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Generate impression based on findings. | Female 90 years old; Reason: eval for acute inflammatory process History: abdominal pain ABDOMEN:LUNGS BASES: A small bilateral effusions occupying less than 10% of the hemithoraces with associated basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCRE... | 1.Findings a stercoral colitis with mild perirectal inflammation2.1.4-cm hyper vascular mass in the tail of the pancreas, follow up with CT pancreas protocol or MRI is suggested for further classification.3.Findings discussed with Dr.Kirilichin at the time of dictation via telephone. |
Generate impression based on findings. | Reason: METASTATIC ANAL CANCER WITH LUNG METS ON CHEMOTHERAPY HOLIDAY History: ANAL CANCER CHEST:LUNGS AND PLEURA: Pulmonary nodules are no longer identifiable, there is now complete atelectasis of the right middle and lower lobes from central bronchial obstruction. A new moderate-sized right pleural effusion is also p... | Disease progression in the chest and liver. |
Generate impression based on findings. | Reason: eval for pancreatitis History: 14yo M with elevated pancreatic enzymes with abdominal distension ABDOMEN:LUNG BASES: Scattered patchy opacities are identified at the lung bases. No pleural effusion is seen. No pericardial effusion is identified.LIVER, BILIARY TRACT: The gallbladder is markedly distended. No foc... | 1. Patchy opacities in the lung bases, which may represent infection or aspiration.2. Findings as above consistent with acute uncomplicated pancreatitis.3. Marked distention of the gallbladder without other CT findings of cholecystitis. |
Generate impression based on findings. | 33-year-old female patient with shortness of breath and chest pain. History of breast cancer status post mastectomy with flap reconstruction two weeks ago. Evaluate for a pulmonary embolus. PULMONARY ARTERIES: Technically adequate study without evidence of a pulmonary embolus.LUNGS AND PLEURA: Small scattered reticular... | 1.Technically adequate study without evidence of a pulmonary embolus.2.Small fluid collections in the bilateral breast reconstructions. Fluid collections may represent postoperative seromas.3.T7 vertebral body lucent foci are most likely benign, however recommend dedicated MR spine to further confirm. |
Generate impression based on findings. | 50 year old male. Seminoma. Reason: history of clinical stage 1 testicular cancer, assess for recurrence. CHEST:LUNGS AND PLEURA: Few scattered pulmonary nodules in the lingula as seen on image 29/MIP and right middle lobe images 39,46/MIP are nonspecific and stable. The pleural spaces remain clear. MEDIASTINUM AND HIL... | Stable negative examination. |
Generate impression based on findings. | Thyroid goiter. There is diffuse enlargement of the thyroid gland, right greater than left lobes. The right lobe measures up to 5.0 AP x 5.2 RL x 10.0 SI cm and extends inferiorly into the superior mediastinum to the level of the T3 vertebra. The left lobe measures up to 2.4 AP x 3.7 RL x 7.7 SI cm. There is narrowing ... | Diffuse heterogeneous enlargement of the thyroid gland, right greater than left, with numerous nodules is compatible with multinodular goiter that narrows the trachea to 7 mm in width. |
Generate impression based on findings. | Recurrent BOT SCC treated with carbo/taxol, now on clinical trial (IRB 120161) who is receiving cetux only. Developed clinical progression after 17 cycles. Started MEHD 11/13/13. Head: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricles ... | 1.Extensive post-treatment findings without definite evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2.Residual air-filled right neck skin defect at the surgical incision site and air-filled focus in the left parapharyngeal space, which may be related to tissue necrosis.3. No evidence ... |
Generate impression based on findings. | 72-year-old male with metastatic colon cancer. CHEST:LUNGS AND PLEURA: Postoperative in the right lower lobe.Pleural based left lower lobe reference nodule unchanged, measuring 6 mm, previously measured 6 mm (series 4, image 40). Several other punctate micronodules unchanged. No new suspicious nodules. No consolidation... | 1.Stable reference lymph nodes.2.New ill-defined area of hypoattenuation in inferior edge of right liver lobe, of unclear etiology and continued follow-up recommended.3.No significant change in focal wall thickening in proximal stomach, which is nonspecific but may represent underlying neoplasm such as GIST. |
Generate impression based on findings. | 46-year-old female with history of gastric cancer. Reason: gastric cancer s/p resection ypT4N3M1 (peritoneum) R1 with disease left behind 7/10/13. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Biapical fibrosis, unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Left sided venous acces... | No measurable metastatic disease. No significant change from previous study. |
Generate impression based on findings. | 46-year-old female. History of left scapular subcutaneous NHL lymphoma. Please restage. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No s... | Stable examination. No measurable metastatic or recurrent disease. |
Generate impression based on findings. | 57-year-old male with history of non-Hodgkin lymphoma. Reason: DLBCL of neck, please restage. History: right clavicular swelling. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Unchanged small mediastinal lymph nodes.CHEST WALL: No significant abnormality notedABDOMEN:LUNG BASES: No signi... | No significant change from previous study. No measurable metastatic disease or recurrence. |
Generate impression based on findings. | Female 75 years old; Reason: kidney stones History: L flank pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. No evident lesion. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No s... | 1.No evident nephrolithiasis or hydronephrosis. |
Generate impression based on findings. | Male 86 years old; Reason: History metastatic renal cancer, on observation, assess for progression History: none CHEST:LUNGS AND PLEURA: No suspicious lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy.CHEST WALL: Left second rib lyti... | 1.Slight increase in the size of the uncinate process mass. 2.Right kidney hyperdense lesions, unchanged. |
Generate impression based on findings. | 62 year-old male with rectal cancer. CHEST:LUNGS AND PLEURA: Stable micronodule along right major fissure. No new suspicious nodules. Subsegmental atelectasis in the right lung base. No consolidation or pleural effusions.MEDIASTINUM AND HILA: Stable mild cardiomegaly. No lymphadenopathy.CHEST WALL: Healed left rib frac... | No evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 71-year-old male with metastatic prostate cancer. CHEST:LUNGS AND PLEURA: Stable micronodules. No new suspicious nodules.MEDIASTINUM AND HILA: No significant change in reference lymph nodes. Pretracheal node measures 1.0 x 1.0 cm, previously measured 1.0 x 0.8 cm (series 3, image 36). Right hilar node measures 1.4 x 1.... | 1.No significant change in extensive osseous metastatic disease; please refer to bone scan report for better evaluation. 2.No significant change in mediastinal reference lymph nodes. |
Generate impression based on findings. | Papillary carcinoma thyroid with prior recurrences. There are postoperative findings related to total thyroidectomy and bilateral neck dissection. There is a 4 x 6 mm right level 6 lymph node and two right level 2 lymph nodes that measure up to 7 x 11 mm, which correspond to the hypermetabolic nodes on PET. There is mi... | The 4 x 6 mm hyperattenuating node in the right level 6 lymph node and two right level 2 lymph nodes that measure up to 7 x 11 mm, which demonstrated corresponding hypermetabolism on PET, although FNA was negative for malignancy. |
Generate impression based on findings. | 39 year old female with history of necrotizing pancreatitis and pseudocyst, completion of 4 weeks of IV antibiotics. ABDOMEN:LUNG BASES: Interval decrease in small left pleural effusion and overlying atelectasis/consolidation.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality noted... | Interval decrease in abdominal and pelvic fluid collections, as described above. |
Generate impression based on findings. | 56-year-old male with metastatic renal carcinoma. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No adenopathy. Coronary artery calcifications. Heart is normal in size without pericardial effusion.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abn... | 1.No evidence of disease recurrence or metastases.2.New mild haziness and prominent lymph nodes in root of mesentery are nonspecific but may be due to inflammatory etiology such as sclerosing mesenteritis. |
Generate impression based on findings. | 69-year-old female with history of gingival cancer status post mandibulectomy, chemoradiation therapy, reevaluate Streak artifact from dental hardware limits evaluation of the adjacent structures. Postoperative findings related to resection of the right marginal mandibulectomy with bone graft, metallic plate reconstruc... | 1. No enhancing measurable soft tissue lesions are present in the neck. 2. No cervical lymphadenopathy by CT size criteria. |
Generate impression based on findings. | 55-year-old female with cholangiocarcinoma. CHEST:LUNGS AND PLEURA: Several lung nodules appear similar, largest in right lower lobe measuring 7 mm (series 5, image 59). MEDIASTINUM AND HILA: Right chest wall port catheter tip in distal SVC. Mild coronary artery calcifications. No mediastinal lymphadenopathy.CHEST WALL... | 1.Decreased size of liver lesions. 2.No significant change in retroperitoneal adenopathy and lung nodules. |
Generate impression based on findings. | Midline neck mass. There is a well-defined homogenously fluid attenuation (15 to 20 HU) lesion in the midline subcutaneous tissues inferior to the body of the hyoid that measures 22 AP x 39 RL x 22 SI mm. Thre may be a small track that extends superior from the lesion. There are no solid-appearing components within the... | 1. A well-defined homogenously fluid attenuation (15 to 20 HU) lesion in the midline subcutaneous tissues inferior to the hyoid that measures up to 39 mm likely represents a thyroglossal duct cyst and less likely a dermoid/epidermoid or venolymphatic malformation. 2. Left tympanomastoid opacification may represent otom... |
Generate impression based on findings. | 69-year-old male patient. Reason: s/p excision of basal cell CA from R nose and melanoma from R cheek, 50 pack year smoker History: hypoxia PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Moderate centrilobular emphysema.Mild septal thickening and basilar ground glas... | No evidence of a pulmonary embolus.Septal thickening, basal ground glass opacities and trace left pleural effusion consistent with edema. |
Generate impression based on findings. | 58-year-old male with history of right tongue base and left lateral tongue cancer, reevaluate Stable postsurgical changes of a resection of the right submandibular gland and right neck dissection. Volume loss at the right tongue base, unchanged. No evidence of enhancing soft tissue lesions in the neck. No lymphadenopat... | Stable post-treatment changes without evidence of tumor recurrence or cervical lymphadenopathy. |
Generate impression based on findings. | 76 year-old female with altered mental status. There is patchy hypoattenuation in the cerebral white matter and foci of hypoattenuation in the left basal ganglia. The ventricles, sulci, and cisterns are symmetric and prominent, representing volume loss. The gray-white matter differentiation is normal. There is no mass ... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Small vessel ischemic disease left basal ganglia lacunar infarcts of indeterminate age. |
Generate impression based on findings. | 49-year-old female with borderline tumor of the ovary and left for quadrant pain. ABDOMEN:LUNG BASES: Subcentimeter hypodensities in right lobe are too small to characterize but most compatible with benign cysts. No suspicious lesions identified.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significa... | 1.No specific abnormality to account for symptoms.2.Diverticulosis without evidence of diverticulitis. |
Generate impression based on findings. | Diagnosed 2010 with stage 1A DLBCL of the jaw, 70% DLBCL/30% grade 3B follicular lymphoma. Received 4 cycles R-CHOP c/b neutropenia, but no XRT. Clavicular swelling. There is unchanged volume loss of the fat in the left submental space and diffuse sclerosis within the left mandibular body without evidence of discrete m... | Stable post-treatment findings without evidence of tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: h/o tongue cancer ; eval for mets History: none LUNGS AND PLEURA: Stable benign appearing micronodules without evidence of metastases in the lungs or pleura.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Mild/moderate LAD coronary calcifications identified.CHEST WALL: No significant abnormality n... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 75-year-old male patient. Reason: patient with lung CA, COPD presenting worsening SOB, cough, hypoxia and new hemoptysis History: evaluate for PE or other etiology re hemoptysis PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus in the left lung. There is little blood flow to the right l... | No evidence of a pulmonary embolus in the left lung.Persistent atelectasis and consolidation of the residual right lung. |
Generate impression based on findings. | Reason: lung cancer s/p 9 weeks of chemo. pls evaluate for disease and compare with previous scans History: lung cancer CHEST:LUNGS AND PLEURA: Postsurgical changes are again identified, compatible with a left upper lobectomy and right upper lobe wedge resection.Mild interval increase in centrilobular nodules and bronc... | 1.No evidence of recurrent disease or pulmonary metastases.2.Stable mediastinal lymphadenopathy.3.Increasing centrilobular nodules and bronchial/bronchiolar wall thickening, compatible with aspiration bronchiolitis.4.New regional area of hypodensity involving the inferior pole of the left kidney, most likely representi... |
Generate impression based on findings. | 42 year-old female with abdominal pain for two weeks worse in the past one week. Rule out diverticulitis. No hematuria, melena or hematochezia. ABDOMEN:LUNG BASES: No focal consolidation, pleural effusion, or pneumothorax.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANC... | Probable uterine fibroid. Otherwise, no findings to account for patient's pain. No evidence of diverticulitis, as clinically questioned. |
Generate impression based on findings. | 61-year-old male with pancreatic cancer. CHEST:LUNGS AND PLEURA: Stable lung micronodules, which are likely benign in nature. No new suspicious nodules.MEDIASTINUM AND HILA: No lymphadenopathy. Multiple surgical clips. Heart size normal. Moderate to severe coronary calcifications. Right chest wall port catheter tip in ... | Significant increase in size of hepatic metastases. |
Generate impression based on findings. | 69-year-old male with history of squamous cell carcinoma of the right neck. Limited intracranial views and orbital views are unremarkable. Limited views of the mastoid air cells again demonstrate partial opacification of the right mastoid air cells, likely post-therapeutic in etiology. The visualized left mastoid air c... | 1. Interval decrease in size of small residual right neck mass. No new lesions or new pathologic adenopathy are present.2. Soft tissue irregularity of the right ear, unchanged. |
Generate impression based on findings. | 42-year-old male status post Whipple surgery for pancreatic neuroendocrine tumor complicated by fistula. Increased leukocytosis and high drain output. ABDOMEN:LUNG BASES: Persistent large right pleural effusion with overlying right lower lobe consolidation/atelectasis. Trace left pleural effusion and improved left basi... | 1.Interval insertion of percutaneous drain into loculated perihepatic fluid collection, which has decreased in size.2.Interval decrease in amount of partially loculated retroperitoneal fluid. |
Generate impression based on findings. | Reason: history metastatic prostate cancer, rising PSA, assess for progression History: none CHEST:LUNGS AND PLEURA: Scattered areas of scarring and subsegmental atelectasis are noted in both lungs and unchanged from the prior exam.Stable calcified and noncalcified micronodules.No suspicious pulmonary nodules or masses... | 1.No evidence of pulmonary metastatic disease.2.Areas of bone sclerosis involving the multiple ribs bilaterally and the T11 vertebrae, most likely representing previous osseous metastatic disease. Correlation with nuclear bone imaging is advised.3.Large cysts with calcification and perinephric stranding surrounding the... |
Generate impression based on findings. | 75 year-old female with flank pain. ABDOMEN:LUNG BASES: Nonspecific punctate calcified and noncalcified micronodules in the lung bases, measuring 4 mm or less.Focal superior herniation of fat through right hemidiaphragm.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCRE... | 1.Nonobstructing stone in inferior calix of left kidney. No evidence of obstructing stones. Left nephroureteral stent in place.2.Nonspecific but likely benign calcified and uncalcified micronodules in the partially visualized lung bases. |
Generate impression based on findings. | 42-year-old male with kidney stones and recurrent UTI. 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 evidence... | 1.Punctate nonobstructing stone in inferior calix of right kidney but no obstructing stones or hydronephrosis.2.Small focus of gas in bladder, likely due to recent instrumentation. |
Generate impression based on findings. | 42 year old female with colon cancer. CHEST:LUNGS AND PLEURA: Punctate calcified and noncalcified lymph nodes unchanged, likely benign. No suspicious nodules or masses.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Peripheral area of hyp... | 1.New peripheral area of hypoattenuation in the liver dome, likely benign and possibly vascular in etiology.2.Subcentimeter hypodensity in the right liver lobe was not definitely seen on prior exam and is too small to characterize. Continued follow-up is recommended. |
Generate impression based on findings. | Female 71 years old; Reason: eval for progression History: metastatic RCC, on therapy Lack of intravenous contrast limits evaluation for renal metastases which tend to be hypervascular.CHEST:LUNGS AND PLEURA: The right upper lobe pulmonary nodule measures 11-mm (image 39/series 5) previously, 10 mm. The lingular nodule... | 1.Increase in the size of the existing hepatic lesions with possible new hepatic lesions. |
Generate impression based on findings. | Reason: 67yo F with CPFE, tobacco history, following RUL nodule. Please re-evaluate. History: DOE, oxygen use LUNGS AND PLEURA: Severe emphysema.There is mild interval decrease in an irregularly shaped consolidation in the right upper lobe in compared to examination on 4/25/2013 and stable compared to examination on 8/... | Mild interval decrease in an irregularly shaped atelectasis/consolidation in the right upper lobe, and may be the result of previous inflammation/infection.Stable right middle lobe pulmonary nodule since 7/25/2011.Stable combined severe emphysema with stable basilar pulmonary fibrosis. |
Generate impression based on findings. | 53 year old male. Reason: eval for metatases History: metastatic prostate cancer 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 notedKID... | Diffuse skeletal and lymph node metastases. |
Generate impression based on findings. | 67-year-old male. Metastatic prostate cancer. Reason: prostate cancer, evaluation of disease after receiving investigational therapy. ABDOMEN:LUNG BASES AND PLEURA: Scattered calcified and noncalcified micronodules are unchanged. LIVER, BILIARY TRACT: Calcified granulomata. Left lateral segment hepatic lesion with irre... | No significant interval change with no new lesions identified. Unchanged solitary liver lesion. |
Generate impression based on findings. | 62 year old male status post resection of retroperitoneal sarcoma. CHEST:LUNGS AND PLEURA: Reference lingular nodule is not significantly changed, measuring 7 x 9 mm, previously measured 6 x 8 mm; this appears scar-like in etiology (series 5, image 62). Right lower lobe nodule unchanged (series 5, image 52). No new sus... | 1.Increase in size of recurrent fat-containing mass in right upper quadrant adjacent to liver.2.Increased size of soft tissue lesion adjacent to greater curvature of stomach and oval area of mesenteric haziness in the right pericolic gutter, suspicious for multifocal recurrent tumor. |
Generate impression based on findings. | 8 year-old female with 1 month increasing tender submental mass despite antibiotic. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. There are a few oval shaped prominent nodes in the submental and submandibular spaces. One o... | Numerous prominent lymph nodes throughout the neck soft tissue including most prominent ones in the submental and submandibular spaces. Etiology may including reactive lymphadenopathy, infection, autoimmune disease and lymphoproliferative disorder. No evidence of abscess, cellulitis or mass. |
Generate impression based on findings. | 36-year-old female with history of metastatic breast cancer. CHEST:LUNGS AND PLEURA: Numerous bilateral lung nodules suspicious for metastatic disease appear decreased in size when compared to the prior study. An index nodule in the right lower lobe measures 1.1 cm, previously 1.6-cm in diameter image number 53, series... | Persistent diffuse bone metastases with interval decrease in size of the previously described lung metastases, as described above. |
Generate impression based on findings. | Male 45 years old; Reason: Pt is a 44 y/o male with h/o met seminoma, s/p chemotherapy, evaluate for recurrence, attention to lymph nodes in chest History: testicular cancer, paratracheal LN CHEST:LUNGS AND PLEURA: Micronodule along the left major fissure is unchangedMEDIASTINUM AND HILA: Small mediastinal lymph node m... | 1.No evident size change in the reference notes. |
Generate impression based on findings. | 34-year-old male with history of Beckwith Wiedman syndrome. Surveillance CT. ABDOMEN:LUNG BASES: Cysts in bilateral lower lobes are again noted. The right base cystic lesion contains several internal solid nodules, appearing unchanged (series 6, image 9).Stable cardiomegaly. Mitral valve prosthesis.LIVER, BILIARY TRACT... | Multiple renal cysts, some of which have increased in size. |
Generate impression based on findings. | Cellulitis of neck soft tissues. There is diffuse stranding of the right suprahyoid neck and face subcutaneous fat, as well as the right buccal fat pad and submandibular space. There is no discrete rim-enhancing fluid collection. The parapharyngeal fat pad is preserved. The major salivary glands are grossly unremarkabl... | 1. Diffuse right suprahyoid neck and face cellulitis without evidence of drainable fluid collection or airway narrowing. 2. Partially partially imaged nonspecific patchy opacification in the right upper lung, which may represent hypoinflation or reactive airway disease, although pneumonia cannot be excluded. Dedicated ... |
Generate impression based on findings. | 70 yo male with severe dementia, a fib, DM, sz disorder, new dx colon CA with likely mets with R pleural effusion, small r apical pneumo. Please evaluate for tumor, infiltrate, loculate pleural effusion, pneumo. Signs and Symptoms: seizures, new CA dx The CSF spaces are appropriate for the patient's stated age with no ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for early detection of nonhemorrhagic CVA.3.No evidence for brain metastases4.As the compatible with encephalomalacia in the left middle cerebral artery distribution most likely related to prior infarction.5.Status post left-sided ... |
Generate impression based on findings. | 85 year old male. Reason: Evaluate for any complex cysts. History: Stage IV CKD, HTN now c/o hematuria. H/o bilateral renal cysts ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenule at the inferior pole. PANCREAS: No significant abnormality notedADR... | Renal atrophy and cysts bilaterally. No specific acute abnormality to explain hematuria was found. |
Generate impression based on findings. | 48 year old male. Reason: Stage IV pancreas cancer. Please provide index lesion measurments for pancreas and up to lesions for liver for RECIST, enrolled on study that requires distant measurable disease. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST... | Pancreatic head mass. Near-total occlusion of the main portal vein. Retroperitoneal lymphadenopathy. |
Generate impression based on findings. | 49 year-old male with history of head and neck cancer. Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. A left-sided level 2 lymph node now measures 8 x 4 mm axial dimensions (previously measuring 8 x 4 mm). Within the infrahyoid neck on the basis of size c... | No cervical lymphadenopathy or mass. Stable left level 2 reference node. |
Generate impression based on findings. | 69-year-old male. Reason: h/o HNC, CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules, unchanged no suspicious nodules or masses to suggest metastatic disease.Small focus of scarring and traction bronchiectasis in the medial left lower lobe is s... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: lung Ca, not currently on chemo. Followup of lung and liver lesions. History: none CHEST:LUNGS AND PLEURA: Motion degrades sensitivity.Small right apical nodule (image 21, series 4) measures 7 mm x 5 mm, previously, measuring 7 mm x 3 mm.New right upper lobe ill-defined nodule (image 35, series 4) measuring 13 ... | 1.Right apical nodule without significant interval change.2.Right perihilar fibrotic changes and new ill-defined adjacent nodule may represent post radiation changes. However, metastatic disease cannot be excluded.3.Stable hepatic metastasis.4.No new sites of disease identified.5.Interval surgical repair of ventral her... |
Generate impression based on findings. | Relapsed CML, neutropenic fever, r/o sinusitis. There is interval decrease in the degree of right maxillary sinus mucosal thickening and retention cyst formation. There is partial opacification of the right infundibulum. There is persistent mild mucosal thickening within the left maxillary sinus with suggestion of an a... | Overall interval decrease in the degree of paranasal sinus opacification. However, a small air-fluid level within the left maxillary sinus may indicate acute sinusitis. Likewise, a small air fluid-level within a single left mastoid air cells may indicate early mastoiditis. |
Generate impression based on findings. | 49 year-old female patient with asthma and shortness of breath. LUNGS AND PLEURA: Right lower lobe predominant bronchitis and mild bronchial wall thickening. No evidence of interstitial lung disease. No evidence of air trapping on expiratory imaging.Nonspecific scattered micronodules.MEDIASTINUM AND HILA: Cardiac size ... | Lower lobe predominant bronchial wall thickening and bronchiectasis could represent reactive airway disease. |
Generate impression based on findings. | 45 year-old female with cirrhosis status post liver transplant. Renal artery aneurysm seen on MRI. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post liver transplant. No suspicious lesion. Hepatic vasculature appears patent.There is fusiform aneurysmal dilation of 2 cm segment of ext... | 1.Distal right renal artery aneurysm, not significantly changed in size since 10/2011.2.Somewhat beaded appearance of right renal artery raises possibility of fibromuscular dysplasia.3.Fusiform aneurysmal dilation of proper hepatic artery in porta hepatis. 4.Nonspecific tubular structures in left buttock, possibly vasc... |
Generate impression based on findings. | 49-year-old male patient. Reason: h/o HNC, CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Nonspecific scattered micronodules, unchanged.Small area of scarring along the anterior minor fissure is unchanged. New very small area scarring along the major fissure in the posterior right lowe... | No evidence of metastatic disease. |
Generate impression based on findings. | Gait disorder. Communicating hydrocephalus. There has been interval stability in the size of ventricular system which demonstrates a severe degree of dilatation including the third and fourth ventricles which is out of proportion to the degree of overlying sulcal prominence. There is no convincing periventricular hypoa... | Interval stability of significant ventricular dilatation out of proportion to overlying sulcal atrophic change. Differential considerations could include normal pressure hydrocephalus especially given the provided history, versus chronic communicating hydrocephalus of other etiology. Please correlate clinically. |
Generate impression based on findings. | Reason: 70 yo male with severe dementia, a fib, DM, sz disorder, new dx colon CA with likely mets with R pleural effusion, small r apical pneumo. Please evaluate for tumor, infiltrate, loculate pleural effusion, pneumo History: unilateral pleural effusion, apical pneumo LUNGS AND PLEURA: Moderate right anterior pneumot... | 1.Bilateral pleural effusions with associated atelectasis and moderate right pneumothorax.2. Extensive metastatic disease in the liver. |
Generate impression based on findings. | Reason: 80y male with COPD, bronchiectasis, concern for lung abscess and M. kansasii infection History: lung abscess LUNGS AND PLEURA: Thickwalled cavity with air-fluid level in the right lower lobe is redemonstrated and compatible with an abscess and/or a large infected bulla.. Adjacent nodules and subpleural thickwal... | 1. Redemonstration of thickwalled, fluid-filled cavitary/cystic large lesion in the right lower lobe compatible with an abscess or infected large bullae. Mild interval decrease in surrounding ground glass and interstitial opacities.2.Stable right upper lobe and left upper lobe nodules most likely inflammatory in origin... |
Generate impression based on findings. | Reason: RLL peripheral lung nodule and PET positive lymph nodes, assess for Superdimension bronchoscopy History: hemoptysis LUNGS AND PLEURA: Right lower lobe some pleural complex nodular opacity containing cysts and dilated bronchi (series 6/56) measuring 24 x 46 mm slightly increased since the outside scan of 8/26/20... | Complex superior segment of the right lower lobe nodule, slightly increased compared to the previous scan, suspicious for primary carcinoma. |
Generate impression based on findings. | Altered mental status, nausea/vomiting; evaluate for acute intracranial hemorrhage. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. There are hypodensities within the right frontal white matter and right pons that correspond to the lesions on MRI, which are compatible with chronic infarc... | 1.No evidence of acute intracranial hemorrhage.2.Age-indeterminant small vessel ischemic disease and chronic right pontine and right frontal lobe infarcts. However, non-contrast CT is insensitive for acute nonhemorrhagic stroke and MRI is recommended for further evolution, if clinically indicated. I personally reviewed... |
Generate impression based on findings. | 55 year old female with diverting loop ileostomy, scleroderma, and colonic pseudoobstruction. Patient presents with abdominal distention, pain, nausea. ABDOMEN:LUNG BASES: Subsegmental basilar atelectasis. Dilation of the distal esophagus.LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis. Periphera... | Multiple dilated loops of small bowel extending to ostomy. Given that the percutaneous catheter traverses ostomy, the small bowel dilation is most likely due to chronic pseudoobstruction/peristaltic abnormality associated with scleroderma rather than mechanical obstruction. |
Generate impression based on findings. | ICH, AVM resection sp craniotomy, evaluate for changes. There are postoperative findings related to right frontal craniotomy with unchanged encephalomalacia in the superior right frontal gyrus. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The ventricles are stable in size and configur... | 1. No evidence of acute intracranial hemorrhage.2. Unchanged non-specific scalp skin lesions. Correlation with dermatological exam is recommended. |
Generate impression based on findings. | 54 year old female. Reason: r/o CAD for pre-operative risk assessment. History: fatigue, pre liver transplant evaluation, HCV cirrhosis. Height: 67 inWeight: 169 lbsBSA: 1.9 m^2BMI: 26.5 kg/m^2Calcium Score:LM: 0LAD: 23.8LCx: 0RCA: 0Total: 23.8, This represents the 90% for this patient's age and gender.Cardiac Morpholo... | 1. Normal ventricular volume and morphology.2. Total Calcium score was 23.8; 90% for age and gender.3. Focal calcification at the LAD origin with associated ~20% stenosis. |
Generate impression based on findings. | 66 year old female with urothelial cancer status post 4 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Overall mild increase in innumerable centrilobular and groundglass nodular opacities.Mucous plugging is seen in the bronchiectatic right middle lobe bronchi.MEDIASTINUM AND HILA: No significant change in multiple mil... | 1.Mild increase in multiple centrilobular and groundglass nodular opacities throughout both lungs; while distribution and morphology is more suggestive of infectious or inflammatory etiology, continued follow-up is recommended. 2.No significant change in mediastinal and hilar lymphadenopathy.3.No evidence of significan... |
Generate impression based on findings. | 79 year-old female with leiomyosarcoma. Motion artifact limits evaluation of the abdomen.CHEST:LUNGS AND PLEURA: Resolution of bilateral pleural effusions. Multiple peripheral reticular opacities not significant changed, compatible scarring and subsegmental atelectasis. Several punctate micronodules, nonspecific but li... | 1.Interval resection of previously seen distal ileal mass.2.Small abscess in left labia.3.1.8-cm nonspecific lesion in left adnexa; recommend pelvic ultrasound for better characterization.4.Nonspecific lung micronodules, likely benign in etiology.5.Enlarged main pulmonary artery consistent with pulmonary arterial hyper... |
Generate impression based on findings. | Female 72 years old; Reason: Met breast cancer needs re-evaluation and compare to prior scans from 1/10/2010. History: Met breast cancer needs re-evaluation and compare to prior scans from 1/10/2010. CHEST:LUNGS AND PLEURA: New centrilobular nodules in the right middle lobe , possibly infectious.Nodular density left lu... | 1.Resolution of the right-sided peri colonic inflammation.2.No change in the index lesions.3.Small questionable left upper pole renal contour deforming mass. Follow up dedicated renal imaging preferably by MRI is suggested.4.New centrilobular pulmonary nodules in the right lung possibly infectious., Follow up is sugges... |
Generate impression based on findings. | T1 N2b SCCA of the right tonsil treated with surgery and then Chemo/radiation therapy. Completed CRT in Feb 2009. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The mastoid a... | 1.Stable post-treatment findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2.No evidence of intracranial metastases. |
Generate impression based on findings. | 64-year-old male with history of nephrolithiasis; evaluate for stone burden/obstruction ABDOMEN:LUNG BASES: No significant abnormality.LIVER, BILIARY TRACT: No significant abnormality.SPLEEN: Splenule.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Multiple re... | No obstructing renal calculi. No hydronephrosis and hydroureter. Multiple nonobstructive renal calculi are seen in the collecting systems bilaterally. |
Generate impression based on findings. | 74-year-old male. Reason: Pt with metastatic rectal cancer, evaluate for progression. History: Metastatic rectal cancer. CHEST:LUNGS AND PLEURA: Reference right lower lobe nodule, series 5 image 55, 1 x 1 cm, smaller. Reference left lower lobe nodule in the left costophrenic angle is smaller at 1.1 x 0.9 cm on image 88... | No new sites of disease. Index lesions are smaller in size, especially in the liver and lung. Resolved fat stranding and fluid around the left kidney. Other findings are stable. |
Generate impression based on findings. | Reason: r/o growth of lesions History: h/o met thyroid cancer LUNGS AND PLEURA: Diffuse pulmonary fibrosis involving subpleural reticulation, traction bronchiectasis, honeycombing, is unchanged.Pulmonary nodules are similar in size and number to the prior exam with reference right lower lobe nodule (image 60 series 5) ... | 1.Pulmonary metastases without significant interval change in size or number.2.Stable mediastinal lymphadenopathy.3.No new sites of metastatic disease identified.4.Pulmonary fibrosis, stable. |
Generate impression based on findings. | 72-year-old female with metastatic neuroendocrine carcinoid tumor. CHEST:LUNGS AND PLEURA: Small right pleural effusion with overlying basilar atelectasis/consolidation. No suspicious lung nodules or masses identified.MEDIASTINUM AND HILA: Multiple enlarged mediastinal lymph nodes; for reference pretracheal node measur... | 1.Multiple hepatic metastases not significantly changed.2.Increase in large amount of ascites fluid.3.Small right pleural effusion and diffuse anasarca.4.Peripherally calcified splenic artery aneurysm. |
Generate impression based on findings. | 52-year-old male patient. Reason: hx of tonsil ca, s/p CRt, eval for dz, compare to previous History: as above CHEST:LUNGS AND PLEURA: Stable scattered bilateral nonspecific micronodules, some of which are calcified. No suspicious appearing pulmonary nodules or lesions.MEDIASTINUM AND HILA: Cardiac size within normal l... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 74 years old; Reason: colon cancer restaging History: colon cancer CHEST:LUNGS AND PLEURA: Reference left lower lobe pulmonary micronodule measures 0.5 x 0.5 cm (image 64/series 5) , unchanged. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lympha... | 1.Progression of the rectal prolapse involving small bowel loops.2.Stable indeterminate left upper pole renal lesion.3.No new sites of disease.4.Findings discussed with Elaine Hamm PAC at the time of the dictation |
Generate impression based on findings. | Reason: 41 male with relapsed CML, neutropenic fever. r/o infiltrate History: Neutropenic fever LUNGS AND PLEURA: Interval resolution of right pleural effusion and right middle and lower lobe consolidation. Mild residual scarring/discoid atelectasis identified within the right middle lobe.Mild scarring/discoid atelecta... | 1.Scattered areas of nonspecific mild ground glass opacity may be inflammatory in origin. No convincing evidence of pneumonia.2.Interval clearing of a right pleural effusion and right middle and lower lobe. Areas of consolidation. Mild residual scarring/atelectasis noted.3.Interval improvement in soft tissue stranding ... |
Generate impression based on findings. | 61-year-old male with hepatocellular carcinoma and iliac crest lesion on bone scan. CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema. Nonspecific lung nodules noted bilaterally; right lower lobe nodule measures 5 mm (series 11, image 79). No consolidation or pleural effusions.MEDIASTINUM AND HILA: No pathologic... | 1.Multifocal hepatocellular carcinoma as described above.2.Sclerotic focus in left superior sacrum most compatible with bone island; no evidence of suspicious bone lesions.3.Nonspecific bilateral lung nodules, largest in right lower lobe measuring 5 mm. |
Generate impression based on findings. | Reason: evaluate for bronchiectasis History: productive cough LUNGS AND PLEURA: Moderate diffuse bronchial wall thickening throughout all lobes.No evidence of bronchiectasis.No sign of air trapping on the expiration scan.MEDIASTINUM AND HILA: No significant lymphadenopathy.Residual thymic tissue in anterior mediastinum... | Moderate diffuse bronchial thickening suggestive of bronchitis or asthma.No sign of bronchiectasis. |
Generate impression based on findings. | Reason: 56 yo M with esophageal/GEJ adenocarcinoma needing re-staging scan History: esophageal/GEJ adenoCa CHEST:LUNGS AND PLEURA: Right apical reference solid nodule measures 5 mm (series 5 image 20), unchanged. Second reference right apical ground glass nodule measures 5 mm (series 5 image 18), unchanged. The groundg... | Stable mediastinal and retroperitoneal lymphadenopathy with mild increase of index gastrohepatic lymph node.Stable right upper lobe nodules.Stable adrenal metastases.Stable esophageal thickening extending into the proximal stomach. |
Generate impression based on findings. | Solitary pulmonary nodule LUNGS AND PLEURA: A previously described sharply defined and somewhat elongated nodular opacity in the anterior segment of the right upper lobe is unchanged. Comparable measurements in both axial and coronal planes are essentially identical to those on the scan of 7/3/2013. The lack of change ... | Stable anterior right upper lobe nodule with features most consistent with a benign morphology. One additional follow-up scan in approximately 12 months is recommended to confirm stability. |
Generate impression based on findings. | 59 year old male with history of pancreatitis, abdominal pain. Evaluate for pseudocyst. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is intrahepatic and extrahepatic biliary ductal dilatation to the level of the pancreatic head, appearing slightly increased compared to prior exam. Sta... | 1. Findings compatible with acute on chronic pancreatitis with interval development of fluid collection which could represent pseudocyst/post inflammatory cyst. We cannot exclude underlying neoplasm. Continued surveillance is recommended once acute pancreatitis has resolved. 2. Intrahepatic and extrahepatic biliary duc... |
Generate impression based on findings. | Female, 5 years old, status post accidental fall from chair with knee to eye socket. Concern for zygomatic bone fracture. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of m... | 1. No acute intracranial abnormality.2. No maxillofacial or orbital fractures.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 94 year-old patient. Reason: eval for pulmonary disease, cxr shows possible fibrotic disease vs. atypical infection History: 94 yo M with h/o severe aortic stenosis now with worsening dyspnea on exertion LUNGS AND PLEURA: Upper lung predominant patchy areas of reticular and groundglass opacities with associated bronchi... | Upper lung predominant patchy areas of reticular and groundglass opacities with associated bronchiectasis. Findings are suggestive of a hypersensitivity pneumonitis, however pleural effusions are not typically associated with this process.Bilateral moderate pleural effusions, right greater than left, and superimposed p... |
Generate impression based on findings. | 52-year-old female patient with shortness of breath. Evaluate for a pulmonary embolus. PULMONARY ARTERIES: Technically adequate examination. No evidence of a pulmonary embolus.LUNGS AND PLEURA: Nonspecific scattered micronodules, some of which are calcified. Trace bilateral dependent atelectasis.MEDIASTINUM AND HILA: C... | Technically adequate examination without evidence of a pulmonary embolus.No evidence of an acute cardiopulmonary abnormality to account for patient's symptoms. |
Generate impression based on findings. | 65-year-old female with right lower quadrant pain. Evaluate for colitis, appendicitis. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormali... | 1.Haziness of the left mesenteric root favors inflammatory mesenteritis over a neoplastic etiology, and may represent spectrum of IgG4 sclerosing disease given the patient's history of autoimmune hepatitis.2.No evidence of colitis or appendicitis, as clinically questioned. |
Generate impression based on findings. | 59-year-old with possible NG, perforation LUNGS AND PLEURA: Moderate left pneumothorax with adjacent atelectasis. Endotracheal tube extends to the carina. Pulmonary interstitial emphysema along the left main bronchus, minimal.MEDIASTINUM AND HILA: Extensive pneumomediastinum tracking superiorly into the neck and inferi... | Extensive pneumomediastinum subcutaneous emphysema tracking superiorly beyond the field-of-view as well as into the peritoneum. Left pneumothorax. Assessment for site of perforation is limited without oral contrast, however, no fluid collections are identified. |
Generate impression based on findings. | Male, 11 years old, status post fall with head injury. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are ... | No acute intracranial abnormality. |
Generate impression based on findings. | 89-year-old male status post fall for evaluation of dislocation. Anterior dislocation of the humeral head relative to the glenoid. The humeral head is perched upon the anterior margin of the glenoid and situated immediately lateral to the coracoid process. Anterior to the humeral head is an approximately 1.5 cm fragmen... | Anterior dislocation of the humeral head, coracoid process fracture, and other findings as described above. |
Generate impression based on findings. | 55-year-old male with pain. Evaluate for pancreatitis. ABDOMEN:LUNG BASES: Right pleural effusion with mild atelectasis. There is some nodularity of the underlying pleura on the right.A1.1 x 1.9 cm low paracardiac lymph node on the left.LIVER, BILIARY TRACT: Ill-defined low-attenuation area at the hepatic dome measurin... | pleural effusion with underlying pleural nodularity. Ascites with question peritoneal/omental metastases.Right pleural effusion with pleural nodularity.Prominence of pancreatic duct in the region of the head.Report discussed with ED 12/6/13 at 8:45 AM |
Generate impression based on findings. | 73-year-old female with drop in hemoglobin, unknown source. ABDOMEN:The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: Small bilateral pleural effusions with associated compressive atelectasis v... | 1.No evidence of hemorrhage, as clinically questioned.2.Severe anasarca. |
Generate impression based on findings. | 68-year-old male with cough and fever, history of OHT, + RSV, r/o consolidation LUNGS AND PLEURA: Patchy left lower lobe airspace opacities consistent with pneumonia. Right basilar atelectasis or scarring. Mild right pleural thickening.MEDIASTINUM AND HILA: Postoperative changes of heart transplantation. Atheroscleroti... | Left lower lobe pneumonia. Contralateral high paratracheal lymphadenopathy, atypical in distribution and should be followed by CT in 3 months. |
Generate impression based on findings. | 52-year-old male with recurrent pancreatitis. Low hemoglobin, concern for malignancy. ABDOMEN:LUNG BASES: Small left pleural effusion. Bibasilar atelectasis.LIVER, BILIARY TRACT: Perihepatic ascites. There is severe narrowing of the portal vein, but it is patent. Status post cholecystectomy.SPLEEN: No significant abnor... | 1. Pancreatitis, with intrapancreatic and pancreatic fluid collections.2. Gastric and duodenal thickening and inflammation.3. Severe narrowing of the portal vein.4. Ascites and small left pleural effusion.5. Gastrojejunostomy tube with tip at the ligament of Treitz. |
Generate impression based on findings. | 54 year old male with question of Richter's hernia, lower abdominal pain, evaluate for bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nodular liver contour, and fissural prominence. Large collateral paraumbilical veins are noted. The portal vein is patent. No focal hepatic ... | 1. Small fluid collection adjacent to right anterior abdominal wall. 2. Cirrhotic liver morphology, with large collateral paraumbilical vein and splenomegaly. 3. Small right inguinal hernia containing fat and small amount of fluid. |
Generate impression based on findings. | 52-year-old male with chest pain, rule out dissection. CHEST:LUNGS AND PLEURA: A filling defect is seen near the bifurcation of the right pulmonary artery and likely represents chronic, organizing thrombus versus artifact.No evidence of acute pulmonary embolism. MEDIASTINUM AND HILA: Pacemaker leads are noted in the ex... | 1.No evidence of aortic dissection, as clinically questioned.2.Chronic organizing thrombus versus artifactual filling defect near the right pulmonary artery bifurcation. No evidence of acute pulmonary embolism.Findings were relayed via telephone to Dr. Blumen in the emergency department at 10:37 a.m. on December 6, 201... |
Generate impression based on findings. | 31-year-old female with persistent epigastric pain status post MAL release. Evaluate for any fluid collections or source of continued gastric pain postop. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:... | Focal high-grade narrowing of the celiac artery measuring 3 mm in diameter immediately distal to the ostium. Normal caliber ostium and distal artery, which fills normally. |
Generate impression based on findings. | Female 71 years old; Reason: Stage IV gastric cancer please compare to previous scan and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: Stable scarring in the right lung base.Stable calcifications of the trachea. Stable mild micronodules.MEDIASTINUM AND HILA: No significant abnor... | 1. Postsurgical changes secondary to gastrectomy. Decrease in findings of peritoneal carcinomatosis.2. Ulcerative plaque with severe atheromatous calcifications in the abdominal aorta. |
Generate impression based on findings. | Female 80 years old; Reason: metastatic breast cancer - evaluate response to treatment, compare with previous History: known lung mets with rising tumor marker CHEST:LUNGS AND PLEURA: Subpleural fibrotic changes worst in the lingula are stable.Right upper lobe nodule is stable measuring 0.8 x 0.8 cm (image 30/series 5)... | 1.Stable pulmonary findings with no new metastatic disease detected. |
Generate impression based on findings. | Pneumococcal pneumonia, evaluate right lower lobe opacity. LUNGS AND PLEURA: Severe paraseptal and mild centrilobular emphysema with peripheral/paramediastinal bullae bilaterally. No pneumothorax. Compared to the 2007 exam, solid scarlike opacity in the right upper lobe has not significantly changed with the exception ... | 1. No conclusive signs of active infection, though the basilar opacities could potentially reflect an evolving or resolving infectious process. 2. Nonspecific appearing new or enlarging areas of subpleural consolidation. Multifocal cryptogenic organizing pneumonia is favored however neoplastic process cannot be entirel... |
Generate impression based on findings. | 68-year-old female with lung cancer status post chemotherapy CHEST:LUNGS AND PLEURA: Status post right upper lobectomy. Numerous pulmonary nodules have decreased in size or resolved. Reference right lower lobe nodule is no longer visualized. Right pleural thickening and calcification is unchanged.MEDIASTINUM AND HILA: ... | Interval decrease in size and resolution of the multiple pulmonary nodules. Unchanged osseous metastases. |
Generate impression based on findings. | 77-year-old female. Reason: evaluate for lymphadenopathy History: recent diagnosis of AML LUNGS AND PLEURA: Diffuse mild septal thickening and ground glass opacities suggestive of mild pulmonary edema. Scattered ground glass centrilobular nodules.There is an irregularly shaped, mostly solid nodule in the left lower lob... | Mildly enlarged mediastinal lymph nodes with measurements provided.Nodules in the left lower and right upper lobe measuring between 5 and 7 mm in addition to groundglass centrilobular nodules, most consistent with atypical infection such as viral pneumonia such as CMV. Consider follow-up imaging after appropriate medic... |
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