or cholecystitis. No evidence of hepatic steatosis. Subtle hypoattenuating subcentimeter hepatic lesions are incomple... | No specific acute abnormality to explain right upper quadrant and epigastric abdominal pain. |
Generate impression based on findings. | 23 year old male. Reason: eval for dissection, pulm contusion History: trauma CHEST:LUNGS AND PLEURA: Scattered small focal ground glass and patchy lung opacities, predominately at the lingula medially and right lower lobe medially may represent contused lung or small amount of aspiration in a patient with altered ment... | A small amount of diffuse lung opacity in the lingula and RLL of uncertain significance. Possible left sixth rib fracture. No pneumothorax. No aortic or vascular abnormality. |
Generate impression based on findings. | 72 year old male. Reason: please evaluate etiology of hematuria by performing a CT urogram. History: hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRE... | Cystic left renal neoplasm suspicious for renal cell carcinoma. Enlarged prostate. Cholelithiasis. |
Generate impression based on findings. | Female 54 years old; Reason: GIST follow up, neurofibromatosis. CHEST:LUNGS AND PLEURA: Multiple scattered pulmonary nodules. No dominant lung lesion. Pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy. Main pulmonary artery is dilated.CHEST WALL... | Stable exam without measurable metastatic disease. |
Generate impression based on findings. | Female 54 years old; Reason: Stage II carcinosarcoma of the uterus, S/P 6 cycles Taxol/Carbo on GOG 261. Please assess current disease status and compare with previous scans. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar... | Stable exam without evidence of residual or metastatic disease. |
Generate impression based on findings. | 68 year-old male. Patient with history of penile cancer, currently being treated with Carbo/Taxol chemotherapy. Assess for disease progression. CHEST:LUNGS AND PLEURA: Calcified lung granulomas. No suspicious pulmonary nodules or masses are identified. Right apical bulla.MEDIASTINUM AND HILA: Calcified mediastinal and ... | 1. Increased size of reference right inguinal necrotic lymph nodes. New left pelvic sidewall cystic lesion.2. Unchanged hypodense pancreatic head lesion, nonspecific, but may represent a primary pancreatic cystic neoplasm. Recommend MRCP for further evaluation, if indicated. |
Generate impression based on findings. | 41 year old male. Reason: renal cell cancer s/p nephrectomy, evaluate for recurrence. CHEST:LUNGS AND PLEURA: Bilateral micronodules are too small to characterize. None larger than 3 - 4 mm. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: N... | No measurable metastatic disease. No local recurrence.Status post right nephrectomy. |
Generate impression based on findings. | 73 year old female. Reason: evaluate for source of presumed primary malignancy History: diffuse back pain, MRI findings of lytic lesions and fractures. Multiple sacral decubitus ulcers, rising white count. Subtrochanteric fracture of the left femur, presumably pathologic with innumerable lesions highly suspicious for d... | Diffuse predominantly lytic skeletal metastases. 4-cm diameter mass in right chest wall. Loculated left pleural effusion, pleural thickening and volume loss. Subtrochanteric fracture of left femur with associated mass. |
Generate impression based on findings. | 76 year-old female with headache. There is patchy hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. Basal ganglia calcification. There is no mass effect, edema, midline shift, intra- or extra-axial fluid col... | 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. | 18 year-old female with headache. There appears subtle hypoattenuation in the bilateral occipital lobes (images 14-16 of series 5). The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid col... | 1. No acute intracranial hemorrhage. 2. Subtle hypoattenuation in the bilateral occipital lobes. MRI is recommend for further evaluation. |
Generate impression based on findings. | 44 year-old male with midline tenderness after 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 pa... | 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. Mild degenerative disc disease. |
Generate impression based on findings. | 23 year-old male with 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 paranasal sinuses and ma... | 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. Chronic blowout fracture of the right lamina papyracea. |
Generate impression based on findings. | 77 year-old male with altered mental status. Since prior exam, there has been development of multifocal hypodensity in the right frontal and parietal cortices and subcortical white matter,specifically the precentral, superior frontal, middle frontal, angular, superior parietal and minimal postcentral gyri. There are lo... | 1. Findings are consistent with acute infarct in the right MCA territory. There is no CT evidence of hemorrhage or midline shift. 2. Mild small vessel ischemic disease. |
Generate impression based on findings. | 89 year-old male status post fall. There is right periorbital and preseptal soft tissue swelling and emphysema, suggesting laceration. There is patchy hypoattenuation in the cerebral white matter. There is focus of hypoattenuation in the right thalamus. The ventricles, sulci, and cisterns are symmetric and prominent. T... | 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. Age indeterminate lacunar infarct in the right thalamus. 3. Right periorbital an... |
Generate impression based on findings. | 8 day female with body stiffness. There is small amount of subdural hemorrhage along tentorium. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, or midline shift. The osseous structures are unremarkable. The paranasal si... | Small amount of subdural hemorrhage along tentorium. |
Generate impression based on findings. | 59-year-old female status post laparoscopic partial gastrectomy June 2008. The patient had a gastrointestinal stromal tumor. Reason: r/o appendicitis History: abdominal pain ABDOMEN:LUNG BASES: Bilateral dependent atelectasis. No pulmonary masses or suspicious pulmonary nodules. No pleural or pericardial effusions.LIVE... | New RLQ inflammatory changes compatible with acute appendicitis and probable contained perforation. Otherwise stable examination without specific findings suggestive of metastatic or recurrent disease. |
Generate impression based on findings. | 55 year-old male with clamped EVD. There has been removal of the right frontal approached EVD. The hemorrhage extends through the left thalamus, extending through the left cerebral peduncle, midbrain and cerebellar peduncle has been attenuated. A second focus at the insertion site of the EVD with in the right frontal l... | Interval removal of the right frontal EVD. Stable residual 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. | 74 year-old male with confusion. Periventricular hypoattenuation is a non-specific finding which most commonly represents age-indeterminate small vessel ischemic disease. Extensive intracranial arterial atherosclerotic calcification is noted affecting both the anterior and posterior circulations.The ventricles, sulci, ... | 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. | 23 year-old female with facial trauma. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The globes, lenses, extraocular muscles, optic nerves, and retroglobal spaces are symmetric and normal. No radiopaque foreign body is identified. The orbital soft tissues are normal. The osseous st... | Mild left cheek and periorbital soft tissue swelling. No evidence of orbital or maxillofacial bone fracture. |
Generate impression based on findings. | 73 year-old female with hypertension. There is mild patchy hypoattenuation in the periventricular white matter. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute... | No acute intracranial abnormality. Mild 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. | 86 year-old female status post fall and left sided headache. There is patchy hypoattenuation in the cerebral white matter. 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 collecti... | 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. Moderate small vessel ischemic disease of indeterminate age. Moderate brain volume loss. 4. Degenerative changes of the cervical spine. |
Generate impression based on findings. | 19 year old female. Reason: eval for appy, pyelo History: rlq 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:... | Negative examination. No definite evidence of acute appendicitis. Moderate stool load suggests constipation. No acute abnormality to explain abdominal pain. |
Generate impression based on findings. | 60 year-old male with PDA status post altelase GGT per cards PULMONARY ARTERIES: There is a large pulmonary embolus within the right main pulmonary artery and extending into all 3 lobes, which is similar to prior exam, with apparent slightly decreased burden as seen extending into the right lower lobe pulmonary arterie... | 1.Right greater than left pulmonary emboli as above with possible infarcts.2.Left lateral chest wall subcutaneous nodule as above. |
Generate impression based on findings. | Fever, status post transplant. LUNGS AND PLEURA: Basilar reticular opacities are noted similar to prior. Minimal bronchiectasis is noted in the lung bases. Benign appearing micronodules are similar prior, some of which are calcified. Minimal right pleural effusion is suggested.MEDIASTINUM AND HILA: Chronic calcific gra... | No evidence of new infection. |
Generate impression based on findings. | Acute respiratory decompensation. 63-year-old female. PULMONARY ARTERIES: No significant abnormality noted. Trace iatrogenic gas is noted within the innominate vein.LUNGS AND PLEURA: There is small/moderate sized bilateral pleural effusions with associated collapse/atelectasis of portions of both lower lobes, slightly ... | 1.No pulmonary embolus.2.Improved pulmonary opacities since 11/26/13, as above. |
Generate impression based on findings. | 92 year-old female, hemoptysis, and treated for TB. LUNGS AND PLEURA: Debris is noted within numerous bilateral bronchi similar to prior, raising suspicion for chronic aspiration. Bibasilar air space opacities suggesting chronic aspiration versus consolidation are similar or slightly improved since prior exam. Small ri... | Pulmonary opacity similar or slightly improved since 9/11/13.1.New displaced fracture deformity of the sternum. Please correlate clinically. |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms : left arm weakness. Nonenhanced head CT:Focus of low-attenuation in involving the cortex and subcortical white matter of right posterior temporal, occipital and parietal lobes consistent with late acute to early subacute nonhemorrhagic ischemic stroke. The... | 1.Late acute to early subacute right MCA territory posterior temporal -- parietal -- occipital stroke without evidence of hemorrhage and with only regional mass-effect.2.Mild age indeterminate small vessel ischemic strokes.3.Unremarkable exam otherwise. |
Generate impression based on findings. | Clinical question; intracranial hemorrhage. Signs and symptoms: Facial droop since yesterday. Nonenhanced head CT: No detectable acute intracranial hemorrhage or CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Interval significant decrease in vasogenic edema left hemisphere. Small residua... | 1.No acute intracranial process.2.Significant interval decrease in left hemispheric vasogenic edema since prior exam.3.Small focus of low attenuation in the left posterior frontoparietal region at the site of previous resected lesion. |
Generate impression based on findings. | Clinical question : Herniation are there signs and symptoms :biopsy proven CNS lymphoma. Nonenhanced head CT:There are no prior exams for comparison.There is a focus of increased density likely hemorrhagic mass in the right inferior frontal lobe measuring at 19 x 21 mm sized and with surrounding vasogenic edema. Additi... | 1.Focus of hemorrhage in right frontal lobe at the site of previously biopsied lymphoma as detailed.2.Well demarcated round mass measuring at 22.5 x 22.5 mm sized in the left basal ganglia are consistent with additional focus of lymphoma. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Fall two weeks ago on warfarin, history of recurrent meningioma. Nonenhanced head CT:Examination demonstrates a large loculated nearly isodense mass in the left frontal region consistent with patient's known recurrent meningioma. There are extensive surrou... | 1.Significant tumor growth/meningioma in the left frontal region since prior brain MRI exam from 4 -- 2 -- 2013. Significant associated mass effect and midline shift to the right of approximately 9 mm is also new since prior exam.2.Stable extensive postoperative changes left frontal -- temporal craniotomy/craniectomy.3... |
Generate impression based on findings. | Clinical question: Stroke versus hemorrhage. Signs and symptoms: Alteration of mental status. Nonenhanced head CT:No detectable acute intracranial process CT however is insensitive for early detection of acute nonhemorrhagic ischemic stroke. Examination demonstrates similar to prior exam multiple large chronic cortical... | 1.No convincing evidence of any acute intracranial process.2.Stable multiple large bilateral hemispheric chronic cortical strokes since prior study.3.Recommend MRI if clinical concern for new stroke is high. |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms: Headache. Nonenhanced head CT:No detectable acute intracranial process. CT however he is insensitive for early detection of acute nonhemorrhagic ischemic stroke.There is slight prominence of cerebellar and vermian area of the patient's stated age. Correlat... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Evaluate for stroke. Signs and symptoms: Small, right-sided weakness. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic strokes.Subtle periventricular and subcortical low attenuation of white matter is concerning for ag... | Mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | 36-year-old male with recurrent acute pancreatitis and dropping hemoglobin. Concern for abscess versus hemorrhage versus necrosis. ABDOMEN:LUNGS BASES: Small left pleural effusion with associated atelectasis. Right lower lobe subsegmental atelectasis.LIVER, BILIARY TRACT: Moderate hepatomegaly, liver measuring 25 cm. H... | 1.Interval increase in peripancreatic inflammation and fluid .2.No CT evidence of hemorrhage, necrosis, venous thrombosis, pseudocyst formation, or abscess.3.Hepatosplenomegaly. |
Generate impression based on findings. | Male 55 years old Reason: perforated appendicitis? History: rigors, RLQ abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a hypodense lesion in segment IVa and likely represents a simple hepatic cyst, appearing similar to the prior study. The hepatic vasculature appears patent ... | Findings consistent with distal colitis, possibly related to the patient's history of inflammatory bowel disease. |
Generate impression based on findings. | 54-year-old male with hypoxia and tachycardia, history of cancer PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Small amount of debris within the trachea, right upper lobe ground glass nodules and right lower lobe atelectasis as well as consolidation and mild left... | 1. Technically adequate study without evidence of pulmonary embolus.2. Basilar atelectasis and consolidation, worse on the right, with a small amount of associated tracheal debris suspicious for aspiration. |
Generate impression based on findings. | 71-year-old male status post ascending and descending aortic aneurysm replacement and lung wedge resection, assess whether effusion is intra-or extra parenchymal LUNGS AND PLEURA: The left lung is collapsed. Small left pleural effusion containing a pigtail drain. Small right pleural effusion. Groundglass opacities on t... | 1. Complete collapse of the left lung. Small pleural effusions contain a pigtail drain in the left. Groundglass opacities on the right suggestive of aspiration.2. Status post aortic aneurysm repair, incompletely evaluated due to the lack of IV contrast. High density material adjacent to the ascending and descending aor... |
Generate impression based on findings. | 63-year-old female with chest pain and shortness of breath PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus. Enlargement of the main pulmonary artery and right ventricle indicates pulmonary arterial hypertension..LUNGS AND PLEURA: Extensive pulmonary fibrosis with traction bronchiecta... | 1. Technically adequate exam without evidence of pulmonary embolus.2. Extensive pulmonary fibrosis with underlying emphysema appears similar to the prior exam, with features of both NSIP and UIP.3. Evidence of pulmonary arterial hypertension.4. Right posterolateral chest wall mass containing fat, most likely a lipoma. |
Generate impression based on findings. | Syncope and collapse There is a left-sided tripod fracture with fractures through the anterior and posterior walls of the left maxillary sinus, the posterior wall of the left maxillary sinus has a comminuted fracture. The fracture through the anterior wall of the left maxillary sinus goes through the infraorbital foram... | 1.There is a left-sided tripod fracture present associated with left orbital blowout fracture without evidence for extraocular muscle entrapment. There is associated left periorbital soft tissue swelling and soft tissue emphysema at the fracture sites.2.Opacification of the right middle ear. please correlate with clini... |
Generate impression based on findings. | 73-year-old male with buttock lesions, sepsis. Evaluate for gangrene, abscess (perirectal vs perianal). ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Atrophic pancreas with large globular calcifications.ADR... | 1.Two packed right buttock wounds with surrounding inflammatory changes.2.Incompletely characterized left adrenal nodule. |
Generate impression based on findings. | 21 year old female with left flank pain. Rule out stone. Lack of intravenous contrast limits evaluation of solid organs. Lack of enteric contrast limits evaluation of bowel.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedP... | No findings to account for the patient's pain. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage or fracture. Signs and symptoms: Increased sleepiness after having an unwitnessed fall yesterday. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.There is prominence of cortical sulci for patient's stated age ... | 1.No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.2.Mild prominence of cortical sulci and the ventricular system for patient's stated age as detailed.3.Chronic sinusitis of the left maxillary and minimally of the left ethmoids. |
Generate impression based on findings. | Reason: h/o sinus cancer History: r/o chest mets LUNGS AND PLEURA: Micronodules, some calcified, stable as far back as at least 5/7/2011 and benign in appearance.Minimal lower lung zone bronchial wall thickening.MEDIASTINUM AND HILA: No significantly enlarged mediastinal or hilar lymph nodes.At least mild to moderate c... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Female, 64 years old, persistent MSSA bacteremia with unclear etiology, complicated by altered mental status. Evaluate for bacteremic disease to the brain and evaluate for mass effect in the event LP is pursued in the near future. Evaluation is somewhat compromised by motion and nonstandard positioning. Within these li... | No definite acute abnormalities including no evidence of abnormal intracranial collections or significant mass effect. If clinical concern for intracranial infection persists, MRI would provide a more sensitive evaluation. |
Generate impression based on findings. | Clinical question: Neutropenic fever clinical fungal sinusitis. Signs and symptoms: Neutropenic fever. Nonenhanced maxillofacial CT:Maxillary sinuses demonstrate mild mucosal thickening in the dependent portion and unremarkable otherwise. Patent bilateral ostiomeatal units.Minute bilateral mucosal thickening of the eth... | 1.No evidence of acute sinus disease.2.Minimal chronic sinus disease of paranasal sinuses (more noticeably in the dependent portion of maxillary sinuses) as detailed.3.Mild rightward nasal septum deviation.4.Unremarkable mastoid air cells and middle ear cavities bilaterally.5.Unremarkable orbits. |
Generate impression based on findings. | 36-year-old female with chest pain and shortness of breath PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Mild bronchial wall thickening suggests reactive airway disease or bronchiolitis. No evidence of pneumonia or pulmonary edema.MEDIASTINUM AND HILA: No mediasti... | Technically adequate exam without evidence of pulmonary embolus. Mild bronchial wall thickening suggests reactive airway disease or bronchiolitis. No evidence of pulmonary edema or pneumonia. |
Generate impression based on findings. | Hematoma on left side of nose extending below orbit and pain when moving left eye, assess for orbital fracture. There is a comminuted fracture of the left nasal bone with minimal depression, associated soft tissue swelling, and collapse/edema of the underlying nasal mucosa (image 116, series 4).The orbits are unremarka... | 1.Minimally depressed, comminuted nasal bone fracture with associated soft tissue swelling.2.No orbital fractures. 3.Chronic sinus disease. |
Generate impression based on findings. | 61-year-old male with multiple myeloma. Neutropenic fever, diarrhea. Evaluate for infiltrate, abscess. The absence of intravenous contrast limits evaluation of the solid organs. Given this limitation, the following observations were made:CHEST:LUNGS AND PLEURA: Minimal bibasilar atelectasis.MEDIASTINUM AND HILA: No sig... | Massively dilated small bowel loops and colonic dilatation to the splenic flexure with sparing of few small bowel loops in right lower quadrant favors generalized ileus over obstruction. |
Generate impression based on findings. | 67-year-old male with CVA on anti-coagulation, rule out acute hemorrhage There is extensive confluent hypodensity within the periventricular and subcortical white matter with more focal hypodensities within the basal ganglia which likely represents small vessel ischemic disease, age indeterminant. No large territorial ... | 1.No acute intracranial hemorrhage.2.Extensive periventricular and subcortical hypodensity is stable from the prior study and likely represents small vessel ischemic disease, age indeterminate. No large territorial infarct is identified, however further evaluation with MRI may be considered. |
Generate impression based on findings. | 71-year-old female with cardiac arrest, evaluate for PE PULMONARY ARTERIES: Technically adequate exam without evidence of acute pulmonary embolus. Right perihilar filling defects suggest the residua of previously noted embolus with possible adjacent lymphoid material.LUNGS AND PLEURA: Diffuse patchy ground glass opacit... | 1. Technically adequate exam without evidence of acute pulmonary embolus. Right perihilar filling defects suggest the residua of previously noted embolus.2. Diffuse bilateral ground glass opacities and small right pleural effusions small areas of consolidation, suggestive of edema and aspiration. |
Generate impression based on findings. | Male, 62 years old, history of larynx cancer status post CRT, now with metastases to the chest. Evaluate for progression with measurements, patient on 13-0311. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are int... | 1. Diffuse infiltrative tumor centered in the supraglottic larynx with extension to the level of the glottis and slightly below, not significantly changed in terms of gross geographic extent. The tumor tissue is less enhancing than on the prior exam which may be technical or which may reflect a treatment effect.2. At m... |
Generate impression based on findings. | Female 30 years old; Reason: eval for pyelo, crohn's flare History: left flank pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Note is made of the punctate focus of high attenuation in the gallbladder fundus, which may represent a polyp or noncalcified gallbladder stone. There is no evi... | 1. No acute intra-abdominal process to account for the patient's pain.2. Left adnexal cystic lesion, likely physiologic.3. Probable gallbladder polyp versus noncalcified stone, without evidence of acute cholecystitis. |
Generate impression based on findings. | 62 year-old female with rectal bleeding. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: There is extensive bibasilar fibrotic changes. Please refer to the accompanying CT chest examination report for further details.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS... | 1. Diverticulosis without evidence of diverticulitis.2. NG tube tip terminates at the level of the GE junction and needs to be advanced.3. Extensive bibasilar fibrotic changes. Please refer to the CT chest examination report for further details. |
Generate impression based on findings. | 63-year-old female past history of left triple negative breast cancer, now with recurrence CHEST:LUNGS AND PLEURA: bibasilar atelectasis. Few calcified subpleural nodules in the right lower lobe.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Left skin thickening with multiple surgical clips in the c... | Stable left adrenal nodule. Cirrhotic morphology of the liver.No evidence of metastatic disease. |
Generate impression based on findings. | 32 year old male, evaluate for foreign body in left arm seen on Doppler. There is possible peripheral rim of increased attenuation involving multiple muscles in the forearm, and may represent early mineralization / heterotopic bone formation. Otherwise no discrete foreign body is evident. There is a venous catheter not... | 1. Possible early heterotopic bone formation. Follow up CT is recommended in one month to evaluate for progression. 2. Widespread edema throughout the forearm. |
Generate impression based on findings. | 71-year-old female with altered mental status and bleeding diathesis, evaluate for hemorrhage Although the study was performed without contrast administration, the patient received a bolus of contrast at 19:30 for a PE study and there is significant residual enhancement within the intracranial vessels.There is hyperden... | Diffuse and bilateral hyperdense material within the cerebral sulci is most compatible with diffuse subarachnoid hemorrhage. There is persistence IV contrast from a prior PE study and as such, the possibility of superimposed enhancement cannot be excluded. |
Generate impression based on findings. | 48 year old female with deviated left pupil. Severely limited study due to motion artifact and portable technique, however there is no large hyperdense hemorrhagic collections. The study is otherwise mostly nondiagnostic for small foci of hemorrhage, masses or edema. | Severely limited study, however no large hemorrhagic collection is identified. |
Generate impression based on findings. | 56M with cholesteatoma of right attic evaluate extent The prior exam was obtained with thicker slices. This could potentially over or under estimate any changes.There is opacification of the right epitympanum associated with erosion of the right scutum. This scutum erosion was also present on the 2003 exam and does not... | 1.The patient is status post bilateral temporal bone surgery. Within the right epitympanum there appears to be some accumulation of soft tissue compared to the prior exam with slightly more bony erosion at the epitympanum. There is erosion of the bony wall adjacent to the right horizontal semicircular canal. This erosi... |
Generate impression based on findings. | Male 55 years old; Reason: History metastatic papillary renal cancer, assess for progression. CHEST:LUNGS AND PLEURA: Multifocal bilateral lung nodules consistent with metastases. No new lesions. Postsurgical changes right lower lobe. No effusions.Reference left lower lobe lesion measures 0.9 x 0.9 cm series 5 image 65... | 1.Stable findings including lung metastasis, hypoattenuating foci as described in the pancreas, fatty focus in the liver and osseous findings. |
Generate impression based on findings. | 54-year-old female with shortness of breath, evaluate for air space filling lesion or infiltrate LUNGS AND PLEURA: Right apical bulla. Nodular right upper lobe subpleural opacity measures 20 x 18 mm (image 44, series 5). Multiple additional bilateral pulmonary nodules are highly suspicious for malignancy. Diffuse inter... | 1. Multiple bilateral pulmonary nodules and marked mediastinal and supraclavicular lymphadenopathy highly suspicious for malignancy. Interstitial pulmonary opacities suggest possible lymphangitic spread.2. Collapsed left upper lobe with probable proximal obstructing lesion. 3. Left hepatic metastasis. |
Generate impression based on findings. | Female 55 years old Reason: History of metastatic renal cancer, on pazopanib, assess for progression History: none CHEST:LUNGS AND PLEURA: Stable nodular pleural thickening diffusely lung the right lung. No discrete lung nodules or effusions. Atelectasis right base unchanged.MEDIASTINUM AND HILA: Diffuse mediastinal ad... | No new sites of disease. Index lesion measurements as above with limitations related to their irregular shape. |
Generate impression based on findings. | 60 year-old female with right paratracheal mass LUNGS AND PLEURA: Multiple right pulmonary and subpleural nodules the largest measuring 2.0 x 2.6 cm in the right upper lobe (image 18, series 5). Apical predominant underlying centrilobular emphysema.MEDIASTINUM AND HILA: Right paratracheal mass measures 6.5 x 5.6 cm (im... | 1. Right paratracheal mass and multiple right pulmonary and subpleural nodules highly suspicious for malignancy, most likely lung primary. The severity of mediastinal lymphadenopathy raises the question of small cell lung cancer. 2. Axillary, supraclavicular and subpectoral lymphadenopathy as well as bilateral adrenal ... |
Generate impression based on findings. | Reason: eval miliary process tomorrow will be getting a bronch History: eval miliary process tomorrow will be getting a bronch LUNGS AND PLEURA: Diffuse miliary nodules have improved, slightly smaller and less dense.Confluent air space opacities have significantly improved in the upper lung zones, although a focus pers... | Interval improvement in miliary interstitial opacities comment and in areas of confluent consolidation. |
Generate impression based on findings. | 60 year-old female with lung cancer status post 8 cycles of treatment CHEST:LUNGS AND PLEURA: Reference right lower lobe mass is slightly decreased in size and now measures 4.4 x 3.0 cm and previously measured 4.4 x 3.5 cm (image 63, series 5). Reference left upper lobe nodule measures 7 x 5 mm (image 29, series 5) and... | Reference right lower lobe mass slightly decreased in size. One reference left upper lobe lesion is increased in size. Multiple additional small pulmonary nodules are unchanged. |
Generate impression based on findings. | Male 52 years old Reason: pancreatic cancer restaging History: pancreatic cancer chemo restaging CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Port-A-Cath right chest wall. Catheter tip terminates in the SVC RA junction.ABDOMEN:LIVER, BILIARY T... | No new sites of disease. Index pancreatic mass with vascular abutment as described. Persistent marked left-sided hydronephrosis due to obstructing renal calculus. Bilateral nephrolithiasis. Small amount of ascites which is new. Splenomegaly. |
Generate impression based on findings. | Reason: 69 y/o M w/ SCC of the lung s/p resection needs restaging please. History: none LUNGS AND PLEURA: Postsurgical volume loss in the right hemithorax with a moderately large residual pleural effusion.No sign of tumor recurrence.MEDIASTINUM AND HILA: No significant lymphadenopathy.Extensive severe coronary artery c... | Postsurgical abnormalities with residual pleural effusion but no sign of tumor recurrence. |
Generate impression based on findings. | Reason: changes in pulmonary nodules and evaluation of lung parenchyma History: dyspnea with exertion LUNGS AND PLEURA: Focal consolidation is present inferiorly in both posterior costophrenic angles, with a very small left pleural effusion.Elsewhere, the lungs are unremarkable in appearance and no nodules are identifi... | 1. Severe cardiomegaly with a pericardial effusion.2. Consolidation deep and the costophrenic angles, or atelectasis. |
Generate impression based on findings. | 25-year-old male with history of portal vein thrombosis presents with GI bleed. History of extensive ABDOMEN:LUNGS BASES: Bilateral basilar consolidation. Bilateral small pleural effusions.LIVER, BILIARY TRACT: Diffuse hypoattenuation of the liver parenchyma, consistent with hepatic steatosis. Cholelithiasis in the gal... | 1.Extensive venous thrombosis involving the portal, splenic, and superior mesenteric veins with marked chronic collateral formation, moderate splenomegaly, and minimal ascites.2.Extensive soft tissue nodularity extending from the level of the left renal vein to the low pelvis with punctate calcifications raises questio... |
Generate impression based on findings. | Reason: assess for underlying lung disease and neoplasm History: respiratory failure LUNGS AND PLEURA: Extensive patchy bilateral air space and ground glass opacity involving all lobes.Calcified granuloma in the left upper lobe compatible with previous infection.No pleural effusion.MEDIASTINUM AND HILA: Lower paratrach... | 1.Extensive patchy bilateral mainly air space opacity, nonspecific but compatible with infection in the appropriate clinical setting.2. Marked mediastinal lymphadenopathy, which raises the question of atypical infection. |
Generate impression based on findings. | Reason: hx of presumed fungal infection; now off azole x 5 weeks with recurrent cough and chest pain History: cough and chest pain LUNGS AND PLEURA: Right upper lobe peripheral wedge-shaped consolidation unchanged at 14 x 14 mm, consistent with resolving infection or infarction.Otherwise, the lungs are unremarkable in ... | Right upper lobe peripheral wedge-shaped nodule unchanged from either resolving infarct or infection. Previously measured lymph nodes unchanged or smaller in size. |
Generate impression based on findings. | 52-year-old male with metastatic thyroid cancer CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules of varying size are not significantly changed in size.Reference left upper lobe nodule measures 12 x 11 mm and previously measured 10 x 11 mm (image 47, series 5). Reference right lower lobe nodule measures 12 x 9 mm a... | Multiple bilateral pulmonary nodules, not significantly changed in size. |
Generate impression based on findings. | Male 69 years old Reason: 69 year old man with DLBCL (primary bone) s/p chemotherapy in remission. Compare to prior scans. CHEST:LUNGS AND PLEURA: In addition to basilar scarring unchanged there is an irregular-shaped nodule in the left lower lobe measuring up to 1.7-cm series 5 image 66. No effusions.MEDIASTINUM AND H... | No pathologic size nodes. Note is made of a focal bulge along the left wall of the abdominal aorta consistent with a focal aneurysm based on shape with progression from the baseline CT of 5/20/10. Other findings stable as described. |
Generate impression based on findings. | Clinical question: Assess ventricles with dye. Signs and symptoms: Status-post shunt. Unenhanced head CT:Examination is performed at two stages. Staff of neurosurgery administered 5 cc of Omnipaque 180 through a right frontal approach ventricular catheter. The CT exams were performed10 minutes and 15 minutes after admi... | 1.Initial 10 minute delayed post intraventricular contrast injection CT demonstrate complete opacification of all ventricular system with contrast. Subarachnoid contrast in the basal cistern and extensive subarachnoid contrast in the posterior fossa was noted.2.15 minute post intraventricular contrast injection CT exam... |
Generate impression based on findings. | Reason: hx of larynx ca, s/p CRT and sx, now with mets to chest, eval for dz progression with measurements, pt on 13-0311 History: as above CHEST:LUNGS AND PLEURA: Left lower lobe micro-nodule decreased, likely post infectious (series 5/36).No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Retrotracheal mass (serie... | 1.Progression of left posterior chest wall metastasis.2.Stable reference lesions. 3.Marked decrease in mediastinal lymphadenopathy. |
Generate impression based on findings. | Male, 72 years old, status post cervical spine corpectomy and fusion with cage and plate for severe myelopathy. Partial corpectomy has been performed from the inferior aspect of the C3 vertebral body down to the midpoint of the C5 vertebral body. A cage device has been placed with a surgical defect and filled with amor... | Expected postoperative findings consistent with partial corpectomy from C3 through C5 with anterior plate and screw fusion. There has been interval relief of spinal stenoses seen through this region on the prior examination. Additional degenerative findings have not substantially changed. |
Generate impression based on findings. | Female 73 years old Reason: evaluate renal mass, r/o metastasis History: hx of bilat renal mass CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Thyroid nodules seen in the right lobe isthmus and left lobe. Atherosclerotic calcifications aorta and coronary arteries. Calcified hilar granul... | Multifocal hypervascular renal masses consistent with multifocal renal cell carcinoma. Some lesions are stable and some are increased in size. No new sites of disease. No definite evidence of metastatic disease.Right sided colonic thickening less marked. Small amount of ascites. Other findings as above. |
Generate impression based on findings. | 71-year-old female with history of bladder cancer status post cystectomy. Evaluate for disease. 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: Gallstones in the gallbladder fundus.... | 1.Multiple left pulmonary micronodules. Follow up is advised.2.Abnormal, patchy enhancement with striated appearance of the kidneys bilaterally. May represent infection versus new or chronic vascular abnormality. Clinical correlation is recommended. |
Generate impression based on findings. | chronic sinusitis, follow up CT scan The left ostiomeatal complex unit is patent. The right ostiomeatal complex unit is opacified but unchanged. Within the nasal cavity no obstructive lesions are appreciated. The nasal septum is deviated towards the right.The frontal sinuses are hypoplastic and clearMaxillary sinuses d... | 1.Persistent opacification of the right maxillary sinus and ostiomeatal complex unit.2.Since the prior exam in March, mucosal thickening in the left maxillary sinus and of the right sphenoid sinus has regressed3.nasal septal deviation |
Generate impression based on findings. | 13-year-old male with history of recurrent rhabdomyosarcoma, status post resection and chemotherapy Head:There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses... | 1.Enhancing soft tissue mass within the surgical bed in the right masticator and parotid spaces likely represents recurrent tumor and is overall stable in size. This mass abuts the right internal carotid artery2.No evidence for brain metastasis |
Generate impression based on findings. | Male; 13 years old. Reason: alveolar rhabdomyosarcoma receiving chemotherapy; assess response to therapy History: rhabdomyosarcoma LUNGS AND PLEURA: Scattered, faint reticulonodular opacities in the right upper lobe (series 80256, image 33) and left posterior costophrenic angle (image 94). New 4-mm right upper lobe nod... | 1. Scattered mild reticulonodular opacities in the right upper and left lower lobes.2. New pulmonary micronodules as described above.3. The above findings are nonspecific and may be post infectious or inflammatory in etiology. |
Generate impression based on findings. | 56-year-old with history of fallopian tube cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Previous reference right precarinal nonenlarged lymph node is no longer identifiable. CHEST WALL: Tip of Port-A-Cath at the junction of right atrium and SVC.ABDOMEN:LIVER, BILIARY TRACT: Hepa... | 1. At least two focal areas of stricturing within the distal jejunal and proximal ileal loops in mid abdomen causing proximal focal areas of small bowel dilatation without wall thickening or interloop fluid. This finding is new from prior study. Differential includes metastatic disease or adhesions from prior surgery c... |
Generate impression based on findings. | Clinical question: Chronic nasal congestion despite medical therapy, with history of septal spur. Signs and symptoms: As above. Medtronic fusion sinus CT:There is no evidence of acute sinusitis.Minute mucosal thickening in the dependent portion of bilateral maxillary sinuses and patent bilateral ostiomeatal units.Well ... | 1.No evidence of acute sinusitis.2.Minimal a coastal thickening in the dependent portion of bilateral maxillary sinuses and unremarkable sinuses otherwise. Patent bilateral ostiomeatal units and bilateral sphenoethmoidal recess.3.Soft tissue prominence along the right lateral wall of the anterior nasal passage with res... |
Generate impression based on findings. | Female 50 years old Reason: stage Iv ovarian ca History: voice changes CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: The catheter tip in distal SVC above RA junction. No pathologic size nodes.CHEST WALL: Port-A-Cath right chest wall.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormali... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | Female 71 years old Reason: assess for metastatic disease History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heavy atherosclerotic calcifications with multifocal ulcerated plaques. Port-A-Cath tip in SVC just above RA junction. Heavy atherosclerotic calcifications coronary arte... | Minimal change in measurement of partially calcified right inguinal lymph node. Other lymph nodes stable. Other findings unchanged including cholelithiasis, fatty replacement pancreatic head. Small nonspecific hypoattenuating foci liver and kidneys. Heavy atherosclerotic disease with ulcerated plaque seen. |
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