instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 78-year-old female with hypoxia PULMONARY ARTERIES: The main pulmonary artery is large consistent with pulmonary hypertension. Right heart strain with marked intraventricular septum deviation.Technically adequate study demonstrating multiple pulmonary emboli in the proximal segmental branches of the right upper lobe an... | Multiple bilateral segmental and subsegmental pulmonary emboli with right heart strain. |
Generate impression based on findings. | 72 year-old male with abdominal pain, right lower quadrant. ABDOMEN:LUNG BASES: Calcified granuloma in right lower lobe.LIVER, BILIARY TRACT: Extensive wall thickening and surrounding inflammatory change around the gallbladder consistent with acute cholecystitis. Mild intra-hepatic ductal dilation.SPLEEN: No significan... | 1.Acute cholecystitis.2.Cystic lesion in uncinate process nonspecific but likely IPMN; consider MRCP for better characterization. |
Generate impression based on findings. | Male, 72 years old, history of recurrent parotid cancer with brain invasion, presenting with increased ptosis on the left. Enhancing tumor is partially visualized within the left masticator space. Tumor extends from here through the floor of the left middle cranial fossa to invade the intracranial space. The overlying ... | Redemonstration of tumor invading the left middle cranial fossa with resultant superior displacement and edema within the left temporal lobe. Findings are similar to those seen on the prior MRI, though accurate comparison is limited secondary to differences in technique. |
Generate impression based on findings. | 53-year-old female with history breast cancer, tachycardia, hypoxia, fevers PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Interval increase in size of bilateral pleural effusions with associated compressive atelectasis. Additional small scattered air space opaciti... | No pulmonary embolus. Increased bilateral pleural effusions and compressive atelectasis. |
Generate impression based on findings. | Male 51 years old; Reason: sbo History: pain and nausea ABDOMEN:LUNGS BASES: Numerous nodules are noted in the lung bases, with a reference a by 8mm pleural-based nodule in the left lower lobe.LIVER, BILIARY TRACT: Small hemangioma noted in the lateral segment left lobe of the liver.SPLEEN: No significant abnormality n... | 1.Numerous pulmonary nodules partially visualized on this CT abdomen. CT chest advised for full characterization2. No acute inflammatory process detected.3.Dr. Ward notified of the findings at 9:21 on 12/11/13 |
Generate impression based on findings. | 62 year-old female with hip pain status post fall, evaluate for hip fracture Osteophytosis of the acetabulum and joint space narrowing indicating moderate osteoarthritis. No specific evidence of acute fracture or malalignment.Note is made of extensive atherosclerotic vascular calcifications. | Degenerative changes of the hip without evidence of fractures or dislocation. |
Generate impression based on findings. | 17 year-old female with thyroid cancer LUNGS AND PLEURA: 5-mm left lower lobe nodule. No additional nodules or masses within the limitations of motion artifact. No pleural effusions.MEDIASTINUM AND HILA: Heterogeneous enlarged right thyroid mass is only partially visualized and extends across the midline, inferiorly to... | 1. Large heterogeneous right thyroid mass, partially visualized, see dedicated neck CT for further detail. 2. Nonspecific 5 mm left lower lobe nodule. Recommend 3-month CT follow-up to exclude metastasis or correlation with nuclear scintigraphy.3. No visible skeletal metastases. |
Generate impression based on findings. | Female 86 years old; Reason: h/o Crohn's with c/f fistula/malignancy History: see above ABDOMEN:LUNGS BASES: Bilateral atelectasis and scarring in the left lung base noted. Mild cardiomegaly with vascular congestion.LIVER, BILIARY TRACT: No liver lesion detected. Normal morphology. Cholelithiasis without evidence of ch... | 1.Active inflammatory Crohn's disease in the left lower quadrant that likely colocolonic fistula.2.Heterogeneous partially calcified mass in the left lower quadrant. Differential considerations include ovarian neoplasm, neoplasm of small bowel origin, or omental sarcoma. Pelvic MRI or ultrasound advised for full charac... |
Generate impression based on findings. | 43 year-old male. Locally advanced pancreatic cancer. Evaluate for progression. Wilm's tumor status post right nephrectomy. ?peritoneal mets at OSH CT scan, admitted with RUQ pain, eval for metastatic disease. History: pancreatic Ca, RUQ pain ABDOMEN:LUNG BASES: Right middle lobe calcified granuloma. Stable scattered c... | 1. Stable pancreatic head/neck lesion compatible with the patient's known adenocarcinoma.2. No new lesions are identified in the abdomen, or pelvis. Small amount of ascites persists.3. No definite peritoneal lesions. The peritoneal nodularity seen on the 11/30/2013 outside CT exam is less prominent, and no definite cha... |
Generate impression based on findings. | Female, 27 years old, status post assault. Evaluate for facial fracture. No maxillofacial fractures are detected. Mucosal thickening within the paranasal sinuses, particularly the ethmoid air cells, likely reflect an inflammatory process. Multiple dental findings are seen including several missing and or carious teeth ... | 1. No maxillofacial fracture or other definite acute post traumatic findings.2. Dental findings including missing/carious teeth are likely chronic however correlation with history and exam is suggested.3. Extensive intracranial calcification is partially visualized on this examination involving the deep gray nuclei and... |
Generate impression based on findings. | Male 66 years old; Reason: Stage IV adenocarcinoma of the lung. Metastatic lung cancer, s/p chemo x 8 cycles, pls c/w previous study and evaluate tx response. CHEST:LUNGS AND PLEURA: Small increase in moderate sized right pleural effusion and right basilar atelectasis obscuring right lower lobe nodule . Volume loss in ... | Interval increase in right pleural effusion. Interval placement of drainage catheter in the effusion at the right lung base. Otherwise stable metastatic disease. |
Generate impression based on findings. | 79-year-old female with follicular non-Hodgkin's lymphoma. CHEST:LUNGS AND PLEURA: Scattered punctate calcified and noncalcified micronodules are nonspecific but likely due to prior granulomatous infection.Cluster of peripheral nodules in right lower lobe is likely result of mild aspiration or bronchiolitis (series 4, ... | 1.No lymphadenopathy.2.Hypodense lesions in the spleen may represent lymphomatous deposits.3.Multiple calcified and noncalcified lung nodules nonspecific but likely result of prior granulomatous infection.4.Multiple cystic lesions in the pancreas, incompletely characterized on this study but likely representing IPMNs a... |
Generate impression based on findings. | 69 year-old female with right flank pain. Evaluate for retroperitoneal abscess. ABDOMEN:LUNGS BASES: Calcified left lower lobe granuloma is unchanged. Minimal bilateral basilar atelectasis.LIVER, BILIARY TRACT: Unchanged left hepatic lobe simple cyst. Gallbladder surgically absent with cholecystectomy clips in the gall... | 1.Marked interval growth of right retroperitoneal complex cystic mass with invasion of the posterior body wall.2.Soft tissue mass along the right ureter is not significantly increased in size.3.Atherosclerotic calcification of the abdominal aorta with multiple ulcerated plaques, grossly unchanged. |
Generate impression based on findings. | 25-year-old male with history of persistent fevers and epiglottitis with concern for abscess Edema involving the epiglottis and right aryepiglottic fold is improved, however there remains a small hypodense collection at the base of the right aryepiglottic fold. This measures 6 x 5 mm and is slightly smaller and better ... | Continued improvement in supraglottic and laryngeal edema. However, there is a persistent small hypodense focus at the base of the right aryepiglottic fold which could represent phlegmon or a small abscess. |
Generate impression based on findings. | Male, 18 years old, history of malignant peripheral nerve sheath tumor of the left hypopharynx status post non-oncologic resection with multiple positive margins. Preoperative MRI showed a lateral level 2 lymphadenopathy right side more than left. The left level 2 nodes have been removed and were negative. Postop PET s... | 1. Interval decrease in the size of mucosal thickening which on the prior CT involved the base of the tongue and vallecula as well as the bilateral, left more than right, pharyngeal walls.2. General interval decrease in the size of neck lymph nodes including level 2 nodes on the right which were hypermetabolic on prior... |
Generate impression based on findings. | 44-year-old female, evaluate NSIP LUNGS AND PLEURA: Unchanged mild basilar predominant subpleural groundglass and reticular opacities. The disease affects predominately the posterior lung fields in a bandlike subpleural distribution. Scattered unchanged micronodules.No calcified pleural plaques are appreciated.MEDIASTI... | Unchanged mild basilar interstitial abnormality. The bandlike appearance is somewhat atypical, query history of asbestos exposure as pulmonary asbestosis can produce a similar appearance. |
Generate impression based on findings. | Breast cancer and posterior neck spindle cell neoplasm, s/p surgery. There is a heterogeneously enhancing, lobulated mass within the midline of the posterior neck, centered within the superior fibers of the trapezius muscles, adjacent to the occipital bone. The tumor is ill-defined and measures approximately 30 AP x 30... | 1. A heterogeneously enhancing, lobulated mass within the midline of the posterior neck, centered within the superior fibers of the trapezius muscles measuring up to 30 mm is compatible with recurrence spindle cell neoplasm. No evidence of significant cervical lymphadenopathy.2. A left upper lobe pulmonary nodule with ... |
Generate impression based on findings. | 69-year-old male, reevaluate left apical lesion, concern for fungal infection LUNGS AND PLEURA: Decreased size of left apical opacity. Near resolution of left basilar ground glass opacities which were likely due to aspiration. Unchanged 6-mm left lower lobe nodule (image 15, series 4). Calcified right upper lobe nodule... | Decreased size of left apical opacity, most likely infectious or inflammatory in etiology. |
Generate impression based on findings. | 65 year-old male with history of metastatic head and neck cancer. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. A partially calcified left level 2/3 reference lymph node is unchanged measuring 10 x 9 mm (image 98, series 5). No new or suspicious adeno... | No evidence of tumor recurrence in the neck. Stable reference lymph node. |
Generate impression based on findings. | 62-year-old female with left hemidiaphragm paralysis, evaluate for cardiac compromise due to elevated diaphragm. LUNGS AND PLEURA: Elevation of the left hemidiaphragm. No suspicious nodules or masses. No air space opacities or pleural effusions..MEDIASTINUM AND HILA: Heart size is normal. Mild coronary arterial calcifi... | Elevation of the left hemidiaphragm, most compatible with phrenic nerve injury. No evidence of extrinsic cardiac compression by the diaphragm. |
Generate impression based on findings. | Thyroid cancer. There is a soft tissue attenuation right thyroid nodule that measures up to 17 mm with a course calcification. There are numerous enlarged right level 2 through 4 and bilateral level 6 and 7. The lymph nodes are heterogeneous and many of these contain coarse calcifications and areas of necrosis. In addi... | 1. A right thyroid mass measuring up to 16 mm is compatible with thyroid carcinoma.2. Extensive metastatic cervical lymphadenopathy, including right level 2 through 4 and bilateral level 6 and 7 lymphadenopathy, the largest of which measures up to 40 mm on the left and 30 mm on the right, with signs of extracapsular sp... |
Generate impression based on findings. | Female 53 years old; Reason: r/o intra-abdominal abscess. R/o signs of enterocolitis. eval lumbar spine for abscess, mets. History: fever, ileus, recent MSSA bacteremia, breast cancer, LE weakness ABDOMEN:LUNGS BASES: Bilateral pleural effusions, left greater than right. Associated compressive atelectasisLIVER, BILIARY... | 1. Cystic lesion in the pancreas contiguous with the main duct suspicious for an IPMN main duct type but further characterization with MRCP advised2. Nonspecific right inguinal varices of dubious etiology. 3. No obstruction |
Generate impression based on findings. | 59-year-old male with diffuse large B-cell lymphoma involving posterior left thigh. CHEST:LUNGS AND PLEURA: Stable punctate micronodules. No new suspicious nodules. No consolidation or pleural effusions.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILI... | Stable exam without evidence of lymphadenopathy. |
Generate impression based on findings. | 27 year-old female with blunt head trauma. Examination shows extensive calcification symmetrically in the bilateral basal ganglia, thalami and dentate nuclei as well as in the subcortical white matter. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. T... | 1. No acute intracranial abnormality. 2. Extensive calcification symmetrically in the bilateral deep gray matter nuclei and subcortical white matter. Differential may include Fahr disease, metabolic disorders and sequela of prior infections. |
Generate impression based on findings. | 42 year old female with right lower quadrant pain. 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 ... | 1.Enlarged right adnexa may represent combination of right ovary and physiologic cyst, however, given patient's right lower quadrant pain and lack of other pathology to account for symptoms, adnexal pathology such as torsion is also a consideration. This may be better evaluated with pelvic ultrasound.2.Multiple heterog... |
Generate impression based on findings. | Newly diagnosed follicular lymphoma of the conjunctivae. The orbits are not included in the filed of view. Nevertheless, there is no significant cervical lymphadenopathy. The Waldeyer ring structures are not enlarged. The thyroid and major salivary glands are unremarkable, The major cervical vessels are patent, althoug... | The orbits are not included in the filed of view. Nevertheless, there is no significant cervical lymphadenopathy. |
Generate impression based on findings. | 31-year-old female with new onset right-sided abdominal pain. Rule out appendicitis. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: A mildly inhomogeneous, hypoattenuating round mass is seen in segment 4 of the liver near the hepatic hilum measuring 3.9 x 2.9 cm. May represent a hemangioma,... | 1.Acute appendicitis without evidence of perforation or abscess.2.3.9-cm liver mass near the hepatic hilum may represent hemangioma, though dedicated triple phase imaging is recommended for complete characterization.3.Cholelithiasis. |
Generate impression based on findings. | 3-year-old female with history of neuroblastoma. Assess for progression of disease comment 3 months off therapy. CHEST:LUNGS AND PLEURA: Bibasilar dependent atelectasis. No suspicious pulmonary nodule or mass. No pleural effusion. The central airways are clear.MEDIASTINUM AND HILA: No hilar lymphadenopathy is seen. No ... | 1. No interval change in soft tissue in the anterior mediastinum, likely representing benign thymic hyperplasia. 2. No interval change in soft tissue density adjacent the celiac axis.3. New ill-defined region of hypoattenuation within the spleen is felt to be related to contrast timing, however may alternatively repres... |
Generate impression based on findings. | Morbid obesity. Bronchial neoplasm and mesothelioma. CHEST:LUNGS AND PLEURA: Persistent small pleural fluid collections greater on the right unchanged. Mild interval enlargement of the reference left lower lobe nodule, currently 13 mm, previously 9 mm (image 63 series 5). Scattered additional micronodules are otherwise... | Interval stability in overall appearance other than mild interval enlargement of the small pulmonary nodule in the left lung base. This slight change may be partially due to differences in volume averaging and breathing although disease progression must also be considered. Reference measurements provided |
Generate impression based on findings. | 35 year old female with Langerhans cell histiocytosis, presumed remission after chemotherapy. CHEST:LUNGS AND PLEURA: Bilateral upper lobe ground glass opacities and micronodules not significantly changed. No new or suspicious lesions or opacities.MEDIASTINUM AND HILA: Multiple mildly enlarged mediastinal lymph nodes n... | No significant change in upper lobe ground glass opacities and micronodules. |
Generate impression based on findings. | 66-year-old male with history of AML, immunocompromised with bilateral pleural effusions, and positive CMV. LUNGS AND PLEURA: Bilateral pleural effusions with compressive atelectasis. Extensive calcified pleural plaques, consistent with the history of asbestos exposure.Persistent focus of left upper lobe consolidation ... | 1. Mild increase in size of 2.4 cm left upper lobe opacity for which close follow up is warranted. Additional previously identified airspace opacities are nearly resolved.2. Bilateral pleural effusions and compressive atelectasis as well as small pericardial effusion. |
Generate impression based on findings. | Adenocarcinoma, follow-up CHEST:LUNGS AND PLEURA: Right middle lobectomy or partial lobectomy with postsurgical changes similar in appearance. No evidence of localized recurrence. The multiple small scattered micronodules are without significant change. No suspicious nodules or masses. No effusions.The irregular densit... | Interval gross stability in overall reference measurements, however the pulmonary lesions appear less dense and demonstrate more concave margins suggesting continued improvement. Reference measurements provided |
Generate impression based on findings. | Reason: Patient with Multiple Myeloma, s/p auto stem cell transplant. H/O aspergillus infection. History: cough, wheezing LUNGS AND PLEURA: 3.7-cm right lower lobe lobulated mass with adjacent nodules remains compatible with infection, and has not significantly changed.Severe emphysema.Prior wedge resection right upper... | No change in right lower lobe mass consistent with ongoing fungal infection. |
Generate impression based on findings. | Reason: pt with h/o lung ca s/p chemo/rt (PCI) History: Lung ca CHEST:LUNGS AND PLEURA: Left peri-hilar and paramediastinal radiation fibrosis with volume loss are unchanged.Stable right lower lung zone micronodules.No evidence of pulmonary or pleural tumor. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy... | No change, and no reliable evidence of recurrent tumor, or other significant abnormality. |
Generate impression based on findings. | 65-year-old male with history of head and neck cancer, compare with prior CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: The heart size is normal. No mediastinal or hilar lymphadenopathy. Moderate coronary arterial calcification. Small hiatal hernia. Small right Bochdalek hernia.CHEST WA... | Unchanged exam without evidence of metastatic disease. |
Generate impression based on findings. | Lung cancer, non-small cell. Follow-up CHEST:LUNGS AND PLEURA: Overall gross stability of the lungs bilaterally with the moderate right pleural effusion and associated volume loss. Apical changes remain consistent with post radiation scarring and pneumonitis.The numerous small pulmonary and pleural nodules appear simil... | 1. Stable thoracic and intrapulmonary reference lesions and appearance2. Questionable mild enlargement of the right upper pole nodular density, consider dedicated imaging. See description provided |
Generate impression based on findings. | 68 year-old male with history of head and neck cancer and status post CRT. 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. There is redemonstration of posttreatment changes,... | Stable posttreatment changes without local tumor recurrence or cervical lymphadenopathy. |
Generate impression based on findings. | 64-year-old male with lung cancer, compare with prior CHEST:LUNGS AND PLEURA: Unchanged 8-mm nodule along the right major fissure, probably an intrapulmonary lymph node (image 48, series 4). Left upper lobe and paramediastinal consolidation and atelectasis consistent with radiation reaction, unchanged.No new suspicious... | Stable postradiation changes in the left upper lobe without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 68-year-old male with history of head and neck cancer, CRT, bone lesion. Compared to previous with measurements. CHEST:LUNGS AND PLEURA: Mild atherosclerotic consultation of the thoracic aorta and coronary arteries.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN... | No CT evidence of metastatic disease. |
Generate impression based on findings. | Skull fracture over 8 weeks ago with continued headaches. There is a persistent nondisplaced left occipital fracture. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is ... | Persistent nondisplaced left occipital fracture. No evidence of acute intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | 62 year old female with metastatic ovarian cancer. CHEST:LUNGS AND PLEURA: Cyst in the inferior aspect of right upper lobe unchanged. Scattered linear opacities most compatible with scarring. No evidence of suspicious nodules. Trace effusions bilaterally.MEDIASTINUM AND HILA: Pre-carinal node measures 1.1 x 1.7 cm (ser... | Mixed response with increase in size of several liver lesions but decrease in size of many omental lesions. |
Generate impression based on findings. | Chest pain unspecified. Effusion on CXR. Evaluate for PE. PULMONARY ARTERIES: Technically adequate infusion quality to the level of the interlobar pulmonary arteries. Segmental and subsegmental emboli may not be visible in the lower lobes. Aa minimal eccentric recanalized chronic thrombus in the left descending pulmona... | 1. No evidence of acute pulmonary embolus to the lobar level. Minimal nonocclusive chronic recanalized thrombus in the left descending pulmonary artery and evidence of right heart strain.2. Small circumferential pericardial fluid collection has increased in volume compared to the previous examination and measures highe... |
Generate impression based on findings. | 22-year-old male with Hodgkin lymphoma status post ABVD and RT. CHEST:LUNGS AND PLEURA: Few scattered micronodules are stable.MEDIASTINUM AND HILA: Two calcified right mediastinal lymph nodes are unchanged. No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT:... | No CT evidence of suspicious adenopathy or recurrent disease. |
Generate impression based on findings. | 76-year-old male. Metastatic prostate cancer. Reason: Evaluation after 25 weeks on enzalutamide. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Hypodense nodule in the right thyroid lobe is unchanged. Calcified right paratracheal node. No mediastinal or hilar lymphadenopathy.CHE... | Stable examination. |
Generate impression based on findings. | Right upper lobectomy for lung cancer LUNGS AND PLEURA: Persistent numerous groundglass nodules bilaterally unchanged. The reference lesions are all similar in appearance (image 21, 22 and 26 series 4), however multiple lesions were evaluated and compared directly. No suspicious new additional nodules or new semisolid ... | Numerous scattered bilateral groundglass nodules without evidence of interval change. Serial CT follow-up imaging is again required to continue monitoring for indolent primary neoplasm versus atypical adenomatous hypoplasia |
Generate impression based on findings. | 20 year-old male with history of refractory neuroblastoma. Rule out pathologic fracture. Presented with pain.EXAMINATION: CT pelvis without IV contrast 12/11/13 Again seen are mixed sclerotic and lytic lesions diffusely throughout the pelvis, compatible with history of metastatic neuroblastoma. No discrete fracture or ... | Hypoattenuating lesion in the region of the right operator externus as discussed above. This likely represents a metastatic lesion or hematoma. Probable bilateral joint effusions are noted. There is no evidence of an acute pathologic fracture. |
Generate impression based on findings. | Esophageal cancer status post 6 cycles of chemo evaluate for disease. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Left chest port tip at the SVC/RA junction. Normal heart size. No pericardial fluid. Previously measured periesophageal mass inseparable from the right lateral wall of the... | Improvement reference measurements of esophageal mass, hepatic metastases and lymphadenopathy. |
Generate impression based on findings. | 77 year-old male with mesothelioma status post-pleurectomy and decortication LUNGS AND PLEURA: Status post interval pleurectomy and decortication with trace peripheral fluid and scarring. Peripheral soft tissue nodularity at the left lung base which measures 11 mm in depth deserves close follow-up (image 16, series 3).... | Status post interval pleurectomy and decortication with peripheral scarring and fluid as well as soft tissue nodularity at the left base which deserves close follow-up. |
Generate impression based on findings. | Male 71 years old Reason: eval for progression History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Multiple nodular lung opacities, some of which are increased in size. The right upper lobe lesion is not significantly changed, measuring 1.0 x 1.8 cm, previously measured 1.1 x 1.8 cm (series 5, image 27). Refere... | 1.Increase in size of multiple liver nodules and lesions.2.Significant increase in mediastinal lymphadenopathy. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Left upper lobectomy for adenocarcinoma LUNGS AND PLEURA: Left upper lobectomy with postsurgical changes and a scar-like abnormality in the posterior aspect of the left apex not conclusively changed measuring approximately 12 mm in craniocaudal dimension when measured in a similar fashion ( image 39 series 80268).The r... | 1. Stable appearing right upper lobe ground glass nodular density, however serial imaging is again recommended to exclude an indolent adenocarcinoma.2. left apical scar like abnormality and postsurgical changes unchanged3. Questionable left breast mass, please correlate with physical exam and consider additional dedica... |
Generate impression based on findings. | Osteomyelitis of skull, sp craniotomy, 4 month follow up. There is a left hemicraniotomy flap. There has been interval partial remineralization of the small lucent foci within the anterior portion of the flap. The remainder of the flap appears unremarkable. There is no evidence of intracranial hemorrhage, mass, or cere... | Interval partial remineralization of the small lucent foci within the anterior portion of the left hemicraniotomy flap. |
Generate impression based on findings. | T4N2b supraglottic carcinoma s/p completion of 5/5 cycles of CRT on 3/1/12. There are post-treatment findings in the neck with persistent extensive mucosal edema in the glottic and supraglottic regions with severe narrowing of the airway at this level. There is no discrete mass lesion identified, however. Likewise, the... | 1. Post-treatment findings for a supraglottic squamous cell carcinoma with persistent edema in this region, but no evidence of discrete mass lesions or significant cervical lymphadenopathy.2. An apparent air-fluid level within the right maxillary sinus may indicated acute sinusitis. |
Generate impression based on findings. | Adenocarcinoma, follow-up LUNGS AND PLEURA: The reference left upper lobe pleural based nodule has improved and diminished in size, currently measuring 1.0 x 0.9 cm (image 22 series 5) from a prior measurement of 1.7 x 1.4 cm. Associated pleural involvement remains suspected.Associated subpleural reticulation, moderate... | 1. Interval improvement with decreased size of the left upper lobe pleural-based mass following treatment, reference measurements provided. Associated decrease in lymph node measurements.2. Mildly increasing fibrotic changes and questionable post radiation change of the left upper lobe.3. Progression of multiple compre... |
Generate impression based on findings. | Pleural mesothelioma, completed chemotherapy, please restage. CHEST:LUNGS AND PLEURA: Right hemithorax volume loss with circumferential pleural thickening and fluid consistent with provided history of mesothelioma. Reference measurements on the right as follows:Level of the origin of the great vessels (3/28): Three o'c... | Improvement reference pleural measurements on the right. Thoracic lymphadenopathy unchanged. Tumor involves the mediastinum and probably the pericardium, despite the lack of pericardial effusion. Visceral pleural involvement on the right. No signs of extension outside of the bony thorax or of conclusive intra-abdominal... |
Generate impression based on findings. | Nonalcoholic liver disease. Evaluate for intracranial bleed. Limited portable CT that exclude the majority of the posterior fossa structures. Within this limitation there is no evidence of acute intracranial hemorrhage or cerebral edema. There is a fat attenuation lesion within the superior vermian cistern that is inco... | Limited portable CT that exclude the majority of the posterior fossa structures. Within this limitation there is no evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Male 63 years old; Reason: NHL, re-eval and compare to previous History: NHL CHEST:LUNGS AND PLEURA: There are multiple bilateral pulmonary nodules. AP window nodule measures 1.7 x 1.1 cm (image 36/series 5) previously, 1.8 x 1.4 cm.Right hilar nodule measures 0.9 x 0.9 cm (image 50/series 5) previously, 1.3 x 1.2 cm.R... | 1.Decrease in the size of the pulmonary lesions.2.Bosniak 2F cystic lesion in the right kidney.3.Nonspecific bowel wall thickening in the pelvis adjacent to the transplant renal allograft |
Generate impression based on findings. | Throat cancer CHEST:LUNGS AND PLEURA: Mild emphysema with multiple scattered solid and ground glass micronodules all measuring under 5 mm. Essentially unchanged in size and number. No suspicious new focal air space abnormality (Image 41 series 4).Focal septal thickening in the right lung base resolves, presumably posti... | No significant interval change or findings to suggest recurrence. Mild changes in reference lymph node measurements may be partially due to positioning and volume averaging. |
Generate impression based on findings. | Male 64 years old; Reason: 64 y/o M w/ metastatic urothelial carcinoma, please restage prior to initiation of chemotherapy History: none CHEST:LUNGS AND PLEURA: Severe left upper lobe emphysema and mild right upper lobe emphysema. Scarring in the left upper lobe. Left upper lobe pulmonary nodule measures 4 x 4 mm on im... | 1.Significant pelvic lymphadenopathy. Enlargement of some of the lymph nodes in the pelvis. |
Generate impression based on findings. | Malignant neoplasm of prostate. There is multilevel degenerative spondylosis, particularly at C4-5 and C6-7, but no discrete lytic or blastic lesions are identified in the spine. There is a lucency in the left mandibular body, which likely represents an extraction cavity. There are no soft tissue mass lesions in the ne... | Multilevel degenerative spondylosis, particularly at C4-5 and C6-7, which may account for the abnormal activity on the prior bone scan. Otherwise, no evidence of metastatic disease to the neck. |
Generate impression based on findings. | Face and neck cancer squamous cell. CHEST:LUNGS AND PLEURA: Interval removal of the tracheostomy tubeEnlarging bilateral pleural effusions far more pronounced on the left and with underlying compression atelectasis.Multiple metastatic lesions to the lungs and pleura have increased in size. The reference left lung base ... | Interval increasing number and size of multiple metastatic lesions. Reference measurements above. Please note particular involvement of the left kidney and both diaphragms/pleura. |
Generate impression based on findings. | Peritoneal mesothelioma LUNGS AND PLEURA: Mild diaphragmatic thickening on the left is not distinguishable from pleural surface in that location. Lack of pleural fluid favors that the pleura is not involved. No additional finding suggests pleural involvement by tumor. No suspicious pulmonary nodules or masses. No pneum... | No evidence of intrathoracic spread of disease. Peritoneal mesothelioma involving the left hemidiaphragm with without conclusive spread to the diaphragmatic pleural surface as no ipsilateral pleural fluid is present. |
Generate impression based on findings. | Malignant neoplasm of the renal pelvis, follow-up LUNGS AND PLEURA: Persistent unchanged left basilar scarring with a small subcentimeter nodular density (image 76 series 4).Mild centrilobular emphysema without additional focal abnormality. No effusionsMEDIASTINUM AND HILA: A persistent mild anterior mediastinal soft t... | No pulmonary metastatic disease identified |
Generate impression based on findings. | 52-year-old male. History of mesothelioma, peritoneal, status post resection on observation. Evaluate evidence of disease compare to previous ABDOMEN:LUNG BASES: No effusions. Micronodules unchanged. Please refer to chest CT report.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality not... | Unchanged peritoneal disease adjacent to the left hemidiaphragm, stomach and spleen with reference measurements given above. |
Generate impression based on findings. | Post inflammatory pulmonary fibrosis with shortness of breath on exertion. LUNGS AND PLEURA: Subpleural distribution reticulation and nodularity with traction bronchiolectasis, but no discrete areas of honeycombing identified. Abnormality appears to spare the extreme lung apices but otherwise appears fairly symmetric a... | 1. Moderate subpleural pulmonary fibrosis and traction bronchiectasis without evidence of honeycombing. Radiographic appearance favors fibrotic NSIP, possibly related to an underlying collagen vascular disease given patulous appearance of the esophagus and presence of axillary lymphadenopathy.2. Mild mediastinal and hi... |
Generate impression based on findings. | 81 year-old female status post fall on coumadin. Mild periventricular hypoattenuation compatible with small vessel ischemic disease of indeterminate age.The ventricles, sulci, and cisterns are symmetric and prominent, representing age related volume loss appropriate for the patient's age. The gray-white matter differen... | No acute intracranial abnormality. Mild small vessel ischemic disease. |
Generate impression based on findings. | Male 66 years old; Reason: 66 y/o male with unknown metastatic malignancy to liver. Evaluate for progression History: metastatic carcinoma to liver LUNG BASES: Centrilobular emphysema with subpleural atelectasis.LIVER, BILIARY TRACT: There are multiple lesions in the liver which have variable enhancing patterns. A live... | 1. Multiple hyper and hypoenhancing liver lesions are stable to equivocally enlarged. Continued follow up and as advised.2. Reference lymph nodes are stable. 3. Unchanged and indeterminate lucent area in the T12 vertebral body which should be followed or correlated with bone scan. |
Generate impression based on findings. | Clinical question: Patient is a 62-year-old male with right internal carotid artery stenosis and history of prior stroke. Signs and symptoms: Dizziness, right internal carotid artery stenosis. Unenhanced head CT:There is no detectable acute intracranial process. CT however insensitive for early detection of acute nonhe... | 1.Nonenhanced head CT demonstrate no acute intracranial process. Chronic right ACA territory anterior frontal ischemic stroke with interval evolution since prior outside institution head CT from 5 -- 30 -- 2008. Unremarkable exam otherwise.2.CTA of the neck demonstrates complete occlusion of right common carotid caroti... |
Generate impression based on findings. | 16 year-old male with worsening headache. Examination shows a large, predominantly hypoattenuating (probably cystic) mass with peripheral hyperdense nodules centered at the right thalamus and pineal region with extension into the superior cerebellar cistern. The mass measures 44 x 42 x 43 mm (AP x TR x CC). The mass co... | Large, predominantly hypoattenuating (probably cystic) mass centered at the right thalamus and pineal region with extension into the superior cerebellar cistern. There is resultant mild hydrocephalus. Differential consideration may include primitive neuroectodermal tumor of the thalamus or pineal gland, and astrocytoma... |
Generate impression based on findings. | Female 64 years old Reason: 64 y/o with colon ca family hx og gastric ca History: abd pain And ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Several small hypodense areas seen in the liver all likely cysts as they are unchanged from the prior exam.SPLEEN: No significant abnormality notedPANC... | Several hypodense hepatic lesions either fluid density are too small to characterize but unchanged from 12/1112.Large nodules throughout the left adrenal gland and several small nodules in the right adrenal gland. There are unchanged from 12/11/12. See further details above.Wall thickening rectum. |
Generate impression based on findings. | 33-year-old male. Reason: r/o source of bleeding History: dropping Hgb, unknown source of bleeding CHEST:LUNGS AND PLEURA: Apical septal thickening, scattered areas of basilar predominant ground glass opacity, left more than right, most consistent with edema. Subsegmental consolidation in the left base suspected to rep... | 1.New moderate bilateral pleural effusions and compressive atelectasis. New LVAD and open median sternotomy. New bilateral chest tubes. ET tube. Foley catheter. Mediastinal drains. 2.Pericardial thickening. Small amount of ascites. Massive cardiomegaly. Anasarca. 3.No specific site of bleeding was found to explain rece... |
Generate impression based on findings. | Evaluate for progression of metastatic disease. Metastatic adenocarcinoma to lung. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules consistent with metastases. Index lesion in the superior segment of the left lower lobe measures 16mm, previously 11-mm (5/45). Additional solid nodule more superiorly as also enlarged (... | 1. Interval enlargement of pulmonary metastases (both index and non-index lesions) with development of left bronchial wall thickening, thickening of the left major fissure and thickening of the peribronchial lymphatic tissues which is now consistent with lymphangitic spread of tumor.2. New large pericardial fluid colle... |
Generate impression based on findings. | Male 65 years old; Reason: metastatic prostate cancer, evaluation of disease after receiving 15 cycles investigational therapy. History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Nonspecific micronodule along the right minor fissure. No prominent lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: ... | 1.Sclerotic osseous metastatic disease. No definite new sites of disease. |
Generate impression based on findings. | Male 69 years old; Reason: s/p status post transhiatal esophagectomy for esophageal CA History: failure to thrive; dehydration CHEST:LUNGS AND PLEURA: Nonspecific micronodules in the right middle lobe on image 55/series 4.Right basilar atelectasis and a small right effusion occupying approximately 5 to 10% of the right... | 1.New metastatic disease to the liver.2.Extensive osseous metastatic disease with a possible pathologic compression fracture of the L3 vertebral body.3.Large left pleural effusion occupying 50% of left hemithorax.4.No hydronephrosis; bilateral nephroureteral stents.5.Findings discussed with Kamm PAC at the time of dict... |
Generate impression based on findings. | 46 year old female with IMV thrombus. Follow-up. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The liver enhances homogeneously without focal lesion. The portal vein, superior mesenteric vein, inferior mesenteric vein (annotated on coronal images), and splenic vein are all patent without e... | Inferior mesenteric vein is patent, as clinically questioned. |
Generate impression based on findings. | Male 69 years old; Reason: Pre-kidney transplant evaluation, evaluate vasculature to support transplant History: past smoker with diabetes, history of CAD ABDOMEN:LUNGS BASES: No nodule or mass detected. Partially visualized is a thoracic aortic stent graft.LIVER, BILIARY TRACT: Calcified granulomas are noted in liver.... | 1.Calcifications of the arterial vessels as above.2.Numerous cysts in the kidneys as well is indeterminate lesions incompletely characterized on this noncontrast CT. |
Generate impression based on findings. | 44-year-old female with IBD associated interstitial lung disease, multiple pulmonary nodules LUNGS AND PLEURA: Multiple new bilateral nodules are identified in the upper and lower lobes. Scattered linear scarlike and patchy groundglass opacities. Smoothly marginated right lower lobe nodule measures 1.3 x 1.2 cm and pre... | 1. Multiple new pulmonary nodules as well as increase and decrease in size of several old nodules as detailed above, of unclear etiology.2. Unchanged smoothly marginated right lower lobe nodule. |
Generate impression based on findings. | Newly diagnosed tonsil cancer, likely T2N2B after recent surgery. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The mastoid ai... | 1. Postoperative findings related to left tonsillectomy with mild nonspecific ill-defined prominence of the left palatine tonsil. 2. Interval increase in size of the left level 2A lymph node, which currently measures up to 33 mm.3. No evidence of intracranial metastases. |
Generate impression based on findings. | 79-year-old male with history of TCC T3 s/p nephroureterectomy August 2013 The absence of intravenous contrast limits evaluation of the solid organs. Given this limitation, the following observations were made:CHEST:LUNGS AND PLEURA: No significant abnormality noted. No suspicious pulmonary nodules identified. Right lo... | 1.Study is limited due to lack of IV contrast.2.Heterogeneous gallbladder lumen. Differential includes neoplasm versus sludge versus chronic cholecystitis. Ultrasound is recommended for further characterization due to the patient's compromised renal function.3.Subtle asymmetric bladder wall thickening. Recurrence canno... |
Generate impression based on findings. | 65-year-old male with unknown primary of the head and neck, evaluate for disease pre-treatment CHEST:LUNGS AND PLEURA: No suspicious nodules or masses.MEDIASTINUM AND HILA: Severe atherosclerotic calcification of the coronary arteries. Scattered atherosclerotic calcifications of the aorta. The heart size is normal. Hia... | 1. No evidence of metastatic disease.2. Infrarenal abdominal aortic aneurysm with mural thrombus. |
Generate impression based on findings. | Male 36 years old; Reason: H/o Hodgkin please restage History: H/o masses CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Heart size is normal. There are small mediastinal lymph nodes.A right paratracheal lymph node measures 1.3 x 0.6 cm (image 24/series 3) previously, 1.8 x 0.8 cm.Soft ti... | 1.Slight decrease in the size of the anterior mediastinal lymph node. |
Generate impression based on findings. | 36 year old male with history of Hodgkin's lymphoma. Evaluation of the previously measured jugulodigastric lymph nodes shows the one at level 2 on the left measuring 8 x 6 mm (series 6, image 91) compared to 9 x 6 mm previously, and the one at level 2 on the right measuring 10 x 6 mm as compared to 9 x 6 mm previously ... | No neck lymphadenopathy based on imaging criteria. Stable reference lymph nodes. |
Generate impression based on findings. | Allergic rhinitis, cause unspecified. There are multiple retention cysts within the bilateral maxillary sinuses, left greater than right, with partial obstruction of the infundibula. There is a retention cyst within the right posterior ethmoid sinus with obstruction of the sphenoethmoid recess and thinning of the overl... | 1. Scattered retention cysts and an air-fluid level within the right sphenoid sinuses, which may indicate acute sinusitis.2. Partially imaged periodontal lucency affect ADA 3.3. Staphylomatous deformity of the right globe. |
Generate impression based on findings. | Male 83 years old; Reason: muscle-invasive bladder cancer History: muscle-invasive bladder cancer ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasis. Paraseptal emphysema. Unchanged pleural plaques. No pleural effusions.LIVER, BILIARY TRACT: Unchanged bilateral hepatic cysts.SPLEEN: Stable enhancing round nodule in the... | 1. Marked interval enlargement and induration of the previously known bladder cancer with invasion into the pericystic space, left greater than right.2. Subtle enlargement of the scattered small pelvic lymph nodes. |
Generate impression based on findings. | 47-year-old male with history of Hodgkin's disease and stem cell transplant. 100 day evaluation. The following observations are made given limitations of an unenhanced study.CHEST:LUNGS AND PLEURA: Previously described cavitary lesion in the right upper lobe continues to regress in size and currently measures 2.5 x 0.9... | Slight interval regression of one lung lesion with new solid component. Stable abdominal and pelvic lesions. Measurements given above. |
Generate impression based on findings. | Chronic sinusitis. There is moderate mucosal thickening and bubbly secretions within the bilateral maxillary and right sphenoid sinuses. There is opacification of the bilateral infundibula. There is sclerosis and thickening of the right maxillary sinus walls. There is scattered moderate opacification of the bilateral e... | Pansinus opacification with features of acute upon chronic sinusitis in a sporadic pattern. |
Generate impression based on findings. | Lung cancer status post chemo. Also CHF. Shortness of breath on exertion. CHEST:LUNGS AND PLEURA: Several small pleural nodules along the right major fissure are unchanged. Index right middle lobe nodule inseparable from the minor fissure measures 18 x 16 mm, previously 17 x 10 mm (6/49). This nodule is also increased ... | 1. Large hematoma in the left anterior chest wall likely arising from the pacemaker generator pocket. The presence of lymphadenopathy, skin thickening and surrounding soft tissue swelling is suspicious for infection. Dr. Hoffman was verbally notified at the time of dictation and will relay the findings to the patient's... |
Generate impression based on findings. | Adenocarcinoma, follow-up LUNGS AND PLEURA: Left upper lobectomy surgical changes without evidence of local recurrence. No new suspicious pulmonary nodules or masses. No effusions.Small minimal tree in bud deformity in the anterior right upper lobe (image 52 series 5), likely aspirationSmall focal ground glass ill-defi... | No evidence for recurrent or metastatic disease. Stable postsurgical changes and mild aspiration |
Generate impression based on findings. | Newly diagnosed nasopharynx cancer, right thyroid nodule. There is ill-defined thickening of the left and midline posterior nasopharyngeal mucosa with effacement of the fossa of Rosenmller. The tumor measures up to 8 mm in anteroposterior width. There is no evidence of skull base invasion or compromise of the left inte... | 1. Ill-defined thickening of the left and midline posterior nasopharyngeal mucosa, which measures up to 8 mm in anteroposterior dimension, compatible with the diagnosis of nasopharyngeal carcinoma. No evidence of skull base or parapharyngeal invasion. 2. Partially calcified nodule within the isthmus of the thyroid that... |
Generate impression based on findings. | Right sided weakness. There is apparent hypoattenuation within the left pons. There is also moderate cerebral white matter hypoattenuation, which appears to have progressed since 2011. There is no evidence of acute intracranial hemorrhage. The ventricles and basal cisterns are stable in size and configuration. There is... | Apparent hypoattenuation within the left pons may represent artifact, microangiopathy, or infarct. Moderate cerebral white matter hypoattenuation, which appears to have progressed since 2011, may represent microangiopathy as well. However, non-contrast CT is no sensitive for the detection of acute infarct and MRI is re... |
Generate impression based on findings. | 63 year-old female with right-sided weakness and altered mental status, rule out CVA Significant motor impression artifact limits evaluation. Hypoattenuation in the frontal lobe is likely secondary to volume averaging.There is no evidence of intracranial hemorrhage or mass. There is moderate volume loss. Periventricula... | 1.Limited study due to patient motion, however there is no gross acute hemorrhage. Recommend repeat examination.2.Mild peri-ventricular and subcortical hypoattenuation is not specific but likely represents small vessel ischemic disease. Please note that CT is not sensitive for the early detection of nonhemorrhagic stro... |
Generate impression based on findings. | Female 55 years old; Reason: RLQ pain for months. R/o path History: RLQ pain; occ constipation 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 a... | 1.Nonspecific colonic wall thickening and loss of haustration, correlate for prior colitis. |
Generate impression based on findings. | Reason: R/O PE s/p lung txp History: post lung txp protocol to r/o PE PULMONARY ARTERIES: Technically adequate examination with no sign of pulmonary embolism.LUNGS AND PLEURA: Chronic interstitial disease with some pleural fibrosis in the native left lung.Focal airspace and interstitial opacities in the apical posterio... | 1. No sign of pulmonary embolism.2. Patchy airspace and interstitial opacity in the right upper and right lower lobes compatible with infection and/or aspiration.3. Abnormal confluent soft tissue in the right perihilar region compatible with lymphadenopathy and possibly resolving postoperative hematoma. |
Generate impression based on findings. | Breast cancer, follow-up CHEST:LUNGS AND PLEURA: Unchanged left anterior subpleural reticulation and bronchiectasis compatible with post radiation change. Low lung volumes. Scattered pulmonary micronodules some of which are calcified and compatible with granulomatous disease exposure. No suspicious new nodules or masse... | Stable CT evaluation without evidence of metastatic disease. |
Generate impression based on findings. | Lung cancer, review right lower lobe nodule. LUNGS AND PLEURA: Postoperative changes of a right upper lobectomy. Subpleural some solid density nodule containing internal poorly defined branching vascular components is inseparable from the lateral pleural surface and the adjacent right major fissure which is slightly th... | 1. Slowly enlarging peripheral groundglass right middle lobe nodule involving the pleural surface at the level of the bony thorax where the patient's original adenocarcinoma was resected. A small focal intercostal hernia is noted adjacent to the cranial margin of the lesion. Post traumatic lesion is favored as the etio... |
Generate impression based on findings. | 26-year-old female with history of ulcerative colitis status post laparoscopic total abdominal colectomy with end ileostomy, subsequent ileoanal pouch anastomosis with diverting loop ileostomy, now with emesis and leukocytosis. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant a... | 1.Obstructed distal limb of the diverting ileostomy with transition point at anal anastomosis site, may be due to edema at the suture line.2.Moderate amount of free fluid in the abdomen and pelvis is likely postsurgical, however an anastomotic leak may have a similar appearance and cannot be excluded. |
Generate impression based on findings. | Thyroid cancer LUNGS AND PLEURA: A small punctate suspected calcified nodule in the posterior base of left lung. No additional suspicious nodules or masses. No effusions. Minimal bronchial wall thickening may represent asthma and/or bronchiolitis.MEDIASTINUM AND HILA: No thyroid is observed and presumed removed. No lym... | Normal, specifically no findings to suggest metastatic disease. Minimal bronchial wall thickening may represent asthma and/or bronchiolitis. |
Generate impression based on findings. | 57 year old female. Reason: H/O ileocolonic Crohn's s/p ileocecectomy in 8/2013 now with RLQ mass vs abscess vs phlegmon suspicious for anastomotic leak. With PO contrast. History: RLQ pain, fevers ABDOMEN:LUNG BASES: Bilateral pleural effusions with compressive atelectasis of both lower lobes.LIVER, BILIARY TRACT: No ... | Abdominal wall cavity contains a pigtail catheter. Intraperitoneal focus of extraluminal air, probably a contained leak with associated entero-enteric fistula originates at bowel anastomosis in the RLQ. Bilateral pleural effusions and associated compressive atelectasis. |
Generate impression based on findings. | 66-year-old male with history of recurrent lung cancer treated with salvage radiotherapy, evaluate for disease control CHEST:LUNGS AND PLEURA: Status post right upper lobectomy with unchanged perimediastinal fibrosis and bronchiectasis consistent with radiation reaction.No suspicious nodules or masses. Unchanged diffus... | Postoperative and postradiation changes of the right lung without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Newly diagnosed tonsillar cancer; no chemo/xrt. 90 pack/yr smoker and alcohol abuse. Head: There is no evidence of intracranial mass or abnormal enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cell... | 1. A mass involving the right tonsillar fossa, right tongue base, and right soft palate that measures up to 37 mm is compatible with tonsillar squamous cell carcinoma with extensive metastatic right cervical lymphadenopathy that measures up to 44 mm.2. Several subcentimeter right pulmonary nodules are suspicious for lu... |
Generate impression based on findings. | Male 55 years old; Reason: metastatic cholangiocarcinoma please assess and provide index lesion measurements for RECIST CHEST:LUNGS AND PLEURA: Bibasilar atelectasis noted. No nodules detected.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Right Port-A-Cath noted with its tip in the cavoatrial juncti... | 1.No evident mass in the liver or porta hepatis related to patient's cholangiocarcinoma.2.Omental nodularity compatible with peritoneal carcinomatosis. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.