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Generate impression based on findings. | 54 year old female with lung cancer and new pleural fluid, evaluate prior to starting Tarceva CHEST:LUNGS AND PLEURA: Diffuse nodular pleural thickening on the left with scattered pulmonary and pleural nodules/masses. Interval decrease in left pleural effusion. For reference a left subpleural nodule along the mediastin... | 1. Extensive left pleural and pulmonary disease with associated lymphadenopathy and reference measurements as above. 2. Decreased left pleural effusion. |
Generate impression based on findings. | Colorectal carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedA... | Stable examination without evidence for metastatic focus. No change in moderately severe left hydronephrosis and hydroureter. |
Generate impression based on findings. | Clinical question: Rule out infarct. Signs and symptoms: AMS. Unenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Stable mildly prominent third ventricle and normal size of the lateral ventricles.Right frontal poren... | 1. No evidence of acute new finding since prior exam CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.2.Stable mildly dilated supratentorial ventricular system, large right frontal porencephalic cavity and multiple ventricle catheters as detailed.3.Interval worsening of opacificati... |
Generate impression based on findings. | 68-year-old male with abdominal pain. Evaluate for SBO. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Mild diffuse gallbladder wall thickening. There is a large gallstone in the gallbladder with air identified in the gallbladder lumen. The second portion of the duodenum descends in close p... | Small bowel obstruction with ectopic gallstone in the distal ileum, consistent with gallstone ileus with presumed fistulization between the inflamed gallbladder and descending duodenum. |
Generate impression based on findings. | 76-year-old female with lung cancer, status post resection as well as resection of second primary. CHEST:LUNGS AND PLEURA: Postoperative changes of right upper lobectomy and lower lobe wedge resection. Unchanged 7-mm left lower lobe ground glass nodule most compatible with AAH or adenocarcinoma in situ. No nodules or m... | 1. Postoperative changes without evidence of recurrent or metastatic disease. 2. Unchanged left lower lobe ground glass nodule. |
Generate impression based on findings. | Reason: now over a year status post palate resection followed by. Please re-eval History: as above CHEST:LUNGS AND PLEURA: Moderate bronchial compatible with bronchitis and mild dependent atelectasis.Azygos lobe incidentally noted.No suspicious nodules.MEDIASTINUM AND HILA: No lymphadenopathy.CHEST WALL: No significant... | No evidence of metastases. |
Generate impression based on findings. | Reason: asymptomatic lung nodule History: serial CT's to eval LUNGS AND PLEURA: 8mm solid left upper lobe nodule unchanged since 1/23/2013 and probably unchanged since an earlier low resolution outside scan of 10/24/2012.Right upper lobe 4 mm solid nodule also unchanged.No new nodules.MEDIASTINUM AND HILA: Calcified le... | Bilateral small solid nodules unchanged for at least one year, which makes malignancy extremely unlikely. No further follow-up is strictly necessary, but an additional low dose scan could be obtained in 12 months time for additional reassurance. |
Generate impression based on findings. | 54-year-old male with shortness of breath, evaluate for fungal infection CHEST:LUNGS AND PLEURA: Multiple peripheral, subpleural nodules have decreased in size, compatible with resolving necrotizing infection. Right lower lobe round opacity may represent round atelectasis or organizing pneumonia. Interval decrease in l... | 1. Interval decrease in bilateral peripheral nodular opacities, compatible with resolving necrotizing infection. Right lower lobe round opacity may represent rounded atelectasis or organizing pneumonia. Decreased pleural effusions and left lower lobe consolidation.2. Small foci of free intraperitoneal air, correlate fo... |
Generate impression based on findings. | Uterine sarcoma. Abdominal pain and bloating. Evaluate for obstruction or infection. ABDOMEN:LUNG BASES: Moderate left and small right pleural effusions with compressive atelectasis of the lower lobes, slightly increased on the right and slightly decreased on the left compared to 12/2/13. Unchanged 0.8 x 0.6 cm right m... | Marked increase in metastatic disease, particularly in the upper abdomen and left renal bed. |
Generate impression based on findings. | 73-year-old male with history of head and neck cancer status post chemotherapy and radiation. Evaluate for interval change. HEAD:The ventricles, sulci, and cisterns are symmetric and prominent, consistent with parenchymal volume loss. The gray-white matter differentiation is normal. There is no mass effect, midline shi... | 1. Stable post treatment findings without evidence of recurrence or metastatic disease.2. No evidence of brain metastases. |
Generate impression based on findings. | Clinical question: Infarction. Signs and symptoms: Left hemipelvis and magnetic status post right CEA. Nonenhanced head CT:Examination demonstrates a new large focus of low-attenuation involving the cortex and subcortical white matter of right posterior temporal, occipital and posterior frontal -- parietal region consi... | Acute nonhemorrhagic right hemispheric stroke involving the right posterior temporal, occipital, parietal and frontal lobes with resultant effacement of cortical sulci, subtle mass effect on the right lateral ventricle and trace midline shift to the left. |
Generate impression based on findings. | 43 year-old female with history of right parotid cancer and status post CRT. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal cont... | 1. Stable posttreatment changes with no evidence of tumor recurrence in the neck.2. No evidence of intracranial metastasis. |
Generate impression based on findings. | 46 year old female with history of neck cancer. Please reevaluate. CHEST:LUNGS AND PLEURA: Postsurgical scarring in the left lower lobe are again noted. Nodular thickening along the suture is unchanged in appearance. Biapical scarring is again noted.MEDIASTINUM AND HILA: Cardiac size is normal without pericardial effus... | 1.Postsurgical scarring in the left lower lobe with stable nodular opacities.2.No evidence of metastatic disease in the chest or abdomen. |
Generate impression based on findings. | History of bladder cancer. Evaluate for metastatic disease ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Stable left adrenal adenomas.KIDNEYS, URETERS: No signifi... | No evidence of metastatic or recurrent disease. No significant change from previous study. |
Generate impression based on findings. | Reason: h/o head and neck cancer History: cough and mucous production. CHEST:LUNGS AND PLEURA: Mild apical fibrosis.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Tracheostomy tube.No mediastinal or hilar lymphadenopathy.Severe coronary calcifications are present.CHEST WALL: Degenerative abnormali... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | History bladder cancer. ABDOMEN:LUNG BASES: Subcentimeter left lower lobe nodule is unchanged.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Small left para-aortic l... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 55-year-old male, history of renal cell carcinoma. Restaging scan per IRB 13-0696. Please evaluate per RECIST 1.1 LUNGS AND PLEURA: Right upper lobe pulmonary nodule measures 5 mm (image 24, series 6), previously 4 mm. Additional scattered pulmonary micronodules measuring less than 4 mm are unchanged.MEDIASTINUM AND HI... | Slightly increased size of right upper lobe pulmonary nodule. Additional scattered pulmonary micronodules are unchanged. |
Generate impression based on findings. | 55-year-old male with history of bladder cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Left lower pole re... | Left renal stones and pelvic lymph nodes are stable. |
Generate impression based on findings. | Reason: h/o larynx and thyroid cancer History: eval for lung mets LUNGS AND PLEURA: Emphysema and scarring in the middle lobe and lingula unchanged.No sign of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Moderate coronary calcifications are present.CHEST WALL: Degenerati... | No sign of metastases, or other significant abnormality. No change. |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant change in bilobar metastatic lesions. Reference segment IVb lesion best seen on image 102 of series 3 mea... | Stable examination |
Generate impression based on findings. | 12 year-old male with purulent nasal drainage and refractory asthma. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is minimal mucosal thickening in the posterior ethmoids. There is small amount of bubbly fluids in the left sphenoid sinus. The fron... | 1. Small amount of bubbly fluids in the left sphenoid sinus is suggestive of acute sinusitis.2. Minimal mucosal thickening in the posterior ethmoids. |
Generate impression based on findings. | Bladder cancer, evaluate for metastatic disease ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Simple appearing right renal cyst.R... | Interval cystectomy. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 29-year-old male with right-sided renal colic and hematuria. Rule out nephrolithiasis. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormali... | 4 mm right mid ureteral stone with minimal pelvo-calyceal prominence. |
Generate impression based on findings. | 83-year-old male status post status post retroperitoneal mass resection with rectal injury and repair on 12/04/13, then developed abscess in the pelvis concerning for leak from rectal repair. Placed drain in the pelvic collection on 12/9/2013. PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: ... | 1.No evidence of fistulous tract or contrast extravasation after rectal contrast administration. If there is a high clinical suspicion for rectal leak a dedicated fluoroscopic exam can be performed by GI radiology.2.Interval drain placement in the pelvic collection.3.Findings discussed with Dr. Posner at the time of th... |
Generate impression based on findings. | Reason: following cyst in right middle lobe and nodule in right lung History: none LUNGS AND PLEURA: Cyst in the right middle lobe with mild thickening of the cyst wall, unchanged.Almost complete resolution of a small left pleural effusion with residual pleural thickening and a minimal amount of loculated or organizing... | 1. Stable right middle lobe cyst with mild thickening of the wall, most likely benign. If the patient is at high risk, annual low dose CT follow-up may be considered.2. Interval decrease in left effusion with residual scarring and atelectasis.. |
Generate impression based on findings. | Reason: Hx H\T\N ca, s/p CRT, evaluate dx and compare to previous measurements History: as above CHEST:LUNGS AND PLEURA: Scattered benign appearing micronodules are present, but there is no sign of pulmonary pleural metastases.MEDIASTINUM AND HILA: Median sternotomy for ascending aorta and valve repair since the prior ... | 1. No sign of metastases or other significant abnormality.2. Ascending aorta and valve repair since the prior study. |
Generate impression based on findings. | 83-year-old male with history of prostate cancer CHEST:LUNGS AND PLEURA: Biapical scarring, unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signi... | Extensive bone metastases without any significant change from previous study. |
Generate impression based on findings. | History of renal cell cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormalit... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 47-year-old female status post op total proctocolectomy and colostomy on 11/25. Evaluate for obstruction. ABDOMEN:LUNG BASES: Minimal left-sided pleural thickening.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Numerous small hypodense lesions in the spleen of uncertain etiology and significance. Largest... | No evidence of bowel obstruction. Postsurgical changes in the pelvis. Small collection in the pelvis anterior to the surgical drain.Indeterminant small hypodense lesions in the spleen. |
Generate impression based on findings. | Reason: New masses? History: medullary thyroid cancer LUNGS AND PLEURA: Multiple calcified micronodules, unchanged, compatible with previous infection.No suspicious nodules.MEDIASTINUM AND HILA: Status post thyroidectomy.No significant lymphadenopathy.Mild coronary artery calcification.CHEST WALL: Stable sclerotic focu... | Multiple incidental findings as described, but no evidence of metastatic disease. |
Generate impression based on findings. | Metastatic pancreatic neuroendocrine tumor CHEST:LUNGS AND PLEURA: New, patchy air space opacities in the left lower lobe may represent atelectasis versus resolving pneumonia.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Numerous hypode... | New, patchy air space opacity in the left lower lobe of the lung. This may represent focal atelectasis versus resolving pneumonia. No other significant change from previous study. |
Generate impression based on findings. | Hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH N... | Enlarged prostate gland. No evidence of renal stones, focal, kidney or ureteral lesions to explain patient's hematuria. |
Generate impression based on findings. | Study prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Thoracic spinal metastases are unchanged.ABDOMEN:LIVER, BILIARY TRACT: Hypodense lesions in the liver are unchanged.SPLEEN: High density lesion in the kidney on the right side ... | Extensive bone metastases, unchanged. No significant change from previous study. |
Generate impression based on findings. | History of bladder cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Persistent significant left hydronephros... | Left hydronephrosis, unchanged. No significant change from previous study. |
Generate impression based on findings. | 64-year-old male with history of chest CHEST:LUNGS AND PLEURA: 6-mm nodule in the lingula on image number 50, series number 8, not significantly changed from previous study. Left lower lobe atelectasis and pleural thickening, unchanged. Small left pleural effusion, unchanged.MEDIASTINUM AND HILA: Small mediastinal lymp... | Stable exam. |
Generate impression based on findings. | 64-year-old female with neuroendocrine tumor of small bowel. Status post resection. Follow-up examination. CHEST:LUNGS AND PLEURA: Unchanged. Right lung micronodules, one of which is densely calcified. No new nodules. No air space consolidation or air space disease seen. No pleural disease.MEDIASTINUM AND HILA: No sign... | 1. Stable micronodules and chest without other thoracic abnormality seen. 2. Stable referenced mesenteric lymph node. No changes since prior examination. |
Generate impression based on findings. | Alcoholic hepatitis with amenia despite transfusions ABDOMEN:LUNG BASES: Small bilateral pleural effusions and bibasilar atelectasisLIVER, BILIARY TRACT: Regions of geographic low attenuation throughout the liver. The noncontrast nature of this examination precludes the ability to detect a true discrete mass lesion. Ch... | No evidence for acute hematoma or bleed.Bilobar multifocal geographic regions of low attenuation involving the liver consistent with fatty infiltration. However, the noncontrast nature of the study precludes the ability to identify a discrete hepatic mass lesion amongst the background of fatty infiltration. Mild ascite... |
Generate impression based on findings. | 67-year-old male with renal cell lymphoma now status post 6 cycles of chemotherapy and need of restaging. CHEST:LUNGS AND PLEURA: No significant abnormality noted in the lung parenchyma without nodules, masses or airspace disease. No pleural abnormality seen.MEDIASTINUM AND HILA: No adenopathy or mass is seen.CHEST WAL... | 1. Minimal change slightly increased right retroperitoneal mass invading right kidney. 2. Mesenteric infiltrative changes and lymph nodes minimally changed since 10/9/13 but significantly increased when compared with 8/27/13. 3. Minimal change mixed lucent/sclerotic lesion T6 vertebral body. |
Generate impression based on findings. | Male, 32 years old, status post fall. No definite abnormalities of parenchymal attenuation or morphology are detected. At most, there may be some minimal periventricular hypodensity which is nonspecific. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or ... | No acute intracranial abnormalities. |
Generate impression based on findings. | Clinical question: Electrode placement. Signs and symptoms: Electrode placement. Unenhanced head CT:Examination performed with a surgical assist device in place.Examination redemonstrates a focus of encephalomalacia in the right anterior temporal lobe and evidence of a prior surgical small partial right anterior anteri... | 1.Focus of right anterior temporal encephalomalacia/gliosis and postoperative changes remain stable since prior MRI exam.2.Generalized prominence of cortical sulci and cerebellar -- vermian folia similar to prior study. |
Generate impression based on findings. | Clinical question: Rule out chronic sinusitis. Signs and symptoms: History of asthma with with multiple ED visits, concern for other etiologies.. Unenhanced maxillofacial CT:All paranasal sinuses are well pneumatized. There is minute mucosal thickening of the dependent portion of right maxillary sinus and along the sup... | Negative CT of paranasal sinuses. |
Generate impression based on findings. | Clinical question: Rule out CVA, TIA. Signs and symptoms: left-sided facial droop. Nonenhanced head CT:No evidence of acute intracranial process, CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There is interval complete resolution of previously noted acute hematoma in the left ce... | 1.No evidence of acute intracranial process, CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.2.Moderate to advanced age indeterminate small muscle ischemic strokes as detailed above.3.Revisualization of extensive left maxillary sinusitis with bony sclerotic/thickening changes. Int... |
Generate impression based on findings. | Status post craniofacial reconstruction following infected cranioplasty after basal cell resection. Evaluate bony reconstruction. Stable findings related to extensive cranioplasty surgery including biparietal craniotomy defect and graft placement over the frontal area. The bifrontal grafted bone is in a roughly similar... | 1.Stable findings related to extensive cranioplasty, left orbital exenteration and left sinus surgery. Note is made of nonspecific soft tissue density within the widened left pterygopalatine fossa which is not changed since the prior examination. This may be postoperative in etiology.2.Some interval healing of the left... |
Generate impression based on findings. | 65-year-old female with history of sarcoid, pulmonary nodules, evaluate interval change LUNGS AND PLEURA: Multiple bilateral perihilar and upper lobe predominant pulmonary nodules have increased in size and number, some becoming confluent. Interval decrease in lung volumes. Reference right upper lobe spiculated nodule ... | Progression of perihilar and upper lobe predominant nodular air space disease consistent with sarcoidosis. Interval decrease in mediastinal and hilar lymphadenopathy. |
Generate impression based on findings. | 57-year-old male with metastatic hemangioendothelioma, evaluate for extent of disease. CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules, many of which are calcified are not significantly changed in size. No new pulmonary nodules are identified.Reference anterior right upper lobe nodule measures 6 x 6 mm (im... | 1.Stable size and number of pulmonary metastases, many of which are calcified.2.Stable size of non-specific ill-defined hypoattenuating focus in the right inferior liver which remains suspicious for metastasis.3.Stable appearance of sclerotic foci throughout the ribs. |
Generate impression based on findings. | Status post resection of dermatofibrosarcoma. Asymptomatic. CHEST:LUNGS AND PLEURA: Few non-specific scattered micronodules, similar to 9/18/12. Mild apical predominant centrilobular emphysema.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal sized heart without pericardial effusion. Moderate athero... | 1. No specific evidence of metastatic disease in the chest, abdomen, or pelvis.2. Cholelithiasis. |
Generate impression based on findings. | 65-year-old female with history of sarcoidosis The partially visualized brain is grossly unremarkable.The mastoid air cells are clear. There is mild mucosal thickening of the bilateral maxillary sinuses appearing similar to the prior exam. The orbital contents are unremarkable. There is redemonstration of medialization... | 1.No CT findings of sarcoidosis in the neck.2.Mildly enlarged thyroid without focal lesions evident.3.For findings in the thorax, please see dedicated chest CT performed on the same day. |
Generate impression based on findings. | Female 43 years old; Reason: Rectal cancer evaluate for progression History: Rectal cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: A right-sided central venous catheter of the chest port terminates in the right atrium.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BI... | 1.Moderate right and mild left residual hydronephrosis.2.Near resolved anterior abdominal wall fluid collections with scarring.3.Postsurgical changes are redemonstrated.4.No evidence of recurrence or adenopathy. |
Generate impression based on findings. | 61 year-old male with pleomorphic adenoma of the palate. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for minimal left maxillary sinus mucosal thickening. Limited view of the intracranial structure is unremarkable. Empty sella. The previously seen mass lesion underneath the ... | Interval resection of a left hard palate mass. Small amount of soft tissue in the surgical bed, which is nonspecific and could represent granulation tissue. Residual or recurrent tumor cannot be ruled out entirely. Continued follow-up is recommended. No cervical lymphadenopathy. |
Generate impression based on findings. | 35-year-old female with breast cancer -- response to therapy. CHEST:LUNGS AND PLEURA: No significant abnormality noted without nodules, masses or airspace disease. No pleural abnormalities..MEDIASTINUM AND HILA: No significant abnormality noted. No adenopathy.CHEST WALL: Left anterior chest wall Port-A-Cath with tip of... | 1. Extensive osseous metastases with distribution appearance unchanged on CT. 2. No other abnormalities to suggest metastatic disease. |
Generate impression based on findings. | 73-year-old male with pleural mesothelioma status post two cycles of chemotherapy. Evaluate disease and compare to previous scan. CHEST:LUNGS AND PLEURA: Pleural thickening right hemithorax is redemonstrated with associated volume loss.Reference pleural measurements appear similar to prior study:1.Adjacent to T4 verteb... | 1.No significant interval change in thoracic mesothelioma.2.Mesenteric haziness and stranding, most likely due to inflammation. 3.Stable appearance of irregular left lower lobe pulmonary nodule. |
Generate impression based on findings. | Ampullary cancer complicated by post ERCP pancreatitis and pancreatic necrosis. Has IR drain in place. ABDOMEN:LUNG BASES: Mild bibasilar scarring. No focal air space opacities or pleural effusions.LIVER, BILIARY TRACT: Metallic stent within the common bile duct with associated pneumobilia, similar to the prior exam. N... | Stable examination. No significant interval change in the appearance of the pancreas. |
Generate impression based on findings. | 72-year-old male with history of prostate cancer and renal mass. Evaluate renal mass. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Left hepatic lobe simple cyst, unchanged in size. Multiple subcentimeter right hepatic lobe hypodensities are too small to further characterize. Cholelithiasi... | 1.Simple cyst of the left kidney.2.Cholelithiasis. |
Generate impression based on findings. | Reason: lung cancer with adenopathy and adrenal mets. PLease compare to outside CT 9/2013 that is uploaded in EPIC. Please measure using recist criteria History: post cycles of therapy CHEST:LUNGS AND PLEURA: Dense scarlike opacity in left perihilar and paramediastinal area with bronchiectasis and architectural distort... | 1. Radiation reaction in the thorax with no measurable tumor.2. Markedly enlarged bilateral axillary lymph nodes suspicious for metastases.3.Enlarged bilateral adrenal glands, greater on the left, suspicious for metastases. |
Generate impression based on findings. | Reason: persistent cough with decreased DLCO on PFTs History: persistent cough with decreased DLCO on PFTs LUNGS AND PLEURA: There is no evidence of interstitial lung disease.Mild lower lung zone bronchiectasis is present.Only minimal air trapping is seen on expiration series.MEDIASTINUM AND HILA: No mediastinal or hil... | Mild lower lung zone bronchiectasis. No other significant abnormality. |
Generate impression based on findings. | 66-year-old male with pancreatic cancer -- assess disease response. CHEST:LUNGS AND PLEURA: Scattered lung parenchymal micronodules unchanged. No new nodules, masses, or foci of airspace consolidation. No pleural disease.MEDIASTINUM AND HILA: Coronary calcification. No adenopathy or other masses or abnormalities.CHEST ... | 1. No evidence of metastatic disease in the chest with stable micronodules. 2. Increasing size of liver reference lesion worrisome for progressive metastasis. In addition, two subcentimeter new hypodensities are seen that while several and difficult to delineate, are worrisome for additional metastases. MRI could chara... |
Generate impression based on findings. | GI bleed. Evaluate for extrinsic compression of the pylorus. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Nonspecific approximately 2 cm hypodense splenic lesion, possibly representing a lymphangioma or hemangioma.ADRENAL GLANDS: No significant abno... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 96 year old female with abdominal pain, status post cholecystostomy. Assess for pus, fluid collection. ABDOMEN:LUNGS BASES: Interval development of a small right pleural effusion with associated compressive atelectasis.Moderate-sized hiatal hernia.LIVER, BILIARY TRACT: A percutaneous cholecystostomy tube enters beneath... | 1.Interval development of small right pleural effusion.2.Percutaneous cholecystostomy tube likely within lumen of a collapsed gallbladder.3.No free fluid in the abdomen identified, as clinically questioned.4.Perineal subcutaneous soft tissue mass is partially imaged and nonspecific.5.Extensive diverticulosis. |
Generate impression based on findings. | History of chromophobe T2 renal cell carcinoma, resected in 2008. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Unchanged left lower lobe micronodule. No new suspicious nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal sized heart without pericardial effusion.CHEST WALL: No sign... | New 0.8 cm hypodense lesion in the right hepatic lobe. Though this is non-specific in appearance, attention to this region on close interval follow up is recommended. If further characterization of this lesion is desired, MR may be helpful. No other abnormalities. |
Generate impression based on findings. | Clinical question: Rule out chronic sinusitis; assess extent of nasal polyps. Signs and symptoms: Left sided nasal polyp; left-sided sinus pressure. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses are well pneumatized and unremarkable.Sphenoid sinus is well pneumatized an... | 1.No evidence of acute sinusitis.2.Bilateral maxillary sinus retention cyst (left larger than right and measuring at 22 x 16 x 26-mm). Patent bilateral ostiomeatal limits.3.Well pneumatized all other paranasal sinuses, bilateral mastoid air cells and middle ear cavities.4.Soft tissue density measuring at 9 times 7-mm o... |
Generate impression based on findings. | Male, 61 years old, history of tongue 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. The oral tongue and floor of mouth are free of mass lesions and suspicious enhancement. The r... | 1. No evidence of recurrent disease or pathologic adenopathy in the neck.2. No intracranial metastatic disease. |
Generate impression based on findings. | 43 yer-old male with chronic nasal congestion, facial pain/pressure. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There appears mild polypoid mucosal thickening/small retention cysts in the maxillary sinuses and minimal mucosal thickening in the ethmoi... | 1. Minimal maxillary and ethmoid sinus inflammatory disease. 2. Rightward nasal septal deviation with a spur. |
Generate impression based on findings. | 51 year old female with atypical chest pain, positive d-dimer. Evaluate for PE. PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: 6-mm noncalcified right middle lobe pulmonary nodule (image 95, series 11). No pleural effusion or focal air space opacity.MEDIASTINUM AND... | 1.No CT evidence of PE.2.6 mm pulmonary nodule. Guidelines by the Fleischner society (Radiology 2005: 237:395-400) suggest that patients with a low risk for lung cancer who have nodules 6-8 mm in diameter require 6-12 month follow up. In patients with a higher risk, such as smokers, initial follow-up is recommended in ... |
Generate impression based on findings. | 39-year-old female with history of stage IV metastatic melanoma. IRB 10-666 re-evaluate disease status after add'l systemic therapy, please compare to prev and provide bi-dimensional measurements. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Redemonstrated scattered subcentimeter media... | 1.Stable reference adenopathy and soft tissue postoperative changes in the right axilla. No evidence of disease progression.2.Left adnexal cystic lesion may be physiologic, though correlation with ultrasound is recommended given its size. |
Generate impression based on findings. | 63 year-old female with history of prolonged hypoxia at OSH. The exam is limited due to motion and streak artifact. Images through the mid to distal brainstem are not diagnostic. The ventricles, sulci, and cisterns are symmetric and appropriate for the patient's age. There is no mass effect, edema, midline shift, intra... | No gross acute intracranial abnormality with limitation of artifacts. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 50 year old female with acute myeloid leukemia, polymicrobial pulmonary infections, history of graft versus host, concern for pulmonary graft versus host. Increased oxygen requirement. LUNGS AND PLEURA: Dense areas of consolidation and the right middle lobe, in the left lower lobe are present. There is also extensive b... | Dense areas of consolidation, as well as bronchial wall thickening and tree in bud opacities compatible with bronchiolitis and pneumonia. |
Generate impression based on findings. | Metastatic urothelial cancer. Baseline study prior to clinical trial CHEST:LUNGS AND PLEURA: Unchanged scattered micronodules. Mild subpleural apical scarring.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Marked coronary artery calcifications.CHEST WALL: No significant abnormality noted.ABDOMEN: LIVER,... | 1. Interval decrease in size of the reference left pelvic sidewall mass. No new sites of disease.2. Stable appearance of the fluid collection extending to the base of the penis. |
Generate impression based on findings. | Follow up of subdural hemorrhage status post craniotomy. Postoperative findings including the right parietal craniotomy and associated hardware are stable. There is a stable pattern of bilateral hypoattenuation extending from the right superior temporal gyrus to the right cuneus as well as encephalomalacia within the l... | No acute intracranial pathology. Stable post-craniotomy findings as described. |
Generate impression based on findings. | 65 year-old male with altered mental status. There is mild patchy hypoattenuation in the periventricular white matter. The ventricles, sulci, and cisterns are symmetric and prominent, representing age related volume loss. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, in... | No acute intracranial abnormality. Mild small vessel ischemic disease of indeterminate age. Mild brain volume loss. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | Male, 80 years old, history of glottic larynx cancer. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Tumor seen previously at the level of the glottis is substantially decreased in size. The glottis rem... | 1. Substantial interval decrease in the size of the previously demonstrated glottic tumor. Irregularity and hyperenhancement of the glottic mucosa could represent some residual tumor or treatment related effects. Previous erosive destruction of the thyroid cartilage has healed in with sclerotic bone. Given these extens... |
Generate impression based on findings. | 75 year old female with history of mesothelioma. Status post two cycles of chemotherapy, evaluate disease and compare with previous. CHEST:LUNGS AND PLEURA: Diffuse pleural nodular thickening in the left hemithorax compatible with mesothelioma. Reference lesions have not significantly changed in size.Reference lesion m... | 1.Large mass with extensive left chest wall invasion, but no significant interval change. |
Generate impression based on findings. | 90 year-old male, with glottic larynx squamous cell carcinoma, post chemoradiotherapy, compare to prior LUNGS AND PLEURA: New right upper and lower lobar pulmonary arterial filling defects consistent with pulmonary emboli. Debris is noted in the trachea. Right lower lobe consolidation and atelectasis favors resolving a... | 1. New right upper and lower lobar pulmonary emboli. A small filling defect in the SVC may represent thrombus versus mixing.2. Right lower lobe consolidation and atelectasis with associated tracheal debris favors resolving aspiration pneumonia over underlying malignancy, however, follow-up imaging is recommended to con... |
Generate impression based on findings. | 64 year-old female status post fall. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable except for nonunion of... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: Lung cancer - please re-eval. Thanks. History: Lung cancer CHEST:LUNGS AND PLEURA: Detail is degraded by respiratory motion artifact.Left upper lobe irregular mass with adjacent atelectasis measures 43 x 20 4 mm, slightly increased in one dimension probably due to adjacent atelectasis.Additional small discrete ... | 1. Left upper lobe mass and pulmonary metastases, unchanged.2. Mildly enlarged mediastinal and hilar lymph nodes and nodular thickening of the pericardium, consistent with metastases. 3. Increasing bilateral pleural effusions.4. Markedly enlarged retroperitoneal lymph nodes, not imaged on the scan from one month ago, c... |
Generate impression based on findings. | 46 year old female, history of 5-mm pulmonary nodule in high-risk patient. Shortness of breath with exertion. Suboptimal examination due to body habitus and mild motion artifact.LUNGS AND PLEURA: Left upper lobe pulmonary nodule measures 5 mm (image 31, series 5), unchanged in size compared to low resolution outside ex... | Stable left upper lobe pulmonary nodule, measuring 5 mm. Lack of change and small size of the nodule strongly favor a benign etiology, but recommend 12 month follow-up to confirm stability. |
Generate impression based on findings. | 76-year-old female with metastatic lung cancer status post chemo and RT, compare with prior CHEST:LUNGS AND PLEURA: Reference right upper lobe nodule measures 1.8 x 1.3 cm (image 24, series 4) and previously measured 2.3 x 1 .5 cm, decreased in size. No new nodules or masses.MEDIASTINUM AND HILA: Moderate atherosclerot... | Interval decrease in size of right upper lobe nodule. No evidence of metastatic disease. |
Generate impression based on findings. | 39-year-old male status post bronchoscopy with negative cultures. Please evaluate lung lesions on right for interval change. Lung mass. LUNGS AND PLEURA: Focal areas of consolidation and groundglass opacities have decreased in size, now with traction bronchiectasis and architectural distortion compatible with resolving... | Findings compatible with resolving infectious process. |
Generate impression based on findings. | 66-year-old female with metastatic renal cell cancer -- assess for disease progression. CHEST:LUNGS AND PLEURA: Scattered micronodules and some calcified nodules are unchanged. The reference right middle lobe nodule (series 4, image 47) measures 4 mm and is unchanged. No new nodules or air space disease is seen. No ple... | 1. Stable micronodules in lung parenchyma. 2. Diffuse fatty liver without change and unable to measure prior noted index lesions -- presence of fat can obscure lesions and if concern over liver lesions exists, MR would be recommended. |
Generate impression based on findings. | 29-year-old male with 3 episodes of nausea/vomiting/diarrhea over two weeks, with periumbilical pain. Rule out appendicitis or other colitis. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abn... | Scattered, diffuse mildly enlarged mesenteric lymph nodes, nonspecific in appearance, without any other associated abnormality. |
Generate impression based on findings. | Status post partial hepatectomy now with abdominal pain nausea and vomiting ABDOMEN:LUNG BASES: Right basilar atelectasis and small pleural effusion likely postoperativeLIVER, BILIARY TRACT: Status post resection of segment 6/7 mass lesion with expected postoperative changes including fluid and gas foci noted. No obvio... | Status post resection of right hepatic lobe mass lesion with expected postoperative findings. No evidence for abscess, hematoma, biloma, or bowel obstruction. |
Generate impression based on findings. | History bladder cancer. ABDOMEN:LUNG BASES: Subcentimeter left lower lobe nodule is unchanged.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Small left para-aortic l... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Abnormal LFTs. History of HHS. ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasis. Non-specific left lower lobe micronodule (series 5, image 13). LIVER, BILIARY TRACT: Bilobar intrahepatic biliary ductal dilation, with soft tissue fullness at the porta hepatis, possibly secondary to adenopathy or mass; however, this is... | 1. Soft tissue fullness at the porta hepatis, suspicious for adenopathy or mass. Bilobar intrahepatic biliary ductal dilation with common bile duct stent in place, raising the question of stent malfunction. If patency of the portal venous system is of clinical concern, Doppler evaluation may be helpful. 2. Non-specific... |
Generate impression based on findings. | Burkitt lymphoma CHEST:LUNGS AND PLEURA: New multifocal air space opacity involving the left upper lobe; cannot exclude early infectious/inflammatory process. Previously noted right lower lobe micronodules and right upper lobe scarring and nodularity have remained stable.MEDIASTINUM AND HILA: Slight interval increase i... | Slight interval increase in size of mediastinal lymph nodes and left adrenal referenced nodule.New multifocal airspace opacity upper lobe left lung; cannot exclude early infectious or inflammatory process. |
Generate impression based on findings. | Neuroendocrine tumor CHEST:LUNGS AND PLEURA: Left lower lobe bronchiectasis filled with mucous plugs, new from previous study.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Numerous liver metastases, again noted. Index lesion in the righ... | Interval increase in the size of the hepatic metastases, pancreatic tail mass. Index retroperitoneal lymph nodes and bone lesions are stable.Interval development of mucous plugging involving the left lower lobe bronchiectasis. |
Generate impression based on findings. | 71-year-old male with carcinoid tumor of unknown primary site. Surveillance images. CHEST:LUNGS AND PLEURA: No significant abnormality notedin the lung parenchyma. Bilateral pleural effusions.MEDIASTINUM AND HILA: Calcified lymph nodes from prior granulomatous disease. Coronary artery calcifications seen. No adenopathy... | 1. No change - calcified mesenteric mass. 2. No significant change in the distorted appearance of small bowel, with probable chronic obstructions. 3. Marked increase in diffuse ascites. 4. Enterocutaneous fistula again visualized. 5. No significant thoracic abnormalities noted. 6. No other change is noted from 8/21/13. |
Generate impression based on findings. | Pre-kidney transplant evaluation. Patient with previous pancreas transplant, need images deceive transplanted pancreas common-law post aorto iliac. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Heterogeneous enhancement of the liver may be secondary to congestion.SPLEEN: No significant abnor... | Normal transplant pancreas.Bilateral nephrolithiasis. Bilateral atrophic kidneys. |
Generate impression based on findings. | 71year-old male with history of bladder cancer CHEST:LUNGS AND PLEURA: Subcentimeter bronchopulmonary lymph nodes adjacent to the fissure image number 56 on series number 5.MEDIASTINUM AND HILA: Small mediastinal lymph nodes and right hilar lymph nodes. An index pretracheal lymph node measures 9 mm on image number 36 o... | Diffuse wall thickening of the bladder. Bilateral inguinal hernias. |
Generate impression based on findings. | Clinical question:intracranial hemorrhage versus mass. Signs and symptoms: History of HIV, headache x 6 days, left eye blurred peripheral vision. Nonenhanced head CT:No detectable acute intracranial process. CT however these insensitive for the detection of acute nonhemorrhagic ischemic strokes.Mild prominence of corti... | No acute intracranial process. |
Generate impression based on findings. | Clinical question : Rule out toxo. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.Prominence of cortical sulci and cerebellar -- vermian consultation stated age of 35 is note... | No acute intracranial process. |
Generate impression based on findings. | Clinical question : No acute infarct or bleed. Signs and symptoms: Worsening mental status coma starting. Nonenhanced head CT:No detectable acute intracranial process CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Very minimal periventricular /subcortical low attenuation of white... | No acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Headache. Nonenhanced head CT:No detectable acute intracranial process. CT however he is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Examination demonstrates interval postoperative changes of transphenoidal hypophysectomy and i... | 1.Postoperative changes of transphenoidal hypophysectomy and including high density fluid within the sphenoid sinus, bony defect along the floor of the sella, high density material within the sella surrounded in fatty tissue as detailed above.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Clinical question: Postop bleeding, shunt placement there signs and symptoms: Shunt placement. Unenhanced head CT:There is a right frontal paramedian burr hole and a catheter extends from the burr hole through the right frontal lobe and with the tip in the frontal horn of right lateral ventricle. There is no evidence o... | 1.Slight interval increased size of supratentorial ventricular system since prior study.2.Interval placement of ventricular drain from right frontal paramedian burr hole approach without evidence of postprocedural hemorrhage.3.Interval removal of left posterior parietal approach ventricular drain.4.No convincing eviden... |
Generate impression based on findings. | 22-year-old female with abdominal pain, nausea, vomiting. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signi... | 1.Several fluid filled, mildly distended small bowel loops, possibly due to gastroenteritis. 2.Diffuse mild bladder wall thickening may be due to underdistention, however, correlate with any UTI/cystitis symptoms. |
Generate impression based on findings. | Clinical question: Non-small cell lung cancer with known metastases to brain. Presenting with lower extremity weakness, please evaluate for brain metastases. Signs and symptoms: As above. Pre-and post-enhanced head CT:Examination demonstrates subtle focal increased density in the left anterior frontal lobe with evidenc... | 1.Multiple small hemorrhagic metastatic lesions of bilateral cerebral hemispheres as detailed. The surrounding vasogenic edema and subtle lesion or mass effect however without detectable mass effect on the ventricular system or midline shift. There is no detectable leptomeningeal enhancement.2.Calvarium demonstrates a ... |
Generate impression based on findings. | 76 year old female with elevated white blood cell count and open abdominal wound. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with overlying consolidation/atelectasis in both bases.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality no... | Extensive postsurgical changes including open abdominal wound and mesenteric inflammation, without evidence of drainable fluid collection. |
Generate impression based on findings. | 61-year-old male with history of prostate cancer. Evaluate for fluid collection. PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Significant decrease ... | Significant interval decrease in right hemipelvis fluid collection. |
Generate impression based on findings. | 49-year-old female with left lower quadrant pain. ? tics. ABDOMEN:LUNGS BASES: Mild bilateral basilar atelectasis. No effusions. Normal heart size. Small hiatal hernia.LIVER, BILIARY TRACT: The liver enhances homogeneously without focal lesion. Probable hepatic steatosis. Interval removal of the gallbladder is noted wi... | No evidence of diverticulitis as clinically questioned, though early or mild diverticulitis may be radiographically occult. |
Generate impression based on findings. | 84-year-old female with dyspnea PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Basilar atelectasis.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes compatible with prior granulomatous disease. Atherosclerotic calcification of the thoracic aorta. S... | No pulmonary embolus, or other significant abnormality. |
Generate impression based on findings. | Female 67 years old; Reason: cirrhosis and RLQ pain, evaluate for HCC and cause of pain. BMP ordered today History: above ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour: The liver contour is nodular..Marked cholelithiasis without cholecystitis. There is no intrahepatic or extr... | 1.Large bilateral heterogeneous masses arising from the adnexa, worrisome for an ovarian carcinoma. Pelvic MRI or ultrasound advised for full characterization.2. Interval development of moderate to severe peritoneal carcinomatosis and ascites3.Cirrhotic morphology with no definite HCC although nonspecific hypoattenuati... |
Generate impression based on findings. | 71 year-old female with history of PE, pulmonary nodules. Evaluate for primary malignancy. ABDOMEN:LUNGS BASES: Large filling defect in the right main pulmonary artery is redemonstrated, with right pulmonary artery enlargement and straightening of the interventricular septum. The mass/thrombus in the right pulmonary ar... | 1.IVC filter is positioned at the inflow of the right renal vein.2.Unchanged large filling defect in the right pulmonary artery with evidence of right heart strain.3.Bilateral pulmonary nodules, suspicious for metastatic disease.4.No specific evidence for primary malignancy in the abdomen is identified.5.Cholelithiasis... |
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