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Generate impression based on findings. | Female 90 years old; Reason: obstruction History: leaking stool, protuberant abd, decreased bowel sounds ABDOMEN:LUNGS BASES: Calcified right lower lobe pulmonary granuloma.LIVER, BILIARY TRACT: Cholelithiasis with hyperdense material within the gallbladder and perihepatic ascites.SPLEEN: Splenic calcifications with hy... | 1.Large midline hypodense mass. Measuring over 31 cm in span. The lesion may originate from the adnexa, uterus or peritoneum. The study is limited without contrast. Further evaluation with a contrast enhanced MRI of the abdomen pelvis is suggested.2.Cholelithiasis.3.Abdominal and pelvic small amount of ascites. |
Generate impression based on findings. | Female 64 years old; Reason: Persistent sepsis with Staph bacteremia and C.Diff infection. Also has signs of pneumonia on CXR. Eval for source, abscess, etc. History: Hypotension requiring pressors CHEST:LUNGS AND PLEURA: There are biapical cavitary lesions. Right apical posterior cavitary lesion measures4.3 x 5.5 cm (... | 1.Biapical pulmonary cavitary lesions most suggestive of an infectious process and may be the source of the patient's sepsis. This is most likely due to a infectious process possibly from staph aureus. Fungal and atypical infections can also cause cavitations. Pulmonary embolic disease is considered less likely. |
Generate impression based on findings. | Male 44 years old; Reason: history testes cancer, s/p chemotherapy, assess for recurrence History: none 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 sign... | 1.Post operative changes in the left inguinal canal without evident retroperitoneal lymphadenopathy. |
Generate impression based on findings. | Female 25 years old; Reason: Stage IV NLPHL with bone, spleen, skeletal, liver involvement, s/p 6 cycles of R-CHOP in 12/2012 History: NLPH Lymphoma CHEST:LUNGS AND PLEURA: No new pulmonary lesions. Subcentimeter micronodule along the right minor fissure on image 47/series 5 is unchanged. The pleural spaces are clear.M... | Decrease in the size of the existing lymph nodes with no new pathologic nodes. |
Generate impression based on findings. | Chronic sinusitis. The maxillary sinuses are congenitally diminutive. There are no abnormal contents including secretions, air-fluid levels or mucosal thickening. The frontal, maxillary, ethmoid and sphenoid sinuses are each aerated. Ostiomeatal units are patent bilaterally. There is minimal rightward nasal septal devi... | No significant sinus abnormality. Minimal rightward nasal septal deviation. |
Generate impression based on findings. | New AML. Please evaluate for infection. There is a small amount of nonspecific soft tissue density demonstrated at the dependent/inferior aspect of the maxillary sinuses bilaterally, more so on the left. There is lucency and irregularity of the posterior wall of the left maxillary sinus both at this level and more supe... | 1. Lucency and irregularity of the posterior wall of the left maxillary sinus associated with a small amount of mural increased density within the sinus and ill-defined soft tissue density/haziness of the fat within the left retromaxillary fat pad. The finding is subtle, although in the context of new AML this raises t... |
Generate impression based on findings. | Weakness malaise and fatigue. Rule out stroke. There is diffuse prominence of CSF spaces which is in keeping with the patient's age. There is atherosclerotic calcification of the basilar and bilateral cavernous carotid arteries. There is no intracranial mass, edema, hydrocephalus or hemorrhage. The midline is intact. O... | Age-related changes without acute intracranial pathology. If there is persistent concern regarding CVA, MRI could be considered. |
Generate impression based on findings. | 46 your old patient with history of metastatic cancer and syncope/collapse. Evaluate for intracranial hemorrhage. There are no visualized intracranial masses, edema, hemorrhage or hydrocephalus. The midline is intact. Orbits, bones, mastoids and visualized paranasal sinuses are unremarkable.There is soft tissue density... | 1.No visualized acute intracranial pathology. Unenhanced CT is a relatively insensitive method for assessing for the presence of subtle intracranial masses, and if there is concern regarding intracranial metastatic disease MRI could be considered. 2.Apparent possible prominent exophytic soft tissue nodule associated wi... |
Generate impression based on findings. | Female 63 years old; Reason: r/o intra-abdominal fluid collection, pneumonia in patient with septic shock History: septic shock, fever, tachycardia, hypotension Suboptimal evaluation of the solid and hollow abdominal viscera do the lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Diffuse bilateral ground-glass pulm... | 1.Bilateral ground-glass opacities with areas of consolidation differential considerations include an infectious process, pulmonary edema.2.Mixed attenuation lesion in the stomach suggests a hematoma, a neoplastic mass is also the differential.3.Hyperdense mass in the lesser sac suggests a hematoma.4.Layering hyperdens... |
Generate impression based on findings. | Headache and speech disturbance. Rule out aneurysm. Unenhanced CT head: There is patchy hypoattenuation of the periventricular distribution without significant volume loss. No intracranial hemorrhage, hydrocephalus or obvious mass. The midline is intact. There is no pathological enhancement. There is an air-fluid level... | 1.Patchy hypoattenuation of the periventricular distribution. This is a nonspecific finding but could represent sequela of age indeterminate small vessel ischemia. 2.Mild atherosclerotic disease with calcification in the cavernous ICAs bilaterally without significant steno-occlusive lesion or aneurysm.3.Air-fluid level... |
Generate impression based on findings. | Female 52 years old; Reason: re evaluate fluid collections History: persistent abd tenderness CHEST:LUNGS AND PLEURA: Pleural-based pulmonary nodule in the right lung base is nonspecific (image 51/series 4). The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal... | 1.Infiltration of the soft tissues in the right lower abdomen with slight decrease in the size of the fluid pocket following percutaneous catheter drainage. No new collections.2.Extensive infiltration of the soft tissues in the anterior abdominal wall with gas along the fascial planes and a surgical drain. |
Generate impression based on findings. | Male 38 years old; Reason: r/o renal tumor History: renal mass in ultrasound 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 abnormality noted.K... | 1.No focal renal mass. Abnormality seen on the ultrasound corresponds to a lobulation of the renal contour. |
Generate impression based on findings. | 74 year old female with history of shortness of breath and history of multiple myeloma. PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: Small bilateral pleural effusions with associated atelectasis. Multiple scattered subcentimeter pulmonary nodules are noted, with one of the largest being seen in the right ... | 1.No pulmonary embolus.2.Small bilateral pleural effusions with associated atelectasis.3.Multiple scattered subcentimeter pulmonary nodules of uncertain etiology. Recommend follow-up with CT from clinically appropriate to ensure resolution. |
Generate impression based on findings. | 67 year old patient with dysphagia, weight loss. Assess for mass/obstructing lesion. The proximal esophagus is patulous containing an air-fluid level related to obstruction more distally. Please refer to the CT chest report for further detail.There are lymph nodes measuring up to 10 mm at the IA nodal station without s... | 1.Patulous proximal esophagus with air-fluid level related to more distal obstruction. Please refer to the CT chest report for further detail.2.Lymph nodes measuring up to 10 mm at the IA level without significant adenopathy elsewhere. These are nonspecific and may be reactive.3.Spiculation/calcification in the right p... |
Generate impression based on findings. | Female 66 years old; Reason: s/p chole with GB injury History: s/p chole with GB injury ABDOMEN:LUNGS BASES: Healing left posterior medial rib fractures.LIVER, BILIARY TRACT: Liver has a smooth contour. Hepatic and portal veins are patent. There is minimal intrahepatic biliary ductal dilatation. Surgical drains termina... | 1.Drainage catheter in the gallbladder fossa with small residual fluid.2.Percutaneous gastrojejunostomy catheter terminates within the duodenum.3.No new loculated fluid collections in the upper abdomen.4.Percutaneous catheter that traverses the gallbladder fossa terminates in the duodenum 5.No bowel obstruction.6.Large... |
Generate impression based on findings. | 71 year old female with history of known pulmonary embolus status post trauma lysis at outside hospital. PULMONARY ARTERIES: Massive thrombus is noted in the main pulmonary artery, extending only superficially into the left pulmonary artery but extensively into the right pulmonary artery and its proximal branches. The ... | 1.Massive thrombus in the main pulmonary artery extending into the right pulmonary artery and its branches, with only slight extension to the left pulmonary artery.2.Abnormally increased main pulmonary artery diameter, as well as flattening of the interventricular septum is suggestive of elevated right-sided pressures.... |
Generate impression based on findings. | Female 26 years old; Reason: r/o appy History: abdominal pain 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 abnormality noted.KIDNEYS, URETERS... | 1.No CT findings of acute appendicitis, bowel obstruction or drainable fluid collections. |
Generate impression based on findings. | Male 58 years old; Reason: r/o pancreatitis, pseudocyst History: abdominal pain, epigastric pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. The hepatic and portal veins are patent. No biliary ductal dilatation.SPLEEN: No sign... | 1.No CT findings of acute pancreatitis (patient has elevated lipase)2.No pseudocyst formation.3.Infiltration of fat planes in the retroperitoneum with mild hyperenhancement of the ureters in their mid course. |
Generate impression based on findings. | Female 76 years old; Reason: r/o intra-abdominal fluid collection and lung source as cause of sepsis History: hypotension, fever, tachycardia, complicated surgical history requiring washout at last admission CHEST:LUNGS AND PLEURA: Increasing consolidation in the left lung base with finding suspicious for a small cavit... | 1.Mild gallbladder wall thickening with infiltration of the fat planes suggestive of acalculous cholecystitis given no stones were seen on the recent ultrasound.2.Enlarged liver suggestive of liver disease.3.Percutaneous gastrostomy catheter terminates in the stomach lumen. A loop of bowel traverses between the anterio... |
Generate impression based on findings. | Male 55 years old; Reason: RUQ pain, blood in biliary drainage from percutaneous tube. Please eval for tube placement History: bleeding in biliary drainage, RUQ pain ABDOMEN:LUNGS BASES: Pulmonary nodule in the right upper lobe adjacent to the major fissure is unchanged. No basilar pleural effusions.LIVER, BILIARY TRAC... | Percutaneous delivery catheter abuts the left portal venous branch as it traverses through the stent. This may be the source of the bleed although there is no intrahepatic hematoma, perihepatic hematoma or intra-abdominal hematoma.Findings discussed with Dr. Polite at the time of dictation |
Generate impression based on findings. | Female 43 years old; Reason: patient with abdominal pain mostly in RLQ, r/o torsion or GI pathology that may account for symptoms History: patient with abdominal pain mostly in RLQ, r/o torsion or GI pathology that may account for symptoms ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Live... | 1.Fluid within the endometrial cavity extending into dilated fallopian tubes. Differential considerations include endometritis and hematometra, hydrosalpinx or pyosalpinx, malignancy considered less likely.2.Pelvic sonography is recommended for further evaluation. |
Generate impression based on findings. | Headache. Evaluate for obstructive hydrocephalus. The patient is status post right hemispherectomy with stable postoperative findings including fragmentation of the right calvarium and dural calcification related to prior craniotomies as well as bilateral ventriculostomy catheters which are demonstrated in stable posit... | 1. Unchanged configuration of the extraaxial collection related to right hemispherectomy since an examination earlier in the day.2. Unchanged position of ventriculostomy catheters and ventricular size. |
Generate impression based on findings. | Female 56 years old; Reason: Rectal Cancer: Restaging History: none CHEST:LUNGS AND PLEURA: There are multiple pulmonary nodules. The right lower lobe reference pulmonary nodule measures 1.8 x 1.3 cm (image 69/series 4) previously, 1.8 x 1.2 cm. Lesion is more solid.Some of the lesions show central calcification. Some ... | 1.No evident change in the size of the pulmonary lesions. |
Generate impression based on findings. | Male 71 years old; Reason: HCC screening History: Cirrhosis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour: The liver contour is nodular. The fissures are widened..Multiple layering gallstones within a nondistended gallbladder. No biliary ductal dilatation Features of portal h... | Cirrhotic liver without focal hepatic lesion to suggest HCC.Cholelithiasis. |
Generate impression based on findings. | Female 25 years old; Reason: evaluate MRSA abscess History: pain 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 abnormality noted.KIDNEYS, URET... | 1.Resolution of the left iliac fossa fluid collection.2.If there is high clinical suspicion for a persistent fluid collection which cannot be detectable by CT MRI should be considered. |
Generate impression based on findings. | Male 49 years old; Reason: Re-evaluate disease status following adjuvant therapy for progression; compare to previous scan History: Stage III melanoma CHEST:LUNGS AND PLEURA: Left upper lobe pulmonary nodule measures 8 mm (image 87 series 5) previously, 5 mm.No new lesions. Pleural spaces are clear.MEDIASTINUM AND HILA... | 1.Increase in the size of the left upper lobe pulmonary nodule. The remainder of the reference lymph node measurements are unchanged. |
Generate impression based on findings. | Female 37 years old; Reason: 37yo female with history of ovarian CA, evaluate disease status History: as above CHEST:LUNGS AND PLEURA: Nonspecific subcentimeter ground glass nodule adjacent to the pleural and the superior segment of the right lower lobe (image 40/series 4). The pleural spaces are clear.MEDIASTINUM AND ... | 1.Stable exam without evident of metastatic disease.2.Nonspecific subcentimeter ground-glass nodule in the right lower lobe |
Generate impression based on findings. | History of cough. Rule out lung abscess. LUNGS AND PLEURA: Consolidation of the inferior right lower lobe with air bronchograms, as well as the inferior right middle lobe. There is a small focus of consolidation in left lower lobe posteriorly as well as ground glass and nodular opacities distributed throughout the infe... | 1.Extensive multifocal consolidation in the lungs as described above. Given the patient's history and there is geographic distribution, this could be aspiration related or infectious. 2.Anterior mediastinum fluid collection with internal air-fluid level and slight rim enhancement. This finding could be post operative, ... |
Generate impression based on findings. | Male 78 years old; Reason: evaluate for HCC History: cirrhosis ABDOMEN:LUNGS BASES: There is a leads terminate within the heart.LIVER, BILIARY TRACT: Liver contour: The liver contour is nodular. Fissures are widened.Multiple gallstones within a nondistended gallbladder. Minimal intrahepatic ductal location in the left ... | 1.Cirrhotic liver without suspicious hepatic lesion.2.Splenomegaly.3.Cholelithiasis.4.Focal dissection of the left renal artery. |
Generate impression based on findings. | 67-year-old male with history of shortness of breath and dysphagia. Assess for mass. LUNGS AND PLEURA: Numerous bilateral calcified lung nodules, suggesting prior granulomatous infection. Few of these smaller nodules are not fully calcified, warranting follow-up to ensure stability. Right upper lobe nodular opacity wit... | 1.Masslike thickening of the mid/distal esophagus with likely adjacent necrotic lymph nodes and superior esophageal dilatation, suspicious for malignancy which could be further violated with endoscopy. 2.Right apical scar like opacity with adjacent emphysema and internal coarse calcifications. Numerous bilateral calcif... |
Generate impression based on findings. | Slurred speech. Rule out stroke. There is patchy white matter hypoattenuation in a periventricular distribution without significant volume loss. No intracranial hemorrhage, hydrocephalus or obvious mass. The midline is intact. There is an air-fluid level within the left maxillary sinus suggestive of acute sinusitis as ... | 1.Patchy white matter hypoattenuation which is nonspecific, but could possibly represent age indeterminate sequela of small vessel ischemic disease. If there remains clinical concern for an acute ischemic event, MRI brain recommended.2.Air-fluid levels in left maxillary sinus suggestive of acute sinusitis. Please corre... |
Generate impression based on findings. | Female 63 years old; Reason: hx of lap RYBG, now with nausea/vomiting and LUQ abdominal pain History: above ABDOMEN:LUNGS BASES: No basilar atelectasis. Small amount of gas noted in the mediastinum, possibly postoperative.LIVER, BILIARY TRACT: Liver has a smooth contour. Nonspecific hypodense segment 6 lesion. Cholelit... | 1.Findings of a bowel obstruction with a transition at the distal anastomosis.2.Small foci of gas in the anterior mediastinum of unclear etiology but may be postoperative. |
Generate impression based on findings. | Male 57 years old; Reason: Pt is a 57 y/o male with met rcc, evaluate for progression during off-cycle of pazopanib History: met rcc, lung nodules CHEST:LUNGS AND PLEURA: Reference right lower lobe pulmonary nodule measures 1.0 x 0.9 cm (image 46/series 4) previously, 0.9 x 0.7 cm.The nodule adjacent to the major fissu... | 1.Minimal increase in the size of the right lobe pulmonary nodules. No evident new lesions. |
Generate impression based on findings. | Severe headache. Unenhanced CT head: There is no intracranial mass, edema, hemorrhage, or hydrocephalus. The midline is intact. There is no pathological enhancement. The orbits, mastoid air cells and bones of the calvarium are unremarkable. The sinuses are clear.CTA head: There is a developmentally smaller left ICA due... | 1.No acute intracranial abnormality.2.Unremarkable CTA of the head. |
Generate impression based on findings. | Female 34 years old; Reason: 34F with persistent abdominal bloating, dyspepsia and frequent BM x 3 months History: dyspepsia, bloating, LUQ pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions.SPLEEN: No significant abnormality not... | 1.No evident inflammatory bowel changes or bowel obstruction.2.Calcified adrenal glands bilaterally. The findings are nonspecific and include old infection, trauma. No focal mass is evident. Pediatric neoplastic adrenal lesions can also calcify. |
Generate impression based on findings. | Patient with history of ALL with neutropenia, fever and right cheek swelling. There is asymmetric fluid/soft tissue attenuation with associated stranding of fat overlying the right superior alveolar ridge superficial to cortical breakthrough of the buccal cortex associated with a periapical focal lucency at the root of... | Findings suggestive of cellulitis overlying the right maxillary region related to a probable periapical abscess of the right second maxillary bicuspid. |
Generate impression based on findings. | 55-year-old with left ear/neck pain. Evaluate for acute abnormalities. There are surgical clips related to prior thyroidectomy. There are an overall increased number of prominent lymph nodes demonstrated throughout the examined field. Many were visualized on the previous examination, with slight interval increased size... | 1.Sequela of prior thyroidectomy. 2.Multiple lymph nodes demonstrated throughout the neck. Many were demonstrated on the exam in 2005, with slight interval increased size. Two submental and a single right supraclavicular node are enlarged, while the remainder are within normal limits by CT size criteria. Two small node... |
Generate impression based on findings. | 53 year old female, evaluate for pneumonia, fluid overload. Persistent hypoxia and respiratory distress. History of breast cancer currently on chemotherapy. LUNGS AND PLEURA: Symmetric Bibasilar dependent consolidations are noted within the lower lobes as well as the left upper lobe lingula, with small underlying pleur... | 1.Bibasilar consolidations and small pleural effusions with scattered focal opacities which are nonspecific, but these findings could represent pneumonia versus aspiration. Pulmonary edema is considered less likely as heart size is normal with trace pericardial effusion.2.Air-fluid level in the right anterior chest wal... |
Generate impression based on findings. | 33 year old patient status post fusion for lumbosacral spondylolisthesis. There are postoperative changes related to decompression and L5-S1 fusion. Rods connect the transpedicular screws which traverse the pedicles of L5 and S1. There has been L5 laminectomy. There is a JP drain entering the skin at L1 extending infer... | 1.Postoperative changes related to fixation of L5-S1.2.Grade 3 spondylolisthesis of L5 on S1 on the basis of bilateral L5 pars interarticularis defect. Significant resultant degenerative change at L5-S1 with moderate-severe foraminal narrowing.3.Spina bifida occulta at T12-L2 and S1-L2.4.Incompletely visualized fluid w... |
Generate impression based on findings. | 57 year-old patient with a history of squamous cell carcinoma of unknown primary status post left neck dissection and CRT. Please reevaluate and compare to prior exams. There are stable postoperative changes within the left neck including effacement of fat planes and asymmetry of the sternocleidomastoid musculature. Th... | 1.Postoperative changes related to left neck dissection.2.No evidence of residual or recurrent disease or lymphadenopathy on today's examination.3.Degenerative changes of the cervical spine.4.Stable soft tissue density associated with the maxillary sinuses bilaterally. |
Generate impression based on findings. | 63 year-old status post fall striking head. Now with jaw pain. Rule out fracture. CT head: There is a small amount of swelling at the right posterior parietal/occipital scalp without underlying fracture. There is no intracranial hemorrhage, edema, mass or hydrocephalus. The midline is intact. Mastoids are clear.Maxillo... | 1.No fracture. A small amount of swelling within the scalp likely related to the patient's fall without intracranial abnormality including hemorrhage.2.Significant multilevel degenerative change of the cervical spine. Designated imaging could be performed as clinically indicated.3.Variant anatomy of the C1 vertebral bo... |
Generate impression based on findings. | Headache, vomiting. Pancytopenia. Rule out intracranial hemorrhage. There is no intracranial mass, edema, hemorrhage or hydrocephalus. Gray-white differentiation has a normal appearance and the midline is intact. There are no visualized fractures. Orbits and mastoids are unremarkable. There is soft tissue density withi... | No intracranial hemorrhage demonstrated. Air-fluid level potentially representing acute sinusitis. |
Generate impression based on findings. | 58 year-old female with unexplained weight loss. ABDOMEN:LUNG BASES: Small left and trace right pleural effusions.LIVER, BILIARY TRACT: Status post cholecystectomy. Calcific density adjacent to gallbladder fossa was not present on prior exam but may represent dropped gallstone which was previously obscured by cholecyst... | 1.No specific findings of malignancy.2.Status-post cholecystectomy; calcific density adjacent to the gallbladder fossa was not seen on prior exam but may represent dropped gallstone which was obscured by metallic clips on prior exam. Alternatively, this could represent prior focus of inflammation which subsequently cal... |
Generate impression based on findings. | 78-year-old female with history of left carotid body paraganglioma with complaints of neck swelling and pain. There is redemonstration of a soft tissue mass in the left carotid space immediately superior to the carotid bifurcation which splays the internal and external carotid arteries without encasing these structures... | 1.The left carotid bifurcation mass compatible with a carotid body paraganglioma appears minimally increased in size, measuring up to 3.4 cm, although assessment is limited by lack of intravenous contrast.2.Limited evaluation of the multinodular goiter with unchanged mass effect upon the trachea and esophagus.I persona... |
Generate impression based on findings. | 54-year-old female with fever, hypoxia, dyspnea. Rule out abscess, fluid collection. Postop day 3 status post pancreaticoduodenectomy with pancreaticojejunostomy for duodenal adenocarcinoma. ABDOMEN:LUNGS BASES: Moderate bilateral pleural effusions with associated compressive atelectasis.LIVER, BILIARY TRACT: Periporta... | Expected postoperative changes from recent pancreaticoduodenectomy without evidence of loculated fluid collection. |
Generate impression based on findings. | 47 year old female status post bedside replacement of G-tube, now with abdominal bloating. Assess placement. ABDOMEN:LUNG BASES: Small right pleural effusion and overlying right base consolidation/atelectasis. Subsegmental atelectasis/consolidation also present in the left base.LIVER, BILIARY TRACT: Small amount of asc... | 1.Jejunostomy tube in place. Moderate amount of free air is present, which may be due to recent manipulation of tube. However, if recent manipulation was not performed, this raises suspicion for leakage. 2.Moderate amount of ascites fluid without loculation.3.Bilateral basilar, right more than left, lung consolidation.... |
Generate impression based on findings. | 59 year-old female with persistent diarrhea. Evaluate for colitis. ABDOMEN:LUNG BASES: Small bilateral pleural effusions and bilateral basilar atelectasis/consolidation. Small pericardial effusion.LIVER, BILIARY TRACT: Status post cholecystectomy. Focal area of hypoattenuation in segment 4 most compatible with focal fa... | 1.Minimal wall thickening in sigmoid colon is likely due to under distention, however, very mild colitis is also a possibility.2.Diverticulosis without evidence of diverticulitis.3.Large ventral hernia containing stomach and bowel without obstruction. |
Generate impression based on findings. | 28 year-old female with right-sided abdominal pain. Evaluate for stone. Lack of intravenous contrast limits evaluation of solid organs. Lack of enteric contrast limits evaluation of bowel.ABDOMEN:LUNG BASES: Note is made of scattered pulmonary micronodules which are nonspecific but may be post infectious or postinflamm... | No acute intra-abdominal process. No findings to account for the patient's pain. |
Generate impression based on findings. | 46 year old female with recurrent pneumothorax, assess for loculation LUNGS AND PLEURA: Large right pneumothorax with multiple pleural adhesions. The right lung is mostly collapsed. Left streaky perihilar and basilar linear opacities indicate scarring and atelectasis.MEDIASTINUM AND HILA: Extensive pneumomediastinum. T... | Large right pneumothorax with multiple pleural adhesions and collapse of the right lung as well as leftward mediastinal shift. Extensive subcutaneous emphysema and pneumomediastinum. |
Generate impression based on findings. | 52-year-old female with a history of follicular lymphoma. CHEST:LUNGS AND PLEURA: There is biapical scarring/atelectasis. Note is made of bilateral pulmonary micronodules some of which are calcified suggestive of prior granulomatous disease. There is no pleural effusion, pneumothorax, or focal consolidation.MEDIASTINUM... | Extensive lymphadenopathy involving the chest, abdomen and pelvis, consistent with the stated history of lymphoma, with reference measurements provided above. |
Generate impression based on findings. | history of relapsing Ewing sarcoma. Rule out metastatic disease versus infection. CHEST:LUNGS AND PLEURA: Bilateral right greater than left pleural effusions with underlying compressive atelectasis/consolidation. The central airways are clear.MEDIASTINUM AND HILA: Left central venous catheter tip in right atrium. No me... | Mild wall thickening of the ascending and transverse colon, compatible with a nonspecific colitis. Potential etiologies include infectious or inflammatory causes. Bilateral pleural effusions with underlying atelectasis/consolidation. Moderate amount of abdominal and pelvic ascites. Redemonstration of findings in the pe... |
Generate impression based on findings. | 54-year-old female with hypoxia, rule out PE PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Moderate bilateral pleural effusions with associated compressive atelectasis. Mild interstitial thickening consistent with edema.MEDIASTINUM AND HILA: Moderately enlarged pa... | 1. Technically adequate exam without evidence of pulmonary embolus2. Moderate bilateral pleural effusions with compressive atelectasis. |
Generate impression based on findings. | 38-year-old female with abdominal pain, distention. Evaluate for obstruction, biliary disease. ABDOMEN:LUNGS BASES: Partially imaged filling defect in likely the right pulmonary artery (image 1, series #3) with associated moderate wedge-shaped area of consolidation opacity of the right lower lobe. While contrast timing... | Findings suggestive of pulmonary embolism of the right pulmonary artery with infarction in the right lower lobe. Notably, this study is not optimal in detecting or characterizing extent of pulmonary embolism, and if clinically warranted, a dedicated chest CT pulmonary embolism protocol may be utilized. |
Generate impression based on findings. | Cardiac arrest with altered mental status. There is diffuse bilateral hypoattenuation with loss of gray-white differentiation within the cerebral hemispheres. Mass-effect including complete sulcal effacement and cisternal effacement with crowding of the foramen magnum by cerebellar tonsils has increased since the prior... | Diffuse loss of gray-white differentiation consistent with anoxic injury. Significant mass effect including cisternal effacement and crowding of foramen magnum by cerebellar tonsils in keeping with early herniation. |
Generate impression based on findings. | 29 year-old female with shortness of breath, rule out pulmonary embolism PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Multiple clusters of irregular cysts of varying sizes with thickened septa are present bilaterally in the upper and lower lobes. Adjacent scarlik... | 1. Technically adequate exam without evidence of pulmonary embolus2. Multiple clusters of cysts in both upper and lower lobes, the appearance and distribution of which is atypical for LAM, LCH and LIP. However, an atypical presentation of LCH is a leading possibility. Postinfectious etiologies might also be considered ... |
Generate impression based on findings. | R/o obstruction vs other acute abdomen vs constipation; x-ray with gas-filled bowel loops History: hx CP/MR, chronic constipation ABDOMEN:LUNG BASES: The lung bases are clear without evidence of effusion or consolidation. No pericardial effusion is seen.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No s... | No evidence of bowel obstruction. Moderate amount of stool is present within the rectum.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 50 year-old male with difficulty moving tongue, tongue numbness and speech difficulty with mass seen on outside CT. There is mild asymmetry at the base of the tongue, although no discrete mass lesion is apparent. No significant lymphadenopathy is identified. The paranasal sinuses and mastoid air cells are clear. The or... | 1.Mild asymmetry at the base of the tongue, although no discrete mass lesion is apparent.2.Large cavity affecting ADA 15 with associated partially imaged periodontal lucency. |
Generate impression based on findings. | 52-year-old female with follicular lymphoma, never treated, evaluate Limited intracranial and orbital views are unremarkable. The visualized mastoid air cells and paranasal sinuses are clear.Diffuse bilateral cervical lymphadenopathy at all nodal stations. Reference right level IIa lymph node measures 1.5 x 1.6 cm (ser... | Diffuse bilateral cervical lymphadenopathy at all nodal stations. Bilateral axillary and retropectoral lymphadenopathy. |
Generate impression based on findings. | H/o intracranial bleed 2/2 HLH, coagulopathy. Now, loss of function in BUE, hands CT head: There are no new intracranial findings. Recently documented intraparenchymal hemorrhage is not visualized on today's examination. There is no intracranial mass, edema, or hydrocephalus. The midline is intact.CT C-spine: There is ... | 1.No acute intracranial abnormality including new hemorrhage. Sequela of prior intraparenchymal hemorrhages are not demonstrated due to evolution of blood products.2.Anasarca within neck soft tissues as well as a hematoma overlying the right sternocleidomastoid muscle. |
Generate impression based on findings. | Reason: possible honeycombing seen on CXR History: hypoxic respiratory failure LUNGS AND PLEURA: Bilateral lower lobe predominant subpleural reticulation and basilar honeycombing. Patchy groundglass nodular opacities, especially on the right (image 52/94). Calcified granuloma left lower lobe.MEDIASTINUM AND HILA: Right... | 1. Bilateral and lower lobe predominant subpleural reticulation and basilar honeycombing, most consistent with UIP. Superimposed groundglass nodular opacities are nonspecific but can be due to infection, among extensive alternative considerations. Continued follow-up is recommended.2. Other findings as above. |
Generate impression based on findings. | 26-year-old female status post cesarean section with persistent tachycardia and hypoxia PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Small pleural effusions with bilateral basilar atelectasis. Mild bronchial wall thickening may reflect underlying reactive airway ... | 1. Technically adequate exam without evidence of pulmonary embolus.2. Basilar atelectasis and small pleural effusions. |
Generate impression based on findings. | Male 73 years old; Reason: 73 yo male with HCC with chronic etoh abuse. Please evalaute extent of disease prior to surgical resction. History: none CHEST:LUNGS AND PLEURA: Scattered micronodules are noted throughout the lung fields. No dominant mass lesion detected. Subpleural cystic and atelectasis is seen.MEDIASTINUM... | 1. Cirrhotic morphology liver with mild splenomegaly with a lesion in segment 2 that meets the AASLD criteria for HCC. Hepatic vessels are patent.2. Stable predominantly cystic, septated lesion in the body of the pancreas. Differential includes a mucinous cystadenoma versus IPMN vs. pseudocyst. MRCP is recommended for ... |
Generate impression based on findings. | 57 year-old male with history of cheek mucosa cancer. Follow-up. CT head: There is no evidence of enhancing cerebral lesions to indicate metastasis. Ventricles and sulci are normal size. Gray-white matter differentiation is preserved. No evidence of extra-axial fluid collection. The orbits and mastoid air cells are unr... | No evidence of intracranial metastasis. Posttreatment changes of the neck without evidence of mass or lymphadenopathy. |
Generate impression based on findings. | 57 year-old female with chest pain, epigastric pain and difficulty swallowing LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Patulous fluid filled esophagus with distal debris. Note is made of a right-sided aortic arch with aberrant left subclavian artery. No lymphadenopathy in the mediastinum... | 1. Patulous fluid filled esophagus most consistent with achalasia, although an underlying obstructing mass or stricture cannot be excluded. 2. Right-sided aortic arch with aberrant left subclavian artery. |
Generate impression based on findings. | 52-year-old female with newly diagnosed tonsil squamous cell carcinoma, baseline scan. Status post right tonsillectomy. No enhancing intracranial lesions to suggest metastatic disease. No mass effect, edema, hydrocephalus or midline shift. No gross intracranial hemorrhage or intra-/extra axial fluid collections. The ma... | 1. Hyperplastic, fairly symmetric tonsillar tissue without a focally enhancing measurable lesion.2. No cervical lymphadenopathy.3. No evidence of intracranial metastases. |
Generate impression based on findings. | 12 y/o F with relapsing Ewing sarcoma s/p SCT p/w new pleural effusion and persistent fevers. There has been interval resolution of bubbly secretions within the bilateral maxillary and sphenoid sinuses. However, there has been interval retention cyst formation within the right maxillary sinus and a residual retention c... | Interval resolution of bubbly secretions within the maxillary and sphenoid sinuses with residual retention cysts, but no evidence of acute sinusitis or abscess. |
Generate impression based on findings. | 83-year-old male status post large pelvic sarcoma resection, now with fever. ABDOMEN:LUNGS BASES: Small bilateral pleural effusions with associated compressive atelectasis. Small pericardial effusion.LIVER, BILIARY TRACT: Large solitary gallstone in the gallbladder without evidence of biliary obstruction. SPLEEN: No si... | 1.Multiple gas containing fluid collections appearing to arise from the suture line in the mid rectum, concerning for infection from rectal leak. 2.Bilateral nephroureteral stents. Atrophic left kidney, with proximal ureteral dilatation. |
Generate impression based on findings. | Reason: h/o HNC, RTC, com pare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Centrilobular and tree in bud nodular opacities, predominantly in the right middle lobe, highly suggestive of aspiration, are slightly improved. Scattered punctate micronodules, some of which are calcified, are unchanged.... | No evidence of metastatic disease. |
Generate impression based on findings. | Evaluate for abdominal pseudocyst. Patient is status post VP shunt. ABDOMEN:LUNG BASES: The lung bases are clear without evidence of consolidation or effusion. No pericardial effusion is seen.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormali... | VP shunt catheter without evidence of CSF pseudocyst.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 81 year-old female with abdominal pain, nausea, and vomiting. ABDOMEN:LUNG BASES: Right-sided predominant cardiomegaly.LIVER, BILIARY TRACT: Mild hepatomegaly with small amount of surrounding ascites fluid. Prominence of hepatic veins and intrahepatic IVC.SPLEEN: No significant abnormality notedPANCREAS: Minimal dilati... | 1.No acute abnormality to account for patient's symptoms.2.Small amount of ascites fluid, distention of hepatic veins, and right-sided cardiomegaly, raising suspicion for right-sided heart failure.3.Right kidney cyst containing thin septation, most compatible with benign Bosniak type II cyst.4.Mild dilation of pancreat... |
Generate impression based on findings. | Reason: 56 y/o female with h/o LAD s/p bx c/f histo with previous CT with RUL nodule, check for progression of disease History: LAD LUNGS AND PLEURA: Small subcentimeter scarlike nodular opacity in the periphery of the right upper lobe (image 33/114) is unchanged. Punctate micronodules, some of which are calcified (esp... | Small subcentimeter nodular opacity in the periphery of the right upper lobe is unchanged and more suggestive of scarring than active infection. There are no new nodules or significantly enlarged intrathoracic lymph nodes. |
Generate impression based on findings. | 25-year-old male with RSV epiglottitis now with fever and hoarse voice, evaluate for abscess. There has been interval extubation. There is interval decrease in the degree of diffuse mucosal edema involving the supraglottic larynx and hypopharynx with relative sparring of the epiglottis. However, there is a more discret... | Residual supraglottic an hypopharyngeal edema with a more discrete areas of hypoattenuation that extends from the right aryepiglottic fold to the posterior hypopharyngeal wall that measure up to 6 mm in diameter that may represent phlegmon or early abscess formation, although it is difficult to delineate this from poss... |
Generate impression based on findings. | 57-year-old male with generalized abdominal pain, constipation. ABDOMEN:LUNG BASES: Mild basilar atelectasis.LIVER, BILIARY TRACT: Subcentimeter hypodensity in the inferior edge of right lobe, most compatible with cyst (series 80352, image 48). SPLEEN: No significant abnormality notedPANCREAS: No significant abnormalit... | Diverticulitis of short segment of the sigmoid. Several foci of extraluminal gas in pelvis are consistent with microperforation, but no gross intraperitoneal free air is present. No evidence of drainable fluid collection. |
Generate impression based on findings. | 78 year-old male with metastatic thyroid cancer. CHEST:LUNGS AND PLEURA: Multiple nodules not significantly changed. Reference left lower lobe nodule measures 6 mm, previously measured 6 mm (series 5, image 73).MEDIASTINUM AND HILA: Reference pretracheal lymph node is stable, measuring 10 x 13 mm, previously measured 9... | 1.No significant change in the innumerable pulmonary nodules.2.Mild increase in mediastinal lymphadenopathy.3.No significant change in expansile right pelvic lesion, right pelvic lymphadenopathy, and right adrenal lesion. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Interval increase in size of left upper lobe multi-lobulated nodule abutting the mediastinum, measuring 18 x 10 mm on image 35/119. It was roughly 9 x 4 mm on prior image 31/130 in retrospect. Punctate micro-nodule in right ... | Interval increase in left upper lobe pulmonary nodule suggestive of metastatic disease. |
Generate impression based on findings. | Reason: Pt s/p alloSCT evaluate PNA. History: Evaluate PNA. LUNGS AND PLEURA: Right lower lobe groundglass opacity with slight centrilobular nodular component suggestive of infection. Aspiration may appear similarly.MEDIASTINUM AND HILA: Venous catheter tip at RA/SVC junction. Scattered small subcentimeter lymph nodes.... | Right lower lobe opacity suggestive of infection. |
Generate impression based on findings. | 21-year-old female with abdominal pain common generalized. Rule-out ovarian pathology versus appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signif... | No abnormality seen in the abdomen or pelvis and no findings seen to account for patient's symptomatology. |
Generate impression based on findings. | Reason: please eval pulmonary mucor and liver abscesses History: serial imaging, recently febrile CHEST:LUNGS AND PLEURA: Widespread consolidation with areas of cystic change and multiple nodules, worst in the right lower lobe but also present in the right middle and upper lobes is slightly increased in density though ... | 1. Widespread consolidation with areas of cystic change and multiple nodules, worst in the right lower lobe but also present in the right middle and upper lobes is slightly increased in density though the overall distribution appears similar. Very small right pleural effusion. 2. Liver lesions are stable given differen... |
Generate impression based on findings. | Male 85 years old; Reason: Pt is an 85 y/o male with prostate cancer, hematuria with foley in place, evaluate for upper tract lesion, CT urogram, 3D reconstruction, DELAYED VIEWS History: hematuria, prostate cancer ABDOMEN:LUNGS BASES: Large right pleural effusion noted. Smaller left pleural effusion. Bilateral compres... | 1.Cirrhotic morphology with ascites, and no evidence of HCC.2.Lytic lesion in the right iliac bone concerning for metastatic disease.3.Nonspecific indeterminate right nodular thickening of the bladder. |
Generate impression based on findings. | 27 year-old female with abdominal pain with peritoneal signs, rule-out appendicitis, free fluid. Diarrhea and bright red blood per rectum. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver is of diffusely homogeneously low attenuation, most likely representing diffuse steatosis. No focal l... | 1. Diffuse hepatic steatosis. 2. No other significant abnormalities and no findings seen to account for patient's symptomatology. |
Generate impression based on findings. | 78-year-old male with metastatic thyroid cancer, reevaluate No mass effect, focal edema or suspicious enhancement is present to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact.Postsurgical changes of a thyroidectomy are again present. No significant change within the t... | 1. Stable postsurgical and posttreatment changes without evidence of progressive disease in the neck or intracranial metastatic disease.2. Incompletely visualized superior mediastinal lymphadenopathy. Please see dedicated chest CT from today's date for further details. |
Generate impression based on findings. | 36-year-old male with abdominal pain, right lower quadrant; nausea, vomiting, and diarrhea.? Appendicitis. ABDOMEN:LUNG BASES: Bibasilar atelectasis, right greater than left. No pleural disease seen.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant ab... | 1. No significant findings seen in the abdomen or pelvis. No findings seen to account for patient's symptomatology. |
Generate impression based on findings. | 70 year-old male with metastatic RCC. Evaluate for progression. CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary metastases range in size from a few millimeters to largest lesion in the left lower lobe measuring 2.3 x 1.9 cm. Metastases exhibit progression in number and size from the previous exam.Moderate bilat... | 1.Significant interval progression of metastatic disease, including increase in size and number of pulmonary metastases, new peritoneal, pancreas, right atrium and ventricle, right paraspinal muscle, and likely left kidney involvement, and worsening adenopathy.2.New left renal lesions likely represent metastases, thoug... |
Generate impression based on findings. | Reason: 70 male with AML, neutropenic fever. r/o infiltrate History: Neutropenic fever LUNGS AND PLEURA: Linear scarring and atelectasis in left lower lobe. No evidence of consolidation. Scattered punctate calcified granulomas.MEDIASTINUM AND HILA: Atherosclerotic calcification of the aorta and its branches.CHEST WALL:... | No evidence of pneumonia. |
Generate impression based on findings. | Reason: assessment of lesion History: dka LUNGS AND PLEURA: Bilateral basilar subsegmental atelectasis.No suspicious nodules.MEDIASTINUM AND HILA: Large inhomogeneous thyroid goiter, predominantly involving the right lobe, which accounts for the peritracheal opacity described on the chest radiograph. The enlarged right... | Large goiter which accounts for the abnormality described on the chest radiograph. Basilar subsegmental atelectasis. |
Generate impression based on findings. | Reason: eval for infection given worsening cough History: cough, leukemia LUNGS AND PLEURA: Very mild nonspecific bronchial wall thickening but no evidence of pneumonia.MEDIASTINUM AND HILA: Right PICC tip in right subclavian vein.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of IV and enteric con... | Very mild nonspecific bronchial wall thickening but no evidence of pneumonia. |
Generate impression based on findings. | Reason: Pt with hx of HNC s/p CRT; please re-eval and compare to prior exams History: as above CHEST:LUNGS AND PLEURA: Moderate to severe centrilobular emphysema. Scattered pulmonary micronodules/intrapulmonary lymph nodes are unchanged. No new pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No ... | 1. No evidence of metastases.2. Nonspecific left renal lesion unchanged. See above. |
Generate impression based on findings. | Reason: substernal goiter History: substernal goiter LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Large heterogeneous thyroid goiter as previously described.The goiter extends retrosternally for a distance of approximately 5 cm, to the level of the main pulmonary artery and it produces marke... | Large retrosternal thyroid goiter. |
Generate impression based on findings. | 72-year-old male with history of cholangiocarcinoma. Restaging. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules are identified. Stable right basilar linear scarring.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Postsurgical change... | 1.Stable postsurgical changes of right hepatectomy and hepaticojejunostomy.2.Prostatic enlargement. |
Generate impression based on findings. | 62 year-old male with prostate cancer after 6 cycles of investigational therapy. ABDOMEN:LUNG BASES: Bilateral basilar pleural calcifications in subsegmental atelectasis/consolidation in right base, likely related to prior asbestos exposure.LIVER, BILIARY TRACT: Hypoattenuating, fluid density lesion in right lobe consi... | 1.No definite evidence of metastatic disease.2.Punctate sclerotic focus in L3 vertebral body not entirely specific but most consistent with bone island; consider bone scan for better evaluation of bone metastases. |
Generate impression based on findings. | Reason: baseline scan in patient with newly diagnosed tonsil SCC History: see above CHEST:LUNGS AND PLEURA: Linear scarring or atelectasis at the lung base. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Bilateral breast implants. Scoliosis.ABDOMEN: Absence of enteric... | No evidence of metastatic disease. |
Generate impression based on findings. | 79-year-old female with history of breast cancer presenting with pain at the hip joint, pelvic region and thigh, evaluate for right hip fracture There is a mixed sclerotic and lytic, cortically-based lesion in located at the lesser trochanter. Provided the patient's history of breast cancer, this is highly suspicious f... | Mixed sclerotic and lytic lesion in the right lesser trochanter is highly suspicious for a site of metastatic breast cancer with associated nondisplaced pathologic fracture. |
Generate impression based on findings. | Reason: history of esophageal cancer, s/p chemoRT and surgery History: none CHEST:LUNGS AND PLEURA: Mild scarring at the right base.Large surgical clips in the right major fissure, unchanged.No suspicious nodules.MEDIASTINUM AND HILA: Status post esophagectomy and gastric interposition with no sign of recurrence.Interv... | 1.Status post esophagectomy and gastric interposition with interval herniation of the transverse colon into the mediastinum.2. Enlarged abdominal mediastinal lymph node with central necrosis, slightly increased since the previous scan. |
Generate impression based on findings. | 71 year-old female status post catheter guided embolectomy PULMONARY ARTERIES: Massive right filling defect within the right main pulmonary artery extending distally with slight extension into the left main pulmonary artery appears similar to the prior exam. Enlargement of the main pulmonary artery is consistent with p... | 1. Unchanged massive filling defect within the right main pulmonary artery with associated enlargement of the main pulmonary artery and bowing of the interventricular septum.2. Multiple pulmonary nodules suggesting underlying metastatic disease. |
Generate impression based on findings. | Reason: Pt with CA of the cheek mucosa. please re-eval . S/p CRT 2011. History: as above CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary micronodules, many of which are calcified, probably benign and unchanged. No new suspicious pulmonary nodules. Mild basilar atelectasis. Nodular calcified pleural plaques, likely... | No evidence of metastatic disease. |
Generate impression based on findings. | Basal cell carcinoma s/p maxillectomy and orbital rim resection. There are interval recent postoperative findings findings related to left maxillectomy and inferior orbital rim and floor resection with reconstruction of the orbital rim and floor with bone graft and reconstruction of the maxillectomy defect with soft ti... | Interval left maxillectomy and orbital rim and floor resection with reconstruction, in which the orbital floor bone graft is displaced superiorly where it impinges upon the inferior rectus muscle and globe. Mild left orbital hemorrhage is also present. |
Generate impression based on findings. | 68 year-old female with shortness of breath on dialysis, rule out pulmonary nodules LUNGS AND PLEURA: Moderate centrilobular emphysema and scattered cysts. Right lower lobe nodules, the largest measuring 12 x 10 mm (image 51, series 5) with spiculation, suspicious for lung cancer. An additional 7 x 4 mm nodule is prese... | 1. 12-mm right lower lobe spiculated nodule suspicious for primary carcinoma. Additional 7-mm nodule and scattered micronodules are also noted.2. Moderate centrilobular emphysema. |
Generate impression based on findings. | Reason: lung cancer, s/p chest RT. Pls c/w previous study and evaluate dz status and tx response. History: lung ca CHEST:LUNGS AND PLEURA: Severe upper lobe predominant centrilobular paraseptal emphysema. No new pulmonary nodules.Reference left hilar mass has decreased to 15 mm (image 47/153). Endobronchial extension o... | Interval decrease in reference measurements with no new sites of disease. |
Generate impression based on findings. | 59 year old patient status post L5-S1 decompression and fusion with pain and abnormal sensation to exclude cord compression. Postoperative changes are demonstrated including bilateral transpedicular screws at L5 and S1 and an interbody cage in the disk space with partial fusion related to the implanted bone graft. Ther... | 1.Postoperative changes related to decompression and fusion of L5-S1.2.Moderate-severe stenosis of the spinal canal at the L4-5 level where it measures 6 mm with severe bilateral foraminal narrowing and presumed impingement of the exiting L4 and descending L5 nerve roots bilaterally. |
Generate impression based on findings. | 70 year-old female with lung cancer CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. Moderate centrilobular emphysema. Apical and right basilar scarring.MEDIASTINUM AND HILA:. Marked interval decrease in size of necrotic mediastinal masses. Reference low right paratracheal mass measures 1.5 x 2.1 cm and pr... | 1. Marked interval decrease in mediastinal lymphadenopathy. No new lesions. |
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