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Generate impression based on findings. | Male 71 years old Reason: h/o HNC, new baseline scans pre-op, compare to outside, measurements pls CHEST:LUNGS AND PLEURA: Subcentimeter micronodules in the left lung base (image 79/series 5). The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. There is no pericardial effusion. Extensive coronary a... | 1.Borderline enlarged pericardiophrenic lymph node.; No suspicious pulmonary lesions. Small nonspecific left lower lobe micronodules.2.Cirrhotic liver, triphasic CT or preferably MRI is suggested for further characterization of the right hepatic lobe contour deforming lesions. |
Generate impression based on findings. | Female 30 years old; Reason: rule out appendicitis History: abdominal pain worst in RLQ ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The liver enhances homogeneously without focal lesion.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No... | No CT evidence to explain patient's right lower quadrant pain. |
Generate impression based on findings. | Female 55 years old Reason: breast cancer, lung nodule - please assess and compare previous imaging History: Solitary 3-mm pulmonary nodule in the left lower lobe as seen on previous CT scan LUNGS AND PLEURA: Linear subpleural reticular opacities in the anterior subsegment of the left upper lobe likely due to radiation... | No change in the 3-mm left lower pulmonary nodule. No new evident sites of disease. |
Generate impression based on findings. | 73-year-old male patient. Reason: pleural mesothelioma, please evaluate for disease and compare with previous scans History: pleural mesothelioma CHEST:LUNGS AND PLEURA: Lobulated right sided enhancing pleural thickening consistent with patient's known mesothelioma associated with compression of the right lung predomin... | Stable appearing right-sided mesothelioma; measurements provided. |
Generate impression based on findings. | 85 year-old female with syncope. There is patchy hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. Intr... | No acute intracranial abnormality. Small vessel ischemic disease of indeterminate age. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | Male 63 years old Reason: Egus ca in f/u please compare to previous. CHEST:LUNGS AND PLEURA: Linear areas of atelectasis adjacent to the right minor fissure and in the lingular sub segments. No dominant lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediasti... | Progressive increase in the soft tissue at the level of the gastrohepatic ligament. Measurements provided above. |
Generate impression based on findings. | 58 year-old male with history of head and neck cancer. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure shows cerebellar volume loss. There are extensive postsurgical changes status post glossectomy with myocutaneous flap reconstruction. No e... | Stable posttreatment changes in the neck soft tissue with no evidence of recurrent mass or pathologic lymphadenopathy. |
Generate impression based on findings. | 79 year old female with a history of splenic artery aneurysm. CHEST:LUNGS AND PLEURA: There are scattered pulmonary micronodules.MEDIASTINUM AND HILA: Notice made of vascular calcifications of the aorta and its branches. No pericardial effusion is evident. There are mild coronary artery calcifications. CHEST WALL: Stat... | 1. 15-mm splenic artery aneurysm, as described above.2. Subcapsular fluid collection about the left kidney. Clinical correlation for a history of trauma or recent biopsy is recommended. |
Generate impression based on findings. | 78 year-old female status post fall. There is redemonstration of hypodensity and volume loss of the right parietal lobe. Encephalomalacia is present in the left cerebellar hemisphere, with cerebellar volume loss. Periventricular and subcortical white matter hypodensities of a moderate degree are present.There is redemo... | 1. No evidence for acute intracranial hemorrhage, mass effect or edema. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Stable appearance of right parietal and left cerebellar encephalomalacia and small vessel ischemic disease. 3. Stable appearance of bas... |
Generate impression based on findings. | Female 76 years old; Reason: s/p ostomy takedown. PO contrast only. History: as above ABDOMEN:LUNGS BASES: Bilateral pleural effusions, right greater than left. Compressive atelectasis noted in both lung bases.Moderate to severe atherosclerotic disease of the aorta and coronary vessels.LIVER, BILIARY TRACT: No signific... | 1.Status post right lower quadrant ostomy takedown with freely flowing contrast from stomach to sigmoid colon without evidence of contrast extravasation, free air, or obstruction.2.Non specific bowel wall thickening in the right lower quadrant.3.Extensive fluid and gas collection in the anterior abdominal wall, likely ... |
Generate impression based on findings. | Male 58 years old Reason: h/o HNC, CRT, compare to previous, measurements pls History: none LUNGS AND PLEURA: The centrilobular pulmonary nodules have resolved. Residual pulmonary micro- nodules at the left lung base. No new dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. ... | Stable exam without definite new sites of disease. |
Generate impression based on findings. | Mesothelioma on observation. CHEST:LUNGS AND PLEURA: Small chronic subpulmonic pneumothorax on the right with adjacent atelectasis and pleural thickening. Pneumothorax measures 9 mm, previously 6-mm. Pleural calcification suggestive of prior asbestos exposure. Right hemithorax volume loss consistent with history of mes... | Right hemithorax index measurements unchanged however there are very subtle areas of pleural thickening which are suspicious for early recurrent tumor on the right. Chronic right pneumothorax not significantly changed, site of bronchopleural fistula is not identified. Correlate for inflammatory arthritis given atypical... |
Generate impression based on findings. | Male 51 years old; Reason: evaluate hepatic vasculature and echotexture, please provide lesion sizes, hx of TACE/RFA, f/u previous abnormal chest CT CIRRHOSIS PROTOCAL History: pre liver transplant evalution, HCV cvirrhosis, HCC, hx TACE \T\ RFA, hx hydrothorax LUNGS AND PLEURA: Wedge-shaped consolidation with air bron... | 1.Cirrhotic liver with patent TIPS.2.Interval stable size of Segment 8 liver lesion retaining chemoembolization material is without evident vascular enhancement.3.No evidence of additional liver lesions.4.Redemonstration of portal hypertension with splenomegaly and portosystemic collaterals with mild ascites.5.Redemons... |
Generate impression based on findings. | Male 73 years old Reason: h/o HNC, CRT, compare to previous, measurements pls History: none LUNGS AND PLEURA: Biapical pleural scarring, unchanged. Few scattered micronodules. No dominant lung lesion. Pleural spaces are otherwise clear.MEDIASTINUM AND HILA: Heart size is normal. Coronary calcifications in a triple vess... | Stable exam without evident metastatic disease. |
Generate impression based on findings. | Female 50 years old Reason: sq cell skin Ca of RUE s/p RT and amputation History: 2 years post Rx. no new symptoms CHEST:LUNGS AND PLEURA: Calcified granulomata in the apical segment of the right lower lobe. Mild peri-fissural atelectasis. Scattered ground glass opacities in the right upper lobe are new. The pleural sp... | 1.No evident metastatic disease.2.Nonspecific small ground-glass opacities in the right upper lobe. May represent infectious or inflammatory changes.3.Severe biliary ductal dilatation and severe pancreatic ductal dilatation with severe pancreatic parenchymal atrophy. Differential considerations include a obstructing le... |
Generate impression based on findings. | Dyspnea. Check for pneumothorax. History of right pneumothorax LUNGS AND PLEURA: Persistent small apical right pneumothorax with a chest tube projected towards the apex. Extensive underlying diffuse paraseptal and centrilobular emphysematous changes in all 4 quadrants and greater in the upper lungs. No superimposed foc... | Small to moderate residual right pneumothorax and chest tube with extensive underlying emphysematous changes |
Generate impression based on findings. | Female 54 years old Reason: h/o recurrent HNC, s/p induction chemo, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Small calcified granuloma in the right base. No new pulmonary lesions. The pleural spaces are clear. Subcentimeter micronodule adjacent near the left major fissure best seen on... | 1.No evident metastatic disease.2.Probable segment 6 hemangioma |
Generate impression based on findings. | Cough. Mesothelioma post pleurectomy/decortication and adjuvant chemotherapy. CHEST:LUNGS AND PLEURA: Mild nonspecific thickening of the fissures bilaterally and basilar subpleural reticulation, left greater than right. Small fluid collection near the right costophrenic angle but no discrete areas of residual pleural t... | Stable to improved findings with decrease in lymphadenopathy. |
Generate impression based on findings. | neuroblastoma and new bone pain, elevated urine catecholamines CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are present bilaterally and not significantly changed. No pleural effusions.MEDIASTINUM AND HILA: Normal heart size without pericardial effusion. Interval appearance of moderate superior mediastinal, ... | 1. Stable scattered pulmonary micronodules.2. Interval appearance of moderate superior mediastinal, prevascular, subcarinal, and retrocrural lymphadenopathy. Interval appearance of multiple soft tissue masses arising from the left paraspinal thoracic region extending along the left posteromedial pleural surface. |
Generate impression based on findings. | Mesothelioma, follow-up CHEST:LUNGS AND PLEURA: Interval removal of the left chest tube. Patient is status post pleurectomy and decortication with associated volume loss on the left and placement of a diaphragmatic mesh. Interval resolution of the moderate right pleural effusion. Again no distinct measurable residual t... | Left pleurectomy without interval change |
Generate impression based on findings. | Female 50 years old; Reason: pancreatic cancer with rising LFT's. Please compare to last CT \T\ measure 1) left paratracheal lymph node, 2) left hepatic lobe lesion, 3) pancreatic head mass. Also evaluate right hepatic lobe mets History: post cycle and rising LFT's CHEST: LUNGS AND PLEURA: Scattered pulmonary micronodu... | 1. Increasing hepatic metastases.2. Stable right anterior abdominal wall soft tissue nodules are nonspecific, but may represent metastatic foci.3. Stable left paratracheal lymph node.4. Pancreatic mass, stable in size. 5. Persistent SVC thrombus with interval placement of a left port-a-cath in the azygous vein. |
Generate impression based on findings. | Male 73 years old Reason: recurrent invasive base of tongue SCC.T3N2b;Underwent sx partial tongue resection Jan 2012 History: as above CHEST:LUNGS AND PLEURA: Calcified granulomata in the left lower lobe. Bilateral scattered areas of linear parenchymal scarring at the apices and subpleural regions anteriorly. No suspic... | No evident metastatic disease. |
Generate impression based on findings. | Reason: 39yF with history of perirectal abscess s/p I\T\D of abscess and placement of Pezzar drain on 8/12/13 with drain still in place. Please evaulate for undrained fluid collections prior to drain removal. History: recurrent perirectal abscesses with pezzar drain PELVIS:UTERUS, ADNEXA: Mild heterogeneous enhancement... | 1.Resolution of the right buttock abscess with a well formed tract.2.A fistulous connection with the anus is possible given that the tract abuts the external sphincter. A pelvic MRI (peri-anal fistula protocol) is recommended when able. |
Generate impression based on findings. | Cardiac arrest. Check for acute pulmonary process Motion degrades sensitivityLUNGS AND PLEURA: The endotracheal tube appears grossly unchanged. The nasogastric or Dobbhoff tube has been removed.Patchy streaky densities at both bases and somewhat dependent position with small effusions are again observed and mildly less... | Multiple myeloma with pulmonary changes suggesting aspiration and atelectasis. There is a small nonspecific nodular opacity in the mid left lung new since August and likely postinflammatory. |
Generate impression based on findings. | Male 75 years old Reason: esoph ca, s/p chemo and RT and esophagectomy. Pls c/w previous study and evaluate dz status. History: esoph ca CHEST:LUNGS AND PLEURA: Left lower pulmonary micronodule (image 61/series 5) is unchanged.The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal without a pericardial... | Stable exam without evident metastatic disease. |
Generate impression based on findings. | Myasthenia gravis with exacerbation, shortness of breath. Evaluate for mediastinal mass seen on outside hospital imaging. S.O.B. and weakness. LUNGS AND PLEURA: Tracheostomy tube tip above the carina. Calcified micronodules statistically most likely represent granulomas. Mild paraseptal and moderate centrilobular emphy... | Right lateral paracardiac mass abutting the right atrium is radiographically consistent with thymic tumor such as thymoma. CT is insensitive for the detection of invasion. Differential considerations include thymic carcinoma given internal heterogeneity. Tiny pericardial nodules and a small left cardiophrenic lymph nod... |
Generate impression based on findings. | Male 43 years old; Reason: does he have calcification of his iliacs that would prevent a kidney transplant History: no palpable pulses in his feet and an ulcer on his toe. ABDOMEN:LUNGS BASES: Cardiac pacer leads. Metallic fragment in the right lower lung pleural space.LIVER, BILIARY TRACT: No significant abnormality n... | 1.Mild calcific arteriosclerotic disease of the abdominal aorta and branch vessels. The lack of intravenous contrast limits evaluation for soft plaque which may cause obstruction of the vessels. |
Generate impression based on findings. | Female 48 years old Reason: H/O Hodgkin Lymphoma s/p 6 cycles of ABVD chemotherapy in need of post treatment scans. Please compare to prior. History: Hodgkin Lymphoma CHEST:LUNGS AND PLEURA: Left upper lobe nodule measures 7 mm on image 35/series 4 previously, 9 mm.Other small pulmonary nodules remain. New areas of gro... | 1.Decrease in the mediastinal lymphadenopathy.2.Stable size of the reference left upper lobe pulmonary nodule.3.Small new left upper lobe ground glass pulmonary opacities. |
Generate impression based on findings. | Lung nodule follow-up LUNGS AND PLEURA: Multiple mixed semisolid ground glass nodular densities throughout both lungs are all unchanged. Reference measurements are as follows:1. Right upper lobe (image 26 series 5), unchanged measuring 1.8 x 1.0 cm2. Posterior left upper lobe (image 15 series 5), unchanged measuring 1.... | Stable multifocal and predominantly ground glass pulmonary nodules. Reference measurements are provided and annual evaluation is now recommended |
Generate impression based on findings. | Female 80 years old; Reason: Evaluate adrenal adenoma History: Evaluate adrenal adenoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: The previously seen left adr... | 1. Left adrenal lesion most compatible with an adrenal adenoma. |
Generate impression based on findings. | 66-year-old male patient. Reason: r/o infectious process, assess pneumonia History: RML pneumonia, immunosuppressed, shock Exam mildly limited by patient motion.LUNGS AND PLEURA: Diffuse mild septal thickening. Mild bronchial wall thickening with areas of endobronchial impaction and debris.Faint centrilobular nodular a... | 1.Limited examination due to respiratory motion artifact. Faint centrilobular nodular and groundglass opacities most compatible with opportunistic infection such as viral, Candida or atypical mycobacterial pneumonia. CMV is also considered, but the nodules are typically more uniform in size.2.Septal thickening appears ... |
Generate impression based on findings. | Lung nodule, follow-up LUNGS AND PLEURA: Stable scattered micronodules and a part solid right lower lobe nodule again measuring 1.4 cm in diameter, unchanged (image 50 series 5). The central increased density remains highly suspicious for primary adenocarcinoma veryMultiple solid and some solid micronodules are scatter... | Stable part solid right lower lobe nodular density with central increased density concerning for primary adenocarcinoma. Remaining pulmonary appearance is also otherwise unchanged |
Generate impression based on findings. | Male 71 years old; Reason: Pt is a 71 y/o male with met prostate cancer, evaluate for progression History: met prostate cancer CHEST:LUNGS AND PLEURA: Few scattered pulmonary micronodules are unchanged. No pleural effusions.MEDIASTINUM AND HILA: Right paraesophageal lymph node measures1.1 x 1.3cm, previously 1.4 x 1.0 ... | 1.Extensive osseous metastatic disease. The sclerotic lesions in the ribs and spine have progressed.2.Left lower abdominal colostomy.3.Polypoid mass in the second portion of duodenum recommend endoscopy for tissue diagnosis. |
Generate impression based on findings. | 18 year-old male with staring spells and convulsion. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The p... | No acute intracranial abnormality. |
Generate impression based on findings. | Hodgkin's disease, nodular sclerosis, unspecified site, extranodal and solid organ sites. Clinical question: H/O Hodgkin Lymphoma s/p 6 cycles of ABVD chemotherapy in need of post treatment scans. Please compare to prior.Signs and Symptoms: H/O Hodgkin Lymphoma There is an 11 x 9 mm axial dimension lymph node at the le... | 1.Measured lymph nodes are stable when compared with prior exam. |
Generate impression based on findings. | Solitary pulmonary nodule fibrotic emphysema. LUNGS AND PLEURA: New bilateral moderate to small pleural effusions greater on the right. Mild to moderate central lobular and paraseptal emphysema grossly unchanged. Superimposed mild peripheral traction bronchiectasis is also noted with a fine pattern of unchanged honeyco... | Questionable increase in lymphadenopathy without significant change of the intrapulmonary semisolid nodule. New small and nonspecific bilateral effusions. This combination of findings again remains nonspecific a moderately suspicious for malignancy. |
Generate impression based on findings. | Male 65 years old; Reason: assess for metastatic spread of bladder cancer History: bladder CIS ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Multiple subcentimeter hypodensities are too small to characterize, though likely of benign etiology. The gallbladder is surgically absent with chole... | No evidence of metastatic disease, as clinically questioned.1.Asymmetric thickening and enhancement of the bladder wall likely represents known primary malignancy. |
Generate impression based on findings. | 57 year-old female with headache. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses an... | No acute intracranial abnormality. |
Generate impression based on findings. | History of asbestos exposure, probable rheumatoid arthritis as well, evaluate lungs. LUNGS AND PLEURA: Low normal lung volumes. Basilar predominant traction bronchiolectasis and bronchiectasis with subpleural reticulation and groundglass opacity. No visible suspicious pulmonary nodules or masses. No pleural fluid or pn... | Moderate pulmonary fibrosis in a pattern atypical for UIP. Pattern is most consistent with NSIP with a fibrosing component and may be seen in rheumatoid lung disease but is not specific regarding etiology in this case. Mildly enlarged mediastinal lymph nodes. No conclusive CT findings to suggest asbestos exposure or pu... |
Generate impression based on findings. | assess for pulmonary metastasis History: Ewing's sarcoma LUNGS AND PLEURA: Stable two pulmonary micronodules in the left lower lobe. Equivocal pulmonary nodule in the left upper lobe stable from prior study. Surgical suture rows are seen in the anterior right upper lobe and posterior right lower lobe. No pleural effusi... | Stable pulmonary micronodules in the left lower lobe. |
Generate impression based on findings. | Male 74 years old; Reason: Pre-Kidney Transplant Evaluation, assess aorta and iliac vessels for transplant History: Pre-Kidney Transplant Evaluation, hx of DM and CAD ABDOMEN:LUNGS BASES: Calcifications in the expected location of the mitral valve.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No signif... | 1.Moderate to severe calcific arteriosclerotic disease of the abdominal aorta and its branches. 2.Cystic changes of the kidneys. |
Generate impression based on findings. | Homonymous bilateral field defects in visual field. New onset L homonymous hemianopsia. Tingling in tongue and mouth. R.o tumor or aneurysm. Please evaluate. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorr... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and external capsule white matter lesions are non specific. They could represent a neurodegenerative process. If clinically indicated an MRI of the brain may be helpful to further delineate this.3.Posterior fossa subdural effusion is... |
Generate impression based on findings. | 51 year-old female with altered mental status. There is patchy hypoattenuation in the cerebral white matter. There has been mild increase in size of the ventricular system since July this year. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid co... | 1. No acute intracranial hemorrhage. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Mild interval increase in size of the ventricular system (since July 2013). Clinical correlation for hydrocephalus. 3. Mild small vessel ischemic disease of indeterminate... |
Generate impression based on findings. | Mesothelioma, please measure and tortuous target lesions CHEST:LUNGS AND PLEURA: Status post right pneumonectomy with diaphragmatic patch and mash, no change. The associated mediastinal shift is again observed with mild diffuse pleural thickening without discrete nodularity. Measurements remain approximately 5 mm in th... | Interval progression with increased size of the right abdominal wall lesion and hepatic lesions, measurements are above |
Generate impression based on findings. | Malignant neoplasm of floor of mouth, part unspecifiedCirrhosis of liver without mention of alcoholPersonal history of venous thrombosis and embolism CT neck:Much of the floor of the mouth is obscured by metal artifact patient's dental work.Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no... | 1.There is a right parotid mass present which slightly larger on the current versus the prior exam.2.No evidence for brain metastases.3.Periventricular and subcortical white matter signal changes are nonspecific. At this age they are most likely vascular related though they could be related to a neurodegenerative proce... |
Generate impression based on findings. | 58 year old female. Reason: ILD protocol. Provisional dx of IPF in 2004 by bx, eval for fibrosis progression does not follow usual clinical course of IPF, ?NSIP fr microaspiration v other? Worsening Pulm fxn tests LUNGS AND PLEURA: Bilateral subpleural reticular opacities and micro-honeycombing with mild increase in di... | 1.Slight worsening of disease in the anterior upper lobes there groundglass opacity may reflect active cellular inflammation. Degree of fibrosis elsewhere is stable to only minimally worse. UIP is possible, this distribution is atypical, correlate for possibility of collagen vascular disease.2.Only subtle interval incr... |
Generate impression based on findings. | Male 85 years old; Reason: Metastatic prostate cancer post therapy History: prostate cancer CHEST:LUNGS AND PLEURA: Multiple scattered bilateral micronodules are grossly unchanged. Previously measured nodule in the right upper lobe measures 4 mm, unchanged (image 45, series #4).Bilateral basilar scarring versus atelect... | 1.Extensive osseous metastatic disease.2.Scattered bilateral pulmonary nodules are unchanged.3.Stable bilateral adrenal nodules. |
Generate impression based on findings. | 69 year-old male with altered mental status. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal... | No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | relapsed rhabdomyosarcoma CHEST:LUNGS AND PLEURA: Moderate bilateral pleural effusions with overlying compressive atelectasis. No focal opacity is present.MEDIASTINUM AND HILA: Moderate pericardial effusion is present. No significant lymphadenopathy is noted. Right chest wall Port-A-Cath tip terminates in the right atr... | 1. New pericardial and pleural effusions.2. Stable soft tissue mass adjacent to the pancreatic tail. |
Generate impression based on findings. | Lung cancer, prior resection. Please reevaluate LUNGS AND PLEURA: Extensive and grossly stable severe diffuse central lobular emphysema with numerous bulla greater in the upper lobes. No discrete interval change or new intra-pulmonary findings. Reidentified are multiple small mixed semisolid nodular densities all uncha... | Stable appearance of multiple semisolid nodular densities in extensive emphysema. See reference descriptions and measurements provided |
Generate impression based on findings. | Male 88 years old; Reason: Assess bowel obstruction vs ileus. Please administer PO contrast only. History: continued distention ABDOMEN:LUNGS BASES: Calcified pleural lack of the lung bases. Corner disease involving the left coronary system.Bibasilar atelectasis and areas of consolidation.Trace bilateral effusions.LIVE... | 1.Small bowel obstruction with a transition point in the distal ileum in the right lower abdomen. Upper abdominal ascites is new. |
Generate impression based on findings. | 77-year-old female. Reason: previous heavy smoker, lung cancer screening History: previous heavy smoker, lung cancer screening LUNGS AND PLEURA: Severe centrilobular emphysema. Marked interval decrease in right upper lobe consolidation with residual scarring. Stable 4-mm irregularly marginated but flat subpleural nodul... | 1.No suspicious pulmonary nodules or masses.2.Severe centrilobular emphysema.3.Suggest yearly screening CT given high risk category. |
Generate impression based on findings. | Evaluate ILD. Worsening cough and S.O.B. History of hypersensitivity pneumonitis. LUNGS AND PLEURA: Interval resolution of the pleural fluid collections. Posterior and basilar predominant groundglass opacity and mild traction bronchiectasis, the bronchiectasis has slightly increased compared to the prior examination wh... | Chronic fibrotic interstitial lung disease with subtle progression of bronchiectasis. When comparing back to earlier studies such as from 5/2010, apical subpleural nodules have worsened and may represent foci of cryptogenic organizing pneumonia; these are stable to perhaps minimally worse compared to the earlier study ... |
Generate impression based on findings. | Female 21 years old; Reason: rule out pancreatitis History: N/V, abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, U... | Non specific colonic wall thickening incompletely characterized given lack of distention. |
Generate impression based on findings. | 61 year-old female with dizziness. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast enhancement. The osseous structures a... | No intracranial abnormality. |
Generate impression based on findings. | 25-year-old female. Reason: AML s/p transplant one year ago with GVHD on steroids. New hypoxia. PE vs pneumonia History: hypoxia PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Interval right middle lobe subsegmental atelectasis, likely secondary to bronchial mucous ... | Technically adequate study without evidence of a pulmonary embolus.Bronchial obstruction likely secondary to mucus plugging with associated subsegmental atelectasis of the right middle lobe. |
Generate impression based on findings. | Off therapy. Paraganglioma (urinary bladder) assess for disease progression. LUNGS AND PLEURA: Motion artifact causes slice misregistration, limiting assessment for subcentimeter lesions. Within this limitation, no pulmonary nodules suspicious for active metastatic disease are appreciated. A subpleural lymph node is se... | Unchanged pulmonary micronodules and left breast nodules which may represent treated metastatic disease. Further evaluation of the breasts lesions may be made by breast MRI if clinically warranted.No new sites of disease are identified. |
Generate impression based on findings. | Dizziness and giddinessChest pain, unspecified 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 visualized portions of the paranasal... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Head and neck cancer. CHEST:LUNGS AND PLEURA: Stable appearing right upper lobe noncalcified nodules in micronodules scattered in both lungs. No suspicious nodules or masses. No effusions.MEDIASTINUM AND HILA: Calcified subcarinal and precarinal lymph nodes. No lymphadenopathy.The cardiac and mediastinal contours are w... | Stable right upper lobe noncalcified nodules and no specific new abnormalities to suggest metastatic disease |
Generate impression based on findings. | Female 64 years old; Reason: pt with mesothelioma s/p debulking of the abdomen including partial peritonectomy etc. History: doing better, now needs disease evaluation post surgical debulking compare to previous scans and comment ABDOMEN:LUNGS BASES: For full characterization of the lungs, please refer to the CT chest ... | 1.Status post omentectomy, splenectomy, and cholecystectomy, with residual nodularity in the peritoneum, and residual trace ascites. |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: Unchanged postsurgical left pneumonectomy with associated volume loss and shift. Chronic scarring and atelectasis in the right middle lobe anteriorly. No new suspicious pulmonary nodules or masses. No right effusion. Mild centrilobular emphysemaMEDIASTINUM AND HILA: No lym... | Left pneumonectomy without evidence of recurrent disease |
Generate impression based on findings. | Mesothelioma with surgical debulking. Please re-evaluate LUNGS AND PLEURA: A large left and moderate right pleural effusion with underlying compression atelectasis and suspected loculation greater on the right. Scattered calcified granulomasMEDIASTINUM AND HILA: Marked enlargement and heterogeneity greater within the l... | 1. Interval enlargement of bilateral pleural effusions. No distinct intrapulmonary findings to suggest recurrence2. Suspected goiter |
Generate impression based on findings. | 65 year-old female with recurrent adenoid cystic carcinoma. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast enhancement.... | 1. Interval excision of a lesion at the anterior left maxillary sinus wall. There is enhancing soft tissue at the surgical site, which is nonspecific and may represent granulation or residual tumor or both. Continued followup is recommended. 2. No cervical lymphadenopathy. 3. No intracranial metastasis. |
Generate impression based on findings. | Female 60 years old; Reason: Head and neck cancer, ? new liver lesion, PLEASE OBTAIN CT LIVER TRIPHASIC PROTOCOL. History: PLEASE OBTAIN CT LIVER TRIPHASIC PROTOCOL. no symptoms, new lesion. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: 1.5 x 1.3 cm hypodense segment 4 lesion is redemonstr... | Hypodense segment 4 liver lesion likely represents perfusion abnormality or focal fatty deposition, however metastatic disease cannot be excluded and MRI can be helpful for further characterization. |
Generate impression based on findings. | ams receptive aphasia 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.Periventricular and subcortical white matter hypodensities of a m... | 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.Punctate lesions in the basal ganglia and thalami are most likely related to infarcts4.CT is insensitive ... |
Generate impression based on findings. | Female 73 years old; Reason: gastric cancer restaging History: gastric cancer CHEST:LUNGS AND PLEURA: 6-mm nodule in the right upper lobe is stable.MEDIASTINUM AND HILA: Borderline enlarged mediastinal lymph nodes. Index pretracheal node measures 1.3 x 1.0cm previously 1.3 by 1 cm (image number 36, series number 3).CHE... | Interval decrease in the previously seen gastric wall mass. Decrease in the perigastric nodularity. |
Generate impression based on findings. | Neoplasm of uncertain behavior of larynx There is a 28 x 45 mm coronal dimension and 26x38mm axial dimension mass centered in the right larynx which breaks through the thyroid cartilage. And involves the right thyroid gland.. It extends lateral to the cricoid right side its superior extent is at the level of the right ... | 1.There is a right-sided laryngeal mass present extending to the thyroid gland and eroding the right thyroid cartilage and narrowing the airway. It is stable since the October 11 exam |
Generate impression based on findings. | Right lower lobe cavitary lesion and history lung cancer. Cough and hemoptysis LUNGS AND PLEURA: Interval resolution of the previously described lingular opacity and tracheal debris. Minimal similar basilar changes suggesting atelectasis superimposed upon moderate centrilobular and paraseptal emphysema. The reference l... | Stable appearing right upper lobe cavitary mass and other reference measurements. No new findings |
Generate impression based on findings. | Female 53 years old; Reason: 53yo female with newly diagnosed grade 3 endometrial CA, assess for metastatic disease History: Endometrial CA 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 evident metastatic disease detected. |
Generate impression based on findings. | 67 year-old male with head and neck cancer and status post CRT. The visualized intracranial structures which include the posterior fossa are intact. The visualized portions of the orbits are stable. There is redemonstration of the left orbital wall fracture. There is partial opacification of the left ethmoid air cells ... | Posttreatment changes with no evidence for tumor recurrence or neck lymphadenopathy. |
Generate impression based on findings. | Patient with history of pneumonia, chest CT pre-allogeneic main stem cell transplant. History of nodular lymphoma. LUNGS AND PLEURA: Nodular scarring at the lung apices. Focal cylindrical bronchiectasis in the right apex unchanged. Small scar like opacities in the right lower lobe (5/62, 5/89) unchanged. Focal scar at ... | Subtle abnormality in the left lower lobe suggestive of bronchiolitis, possibly due to aspiration though postobstructive inflammatory process or infection cannot be entirely excluded without follow-up. As this abnormality is beyond the resolution of visibility for conventional radiographs, reduced dose unenhanced thora... |
Generate impression based on findings. | 31-year-old female with history of breast cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Large right breast mass. The mass measures 7.7 by 5.3 cm on image number 49, series number 3. The mass invades the right pectoralis muscle and abut... | Right breast mass and right axillary adenopathy.Compression deformity of T10 vertebral body, nonspecific, and can be congenital. |
Generate impression based on findings. | Reason: 69 year old female with a history of bladder cancer post chemotherapy. eval for response History: bladder cancer with metastasis CHEST:LUNGS AND PLEURA: Centrilobular and paraseptal emphysema with an upper lobe predominance, unchanged. No new or suspicious pulmonary nodules or masses. Note is made of a calcifie... | 1.Persistent eccentric bladder wall thickening which is difficulty to accurately measure/compare to the prior examination secondary to varying distention of the bladder.2.No significant interval change in reference lymph nodes in the supraclavicular, retroperitoneal, and pelvic regions.3.Interval decrease in right side... |
Generate impression based on findings. | Male 63 years old; Reason: 62Yrs male who completed CRT August 2012. New right upper neck mass that has increased in size and now tender. last CT showed lesion of the left kidney suggestive of either renal infarctor met. Now with increasing left back pain radiating to groin History: left bac k pain radiating to groin a... | 1. Large left renal lesion which has grown in the interim, worrisome for renal cell carcinoma versus metastatic disease. 2. Numerous hypodense lesions in the liver, which are new since previous exam 9/12/13 worrisome for metastatic disease.3. Numerous new nodules in the lungs, presumed metastatic in nature.4. Interval ... |
Generate impression based on findings. | History of pancreatitis ABDOMEN:LUNG BASES: Large right-sided pleural effusion and bilateral dependent atelectasis.LIVER, BILIARY TRACT: Numerous hypodense lesions in the liver. Some of the more to small to accurately characterize, but larger ones, most likely represent cysts.SPLEEN: No significant abnormality notedPAN... | Two large pseudocysts in the pancreatic head and body. Small amount of ascites. Findings consistent with necrotizing pancreatitis. Chronic occlusion of the splenic vein.Multiple small hypodense lesions in the liver, some of which are too small to accurately characterize, but larger ones likely represent cysts.Large rig... |
Generate impression based on findings. | 63 year-old male history of head and neck cancer. Follow-up. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for right maxillary sinus retention cysts/polyps. Limited view of the intracranial structure is unremarkable. Examination shows an 18 x 18 mm ill defined, enhancing lesi... | 1. Interval increase in size of a lesion underlying the right platysma muscle and between the right strap and SCM muscles. This may represent pathologic adenopathy. 2. Stable focus of soft tissue density at the right base of tongue.3. Stable reference cervical lymph nodes. 4. CT chest is dictated separately. |
Generate impression based on findings. | Male, 73 years old, recurrent invasive base of tongue carcinoma status post partial resection. Redemonstrated is encephalomalacia in the right frontal lobe, also at the right temporo-occipital junction, consistent with chronic ischemic change, stable. A left frontal development venous anomaly is also stable. Mild age i... | 1. Interval increase in size of a left tongue base/floor of mouth mass.2. No pathologic adenopathy in the neck.3. Stable examination of the brain with no evidence of intracranial metastatic disease. |
Generate impression based on findings. | 63-year-old female patient. Reason: severe emphysema from AATD and bronchiectasis. Hx of PTX as well (left) History: cough, sob, sputum LUNGS AND PLEURA: Severe panlobular emphysema with severe bullous disease most prominent at the lung bases.Interval resolution of pneumothorax. There is a small pocket of air underneat... | New loculated fluid-filled bullae in the left lower lobe. Recommend follow up in 6 weeks to clearance.No residual pneumothorax. |
Generate impression based on findings. | 56 showed female with metastatic colon cancer status post hepatic resection October 2013 complicated by bile leak. New Baseline CT prior to chemo. CHEST:LUNGS AND PLEURA: Trace right pleural effusion. New left upper lobe pulmonary nodule measures 1.4 x 1.2 cm (image 54, series #5). Two new right lung micronodules are a... | 1.Interval development of several hepatic lesions and left upper lobe pulmonary nodule, consistent with progression of metastatic disease.2.Stable postsurgical changes of right hepatic lobe resection, with resolution of perihepatic fluid collection. |
Generate impression based on findings. | Lung cancer on treatment CHEST:LUNGS AND PLEURA: Right paramediastinal mass has developed internal cavitation and is increased in size, 5.8 x 3.1 cm (3/42) compared to 3.1 x 1.9 cm. Length of the mass is now 9.5-cm (coronal image 23). The cavity is adjacent to a fluid filled bulla in the right apex, possibly indicating... | Interval enlargement of right hilar mass which has now cavitated. The mass encases the right main bronchus causing narrowing and extends along the bronchus intermedius and middle/lower lobe are airways proximally. Fluid in a right apical bulla could indicate superinfection. |
Generate impression based on findings. | dementia changes 9 months 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.There is subcortical hypodensity present.The visualized porti... | 1.There is periventricular and subcortical white matter hypodensity present which is a nonspecific finding. This could be vascular related but could also be related to a neurodegenerative disorder. No focal lesions are appreciated intracranially though MRI is more sensitive in detection of intracranial lesions |
Generate impression based on findings. | Reason: Pt is an 83 y/o female with met urothelial cancer, evaluate for PE given dyspnea, chest pain History: dyspnea, chest pain Examination mildly limited by patient motion.PULMONARY ARTERIES: Technically adequate examination. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Minimal centrilobular emphysema. Diffu... | 1.Technically adequate examination without evidence of a pulmonary embolus.2.Minimal centrilobular emphysema with mild bronchial wall thickening suggestive of bronchiolitis. |
Generate impression based on findings. | Epigastric pain. Patient with lymphadenopathy. CHEST:LUNGS AND PLEURA: Numerous scattered and largely calcified subcentimeter nodules bilaterally. No effusions or suspicious nodules or masses.MEDIASTINUM AND HILA: No distinct lymphadenopathy. The cardiac and pericardium are within limits of the been extensive heavy cor... | 1. Granulomatous disease exposure without discrete focal pulmonary abnormality2. Nonspecific hepatic focal hypodensity possibly warranting dedicated imaging |
Generate impression based on findings. | 48 year old man with family history of coronary artery disease referred for evaluation of coronary calcification.CPT: 75571 Calcium Score:LM: 0LAD: 327LCx: 0RCA: 0Total: 327, This represents the 96th percentile for this patients age and gender.Coronary anatomy: LM: The left main coronary artery arises normally from the... | 1.Total Calcium score was 327; 96th percentile for age and gender.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. | 37-year-old male patient. Reason: interval change in opacities History: history of atypical pna, hiv+ LUNGS AND PLEURA: Significant interval decrease in lower lung zone predominant patchy groundglass opacities. Interval resolution of bilateral scattered subcentimeter nodules. Scattered pulmonary cysts are stable. Minim... | Interval resolution of bilateral scattered subcentimeter nodules and significant interval decrease in lower lung zone predominant patchy ground glass opacities. |
Generate impression based on findings. | Reason: 87 yo M with h/o malaise - treating for HCAP due to abnormal CXR, most recent 12/4 XR recommends CT chest for further evaluation History: PNA LUNGS AND PLEURA: Right upper lobe with multiple ill-defined air space opacities, bronchial wall thickening and bronchiectasis, suggestive of a multifocal infection.Scatt... | 1.Right upper lobe with multiple ill-defined air space opacities, bronchial wall thickening and bronchiectasis, suggestive of a multifocal infection. Continue follow-up to resolution.2.Small bilateral pleural effusions with compressive atelectasis. |
Generate impression based on findings. | Large goiter, check for extent LUNGS AND PLEURA: Scattered micronodules with minimal edema-like changes in the dependent portions. A single 8 x 7 mm nodular density is observed in the superior right upper lobe (image 30 series 4) additional scattered nodules are also observed bilaterally and all appear relatively discr... | Large goiter with marked compression of the trachea and nonspecific scattered pulmonary nodules likely representing old granulomatous disease however serial imaging and/or stability is required to confirm. |
Generate impression based on findings. | Mouth cancer, adenoid cystic carcinoma. Please reevaluate CHEST:LUNGS AND PLEURA: Scattered pulmonary nodules are again identified with the largest reference well marginated right upper lobe nodule showing mild increase. Currently measures 1.5 x 1.2 cm (image 20 series 4) from a prior measurement of 1.2 x 1.1 cm. Some ... | Continued minimal slow growth of the multiple pulmonary nodules with the largest reference. Suspected indolent metastatic foci |
Generate impression based on findings. | Head and neck cancer, follow-up LUNGS AND PLEURA: Postradiation change observed in both apices unchanged in appearance. No suspicious new nodules or masses. No effusions. Scattered micronodules and post aspiration and/or minimal scarring. No suspicious new acute intrapulmonary abdomen date.MEDIASTINUM AND HILA: . The l... | Postradiation change without suspicious new abnormality and stable minimal borderline lymph nodes. See reference measurement above |
Generate impression based on findings. | Bladder cancer LUNGS AND PLEURA: Minimal left basilar scarring or atelectasis with additional acute abnormality. No effusions. No suspicious nodules or masses.MEDIASTINUM AND HILA: No lymphadenopathyThe cardiac and pericardium are within limits.Small hiatal herniaCHEST WALL: No significant abnormality noted.UPPER ABDOM... | Minimal scarring and or atelectasis without suspicious findings to suggest metastatic disease |
Generate impression based on findings. | 61-year-old male status post liver transplant with yellow nasal excretion. Evaluate for infection. CHEST:LUNGS AND PLEURA: Interval improvement in bilateral basilar opacities, right more than left, including subsegmental consolidation in the right base and centrilobular groundglass opacities in both bases, suspected to... | 1.Improved basilar predominant lung opacities, most compatible with bronchiolitis and/or aspiration.2.Mild increase in moderate amount of ascites fluid.3.NG tube folded on itself in the proximal duodenum. |
Generate impression based on findings. | 51-year-old female with nausea and vomiting. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypoattenuating focus in right lobe too small to characterize, but likely cyst. Gallbladder is nondistended and appears unremarkable.SPLEEN: No significant abnormality notedPANCREAS: No s... | Resolution of previously seen obstruction, with no evidence of obstruction or other significant abnormality account for symptoms on current exam. |
Generate impression based on findings. | 76-year-old male with newly diagnosed advanced prostate cancer. ABDOMEN:LUNG BASES: Large right pleural effusion and associated complete right lower and partial right middle lobe consolidation/atelectasis. Trace left pleural effusion. Fluid and mucus material is present in the bronchus intermedius (series 4, image 11).... | 1.Large right pleural effusion and overlying right lower and right middle lobe consolidation/atelectasis.2.Bilateral percutaneous nephroureterostomy tubes are in place, without evidence of hydronephrosis.3.Several nonspecific prominent pelvic lymph nodes.4.Nonspecific punctate micronodule in right upper lung lobe |
Generate impression based on findings. | 39-year-old male patient with tachypnea and chest pain. Evaluate for a pulmonary embolus. PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Bilateral atelectasis, left greater than right.MEDIASTINUM AND HILA: Left sided PICC line with catheter tip at the cavoatrial jun... | No evidence of a pulmonary embolus.Median sternotomy wires with osseous nonunion may be within normal limits if the patient had recent surgery. |
Generate impression based on findings. | 62 year old female with lymphoma. CHEST:LUNGS AND PLEURA: Several micronodules are noted bilaterally, nonspecific but likely benign. Focal ground glass opacity in the right lower lobe likely represents subsegmental atelectasis (series 4, image 62). No consolidation or pleural effusions.MEDIASTINUM AND HILA: No patholog... | 1.Several enlarged retroperitoneal and pelvic lymph nodes.2.Status post right mastectomy and right axillary lymph node dissection. 3.4.Several punctate lung micronodules, nonspecific but likely benign in etiology.5.Hepatomegaly and hepatic steatosis. |
Generate impression based on findings. | 17 year-old female Reason: please evaluate for typhlitis or appendicitis History: mid to right lower quadrant abd pain x 1 week; today, has RLQ to mid abdominal tenderness; no fever CHEST:LUNGS AND PLEURA: Scattered upper lobe ground glass nodules, likely post infectious/inflammatory in etiology. Interval resolution of... | 1. No specific evidence of typhlitis or appendicitis. Minimal nonspecific amount of free fluid in the right lower quadrant/pelvis, which may be physiologic in etiology.2. Bilateral hypoattenuating foci in the kidneys as discussed above. These are nonspecific and may represent scarring or focal pyelonephritis. |
Generate impression based on findings. | 50 year-old female with metastatic colon cancer to lung and liver. CHEST:LUNGS AND PLEURA: Centrally cavitary nodule in superior segment of left lower lobe measures 1.2 x 0.9 cm (series 5, image 43). Additional nodules noted in the left lower lobe along the posterior heart border (series 5, image 54). Several other pun... | 1.Multiple hepatic metastasis.2.Lung nodules are not entirely specific but most likely represent metastases given patient's history of colon cancer.3.Postsurgical changes in the bowel.4.Multiple hypoattenuation lesions arising from uterus, which may represent degenerating fibroids.5.Cystic lesions in region of right ad... |
Generate impression based on findings. | 44-year-old female patient with sharp left-sided chest pain, dyspnea and elevated d-dimer. Evaluate for possible left-sided pulmonary embolism. PULMONARY ARTERIES: Technically limited study with poor opacification of the pulmonary artery on repeat imaging. No evidence of a pulmonary embolus in the main pulmonary arteri... | No evidence of a pulmonary embolus in the main pulmonary arteries.No specific abnormality to account for patient's symptoms. |
Generate impression based on findings. | Reason: please evaluate for pulmonary embolus History: POD2 s/p sacrocolpopexy, suddenly with intense chest pain PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolism. Normal caliber main pulmonary artery.LUNGS AND PLEURA: Impacted bronchioles right upper lobe suggestive of occult infect... | 1. No evidence of pulmonary embolism.2. Impacted bronchioles right upper lobe could represent occult infection, or even minimal MAI. |
Generate impression based on findings. | Reason: 64yoF s/p BiV-ICD, ESRD on HD, and NICM s/p LVAD placement. Currently w/persistent abdominal pain and emesis s/p feeding. Afebrile, abdominal exam benign. History: abdominal pain, emesis ABDOMEN: Lack of intravenous contrast limits evaluation of solid organs. Lack of enteric contrast limits evaluation of bowel.... | 1.Basilar consolidation and bilateral pleural effusions compatible with infection/aspiration.2.No drainable fluid collections in the abdominal cavity.3.Gallbladder sludge without evidence of acute cholecystitis. |
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