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Generate impression based on findings. | 78-year-old male with metastatic renal cell cancer. CHEST:LUNGS AND PLEURA: Stable calcified and noncalcified micronodules. No new or suspicious nodules. New small bilateral pleural effusions, right more than left.MEDIASTINUM AND HILA: Nodular enlargement of right thyroid lobe unchanged.Mild increase in size of mediast... | 1.Mild increase in size of mediastinal lymph nodes.2.Mild decrease in size of large pancreatic mass.3.New small pleural effusions. |
Generate impression based on findings. | 55 year old female status post Roux-en-Y surgery with G-tube in excluded stomach, cystectomy with ileal conduit, and end colostomy. New left lower quadrant pain. ABDOMEN:LUNG BASES: New small bilateral pleural effusions, right more than left. Stable left base nodule measuring 2.4 x 1.2 cm, previously measured 2.4 x 1.3... | 1.Findings consistent with enterocutaneous fistula.2.New inflammatory change in the right lower quadrant with several small foci of hypodensity concerning for abscess formation. No drainable fluid collection is present at this time.3.Nonspecific 1.7-cm cystic lesion in in the left adnexa; this could be better evaluated... |
Generate impression based on findings. | Atrial fibrillation 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 abnormality notedRETROPERITONEU... | Normal CT angiography of the abdomen and pelvis |
Generate impression based on findings. | 69-year-old female with history of malignant melanoma CHEST:LUNGS AND PLEURA: Numerous bilateral lung nodules. Right lower lobe index nodule measures 1.9 x 1.5 cm image number 68 of series number 9 significantly increased in size compared to previous study. Other bilateral lung nodules cells increased in size compared ... | Interval progression of disease with interval increase in the size of the lung nodules, mediastinal adenopathy. Interval development of liver and adrenal metastases.Interval increase in the size of the pelvic soft tissue mass. |
Generate impression based on findings. | 25 year old male. Atrial fibrillation. Reason: s/p previous EP ablation. History: SOB. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormal... | 1. Normal ventricular volume and morphology.2. No significant coronary artery disease. Ramus intermedius branch. 3. Normal left atrial size and anatomy.4. Common trunk at left pulmonary vein origin. Otherwise normal pulmonary vein anatomy. 5. Normal CT angiography of the abdomen and pelvis. No significant extracardiac ... |
Generate impression based on findings. | 56-year-old male with history of bladder cancer. ABDOMEN:LUNG BASES: Several punctate micronodule are unchanged. No new or suspicious nodules. No consolidation or pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADR... | 1.Stable moderate dilation of right collecting system; the right ureter is not filled with contrast on delayed images, limiting evaluation for intraluminal filling defects. 2.Stable left ischial lesion. |
Generate impression based on findings. | Clinical question: Evaluate for pars L5 -- S1 defect, also used for surgical planning. Patient has lumbar stenosis, right-sided radiculopathy. Signs and symptoms: The right buttock and back pain. Nonenhanced CT of lumbar spine:There is grade 1 anterolisthesis at L4 -- L5 secondary to degenerative changes and unremarkab... | 1.Examination demonstrates no convincing evidence of pars defect as is questioned clinically.2.Advanced degenerative disk disease at L5 -- S1 and to a lesser degree hypertrophic changes of posterior elements results in bilateral neural foraminal compromise and no central spinal stenosis.3.Mild to moderate degenerative ... |
Generate impression based on findings. | 55-year-old male with history of renal cell carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: ... | Left para-aortic and retroperitoneal soft tissue masses worrisome for recurrent/metastatic disease.Multiple small hypodense lesions in the right kidney. Follow-up imaging is recommended to exclude a right renal neoplasm. |
Generate impression based on findings. | 67-year-old male with rectal cancer 7 cm from anal verge. Staging. CHEST:LUNGS AND PLEURA: Nonspecific groundglass opacities in the right upper lobe.MEDIASTINUM AND HILA: Mild atherosclerotic calcification of the thoracic aorta and its branches.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: N... | No CT evidence of metastatic disease. |
Generate impression based on findings. | 59-year-old male with history of colon cancer CHEST:LUNGS AND PLEURA: Emphysema, unchanged. Calcified 9 J.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Mild fatty infiltration of the liver. Mild splenomegaly.SPLEEN: No significant abnorma... | Interval resection of patient's known colonic adenocarcinoma. |
Generate impression based on findings. | 65-year-old male patient. Reason: pt with lung ca no therapy so far on Insulin History: now needs disease evaluation please evaluate all areas of adenopathy, comment on all areas. CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema.Irregularly shaped solid mass in the left upper lobe measures 4.0 x 3.1 cm (series 4 im... | Interval increase in left upper lobe mass with stable right upper lobe nodule.Left adrenal mass consistent with metastatic disease.New lucent lesion in the T9 vertebral body. |
Generate impression based on findings. | 92 year-old male with follicular lymphoma status post 3 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Basilar predominant subpleural scarring and atelectasis. No suspicious nodules or masses.MEDIASTINUM AND HILA: Interval decrease in supraclavicular and mediastinal lymphadenopathy; for reference, left supraclavicular... | Significant interval decrease in lymphadenopathy, best appreciated in the retroperitoneum and mesentery. |
Generate impression based on findings. | 65-year-old female with history of gastrointestinal stromal tumor CHEST:LUNGS AND PLEURA: Index nodule in the right middle lobe measures 9 by 8mm image number 39, series number 9, not significantly changed from previous study. Other subcentimeter ill-defined tree in bud nodular opacities in the right middle lobe are al... | No significant change from previous study. |
Generate impression based on findings. | 67-year-old male with recurrent tongue cancer, rule out recurrence Limited intracranial and orbital views are unremarkable. Prominent ectatic left vertebral artery. Flocculated secretions in the right sphenoid sinus. Mild mucosal thickening of the left maxillary sinus.Very ill-defined left submandibular space hypoatten... | 1. Interval decrease in size of left submandibular and left base of tongue lesions which were not FDG avid on recent PET examination.2. Interval effacement of the right piriform sinus with associated thickened, avidly enhancing mucosa, right greater then left. This finding is most likely post therapeutic in nature, how... |
Generate impression based on findings. | 12-year-old female Reason: Please evaluate for etiology of abdominal and pelvic pain following UTI episode. Suspect gynecologic etiology possibly related to onset of menses. History: Hematuria, abdominal pain, pain with bladder draining (neurogenic bladder with failure to empty; bladder emptying through bladder stoma).... | No acute findings to account for the patient's symptoms. |
Generate impression based on findings. | Clinical question: Acute onset of memory loss. Signs and symptoms: Memory loss. Pre-and post enhanced head CT:Examination demonstrates no evidence of acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.There are very minimal patchy foci of low attenuation in the su... | Minimal age indeterminate small vessel ischemic strokes and negative pre and post enhanced head CT otherwise for patient's stated age. |
Generate impression based on findings. | Clinical question: Expansion of subdural hematoma. Signs and symptoms: Headache with known subdural on the left. Nonenhanced head CT:Interval decrease in the size of previously noted a small right posterior frontal acute subdural hematoma. Trace residual subdural is appreciated only on sagittal reformatted image 44 and... | 1.No detectable acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. 2.Interval decreased size of previously noted small right posterior frontal acute subdural with only trace residual subdural as detailed.3.Age indeterminate small vessel ischemic stroke remains g... |
Generate impression based on findings. | 58-year-old male with metastatic colorectal cancer. Restaging. CHEST:LUNGS AND PLEURA: 4-mm left lower lobe nodule remains unchanged (image 49, series #4).MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Reference subcarinal lymph node measures 1.2 by 1.0 cm, unchanged (image 45, series #3).OTHER: ABDO... | 1.No significant change from previous study. |
Generate impression based on findings. | 64 year-old male with severe headache. There is mild patchy hypoattenuation in the periventricular white matter. There is a focus of hypoattenuation in the left caudate head. The findings appear similar to that on the prior. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter diffe... | No acute intracranial hemorrhage. Chronic appearing mild small vessel ischemic disease and left caudate head lacunar infarct. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | Recurrent left ear infections with MRSA. Left temporal bone: There is mild thickening of the external auditory canal walls. There is thickening of the tympanic membrane, compatible with tympanoplasty. There is partial opacification of the middle ear cavity, including Prussak space. The stapes is difficult to discern du... | Partial left middle ear opacification and mild mastoid air cell opacification with air-fluid levels, which may represent otomastoiditis. Mild blunting of the scutum on the left may indicate underlying cholesteatoma formation. MRI with high resolution DWI may be useful for further characterization, if clinically warrant... |
Generate impression based on findings. | 77-year-old male with history of renal cell cancer. please assess for disease progression. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Index pretracheal lymph node measures 1.6 x 0.9 cm (image 27, series #7), stable to slightly enlarged from prior study. Other mediastinal lymph nodes a... | 1.Limited study due to lack of IV contrast.2.Left renal mass, retroperitoneal adenopathy, and mediastinal adenopathy are unchanged.3.Distal abdominal aortic aneurysm demonstrates steady growth, now measuring 4.3 cm from 3.2 cm on 7/31/2012.Findings were relayed to Dr. O'Donnell via telephone at 4:30 p.m. on December 3,... |
Generate impression based on findings. | Reason: 63Yrs female here for follow-up of T3N1 Cervical esoph SCC s/p 7 cycles TFHX with single daily RT. Completed 12/4/09 History: as above CHEST:LUNGS AND PLEURA: Stable biapical radiation fibrosis. No suspicious pulmonary lesions.MEDIASTINUM AND HILA: Cardiac size within normal limits without pericardial effusion.... | Stable esophageal thickening without evidence of pulmonary or pleural metastases. |
Generate impression based on findings. | 70 year-old female with history of tongue cancer. CHEST:LUNGS AND PLEURA: Interval improvement in previously seen tree in bud opacities in right upper lobe, consistent with resolving aspiration or bronchiolitis. Basilar atelectasis and bronchiectasis.Subpleural right lower lobe nodule measuring 4 mm is slightly increas... | 1.Slight interval increase in size of several nonspecific lung nodules. Continued follow-up is recommended.2.Stable mediastinal and hilar lymphadenopathy.3.Stable left chest wall metastatic nodule.4.Stable hypoattenuating lesion in pancreatic head.5.Improved bronchiolitis. |
Generate impression based on findings. | Reason: 52Yrs female here for follow-up of Anaplastic TCA with papillary TCA background s/p resection f/b TFHX 1/09 History: as above CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Mild amount of debris within the trachea.Status post thyroidectomy.No hilar o... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: Metastatic breast cancer receiving chemotherapy. Restaging. History: Bone pain in spine. CHEST:LUNGS AND PLEURA: No new suspicious pulmonary nodules or masses.No pleural effusion.MEDIASTINUM AND HILA: Stable mildly prominent hilar lymph node (image 36, series 3). No significant mediastinal lymphadenopathy.Cardi... | Increasing axillary and mesenteric nodal disease with mesenteric stranding. Stable skeletal metastases. No evidence of pulmonary metastatic disease. |
Generate impression based on findings. | Pancreatic neuroendocrine tumor CHEST:LUNGS AND PLEURA: Right middle lobe nodule is unchanged measuring one by 0.9 cm on image number 56 on series number 7. No other nodules.MEDIASTINUM AND HILA: Small mediastinal lymph nodes are unchanged.CHEST WALL: Small axillary lymph nodes are unchanged.ABDOMEN:LIVER, BILIARY TRAC... | Interval increase in the size of the pancreatic head mass and liver metastases. Interval development of biliary dilatation.Right middle lobe nodule is unchanged. |
Generate impression based on findings. | 71-year-old female with history of fallopian tube cancer CHEST:LUNGS AND PLEURA: Index left lower lobe nodule measures 5-mm in diameter image number 70, series number 4. No significant change. Right lower lobe atelectasis and right-sided pleural effusion, unchanged. Diffuse right-sided pleural thickening, unchanged. An... | Stable lung findings as above. Interval development of small amount of ascites. |
Generate impression based on findings. | Evaluate for recurrence, history of renal cell carcinoma 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: Simple cy... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 45-year-old female with metastatic hemangioendothelioma of the liver. CHEST:LUNGS AND PLEURA: Reticular opacities in the anterior aspect of left upper lobe appear unchanged. Multiple nodular opacities in the left lower lobe adjacent to the major fissure appears similar (series 5, image 80).Right lower lobe ground glass... | 1.No significant change in left lower lobe nodular opacities. 2.Right lower lobe ground glass nodule stable since 2007.3.No significant change in hepatic lesions accounting for variation in technique. |
Generate impression based on findings. | 88 year old female with history of intermittent abdominal pain and right-sided hydronephrosis seen on ultrasound ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Simple cyst in the dome of the liver..SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAND... | Bilateral renal vascular calcifications. Right-sided extrarenal pelvis. Punctate left renal stone and simple left renal cyst. |
Generate impression based on findings. | Reason: f/u lung nodule History: none LUNGS AND PLEURA: Prior right upper lobe irregular nodule adjacent to surgical sutures has changed in orientation as there has been a progressive volume loss from fibrosis in this area. It may measure as large as 24 x 17 mm, previously 9 mm in long axis 12/10/2012, although this ma... | Enlarging right upper lobe nodule versus evolving fibrosis adjacent to an area sutures, and a new spiculated nodule in the right lower lobe. A PET is recommended for follow-up. |
Generate impression based on findings. | 47-year-old female status postop total proctocolectomy presenting with bilious vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Multiple nonspecific hypodense lesions in the spleen. An index lesion measures 1.3 cm on image number 44, series numbe... | Proximally dilated and distally decompressed small bowel loops suggestive of mid small bowel obstruction. Etiology is unknown. Long segment small bowel loops in the upper pelvis demonstrate increased enhancement suggestive of inflammation, nonspecific.Postsurgical changes in the pelvis. No evidence of abscess.Nonspecif... |
Generate impression based on findings. | Reason: Pt is a 61 y/o male with met melanoma, dyspnea, cough, evaluate for PE History: met melanoma LUNGS AND PLEURA: Paramediastinal fibrosis and bronchiectasis consistent with radiation pneumonitis. No suspicious pulmonary lesions.Tubing entering the left posterior chest wall and coiled in the left lung base. Small ... | 1.Paramediastinal fibrosis and bronchiectasis consistent with radiation pneumonitis.2.Progression of metastatic disease with enlarging cardiophrenic angle mass, bilateral adrenal gland masses and numerous soft tissue nodules. |
Generate impression based on findings. | Reason: Patient with a history of nasal septal carcinoma treated with surgery and XRt in 2008. +emphysema and former smoker. Had CT chest with new right peripheral lung nodule. Please compare new scan with this one. History: Had CT chest with new right peripheral lung nodule. LUNGS AND PLEURA: Left paramediastinal radi... | Left lung radiation fibrosis and a pericardial effusion, unchanged. No nodules identified on today's study. |
Generate impression based on findings. | 6-year-old male with history of MVC, 3+ blood on urinalysis. Assess for kidney/bladder injury. ABDOMEN:LUNG BASES: Minimal dependent atelectasis is noted at the right lung base. No pericardial effusion is seen.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No sig... | No evidence of acute traumatic abnormality. |
Generate impression based on findings. | Clinical question: Patient with subdural hematoma. Signs and symptoms:Subdural fluctuating exam. Nonenhanced head CT:There is no detectable intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There is revisualization of small bilateral hemispheric low attenuation... | 1.No detectable acute new findings since prior exam.2.Interval significant decreased subarachnoid hemorrhage since prior study.3.Interval slight decreased size of bilateral low attenuation subdurals since prior exam.4.Interval decreased foci of acute blood product in the subdural since prior exam.5.Grossly stable mild ... |
Generate impression based on findings. | 13-year-old female with somnolence, headache, DKA, rule out cerebral edema 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 identified within the brain parenchyma.The visualiz... | No acute intracranial abnormalities. |
Generate impression based on findings. | Reason: lung nodule. history of right pleural based nodule.SUPER D NODULE History: cough LUNGS AND PLEURA: Scattered benign appearing micronodules are present.The largest is in the subpleural region of the left lower lobe superior segment, 6 mm, image 119 series 5; this has an adjacent cystic component.Areas of linear ... | Benign appearing micronodules, the largest is 6 mm in the left lower lobe superior segment with an adjacent cystic component. If no intervention was performed at this time, follow-up in 3 to 6 months by CT is recommended. |
Generate impression based on findings. | 65 year old female with stage IV endometrial cancer. CHEST:LUNGS AND PLEURA: No significant change in loculated pleural effusion and underlying atelectasis/consolidation. Left pleural catheter in place. Nodular right base opacity is unchanged; it previously measured nodule measures 7 mm, previously measured 8 mm (serie... | 1.No significant change in loculated left pleural effusion. 2.No significant change in peritoneal fluid and diaphragmatic thickening, most consistent with peritoneal carcinomatosis.3.Thrombus in the left femoral vein.Findings communicated via text page to Dr. Sulai at 4:17 p.m., 12/3/2013. |
Generate impression based on findings. | Reason: Eval mediastinal mass seen on CXR PA and LAT History: Mediastinal mass LUNGS AND PLEURA: Small right pleural effusion.Diffuse mosaic perfusion pattern is present, which could be from small airway disease as the examination was performed in partial expiration.The main pulmonary artery is large, 34 mm, consistent... | 1. Right aortic arch accounting for the mediastinal findings on the chest radiograph.2. Small right pleural effusion, possibly secondary to CHF given a significant degree of cardiomegaly.3. Mosaic perfusion pattern, possibly air trapping, but could be related to pulmonary arterial hypertension as the main pulmonary art... |
Generate impression based on findings. | 61 year old patient status post resection of a right frontal meningiothelial meningioma. Left hand and mouth numbness/tingling episode. Expected postsurgical changes include the staple line within the scalp overlying a right frontotemporal craniotomy and underlying surgical packing material which incorporates punctate ... | Expected postoperative changes without acute intracranial abnormality which would account for the patient's symptoms. |
Generate impression based on findings. | 31 year-old female with headache, evaluate shunt, rule out ICH Redemonstration of a right frontal approach VP shunt with the tip in the third ventricle, unchanged. Hypoattenuation of the parenchyma surrounding the course of the VP shunt similar to the prior compatible with focal encephalomalacia. Slight interval decrea... | 1. No acute intracranial abnormalities.2. Stable right frontal approach VP shunt catheter with slight interval decrease in size of the lateral ventricles. |
Generate impression based on findings. | Reason: routine surveillance s/p chemoRT for stage IIIa NSCLC History: none CHEST:LUNGS AND PLEURA: Bilateral perihilar and paramediastinal radiation fibrosis similar in appearance to prior exams.No new suspicious pulmonary nodules or masses.Interval development of bilateral pleural effusions, right greater than left, ... | 1.Post radiation changes in the perihilar and paramediastinal regions. No definite evidence of recurrence or metastatic disease.2.Interval development of moderate size right pleural effusion and small left pleural effusion with basilar interstitial opacities compatible with edema. Findings are compatible with CHF. |
Generate impression based on findings. | 19 year-old female with trauma to the larynx status post football injury, dysphonia Limited views of the brain and orbits are unremarkable. The visualized paranasal sinuses and mastoid air cells are clear.Bilateral subluxation of the cricoarytenoid joint. Fracture of the cricoid cartilage with minimal airway narrowing.... | 1. Subluxation of the cricoarytenoid joint and fracture of the cricoid cartilage with minimal airway narrowing. No subcutaneous emphysema to suggest airway rupture.2. Multiple hypoattenuating thyroid nodules. |
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. | Dizziness, vertigo and giddiness. Evaluate for posterior CVA versus other ischemia versus mets. There is no intracranial mass, hemorrhage or edema. There is no hydrocephalus and the midline is intact. There are no aggressive appearing bony lesions and the visualized portions of the orbits, mastoids and paranasal sinuse... | No visualized intracranial abnormality. If there is persistent suspicion for ischemia or metastatic disease, MRI examination could be considered. |
Generate impression based on findings. | 70 year-old male patient. Reason: lung nodules, spiculated nodule in the superior segment RLL, also LL nodule History: pre-op CT CHEST:LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema.Spiculated nodule in the superior segment of the right lower lobe that extends posteriorly to the pleural surface measu... | No significant interval change in pulmonary nodules and no new suspicious lesions. |
Generate impression based on findings. | Reason: h/o head and neck cancer History: eval right lower lung nodule seen on previous scan LUNGS AND PLEURA: Apical radiation fibrosis and severe apical centrilobular emphysema are unchanged.No suspicious pulmonary nodules are identified.Mild bronchial wall thickening is present bilaterally.MEDIASTINUM AND HILA: Ther... | No evidence of metastases. Emphysema is present as well as coronary calcifications. |
Generate impression based on findings. | 45-year-old male with bladder cancer. CHEST:LUNGS AND PLEURA: The previously reference 4-mm right upper lobe nodule is stable. Few micronodules in the right and left lung base. MEDIASTINUM AND HILA: Small left supraclavicular node noted measuring 1.4 x 1.9cm. Calcified nodes in the mediastinum noted from prior healed g... | 1. Interval development of a left jugular veinous thrombus2. Abdominal and pelvic lymphadenopathy as detailed above, not significantly changed from the prior study. Stable pelvic lymphoceles.Dr. Manchen was notified of the findings at 9:01 on 12/4/13 |
Generate impression based on findings. | DLBCL s/p ASCT on 1/17/12 now with new neck mass. There has been interval diffuse increase in size of the Waldeyer ring structures with mild narrowing of the oropharyngeal airway. There has been overall interval increase in size of numerous bilateral cervical lymph nodes, some of which appear to be necrotic. For exampl... | 1. Interval increase in size of the Waldeyer ring structures with mild narrowing of the oropharyngeal airway and overall interval increase in size of numerous bilateral cervical lymph nodes, some of which appear to be necrotic. These findings indicate progressive disease.2. New ill-defined nodule in the right upper lob... |
Generate impression based on findings. | 52-year-old male patient. Reason: h/o HNC, CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Trace bilateral dependent atelectasis. No suspicious pulmonary nodules or masses.Bilateral fat filled Bochdalek hernias.MEDIASTINUM AND HILA: Cardiac size within normal limits without pericardial ... | No significant change in measured mediastinal and hilar lymph nodes.No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Reason: evaluate thorax anatomy prior to AV replacement History: severe AS LUNGS AND PLEURA: Small left pleural effusion and loculated fluid within the major fissure on the right.Apical fibrotic changes on the right.Minimal septal thickening suggestive of mild interstitial edema.Mild basilar atelectasis.No suspicious p... | 1.Small pleural effusions, left greater than right, with loculated fluid noted within the right major fissure.2.Minimal amount of interstitial pulmonary edema.3.No suspicious pulmonary nodules or masses.4.Status post CABG with cardiomegaly, extensive vascular calcification, and aortic valvular calcification, |
Generate impression based on findings. | 62 year old man with family history of coronary artery disease referred for evaluation of coronary calcification.CPT: 75571 Calcium Score:LM: 0LAD: 0LCx: 0RCA: 0Total: 0.Coronary anatomy: LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending a... | 1. Total calcium score was 0.2. The ascending aorta is mildly dilated. This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpreted by the attending chest radiologist and included as an addendum to this report. |
Generate impression based on findings. | 56-year-old male with history of metastatic liver cancer with ? lung involvement. Presents with weight loss, hair loss, rash s/p chemotherapy, Lower back pain. CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules, consistent with metastatic disease. For reference, a left upper lobe nodule measures 0.9 x 0.9 ... | 1.Hypodense liver lesions almost entirely replacing the hepatic parenchyma is consistent with known hepatic malignancy.2.Innumerable bilateral pulmonary nodules consistent with metastatic disease. |
Generate impression based on findings. | Male 61 years old; Reason: Chest: pleural effusion, abd/pelvis: s/p liver RFA, assess tumor necrosis History: pleural effusion CHEST:LUNGS AND PLEURA: Bilateral pleural effusions, right greater the left. Compressive atelectasis bilaterally. Scatter micronodules without frank mass detected.MEDIASTINUM AND HILA: No signi... | 1.Bilateral pleural effusions, right greater than left.2.Numerous hypodensities throughout the liver compatible with HCC with prior radio frequency ablation. Residual tumor size is difficult to assess and recommend triple phase liver protocol CT or MRI to fully assess residual tumor.3.Partial thrombosis of the portal v... |
Generate impression based on findings. | Clinical question: r/o brain lesionSigns and Symptoms: new AMS in transplant/immunosuppresed patient The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.No abnormal mass lesions are appreciated int... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. 3.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | 67-year-old male with abdominal distention, pain, and fever. Concern for abdominal process. Neutropenic fever. Evaluation of solid organs is limited secondary to lack of intravenous contrast. Evaluation of bowel is limited secondary to lack of enteric contrast.ABDOMEN:LUNG BASES: Note is made of small bilateral pleural... | 1. Bilateral pleural effusions with underlying atelectasis/consolidation.2. Gallstones without evidence of acute cholecystitis.3. Small pericardial effusion. |
Generate impression based on findings. | Malignant neoplasm of brain, unspecified site. Eval for hemorrhage. headache Patient status post recent right-sided craniotomy for removal of a right frontal lobe mass. There is hypodensity mixed in with a foci of hyperdensity at the surgical bed. In addition a few air bubbles layer in a small right-sided extra-axial c... | 1.Status post a right frontal lobe surgery with attendant postsurgical findings. There are only small hemorrhagic foci within the surgical bed and there is a small extra-axial fluid collection at the craniotomy site and soft tissue swelling in the scalp tissues and around the right orbit.2.Portable CT has lower resolut... |
Generate impression based on findings. | 90 year-old female with abdominal pain, distention. Rule out diverticulitis. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Multiple right lobe subcentimeter hypodensities are too small to characterize though favor benign etiology.SPLEEN: Calcified splenic lesions likely prior granulomatous... | 1.Colonic obstruction secondary to intussusception of the sigmoid colon. Possible pneumatosis of the sigmoid colon. Small amount of ascites. |
Generate impression based on findings. | Male 52 years old; Reason: reason for abdominal pain. History: pain at the site of renal tx. No contrast ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No sig... | 1.Right iliac fossa renal allograft without hydronephrosis with mild perinephric fat stranding. Consider Doppler sonography for evaluation of the allograft and vessels. |
Generate impression based on findings. | Female 76 years old; Reason: Pt with RLQ pain and TTP on exam. Please eval for right sided diverticulosis vs appendicitis History: rlq pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnor... | 1.No findings of appendicitis.2.Diverticulosis without evident findings of diverticulitis.3.No hydronephrosis. |
Generate impression based on findings. | Female 63 years old; Reason: 63 female with AML, neutropenia, found to have diverticulitis on previous CT. count now recovering and would like to re-image with PO contrast only, History: abd pain ABDOMEN:LUNG BASES: Interval improvement in basilar ground glass and nodular opacities, most likely representing resolving a... | 1.Interval improvement in the sigmoid diverticulitis without evidence of complications.2.Stable bilateral indeterminate adrenal nodules. MR or dedicated adrenal protocol CT advised.3.Improved basilar opacities compatible with resolving aspiration or infection. 4.Calcified right adnexal mass incompletely characterized. ... |
Generate impression based on findings. | Evaluate talus calcaneal fusion Examination of the images reveals deformity of the calcaneus secondary to old trauma. There is flattening of Boehler's angle. There are clefts that extend into the the posterior facet of the subtalar joint. No evidence is seen of fusion of the subtalar joint. | Posttraumatic deformity of the calcaneus with no evidence of fusion of the talus and calcaneus. |
Generate impression based on findings. | 27-year-old male with a large pancreatic pseudocyst and abdominal pain. Evaluate pseudocyst. ABDOMEN:LUNG BASES: Note is made of small bilateral pleural effusions, left greater than right, with underlying atelectasis/consolidation. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality... | 1. Large pancreatic pseudocyst as described above. There is a focal area of decreased enhancement along the pancreatic neck 2. Mild ileus3. Small bilateral pleural effusions with underlying atelectasis/consolidation. |
Generate impression based on findings. | Female, 66 years old, essential tremor, intraoperative CT for planning. Imaging was acquired with a stereotactic frame in place. This, along with portable technique, results in reduced image quality.Images obtained prior to placement of stimulator leads demonstrate no evidence of intracranial hemorrhage, significant ma... | Intraoperative CT before and after the placement of deep brain stimulator leads. No unexpected findings are seen. |
Generate impression based on findings. | Female 74 years old; Reason: r/o abd pathology, colitis, urinary obstruction History: abd pain, watery diarrhea, AKI ABDOMEN:LUNGS BASES: Right basilar subsegmental atelectasis and consolidation. Trace pleural effusions. Cardiac pacer leads .LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant ... | 1.Right lower abdominal ileostomy with parastomal hernia and left lower abdominal colostomy without bowel obstruction.2.Severe atrophy of the right kidney a focal upper pole mass which is not characterized without contrast. Follow up with a contrast enhanced MRI or CT (renal mass protocol) is suggested.3.Findings and r... |
Generate impression based on findings. | 57-year-old female patient with hypoxia and tachycardia. Rule out PE. Exam mildly limited by patient motion.PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Trace bilateral dependent atelectasis. Minimal right lower lobe subsegmental atelectasis versus scarring. No su... | Technically adequate examination without evidence of a pulmonary embolus.Ectatic esophagus with moderate thickening of the midesophagus of unclear etiology, consider endoscopy or esophagram for further evaluation.Cortical discontinuity of the anterior medial aspect of the left first rib , poorly seen secondary to motio... |
Generate impression based on findings. | 73-year-old female with history of back pain This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 3.6 by 2.3-cm hypodense lesion in the right lobe liver image number 20, series number 3. This lesion cannot be optimally characterized due to lack of IV ... | Limited study due to lack of intravenous contrast. Indeterminate liver lesions and kidney lesions. No CT findings to explain patient's back pain. |
Generate impression based on findings. | 58-year-old female patient with history of lymphomatoid granulomatosis presents with pleuritic chest pain and shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate study without evidence of a pulmonary embolus. LUNGS AND PLEURA: Moderate interval decrease in left upper lobe cons... | Technically adequate study without evidence of a pulmonary embolus.Interval decrease in left upper lobe consolidation and mediastinal lymphadenopathy. |
Generate impression based on findings. | Reason: PE? History: chest pain, h/o PE PULMONARY ARTERIES: Technically adequate study without evidence of a pulmonary embolus.LUNGS AND PLEURA: Mild interval decrease in right basilar wedge-shaped opacity (series 10 image 117), consistent with known history of pulmonary infarct. No new suspicious nodules or lesions.ME... | Technically adequate study without evidence of a pulmonary embolus. Mild interval decrease in right basilar pulmonary infarct.Mild chronic enlargement of cardiac ventricular chambers with apparent wall thickening of the LV. As this exam is not cardiac gated, this is of uncertain clinical significance however cardiac wo... |
Generate impression based on findings. | Male 40 years old; Reason: Evaluate for intraabdominal process in patient s/p pancreatic, renal transplant History: abdominal pain, AMS ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs and vascular structures. Given these limitations, the following observations were made:LUNGS BASES: B... | 1.Hydropic gallbladder without CT evidence of cholecystitis, however ultrasound is a more sensitive examination for acute cholecystitis and cholelithiasis.2.Incomplete evaluation of the pancreas given lack of IV contrast, and small tumor in the pancreas the ductal dilation cannot be excluded. Recommend dedicated pancre... |
Generate impression based on findings. | Male 50 years old; Reason: Cholangiocarcinoma metastatic to peritoneum please assess and provide index lesions for RECIST as required to capture for protocol therapy History: As above CHEST:LUNGS AND PLEURA: Micronodules scattered throughout the lungs, with 3-mm nodule noted left lung base. Bilateral atelectasis noted.... | 1.Large hypoattenuating lesion in the inferior right lobe of the liver compatible with previously diagnosed cholangiocarcinoma. Perihepatic inflammation with nodularity and ascites worrisome for peritoneal carcinomatosis.2.Retroperitoneal and mediastinal lymphadenopathy.3.Bilateral non obstructing kidney stones4.Right ... |
Generate impression based on findings. | 38 year-old male with diffuse abdominal pain. Rule out obstruction. ABDOMEN:LUNG BASES: Note is made of bibasilar atelectasis/scarring. No pleural effusion or pneumothorax.LIVER, BILIARY TRACT: Note is made of multiple subcentimeter hypodensities in the liver, which are too small to characterize, but may represent simp... | Nonspecific mesenteric fat stranding and multiple prominent lymph nodes, as described above. |
Generate impression based on findings. | Female 46 years old; Reason: 46 yo female with known gastric cancer; s/p distal gastrectomy on 10/3 at OSH; please evaluate for metastatic disease and or abnormalities History: gastric cancer CHEST:LUNGS AND PLEURA: Pleural based nodularity in the right lung base may represent atelectasis. No other nodules or mass dete... | 1.Asymmetric irregular wall thickening in the stomach, worrisome for residual tumor. Correlation with endoscopy advised.2.Perigastric lymphadenopathy.3.Pleural-based nodularity in the right lung base, which likely represents rounded atelectasis. |
Generate impression based on findings. | 35-year-old male with abdominal pain. Contrast extravasation description: Minor contrast extravasation into the left forearm.Supervising radiologist: Dr. VeronesiMinor or major extravasation: MinorContrast type: 120 cc of intravenous Omnipaque 350 were administered. Amount extravasated: 18 ccLocation of extravasation: ... | 1. Findings consistent with cellulitis along the posterior pelvis in the region of multiple soft tissue defects, as described above. Additionally, there is extension of a soft tissue defect to the level of the left inferior pubic ramus and osteomyelitis cannot be excluded.2. Gallstones without evidence of acute cholecy... |
Generate impression based on findings. | Male, 78 years old, history of squamous cell carcinoma of the head and neck, evaluate for recurrence. Please note that image quality is degraded by dental streak artifact and motion artifact. Within these limitations, the following observation are made.Extensive treatment related change is redemonstrated in the neck in... | Redemonstration of an enhancing lesion centered just beneath the left mastoid tip. On the prior exam, this abnormal tissue has become less defined and probably slightly larger. No new or discontiguous lesions are seen in the background of substantial treatment related change. |
Generate impression based on findings. | Male 40 years old; Reason: re-evaluate abdominal fluid collection, evaluate for lung nodules History: inconclusive quantifuron gold, known abdominal fluid collection CHEST:LUNGS AND PLEURA: No pulmonary nodules identified.MEDIASTINUM AND HILA: No adenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BIL... | 1.Extensive inflammatory changes of the terminal ileum and cecum are redemonstrated and mildly improved. No loculated fluid collection. Etiology favors Crohn's disease.2.No evidence of pulmonary TB. |
Generate impression based on findings. | 29 year-old female, preop for EVD placement. A stereotactic device is in place, which produces extensive streak artifacts and obscure visualization of the intracranial structures. A left parietal approach catheter has been stable in course and position, with mild edema along the catheter tract. A right parietal cathete... | The lateral ventricles have mildly increased in size since prior CT 11/22/2013 but remain stable since prior MRI 11/27/2013. No significant interval change on this preop planning exam otherwise. |
Generate impression based on findings. | 75-year-old male with history of CLL, CAD status post CABG, urosepsis, PE. Evaluate for abscess, pyelonephritis, kidney stones. ABDOMEN:LUNGS BASES: Posterior mediastinal lymphadenopathy is seen, consistent with known diagnosis of lymphoma. Small bilateral pleural effusions, left greater than right, with associated com... | 1.Three bladder stones present.2.No evidence of abscess, pyelonephritis, or nephroureterolithiasis.3.Conglomerate mesenteric adenopathy, posterior mediastinal adenopathy, and splenomegaly consistent with known lymphoma. |
Generate impression based on findings. | Male 45 years old; Reason: rule out pancreatitis History: abd pain, vomiting, hx of pancreatitis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Diffuse globular calcifications through an atrophic pancreas wi... | 1.Findings compatible with mild acute on chronic pancreatitis with formation of several small pseudocysts.2.Findings suggestive of chronic splenic vein thrombosis.3.Nonobstructing 7-mm right ureteral stone. |
Generate impression based on findings. | 69 year-old female with flank pain on coumadin. Rule out retroperitoneal hemorrhage. ABDOMEN:LUNG BASES: There is right basilar scarring/atelectasis. Calcification in the left lower lobe suggestive of prior granulomatous disease.LIVER, BILIARY TRACT: Surgical clips in the right upper quadrant, consistent with the histo... | No evidence of retroperitoneal hemorrhage, as clinically questioned. |
Generate impression based on findings. | Male 84 years old; Reason: 83 year old man with follicular NHL s/p therapy. Compare to prior scans History: None. CHEST:LUNGS AND PLEURA: Calcified granulomata with perihilar calcified lymph nodes.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Coronary calcifications are present.Right paraesophage... | 1.No evident disease in the chest, abdomen or pelvis.2.Large cystic mass extending from the gastrohepatic ligament adjacent to the esophagus. His may represent a large lymphatic malformation. The lesion can be further evaluated with MRI of the upper abdomen/lower chest if clinically needed. |
Generate impression based on findings. | 80 year old female. History of extra nodal marginal zone lymphoma. Status post chemotherapy two years ago. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some which are calcified, suggestive of prior granulomatous disease, unchanged.MEDIASTINUM AND HILA: Large hypodensity in the right thyroid unchanged. Note... | No significant interval change in right paratracheal and left periaortic lymph nodes, with reference measurements provided above. |
Generate impression based on findings. | Female 60 years old; Reason: 60 year old female with DLBCL and questionable right lung mass. Compare to prior study. History: None CHEST:LUNGS AND PLEURA: Mild emphysematous changes. No dominant lung lesion. Small linear parenchymal opacity in the right middle lobe. The pleural spaces are clear.MEDIASTINUM AND HILA: He... | 1.No new lymphadenopathy in the chest, abdomen or pelvis.2.Mild enlarged main pulmonary artery.3.Focal area of abnormal uptake PET/CT corresponds to a linear area of parenchymal opacity suggestive of atelectasis , focal consolidation or a sequela of prior infection. |
Generate impression based on findings. | Male 70 years old; Reason: 69 year old man with h/o DLBCL in CR s/p chemotherapy. Compare to prior scan. History: none CHEST:LUNGS AND PLEURA: Mild upper lobe dominant paraseptal emphysema. Mild pleural parenchymal thickening in the right apex, unchanged. Calcified right upper lobe granulomata at its lateral calcified ... | 1.Stable exam without new sites of disease. |
Generate impression based on findings. | Female 57 years old; Reason: H/O with primary DLBCL of the bone, in need of restaging scans. Please compare to prior. History: Primary DLBCL of the bone, CHEST:LUNGS AND PLEURA: Calcified micronodules consistent with prior granulomatous disease. No suspicious nodules.MEDIASTINUM AND HILA: Calcified nodes within the med... | 1. Stable diffuse borderline enlarged lymph nodes throughout the retroperitoneum and pelvis. |
Generate impression based on findings. | 63 year-old female with lumbar back pain with prolonged standing. There is normal lumbar lordosis. The lumbar spine alignment is anatomic. The vertebral bodies, pedicles, lamina, facets, and posterior elements are intact with no evidence of fracture or subluxation. Within the limits of CT scanning, the thecal sac and s... | 1. No evidence of lumbar spine fracture or subluxation, if spinal cord or ligamentous injury is suspected MRI is recommended.2. Mild degenerative disc disease of the lumbar spine as above. 3. Cystic lesion in the sacral canal on the right at S2-S3 is likely a Tarlov cyst and remains unchanged since prior exam 2011. 4. ... |
Generate impression based on findings. | Male 81 years old; Reason: metastatic Prostate cancer, evaluation of disease after 3 cycles of investigational therapy. Please complete PCWG2 History: metastatic Prostate cancer CHEST:LUNGS AND PLEURA: Reidentified right upper lobe pleural based nodularity associated with known rib metastases appears grossly stable. Bi... | 1. Mixed response of the mediastinal adenopathy with larger retrosternal node and decrease in size of all other nodes. 2. Decreased liver metastases and other metastatic lesions (e.g., rib, and axillary adenopathy). |
Generate impression based on findings. | Status post LVAD status post chest wound debridement evaluate for fluid collection. Heart replaced by assist device. CHEST:LUNGS AND PLEURA: Small bilateral pleural fluid collections, left greater than right with associated atelectasis. Mild pleural thickening on the left is nonspecific. Artifact from the patient's car... | Small fluid collection along the inferior aspect of the cardiac assist device unchanged in volume, minimally increased in density. No evidence of fluid collection along the drive line and no visible peristernal fluid collections. The lateral tip of the left subclavian ICD wire is situated along the left pectoralis majo... |
Generate impression based on findings. | 77-year-old male with abdominal aortic aneurysm and right renal mass with a history of hypertension. ABDOMEN:LUNG BASES: None is made of a small left Bochdalek hernia.LIVER, BILIARY TRACT: There is fatty infiltration of the liver. Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No signific... | 1. Slight interval increase in size of a right renal mass suspicious for renal cell carcinoma.2. Slight interval increase in the reference retroperitoneal and mesenteric lymphadenopathy suspicious for recurrence in the setting of a known primary bladder carcinoma. 3. No significant interval change in infrarenal abdomin... |
Generate impression based on findings. | Reason: metastatic breast CA to lung and liver and bone. On chemo. Followup, response to therapy. History: fatigue CHEST:LUNGS AND PLEURA: Interval moderate increase reference right upper lobe lesion (series 5/40) now 11 x 7 mm compared to 9 x 6 mm previously. Multiple additional nodules of similarly increased in size ... | Interval moderate increase in size of pulmonary nodules and mediastinal lymphadenopathy, and new areas of ground glass opacity that may represent infection or aspiration. |
Generate impression based on findings. | 63-year-old female patient with tachycardia, tachypnea and shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate study. There is a nonobstructing pulmonary embolus in the left upper lobe apicoposterior segmental artery. Pulmonary artery size within normal limits.LUNGS AND PLEURA... | Nonobstructing pulmonary embolus in the left upper lobe apicoposterior segmental artery. No evidence of infarct in this area or CT evidence of right heart strain.Moderate right pleural effusion with near complete atelectasis of the right lower lobe.Moderate abdominal ascites.Incompletely visualized new right adrenal ma... |
Generate impression based on findings. | 30 year-old male with severe left sided headache and ringing in the left ear. NONCONTRAST CT HEADThe 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. Th... | 1. The findings described above likely represent acute sinusitis, petrositis and mastoiditis, with some fat stranding in the left carotid space and focus of air within the left carotid canal. In this background, the left internal carotid artery appears progressively narrowed starting from the distal cervical segment ne... |
Generate impression based on findings. | Male 51 years old; Reason: evaluate right renal mass History: hx of renal mass, liver mass and prostate cancer ABDOMEN:LUNG BASES: Basilar calcified granulomas. Mild dependent atelectasis.LIVER, BILIARY TRACT: Exophytic mass with central hypoattenuation and peripheral nodular enhancement extends inferiorly from the lef... | 1.Exophytic heterogeneously enhancing right inferior pole renal mass with foci of fat density typical for angiomyolipoma. 2.Too small to characterize lesion in the upper pole right kidney, however stable in size.3.2cm enhancing lesion in the midpole left kidney which has increased in size since previous MRI, worrisome ... |
Generate impression based on findings. | Mesothelioma status post decortication, presents with S.O.B. PULMONARY ARTERIES: Adequate contrast infusion. Vascular web in the left lower lobe pulmonary artery extending into the segmental and subsegmental branches. Minimal web also seen in the proximal left upper lobe artery. The appearance is suggestive of subacute... | 1. Extensive subacute to chronic appearing pulmonary emboli on the left a hand probable thrombus in the right atrial appendage. No signs of right heart strain.2. Right lower lobe pneumonia.3. Postoperative findings of pleural decortication on the left with probable residual tumor in the anterior cardiophrenic angle ext... |
Generate impression based on findings. | Reason: 49Yrs male with a h/o DLBCL s/p ASCT on 1/17/12 History: h/o DLBCL s/p ASCT on 1/17/12 CHEST:LUNGS AND PLEURA: New 10-mm part solid nodule in mid right upper lobe (series 5/32).Additional small nodules have developed adjacent to the major and minor pleural fissures on the right, and in the right middle lobe (ar... | Interval progression of disease in the lungs, mediastinum, chest wall and abdomen. |
Generate impression based on findings. | Lung cancer status post chemo and RT. CHEST:LUNGS AND PLEURA: Reference right apical mass measures 3.2 x 3 cm (4/26), previously 3.4 x 3 cm. Left apical mass measures 1.7 x 3.6 cm, previously 1.8 x 4-cm (3/25) and is surrounded by consolidated lung with architectural distortion presumably secondary to prior irradiation... | No significant change from prior examination with index level measurements provided in the body of the report. |
Generate impression based on findings. | 62-year-old male with a history an abdominal aortic aneurysm status post repair. ABDOMEN:LUNG BASES: Very coarse paraesophageal calcifications. Right basilar and hilar calcified lymph nodes compatible with prior granulomatous disease. Mild atherosclerotic coronary calcifications.LIVER, BILIARY TRACT: Hypervascular lesi... | 1. Postsurgical changes consistent with the stated history of surgical repair of an infrarenal abdominal aortic aneurysm, as described above. 2. Additional findings demonstrate no significant interval change. |
Generate impression based on findings. | 45 year-old male with metastatic urothelial cancer. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for mild maxillary and ethmoid sinus mucosal thickening. Limited view of the intracranial structure is unremarkable. There are multiple enlarged, enhancing lymph nodes in the low... | 1. Left sided cervical lymphadenopathy as above. 2. Left internal jugular venous thrombus. |
Generate impression based on findings. | Lung cancer, had chemotherapy. CHEST:LUNGS AND PLEURA: Right upper lobe scar at site of prior neoplasm decreased in size measuring 2.8 x 1.7 cm (6/44), previously 2.9 x 1.7 cm.The right upper lobe nodule abutting the fissure has increased in size and is now solid. This measures 2.4-cm in long axis (sagittal image 24) c... | Right lung nodules consistent with multifocal neoplasm. The right upper lobe nodule inseparable from the major fissure has now increased significantly in volume, now solid. Newly visible irregular nodule in the right lower lobe, unable to exclude metastasis. Right hilar lymphadenopathy not significantly changed. Nonspe... |
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