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Generate impression based on findings. | 28 year old female. Reason: kidney stone History: left flank pain and 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 notedKIDN... | Partially obstructing 5 mm diameter calculus at the left UPJ. Mild left hydronephrosis. |
Generate impression based on findings. | 45 year-old female with lung cancer status post resection LUNGS AND PLEURA: Postoperative changes of left lower lobectomy with associated volume loss are again identified.Unchanged micronodule (image 49 series 5). Peripheral septal thickening on the left is unchanged. No new suspicious nodules or masses.MEDIASTINUM AND... | Status post left lower lobectomy without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 76-year-old female with abnormal cyst on kidney, please perform CT urogram. ABDOMEN:LUNGS BASES: Mild bilateral basilar atelectasis. Small left posterior diaphragmatic hernia containing only retroperitoneal fat.LIVER, BILIARY TRACT: The far superior aspect of the right dome is excluded from the field-of-view. The gallb... | 1.Mildly enhancing cystic lesion of the right kidney is too small to further characterize. 6 to 12 month ultrasound follow up is recommended.2.Soft tissue nodule in the cul-de-sac of unclear etiology. Follow up is recommended.3.Heterogeneous enhancement of the residual vagina. Correlate clinically for focal mass versus... |
Generate impression based on findings. | Tonsil cancer LUNGS AND PLEURA: Multiple bilateral areas of scattered tree in bud and small subcentimeter focal faint ill-defined nodular densities greater in the upper lungs with mild bronchial wall thickening. No definite discrete focal well-defined nodular abnormalities to suggest metastatic disease and although the... | Minimal changes suggesting aspiration without discrete superimposed findings to suggest metastatic disease. See recommendation above. |
Generate impression based on findings. | 45 year-old female, lung nodule follow-up LUNGS AND PLEURA: No suspicious nodules or masses. Left lower lobe micronodule is unchanged.MEDIASTINUM AND HILA: The heart size is normal. No mediastinal or hilar lymphadenopathy.CHEST WALL: Mild degenerative changes of the thoracolumbar spineUPPER ABDOMEN: Absence of IV and e... | No suspicious nodules or masses. Unchanged left lower lobe micronodule. |
Generate impression based on findings. | 45-year-old female with liver lesion seen on ultrasound. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: A nonenhancing hypoattenuating focus of the right lobe in segment 7 corresponds to the lesion seen on recent ultrasound, is nonspecific, and is too small to further characterize.Another n... | Two nonenhancing hypoattenuating nonspecific lesions of the liver are too small to completely characterize. 12 month ultrasound follow-up is suggested. |
Generate impression based on findings. | Status post lung resection for two lung cancers and MIE for esophageal cancer. LUNGS AND PLEURA: Spherical ground glass density nodule containing internal air bronchograms in the left upper lobe measures 14 x 15 mm (4/127) compared to 13 x 14 mm previously. It has increased in size compared to remote earlier exams such... | 1. Left upper lobe ground glass density nodule continues to enlarge, consistent with an indolent adenocarcinoma such as AIS or MIA.2. Second smaller groundglass density lesion unchanged from most recent previous but larger compared to earlier studies, suspicious for a small adenocarcinoma. Continued CT follow-up recomm... |
Generate impression based on findings. | Female 54 years old; Reason: Yes History: Abdominal pain Left lower quadrant ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hypoattenuating lesions in the liver, incompletely characterized on this examination.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality note... | 1.No acute inflammatory process detected. |
Generate impression based on findings. | 25-year-old male with right-sided abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted in liver. Gallbladder and biliary tract appear normal.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signific... | Normal CT examination of the abdomen and pelvis. No findings seen to account for patient's symptomatology. |
Generate impression based on findings. | 45-year-old female with liver lesion seen on ultrasound. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: A nonenhancing hypoattenuating focus of the right lobe in segment 7 corresponds to the lesion seen on recent ultrasound, is nonspecific, and is too small to further characterize.Another n... | Two nonenhancing hypoattenuating nonspecific lesions of the liver are too small to completely characterize. 12 month ultrasound follow-up is suggested. |
Generate impression based on findings. | Clinical question :subarachnoid hemorrhage. Signs and symptoms: Worst headache of life. Nonenhanced head CT:No evidence of acute intracranial process in particular no evidence of hemorrhage as clinically is questioned. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable c... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Signs of trauma. Signs and symptoms:MVA. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Examination demonstrate a large CSF none CT extra axial collection on the right in the posterior fossa with several associated flatteni... | 1.No acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.2.Arachnoid cyst in the posterior fossa on the right with subtle mass effect on the cerebellum however with midline position of the fourth ventricle and patent on CSF spaces.3.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Clinical question: Sensation of heaviness/discomfort in head. Signs and symptoms: As above. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and... | Negative nonenhanced head CT. |
Generate impression based on findings. | 52-year-old male with metastatic urothelial cancer, c/o increased pain, weight loss, evaluate for progression. ABDOMEN:LUNGS BASES: Interval development of scattered bilateral pulmonary nodules, suspicious for metastatic disease. For reference, a new left upper lobe nodule measures 6 x 4 mm (image 51, series #7). No me... | 1.Progression of metastatic disease is evidenced by interval development of numerous bilateral scattered pulmonary nodules and growth of osseous metastatic lesions in the ribs and iliac bones as well as new and enlarging liver metastases.2.Mixed response of hepatic metastases with prior reference lesion decreased.3.Unc... |
Generate impression based on findings. | Clinical question: Patient with stage IV non-small cell lung cancer with metastases to spine. Assess for metastatic brain lesions. Signs and symptoms: As above. Unenhanced head CT:Examination demonstrate no detectable abnormal parenchymal or leptomeningeal enhancement to suggest metastatic disease. Calvarium is unremar... | Negative enhanced head CT. |
Generate impression based on findings. | 76 old female with recent AAA repair. Presents with left sided abdominal pain and decreased p.o. intake. ABDOMEN:LUNGS BASES: Unchanged severe emphysema.LIVER, BILIARY TRACT: Numerous variable sized cysts in the liver are unchanged. Sludge versus small gallstones in the gallbladder. Punctate calcific densities in the l... | 1.Interval splenic infarct may explain the patient's left-sided abdominal pain.2.Interval thrombosis of the right internal iliac artery.3.Interval placement of aortic stent graft, with reduction in size of abdominal aortic aneurysm.4.Right common iliac artery aneurysm, unchanged in size. |
Generate impression based on findings. | 56-year-old male with large B cell lymphoma -- evaluate for progression. CHEST:LUNGS AND PLEURA: New left pleural effusion. Right apical pleural based masses have increased in size and approximately doubled in volume. In addition, the apical non-pleural-based parenchymal mass lesions have increased in size and adjacent... | CT demonstration of progressive disease with enlarging and new sites of involvement in the right apical lung and pleural disease, bilateral adrenal sites, right shoulder soft tissue and axillary lymph nodes and retroperitoneal adenopathy. |
Generate impression based on findings. | Female 83 years old; Reason: Pt is an 83 y/o female with met urothelial cancer, evaluate for recurrence History: met urothelial cancer LUNG BASES: No significant abnormality detected.ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs and the vasculature . Given these limitations, the fol... | 1. Status post left nephrectomy with decrease in size of the reference nodes as above. No other definite evidence of local recurrence, residual disease or metastases. 2. Moderate to severe degenerative disease in the spine. |
Generate impression based on findings. | 90 year-old female with generalized abdominal pain, follow, diarrhea, abdominal distention. Evaluate for obstruction/colitis. ABDOMEN:LUNG BASES: Focal area of air space consolidation in the right middle lobe -- while this may represent old scarring, superimposed acute infection or inflammation cannot be differentiated... | 1. Marked distention of stomach and duodenum -- question of obstruction at distal duodenum perhaps from SMA syndrome. 2. Marked biliary duct dilatation and pancreatic duct dilatation to the ampulla -- ampullary obstructing process should be considered. Any prior imaging would be helpful to characterize this abnormality... |
Generate impression based on findings. | 65 year-old female with dyspnea, evaluate for PE PULMONARY ARTERIES: The main pulmonary artery is large and measures 3.2 cm. Technically adequate exam without evidence of pulmonary embolus..LUNGS AND PLEURA: Status post right middle lobectomy with loculated air and debris filled cavity adjacent to the surgical bed (ima... | 1. No pulmonary embolus.2. Increased patchy right perihilar and basilar air space opacities suspicious for infection superimposed on underlying radiation changes.3. Right lateral chest seroma with focus of gas, correlate for infection.4. Enlargement of the pancreatic tail with adjacent fat stranding suspicious for panc... |
Generate impression based on findings. | 49 year-old female with tachycardia, hypoxia, metastatic cancer, evaluate for PE PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus. The pulmonary artery diameter and right ventricle appear normal.LUNGS AND PLEURA: Low lung volumes and basilar atelectasis. Small left pleural effusion wi... | No pulmonary embolus. Small left pleural effusion and compressive atelectasis. Abdominal ascites and multiple dilated loops of bowel are partially visualized in the upper abdomen. |
Generate impression based on findings. | 66-year-old male with metastatic renal cell carcinoma. CHEST:LUNGS AND PLEURA: Innumerable pulmonary metastases are decreased in size.The reference left upper lobe lesion currently measures 1.1 x 1.1 cm, previously measured 1.9 x 2.2 cm (series 5, image 22).MEDIASTINUM AND HILA: Interval decrease in mediastinal lymphad... | 1.Significant interval decrease in metastatic lesions in the lungs, mediastinum, and liver.2.Interval decrease in size of necrotic right renal mass and IVC tumor thrombus. |
Generate impression based on findings. | Male 54 years old; Reason: Concern for gut GVH History: Diarrhea, nausea ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hepatic dome lesion with peripheral discontinuous nodular enhancement most consistent with a hemangioma. No other focal lesion detected.The gallbladder is well distended w... | 1.Findings compatible with colitis, with infectious etiology most likely. There is also suggestion of regional enteritis in the distal ileum. Given the discontinuous pattern of edematous bowel and colonic preference, GVHD is not considered.2.No other areas of metastatic disease detected. |
Generate impression based on findings. | 57-year-old male with left ankle pilon fracture with external fixator placement. External fixation rods and screws affix a comminuted, intra-articular fracture of the distal tibia. Two screws traverse the proximal tibial diaphysis, and one traverses the calcaneus. There is a up to 13-mm displacement of the fracture fra... | External fixation of comminuted, intra-articular fracture of the distal tibia, as described above. |
Generate impression based on findings. | 77-year-old female with abdominal pain. Rule out mesenteric ischemia. ABDOMEN:The absence of oral contrast limits evaluation of the bowel. Given this limitation, the following observations were made:LUNGS BASES: Bilateral basilar dependent atelectasis versus scarring.LIVER, BILIARY TRACT: No significant abnormality not... | 1.Findings consistent with acute diverticulitis of the distal descending and proximal sigmoid colon.2.No evidence of mesenteric ischemia, as clinically questioned.3.7-mm pleural-based nodule in the right middle lobe.4.Degenerative changes in the lumbar spine with canal narrowing most prominent at L5. |
Generate impression based on findings. | Preoperative evaluation for C5 lesion. There are predominantly sclerotic lesions within the C2, C4, and C5 vertebral bodies superimposed upon a background of diffuse osteopenia, which are better depicted on the recent MRI. The largest of these is located in the C5 vertebral body, where there is also extravertebral soft... | Sclerotic lesions within the C2, C4, and C5 vertebral bodies are compatible with metastases, but are better depicted on the recent MRI. Likewise, the extravertebral soft tissue component and associated spinal canal stenosis at L5, that is better delineated on the prior MRI. |
Generate impression based on findings. | 62-year-old male with esophageal cancer -- abdominal pain and distention. Evaluate for tumor burden, drain placement. Within the limits of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vessels, structures, the following observations can be made:ABDOMEN:LUNG BASES: Multiple n... | 1. Extensive liver metastases appearing similar to 11/22/13. 2. Multiple biliary drains/stents in position with no evidence of dilated intrahepatic biliary ducts. 3. Pulmonary nodules consistent with metastases. 4. Mesenteric and retroperitoneal adenopathy. 5. Large amount of ascites, increasing since 11/22/13. |
Generate impression based on findings. | 59-year-old male with urothelial cancer status post nephrectomy. CHEST:LUNGS AND PLEURA: Calcified and noncalcified micronodules unchanged. No new nodules.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEE... | Stable exam without evidence of recurrence or metastatic disease. |
Generate impression based on findings. | Male 36 years old; Reason: PTLD Restaging History: None CHEST:LUNGS AND PLEURA: Decrease in the previously seen scattered micronodules. For instance the 3-mm nodule in the superior segment right lower lobe is not seen on this examination. Minimal paraseptal emphysema.MEDIASTINUM AND HILA: No mediastinal or hilar lympha... | 1. No active disease with stable reference subcentimeter paraaortic lymph node residual as above. |
Generate impression based on findings. | 65-year-old male with pancreatic cancer status post chemoradiation. CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are nonspecific but likely benign in nature. Left lung base scarring/atelectasis.MEDIASTINUM AND HILA: Right central venous catheter terminates in right atrium. No significant mediastinal lymphade... | 1.Status post Whipple surgery without evidence of residual mass.2.New soft tissue stranding in omentum and anterior mesentery is likely treatment related, however, peritoneal carcinomatosis may also have this appearance and continued follow-up is recommended. |
Generate impression based on findings. | 73-year-old male pleural mesothelioma status two cycles of chemotherapy CHEST:LUNGS AND PLEURA: Large loculated left hydropneumothorax involving the left apex and left base. A chest tube extends to the left apex.Marked diffuse pleural thickening and nodularity involving the left lung appears similar to the prior PET/CT... | 1. Extensive nodular thickening of the left pleura with probable invasion of the pericardium and left hemidiaphragm.2. Large loculated left hydropneumothorax. |
Generate impression based on findings. | 56-year-old male with history of relapsed DLBCL of the right shoulder, right tongue, and right vocal cord treated with IFRT completed in July 2012, as well as temsirolimus/lenalidomide study. There has been interval increase in size of the incompletely imaged ill-defined, heterogeneous mass within the right posterior t... | 1. Interval increase in size of the mass occupying the incompletely imaged right posterior triangle and supraclavicular fossa, now measuring up to approximately 14 cm versus 10 cm previously, compatible with tumor progression. 2. Interval increase in size and newly apparent right upper lung nodules, compatible with pro... |
Generate impression based on findings. | 70 year-old female with history of GIST now presents with abdominal pain, chest pain and shoulder pain. Right upper quadrant pain. CHEST:LUNGS AND PLEURA: Reference right middle lobe nodule (series 8, image 47) has decreased in size, measuring 3-mm compared with previous 5-mm. however, many nodules have increased in si... | 1. Mixed response to parenchymal lung nodules with reference nodule decreased in size, but other nodules, increased in size. 2. New right pleural effusion. 3. Marked increase in liver metastatic disease. 4. Increasing left para-aortic adenopathy. 5. Stable appearance to peritoneal masses/nodules. 6. Slight increase in ... |
Generate impression based on findings. | 66 year old male with non-Hodgkin's lymphoma. CHEST:LUNGS AND PLEURA: Mild dependent atelectasis/scarring. No suspicious nodules or masses.MEDIASTINUM AND HILA: Stable AP window node measures 1.0 x 1.4 cm, previously measured 1.0 x 1.4 cm (series 4, image 30). Right hilar node measures 1.7 x 1.2 cm, previously measured... | Stable exam without significant change of reference measurements. |
Generate impression based on findings. | 59 year-old female with small bowel carcinoid. 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: Subcentimeter hypod... | No evidence of disease recurrence or metastatic disease. |
Generate impression based on findings. | Female 51 years old; Reason: Evaluate vasculature and prior organ placement for kidney transplant History: Two prior abdominal organ transplants The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LUN... | 1. Stable renal transplant in the pelvis. Status post renal/pancreatic transplant and presumed surgical resection of the initial renal transplant.2. Atherosclerotic disease as described above.3. Stable placement of infrarenal IVC filter. |
Generate impression based on findings. | Male 48 years old; Reason: colon cancer stage 4 NED restaging History: colon 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 significa... | 1. No evidence of metastatic or recurrent disease detected. Stable examination. |
Generate impression based on findings. | 70 year-old male with glucagonoma (mets to liver), please do triple phase CT to assess interval change. Please do not give oral contrast. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Multiple hypervascular metastatic lesions are again identified scattered throughout the liver. An index le... | 1.Hepatic metastases. While the reference lesion is stable to minimally increased in size, significant growth of the metastasis in the caudate lobe is seen, consistent with mild progression of disease. 2.Gradual growth of an enhancing soft tissue focus at the distal pancreatic duct with associated proximal gradual dila... |
Generate impression based on findings. | 61-year-old female with metastatic follicular thyroid cancer to the supraclavicular and sternocleidomastoid regions, on therapy, compare with previous. Head:An enhancing lesion in the right temporal lobe is stable, measuring 7 x 6 mm (11/13). There is no significant surrounding low density to suggest vasogenic edema. N... | 1.Enhancing right temporal lobe lesion is unchanged in size and most likely represents a cavernoma given its long-term stability and appearance on prior MRI. No new enhancing intracranial lesions are evident.2.Necrotic metastasis anterior to the left sternocleidomastoid is unchanged in size.3.Nodules in the anterior su... |
Generate impression based on findings. | 64-year-old male with history of small bowel lymphoma and obstruction. Reason: h/o NHL and micronodules. Please restage. CHEST:LUNGS AND PLEURA: No infiltrates or pleural effusions . Scattered nonspecific calcified and noncalcified micronodules are unchanged.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy... | Stable examination. No evidence of recurrent disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | 59 year old female. Enlargement of lymph nodes. Chronic tobacco use, weight loss, and bilateral cervical lymphadenopathy. Swelling, mass, or lump in chest. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Coronary artery calcifications. Calcified azygous lymph node. CHEST WALL: No signific... | Bilateral renal cortical atrophy. No lung mass. Left THR. Pneumobilia, cholecystectomy and prior bowel resections. No acute abnormality to explain weight loss. |
Generate impression based on findings. | 73-year-old male with history of metastatic prostate cancer. Evaluation of disease after 9 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: No suspicious nodules are identified. A calcified granuloma in the right lower lobe is unchanged. Unchanged marked elevation of the right hemidiaphragm.MEDIASTINUM AND HI... | 1.Unchanged L3 vertebral body sclerotic lesion.2.No CT evidence of disease progression.The patient suffered a minor extravasation of approximately 25 cc of saline in the right antecubital fossa. I personally responded to the incident. The patient denied any pain, paresthesias, or cold hand. Physical exam revealed a 3-c... |
Generate impression based on findings. | 47 year old female with history of colon cancer status post subtotal colectomy. Patient is part of research protocol (IRB 12 -- 2091). ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Several subcentimeter hypodensities are unchanged, too small to characterize but likely benign cysts as they ar... | Status post subtotal colectomy without evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 82-year-old male with nausea, weight loss, epigastric pain. ABDOMEN:LUNG BASES: Several cysts and atelectasis noted in the bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Oval soft tissue attenuation lesion in the pancreatic tail measures 1.3 x 1.8 cm (serie... | 1.No specific abnormality to account for symptoms.2.Soft tissue attenuation lesion in tail of pancreas of unclear etiology. Additional imaging is unlikely to be helpful in further characterization. Follow-up is recommended.3.Nonspecific left adrenal nodule. 4.Hyperdense lesion in superior pole of right kidney is incomp... |
Generate impression based on findings. | 65 old male with shortness of breath, lung transplant evaluation LUNGS AND PLEURA: Severe diffuse bilateral bullous emphysema. Apical scarring. No evidence of acute abnormality. New right posterolateral subpleural scar like opacity.MEDIASTINUM AND HILA: The heart size is normal. Atherosclerotic calcification of the aor... | 1. Severe diffuse bullous emphysema. New right posterolateral subpleural scar like opacity.2. Compression deformity of the T6 vertebral body new since 2/2/2010. |
Generate impression based on findings. | Status post chemoradiation for an advanced larynx cancer completed in 2010 and salvage neck dissection followed by salvage laryngectomy in October 2011. There are postoperative findings related to total laryngectomy with flap reconstruction as well as voice prosthesis insertion and tracheostomy. The neopharynx and flap... | No evidence of tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | 70 year-old female with history of stage IIA mucinous lung adenocarcinoma, 14.5 months status post radiotherapy CHEST:LUNGS AND PLEURA: Right middle lobe mass measures 7.3 x 4.3 cm and previously measured 7.2 x 4.8 cm (image 48 series 3), minimally decreased in size. The centrally hypodense mass demonstrates multiple f... | 1. Right perihilar mass with interval cavitation and necrosis, overall not significantly changed in size.2. New apical paramediastinal consolidation is nonspecific but correlation with PET may be considered for further evaluation. |
Generate impression based on findings. | 59 years old female. Reason: Stage IV pancreas cancer. Please compare to all previous scans and provide index lesion measurements for RECIST. History: Metastatic pancreatic cancer. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis or scarring. 5 mm nodule adjacent to fissure on image 41, series 4 may be a lymph node. MEDIA... | Pancreatic mass with pancreatic ductal obstruction is unchanged. Diffuse hepatic ill-defined lesions consistent with metastatic disease are stable. |
Generate impression based on findings. | 60-year-old male with history of metastatic/recurrent prostate cancer. Reason: history of prostate cancer, pulmonary nodules and rising PSA. CHEST:LUNGS AND PLEURA: Stable pulmonary micronodules are seen in the right lung. A calcified granuloma seen in the left lung base. Dependent atelectasis is present.Bibasilar scar... | 1.Multiple punctate skeletal sclerotic foci are stable, compatible with diffuse metastases.2.Stable size of soft tissue nodules which remain suspicious for metastases.3.Nonspecific pulmonary micronodules are stable. |
Generate impression based on findings. | Reason: metastatic thryoid ca to supraclav and sternocleidmastoid, on therapy, eval for dz, compare to previous with measuremetns History: as above CHEST:LUNGS AND PLEURA: Lobe small bilateral pulmonary nodules, slightly increased compared to previous.The reference right middle lobe nodule (series 4/15) measures 6 mm, ... | Slight interval increase in size of pulmonary metastases. |
Generate impression based on findings. | Reason: evaluate LUL lesion History: none LUNGS AND PLEURA: Solid and irregular nodule in the left upper lobe (series 5/62) measuring 11 x 6 mm, unchanged from the previous scan. Though the lack of change is reassuring, this remains moderately suspicious and further follow-up is recommended.Part solid nodule anteriorly... | Stable small solid and non-solid left upper lobe nodules which remain moderately suspicious for indolent primary malignancy in spite of the lack of interval change. A follow-up scan is recommended in approximately 6-12 months time. |
Generate impression based on findings. | 79-year-old male. History of rectal cancer on chemotherapy. Restaging. CHEST:LUNGS AND PLEURA: There is an 11 mm diameter right lower lobe lung nodule series 5 image 68 is much larger. Additional smaller right lung nodules are present at images 23 and 38. MEDIASTINUM AND HILA: No pathologic size nodes. Port-A-Cath tip ... | 1. Rectosigmoid colon wall thickening, reduced since the prior exam. No bowel obstruction is evident.2. Small amount of ascites has resolved3. Hypervascular liver dome lesion is not seen on this exam. 4. Stable mesenteric nodularity concerning for persistent peritoneal carcinomatosis. 5. Enlarged right lower lobe lung ... |
Generate impression based on findings. | 67 year old male. Colon carcinoma. Reason: Metastatic CRC: Restaging. History of prostate cancer. Status post laparoscopic cholecystectomy. CHEST:LUNGS AND PLEURA: No significant change in numerous bilateral pulmonary metastatic mass lesions. Reference right upper lobe nodule best seen on image 19 of series 5 measures ... | Stable examination |
Generate impression based on findings. | 45 year old female. Reason: Evaluate vasculature to support transplant. History: Pre-kidney transplant evaluation. Status post AVR. ABDOMEN:LUNG BASES: Diffuse pleural thickening, especially in the right anterior hemithorax. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedP... | Right pleural thickening. Ascites. Bilateral common iliac artery calcifications. Minimal scattered atherosclerotic calcifications in external and internal iliac arteries. |
Generate impression based on findings. | 72-year-old female with history of lymphoma. Reason: NHL, left high cervical nodule on exam. CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Stable residual left axillary fibrotic node measuring 1.3 x 0.6 cm image 26, series 3.ABDOMEN:LIVER... | New retroperitoneal, mesenteric and pelvic lymphadenopathy. |
Generate impression based on findings. | DLBCL s/p R-CHOP. There has been interval increase in size of numerous bilateral cervical lymph nodes. For example, a left level 4 lymph node measures 7 x 9 mm (image 164, series 4), previously 3 x 4 mm, a right level 4 lymph node measures 8 x 14 mm (image 173, series 4), previously 6 x 9 mm, and a left level 5 lymph n... | Interval increase in size of bilateral cervical lymph nodes. Although the lymph nodes are mildly enlarged, this change may indicate disease progression. FDG-PET may be useful for further characterization. |
Generate impression based on findings. | Reason: h/o larynx cancer History: r/o lung mets LUNGS AND PLEURA: Marked increase in a right upper lobe nodule, previously 4 mm and smoothly marginated, now 20 mm in maximum diameter and extensively lobulated. A smaller new nodule has developed inferiorly and slightly posteriorlyNo other suspicious nodules.MEDIASTINUM... | Markedly increased lobulated right upper lobe nodule, with a smaller adjacent nodule and associated hilar lymphadenopathy. While the findings are suspicious for neoplasm, the localized nature of the lymphadenopathy and the presence of an adjacent nodule raises question of histoplasmosis, which can present in this way. ... |
Generate impression based on findings. | Reason: Patient with multiple presentations for chest pain, R/u ACS, EKG with dynamic T wave inversions with chest pain History: chest pain Coronary arteries: Diffuse coronary artery disease is present with an approximate 90% stenosis at the proximal LAD:LM: The left main coronary artery arises normally from the left s... | Diffuse coronary artery disease with an eccentric, severe ostial LAD stenosis, as above. |
Generate impression based on findings. | 66 year old male. Reason: Follicular lymphoma s/p 4 cycles of Rituxan Bendamustine in need of restaging scans. Please compare to prior. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Interval resolution of the paravertebral adenopathy. The left paravertebral soft tissue mass has resolved ... | Interval resolution of paravertebral intrathoracic, retrocrural, retroperitoneal, and pelvic/right inguinal adenopathy. No new lesions. |
Generate impression based on findings. | Female 47 years old; Reason: assess extent of metastatic disease History: none CHEST:LUNGS AND PLEURA: Biapical pleural thickening, unchanged. The pleural spaces are clear. Few scattered micronodules.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy. Right chest wall po... | 1.Stable enlarged reference lymph nodes without significant change in size.2. No definite peritoneal carcinomatosis as referenced by previous PET scan. If full characterization of peritoneal disease is indicated, PET scan advised as that better showed the peritoneal disease.on prior exams. |
Generate impression based on findings. | Female 69 years old; Reason: HCC restaging History: HCC on sorafenib CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. CHEST WALL: No axillary lymphadenopathy.ABDOMEN:LIVER, BILIARY TRACT: Dominant right hepatic lobe mass measures 8.7 x 7 .3... | 1. Decreased size of dominant right hepatic lobe mass. Remainder of lesions in the liver are also slightly smaller in size. Overall progressive decrease in tumor vascularity of these lesions suggest treatment response.2. Decrease in size of the hypodense lesion in the hepatic dome lesion.3. Stable lytic lesion in the t... |
Generate impression based on findings. | Headache. Rule out intracranial hemorrhage. There is no intracranial mass, hemorrhage, edema, or hydrocephalus. There is mild prominence of sulci diffusely, consistent with cerebral volume loss. There is also mild cerebral white matter hypoattenuation that likely represents small vessel ischemic disaese. There is calci... | No evidence of acute intracranial hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 57-year-old male with prostate cancer after 12 cycles of an investigational therapy. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No lymphadenopathy. Mild coronary artery calcifications. Heart normal in size without effusion.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BIL... | Stable reference measurements. |
Generate impression based on findings. | 48-year-old female with history of dissection in past with worst headache of life with sharp pains shooting across the back. CHEST:LUNGS AND PLEURA: No significant abnormality noted.No parenchymal nodules or air space consolidation foci. No pleural disease.MEDIASTINUM AND HILA: No adenopathy or masses..CHEST WALL: No s... | 1. Stable appearing aorta since prior examinations with small focal intimal flap and upper abdominal aorta, unchanged. No evidence for acute dissection. 2. Enlarging uterine mass -- see above. |
Generate impression based on findings. | 91-year-old male with diffuse large B-cell lymphoma status post 6 cycles of R-CHOP chemotherapy. CHEST:LUNGS AND PLEURA: New trace right pleural effusion. Subsegmental bilateral basilar atelectasis.MEDIASTINUM AND HILA: Stable moderate cardiomegaly. Severe coronary artery calcifications.CHEST WALL: Right chest wall por... | Decreasing size of hypoattenuating left inguinal lesion. Otherwise, stable exam. |
Generate impression based on findings. | 58-year-old female with history of ARDS on ventilator, status post ECMO decannulation LUNGS AND PLEURA: High density right pleural fluid containing foci of gas and chest tube directed apically. The right lung is partially collapsed. Small loculated fluid collection along the left major fissure. Extensive bilateral inte... | Large right hemothorax compressing the right lung. Extensive bilateral interstitial and air space opacities. |
Generate impression based on findings. | 59 year old patient with history of T3NX SCC of the esophagus diagnosed 8/2011 and treated with neoadjuvant chemoradiation FOLFOX/RT completed 12/11 with gastric pull-up 1/12. Head: There is no intracranial mass, edema, hemorrhage, hydrocephalus, or focus of abnormal enhancement. The ventricles and basal cisterns are s... | 1.Unremarkable postoperative findings related to gastric pull up procedure without evidence of locoregional tumor recurrence, significant cervical lymphadenopathy, or intracranial metastases.2.A focal filling defect within the distal left internal jugular vein likely represents thrombus, which appears to be new. This c... |
Generate impression based on findings. | 51-year-old female with history of sarcoidosis and possible right upper lobe cavitation, evaluate for interval change LUNGS AND PLEURA: Small residual right pleural effusion. Extensive upper lobe predominant nodular and interstitial opacities as well as bronchiectasis consistent with sarcoidosis. Coarsely calcified upp... | 1.Extensive upper lobe predominant nodular and interstitial air space opacities with associated coarse calcification and cystic spaces in the right upper lobe, not significantly changed from the prior exam, consistent with sarcoidosis. |
Generate impression based on findings. | Reason: Hx esophageal cancer s/p esophagectomy c/b fistula History: Egus ca CHEST:LUNGS AND PLEURA: Emphysema and paramediastinal fibrosis consistent with radiation reaction.Focal scar in the right middle lobe.No suspicious nodules or pleural effusions.MEDIASTINUM AND HILA: Status post esophagectomy with gastric interp... | No evidence of metastatic disease. |
Generate impression based on findings. | 77 year-old female with altered mental status. There is redemonstration of periventricular and subcortical white matter hypoattenuation. There are foci of hypoattenuation in the left thalamus and right basal ganglia. They are unchanged. The ventricles, sulci, and cisterns are symmetric and mildly prominent, representi... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Small vessel ischemic disease and small lacunar infarcts, likely chronic. |
Generate impression based on findings. | 63-year-old female with history of DVT, increased shortness of breath and hypoxia, evaluate for PE PULMONARY ARTERIES: The main pulmonary artery measures 3.4 cm, suggesting pulmonary arterial hypertension. Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Severe extensive bilateral pulmo... | 1. Technically adequate exam without evidence of pulmonary embolus.2. Extensive pulmonary fibrosis with underlying emphysema with features of both NSIP and UIP, unchanged |
Generate impression based on findings. | Lymphoma CHEST:LUNGS AND PLEURA: Stable right lobe minor fissure nodular focus best seen on image 49 series 5 measuring 0.9 x 0.7 cm.MEDIASTINUM AND HILA: No significant change in supraclavicular, mediastinal, and hilar adenopathy.CHEST WALL: No significant change in bilateral axillary adenopathy. Reference left axilla... | No significant change in extensive adenopathy. |
Generate impression based on findings. | 64-year-old female with throat pain, MMP, neck pain, evaluate for bony abnormalities. Limited intracranial and orbital views are unremarkable. Limited views of the paranasal sinuses are clear.No soft tissue masses are present in the neck. No exophytic mass or focal effacement of the aerodigestive tract. No lymphadenopa... | 1. No specific findings to account for the patient's presenting symptoms. Mild multilevel degenerative changes of the cervical spine. If clinically indicated, cervical spine MR may be obtained for further details.2. Multiple thyroid nodules which may be further interrogated with sonography if clinically desired. |
Generate impression based on findings. | Clinical question: Rule out chronic sinusitis. Signs and symptoms: Chronic nasal congestion. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses demonstrate minimal mucosal thickening in the left anterior ethmoid cells and unremarkable otherwise.Sphenoid sinus demonstrate ver... | 1.Acute sinusitis of right chamber of the sphenoid sinus and occluded bilateral sphenoethmoidal recesses.2.Unremarkable paranasal sinuses otherwise. Mild nasal septum deviation to the left and small bilateral middle turbinate concha bullosa. |
Generate impression based on findings. | 22 year-old female with nasal congestion and discharge. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The patient is status post bilateral endoscopic sinus surgeries, including uncinectomy, antrectomy, and partial ethmoidectomy. The frontal sinuses, fro... | Status post bilateral endoscopic sinus surgeries. No evidence of paranasal sinus inflammatory disease or sinusitis. |
Generate impression based on findings. | Multiple myeloma status post stem cell transplant with abdominal pain and nausea 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 notedKID... | No evidence for acute or inflammatory process. No bowel obstruction. Diffuse mottled bony lucencies consistent with known multiple myeloma |
Generate impression based on findings. | 39-year-old female with history of esophageal cancer with recurrence status post CRT. Evaluate. Redemonstration of postoperative changes from previous esophagectomy and gastric pull up. No definite abnormal enhancing tissue is present near the anastomotic site to suggest recurrence.No soft tissue masses are present in ... | 1. No specific evidence of metastatic disease.2. Interval increase in size of multiple level 1 and 2 bilateral lymph nodes which do not meet CT size criteria for lymphadenopathy and are most likely reactive in etiology. |
Generate impression based on findings. | Reason: CAD History: chest pain and lightheadedness Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and trifurcates into the left anterior descending, ramus intermedius and left circumflex coronary arteries. There are no significant stenoses present in the left main.... | Examination is limited by respiratory motion artifact. The mid right coronary artery cannot be evaluated secondary to this motion artifact. In light of these limitations, no significant coronary artery stenosis is visualized. |
Generate impression based on findings. | 50 year-old male with end-stage renal disease status post debris and half gland parathyroidectomy now with recurrence There are postsurgical changes in the region of the thyroid gland with surgical clips present in the tracheoesophageal groove at the level of the right inferior pole of the thyroid. There is an enhancin... | A 1.2 x 1.0 cm lesion in the right tracheoesophageal groove demonstrates enhancement characteristics compatible with recurrent hyperplastic parathyroid tissue.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 32 year-old male with ALL and emesis. There are scattered foci of hypoattenuation in the cerebral subcortical white matter, which appear similar to that on the prior MRI. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, ... | 1. No intracranial mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. 2. Stable nonspecific cerebral white matter hypodensities. Please refer to recent MRI for details. 3. Interval improvement of paranasal sinus inflammatory disease and sinusitis. |
Generate impression based on findings. | History of recurrent small cell carcinoma of the head and neck, new onset blurred vision, evaluate for brain metastases. Solitary round hypodense subcentimeter lesion in the high right parietal cortex with associated peripheral enhancement. There is no significant mass effect or edema associated with this finding. No a... | 1. Solitary small hypodense peripherally enhancing high right parietal cortex lesion which was not definitively identified on the comparison study from a year ago. This lesion is suspicious for a metastasis and MRI may be obtained for further characterization.2. Incompletely visualized centrally hypoattenuating rim enh... |
Generate impression based on findings. | Clinical question: Newly diagnosed lung cancer; dizziness and cognitive impairment; evaluate for metastatic disease. Unenhanced head CT:Examination demonstrates no detectable abnormal enhancement the brain parenchyma or leptomeninges to suggest metastatic disease. There is also no evidence of lytic or sclerotic changes... | Enhanced head CT demonstrate no evidence of parenchymal, leptomeningeal or calvarial metastatic disease. Mild age indeterminate small muscle ischemic stroke is noted. |
Generate impression based on findings. | Swelling, mass, or lump in head and neck. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. 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 cells are clear. The skull and extracranial so... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Clinical question:? T12 vertebral lesion; metastatic disease; evaluate for presence. Signs and symptoms: As above. Enhanced CT of thoracic spine:The numbering of the vertebral column is based on the first superior visualized rib confidence T1 and fast visualized rib as T12. The localizer images include only thoracic sp... | 1.Nonspecific subtle focus of increased bony density in the posterior midline aspect of T12 vertebral body corresponding to focus of increased uptake on prior PET scan and could represent a metastatic lesion. CT however cannot detect with certainty presence of osseous enhancement. Follow-up with an MRI is recommended f... |
Generate impression based on findings. | 41 year old female. Evaluate left renal AML. Recent bleed/embolization. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Small nonspecific splenic hypodensity favors a benign etiology and may represent a hemangioma.PANCREAS: No significant abnormality ... | Interval decrease in size of left angiomyolipoma, with near resolution of bleed. |
Generate impression based on findings. | Male 57 years old; Reason: 57 yr old male with h/o lymphoma, s/p allo SCT, day 30 evaluation History: evaluate CHEST:LUNGS AND PLEURA: Basilar dependent atelectasis. No pleural effusions. Scattered micronodules are stable. No suspicious nodules or masses.Azygos pseudo-lobe.MEDIASTINUM AND HILA: No mediastinal or hilar ... | Decrease in size and conspicuity of the previously noted metastatic disease with mild residual. |
Generate impression based on findings. | 39-year-old female with history of esophageal cancer status post surgery with recurrence status post CRT CHEST:LUNGS AND PLEURA: Scattered unchanged pulmonary micronodules. Perimediastinal radiation changes.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Postsurgical changes of gastric interposition. Pre... | No significant interval change or evidence of metastatic disease. |
Generate impression based on findings. | Reason: Pre-Kidney Transplant Evaluation History: Diffuse bilateral centrilobular groundglass opacities are nonspecific noted on previous CT scan abd LUNGS AND PLEURA: Diffuse bilateral groundglass opacity with a centrilobular peribronchial vascular distribution, not significantly changed in the areas that were visuali... | Diffuse centrilobular groundglass opacities with bronchial thickening, which is most likely a chronic finding based on the lack of short-term change and review of earlier radiographs dating back to 2009; the differential diagnosis includes hypersensitivity lung disease (if the patient is a nonsmoker) and smoking relate... |
Generate impression based on findings. | Male 78 years old; Reason: Cycle 12 Day 28 assessment per IRB 11-0049 History: hx/o RCC CHEST:LUNGS AND PLEURA: Moderate emphysema affects the upper lobes of the lungs. There are a few scattered pulmonary micronodules some of which are calcified. No dominant lung lesion. There are trace effusions.MEDIASTINUM AND HILA: ... | 1.Stable size of the provided reference lesions.2.Interval resolution of the colonic wall thickening and edema involving the ascending colon. |
Generate impression based on findings. | 44 year old male. Reason: r/o stone History: left flank pain with 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,... | No renal calculi. No hydronephrosis. No bladder mass or clot. No lymphadenopathy. No specific acute finding to explain hematuria and left flank pain. |
Generate impression based on findings. | Reason: to assess coronary disease History: none Coronary arteries: LM: The short left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significant stenoses present in the left main.LAD: The left ant... | 1. There are no significant coronary artery stenoses present.2. On the scout topogram, there is a nodular opacity projecting over the right mid lung favoring a nipple shadow. Collimation excludes the lung parenchyma in this location. The previous CT did not include this region. Therefore, confirmation of a nipple shado... |
Generate impression based on findings. | Malignant fallopian tube carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Thrombosis of left internal jugular vein associated with surrounding soft tissue infiltration.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Too small to characterize low attenua... | Extensive metastatic disease manifest by retroperitoneal and right pelvic adenopathy, extensive omental caking and mesenteric adenopathy. Associated with moderate ascites. Loculated cystic focus within the deep pelvis may represent loculated ascites versus cystic metastatic focus.Indeterminate segment 7 right lobe live... |
Generate impression based on findings. | 71-year-old male with metastatic RCC. New baseline. The absence of intravenous contrast limits evaluation of the solid organs. Given this limitation, the following observations were made:CHEST:LUNGS AND PLEURA: Unchanged scattered bilateral pulmonary micronodules likely represent prior granulomatous disease.MEDIASTINUM... | 1.Interval increase in size of right adrenal mass, suspicious for metastatic disease.2.Posterior 11th right rib lytic lesion is increased in size.3.Slightly larger soft tissue component of a lytic lesion in the left iliac bone.4.Unchanged paraesophageal and and left iliac reference lymph nodes with no new adenopathy id... |
Generate impression based on findings. | 76-year-old male with esophageal cancer CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. No evidence of metastatic disease. Mild emphysema and basilar scar like opacities.MEDIASTINUM AND HILA: Large heterogeneously enhancing right thyroid nodule is not significantly changed. Moderate coronary arterial calc... | No evidence of metastatic disease. Mild GE junction thickening and calcification is unchanged. |
Generate impression based on findings. | 71-year-old female with cough and chest pain, history of tongue cancer, status post placement of marker prior to surgery, evaluate proximity to nodule LUNGS AND PLEURA: Radiodense left lower lobe marker is approximately 2.4 cm superior and anterior to the 4-mm left lower lobe nodule.Linear scarlike opacities identified... | Radiodense left lower lobe marker approximately 2.4 cm superior and anterior to the 4-mm left lower lobe nodule. |
Generate impression based on findings. | 81 year-old female with acute change in mental status, minimally responsive Moderate parenchymal volume loss and patchy hypoattenuation in the periventricular and subcortical white matter similar to the prior.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are... | 1. No acute intracranial abnormalities. Please note CT is insensitive for detection of acute ischemia.2. Small vessel ischemic disease of indeterminate age similar to the prior. |
Generate impression based on findings. | 64-year-old male with CLL. CHEST:LUNGS AND PLEURA: Right upper lobe groundglass opacity has resolved. A smaller right apical ground glass opacity is unchanged and measures 4 mm (series 6, image 14).Multiple calcified nodules. No new or suspicious nodules.MEDIASTINUM AND HILA: Mild decrease in mediastinal adenopathy. Th... | 1.Mild decrease in mediastinal adenopathy.2.Resolution of right upper lobe groundglass opacity, which was likely infectious or inflammatory in nature.3.Stable abdominal reference nodes. |
Generate impression based on findings. | Female 74 years old; Reason: Pt with hx of diverticululitis now with LLQ pain similar to previous episode. Please eval for diverticulitis. History: LLQ Pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Lobulated hypodensities within the both lobes described previously are likely cysts and... | No acute intraabdominal pathology detected. |
Generate impression based on findings. | 49-year-old male with flank pain. Evaluate for stones and left renal cyst. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodensities unchanged and compatible with cysts. No suspicious lesions. Hepatic and portal veins are patent.SPLEEN: No significant abnormality notedPANCREA... | 1.No stones or other acute abnormality to account for symptoms. 2.Stable complex left renal cyst, without evidence of enhancing component. |
Generate impression based on findings. | Female 81 years old; Reason: assess for abdominal obstruction/abscess or other pathology History: s/p g-tube replacement at OSH 12/7 w/N/V and L-sided abd pain since then ABDOMEN:LUNG BASES: Interval improvement in the bilateral airspace disease. Bibasilar atelectasis with vascular congestion noted. The heart is enlarg... | Interval resolution of the aspiration pneumonia1.malposition of the peg balloon which is not flush with the gastric lumen, and should be repositioned2.gradual increase in dilation of the pancreatic duct when compared 3/09 with stable intrahepatic and extrahepatic biliary ductal dilation, of uncertain significance as no... |
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