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Generate impression based on findings. | Female 50 years old Reason: H/O MZ Lymphoma with involvement in breast, sc tissue, and node in need of restaging. Please compare to prior. History: Marginal zone lymphoma CHEST:LUNGS AND PLEURA: Few micronodules unchanged.MEDIASTINUM AND HILA: Scattered small mediastinal nodes particularly in the prevascular space AP w... | No new sites of disease. Measurements of index lesions as above. The left paracardiac mass is increased somewhat in size. Nonobstructive left nephrolithiasis unchanged. |
Generate impression based on findings. | Reason: 53-year-old female with T-cell lymphoblastic lymphoma. Evaluate for improvement/progression History: T-cell lymphoblastic lymphoma LUNGS AND PLEURA: Mild subpleural scarring, unchanged.No sign of infection.MEDIASTINUM AND HILA: Small right thyroid nonspecific hypodensity unchanged.Decrease in previously enlarge... | Marked further decrease in mediastinal mass and mediastinal lymph nodes. |
Generate impression based on findings. | 67-year-old male with history of CLL now with syncope There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is circumferential thickening of the right maxillary sinus extendin... | 1.No evidence of acute intracranial hemorrhage, mass or cerebral edema.2.Chronic sinusitis involving the right maxillary sinus and right anterior ethmoid air cells.3.CT is insensitive for the early detection of non-hemorrhagic CVA. |
Generate impression based on findings. | Male 54 years old; Reason: re-staging scans s/p 9 cycles of chemo/maintenance avastin/palcebo therapy History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: Mild centrilobular and paraseptal emphysema. Bilateral dependent atelectasis. Scattered bilateral micronodules are unchanged. No pleural effusion. Note i... | 1.Persistent right lower lobe subcentimeter nodule. Slight interval increase in size of subcutaneous nodules in the thorax, as described above.2.No significant interval change in the reference lymph node measurements provided above. |
Generate impression based on findings. | Reason: Metastatic parotid poorly differentiated mucoepidermoid carcinoma; s/p Completion of Radiation Therapy: 7 months lung, 4.5 years parotid History: Completion of Radiation Therapy: 7 months lung, 4.5 years parotid CHEST:LUNGS AND PLEURA: A prior bilobed 7 x 11 mm left upper lobe nodule has coalesced into 118 x 16... | 1. Enlarging left upper lobe nodule consistent with a metastasis, more likely than a lung primary cancer.2. Unchanged postinflammatory appearing nodules and bronchial wall thickening. |
Generate impression based on findings. | 54-year-old male with lung cancer s/p Tarceva therapy > 5 months CHEST:LUNGS AND PLEURA: Status post right middle and lower lobe resection with volume loss and persistent right hydropneumothorax. Persistent medial right upper lobe scarring and bronchiectasis.Unchanged left pulmonary micronodules.MEDIASTINUM AND HILA: N... | 1. Status post right middle and lower lobectomy with persistent hydropneumothorax and posttreatment changes in the right upper lobe. 2. No specific evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Male 73 years old Reason: Pancreas cancer please assess for any vein/artery involvement for surgical Whipple canidate and provide index lesion measurements History: As above CHEST:LUNGS AND PLEURA: Atelectasis or scarring at the lung bases. Small left pleural effusion a suggestion of some loculation or nodularity. No d... | Pancreatic mass is not discretely measurable. Borderline resectable. |
Generate impression based on findings. | 58 year old male. Reason: mitral valve prolaspe. History: SOB. Pt. having robotic mitral valve repair. VESSELS:AORTIC VALVE PLANE TO INNOMINATE ORIGIN: 10 cmSINUS OF VALSALVA: 33.4 X 35.4 mmSINOTUBULAR JUNCTION: 28 X 28 mmASCENDING THORACIC AORTA AT LEVEL OF MAIN PULMONARY ARTERY: 30 X 31.6 mmASCENDING THORACIC AORTA I... | 1.No measurable coronary artery calcification.2.Normal ventricular morphology and volume. 3.Nonobstructing nephrolithiasis.4.Aorta and major branches have normal caliber and taper. 5.Focal atherosclerotic calcification at the right subclavian artery origin. |
Generate impression based on findings. | 80 year-old female with metastatic mucoepidermoid carcinoma of the left parotid status post radical left parotidectomy and neck dissection with radiation in 2008. Within the visualized brain, there is no edema, acute hemorrhage, enhancing masses or extra-axial fluid collections.There are post treatment changes of a lef... | 1.Stable posttreatment changes without evidence of tumor recurrence.2.For evaluation of the thorax, please see dedicated chest CT performed on the same day. |
Generate impression based on findings. | 69 year-old female, status post AAA repair (TAA with EVAR). Reason: Patient with a history of TAA and AAA after infrarenal AAA retroperitoneal repair (9/2010) and endograft repair of TAA (2/2011). CHEST:LUNGS AND PLEURA: Minimal compressive atelectasis in the left lung.MEDIASTINUM AND HILA: In the coronal plane, the ma... | 1. Stable size of the extensive thoracic and abdominal aortic aneurysm.2. Stable endovascular repair of the descending thoracic aortic aneurysm without evidence of endoleak. 3. No other significant change. |
Generate impression based on findings. | 57-year-old male with a history of esophageal carcinoma. Status post chemoradiation therapy. Rule-out metastatic disease. CHEST:LUNGS AND PLEURA: There is biapical scarring/atelectasis. Note is made of a left upper lobe pulmonary micronodule. There is a 9-mm pleural based nodule along the medial aspect of right middle ... | Thickening of the distal esophagus consistent with the stated history of esophageal carcinoma. There are multiple pulmonary nodules, otherwise, there is no evidence to suggest metastatic disease. |
Generate impression based on findings. | 72-year-old female with lung cancer, follow-up bilateral lung nodules CHEST:LUNGS AND PLEURA: Status post right lower lobe wedge resection. Left upper lobe part solid pulmonary nodule is increased in size with increasing solid component and now measures 18 x 11 mm and previously measured 18 x 9 mm (image 29, series 6).... | Increasing size of left lower lobe partially solid nodules most consistent with primary lung cancer. |
Generate impression based on findings. | Female, 50 years old, stage IV ovarian cancer status post debulking and chemotherapy on maintenance Avastin. The mucosal tissues of the aerodigestive tract are within normal limits. No abnormal soft tissue mass, focal enhancement or pathologically enlarged lymph node is seen.The salivary glands and thyroid are free of ... | No evidence of metastatic disease in the neck. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Scarring and several micronodules unchanged.There is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.Moderate to severe coronary artery disease is present.CHEST... | 1. No sign of metastases.2. Stable large renal angiomyolipomas and nonobstructing left renal calculus. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial process. Signs and symptoms: Alteration of mental status. Nonenhanced head CT:No detectable acute intracranial process. CT of her is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system and ... | No acute intracranial process. |
Generate impression based on findings. | Male, 68 years old, history of sphenoid sinus cancer, follow-up exam. Postsurgical alteration consistent with bilateral frontal craniectomy is redemonstrated. A soft tissue flap bridging the calvarial defect is unchanged in appearance. Mild thickening of the underlying dura is also unchanged. Encephalomalacia of the bi... | Stable extensive postsurgical alteration involving the calvarium, nasal cavity and sinuses. Soft tissue thickening along the ethmoid resection bed, as well as within the sphenoid sinuses, is unchanged. No pathologic adenopathy is detected in the neck. |
Generate impression based on findings. | Female 49 years old Reason: Stage IV sigmoid colon adenocarcinoma please assess and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: The catheter tip at SVC RA junction. Minimal atherosclerotic calcifications. No pathologic siz... | Ascites and carcinomatosis. Right and left large adnexal masses consistent with metastasis involving the ovaries favored over second primary. Retroperitoneal nodes.Marked right-sided hydronephrosis and hydroureter due to compression of the distal half of the right ureter by the adnexal mass.Nonspecific hyperattenuating... |
Generate impression based on findings. | IV Contrast: 50 ml used, 10 ml wasted, Omnipaque 350.T2 N0 M0 site right alveolar ridge SCCA s/p resection The patient is status post right mandibular surgery. There are surgical clips present in adjacent soft tissues. There is an 18 x 11 mm ring enhancing lesion present adjacent to the alveolar ridge in the right mylo... | 1.There is a new ring enhancing lesion present adjacent to the right alveolar ridge to the right sublingual space. Please correlate with physical findings on clinical exam. The possibly that this represents a local recurrence cannot be excluded alternative explanation could be infection.2.Status-post a right to submand... |
Generate impression based on findings. | Female 79 years old Reason: pt with CLL on clnical trial, had Chlorambucil x 7 cycyles, for evaluation , please compare with previous History: lymphadenopathy Exam is not sensitive at detecting lesions in the vasculature or solid organs due to the lack of IV contrast. Given those limitations following observations are ... | Decrease in size of most nodal chains. No new sites of disease. |
Generate impression based on findings. | 61 year old male. Reason: Evaluate for CAD. History: chest pain Height: 70 inWeight: 185 lbsBSA: 2 m^2BMI: 26.5 kg/m^2Cardiac Morphology:Left Ventricle:EDV: 113 ml The left ventricle is normal in size, shape, wall thickness, and volume. Right Ventricle:EDV: 169 ml The right ventricle is normal in size, shape, wall thic... | 1. Normal ventricular volume and morphology.2. Coronary artery calcification in the LAD and RCA. 3. 40% stenosis at LAD origin. No other significant coronary artery stenoses. |
Generate impression based on findings. | Chronic lymphoid leukemia, without mention of having achieved remission(204.10)Examination of participant in clinical trial There is a right supraclavicular lymph node measuring 20 mm x 15 mm which previously measured 17 x 22 mm axial dimensions. Image number 58There is a right posterior triangle lymph node present mea... | 1.Examination performed without contrast which may reduce sensitivity2.there is a redemonstration of lymphadenopathy within the soft tissues of the neck which has mildly decreased when compared to the prior exam from September3.there is a left thyroid gland lobe mass present which is relatively stable when compared to ... |
Generate impression based on findings. | Female, 59 years old, pituitary tumor, preoperative planning for removal. Clinical symptoms of headaches and elevated growth hormone. The pituitary mass seen on prior MRI is not well depicted on the present noncontrast CT. There is some probable expansion of the left aspect of the sella which may secondarily reflect th... | 1. Pituitary mass was better assessed on the prior MRI with only secondary signs evident on the current study.2. The paranasal sinuses are clear. |
Generate impression based on findings. | Male 79 years old Reason: T2 N0 M0 site right alveolar ridge SCCA s/p resection, contour bulge of pancreas on last exam History: T2 N0 M0 site right alveolar ridge SCCA s/p resection, contour bulge of pancreas on last exam CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema. Few scattered micronodules. No large nodule... | No evidence of pancreatic mass. No evidence of metastasis. Other findings as above. |
Generate impression based on findings. | 51 year-old female with metastatic breast cancer Comparison with PET/CT is limited due to motion artifact.LUNGS AND PLEURA: Reference pulmonary nodules along the left major fissure are not significantly changed and measure 6 mm (image 49, series 5) and 5 mm (image 53 series 5) and previously measured 6 mm and 6 mm resp... | Interval decrease in size of right upper lobe subpleural nodule. Additional metastatic lesions are not significantly changed in size. |
Generate impression based on findings. | 66-year-old male with prostate cancer rising PSA. Evaluate for metastases. Known liver hemangioma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Known left lobe hemangioma is stable. ... | Left lobe of liver known hemangioma. Stable right adrenal hypodense lesion most likely a cyst.No evidence of metastases. |
Generate impression based on findings. | Male 55 years old; Reason: abdominal pain History: abdominal pain, dilated loops of bowel ABDOMEN:LUNGS BASES: Multifocal nodules right left lung bases. Bibasilar atelectasis or consolidation. Correlate clinically to rule out aspiration pneumonia.LIVER, BILIARY TRACT: A the several hypodense foci in the liver consisten... | 1.Marked small bowel dilatation with long segment of marked submucosal edema involving the marrow ileum of uncertain etiology. The patient may be at risk for perforation. No discrete transition zone is seen to suggest mechanical obstruction however.2.Possible progression of metastatic disease in the liver.3.Bibasilar a... |
Generate impression based on findings. | Reason: 67-year-old female with metastatic lung cancer, ALK+, on ASP3026 now, s/p 8 cycles. Pls c.w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Postsurgical changes in the right hemithorax. Reference left subpleural nodule measures 4 mm , previously 4 mm (series 5, image 41). No ne... | 1.No suspicious pulmonary nodules or masses.2.Persistent left para-aortic node.3.Sclerotic osseous metastatic lesions, unchanged. |
Generate impression based on findings. | 43-year-old female with shortness of breath on exertion, evaluate for sarcoidosis LUNGS AND PLEURA: Apical predominant paraseptal emphysema. Upper lobe predominant diffuse interstitial disease with faint granular opacities and nodularity along the fissures. Architectural distortion is noted in the left upper lobe. No h... | 1. Mediastinal lymphadenopathy and upper lobe predominant interstitial lung disease as detailed above, consistent with sarcoidosis.2. Diffuse hepatic steatosis. |
Generate impression based on findings. | Reason: 60Yrs female here for follow-up of T4 N2b M0 squamous cell carcinoma of the right vocal cord IRB 10-069 completed 3/2013 History: as above CHEST:LUNGS AND PLEURA: Mild bronchiectasis and bronchiolitis particularly may lingula a round middle lobe consistent with microaspiration.Interval resolution of focal conso... | Mild pulmonary abnormalities consistent with microaspiration. No specific evidence of metastases. |
Generate impression based on findings. | 62 year-old female with painless intermittent bowel obstruction, similar pattern in 2012. ABDOMEN:LUNG BASES: No significant abnormality noted. Note is made of a left lower lobe pleural based pulmonary micronodule.LIVER, BILIARY TRACT: Note is made of extrahepatic biliary ductal dilation measuring 10 mm in its greatest... | 1. Mild mesenteric fat stranding in the region of the SMA and head and uncinate process of the pancreas. Correlation with serologic markers is recommended to exclude acute pancreatitis, although this could conceivably represent a paniculitis.2. Mild extrahepatic biliary ductal dilation, as described above. 3. No dilate... |
Generate impression based on findings. | 61 year old female history of squamous cell carcinoma of the right vocal cord for follow-up The vocal cords are asymmetric with the right vocal cord hypoattenuating and medialized, appearing similar to the prior exam. A small amount of enhancement in the left vocal cord may be secondary to treatment related hyperemia a... | 1.Treatment related changes including supraglottic mucosal edema and hyperemia. The right vocal cord remains medialized, appearing similar to the prior exam. No definite mass lesions are identified at the level of the glottis.2.No pathologic lymphadenopathy. |
Generate impression based on findings. | Female, 47 years old, headache with Valsalva. The cerebellar tonsils are ectopic extending 2 to 4 mm below the level of the foramen magnum. This does not technically qualify as a Chiari malformation. Similar findings were seen on the prior MRI. Brain parenchyma otherwise demonstrates normal morphology and attenuation. ... | 1.CTA of the head is within normal limits. Specifically, no evidence of aneurysm or other vascular abnormality is detected. 2.Evaluation of the brain parenchyma is significant only for cerebellar tonsillar ectopia. This does not meet imaging criteria for a Chiari malformation, and therefore, relationship to the patient... |
Generate impression based on findings. | Clinical question: Congestion, chronic sinusitis. Signs and symptoms: As above. Medtronic fusion sinus CT:Frontal sinuses.Mucosal thickening of the left frontal sinus and unremarkable otherwise.Ethmoid sinuses demonstrate minimal bilateral anterior ethmoid mucosal thickening and unremarkable otherwise.Sphenoid sinus de... | 1.No acute sinusitis.2.Mild diffuse bilateral maxillary sinus mucosal thickening and occluded bilateral ostiomeatal units.3.Occluded bilateral sphenoethmoidal recess due to regional mucosal thickening. 4.Minimal bilateral anterior ethmoid sinus disease and moderate left frontal sinus disease as detailed.5.Significant b... |
Generate impression based on findings. | Malignant neoplasm of stomach CHEST:LUNGS AND PLEURA: Few right lower lobe micronodules most unchanged from prior studyMEDIASTINUM AND HILA: Left thyroid hypodense nodule is unchanged from prior study.Mighty prominent right hilar lymph node is unchanged (image 44, 4).CHEST WALL: Tip of the Port-A-Cath at the cavoatrial... | 1. Interval increase in left hepatic lobe mass.2. Interval increase in size of a large heterogenous mass arising from the gastric antrum and a possible extension or lobulation of this mass anterior and superior to the body of the pancreas. |
Generate impression based on findings. | Reason: h/o HNC/CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Increase in a right lower lobe subpleural nodule (series 6/67) no 10 x 9 mm increased from 9 x 8 mm.Adjacent inferiorly located nodules have also increased in size. The pulmonary opacity in the right posterior costophrenic ... | Progression of right lower lobe metastases. |
Generate impression based on findings. | 67-year-old male with syncope, evaluate for PE PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: New diffuse tree in bud opacities and bronchiolar wall thickening consistent with bronchiolitis.Reference right lower lobe nodule measures 12 x 11 mm and previously measur... | 1. Technically adequate exam without evidence of pulmonary embolus. 2. Markedly increased axillary, mediastinal and chest wall lymphadenopathy. 3. New diffuse bronchiolitis pattern, likely infectious in etiology.4. Unchanged pulmonary nodules. |
Generate impression based on findings. | Male, 73 years old, chronic lymphoid leukemia, evaluate disease status. No significant interval change is seen in numerous scattered cervical lymph nodes. No new or pathologic adenopathy is detected. Reference measurements are as follows:1. Left level 1b (image 30 series 6): 12 x 8 mm, previously 12 x 9 mm.2. Left leve... | Stable lymph node reference measurements as above. No new or frankly pathologic adenopathy is detected by size. |
Generate impression based on findings. | Reason: lung cancer History: increased lung nodule CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema.Sharply defined superior segment left lower lobe nodule (series 5/44) now 12 x 16 mm, increased from 8 x 11 mm previously.Distal opacity compatible with bronchial impaction has not significantly changed.Marked bronch... | Further enlargement of left lower lobe nodule, subcarinal and left hilar lymph nodes, suspicious for metastatic disease. |
Generate impression based on findings. | Chemotherapy follow-up examinationRadiotherapy follow-up examinationMalignant neoplasm of tonsil. h/o HNC/CRT, compare to previous, measurements pls The patient is status post left neck surgery. Surgical clips are present in the left upper neck. Surgical clips are also present in the right neck. There is infiltration o... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | Chronic lymphoid leukemia without mention of having achieved remission. Examination of participant in clinical trial Limited study. Intravenous contrast was not administered. This limits the sensitivity to detect small lesions in solid organs and bowel.CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM... | 1. Stable mediastinal lymph nodes.2. Minimal interval reduction in size of left para-aortic lymph node. The other pelvic and retroperitoneal lymph nodes are grossly unchanged. |
Generate impression based on findings. | 50 year-old female with history of ovarian cancer, CVA. CHEST:LUNGS AND PLEURA: Small new left pleural effusion.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right-sided central venous catheter in expected position.ABDOMEN:LIVER, BILIARY TRACT: The liver enhances homogeneously. Multiple subcentimet... | 1.Massive ascites with increased mass effect, most notably compressing the stomach.2.Left upper quadrant soft tissue mass demonstrates slight interval increase in size.3.Diffuse peritoneal carcinomatosis.4.Hepatomegaly.5.Atrophy of the right kidney with compensatory hypertrophy of the left kidney.6.Bilateral hypodense ... |
Generate impression based on findings. | Reason: left retromolar trigone squamous cell cancer s/p chemoRT with persistent pain History: left retromolar trigone squamous cell cancer s/p chemoRT with persistent pain LUNGS AND PLEURA: Diffuse bronchial thickening with areas of subsegmental atelectasis in the right middle lobe and lingula.Sharply circumscribed 5-... | 1.Indeterminant 5-mm right upper lobe nodule which may be an intrapulmonary lymph node or granuloma, but the differential diagnosis includes primary and metastatic disease and therefore further follow-up is recommended. 2. Symmetrically enlarged adrenal glands, most likely benign. |
Generate impression based on findings. | Male, 25 years old, shortness of breath, epiglottic swelling and leftward shifted structures on laryngoscopy. Evaluate for deep neck infection. The mucosa of the supraglottic larynx and hypopharynx is markedly edematous. The airway through this region is effaced except for the presence of an ET tube.Edema/tracking flui... | Extensive edema of the supraglottic larynx and hypopharynx with fluid and/or edema tracking through the deep fascial planes. No discrete or drainable fluid collection is seen at this time. |
Generate impression based on findings. | 49 year-old female with epigastric pain, left upper quadrant pain, CT to further evaluate ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal lesions in the liver. Hepatic vessels are patent.SPLEEN: Normal size of the spleen. No focal lesion.PANCREAS: No significant abnormality notedADREN... | No CT findings to explain patient's pain. |
Generate impression based on findings. | Male, 68 years old, fever, tachycardia, rigor. Evaluate for sinusitis. The frontal sinuses are clear. Mild mucosal thickening is evident at the level of the frontoethmoidal recesses. The sphenoid sinuses and sphenoethmoidal recesses are clear. Scattered mucosal thickening is evident through the ethmoid air cells.The ma... | No evidence of significant active sinus disease. |
Generate impression based on findings. | Clinical question: Lumbar spinal stenosis/degeneration. Evaluate bone alignment possible preop planning. Signs and symptoms: Back pain and lower extremity pain. Nonenhanced lumbar spine CT:Examination demonstrate generalized uniform narrowing unexpected caliber of the spinal canal which is believed to be at least parti... | 1.Generalized uniformly smaller than expected caliber of the spinal canal which is believed to be a congenital. 2.Degenerative changes of lumber spine at multiple levels with more severe level of changes at L3 -- 4 level with highly suspected moderate to significant central spinal stenosis. Mild to moderate spinal sten... |
Generate impression based on findings. | 56-year-old male with abdominal distention. The absence of intravenous contrast limits evaluation of the solid organs. Given this limitation, the following observations were made:ABDOMEN:LUNGS BASES: Fibrotic changes and bullae in the lung bases are unchanged from the prior exam. Pacemaker wire is partially imaged. Bil... | 1.No CT evidence to explain abdominal distention.2.Prominent submucosal fat in the proximal stomach. Clinical correlation is recommended.3.Small spleen. Correlate clinically for hyposplenism. |
Generate impression based on findings. | Please r/o mass effect or bleedSigns and Symptoms: chronic headache worsening for the last week and now with vomiting The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identifi... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Male, 76 years old, history of metastatic thyroid cancer, compare to previous. Surgical change consistent with prior thyroidectomy is redemonstrated. There are small foci of nonspecific soft tissue within or around the thyroidectomy bed, not significantly changed. No suspicious lesions are seen at this location.A parti... | 1. No suspicious lesions in the thyroidectomy bed.2.Stable partially calcified right supraclavicular lymph node. Mediastinal nodes are better assessed on dedicated chest imaging. |
Generate impression based on findings. | Malignant neoplasm of base of tongueRadiotherapy follow-up examinationOther postablative hypothyroidism Chronic kidney disease, unspecified CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases. |
Generate impression based on findings. | 32-year-old male with history of TB LUNGS AND PLEURA: Multiple right upper lobe nodules, some of which are calcified with associated bronchiectasis. Right upper lobe pleural thickening.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes, compatible with prior granulomatous disease. The heart size is norma... | No specific evidence of active disease. Right upper lobe nodules, some of which are calcified, with associated bronchiectasis compatible with previous granulomatous disease such as reactivation tuberculosis. |
Generate impression based on findings. | 70-year-old male with history of tongue cancer, evaluate response CHEST:LUNGS AND PLEURA: Unchanged left apical scarring/fibrosis. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Left hypoattenuating thyroid lesion is unchanged. Marked atherosclerotic calcificati... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Male 76 years old Reason: h/o met thyroid ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Pulmonary nodules consistent metastases redemonstrated.Inspiration left lower lobe series 5 image 54 measures 2.3 x 1.8 cm. Previously 1.8 x 1.6 cm.MEDIASTINUM AND HILA: Thyroidectomy. Partially cal... | Increase in size of index lesions. |
Generate impression based on findings. | Female 25 years old Reason: history of spindle cell sarcoma History: none Exam is not sensitive detecting lesions in the solid organs or vasculature distal to lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRA... | No measurable disease. |
Generate impression based on findings. | 29 year-old female with leiomyosarcoma of the uterus. s/p 14 cycles of Gemzar/Taxotere. Please compare to last scan eval disease process. CHEST:LUNGS AND PLEURA: Previously described nodules are unchanged from previous study.MEDIASTINUM AND HILA: Pericardial effusion, unchanged.CHEST WALL: No significant abnormality no... | 1.Pelvic index lesions are stable or minimally decreased in size within the internal. There etiology is unknown and may represent postsurgical changes/lymphoceles. Follow-up imaging, and/or pelvic MRI may be helpful for better characterization of these lesions.Minimal pericardial effusion is unchanged.I personally revi... |
Generate impression based on findings. | 75-year-old female with history of chronic type B dissection. CHEST:LUNGS AND PLEURA: Mild emphysema. Probable intrapulmonary lymph node along minor fissure unchanged (series 8, image 37). Several calcified granulomas again noted. No suspicious nodules or lesions.MEDIASTINUM AND HILA: Several prominent mediastinal lymp... | 1.Stable type B dissection of abdominal aorta, as described above. 2.Stable celiac artery aneurysm with focal dissection. |
Generate impression based on findings. | Osteosarcoma and multiple relapses. LUNGS AND PLEURA: Multiple staple lines are present from resection of lung nodules. Multiple micronodules are again seen. The largest of these contains osteoid, is located in the left lower lobe and measures approximately 4 mm in diameter.The pleural based mass surrounding the left p... | Decrease in size of pleural based left mass with increase in osteoid formation. No change in largest left micronodule. |
Generate impression based on findings. | 22-year-old male patient. 29 weeks pregnant with tachycardia and new oxygen requirement. Echo showed positive McConnell's sign. PULMONARY ARTERIES: Suboptimal examination without complete opacification of the subsegmental branches of the pulmonary artery. No evidence of a central pulmonary embolus to the lobar level.LU... | Suboptimal examination without evidence of a pulmonary embolus to the lobar level. If clinically warranted, can obtain a noncontrast magnetic resonance angiography of the pulmonary artery.Bilateral patchy opacities suggestive of atelectasis, infection or aspiration. |
Generate impression based on findings. | 79-year-old male with nausea, vomiting, abdominal pain. ABDOMEN:LUNG BASES: Partially visualized, pleural-based nodular opacity in the right lower lobe measures 6 mm (series 10284, image one). Mild basilar scarring.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: N... | 1.Moderate grade small bowel obstruction with transition point located in the midabdomen adjacent to post surgical changes/suture material.2.Nonspecific partially visualized 6-mm nodule in the right lower lung lobe; consider follow-up chest CT for better evaluation. |
Generate impression based on findings. | 86 year old female with diffuse abdominal pain.. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is gallbladder wall thickening and surrounding fat stranding, as well as gallstones located near the bladder neck, consistent with acute cholecystitis. No fluid collection to suggest abscess.... | Findings consistent with acute cholecystitis. |
Generate impression based on findings. | 15-year-old male status post trauma. CHEST:LUNGS AND PLEURA: A small right apical and subpulmonic pneumothorax is present. A moderate right pleural effusion is also seen. Right basilar dependent opacities are noted, likely reflecting a combination of hemorrhage and atelectasis. No acute traumatic abnormality is identif... | 1. Grade 3/4 laceration of the right kidney with associated perirenal hematoma and retroperitoneal air.2. Grade 2 liver injury with small focus of free intraperitoneal air adjacent the liver capsule as discussed above.3. Small right pneumothorax with a moderate pleural effusion and associated pulmonary opacities likely... |
Generate impression based on findings. | 63-year-old female with active GI bleeding. ABDOMEN:LUNG BASES: Again seen extensive pulmonary fibrosis and traction bronchiectasis with honeycombing involving visualized lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedAD... | Oral contrast material is present throughout colon, limiting evaluation for bleeding. Given this limitation, no evidence of contrast extravasation to suggest active bleeding is identified. |
Generate impression based on findings. | 66-year-old female patient with history of metastatic uterine cancer presents with dyspnea. PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Interval increase in moderately large left pleural effusion with compressive atelectasis of the left lower lobe. Small right-si... | Technically adequate study without evidence of a pulmonary embolus.Interval increase in moderately large left pleural effusion.Enlarged cardiophrenic angle lymph nodes, consistent with metastatic disease.Interval increase in partially visualized left upper quadrant mass. |
Generate impression based on findings. | 32 year old female with breast cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No pathologically enlarged mediastinal lymph nodes. Heart size normal without pericardial effusion. Soft tissue in anterior mediastinum consistent with residual thymus.CHEST WALL: Multiple prominent rig... | 1.Right breast lesion consistent with patient's known breast carcinoma.2.Multiple prominent right axillary lymph nodes. |
Generate impression based on findings. | 24 old female with left flank pain and hematuria. Evaluate for kidney stones. ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given this limitation, the following observations were made:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No ... | No evidence of nephrolithiasis or ureteral stone. No other findings to explain patient's symptoms. |
Generate impression based on findings. | Female 28 years old; Reason: s/p Celiac artery release/ KP transplant. Looking for intra-abdominal/ pelvic fluid collections to explain ongoing pain. History: Persistent abdominal pain ABDOMEN:The absence of intravenous contrast limits evaluation of the solid organs. Given this limitation, the following observations we... | 1.No loculated fluid collection identified, as clinically questioned.2.Mild ileus pattern. |
Generate impression based on findings. | 56-year-old female with sudden onset back pain and unsteady gait. Rule out dissection. CHEST:LUNGS AND PLEURA: Filling defect is seen in a small right pulmonary artery branch in the lower lobe, compatible with pulmonary embolus (images 65 to 71, series #3). A calcified left lower lobe granuloma is identified.MEDIASTINU... | 1.Right lower lobe pulmonary embolus.2.No aortic dissection.Findings were discussed with Dr. Ali via telephone at 10:15 a.m. on December 3, 2013. |
Generate impression based on findings. | Motor vehicle traffic accident. 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 and mastoid air cells are clear. The skull and extracranial soft t... | 1. No evidence of intracranial hemorrhage or skull fracture.2. No evidence of cervical spine fracture or spondylolisthesis. |
Generate impression based on findings. | Systemic lupus erythematosus with vomiting and headache. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The mild cerebral white matter abnormalities demonstrated on the prior MRI are not discernable on this exam due to differences in technique. The ventricles and basal cisterns are norm... | No evidence of intracranial hemorrhage, mass, or cerebral edema. The mild cerebral white matter abnormalities demonstrated on the prior MRI are not discernable on this exam due to differences in technique. Consider MRI for further evaluation, if clinically warranted. |
Generate impression based on findings. | Facial edema, possible fluctuance. There is an area of subcutaneous fat stranding in in the left cheek that measures up to 15 mm. There is mild retention cyst formation in the bilateral maxillary sinuses and mild partial opacification of the posterior ethmoid sinuses and left frontoethmoid recess. There are bubbly secr... | 1. Small area of subcutaneous fat stranding in in the left cheek. Differential considerations include cellulitis and contusion. No evidence of drainable fluid collection, although assessment for abscess is limited by lack of intravenous contrast. 2. Mild scattered paranasal sinus opacification, including bubbly secreti... |
Generate impression based on findings. | 44-year-old male with history of right lower quadrant pain This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: Dependent atelectasis at the lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: N... | Limited study due to lack of intravenous contrast. No evidence of urolithiasis. CT findings suggestive of right-sided acute pyelonephritis. Clinical correlation is recommended. |
Generate impression based on findings. | POD# 1 s/p left craniotomy for tumor (astrocytoma)resection. There has been interval left frontal craniotomy for resection of an astrocytoma. There is a small amount of hyperattenuating blood products within and adjacent to the resection cavity, small amounts of subarachnoid and subdural pneumocephalus, and left scalp ... | interval left frontal craniotomy for resection of an astrocytoma with a small amount of blood products within and adjacent to the resection cavity. A small area of ill-defined hypoattenuation inferior to the resection cavity may represent residual tumor, although assessment is limited on this non-contrast CT. |
Generate impression based on findings. | Reason: 50Yrs male here for follow-up of BOT/Tonsil SCC T1N2B s/p TFHX 8/5/09;R hilar recurrence 10/10 s/p hypofractionated radiation to chest 12/30/10 f/b adjuvant chemotherapy with carbo/docetaxel 3/11 History: as above CHEST:LUNGS AND PLEURA: Status post right lower lobectomy with stable right upper lobe radiation r... | No significant interval change or evidence of metastatic disease. |
Generate impression based on findings. | 31-year-old male with osteochondroma and plan for surgery. Again seen is the large osteochondroma arising from the right ilium, measuring approximately 12.0 x 6.6 x 12.3 cm. Fatty marrow is seen within the lesion. There is little, if any, cartilaginous cap. No other findings are noted to suggest malignancy. | Right iliac osteochondroma, as described above. |
Generate impression based on findings. | 77 year-old female with flank pain. Rule out kidney stone. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: A small portion of the dome was excluded from the field-of-view. Interval removal of the gallbladder with cholecystectomy clips in the gallbladder fossa. A lobulated, homogeneously hypo... | 1.No evidence of renal or ureteral stones.2.Postsurgical changes consistent with known Billroth II.3.Multiple pill-shaped foci in the colon may represent undissolved iron pills. Clinical correlation for anemia is recommended. |
Generate impression based on findings. | History of L4-5 fusion. Six month postop for assessment. There is left pedicle screws fusion of L4-5 and foraminotomy with mild periprosthetic lucency surrounding the left L5 pedicle screw. There is significant intravertebral disc height loss at L3-4 and L4-5 with vacuum disc phenomenon and milder height loss at L2-3 a... | 1. Mild lucency surrounding the L5 pedical screw, which may represent early loosening. 2. Multilevel degenerative spondylosis with only mild residual left L4-5 neural foramen stenosis, but severe right L3-4 neural foramen stenosis. In addition, a disc bulge at L4-5 results in mild spinal canal stenosis.3. Incompletely ... |
Generate impression based on findings. | T3N1 Cervical esophageal SCC, s/p 7 cycles TFHX with single daily RT completed on 12/4/09. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is an unchanged right frontal developmental venous anomaly. Otherwise, there is no abnormal intracranial enhancement. The ventricles and basal ... | 1. Unchanged posttreatment findings without evidence of locoregional esophageal squamous cell carcinoma recurrence or significant cervical lymphadenopathy.2. No evidence of intracranial metastases. |
Generate impression based on findings. | 52-year-old male status post partial nephrectomy for renal cell carcinoma. Evaluate for recurrence. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable segment 6 lesion compatible with hemangioma.SPLEEN: No significant abnormality notedPANCREAS: Stable 5-mm hypodense focus in pancreatic bod... | Stable cystic lesion and post surgical changes in right kidney. |
Generate impression based on findings. | Follow-up of BOT/Tonsil SCC T1N2B s/p TFHX 8/5/09; R hilar recurrence 10/10 s/p hypofractionated radiation to chest 12/30/10 f/b adjuvant chemotherapy with carbo/docetaxel 3/11. There are post-treatment findings related to neck dissection and radiation therapy. There is no evidence of mass lesions in the right orophary... | No evidence locoregional tumor recurrence of significant cervical lymphadenopathy. |
Generate impression based on findings. | T1N2C BOT SCC Everolimus induction on study with CFHX, as well as CRT and neck dissection, completed in November 2010. There are post-treatment findings related to radiation therapy delivered to the baso of tongue region and lymph node dissection. There is mild residual hypopharyngeal mucosal edema. However, no discret... | No evidence of locoregional tumor recurrence of significant cervical lymphadenopathy. |
Generate impression based on findings. | Clinical impression: Injury not specified. Nonenhanced head CT:Examination demonstrates no detectable acute posttraumatic intracranial or calvarial findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter to initiation.Unremarkable images through the orbits.Well pne... | 1.Nonenhanced head CT demonstrates no detectable acute posttraumatic intracranial or calvarial findings. The intracranial contents remains normal. There are multiple varying sized high-density foreign bodies in the soft tissues of the scalp in the right frontal region, right supraorbital and right upper eyelid and in t... |
Generate impression based on findings. | Reason: abnl cxr History: sepsis LUNGS AND PLEURA: Large left upper lobe mass (image 42, series 5) measuring approximately 5.2 cm x 5.1 cm.Severe upper lobe predominant emphysema.Left lower lobe elevation/ atelectasis.Mild right basilar scarring/discoid atelectasis with minimal pleural thickening.MEDIASTINUM AND HILA: ... | Large left upper lobe mass highly suspicious for a primary neoplasm. |
Generate impression based on findings. | Clinical impression: Injury not specified site. Nonenhanced head CT:Examination demonstrates no detectable acute posttraumatic intracranial or calvarial findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter to initiation.Unremarkable images through the orbits.Wel... | 1.Nonenhanced head CT demonstrates no detectable acute posttraumatic intracranial or calvarial findings. The intracranial contents remains normal. There are multiple varying sized high-density foreign bodies in the soft tissues of the scalp in the right frontal region, right supraorbital and right upper eyelid and in t... |
Generate impression based on findings. | T1N2b SCC oral tongue, receiving CRT with TFHX, status post bilateral neck dissections, tongue base resection and tonsillectomy, as well as wide local excision of an oral tongue cancer in March 2013. There has been interval evolution of post-treatment changes with diffuse hypoattenuating material within the left lymph ... | Interval post-treatment changes with likely seroma and/or increased necrosis in the left lymph node dissection bed, but no measurable locoregional tumor or discernable significant cervical lymphadenopathy. |
Generate impression based on findings. | 65 year-old female with metastatic pancreatic cancer. CHEST:LUNGS AND PLEURA: Stable appearing postsurgical changes in right lower lobe. Soft tissue attenuation adjacent to suture material appears stable.Left apical ground glass opacity is unchanged, measuring 1.3 x 1.3 cm, previously measured 1.3 x 1.4 cm (series 5, i... | 1.Persistent left hepatic lobe biliary ductal dilation, with interval increase of ill-defined hypoattenuating lesion at the confluence of dilated ducts concerning for malignancy such as cholangiocarcinoma. Consider further evaluation with dedicated liver MRI. 2.Mild increase in prominent upper retroperitoneal lymph nod... |
Generate impression based on findings. | Reason: pe History: cancer with DOE PULMONARY ARTERIES: Technically adequate study without evidence of a pulmonary embolus.LUNGS AND PLEURA: Bilateral basilar subsegmental atelectasis/scarring, similar in appearance to the prior exam.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: R... | 1.No evidence of a pulmonary embolus. 2.Bilateral basilar atelectasis unchanged.3.Numerous hepatic metastases . |
Generate impression based on findings. | 54-year-old male patient with history of AML and fungal pneumonia on vfend. Evaluate for response. LUNGS AND PLEURA: Widespread multifocal bilateral nodular opacities for the most part stable. Several small new nodules in the left upper lobe.Interval decrease in areas of consolidation in the superior segment of the rig... | Multifocal bilateral nodular opacities are overall not significant changed and demonstrate a mixed response to therapy.Interval decrease in size of areas of consolidation in the right lower lobe and left upper lobe. |
Generate impression based on findings. | Clinical question: Hemorrhagic conversion after stroke. Signs and symptoms: Right inferior MCA ischemic stroke. Nonenhanced head CT:There is better delineation of a previously known right MCA subacute stroke. There is no evidence of hemorrhagic conversion as clinically is questioned. There is regional mass effect and e... | Better delineation of right MCA territory subacute nonhemorrhagic stroke since prior exam and without evidence of hemorrhagic conversion as detailed above. |
Generate impression based on findings. | Reason: history of metastatic renal cancer, recent film w/o contrast showing pulmonary nodules, please evaluate History: see above LUNGS AND PLEURA: Numerous pulmonary and pleural based masses are identified bilaterally, compatible with extensive metastatic disease. Representative left upper lobe nodule (image 34, seri... | 1.Innumerable pulmonary and pleural metastatic nodules.2.Extensive mediastinal and hilar lymphadenopathy.3.Multiple bilateral chest wall metastases. 4.Large right hepatic lobe metastasis with retroperitoneal nodules.5.Moderate right-sided and small left-sided malignant pleural effusions. |
Generate impression based on findings. | 60 year-old female with history of appendiceal cancer. Evaluate for changes and/or abnormalities. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The liver enhances homogeneously without focal lesion. A small gallstone is noted dependently in the gallbladder.SPLEEN: No significant abnormalit... | No CT evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 62 year old female with metastatic melanoma. CHEST:LUNGS AND PLEURA: Scattered punctate micronodules bilaterally unchanged. No new suspicious nodules. Stable right base scarring.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy. Coronary artery stent noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, ... | 1.Stable mildly enlarged retroperitoneal lymph nodes.2.Multiple large fibroids arising from the uterus, with associated mild right highchair ureter likely due to mass effect from the uterus.3.Stable nonspecific cystic lesion in the pelvis, likely arising from left adnexa. Consider pelvic US for better characterization.... |
Generate impression based on findings. | 75-year-old female with humerus fracture. Evaluate for comminution. Again seen is the comminuted fracture of the right proximal humerus, involving the head, neck and greater and lesser tuberosities. There is impaction of the fracture fragments. The greater tuberosity fragment is laterally displaced approximately 2 cm. ... | Comminuted fracture of the proximal humerus, as described above. |
Generate impression based on findings. | 73-year-old female with history of stage IIIB endometrial cancer status post hysterectomy, radiation therapy, chemotherapy. Assess for recurrent disease. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Central venous catheter in the expected location. Mild atherosclerotic calcification of... | No CT evidence of recurrence or metastatic disease. |
Generate impression based on findings. | Reason: hx H\T\N ca, s/p CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: .Cardiac size is normal without evidence of a pericardial effusion.CHEST WALL: Degenerative changes in the t... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | Malignant melanoma CHEST:LUNGS AND PLEURA: Left lower lobe nodule measuring 4 mm is unchanged image number 75, series number 5. Patchy groundglass opacities are again noted.MEDIASTINUM AND HILA: Indexed subcarinal lymph node measures 1.8 by 1.1-cm image number 44, series number 3, smaller compared to previous study. Ot... | Stable to minimally decreased index lesions as described above other than the minimal increased right pelvic lymph node.Stable sclerotic lesions in the thoracic vertebral bodies. |
Generate impression based on findings. | 80 year old female with history of GIST status post resection. CHEST:LUNGS AND PLEURA: Stable left apical micronodule (series 9, image 16). No new or suspicious nodules or masses. Mild basilar atelectasis/scarring.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOME... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: 57Yrs male here for follow-up of T1N2b SCC oral tongue who is receiving CRT with TFHX 7/12/13 History: as above. CHEST:LUNGS AND PLEURA:Stable calcified and noncalcified micronodules.No new suspicious pulmonary nodules or masses.No pleural effusion.MEDIASTINUM AND HILA: The heart remains normal in size. No inte... | No evidence of metastatic disease. |
Generate impression based on findings. | Renal cell carcinoma CHEST:LUNGS AND PLEURA: Focal area of tree in bud pulmonary nodules and left lower lobe nodule adjacent to the major fissure image number 54, series number 5, and not significantly changed over the time.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality not... | No significant change in the pancreatic head, right nephrectomy bed metastases and lung nodules. |
Generate impression based on findings. | 50 year-old male with femoral bruit and absent pedal pulses on physical exam. Pre-kidney transplant evaluation, assess aorta and 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:LUNG... | 1.Minimal distal aortic and right common iliac artery atherosclerotic calcification.2.Innumerable bilateral renal cysts, likely acquired cystic kidney disease related to dialysis.3.Diffuse bilateral centrilobular groundglass opacities are nonspecific. Dedicated chest CT is recommended for complete characterization. |
Generate impression based on findings. | Reason: recurrent tongue cancer History: r/o lung mets LUNGS AND PLEURA: Stable size of left lower lobe scarlike opacitymost likely post inflammatory.Pleural thickening within the fissures bilaterally.Groundglass opacities right lung base unchanged and may represent sequela of aspiration. A cluster of nodules within th... | Post inflammatory scar-like opacities and pleural thickening.Evidence of aspiration with mucus in the trachea and a cluster of micronodules in the right lower lobe.No suspicious pulmonary nodules. |
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