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Generate impression based on findings. | 76 are old male with recurrent head and neck cancer, right tonsillar cancer status post chemoradiation and neck dissection 6/13, on therapy. Head:There is no evidence of mass or cerebral edema. Ventricular asymmetry is unchanged. There is no midline shift or herniation. There is no pathological enhancement. The imaged ... | 1.Stable appearance of extensive soft tissue infiltration in the right neck without a discrete mass lesion identified.2.Mildly prominent left paratracheal lymph node. No new lymphadenopathy.3.No evidence of intracranial metastasis.4.For findings in the thorax, please see dedicated chest CT performed on the same day. |
Generate impression based on findings. | 56-year-old female with productive cough, pseudomonas infection, evaluate for progression of bronchiectasis LUNGS AND PLEURA: Bronchial thickening and basilar bronchiectasis, unchanged. Several new areas of atelectasis or scarring are identified. Scattered micronodules.MEDIASTINUM AND HILA: No mediastinal or hilar lymp... | Unchanged bronchial wall thickening and bronchiectasis and scattered new foci of scarring/atelectasis. |
Generate impression based on findings. | 56 year old female with history of rectal cancer, restaging examination. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion or focal lung consolidation.MEDIASTINUM AND HILA: Cardiac size is normal without pericardial effusion. Small, nonspecific mediastinal lymph nodes are unchanged.... | Stable postoperative changes in the rectum without evidence of metastatic disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | 81 year-old female with dyspnea, evaluate for recurrent effusion LUNGS AND PLEURA: Bilateral pleural effusions are mildly increased in size with associated compressive atelectasis. Dependent left lingular and lower lobe consolidation.MEDIASTINUM AND HILA: Cardiac leads in expected location.CHEST WALL: Left chest wall g... | Bilateral pleural effusions mildly increased from prior CT. Dependent left pulmonary opacities indicate aspiration or infection. |
Generate impression based on findings. | Head and neck carcinoma CHEST:LUNGS AND PLEURA: Stable upper lobe fibrosis with bronchiectasis.MEDIASTINUM AND HILA: Stable reference precarinal lymph node best seen on image 42 series 3 measuring 1.3 x 0.7 cm. Stable hiatal herniaCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant ... | Slight interval decrease in size of reference left para-aortic lymph node when compared to 6/3/2013. Stable mildly enlarged retroperitoneal lymph nodes and pelvic lymph nodes when compared to 12/7/2012. |
Generate impression based on findings. | 65-year-old male with history of prostate cancer with metastases to lymph nodes. ABDOMEN:LUNG BASES: Trace bibasilar atelectasis. Calcification of the aortic root is noted.LIVER, BILIARY TRACT: Probable diffuse fatty infiltration of the liver. No focal hepatic lesion.SPLEEN: No significant abnormality notedPANCREAS: Ag... | 1.Retroperitoneal lymphadenopathy.2.Probable fatty infiltration of the liver. |
Generate impression based on findings. | 84-year-old male with metastatic prostate cancer. Also has kidney and bladder cancer. Evaluate for progression. CHEST:LUNGS AND PLEURA: Scattered bilateral pulmonary micronodules are unchanged.MEDIASTINUM AND HILA: Mild atherosclerotic calcification of the thoracic aorta. Small, non-pathologically enlarged mediastinal ... | 1.Stable scattered bilateral pulmonary micronodules.2.Minimal interval decrease in retroperitoneal and pelvic lymphadenopathy.3.Interval increase in attenuation of left renal cystic lesion, likely representing a complex cyst, though attention on future surveillance scans is warranted.4.Heterogeneous, enlarged prostate ... |
Generate impression based on findings. | 70-year-old male with history of head and neck cancer, status post CRT, evaluate for recurrence Limited view of the intracranial structure is unremarkable. Calvarium, orbits and mastoid air cells are unremarkable. Again noted is a calcified retention cyst/polyp in the left maxillary sinus, stable in appearance. Redemon... | Stable post treatment changes in the neck soft tissue. No cervical lymphadenopathy or local recurrence. |
Generate impression based on findings. | 71-year-old male. Reason: Rheumatoid arthritis. question of bronchiectasis. HRCT with ILD protocol History: cough LUNGS AND PLEURA: Left lower lobe mild bronchial wall thickening and bronchiectasis is not significantly changed compared to prior.No suspicious pulmonary nodules.No evidence of air trapping on expiratory i... | Left lower lobe bronchial wall thickening and bronchiectasis is not significantly changed compared to prior. |
Generate impression based on findings. | 75-year-old male with history of urothelial cancer. Status post chemo. On surveillance. CHEST:LUNGS AND PLEURA: Multiple calcified granulomas are unchanged. No new suspicious pulmonary nodules or masses. No pleural effusion or focal lung consolidation. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST... | 1.No lymphadenopathy in the abdomen or pelvis.2.Near complete resolution of fluid collection in the right inguinal region. |
Generate impression based on findings. | 71-year-old male with history of prostate cancer and recurrence. ABDOMEN:LUNG BASES: Multiple new pulmonary nodules in the lung bases. For reference, left basilar lung nodule measures 1.6 x 1.4 cm (image 12, series 4).LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No... | 1.New lung nodules and sclerotic bone lesions compatible with metastases as detailed above.2.Interval increase in size of non-enlarged retroperitoneal lymph nodes. |
Generate impression based on findings. | 72 year old female with history of metastatic breast cancer on systemic therapy. Worsening of chronic low back pain and hip pain. CHEST:LUNGS AND PLEURA: 5-mm right apical reference nodule is unchanged (image 18, series 5). Scattered granulomas are unchanged. No new pulmonary nodules or masses. No pleural effusion or f... | 1.Stable right apical lung nodule.2.Overall no significant change in retroperitoneal lymphadenopathy.3.Stable appearance of osseous lesions, compatible with metastatic disease. |
Generate impression based on findings. | 56 year old female with lung cancer on chemotherapy CHEST:LUNGS AND PLEURA: Moderate right pleural effusion, increased from the prior exam. Necrotic right upper lobe mass measures 5.4 x 4.4 cm and previously measured 4.0 x 4.4 cm (image 28, series 3), increased in size. Complete collapse of the right upper and middle l... | 1. Increased size of necrotic right upper lobe mass with associated collapse of the right upper and middle lobes.2. Increased right pleural effusion.3. Unchanged mediastinal and hilar lymph nodes. |
Generate impression based on findings. | T4aN2b laryngeal SCC receiving IC with carbo/taxol. Pt is here for C2D15. There has been interval decrease in size of the infiltrative mass within the right hypopharynx and supraglottic larynx and paraglottic space, with residual tumor tumor that now measures approximately 19 x 22 mm, previously 37 x 44 mm. There is re... | Interval decrease in size of the right hypopharyngeal laryngeal squamous cell carcinoma with residual tumor tumor that now measures approximately 19 x 22 mm, previously 37 x 44 mm, indicating treatment response. In addition a right level 2 lymph node has decreased in size now measuring 3 x 6 mm, previously 8 x 12 mm, b... |
Generate impression based on findings. | 54-year-old female with lung cancer CHEST:LUNGS AND PLEURA: Postradiation changes adjacent to the right mediastinum are again identified. Unchanged 4-mm right pulmonary nodule (image 63, series 5). Additional micronodules are not significantly changed. No new nodules or masses.MEDIASTINUM AND HILA: Reference right para... | 1. Stable 4-mm right pulmonary micronodule.2. Paramediastinal postradiation change and fibrosis.3. Unchanged mediastinal lymph nodes. |
Generate impression based on findings. | Male 67 years old; Reason: history of renal cancer with mets to lungs History: metastatic lung cancer CHEST:LUNGS AND PLEURA: Left lower lobe conglomerate of pulmonary nodules measures 1.6 x 1.4cm (image 79, series 4), previously 1.5 x 1.3 cm . Right lower lobe reference nodule has increased in size measuring 3.4 x 3.8... | 1. Interval increase in the right lower lobe mass. 2. Stable sclerotic lesion in the right posterior rib.3. Other index measurements have not significantly changed. |
Generate impression based on findings. | 53-year-old female with stage IV gastric cancer. Please compare to all previous scans and provide index lesion measurements for RECIST. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules identified. A focal pleural nodule in the right upper lobe is unchanged in size.MEDIASTINUM AND HILA: Small non-pathologic scatt... | Stable exam with no evidence of progression of disease. |
Generate impression based on findings. | 73-year-old male with lung cancer status post treatment CHEST:LUNGS AND PLEURA: Status post left upper lobectomy without evidence of recurrent disease. Unchanged left basilar scarring. Upper lobe predominant centrilobular emphysema. Focal groundglass opacity in the right middle lobe, most likely post inflammatory/infec... | No signs of localized recurrence. Focal groundglass opacity in the right middle lobe most likely post inflammatory/infectious in etiology, follow-up CT in 3 months is suggested. |
Generate impression based on findings. | 56-year-old male with cough and dyspnea on exertion, history of lung cancer CHEST:LUNGS AND PLEURA: Status post left pneumonectomy with fluid filled cavity appearing similar to the prior exam. Right paramediastinal scarring consistent with radiation change. No new nodules or masses.MEDIASTINUM AND HILA: No mediastinal ... | Status post left pneumonectomy without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 65 year old patient with thoracic spine pain. No preceding trauma. There is a diffuse mottled appearance of all bones of the thoracic spine including several relatively focal lytic areas, such as in the left T3 pedicle (sagittal image 70), with possible mild expansion of several pedicles and transverse processes. The v... | Diffuse mottled appearance of the vertebral bone marrow without evidence of pathological fracture. Differential considerations include a marrow infiltrative process, such as multiple myeloma or lymphoma. MRI may be useful for further characterization. |
Generate impression based on findings. | Female 57 years old; Reason: eval for SBO / other pathology History: abd pain, h/o multiple abd surgeries incl umb hernia repair, duodenal switch ABDOMEN:LUNGS BASES: Heart size is enlarged. No basilar pleural effusions.LIVER, BILIARY TRACT: Liver has a smooth contour. Stellate scar like lesion in the left hepatic lobe... | 1.Post operative changes in the stomach and small bowel - duodenal switch procedure with obstruction of the biliary limb due to an anterior abdominal wall hernia. |
Generate impression based on findings. | Female 65 years old; Reason: mets lung cancer, EGFR +, T790M+, s/p 4 cycles of AP26113, pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Right lower lobe mass measures 5.5 x 5.2cm (series 5, image 50), previously 5.4 x 4.8 cm .There is extensive surrounding nodularity which may ... | 1.Right lower lobe mass without significant interval change.2.Mesenteric soft tissue density anterior to the esophagus is unchanged.3.Reference lymph nodes without significant interval change in size.4.Sclerotic osseous lesions are unchanged. |
Generate impression based on findings. | History of CVA presenting after a syncopal event. The ventricles, sulci, and cisterns are symmetric and unremarkable. Mild age-appropriate volume loss is present. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. Hypo... | 1.No acute intracranial abnormality. Mild small vessel ischemic disease of indeterminate age. However, CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2.Partially visualized left vertebral artery calcification which could be associated with significant steno... |
Generate impression based on findings. | 76-year-old male patient. Reason: h/o HNC and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Moderate interval decrease in mild subpleural fibrosis in the lung periphery. Mild right lower lobe bronchiectasis.Multiple calcified micronodules consistent prior granulomatous disease.No susp... | Mild interval decrease in left inferior pulmonary ligament lymph node and high left paratracheal lymph node. Otherwise, mediastinal and hilar lymph nodes stable to minimally decreased in size.No new suspicious pulmonary nodules. |
Generate impression based on findings. | 72-year-old patient. Fall. Rule out intracranial hemorrhage. There is unchanged encephalomalacia within the left superior temporal gyrus underlying the right temporal microcraniotomy for prior intracranial hemorrhage evacuation. There is an unchanged lacunar infarct in the left basal ganglia. The ventricles are stable ... | Unchanged encephalomalacia within the left superior temporal gyrus related to remote hemorrhage and chronic lacunar infarct in the left basal ganglia, but no evidence of acute intracranial hemorrhage. Noncontrast CT is not sensitive for detection of non-hemorrhagic stroke and MRI is recommended, if clinically warranted... |
Generate impression based on findings. | CF with fevers and positive bronch cultures. MRSA pneumonia. LUNGS AND PLEURA: Left lower lobe peribronchial thickening and adjacent airspace opacity significantly improved compared to previous but suspicious for residual pneumonia. The left main bronchus stent has been repositioned and the airways are now patent. Sma... | Interval repositioning of left main bronchus stents with patency of the airways. Significant improvement in a left lung consolidation with residual opacities in the lower lobe suspicious for incompletely treated pneumonia. Slight improvement in interstitial and subpleural edema with unchanged small left pleural fluid c... |
Generate impression based on findings. | Male 54 years old; Reason: patient with a history of adrenal cancer, currently receiving chemotherapy. please assess for disease progression History: adrenal cancer CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules consistent with metastatic disease have progressed. Left lower lobe pulmonary nodule measur... | 1. Increase in size of the pulmonary metastases including numerous referenced and non referenced lesion.2. Slight increase in size of prominent mediastinal lymph nodes. |
Generate impression based on findings. | Male 65 years old; Reason: evaluate for tumor recurrence sp partial nephrectomy History: renal cell carcinoma ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions. Hepatic and portal veins are patent.SPLEEN: No significant abnormality note... | 1.Status post resection of the right renal mass without evident residual disease. Follow up study in 12 months is suggested to evaluate for stability. |
Generate impression based on findings. | Known arachnoid cyst. New onset numbness/tingling left flank and leg. Asymmetric smile and decreased grip strength in left hand. There is a focus of hypoattenuation adjacent the right peritrigonal white matter that measures up to 10 mm. There is no significant mass effect, hydrocephalus, or herniation. There is an extr... | 1. Focal hypoattenuating lesion within the right peritrigonal white matter measures up to 10 mm. Differential considerations could include demyelination/inflammation, infection, ischemia, or neoplasm. Further assessment with MRI is recommended.2. An extra-axial CSF attenuating lesion anterior to the right cerebellar he... |
Generate impression based on findings. | Reason: h/o recurrent HNC, s/p induction chemo, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Pleural thickening and subpleural calcification prior granulomatous disease unchanged.A new nodular interstitial abnormality primarily in the right lower lobe is present, suggestive of a granuloma... | New right lower lung zone nodular interstitial abnormality with partial atelectasis of the right middle lobe. This could be atypical infection including mycobacterial etiologies, or chronic aspiration. There is no evidence of metastases, however. |
Generate impression based on findings. | Right MCA mycotic aneurysm rupture in 2004. CT: There is stable extensive encephalomalacia in the right MCA territory with associated ex vacuo dilatation of the right lateral ventricle. There is a right MCA aneurysm clip that produces streak artifact, which obscures surrounding anatomy. There is no evidence of acute he... | 1. No definite evidence of recurrence of the treated right MCA aneurysm, although streak artifact from the clip limits assessment for this. 2. Chronic large right MCA territory infarct with unchanged deficiency of distal right MCA branches.3. No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | 51 year-old female with lung cancer CHEST:LUNGS AND PLEURA: Increasing consolidation in the right upper lobe adjacent to the resection margin which now measures 10.4 x 2.3 cm and previously measured 6.5 x 3.0 cm (image 24 series 4). Right middle lobe consolidation with central cavitation measures 4.2 x 1.4 cm and previ... | Increasing right upper and middle lobe consolidation adjacent to the resection margin consistent with disease progression. Additional patchy and nodular opacities in both lungs are consistent with disease spread. |
Generate impression based on findings. | T3N2b base-of-tongue squamous cell carcinoma status post-CRT and 10--69 protocol. Also status post left thyroid lobectomy in December, 2011 for colloid nodular disease with hyperplastic nodules. There are stable post-treatment findings with no evidence of locoregional tumor recurrence in the oropharynx. There are also ... | No evidence of locoregional tumor recurrence or significant lymphadenopathy. |
Generate impression based on findings. | 40 year old male with history of follicular non-Hodgkin's lymphoma, status post 3 cycles chemotherapy. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: Cardiac size is normal, without pericardial effusion. Interval decrease in size of mediastinal lymph nodes, now with no patholog... | Interval decrease in diffuse adenopathy in the chest, abdomen and pelvis. |
Generate impression based on findings. | 64-year-old female. Reason: mesothelioma s/p right pleurectomy. Now with concern for collapse of lower lobe and/or fluid collection. History: same LUNGS AND PLEURA: Moderately large multiloculated fluid collection in the posterior right lower lobe with near complete atelectasis of the right lower lobe. Right lower lobe... | Moderately large loculated right pleural fluid collection with compressive atelectasis of the right lower lobe. Two smaller loculated fluid collections within the major and minor fissures. Chest tubes are not in communication with loculated fluid collections.Septal thickening and scattered ground glass opacities in the... |
Generate impression based on findings. | 78-year-old female with non-small cell lung cancer, shortness of breath. CHEST:LUNGS AND PLEURA: Postoperative changes of the right lung from right lower lobectomy are redemonstrated with extensive volume loss and fibrosis likely related to radiation treatment. Right lower lobe nodule measures 7 mm, unchanged (image 35... | 1.Stable postoperative and radiation changes of the right lung with extensive volume loss.2.Slight interval increase in mediastinal adenopathy, which may represent reactive lymph nodes though progression of metastatic disease cannot be excluded. Follow-up is advised. |
Generate impression based on findings. | 73-year-old female with history of lung cancer status post resection/adjuvant chemo RT, compare to prior LUNGS AND PLEURA: Status post right upper lobectomy. Right lower lobe paramediastinal fibrosis and bronchiectasis consistent with prior radiation.Linear opacity adjacent to left major fissure measures 1.6 x 0.5 cm a... | Unchanged lung nodules. No evidence of metastatic disease. |
Generate impression based on findings. | T2 N0 right lower lobe SCC. RT in 6/13. Post treatment changes. CHEST:LUNGS AND PLEURA: Index lesion right lower lobe measures 2.3 x 1.8 cm (5/1), previously 3.1 x 2.5 cm, smaller. Lesion remains inseparable from the adjacent surface which is thickened. No pleural fluid or pneumothorax. Postsurgical changes in the righ... | New 2.5 x 3.1 cm mass in the right hepatic lobe is most consistent with a metastasis. The right lower lobe mass has decreased in size. |
Generate impression based on findings. | Altered mental status. The imaged are markedly degraded by patient motion. Within this limitation, there is no gross evidence of acute intracranial hemorrhage or mass. There is nonspecific mild scattered cerebral white matter hypoattenuation. There is mild diffuse cerebral volume loss. There is no midline shift or hern... | The imaged are markedly degraded by patient motion. Within this limitation, there is no gross evidence of acute intracranial hemorrhage or mass. Nonspecific mild scattered cerebral white matter hypoattenuation may represent age-indeterminate small vessel ischemic disease. However, non-contrast CT is insensitive for the... |
Generate impression based on findings. | 63-year-old with history of right lung cancer status post treatment, assess for change CHEST:LUNGS AND PLEURA: Spiculated right upper lobe lung nodule measures 2.3 x 2.1 cm and previously measured 2.4 x 2.1 cm (image 14, series 5), not significantly changed. Increasing surrounding opacity is nonspecific, but may be tre... | 1. Unchanged size of right upper lobe spiculated mass with increasing surrounding opacity which may be treatment related. 2. Unchanged infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | 84-year-old now with pleural plaques and effusion on the right LUNGS AND PLEURA:. Increased right pleural effusion. Multiple unchanged pulmonary micronodules. Left lower lobe pleural thickening, which measures 1.8 cm in depth (image 8, series 4), and previous measured 1.8 cm. Severe centrilobular and paraseptal emphyse... | 1. Unchanged pleural thickening and calcification consistent with prior asbestos exposure.2. Severe centrilobular and paraseptal emphysema. Unchanged pulmonary micronodules.3. Increasing right pleural effusion. |
Generate impression based on findings. | Reason: hx H\T\N ca, post CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Left thyroid lobe resected.No mediastinal or hilar lymphadenopathy noted.CHEST WALL: No significant abnormality noted.ABDOM... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 69 years old male with history of tongue cancer. The visualized paranasal sinuses and mastoids are normally pneumatized with the exception of some mild maxillary mucosal thickening. There is minimal opacification of the mastoid air cells. The bones of the calvarium are free of focal destructive lesions. Lens prostheses... | Stable posttherapy change in the neck with no evidence of recurrent disease or pathologic adenopathy. |
Generate impression based on findings. | 70 year-old male, with dyspnea LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular and paraseptal emphysema. Mild lower lobe bronchial thickening and bronchiectasis. Resolution of right upper lobe ground glass nodule. Sabre sheath trachea deformity consistent with COPD. Lingular and right middle lobe scarri... | 1. Moderate centrilobular and paraseptal emphysema.2. Resolution of right upper lobe ground glass nodule, which may have been inflammatory in etiology or represented AAH. |
Generate impression based on findings. | Left lung atelectasis versus effusion. Hypoxia. LUNGS AND PLEURA: Small to moderate layering pleural effusions. Patchy air space opacities at the left apex, right upper lobe along the fissure and dependent aspects of the right upper lobe. Few patchy peribronchial opacities in the right middle lobe also noted. Compressi... | 1. Moderate anterior mediastinal and pericardial hematoma.2. Extrinsic compression of the left main stem bronchus and lobar airways between the heart and descending thoracic aorta, likely related to posterior mediastinal deviation from hematoma.3. Patchy air space opacities suggestive of aspiration and/or infection.4. ... |
Generate impression based on findings. | NHL status post 3 cycles of chemotherapy. There has been marked interval decrease in size of the cervical lymphadenopathy. For example, a left level 3 lymph node now measures 6 x 11 mm, previously 16 x 18 mm and a right level 5 lymph node measures 8 x 10 mm, previously 15 x 15 mm. There has also been interval decrease ... | Marked interval decrease in size of the cervical lymphadenopathy, indicating treatment response. |
Generate impression based on findings. | 70 year-old male patient. Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Pleural calcifications compatible with prior asbestos exposure are stable. Right upper lung micronodule is stable compared to prior examination (series 5 image 33).MEDIASTINUM AND HILA: Cardiac size wi... | No evidence of metastatic disease in the chest or upper abdomen. |
Generate impression based on findings. | 14 year-old male with headaches. 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 mastoid air cells are... | 1. No acute intracranial abnormality. 2. Paranasal sinus inflammatory disease and acute right maxillary sinusitis. |
Generate impression based on findings. | 72-year-old female. Reason: h/o met thyroid ca, compare to previous, measurements pls History: none LUNGS AND PLEURA: Pulmonary nodules are again seen along the right major fissure. Larger reference nodule measures 1.5 x 1.2 cm (series 4 image 27), previously 1.5 x 1.1 cm. Left infrahilar mass demonstrates increase in ... | 1.Interval increase in reference pulmonary nodule and lesion with reference measurement provided, consistent with metastatic disease. Additional small nodules are stable to mildly increased in size. No new pulmonary lesions identified.2.Left breast lesion stable compared to most recent prior examination and enlarged co... |
Generate impression based on findings. | Female 55 years old; Reason: Please evaluate for portal vein thrombosis History: pt with hx of portal vein thrombosis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. Probable simple cyst in segment two of the liver. No suspicious hepatic lesions.Focal nodular t... | 1.Portal venous thrombosis.2.Status post partial colon resection without evident obstruction or definite evidence for metastatic disease. |
Generate impression based on findings. | 56-year-old male with right lung nodule LUNGS AND PLEURA: 5-mm nodule along the right major fissure may represent an intrapulmonary lymph node (image 37, series 5). Additional 3-mm right lower lobe micronodule is nonspecific.Mild apical predominant centrilobular emphysema.MEDIASTINUM AND HILA: No mediastinal or hilar l... | 5-mm nodule along the major fissure likely represents an intrapulmonary lymph node, however, if the patient is high risk a 6-12 month follow up may be considered for further evaluation. |
Generate impression based on findings. | Male, 82 years old, history of supraglottic cancer. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Again seen is an enhancing soft tissue mass situated predominately in the supraglottic larynx. Since th... | 1. The interval decrease in size of the patient's previously seen large supraglottic tumor. Tubulated edema and fascial plane infiltration has increased.2. An enhancing tumor within the left parotid space has decreased in size. Scattered additional reference lesions in the neck show slight changes in shape and no defin... |
Generate impression based on findings. | Male; 20 years old. Reason: osteosarcoma, off therapy. assess for pulmonary metastases History: osteosarcoma LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Normal heart size without pericardial effusion. No mediastinal or hilar lymphadenopathy is evident on this ... | No evidence of pulmonary metastases. |
Generate impression based on findings. | Male; 12 years old. Reason: refractory Neuroblastoma post cycle 5 evaluation; assess for response to therapy CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules are unchanged. No new pulmonary nodules. No pleural effusion. MEDIASTINUM AND HILA: Right central venous catheter tip in the SV... | Unchanged pulmonary micronodules and diffuse osseous lesions. |
Generate impression based on findings. | 63-year-old male with history of head and neck cancer, evaluate for metastatic disease. Pain in hips. CHEST:LUNGS AND PLEURA: Mild to moderate centrilobular and paraseptal emphysema.Scattered pulmonary micronodules measuring up to 2 mm. Left lower lobe consolidation. Bibasilar mucus plugging. MEDIASTINUM AND HILA: Mild... | 1.Left lower lobe consolidation, highly suggestive of infection.2.Mildly enlarged mediastinal and hilar lymph nodes.3. Scattered pulmonary micronodules measuring up to 2 mm. Guidelines by the Fleischner society (Radiology 2005: 237:395-400) suggest that patients with a low risk for lung cancer who have nodules less tha... |
Generate impression based on findings. | 75 year-old female with lung cancer, evaluate for brain metastasis. The ventricles, sulci, and cisterns are symmetric and appropriate for the patient's age. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseou... | No mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. Lack of contrast limits sensitivity of detection of metastasis. Contrast enhanced MRI should be considered if clinical suspicion for metastasis persists. |
Generate impression based on findings. | 62-year-old male with chronic infection, evaluate emphysema, bronchiectasis LUNGS AND PLEURA: Ill-defined basilar tree in bud and ground glass opacities with bronchiolar wall thickening appear inflammatory/infectious, possibly from prior aspiration. Platelike scarring at the left lung base. No significant emphysema.MED... | No significant emphysema. Basilar bronchiolitis pattern with platelike scarring at the left base appears post inflammatory/infectious, possibly secondary to aspiration. |
Generate impression based on findings. | Male 67 years old; Reason: Pre-kidney transplant evaluation, evaluate vasculature to support transplant History: Pre-kidney transplant evaluation ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions. Cholelithiasis within a nondistended ga... | 1.Mild to moderate calcific arteriosclerotic disease of the aorta and branch vessels.2.Lobular appearance of the kidneys with focal hyperdense right renal lesion, incompletely characterized without contrast.3.Cholelithiasis. |
Generate impression based on findings. | 57-year-old male status post VARDS for pancreatic necrosis, duodenojejunostomy with drains, now with fever and elevated white blood cell count, assess for abscess. Fever. ABDOMEN:LUNG BASES: New small bilateral pleural effusions and bibasilar atelectasis.LIVER, BILIARY TRACT: Metallic common bile duct. Biliary stent is... | 1.Persistent peripancreatic inflammation, with increased edema about the pancreatic head. Interval decrease in size of peripancreatic fluid collections, however secondary infection cannot be excluded in loculated collections. 2.Persistent but slight interval decrease in right perinephric fluid collections.3.New small b... |
Generate impression based on findings. | Diabetes; pre-pancreas transplant evaluation. Evaluate vasculature to support transplant 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 ... | Minimal right external iliac artery calcification. Mild bilateral common iliac arterial calcification.Intrinsic intermediate attenuation cystic lesion arising from the right kidney. While a benign complex cyst is favored, this lesion is best considered indeterminate on this noncontrast study. Would recommend correlatio... |
Generate impression based on findings. | 41-year-old female with history of recurrent stage IA ovarian cancer with pelvic bony mets, right acetabular pathologic fracture. Assess for disease progression. CHEST:LUNGS AND PLEURA: Marked interval increase in size and number of innumerable metastatic lung nodules. A reference left lower lobe nodule measures 1.0 x ... | Dramatic interval progression of metastatic disease, including marked interval increase in pulmonary metastases, numerous new bilateral renal metastases, and growth of right pelvic mass involving the adjacent bones. |
Generate impression based on findings. | Female, 76 years old, history of left tongue cancer status post surgery. Evaluate for recurrence. A large part of the oral tongue is obscured by dental amalgam streak artifact. Given this limitation, there appears to be some volume loss and contour irregularity of the left aspect of the oral tongue which may reflect pr... | Postsurgical changes are suspected within the oral tongue and floor of mouth and bilateral neck. Without the benefit of a prior exam for comparison, no definite evidence of recurrent tumor or pathologic adenopathy is seen. |
Generate impression based on findings. | Female 64 years old; Reason: reassess for metastatic disease History: none CHEST:LUNGS AND PLEURA: Left upper pulmonary nodule measures 1.2 x 0.9 cm (image 46/series 5) , changed. Subcentimeter pulmonary nodule at the superior segment of the left lower lobe is unchanged.No new pulmonary nodules are evident.MEDIASTINUM ... | 1.No evident change in the left upper lobe pulmonary nodule. |
Generate impression based on findings. | 43 year-old female with chest pain, a lung nodule follow-up. LUNGS AND PLEURA: Peripheral right middle partially solid nodule measures 7 x 6 mm (image 149, series 5) and previously measured 7 x 5 mm. No additional pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No s... | No significant change in right middle lobe partially solid nodule. 1-2 year follow-up is recommended, low-dose protocol. |
Generate impression based on findings. | 28 year-old female with HIV/AIDS, disseminated MAC, now with fever. CHEST:LUNGS AND PLEURA: Multiple bilateral ill-defined nodules in as well as focal ill-defined bilateral opacities favoring the lower lobes are not seen on prior chest exam from 12/3/2013, and likely represent new infected foci.Bullous cavitation at th... | 1.New multiple bilateral ill-defined nodules and focal ill-defined opacities favoring the lower lobes likely represent new infected foci and may explain the patient's fever.2.Stable retroperitoneal and mesenteric confluent adenopathy.3.Growth of lytic bony lesion of the left ischial tuberosity with early pathological f... |
Generate impression based on findings. | 76-year-old female with tongue cancer, rule out lung METs LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules. No pleural effusions.MEDIASTINUM AND HILA: Enlargement of the main pulmonary artery suggesting pulmonary hypertension. Moderate atherosclerotic calcifications of the aortic arch and coronary arterie... | No evidence of metastatic disease. Probable PA hypertension. |
Generate impression based on findings. | Left T3N0Mx Laryngeal SCC s/p CRT completed 1/2013 with new lesion in pyriform sinus concerning for recurrence vs soft tissue necrosis. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is a chronic left basal ganglia lacunar infarct. There is moderate diffuse cerebral white matter h... | 1. Ill-defined left hypopharyngeal lesion is compatible with squamous cell carcinoma recurrence, as demonstrated on laryngoscopy.2. No evidence of intracranial metastases. |
Generate impression based on findings. | 69-year-old male with history of tongue cancer, reevaluate and compare to prior exams CHEST:LUNGS AND PLEURA: Unchanged 5-mm left lower lobe pulmonary nodule (image 91, series 4). Upper lobe predominant emphysema and bronchial wall thickening is again noted.MEDIASTINUM AND HILA: Right hilar lymphadenopathy is again not... | Right hilar lymphadenopathy, mildly decreased in size. No new lesions, and no specific evidence of metastatic disease. |
Generate impression based on findings. | Right posterior neck mass. There is a well-defined fat-attenuation mass without significant soft tissue components in the right posterior neck subcutaneous tissues overlying the trapezius and posterior the sternocleidomastoid that measures 51 AP x 35 RL x 31 SI mm. There is no significant cervical lymphadenopathy. The ... | 1. A well defined fat-attenuation mass in the right posterior neck subcutaneous tissues that measures up to 51 mm is compatible with a lipoma.2. Left tympanomastoid opacification may indicate otomastoiditis in the appropriate clinical setting. |
Generate impression based on findings. | 76-year-old female patient. Reason: super D protocol, lung nodules. compare to previous History: lung nodules, COPD LUNGS AND PLEURA: Moderate centrilobular emphysema.5-mm left lower lobe nodule is unchanged (series 6 image 59).Previously visualized subpleural nodule adjacent to the thoracic spine in the right lower lo... | Stable left lower lobe pulmonary nodule and nonspecific micronodules. Resolution of right lower lobe nodule. |
Generate impression based on findings. | Shortness of breath. Persistent dyspnea and inability to perform PFTs rule-out lung parenchymal disease. LUNGS AND PLEURA: Bilateral, symmetric subpleural scarring and mild traction bronchiectasis in the upper lung zones is unchanged. The appearance is suggestive of chronic eosinophilic pneumonia or cryptogenic organiz... | Large lung volumes with bilateral subpleural scarring and bronchiectasis unchanged, most consistent with chronic eosinophilic pneumonia (CEP) . Cryptogenic organizing pneumonia may also be included in the differential diagnosis. The appearance is atypical for Churg-Strauss syndrome as no groundglass opacities are appre... |
Generate impression based on findings. | Aphasia. Rule out stroke. There is diffuse patchy hypoattenuation within the periventricular and subcortical white matter, including focal encephalomalacia along the left superior frontal gyrus and bilateral foci of hypoattenuation within the basal ganglia likely representing lacunar infarcts. Bilateral ventricles and ... | 1.No acute intracranial hemorrhage mass effect or edema since the most recent examination of 12/4/2013. 2.There is redemonstration of multiple lesions in the deep gray nuclei and internal capsules compatible with lacunar infarcts which were present on prior exams3.There is redemonstration of encephalomalacia involving ... |
Generate impression based on findings. | Lung cancer, reevaluate CHEST:LUNGS AND PLEURA: Interval surgical removal of the left upper lobe with partial reexpansion of the lower lobe and retention of an anterior pneumothorax, possibly loculated. No discrete effusion.The humerus underlying and largely ground glass semisolid nodular densities appear grossly uncha... | Postsurgical left hemithorax changes in residual moderate pneumothorax. Scattered residual numerous additional bilateral groundglass nodular opacities appear unchanged from 9/13/13 |
Generate impression based on findings. | Chronic sinusitis and nasal polyps, s/p ESS in April 2013, with recurrent symptoms. There is near complete opacification of the bilateral maxillary sinuses. There is also near complete opacification of the bilateral anterior and left posterior ethmoid sinuses. There is complete opacification of the bilateral frontal si... | 1. Extensive pansinus opacification in an osteomeatal unit pattern on the right and combined osteomeatal unit and sphenoethmoid junction pattern on the left.2. Scattered polypoid opacification of the nasal cavity, suggestive of sinonasal polyposis. 3. Thinning and perhaps dehiscence of the left ethmoid roof. Therefore,... |
Generate impression based on findings. | 75-year-old male patient. Reason: eval parenchyma and effusion History: hypoxia Exam significantly limited by patient motion.LUNGS AND PLEURA: Large right-sided pleural effusion with complete atelectasis of the right lower lobe. Small focus of fibrosis/honeycombing in the anterior right middle lobe may be secondary to ... | Large bilateral pleural effusions, right greater than left, with compressive atelectasis.Left upper lobe ground glass opacities suggestive of acute pulmonary edema or less likely infection.Cardiomegaly and signs of pulmonary hypertension. |
Generate impression based on findings. | 61-year-old female with history of head and neck cancer LUNGS AND PLEURA: Severe centrilobular emphysema. Mild diffuse bronchial wall thickening. Multiple scattered micronodules, some of which are calcified consistent with prior granulomatous disease.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes con... | 1. No specific evidence of metastatic disease.2. Severe centrilobular emphysema. |
Generate impression based on findings. | 85-year-old male with abdominal and suprapubic pain, likely urosepsis and a suprapubic catheter in place. Acute kidney failure. Hydronephrosis on ultrasound. Rule out stone and emphysematous cystitis. ABDOMEN: Lack of intravenous contrast limits evaluation of abdominal organs.LUNG BASES: Small bilateral pleural effusio... | 1.Moderate to severe bilateral hydronephrosis. No renal or ureteral calcifications.2.Nonspecific mildly enlarged retroperitoneal lymph nodes.3.Right inguinal hernia containing small foci of air likely due to nonobstructive loop of bowel. |
Generate impression based on findings. | Lung cancer CHEST:LUNGS AND PLEURA: Lenticular fluid collection with a thick irregular wall decreased in volume. Previously measured portion of the collection did not include the wall measuring 5.3 x 3 .6 cm. Using a similar measurement technique, the lesion now measures 5 x 3.8 cm (3/16). Adjacent consolidated lung wi... | No significant change in lymphadenopathy or skeletal lesions allowing for differences in technique. Reference right upper lobe measurement unchanged. Interval development of multiple pulmonary nodules which may be infectious or metastatic. Suggest plain film follow-up in 4-6 weeks to assess for resolution. Right lower ... |
Generate impression based on findings. | 56 year old female, with history of liver transplant with nausea and vomiting. Evaluate for abdominal process. ABDOMEN: Lack of intravenous contrast limits evaluation of abdominal organs.LUNG BASES: Right basilar atelectasis/consolidation.LIVER, BILIARY TRACT: Surgical clips and changes status post liver transplant. No... | Expected postoperative changes without acute abnormality. |
Generate impression based on findings. | Reason: 81 year old male with supraglottic cancer, please compare to previous scan 05/02/2013 History: Supraglottic Cancer LUNGS AND PLEURA: Reference left upper lobe nodule is stable and measures 8 mm (series 6 image 44).No significant change in predominantly peripheral lower zone micronodules, likely postinflammatory... | Stable left upper lobe nodule.Stable to mild interval increase in mediastinal lymph nodes.10-mm cavitary nodule in the right middle lobe is compatible with metastatic squamous cell carcinoma. |
Generate impression based on findings. | Other benign neoplasm of connective and other soft tissue of head, face, and neckMalignant neoplasm of head, face, and neckSecondary and unspecified malignant neoplasm of lymph nodes, site unspecified(196.9)Radiotherapy follow-up examination Chemotherapy follow-up examination. h/o HNC and CRT, compare to previous measu... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. 2.There is soft tissue infiltration along the right neck which is suspected to represent post treatment change.3.No evidence for brain metastases. |
Generate impression based on findings. | Male, 64 years old, history of floor of mouth cancer, follow up examination. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. Periventricular hypodensity is again seen compatible with age indeterminate small vessel ischemic disease. The bones of the calvariu... | 1. Redemonstration of extensive surgical change in the neck. Within this altered background, no definite evidence of recurrent disease or pathologic adenopathy is seen on this exam.2. No evidence of intracranial metastatic disease. |
Generate impression based on findings. | Gross hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable bilobar hepatic cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable right renal cyst. Otherwise unremarkable kidne... | No worrisome renal mass lesion, stone, or renal obstruction. Unremarkable collecting systems bilaterally.Heterogeneous enlarged uterus; favor fibroid; however, if clinically indicated, would recommend correlation with GYN ultrasound. |
Generate impression based on findings. | Male 55 years old Reason: 55M s/p ileocecal resection with creation of end ileostomy on 11/15 (hx APR for rectal ca c/b prolapsing colostomy) now with purulent drainage around stoma, please assess for peristomal abscess History: leukocytosis, purulent drainage from stoma ABDOMEN:LUNG BASES: Limited evaluation of the lu... | 1.Two peristomal fluid collections with surrounding inflammation, compatible with peristomal abscesses, new since the previous examination2.Previously distinct presacral fluid collections have combined into a single fluid collection, similar in total overall size. |
Generate impression based on findings. | Female 90 years old. Reason: abd pain, flank pain History: pain ABDOMEN:LUNG BASES: Limited evaluation of the lung bases reveals right basilar bronchiectasis. The posteroinferior aspect of the right lower lobe appears to be fed by a highly calcified aberrant vessel arising off an aneurysmally dilatated region of the th... | 1.Aneurysmal dilatation of the thoracic and abdominal aorta without evidence of leak.2.Anomalous highly calcified vessel arising off the aneurysmally dilated descending thoracic aorta and coursing into the posterior-inferior aspect of the right lobe.3.Cardiomegaly.4.Multiple pulmonary nodules likely infectious/inflamma... |
Generate impression based on findings. | Evaluate for PE PULMONARY ARTERIES: Segmental and subsegmental right descending pulmonary emboli, likely acute.LUNGS AND PLEURA: 1.3 x 1.1 cm nodule seen in the left lower lobe, unchanged in size when compared with the prior CT. This nodule measures up to 200 Hounsfield units compatible with calcification and may repre... | 1.Acute right descending pulmonary artery emboli.2.Calcified left lower lobe nodule unchanged when compared with the prior CT. Follow-up CT is recommended in one to two years to establish stability. |
Generate impression based on findings. | 10-year-old female with persistent left hand pain and swelling.EXAMINATION: Noncontrast CT of the left hand and wrist 12/6/13 Healed fracture of the base of the thumb metacarpal. No acute fracture or dislocation is identified. Soft tissues are unremarkable. The visualized tendons appear intact. | No acute fracture or dislocation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Shortness of breath, evaluate for PE PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: The right main stem bronchus is occluded with atelectasis of the right upper and middle lobes. This has progressed from the prior study where an underlying upper lobe mass is seen. This is compatible with the pat... | 1.No pulmonary embolus.2.Occlusion of the right mainstem bronchus with atelectasis of the right upper and middle lobes, likely due to the patient's known underlying adenocarcinoma in the right upper lobe.3.Pneumomediastinum and subcutaneous emphysema in the chest wall. |
Generate impression based on findings. | Male 44 years old Reason: 44 yo M with AML and recent dx colitis/diverticulitis at OSH, now with worsening abd discomfort. History: abd pain ABDOMEN:LUNG BASES: Limited evaluation of the lung fields reveal dependent bibasilar atelectasis.LIVER, BILIARY TRACT: No focal masses are seen in the hepatic parenchyma and there... | 1. Cholelithiasis without evidence of cholecystitis.2. Diverticulosis without evidence of active diverticulitis.3. Focal bowel wall thickening of the sigmoid colon without evidence of surrounding inflammation, likely postinflammatory in etiology. |
Generate impression based on findings. | Tachycardic, needing oxygen, chest pain, evaluate for pulmonary embolus PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: No consolidation or pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is seen. The heart is normal in size and there is no pericardial effusion.CHEST WALL: No s... | No pulmonary embolus or other significant abnormality. |
Generate impression based on findings. | 80 year-old with syncope and collapse. There are a few hypodense foci within the ventricular and subcortical white matter consistent with minimal chronic small vessel ischemic disease, and correlating with the appearance of the recent MR exam. There is no acute intracranial pathology including hemorrhage, edema, mass, ... | Examination stable since recent MRI with minimal chronic small vessel ischemic changes. No acute intracranial pathology. |
Generate impression based on findings. | 24 year old patient with headache, nausea, vomiting and nystagmus. There is a right frontal burr hole with a ventriculostomy catheter extending into the right frontal horn with its tip at the midline in the third ventricle, unchanged. The ventricles again demonstrate a parallel configuration and the corpus callosum is ... | Slight interval increase in size of the lateral and third ventricles. Stable ventriculostomy catheter. |
Generate impression based on findings. | Female 24 years old Reason: eval pathology History: abdominal pain, N/V, hemoptysis ABDOMEN:LUNG BASES: Motion artifact degrades evaluation of the lung bases.LIVER, BILIARY TRACT: There is no intra or extrahepatic biliary ductal dilatation and the portal vein is patent. There is biliary sludge without evidence of chole... | 1.Biliary sludge without evidence of cholecystitis.2.Ventricular peritoneal shunt catheter without evidence of complication. |
Generate impression based on findings. | Altered mental status. Rule out stroke. There is moderate ill-defined patchy hypoattenuation within the periventricular and subcortical white matter in keeping with sequela of age-indeterminate small vessel ischemic disease. Ventricles and sulci are prominent, though to a degree which is in keeping with the patient's a... | Age-indeterminate small vessel ischemic disease without acute intracranial pathology. If there is persistent concern regarding acute ischemia, MRI could be considered. |
Generate impression based on findings. | Male 21 years old Reason: eval for pancreatitis/ appy History: abdominal pain and vomiting ABDOMEN:LUNG BASES: Respiratory motion degrades evaluation of the lung bases. No focal airspace opacities identified.LIVER, BILIARY TRACT: A focal hypodense lesion in the right hepatic lobe is too small to characterize on this ex... | The appendix is not definitely identified, but given the pelvic ascites and clinical history, appendicitis is a significant possibility. Gastroenteritis is another possibility; however, this is felt to be less likely.These findings were discussed with the primary clinical service at the time of dictation. |
Generate impression based on findings. | Headache. There is mild diffuse volume loss. There is no intracranial hemorrhage, mass, edema or hydrocephalus. The midline is intact. Orbits, paranasal sinuses and mastoid air cells are unremarkable. There are no visualized bony abnormalities. | No acute intracranial pathology demonstrated. |
Generate impression based on findings. | History of Barrett and circumflex restaging scans status post oral and schedule agent CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules compatible with metastases are again seen. The previously referenced left lower lobe nodule now measures 18 x 14 mm (image 63, series 5), previously 19 x 14 mm. The previously refe... | 1.Innumerable pulmonary metastases without significant change from prior study.2.No change in the index periportal lymph node. |
Generate impression based on findings. | Fall. Rule out intracranial hemorrhage. There is a better defined focus of encephalomalacia within the left lentiform nucleus corresponding with a focal infarct demonstrated on prior CTs. There is subtle ex vacuo dilatation of the adjacent left lateral ventricle. There is dural calcification and a benign hyperostosis f... | Focus of encephalomalacia related to evolution of a prior infarct in the left basal ganglia, without acute intracranial pathology. |
Generate impression based on findings. | Female 45 years old Reason: patient w/ recent diagnosis of diverticulitis, continued pain. r/o abscess History: LLQ pain ABDOMEN:LUNG BASES: There is mild dependent bibasilar atelectasis right greater than left.LIVER, BILIARY TRACT: There is no intrahepatic or extrahepatic biliary ductal dilatation. The portal vein is ... | 1.Resolving inflammatory changes about the sigmoid colon compatible with resolving diverticulitis, without evidence of complication such as abscess or fistulous formation.2.Left ovarian cyst incompletely characterized on this examination. |
Generate impression based on findings. | Male 62 years old; Reason: Stage IV pancreas cancer please provide index lesion measurements for pancreas and up to lesions for liver for RECIST enrolled on study that requires distant measurable disease History: As above CHEST:LUNGS AND PLEURA: New subtle nodularity of the pleural surface and interlobular septal thick... | 1.Increase in the size of the hepatic lesion.2.New pleural nodularity, peritoneal nodularity and retroperitoneal lymphadenopathy. The findings are most suggestive of lymphangitic carcinomatosis in the lung and peritoneal carcinomatosis. |
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