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Generate impression based on findings. | Reason: history of head and neck cancer History: pulmonary opacities concerning for aspiration on last CT CHEST:LUNGS AND PLEURA: Left lower lobe opacities have improved, likely resolving aspirate or infection. However, there is new patchy interstitial and air space opacity in the right lower lobe with associated bronc... | Left lower lobe opacities have improved, likely resolving aspirate or infection. However, there is new patchy interstitial and air space opacity in the right lower lobe with associated bronchial wall thickening as well as ground glass and solid nodular opacities in the right upper lobe. This is associated with debris i... |
Generate impression based on findings. | Reason: Follow up scan for disseminated aspergillus History: none LUNGS AND PLEURA: Upper lobe cavitary nodule with an internal solid component, unchanged.A new small solid nodule in the left lower lobe adjacent to the major fissure (series 4/27).New small solid nodule in the right lower lobe (series 4,45).Small nodule... | 1. Several nodules are stable but some new small nodules have developed, compatible with fungal infection.2. Slightly decreased pleural effusions. |
Generate impression based on findings. | 84-year-old female with ataxia, rule out CVA There is a slightly hyperdense focus in the extra-axial space of the left frontal lobe measuring 0.8 x 0.5 cm (5/18) which is best seen on coronal images and was present on the prior MRI. There is no definitive acute intracranial hemorrhage or extra-axial fluid collection. T... | 1.Moderate periventricular and subcortical hypodensity is nonspecific but may represent small vessel ischemic disease, age indeterminate. Please note that CT is not sensitive for the early detection of nonhemorrhagic stroke and if there is strong clinical concern, a MRI may be obtained.2.Hyperdense focus in the extra-a... |
Generate impression based on findings. | Altered mental status Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcatio... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.there is redemonstration of a small lesion in the right centrum semiovale which is unchanged since prior exam which is suspected to represent an old focus of infarction |
Generate impression based on findings. | 84-year-old male with history of cystic mass in the head of pancreas. History of recurrent skin cancer. CHEST:LUNGS AND PLEURA: Status post right wedge resection. No significant change in mild soft tissue thickening and nodularity adjacent to suture material, likely representing scarring (series 13, image 33).Multiple ... | 1.Since 2011, development of stone in mid pancreatic duct with associated increase in upstream pancreatic duct dilation up to 11mm in diameter. The development of stone in this location is of unclear etiology, and may be due to underlying stricture although small neoplasm cannot be excluded. 2.Multiple hypoattenuating ... |
Generate impression based on findings. | Airway narrowing due to multinodular goiter. There is enlargement of the left thyroid lobe and isthmus, which collectively measures up to 5.4 AP x 4.7 RL x 7.7 cm. In addition, the left thyroid lobe is heterogenous, with a dominant nodule that measures up to 3.1 cm. The right thyroid lobe is mildly enlarged as well, al... | 1. Enlarged thyroid gland, particularly the left lobe and isthmus with multiple nodules, the largest of which measure up to 3.1 cm and mild associated tracheal narrowing and deviation. Thyroid ultrasound and FNA may be useful for further characterization of the thyroid nodules.2. A ground-glass opacity in the right lun... |
Generate impression based on findings. | Reason: metastatic renal cancer, s/p 2 cycles of VEGF inhibitor History: s/s associated with metastatic renal cancer LUNGS AND PLEURA: Widespread micronodules, the vast majority are calcified. These are more suggestive of healed granulomatous disease than metastases. The largest noncalcifed nodule is 5 mm in the medial... | 1. Widespread micronodules, the vast majority are calcified. These are more suggestive of healed granulomatous disease than metastases though continued follow up is recommended. 2. Roughly 1 cm groundglass subsolid nodule in the right upper lobe suggestive of an indolent adenocarcinoma (primary lung).3. Status-post lef... |
Generate impression based on findings. | 5-year-old male with history of T-cell lymphoma. End therapy evaluation. LUNGS AND PLEURA: No pulmonary nodule or mass is identified. No pleural effusion is seen. The central airways are clear.MEDIASTINUM AND HILA: Left central venous catheter tip in the distal SVC. Mild interval increase in size of anterior mediastina... | Increasing anterior mediastinal soft tissue, most consistent with thymic rebound/hyperplasia. Otherwise, no evidence of significant lymphadenopathy. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls, s/p CRT History: none CHEST:LUNGS AND PLEURA: Scattered micronodules predominantly within the subpleural regions and are unchanged. Reference nodule in in the right upper lobe measures 5 x 3 mm (image 51/108); previously measured 5 x 3 mm. Other micronodules are a... | Stable small pulmonary micronodules which are presumably postinflammatory. No definitive evidence of metastases. |
Generate impression based on findings. | 62-year-old male with fall and altered mental status Head:There is asymmetric enlargement of the extra-axial spaces on the left measuring up to 4 mm with CSF density fluid. No acute intracranial hemorrhage is evident. There are scattered periventricular hypodensities which are nonspecific but likely represent mild smal... | 1.No acute intracranial hemorrhage.2.Hypoattenuation in the right parietal and right occipital lobes likely represent age indeterminant infarcts. Hypodensity in the right basal ganglia represents either an old lacunar infarct or perivascular space. Mild age indeterminant small vessel ischemic disease. 3.Minimal asymmet... |
Generate impression based on findings. | 5 year-old male with T-cell lymphoma. End therapy evaluation. The orbits are unremarkable. The mastoid air cells are clear. A small pocket of air seen in the pre-medullary cistern on the prior exam is no longer seen.There are frothy materials in the maxillary and ethmoid sinuses. There is no mass or adenopathy in the n... | 1. Stable small lymph nodes in bilateral neck. No evidence of neck mass or lymphadenopathy.2. Evidence suggestive of acute sinusitis. |
Generate impression based on findings. | 75-year-old female with malignant neoplasm of the mouth, status post CRT, reevaluate Redemonstration of surgical changes from a left neck dissection with lymph node dissection. No evidence of residual or recurrent disease.No exophytic mass lesions or mucosal enhancement is present in the aerodigestive tract. Again seen... | Stable postoperative changes of a left neck dissection. No definite evidence of residual or recurrent tumor. No evidence of cervical lymphadenopathy. |
Generate impression based on findings. | 8 year-old female with hearing loss. CT RIGHT TEMPORAL BONEThe pinna is normal. The mastoid is well developed with clear air cells and intact trabeculae. The external auditory canal is normal. The middle ear cavity is aerated. The malleus, incus, and stapes are normal. The oval and round windows are normal. The inner e... | 1. Normal CT appearance of the otic capsule, labyrinthine windows, and internal auditory canals apart from somewhat patulous appearance of the bilateral internal auditory canals.2. No CT evidence for abnormality of the ossicles and middle ear cavity. |
Generate impression based on findings. | 32 male with history of metastatic adenoid cystic carcinoma. LUNGS AND PLEURA: Multiple bilateral pulmonary masses consistent with metastatic disease are mildly increased in size since the prior exam. For reference one right middle lobe nodule measures 1.9 x 1.4 cm and previously measured 1.6 x 1.2 cm (image 42, series... | Multiple pulmonary metastases, mildly increased in size from the prior exam. |
Generate impression based on findings. | Basal cell carcinoma. Neck: There are postoperative findings related to partial left anterior maxillectomy, left turbinectomy, and left orbital floor reconstruction. There is a lytic defect with associated soft tissue along the medial aspect of the left maxillary alveolus that measures 8 AP x 9 RL x 8 SI mm, which may ... | 1. Extensive postoperative findings related to left maxillectomy with a lytic defect with associated soft tissue along the medial aspect of the left maxillary alveolus that measures up to 9 mm, which may represent residual tumor, although it is not significantly changed. No evidence of intraorbital tumor involvement an... |
Generate impression based on findings. | Reason: restaging scans History: hx of head and neck cancer CHEST:LUNGS AND PLEURA: Scattered micronodules, many of which are calcified, are unchanged. No new pulmonary nodules.MEDIASTINUM AND HILA: Calcified left hilar lymph nodes. Aberrant right subclavian artery, normal variant.Nodule in right thyroid bed (image 8/1... | 1. Osseous metastases stable.2. See neck CT regarding measurements of tracheoesophageal groove mass in the neck.3. No new sites of disease. |
Generate impression based on findings. | Female 34 years old; Reason: Assess vasculature prior to listing for kidney transplant History: Diminished peripheral pulses ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is unremarkable for unenhanced technique.SPLEEN: No significant abnormality noted.PANCREAS: Small cystic area nea... | 1.Mild calcific arteriosclerotic disease of the aorta and branch vessels.2.Partially calcified and noncalcified soft tissue mass arises from the uterus, further evaluation with ultrasonography is recommended.3.Upper abdominal and pelvic ascites.4.Nonspecific cystic area either in or around the tail of the pancreas, fol... |
Generate impression based on findings. | Male 63 years old; Reason: Please evaluate degree of bowel obstruction and location of possible transition point in pt s/p cystectomy with neobladder History: Continued distention ABDOMEN:LUNG BASES: Coronary artery calcifications. Distal tip of the central venous catheter in the cavoatrial junction.LIVER, BILIARY TRAC... | 1. Stable small bowel obstruction at or near the anastomosis in the pelvis, right lower quadrant. No interval change noted.2. Post-op changes of cystoprostatectomy and neobladder formation. |
Generate impression based on findings. | Female 54 years old; Reason: history of breast cancer, pt receiving treatment - please eval for response/progression using measurements and compare with previous History: see above CHEST:LUNGS AND PLEURA: Moderately severe upper lobe emphysema.Reference left upper lobe pulmonary nodule measures 4-mm previously, 6 mm on... | 1.Decrease in the size of the left upper lobe pulmonary nodule.2.Stable size of the soft tissue in the right anterior chest wall with destruction of the sternum. |
Generate impression based on findings. | Male 57 years old; Reason: history small cell prostate cancer on chemotherapy; assess for response History: none CHEST:LUNGS AND PLEURA: The right lower lobe pulmonary nodule measures 0.6 x 0.5 cm (image 78/series 5) previously, 0.8 x 0.6 cm. The pleural effusions have resolved.Additional pulmonary lesions are now evid... | 1.Decrease in the size of the pulmonary, retroperitoneal and pelvic nodes.2.Multiple hepatic lesions highly suspicious for metastatic disease.3.Finding suspicious for metastatic disease to the superior endplate of the L2 vertebral body. Correlation with bone scan suggested. |
Generate impression based on findings. | Female 43 years old; Reason: 43 yr old patient with ovarian cancer s/p recent surgery of the liver and additional chemotherapy post. eval disease process compare to scan prior to surgery 8-12-13 History: none CHEST:LUNGS AND PLEURA: Stable micronodules identified bilaterally. For example, 4-mm right middle lobe nodule ... | 1. Increase in size of the right lobe liver lesion, although now measures near water density which may represent positive response.2. Interval reduction/near resolution of the caudate lobe hypodense lesion. |
Generate impression based on findings. | 54-year-old female with metastatic breast cancer experiencing retro-orbital pain Redemonstrated is stable mild orbital proptosis. The orbits are otherwise unremarkable. The mastoids are clear. Limited view of the intracranial structures is unremarkable. The maxilla, mandible, sphenoid boned, nasal bones, zygoma, hard p... | Redemonstrated is stable mild orbital proptosis. The orbits are otherwise unremarkable. Specifically, there are no CT findings to explain the patient's new retro-orbital pain. |
Generate impression based on findings. | Metastatic thyroid on treatment. Evaluate for disease progression. Head: There is no mass effect, edema, or abnormal enhancement to suggest intracranial metastases. The osseous structures are intact. The ventricles are stable in size and configuration. There is an unchanged partially opacified under-developed right mas... | 1.No significant interval change in the right tracheoesophageal groove recurrent tumor that measures up to 14 mm.2.No significant cervical lymphadenopathy. 3.No evidence of intracranial metastatic disease. |
Generate impression based on findings. | Male 59 years old; Reason: squamous cell esoph ca, s/p chemo and RT. pls c/w previous study and evaluate dz status. History: esoph ca CHEST:LUNGS AND PLEURA: Mild scarring along the right major fissure in the right upper lobe is unchanged.No suspicious pulmonary lesions.Pleural spaces are clear.MEDIASTINUM AND HILA: He... | 1.Near stable size measurements of the gastrohepatic lymph node. No definite new sites of disease. |
Generate impression based on findings. | Severe asthma, worsened by sinus infections. There is mild left ands mild to moderate left maxillary sinus mucosal thickening that extends into the infundibula. There is near complete opacification of the bilateral ethmoid sinuses, with relative sparring of the left posterior ethmoid sinus. There is near complete opaci... | Pansinus opacification in a sporadic pattern. |
Generate impression based on findings. | 75-year-old male with a history of malignant neoplasm of bladder. Assess for upper tract urothelial cancer and/or metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality not... | 1. Scarring in right kidney and large benign right renal cyst without other parenchymal right renal abnormality. 2. Striated appearance to left kidney with foci of poor perfusion enhancement -- this is nonspecific, but not associated with urothelial cancer. Most often this relates to pyelonephritis, vascular disease an... |
Generate impression based on findings. | T0N1 SCC of unknown primary completed CRT 52013. There are postsurgical findings related to bilateral selective neck dissection and tonsillectomy. There is no significant cervical lymphopathy by size criteria. No mass lesion is identified. There apparent closure of the laryngeal airway, which is likely physiologic in n... | No definite evidence of mass lesions or significant lymphadenopathy in the neck. |
Generate impression based on findings. | Male 30 years old; Reason: r/o adenopathy; possible testicular cancer History: none ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter too small to characterize low-attenuation focus within segment 7 of the right lobe of liver best seen in image 24, series 3; favor benign etiology. ... | No evidence for acute or metastatic process. No other abnormalities seen. |
Generate impression based on findings. | Left-sided headache and facial pain with memory loss. There is focal area of white matter hypoattenuation extending from the left superior temporal gyrus through the supramarginal/angular gyri to the level of the inferior parietal lobule. There is subtle mass effect on the left ventricular trigone with no associated hy... | Focal hypoattenuation within the left posterior temporal and parietal lobes associated with subtle mass effect. This finding is nonspecific, though further investigation with contrast-enhanced MRI is recommended as this could potentially represent a neoplastic lesion. Less likely differential possibilities include incl... |
Generate impression based on findings. | 76-year-old secondary malignant neoplasm of other specified type melanoma of skin, examination of participant in clinical trial. IRB-10-666 re-evaluate disease status following discontinuation or drug due to intolerance CHEST:LUNGS AND PLEURA: Few micronodules are unchanged bilaterally. Referenced left lower lobe nodul... | No interval change in pulmonary micro-nodules.No evidence of mediastinal or retroperitoneal lymphadenopathy.Stable left adrenal nodule. |
Generate impression based on findings. | 61-year-old female with metastatic cholangiocarcinoma -- restaging CHEST:LUNGS AND PLEURA: No change in scattered left lower lobe micronodules (for example, series 8022, image 36). No evidence for lesions, worrisome for metastasis. No pleural abnormality seen.MEDIASTINUM AND HILA: No adenopathy or masses. No significan... | 1. No evidence of metastatic disease in the thorax. 2. Slight increase in size of index lesion in the liver with numerous other abnormal lesions most likely unchanged, but difficult to evaluate due to different contrast enhancement characteristics. 3. Increasing size of multiple peritoneal metastatic nodules. 4. Increa... |
Generate impression based on findings. | Unspecified disorder of conduct. There is no intracranial mass, hemorrhage, hydrocephalus or edema. The midline is intact. Orbits and bones are unremarkable. Mastoids are aerated. There is mucosal thickening or secretions within the left maxillary and right posterior ethmoid sinuses. | No intracranial abnormality demonstrated. |
Generate impression based on findings. | Reason: history of NSCLC, s/p LUL lobectomy, now with new LLL nodule to be evaluated for change in size History: previous cough with sputum now resolved LUNGS AND PLEURA: Reference mass in the left lower lobe is slightly decreased and is now cavitary. It measures 35 x 23 mm on image 65/100. It has a thick wall. There i... | Left lower lobe mass slightly smaller, though much of the change is size is likely attributable to the fact that the lesion is now cavitary; the wall of the mass is unchanged. It is not possible to differentiate between a lung abscess and malignancy in this instance as many of the imaging features can be seen in both. ... |
Generate impression based on findings. | Reason: History of metastatic breast cancer, evaluate for extent of disease History: History of metastatic breast cancer, evaluate for extent of disease CHEST:LUNGS AND PLEURA: Radiation reaction of the right apex.Increased size of a nodule posteriorly at the right apex (series 5/23) suspicious for a metastasis.Markedl... | Interval increase in pulmonary, pleural and abdominal metastases. |
Generate impression based on findings. | 53-year-old female, status post liver resection for HCC and 22 -- evaluate for recurrence. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Prior right hepatectomy and cholecystectomy with appearance unchanged from series of postoperative examinations. No evidence of recurrent liver mass is see... | 1. Status post right hepatectomy without evidence of recurrent or metastatic disease. 2. Removal of the prior noted gastric laparoscopic band. |
Generate impression based on findings. | 58 year-old male with pancreatic cancer. CHEST:LUNGS AND PLEURA: Stable left lower lobe nodule measuring 4 mm, previously measured 4 mm (series 4, image 79). Several other scattered nodules unchanged. No new suspicious nodules.MEDIASTINUM AND HILA: Subcentimeter hypodensity in left thyroid lobe unchanged. Stable promin... | 1.Complete occlusion of superior mesenteric vein, increased thrombus in main portal vein, as well as distal intrahepatic portal vein branches. 2.Infiltrative soft tissue around SMV and SMA origin, with extension along the root of mesentery and retroperitoneum, compatible with involvement by tumor and not significantly ... |
Generate impression based on findings. | primary HPT, s/p parathyroidectomy in 10/2012 with persistently elevated Calciums, persistent primary HPT. Thyroid cancer There are several nodules present in the soft tissues of the lower neck . Their locations and serial Hounsfield units on dynamic CT or listed below along with some density units of normal structures... | 1.There is an equivocal lesion located at the sternal notch eccentric to the right which is indeterminate for parathyroid adenoma due to artifact.2.Status post thyroidectomy. Some thyroid like tissue is present in the thyroid bed. |
Generate impression based on findings. | 84-year-old female with history of SIADH. Rule out malignancy. Image reconstructions are distorted due to patient positioning, severe kyphosis.CHEST:LUNGS AND PLEURA: Unchanged right upper lobe micronodule. No suspicious nodules identified.MEDIASTINUM AND HILA: Bilateral previously noted thyroid nodules.CHEST WALL: No ... | 1.Stable nonspecific left adrenal nodule.2.Rectal prolapse. |
Generate impression based on findings. | 58-year-old female with history of metastatic breast cancer, evaluate extent CHEST:LUNGS AND PLEURA: Persistent right lower lobe collapse secondary to obstruction of the proximal bronchus intermedius by perihilar soft tissue encroachment. Right paramediastinal postradiation bronchiectasis and fibrosis.Reference right m... | Widespread metastases grossly stable (see above for measurements). No new sites of disease. |
Generate impression based on findings. | Reason: metastatic breast CA to lung. evaluate for changes. History: none LUNGS AND PLEURA: Reference left upper lobe pulmonary nodule measures 10 x 7 mm on image 31/103, unchanged.Reference right lower lobe pulmonary nodule measures 8 x 6 mm on image 71/103, unchanged.Cluster of partially calcified nodules in perifiss... | Stable pulmonary nodules. No new sites of disease. |
Generate impression based on findings. | Right parotidectomy for metastatic melanoma with PET positive lung nodule and periauricular neck nodules concerning for metastatic disease, on a clinical trial with a response measured by PET. There are postoperative findings related to right parotidectomy with unchanged diffuse skin thickening at the operative site. T... | No evidence of locoregional tumor recurrence of significant lymphadenopathy. |
Generate impression based on findings. | Reason: T0N1 SCC of unknown primary completed CRT 52013. please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are unchanged. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Previously noted supraclavicular lymph node is not in the field of view. Pleas... | Stable CT with no evidence of metastatic disease. |
Generate impression based on findings. | 48 year-old female with left flank pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Stranding around tail of the pancreas suggestive of pancreatitis. No fluid collection identified.ADRENAL GLANDS: Nonspecifi... | Stranding around pancreatic tail most compatible with pancreatitis, of unclear etiology. No fluid collections. |
Generate impression based on findings. | 50 year-old male with constant lower abdominal pain for one year. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted in liver, gallbladder or biliary tract.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signifi... | No diagnostic abnormality seen in abdomen or pelvis. No findings seen to account for patient's symptomatology. |
Generate impression based on findings. | 41 years old male with history of nasopharynx cancer, status post CRT. 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. Very mild right lateral nasopharyngeal soft tissue prominence is a stable finding an... | 1.No evidence of recurrent disease or pathologic adenopathy in the neck.2.No intracranial metastatic disease. |
Generate impression based on findings. | 2-year-old male with history of pelvic sarcoma and left eye, please assess chemotherapy response. ABDOMEN:LUNG BASES: Minimal basilar dependent atelectasis. No pleural effusions. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADREN... | Overall significant interval decrease in size of pelvic mass consistent with history of sarcoma as discussed above. Involvement of the right obturator internus muscle has however increased. |
Generate impression based on findings. | Metastatic left breast cancer to lung on treatment, need re- evaluation and compare to prior CHEST:LUNGS AND PLEURA: Multiple sub pleural bilateral pulmonary nodules. Referenced left upper lobe pulmonary nodule measures 7 x 5 mm on image 21, 4, unchanged from prior study, when it measured 7 x 5 mm. A right lower lobe p... | 1. Stable pulmonary nodules and left axillary lymphadenopathy.2. Markedly distended stomach without evidence of any gastric outlet obstruction, this probably could be transient, at the time of ingestion of oral contrast. |
Generate impression based on findings. | 49-year-old female with abdominal distention for 6 months. CHEST:LUNGS AND PLEURA: Paraseptal and centrilobular mild emphysema. Mild basilar atelectasis/scarring. Nonspecific micronodule in right lower lobe measuring 3 mm, likely benign in nature (series 6, image 43).MEDIASTINUM AND HILA: No significant abnormality not... | Multiloculated hypoattenuating material present throughout the abdominal cavity and pelvis, suggestive of pseudomyxoma peritoneum likely due to ovarian malignancy such as mucinous cystadenoma/cystadenocarcinoma of the right ovary. |
Generate impression based on findings. | 76-year-old male with hematuria. History of prostate cancer. Status post XRT. Evaluate upper tracts and bladder for tumor, also evaluate for kidney stones. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Two ... | 1.8mm right inferior pole nonobstructing renal calculus.2.Two pancreatic head hypodensities likely represent IPMNs. |
Generate impression based on findings. | Reason: Pt with NPX Ca. s/p CRT; please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Scattered benign appearing micronodules, but no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality noted.ABDO... | No evidence of metastases. Cholelithiasis is present. |
Generate impression based on findings. | Reason: f/u aspergillosis, on posaconazole History: cough, lung abnormalities LUNGS AND PLEURA: Previously seen pulmonary nodules have decreased in size, and cavities have also diminished in size with decreased wall thickness.No new pulmonary or pleural abnormalities. MEDIASTINUM AND HILA: No mediastinal or hilar lymph... | Interval improvement in pulmonary nodules and cavities. |
Generate impression based on findings. | Reason: extensive stage small cell lung cancer with liver metastases s/p 6 cycles of chemotherapy, post-treatment scan History: none CHEST:LUNGS AND PLEURA: Right upper lobe mass measures 73 x 63 mm on image 20/128, grossly stable. On previous study a craniocaudal measurement was given; on current study this is 55 mm (... | 1.Grossly stable right lung mass.2.Minimal interval increase in size of right upper lobe nodule.3.Slight increase in mediastinal lymphadenopathy.4.Increase in size of liver metastases.5. Stable reference left renal lesion. |
Generate impression based on findings. | 55 year old female with question of tracheomalacia LUNGS AND PLEURA: Bilateral reticular interstitial opacities with architectural distortion and traction bronchiectasis consistent with sarcoidosis are unchanged.The upper airway was rapidly scanned during forced expiration and the AP diameter of the airway compared wit... | No evidence of tracheomalacia. Chronic findings of sarcoidosis are unchanged. |
Generate impression based on findings. | 25 year-old female, 36 weeks pregnant, shortness of breath PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Pleural effusions, greater on the left. Widespread consolidation and ground glass opacities on the left. Mild bronchial wall thickening.MEDIASTINUM AND HILA: T... | 1. Technically adequate exam without evidence of pulmonary embolus.2. Extensive left pulmonary opacities consistent with pneumonia. Pleural effusions, larger on the left, and mild associated pulmonary edema. |
Generate impression based on findings. | 23-year-old female with abdominal pain -- assess for small bowel abnormality. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Benign perfusion defect in anterior left lobe of liver -- no other significant parenchymal liver abnormality seen. Portal and hepatic venous structures appear normal.Pa... | No abnormality seen in the abdomen or pelvis. Specifically, no small bowel. Abnormality identified. |
Generate impression based on findings. | 92 year-old female with abdominal pain. ABDOMEN:LUNG BASES: Trace bilateral pleural effusions and basilar scarring/atelectasis. Severe coronary artery calcifications and calcification of mitral valve annulus.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Multiple granulomas compatible with prior granulom... | 1.Severe distention of rectum with large amount of fecal material and mild associated presacral fluid, most consistent with chronic impaction/stercoral colitis. 2.Severe degenerative changes affect the spine, including compression deformity of T10 vertebral body. |
Generate impression based on findings. | Reason: 71 y/o male with met prostate cancer, lung nodules History: met prostate cancer, lung nodules LUNGS AND PLEURA: Multiple bilateral pulmonary nodules measuring from a few millimeters up to 17 mm in diameter, new since the previous scan, highly suspicious for metastasis.A reference right lower lobe nodule measure... | Interval progression of pulmonary, mediastinal and skeletal metastases. |
Generate impression based on findings. | Acute myeloid leukemia in remission, s/p consolidation I chemotherapy per AML08, with persisting pancytopenia febrile despite improving neutropenia and broad spectrum antibiotics. The paranasal sinuses, nasal cavity, and mastoid air are clear. The facial soft tissues are unremarkable. The imaged intracranial structures... | No evidence of sinusitis. |
Generate impression based on findings. | Reason: lung nodule History: lung nodule LUNGS AND PLEURA: Persistent right upper lobe consolidation which completely obscures the known right upper lobe nodule. Stable small loculated pleural air collection/pneumothorax just posterior to the suture line (image 30/112).Severe emphysema, grossly stable, with wall thicke... | Persistent right upper lobe consolidation obscures the known right upper lobe nodule and is not significantly changed. |
Generate impression based on findings. | 46 year old female with history of breast cancer, evaluate for PE PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Bilateral pleural effusions with adjacent compressive atelectasis. Bronchial wall thickening. Mild apical predominant emphysema. Aspirated debris in cen... | 1. Technically adequate exam without evidence of pulmonary embolus.2. Bilateral pleural effusions and compressive atelectasis. Aspirated debris in central airways.3. Extensive postoperative changes of the chest wall. |
Generate impression based on findings. | 73 year old female with lung cancer CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema. Consolidation and atelectasis of the left upper lobe with peripheral cavity or loculated pleural air is unchanged. Small unchanged pleural effusion.Interval increase in size of multiple right pulmonary metastases. Reference lesi... | Interval increase in size of lung metastases. |
Generate impression based on findings. | Reason: Apical lesions? History: Left Horner's syndrome LUNGS AND PLEURA: Benign-appearing micronodules, at least one calcified.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdomina... | No significant abnormality. Specifically, there are no findings to correlate with the patient's Horner's syndrome. |
Generate impression based on findings. | 7 year-old female with history of acute myeloid leukemia. CHEST:LUNGS AND PLEURA: Scattered upper bilateral upper lobe nodules are again noted. No new focal lung opacities identified. No pleural effusion. Minimal basilar dependent atelectasis is present.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is i... | Focal short segment mural thickening of the descending colon, likely representing a focal colitis. |
Generate impression based on findings. | Unspecified cerebral artery occlusion with cerebral infarctionUnspecified disorders of arteries and arterioles. acute stroke, left side weak. eval for clot Neck CTA: There is opacification of the great vessels, carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic... | 1.No evidence for acute intracranial cerebrovascular occlusion2.no evidence for acute intracranial hemorrhage mass effect or edema3.High grade stenosis at the origin of the right subclavian artery.4.Status post endarterectomy bilaterally without evidence for carotid stenosis. The irregular surface of the right internal... |
Generate impression based on findings. | 54 year-old female with dizziness, evaluate Evaluation of the supratentorial and infratentorial brain is limited by extensive streak artifact.Head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No gross abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage ... | 1.Limited examination of the supratentorial and infratentorial brain secondary to artifact. Within these limitations, no gross acute intracranial abnormalities.2.No evidence of cervical spine fracture or malalignment.3.Heterogeneous left thyroid lobe goiter with calcifications. Ultrasound may be obtained for further ch... |
Generate impression based on findings. | Female 50 years old; Reason: 50 yr old patient with fallopian tube cancer s/p 6 cycles of IP chemo. eval for new baseline post treatment History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heterogeneous hypodensity in the left thyroid lobe is noted, incompletely characterized on... | 1.No evidence of metastatic disease detected. |
Generate impression based on findings. | 64-year-old female with cholangiocarcinoma -- restaging CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Again noted is mild dilatation of the mid descending thoracic aorta with an AP dimension of 4.6-cm (series 3, image 37). Right anterior chest wall Port-A-Cath tip catheter in the distal... | 1. Slight increase in soft tissue density and probable lymph node enlargement adjacent to biliary stents worrisome for increasing residual or metastatic tumor. 2. Increasing left hepatic lobe, biliary duct dilatation with no pneumobilia seen -- patency of the left stent is questioned. 3. No parenchymal liver lesions wo... |
Generate impression based on findings. | 48-year-old male with lung cancer. Status post 4 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Multiple bilateral small micronodules predominantly subpleural and peripheral, are not changed from prior studies. Stable postsurgical changes in right middle lobe. No new nodules or areas of consolidation seen. No pleural ... | 1. Stable appearance of small, subcentimeter pulmonary nodules. 2. Decreased size of right hepatic lobe index lesion. 3. Stable appearance to T6 vertebral body compression deformity and sclerotic lesion S1. |
Generate impression based on findings. | 56-year-old man with metastatic renal cell carcinoma, hematuria, and abdominal pain. Evaluate for progression. CHEST:LUNGS AND PLEURA: Stable pulmonary micronodules. No areas of airspace consolidation or parenchymal lung masses. New bilateral pleural effusions, right greater than left.MEDIASTINUM AND HILA: New adenopat... | 1. Bilateral renal cell carcinoma, which without increased in size has decreased its vascularity with tumor necrosis. 2. No change in size of large left adrenal mass. 3. No change in extent of left renal vein tumor thrombus, with no evidence of thrombus in the inferior vena cava. 4. No significant change in retroperito... |
Generate impression based on findings. | Male 39 years old; Reason: eval for kidney stone History: left flank 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.KIDN... | 1.No kidney stones, hydronephrosis or perinephric stranding as clinically questioned. |
Generate impression based on findings. | 86 old male with chest pain. Evaluate for dissection. The lack of appropriate contrast timing limits evaluation of the solid organs. The lack of oral contrast limits evaluation of the bowel. Given these limitations, the following observations were made:CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM... | 1.Findings suggest against aortic dissection, though limitations in technique compromise detection of a small dissection.2.Cholelithiasis.3.High-density focus in the area of the pancreatic head and adjacent descending duodenum may represent a common duct stone, duodenal diverticulum, or pancreatic calcification. No com... |
Generate impression based on findings. | Clinical question: Evaluate for mass. Signs and symptoms: Seizure. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There is mild ectopia of cerebellar tonsils.Unremarkable cerebral cortex, cortical sulci, ventr... | Minimally ectopic cerebellar tonsils and unremarkable head CT otherwise. |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms: Fall, hit head. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Minimal periventricular and subcortical nonspecific low-attenuation white matter is noted. Although nonspecific findings are... | 1.No acute posttraumatic findings.2.Nonspecific periventricular and subcortical low attenuation white matter as detailed above. |
Generate impression based on findings. | 56-year-old female with tachycardia, fallopian tube cancer, status post lysis of adhesions, rule out PE PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Underinflated lungs. New moderate right pleural effusion with associated compressive atelectasis. Small left pleu... | 1. No pulmonary embolus.2. New pleural effusions, larger on the right, with associated lower lobe atelectasis.3. Diffuse hepatic enlargement and hypoattenuation with focal hypoattenuation in the posterior right hepatic lobe, which could represent liquefaction or necrosis. Recommend further clinical correlation and dedi... |
Generate impression based on findings. | 38-year-old male with left costovertebral angle tenderness, recurrent UTIs and history of kidney stones. Evaluate for renal stones. ABDOMEN: Within the limits of a non-IV contrast enhanced examination which limits evaluation of solid parenchymal organs and vasculature are as, the following observations can be made:LUNG... | 1. Two punctate left renal calculus without obstruction. 2. Large intra-abdominal wall ventral hernia without complication. |
Generate impression based on findings. | Male 70 years old; Reason: hx small cell cancer of bladder, sp neoadj chemo and resction History: small cell bladder Lack of intravenous and enteric contrast limits evaluation of the solid organs and bowels. Given these limitations, the following findings were made:CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonar... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 43 year-old female with abdominal pain. Rule out diverticulitis. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The gallbladder is surgically absent with cholecystectomy clips in the gallbladder fossa. Stable small right hepatic lobe simple cyst.SPLEEN: No significant abnormality noted.PANC... | 1.Nonspecific infiltrative changes adjacent to a short segment of distal descending colon. While findings cannot be differentiated from old scarring, a mild or early acute inflammatory component of diverticulitis or colitis is favored.2.7.9-cm cystic lesion of the right adnexa. Follow up with pelvic ultrasound would be... |
Generate impression based on findings. | 72-year-old female with shortness of breath, chest pain, history of ILD PULMONARY ARTERIES: Large filling defect in the proximal left descending pulmonary artery propagating distally, organizing against the vessel wall. Additional eccentric filling defect in the right lower lobe pulmonary artery.LUNGS AND PLEURA: Bilat... | 1. Bilateral lobar pulmonary emboli, likely chronic, with PA hypertension.2. Unchanged fibrotic interstitial lung disease may represent fibrosing NSIP or possible UIP pattern.3. Multifocal sclerotic osseous lesions suggestive of metastatic disease. |
Generate impression based on findings. | 35 year old female with right supraclavicular and chest wall swelling. SVC protocol. LUNGS AND PLEURA: Trace bibasilar dependent atelectasis. Small right pleural effusion. MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effusion. There is a mildly enlarged right paratracheal lymph node measuring 9 mm (imag... | 1.Right neck and right axillary soft tissue stranding, with mildly enlarged lymph nodes, of unclear etiology, but could be secondary to soft tissue infection.2.Focal soft tissue opacity in the superior chest, which could represent fluid collection or mass. 3.No evidence of significant venous obstruction. 4.Small right ... |
Generate impression based on findings. | Male, 29 years old, brain tumor, intraoperative evaluation. Imaging was obtained portably in the operating room at various time points before and during tumor resection.Images obtained preoperatively redemonstrate a hypodense lesion situated in the left insula/basal ganglia region. There is moderate regional mass effec... | Preoperative and intraoperative imaging demonstrates expected surgical change during resection of the patient's left insular/basal ganglia tumor. |
Generate impression based on findings. | 61-year-old female with acute lymphoid leukemia. Evidence of ileus/obstruction on abdominal x-ray. Copious diarrhea. ABDOMEN: The limits of a non-IV contrast-enhanced examination which limits evaluation of solid organ parenchyma and vascular structures, following observations can be made:LUNG BASES: No significant abno... | 1. No evidence of significant intestinal ileus or obstruction with fluid-filled colon consistent with diarrhea, but without other diagnostic findings. 2. Ascites. 3. Gallstones without evidence complication. |
Generate impression based on findings. | 51 year old with dry cough, evaluate for fungal pneumonia. LUNGS AND PLEURA: Patchy airspace opacities in the right upper lobe and superior segment of the right lower lobe compatible with infection. Moderate bronchiectasis in both lung bases. Small focal opacities in the left lower lobe, compatible with infection. MEDI... | 1.Patchy airspace opacities in the right upper, superior segment of right lower and left lower lobes compatible with acute infection. 2.Moderate bronchiectasis in both lower lobes suggestive of chronic aspiration or infection. |
Generate impression based on findings. | 12-year-old female with chronic myelogenous leukemia in lymphoblastic crisis. Pre-transplant evaluation. CHEST:LUNGS AND PLEURA: Small groundglass airspace opacity of the posterior segment of the left upper lobe as well as subsegmental atelectasis of the superior and posterior segment of the left lower lobe. No effusio... | Minimal multifocal patchy airspace opacities of the left upper lobe as described, most likely dependent atelectasis in nature rather than infectious. |
Generate impression based on findings. | 73-year-old male with COPD, dyspnea, sepsis, right upper lobe opacity Exam limited due to motion artifact.LUNGS AND PLEURA: Severe diffuse centrilobular emphysema. Right upper lobe consolidation. No pleural effusions. Calcified subpleural nodule in the anterior right lower lobe.MEDIASTINUM AND HILA: No lymphadenopathy.... | Severe emphysema with right upper lobe consolidation consistent with pneumonia. |
Generate impression based on findings. | Female 40 years old; Reason: 40 y/o f with peripheral eosinophilia and diffuse rashes, RUQ u/s with multiple hepatic and splenic lesions of mixed echogenicity and increased vascularity, please eval for occult malignancy. History: see above CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified nodules in the lung... | 1.Nonspecific hypoattenuating lesions in the liver and spleen with adenopathy. Findings are nonspecific, however are suspicious for infection/abscess given patient's increased eosinophilia. Although less likely, metastatic disease cannot entirely be ruled out.2.Pulmonary nodules measuring up to 7mm, follow up suggested... |
Generate impression based on findings. | Male, 29 years old, headache status post surgery. Post surgical change is demonstrated status post left frontoparietotemporal craniotomy. Scalp swelling, pneumocephalus and a small amount of fluid along the craniotomy are within expected postsurgical limits.The patient is status post resection of a previously demonstra... | Expected postoperative findings status post tumor resection. Quantity of blood product within the left insular/basal ganglia resection bed is within expected limits. There is generalized mass effect in the form of left cerebral sulcal effacement and a midline shift to the right. |
Generate impression based on findings. | 63 year-old female with abdominal pain, fever, leukocytosis, 4 days after colonoscopy. Rule out appendicitis or free air. ABDOMEN:LUNGS BASES: Two hypoattenuating lesions in the liver in segments 2 and 8 (images 28 and 36, series #3) demonstrate nodular peripheral enhancement, are stable and size and appearance, and li... | Colitis of the ascending colon without evidence of complication. |
Generate impression based on findings. | Vascular syncope, seizure. Stroke versus brain tumor versus hematoma. Changes demonstrated on the prior exam are now chronic including the region of temporoparietal encephalomalacia associated with ex vacuo dilatation of the right lateral ventricle. The temporal horn and trigone have increased in size on the basis of e... | Changes described previously are now chronic which including right temporoparietal encephalomalacia and volume loss resulting in increased size of the right lateral ventricle. CT is relatively insensitive for the detection of acute ischemia and if there is concern, MRI could be considered. |
Generate impression based on findings. | 53 year-old male with palate cancer and status post palate resection. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for mild maxillary sinus mucosal thickening. Limited view of the intracranial structure is unremarkable. Redemonstration of postsurgical changes of a partial re... | 1.Postsurgical changes of the right hard palate and alveolar ridge with no evidence of recurrence. 2.Stable cervical lymph nodes with no new or enlarging lymph nodes. 3.Please see separate dictation for CT Chest also performed on the same day. |
Generate impression based on findings. | Male 62 years old; Reason: 62 yo M admitted with STEMI s/p PCI now with severe back pain, eval for retroperitoneal bleed History: pain ABDOMEN:LUNGS BASES: Moderate cardiomegaly with atheromatous calcifications of the aorta and vessels. Vascular congestion in the lung bases with atelectasis.LIVER, BILIARY TRACT: No sig... | 1.No evidence of hematoma detected.2.Extensive inflammatory change in the retroperitoneum extending from the root of the mesentery to the pelvis of unclear etiology. A differential considerations include pancreatitis versus sclerosing mesenteritis. |
Generate impression based on findings. | Altered mental status. Check EVD and assess bleed. The EVD is in stable position, traversing the right frontal lobe with its tip resting in stable position in the third ventricle. Residual intraventricular hemorrhage is demonstrated in a stable configuration from the most recent exam on 12/8/2013. This primarily involv... | There has been no change in ventricular size or in the amount of intraventricular blood products since the exam 12/8/2013 with slight interval decrease in ventricular size since 12/6/2013. Minimal interval redistribution of blood products within the parieto-occipital fissure which likely extend from the adjacent aspect... |
Generate impression based on findings. | Metastatic melanoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Mildly enlarged mediastinal lymph nodes. A representative precarinal lymph node best seen on image 35 of series 3 measures 1.5 x 1.1 cm.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No signifi... | Right femoral, external iliac, and common iliac metastatic adenopathy. Indeterminate mildly enlarged mediastinal lymph nodes. |
Generate impression based on findings. | Female, 12 years old, history of CML in lymphoid blast crisis, pretransplant evaluation. The frontal sinuses and frontoethmoidal recesses are clear. There may be a small osteoma at the level of the right frontoethmoidal recess. The sphenoid sinuses are clear. The sphenoethmoidal recesses are somewhat obscured by minima... | Findings to suggest active sinus inflammatory disease at least in the right maxillary sinus. |
Generate impression based on findings. | 67-year-old male with lung cancer status post two cycles of chemotherapy CHEST:LUNGS AND PLEURA: Interval decrease in size of right perihilar mass encasing the right lower and middle lobe pulmonary arteries and obliterating the right pulmonary veins, now measuring 7.6 x 4.6 cm and previously measuring 9.5 x 7.8 cm (ima... | 1. Interval decrease in size of right perihilar mass encasing the pulmonary arteries and veins with improved postobstructive atelectasis and consolidation. 2. Sclerotic lesion in the right ilium seen on prior PET/CT consistent with metastasis. |
Generate impression based on findings. | 47 year old female with shortness of breath, compare progression of diagnosis and infiltrate. Additional history of COPD. LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema. There is a focal nodular opacity in the left upper lobe, measuring 16 x 7 mm (image 59, series 5), not seen on previous exam. No pleu... | 1.New upper lobe nodular opacity measuring 16 x 7 mm. PET CT may be helpful for further evaluation vs. short term follow-up in 3-6 months.2.Severe centrilobular and paraseptal emphysema. |
Generate impression based on findings. | Metastatic prostate carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: New sclerotic bony metastasesABDOMEN:LIVER, BILIARY TRACT: Dramatic interval appearance of innumerable low attenuation bilobar lesions consistent with extensive metasta... | Interval appearance of innumerable bilobar metastatic hepatic foci. New sclerotic bony metastases |
Generate impression based on findings. | 62 year old male with valvular heart disease, restrictive lung disease with hypoxemia after orthopedic surgery. LUNGS AND PLEURA: There is bibasilar subsegmental atelectasis. No pleural effusion.MEDIASTINUM AND HILA: Cardiomegaly, unchanged from prior exam. Small amount of pericardial fluid. Calcification of the aortic... | 1.Bibasilar subsegmental atelectasis.2.PA hypertension. |
Generate impression based on findings. | 17-year-old male with paralytic strabismus and partial encephali with a -- looking for malignancy and/or lymph nodes. CNS demyelination suggestive for paraneoplastic process. CHEST:LUNGS AND PLEURA: Right bronchiectasis, bronchial thickening and tree in, but opacities most compatible with recurrent infection/aspiration... | 1. Right lower lobe pulmonary changes, most consistent with prior infection/aspiration. No evidence of thoracic malignancy seen. 2. Trace amount of free mesenteric fluid seen of uncertain significance. No evidence of other significant abdominal abnormality. |
Generate impression based on findings. | 46-year-old male with malignant penile cancer. Restaging. Also, a possible abscess in right groin with right groin discharge, pain, and erythema. CHEST:LUNGS AND PLEURA: New right lower lobe airspace consolidation with air bronchograms with some tree in bud pattern most consistent with infection/aspiration. The left lu... | 1. Increasing size of right internal obturator. Reference lymph node mass with necrosis. 2. Large bilateral inguinal soft tissue masses with necrosis and a -- infection. There cannot be excluded. 3. Bilateral inguinal hernias, unchanged, the right hernia contains the right ureter. 4. Right lower lobe lung air space con... |
Generate impression based on findings. | Metastatic prostate cancer status post 12 cycles of investigational therapy CHEST:LUNGS AND PLEURA: Scattered micronodules, similar to prior. No new suspicious nodules or masses. Unchanged bibasilar scarring.MEDIASTINUM AND HILA: Index right hilar lymph node measures 2.4 x 1.7 cm (series 3, image 76), previously 2.5 x ... | 1. Mild interval increase in size of the abdominopelvic lymphadenopathy.2. Minimal change in the thoracic lymph nodes. |
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