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Generate impression based on findings. | Reason: Evaluate coronary arteries as well as thoracic aortic diameter for potential aortic surgery. Unable to cannulate coronary arteries on cath due to ver large aortic root. History: shortness of breath Coronary arteries: Normal origins of the coronary arteries are noted. However, there is mild clockwise rotation of... | 1. Extensive coronary artery disease with significant calcification.2. The ascending thoracic aorta is aneurysmal with maximal dimension of 6.0 by 6.1 cm at the mid ascending level. The aneurysmal dilation results in mild clockwise rotation of the aortic root, as above.3. Mild to moderate enlargement of multiple medias... |
Generate impression based on findings. | Male 61 years old; Reason: Pt is a 61 y/o male with met prostate cancer, c/o worsening pain in hip, XR with possibility of acetabular fracture History: met prostate cancer, hip pain, possible fx Extensive osseous metastatic disease affects the left ilium, left sacrum and pubis.There are several fracture lines through t... | 1.Multiple pathologic minimally displaced fractures through the acetabulum. |
Generate impression based on findings. | 82-year-old male with abdominal pain, vomiting, status post hemicolectomy 3 months ago. ABDOMEN:LUNG BASES: Trace bilateral pleural effusions and basilar scarring/atelectasis. Several cysts are seen in the lung bases.LIVER, BILIARY TRACT: Small amount of ascites fluid around the liver. Cholelithiasis. Lack of IV contra... | 1.Status post right hemicolectomy without evidence of obstruction.2.Moderate amount of ascites fluid.3.Bilateral hydronephrosis and interval progression of cortical scarring/atrophy. Superpubic tube is in place.4.Multiple sclerotic lesions in the osseous structures as well as prominent retroperitoneal nodes most consis... |
Generate impression based on findings. | Female 26 years old; Reason: r/o nephrolithiasis or ruq pathology. History: s/p left lope hepatectomy for donation and cholecystectomy 7/14/2013, w/overnight RUQ and epigastric sharp pain lasting 15-45 min x 1 week ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Patient status post partial h... | 1.Status post left lobe hepatectomy without acute abdominal pathology detected. |
Generate impression based on findings. | Female 51 years old; Reason: LLQ pain, r/o diverticulitis History: LLQ pain, rectal pain, rectal bleeding ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Few too small to characterize hypoattenuating lesions in the liver.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnor... | 1.No acute intra-abdominal pathology detected. |
Generate impression based on findings. | 56 year old male with cirrhosis. Evaluate for HCC and hepatic vein thrombosis. ABDOMEN:LUNG BASES: Trace bilateral pleural effusions.LIVER, BILIARY TRACT: Cirrhotic liver morphology. No suspicious liver lesions. Trace amount of ascites fluid around the liver. Hepatic veins, hepatic arteries, and portal vein are patent.... | 1.Cirrhotic liver morphology without suspicious lesions. Hepatic vasculature appears patent.2.Collateral vessels around the lesser curvature of the stomach and GE junction.3.Significant narrowing of proximal celiac artery likely due to compression by median arcuate ligament. The pancreaticoduodenal arterial arcade is p... |
Generate impression based on findings. | Female 49 years old; Reason: stone with hydro? History: vaginal pain, left flank pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormalit... | 1.No acute intra-abdominal pathology detected. Likely uncomplicated passed 2-3 mm stone in the left bladder adjacent to the left UVJ. |
Generate impression based on findings. | Dyspnea rule out PE. History of sarcoidosis. PULMONARY ARTERIES: Technically adequate infusion quality without evidence of pulmonary embolus.LUNGS AND PLEURA: Focal left upper lobe groundglass opacity with peripheral/subpleural sparing (8/39) and no associated septal thickening, occurring over an approximately 5 x 3 cm... | 1. Technically inadequate examination without evidence of acute pulmonary embolus. 2. Diffuse parenchymal ground glass abnormality in the lungs and bilaterally with scattered subcentimeter nodular opacities may be an atypical manifestation of sarcoidosis and appear new compared to the previous examination. There is a s... |
Generate impression based on findings. | 27-year-old female. Evaluate for SVC syndrome. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Left-sided central venous hemodialysis catheter terminates at the cavoatrial junction. The SVC opacifies very poorly and is significantly narrowed. The right innominate and left brachiocephalic ... | 1.Narrowing of the mediastinal veins with extensive anterior body wall collaterals are suggestive of chronic SVC obstruction. If the patient has clinical signs of SVC syndrome, would suggest IR consultation for angioplasty and possible stenting.2.Mild hepatomegaly. |
Generate impression based on findings. | back pain hx of breast cancer. 72 years old female Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. There is a mild dextrocurvature present. Vacuum joint phenomenon is present along the sacroiliac joints with small osteophytes.At L5-S1 there is no signi... | 1.There are multilevel degenerative changes present in the lumbar spine worse at L4-5 where there is mild spinal stenosis.2.No lesions convincing for osseous metastatic disease are appreciated, however, bone scan and MRI are more sensitive for the detection of spinal metastases than CT. |
Generate impression based on findings. | 37-year-old male with abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse hepatic hypoattenuation consistent with steatosis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Su... | 1.No acute abnormality to account for symptoms.2.Hepatic steatosis. |
Generate impression based on findings. | 20 year-old female with hematuria and dysuria. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRE... | 1.No genitourinary abnormality to account for symptoms.2.Oval fluid density in the right hemiabdomen which may represent fluid in a bowel loop, however, if there is persistence of symptoms, a contrast-enhanced study is recommended for better characterization. |
Generate impression based on findings. | 33 year old male with chest pain, left calf pain, please rule out PE. PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: No pleural effusion or focal lung consolidation. Bibasilar dependent atelectasis, more than expected for patient's age. Bronchial wall thickening su... | 1.No CT evidence of PE.2.Mild bronchial wall thickening suggestive of reactive airway disease or bronchiolitis.3. Significant basilar atelectasis of unclear significance. |
Generate impression based on findings. | Reason: rheumatological lung condition, likely lupus History: dyspnea LUNGS AND PLEURA: Multifocal, predominantly peripheral, regions of bronchiolectasis and honeycombing involving the subpleural anterior upper lobes, posterior and lateral aspects of the bilateral lower lobes. Interlobular septal thickening is noted wi... | Regional pulmonary fibrosis in a predominantly subpleural distribution with a paucity of groundglass involving the upper and lower lobes. The right middle lobe is spared. No associated air trapping. The findings are atypical for UIP and are suspicious for a variant of fibrosing NSIP or mixed connective tissue disorder. |
Generate impression based on findings. | 71 year old male with history of metastatic prostate cancer, new onset dyspnea. Evaluate for PE. PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: No pleural effusion or consolidation. Scattered pulmonary micronodules are again noted. No suspicious pulmonary nodules o... | 1.No CT evidence of PE.2.Mediastinal, retrocrural, supraclavicular, and retroperitoneal lymphadenopathy, similar to prior exam. |
Generate impression based on findings. | 71 year-old male with renal cell carcinoma and memory loss, evaluate for metastasis There is no acute intracranial hemorrhage or extra-axial collection. Sulci are prominent, compatible with a moderate degree of atrophy, prominent in the cerebellum. The ventricles are unremarkable. There is scattered periventricular and... | 1.No enhancing intracranial masses. 2.Prominent sulci compatible with a moderate degree of volume loss3.Scattered periventricular and subcortical hypoattenuation is nonspecific but may represent moderate small vessel ischemic disease. |
Generate impression based on findings. | 77-year-old female with thumb pain, evaluate for abscess or osteomyelitis There is a defect in the soft tissue along the radial aspect of the tuft of the distal phalanx of the first digit containing a mixture of gas density and high density that presumably represents packing material. The gas density extends to within ... | Cellulitis and soft tissue defect of the thumb without imaging features of osteomyelitis or discrete abscess. |
Generate impression based on findings. | 72-year-old female with diffuse abdominal pain. Evaluate for obstruction. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, U... | Small bowel obstruction without evidence of complication. |
Generate impression based on findings. | 56-year-old male with history of urothelial cancer on therapy. Evaluate for progression. CHEST:LUNGS AND PLEURA: Interval resolution of pulmonary nodules. The reference nodules are not visible on this exam.MEDIASTINUM AND HILA: A right-sided central venous catheter terminates in the distal SVC. New focal calcification ... | 1.Interval regression of disease indicated by resolution of pulmonary nodules and decrease in size of presumed liver metastasis.2.Mild to moderate right hydronephrosis, decreased in grade. Persistent mild left hydronephrosis. |
Generate impression based on findings. | Female, 33 years old, with nasal congestion. The right frontal sinus is hypoplastic. The left frontal sinus is clear. The frontoethmoidal recesses are clear.The sphenoid sinuses and sphenoethmoidal recesses are clear. The ethmoid air cells are also clear.The maxillary sinuses are normally aerated and free of significan... | No evidence of active sinus inflammatory disease. |
Generate impression based on findings. | Prior CLL, and now large cell lymphoma of the colon, s/p RICE chemotherapy. Maxillofacial: There is mild mucosal thickening and retention cyst formation in the bilateral maxillary sinuses. Otherwise, the paranasal sinuses are clear. The nasal cavity is also clear. There are prominent arachnoid granulations in the middl... | 1. No evidence of significant cervical lymphadenopathy or mass lesions to suggest recurrent lymphoma.2. Mild maxillary sinus opacification, without evidence of acute sinusitis.3. Carious ADA 14. 4. Diffuse hypertrophic skeletal hyperostosis (DISH) of the cervical and upper thoracic spine and associated ossification of ... |
Generate impression based on findings. | Unspecified pulmonary tuberculosis, confirmation unspecified. low back pain w/ hx of tb. Clinical question: potts? cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. No bony lesions are identified in the cervical spine. No abn... | 1.CT of the cervical, lumbar and thoracic spine do not demonstrate any evidence for tuberculosis.2.There is no compromise to the cervical thoracic or lumbar spinal canal or exiting nerve roots3.Please note that MRI is more sensitive in the early detection of spinal tuberculosis. |
Generate impression based on findings. | Male 46 years old; Reason: evaluate for ileus, nephrolitiasis, abdomino-pelvic pathology History: pt having constipation w/o urge to defecate. LLQ tendnerness, hematuria The following observations are made given the limitations of an unenhanced study.ABDOMEN: The absence of intravenous and oral contrast limits evaluati... | 1.Extensive fat stranding around the ureter on the left, correlate for passed stone or pyelonephritis. No hydronephrosis or obstructing calculi detected.2.Incompletely characterized renal lesion and possibly hyperdense expanded left renal vein, also incompletely characterized. Dedicated Renal CT (pre-enhanced, enhanced... |
Generate impression based on findings. | Female 76 years old; Reason: Pancreas Cancer: Restaging History: none CHEST:LUNGS AND PLEURA: There is minimal dependent basilar atelectasis.MEDIASTINUM AND HILA: There is no evidence of significant mediastinal or hilar lymphadenopathy. Atherosclerotic calcifications of the thoracic aorta and coronary arteries are agai... | 1.Stable SMV thrombosis.2.The patient is status post Whipple procedure without evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | Mild bilateral conductive loss. On the right, the external auditory canal is patent and clear. There is a tympanostomy tube positioned in the tympanic membrane. The middle ear and mastoid air cells are well-pneumatized and clear. There is perhaps mild elongation of the short process of the incus that appears to contact... | 1. The short process of the right incus appears to contact the lateral epitympanic wall and the short process of the left incus appears to nearly contact the medial and lateral walls of the fossa incudis. This may represent an anatomic variant with prominent components of the posterior incudal ligaments, although ossic... |
Generate impression based on findings. | 62-year-old male with history of colon cancer. Evaluate response to treatment. CHEST:LUNGS AND PLEURA: Left lower lobe nodule is again seen (image 36, series #5) and has slightly increased in size, measuring 5.7 x 5.0 cm from previously punctate 4-mm focus. One other new micro-nodule is identified in the right lower lo... | 1.Progression of metastatic disease is suggested by new peritoneal nodularity, ascites, and growth of pulmonary nodule.2.New moderate ascites and diffuse mesenteric edema.3.New focal left hepatic lobe intrahepatic biliary ductal dilatation of the left lobe.4.Stable hepatic metastases. |
Generate impression based on findings. | 69 year old female, status post CEA, complicated by CVA. Right upper lobe resection, now with pneumothorax. LUNGS AND PLEURA: Small to moderate right apical air collection, with suspected bronchopleural fistula involving the upper lobe bronchus (image 43 coronal series). Changes status post right upper lobe resection. ... | 1.Changes status post right upper lobe resection, with small moderate right apical air collection, and suspected bronchopleural fistula.2.Small left and trace right pleural effusions.3.Severe centrilobular emphysema, and pulmonary edema.4.Heterogeneous liver parenchyma. Recommend correlation with LFTs.5.Tracheal debris... |
Generate impression based on findings. | Reason: lung cancer on chemotherapy ck response History: noen CHEST:LUNGS AND PLEURA: Left apical scarring with radiation reaction.Moderate diffuse centrilobular emphysema.Further decrease in the left upper lobe nodule, now almost completely resolved.No new nodules.MEDIASTINUM AND HILA: Further decrease in a reference ... | 1. Decrease in left upper lobe nodule and reference mediastinal lymph nodes.2. No new findings. |
Generate impression based on findings. | For assessment of drain locations. Stable intracranial abnormalities related to remote hemispherectomy including fragmentation of the overlying right calvarium are demonstrated. A left parietal ventriculostomy catheter is in unchanged position, extending through the left trigone with its tip in the periventricular pare... | Interval repositioning of the right-sided ventriculostomy catheter which is now located more laterally. Scattered intracranial air and intraventricular hemorrhage presumed due to repositioning. |
Generate impression based on findings. | 69 year old female with pleural effusion. LUNGS AND PLEURA: Moderate left pleural effusion with compressive left basilar atelectasis. Left VP shunt is seen coursing through the soft tissue of the left neck and chest wall into the pleural collection. The pleural effusion is organized, with mild enhancement, perhaps due ... | 1.Moderate left pleural effusion with mild peripheral enhancement, perhaps representing chronic inflammation of the pleura.2.Large globular debris in the right mainstem bronchus, with right basilar atelectasis and consolidation concerning for chronic aspiration. Given the size of the tracheal debris, consider endoscopi... |
Generate impression based on findings. | Pleural plaque and right nodule being followed. Shortness of breath. LUNGS AND PLEURA: 2 x 1.9 cm solid spherical nodule in the posterior segment of right upper lobe (6/23) increased in size from prior study where it measured 1.4 x 0.8 cm. Though it does not appear smoothly marginated, irregularity could be due to excl... | Significant interval enlargement of right apical nodule adherent to the posterior pleura suspicious for primary pulmonary malignancy; atypical infection cannot be excluded but is considered less likely. Tissue diagnosis with cultures recommended. Clustered micronodules in the right lower lobe are most likely postinflam... |
Generate impression based on findings. | Reason: pt with lung ca on Tarceva therapy over 4 yrs History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Multiple bilateral groundglass and solid nodules are not significantly changed when compared to the previous exam. Right apical pleural thickening and calcification s... | 1. The right apical subpleural nodule appears similar in density but is has continued to enlarge when compared to the previous.2. The reference left upper lobe lesion measures 13 x 18 mm, increased from prior 16 x 11 mm. 3. Tree-in-bud opacities with bronchial wall thickening within anterior upper and right middle lobe... |
Generate impression based on findings. | Reason: lung cancer History: s/p LUL for stage IA NSCLC 2010 LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema.Scarring and micronodules, unchanged.Postsurgical volume loss consistent with upper lobectomy.No suspicious nodules.MEDIASTINUM AND HILA: Moderate diffuse thyroid enlargement.Calcified left hilar... | Emphysema and scarring with no sign of recurrent lung cancer. |
Generate impression based on findings. | 44 year old man with hypertension and hyperlipidemia who presents with sharp chest pain which radiates to the left arm. It only lasts for 2 minutes and spontaneously resolves. It is never associated with exertion or physical activity.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally f... | 1.The patient has a high burden of coronary calcium for a 44 year old man. 2.There are no obvious significant coronary artery stenoses present. The maximum stenosis is in the mid LAD and is <50%. The lumen of the ostium of the 2nd diagonal artery is not visualized due to the presence of severe calcification. 3.The stud... |
Generate impression based on findings. | Male 34 years old; Reason: 34 yo with history eosinophilic colitis History: abdominal pain/cramping ABDOMEN:LUNG BASES: Bilateral significant pleural calcifications and pericardial calcifications. Small amount of pleural fluid, right greater than left.LIVER, BILIARY TRACT: There are several peritoneal calcifications su... | 1. Interval resolution of the previously seen colitis and enteritis with no significant residual obstruction or bowel wall thickening.2. Extensive pleural and pericardial calcifications.3. Peritoneal calcifications around the liver. |
Generate impression based on findings. | Malignant neoplasm of head, face, and neck. Malignant neoplasm of tonsil. Chemotherapy follow-up examination. Radiotherapy follow-up examination. h/o HNC, CRT, compare to previous, measurements pls Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.Infiltration of soft tissues in the right neck is suspected to be a result of treatment.3.Degenerative changes are present in the cervical spine |
Generate impression based on findings. | 22 year-old female with recent C-section on 12/5/2013 presents with abdominal pain. ABDOMEN:LUNGS BASES: Trace bilateral pleural effusions. Nonspecific left lower lobe groundglass opacity.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality... | Inflammatory changes with presumed abscess in the right adnexal region. Findings were relayed via telephone to Dr. Floyd at 11:12 a.m. on December 13, 2013. |
Generate impression based on findings. | Male 74 years old; Reason: Gastric cancer surveillance scan please compare to all previous scans and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: Focal area of ground glass opacity in the right upper lobe appears stable since previous exam. Scattered micronodules are unchanged.... | 1. No significant change in the peritoneal carcinomatosis and lymph nodes.2. Stable focal area of groundglass opacity in the right upper lobe. |
Generate impression based on findings. | 70 months after thoracoscopic right upper lobectomy for adenocarcinoma stage Ia LUNGS AND PLEURA: Part solid nodule in the superior segment of the left upper lobe measures 28 x 18 mm (4/116), previously 27 x 16 mm on 5/22/13 and 23 x 16 mm on 4/14/12. The cranial aspect of the lesion is ground glass in density, this co... | 1. Part solid nodule in the left upper lobe with a slow rate of growth is most compatible with an indolent adenocarcinoma, possibly minimally invasive versus invasive based on its appearance. This lesion comes into contact with the adjacent left major fissure.2. Right upper lobe mixed density nodule not significantly c... |
Generate impression based on findings. | Chemoradiation for a left T4 N2b tonsillar cancer, completed in 2004. There are post-treatment findings in the left tonsillar fossa and jugulodigastric lymph node chain. There are no enhancing masses or evidence of significant cervical lymphadenopathy. There are secretions within the trachea. The remaining aerodigestiv... | Stable post-treatment findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: lung cancer surveillance. History: cough, dyspnea CHEST:LUNGS AND PLEURA: Scarring and volume loss at the left apex consistent with previous surgery and radiation therapy.At least 3 new very small nodules in the right lung, the largest measuring 4 mm (series 5/26).MEDIASTINUM AND HILA: No significant lymphadeno... | New small nodules in the right lung, nonspecific but suspicious for metastases. A follow-up CT scan could be obtained in approximately 6 weeks to evaluate for interval growth or stability. |
Generate impression based on findings. | Female 53 years old; Reason: history partial nephrectomy for renal cancer with residual parenchymal positive margin; assess for recurrence History: none CHEST:LUNGS AND PLEURA: Scattered micronodules in the lungs measuring up to 3 mm (series 5 image 47). No dominant nodule or mass detected. Pleural spaces are clear.MED... | 1.No evident metastatic disease or recurrence detected.2.Micronodules too small to characterize but continued follow up advised. |
Generate impression based on findings. | 59-year-old male with laryngeal cancer, evaluate for recurrence Postsurgical changes of total laryngectomy as well as subtotal thyroidectomy. There are no new enhancing lesions to suggest tumor recurrence. A tracheoesophageal stent is unchanged in position. No lymphadenopathy.The orbits are unremarkable. There are smal... | 1.Postsurgical changes of laryngectomy without evidence of recurrence or lymphadenopathy.2.For findings in the thorax, please see dedicated chest CT performed on the same day. |
Generate impression based on findings. | 69-year-old male with alcoholic hepatitis and cirrhosis. Follow-up of liver lesions. CHEST:LUNGS AND PLEURA: Biapical cortical scarring appears unchanged. There is a somewhat spiculated -- appearing nodular density in the left lower lobe on image 37/99. Although this may represent bronchial artery hypertrophy, the appe... | Number one. Bilateral nodular densities within the lung. Follow-up recommended.2. Small hepatic lesions which are felt unlikely represent hepatocellular carcinoma. |
Generate impression based on findings. | Reason: 3 yrs s/p esophageal cancer surgery History: please evaluate for recurrent esophageal cancer CHEST:LUNGS AND PLEURA: No new pulmonary nodules or masses.Left lower lobe subpleural nodule which target calcification is unchanged, measuring 11 x 8 mm (image 48, series 5). New, ill-defined foci of ground glass withi... | No evidence of metastatic disease.Ill-defined ground glass in left upper lobe with associated proximal esophageal dilation and air-fluid level suspicious for aspiration. |
Generate impression based on findings. | Male 67 years old; Reason: history of prostaet cancer with rising PSA History: prostate cancer ABDOMEN: The lack of IV contrast was evaluation of solid organs in the vasculature, given these limitations the following findings were made:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant a... | 1.No evident metastatic disease detected. |
Generate impression based on findings. | Metastatic medullary thyroid cancer on vandetinib. Neck: There are postoperative findings related to total thyroidectomy and neck dissection. There is no evidence of tumor recurrence in the surgical bed. There is no significant cervical lymphadenopathy. The carotid and vertebral vasculature appears intact. The left jug... | 1.No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2.Multiple calvarial metastases, many of which are stable and a few of which have continued to increase in size.3.Unchanged sclerotic lesion in the C3 vertebral body. |
Generate impression based on findings. | Reason: work-up for liver transplant History: volume overload LUNGS AND PLEURA: Previously described wedge-shaped opacity at the right base is obscured by a large right pleural effusion with compressive atelectasis involving the entire right lower, lateral segment of the right middle and inferior segment of the right u... | Interval appearance of large right and increasing small left pleural effusions with associated atelectasis. Mild edema with basilar atelectasis.A focus of groundglass the right apex in the presence of food debris in the superior esophagus raises the question of aspiration.Hepatosplenomegaly with ascites and anasarca. |
Generate impression based on findings. | 66-year-old male with metastatic gastric cancer. Restaging. Additional history: Patient had primary GE junction gastric cancer and known peritoneal disease by positive cytology on washings. FNA of stable pancreatic tail lesion revealed adenocarcinoma, concerning for drop metastasis versus primary pancreatic adenocarcin... | No CT evidence of disease progression. |
Generate impression based on findings. | Metastatic medullary thyroid carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Slight increase in size of left axillary lymph node best seen on image 32 of series 3, now measuring 1.3 x 2.2 cm; this is in comparison to 1.9 x 1 cm on 8/9/2... | Slight interval increase in size of left axillary adenopathy. Otherwise, stable examination. |
Generate impression based on findings. | Reason: h/o HNC, CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged.No suspicious nodules.Moderate bronchial thickening compatible with bronchitis.MEDIASTINUM AND HILA: No significant lymphadenopathy.Moderate coronary artery calcification and a stent in the... | No sign of metastases. |
Generate impression based on findings. | Pulmonary carcinoid post chemo and RT LUNGS AND PLEURA: Right middle lobe partially calcified mass obstructing the airway measures 27 x 32 mm, unchanged (4/44). Postobstructive consolidation unchanged.Loculated right pleural fluid collection increased in volume compared with previous examination, extending into the rig... | 1. Calcified right middle lobe mass not appreciably changed in size. Postobstructive consolidation in the right middle lobe also not appreciably changed. 2. Mild pulmonary edema. Interval development of a moderate circumferential right pleural fluid collection which appears loculated as well as contralateral hilar and ... |
Generate impression based on findings. | Mental status. Rule out CVA. There are prominent CSF spaces diffusely in keeping with age-related atrophic change. There is patchy periventricular and subcortical white matter hypoattenuation which was demonstrated previously and most likely represents sequela of chronic small vessel ischemic disease. There is no intra... | Age-related changes and sequela of chronic small vessel ischemic disease. No acute intracranial abnormality demonstrated. CT is suboptimal in sensitivity for acute CVA and if there is persisting concern, MRI could be considered. |
Generate impression based on findings. | Reason: lung ca, on Tarceva, pls c/w previous study and evaluate dz status,. History: lung ca CHEST:LUNGS AND PLEURA: Postoperative changes of the left apex demonstrates increasingnodularity (series 5 image 13). The nodular component measures 8 mm, as compared to 6mm on the previous exam. This remains suspicious for lo... | Progressive increase size of the nodularity associated with the left apical scar. This now measures 8 mm and is highly suspicious for local recurrence.No interval lymphadenopathy.Additional previously referenced pulmonary nodules are stable. |
Generate impression based on findings. | Nasal congestion and discharge. There is mild left and minimal right maxillary sinus mucosal thickening. The other paranasal sinuses are otherwise clear and the infundibula are clear. The nasal cavity is also clear. The right fovea ethmoidalis is approximately 2 mm lower than the left, but these are otherwise intact. T... | No significant sinonasal opacification. |
Generate impression based on findings. | Reason: eval for lung mets History: h/o larynx cancer LUNGS AND PLEURA: Mild apical emphysema and scarring.Multiple micro-nodules, some of which are calcified, compatible with previous infection.No suspicious nodules.MEDIASTINUM AND HILA: Phonation devic in place. Tracheostomy defect noted in the superior trachea.Moder... | No evidence of metastatic disease. |
Generate impression based on findings. | 66-year-old male with history of gastric cancer post therapy. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Small micronodules without obvious change.MEDIASTINUM AND HILA: Reference paratracheal lymph node on image 33/224 is unchanged, measuring 1 x 1.7 cm. No new nodal enlargement.CHEST WALL: Port identified w... | Findings worrisome for progressive hepatic metastases. See above.No change in measured lymph nodes in the chest and abdomen.Known gastric mass medically visualized. |
Generate impression based on findings. | SCC neck status post chemoradiation. COPD. Pneumonia. Left lower lobe opacity superimposed on bullous emphysema and fibrotic changes evaluated with CT for further Dr. station and to determine if pneumonia. LUNGS AND PLEURA: New small left pleural fluid collection. Bulla in the periphery of the left upper lobe now conta... | Extensive air space opacity and septal thickening throughout the left upper lobe most compatible with infection since the patient has a recently negative PET scan less than one month ago. If the patient has hemoptysis, pulmonary hemorrhage may appear similar. Fluid in the bulla and pleural space is the density of simpl... |
Generate impression based on findings. | Chronic sinusitis Redemonstrated are findings from prior partial endoscopic sinus surgery including bilateral infundibulectomies and partial ethmoidectomies Frontal sinuses: No evidence of disease, unchanged.Ethmoid sinuses: Minimal bilateral chronic sinus disease demonstrating interval improvement.Sphenoid sinus: Comp... | 1.Ethmoid sinuses: Minimal bilateral chronic sinus disease demonstrating interval improvement.2.Sphenoid sinus: Compromised bilateral sphenoethmoidal recess albeit demonstrating interval improvement. 3.Maxillary sinuses: Mild mucosal thickening of bilateral maxillary sinuses, unchanged. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none LUNGS AND PLEURA: Calcified micronodules and calcified lymph nodes compatible with previous infection.No suspicious nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of ent... | No change and no sign of metastases. |
Generate impression based on findings. | Lung cancer. LUNGS AND PLEURA: Postoperative changes of left upper lobectomy. Well-circumscribed 5-mm solid nodule in the left lower lobe (4/30) unchanged compared to the most recent previous study however increased in size and compared to an earlier exam of 10/22/10 where it measured 3-mm. On the current study it cont... | No signs of localized recurrence or metastatic disease. Well-circumscribed 5-mm nodule the left lower lobe is most likely a hamartoma. |
Generate impression based on findings. | Nephrectomy for renal cancer evaluate for recurrent or residual disease. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Stable linear scarlike abnormality right upper lobe (4/30). Left lower lobe pleural calcification with adjacent scarring in the left lower lobe parenchyma, likely post infectious.MEDIAST... | No signs of thoracic metastatic disease. Incompletely characterized hepatic lesion, please refer to separately reported MR abdomen. |
Generate impression based on findings. | 40 year-old man with stabbing chest pain radiating to the back. Hypertension, evaluate for dissection. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality noted. The ascending aorta measures 2.9 cm in diameter and the descending thoracic aorta measures 2.4 cm in diam... | No evidence of aortic dissection. No findings to explain chest pain. |
Generate impression based on findings. | Head and neck cancer and CRT. LUNGS AND PLEURA: Very mild paraseptal and centrilobular emphysema. No suspicious pulmonary nodules or masses. Subcentimeter calcified micronodules most likely representing granulomas. Pleural lipoma in the left costophrenic angle.MEDIASTINUM AND HILA: Small anterior pericardial fluid coll... | No evidence of thoracic metastases. The left jugular chest port tip in is low in the right atrium, consider repositioning. |
Generate impression based on findings. | 52 year old male with history of base of tongue cancer, status post CRT. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for a left maxillary sinus retention cyst. Limited view of the intracranial structure is unremarkable. Volume loss of the right tongue base is redemonstrated... | Stable posttreatment changes in the neck with no evidence of tumor recurrence or pathologic adenopathy. |
Generate impression based on findings. | Base of tongue SCC (HPV positive) status post chemo radiation cycle 5 of TFHX on IRB 10-069 completed 7/2012 CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural fluid. Faint ground glass foci in the left upper lobe proper and lingula most likely related to aspirated secretions.MEDIASTINUM AND ... | No specific signs of metastatic disease. |
Generate impression based on findings. | 34 year-old female with recurrent sinusitis. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is moderate mucosal thickening in the left maxillary sinus, resulting in obstruction of the left infundibulum. There is mild mucosal thickening in the right... | Mild to moderate inflammatory disease affecting bilateral maxillary sinuses and left frontoethmoid recess with obstruction of the left maxillary infundibulum. |
Generate impression based on findings. | 77 year-old female with metastatic breast cancer. CHEST:LUNGS AND PLEURA: Multiple calcified and noncalcified micronodules. No new or suspicious nodules.MEDIASTINUM AND HILA: Multiple hypodense thyroid nodules again noted. Reference nodes are not thickened a change. Left supraclavicular node measures 8 mm, producing me... | No significant change in reference lesions. |
Generate impression based on findings. | Trauma. INR of 13. Please evaluate for hematoma. Altered mental status. CHEST:LUNGS AND PLEURA: Moderate right hemothorax. Calcified granuloma noted at the right lung base. Left lung is clear.MEDIASTINUM AND HILA: No significant abnormality noted. Coronary artery calcifications. Subcentimeter lymph nodes.CHEST WALL: Th... | Multiple non-displaced right lower rib fractures with large intramuscular right posterior chest wall and right flank hematoma. Moderate right hemithorax. Findings were discussed with the emergency room at the time of dictation. |
Generate impression based on findings. | HNC status post CRT. LUNGS AND PLEURA: Moderate centrilobular emphysema. No pleural fluid or pneumothorax. The lower lung zones, several subpleural pulmonary arterial branches are noted to be dilated. No signs of pulmonary edema. Scarlike lesion at the right apex similar in size and configuration, measuring 10 x 6 mm i... | 1. Left adrenal gland nodule is slightly larger and does not meet the criteria for a benign adenoma. Metastasis cannot be excluded. Further characterization may be made with dedicated CT or MRI (unless contraindicated). 2. Small thrombus at the tip of the chest port catheter. Dr. DeSouza notified via paging tool at 1:5... |
Generate impression based on findings. | Female 75 years old; Reason: assess for History: History colon CA ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Stable focal biliary ductal dilatation in the left hepatic lobe.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant... | No evidence of metastatic disease. |
Generate impression based on findings. | 53 year-old male status post right upper lobe lobectomy, lung cancer, right-sided chest wall trauma, July 2013. LUNGS AND PLEURA: Changes status post right upper lobectomy. Scarring is again noted in the right lower lobe, likely due to previous hematoma. No new suspicious pulmonary nodules or masses.MEDIASTINUM AND HIL... | No specific evidence of local recurrence or metastatic disease in the chest. |
Generate impression based on findings. | Metastatic melanoma. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusions. Scattered nonspecific micronodules. No suspicious nodules or masses.MEDIASTINUM AND HILA: Unchanged left supraclavicular lymph node measures 1.2 x 0.9 cm (image 4; series 3). No mediastinal or hilar lymphadenopathy. Heart size is ... | No substantial interval change compared to previous. No definite evidence metastatic disease in the chest, abdomen, and pelvis. |
Generate impression based on findings. | 68 year-old male with head and neck cancer. CHEST:LUNGS AND PLEURA: Multiple calcified and noncalcified punctate nodules in both lungs appear stable. Reference 3-mm nodule in the right upper lobe is unchanged since 2011, compatible with benign nodule (series 5, image 42).MEDIASTINUM AND HILA: No lymphadenopathy. Modera... | No evidence of metastatic disease. |
Generate impression based on findings. | 66-year-old male with metastatic lung cancer status post 18 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Postsurgical changes in the left lung with stable mild thickening adjacent to the suture line. No new or suspicious nodules. No consolidation or pleural effusions.MEDIASTINUM AND HILA: No significant change in re... | Stable reference measurements. |
Generate impression based on findings. | 40 year-old male with base of tongue cancer, follow up examination. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion or focal lung consolidation.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Right chest port with tip at the cavoatrial junction.CHEST WALL: No signif... | No evidence of metastatic disease in the chest or upper abdomen. |
Generate impression based on findings. | 63-year-old female with cough and right upper lobe nodule. LUNGS AND PLEURA: Right upper lobe mass continues to slightly decreased in size and density, measuring 1.8 x 3.2 cm, previously 2.0 x 3.2 cm (series 5, image 37). A small metallic clip is again seen adjacent to this lesion along its cranial margin.Peripheral no... | 1.Decreased size of reference right lung lesions, favoring an infectious or inflammatory etiology.2.New centrilobular and tree in bud opacities in right lower lobe as well as persistent tree in bud opacities in the left lower lobe most consistent with bronchiolitis, possibly from aspiration or infection though noninfec... |
Generate impression based on findings. | Female 75 years old; Reason: evaluate for metastasis. History: angiosarcoma. CHEST:LUNGS AND PLEURA: Reticular opacities in both upper lobes, with mild bronchial wall thickening, unchanged. MEDIASTINUM AND HILA: The left and middle hepatic veins insert directly into the right atrium.CHEST WALL: Right chest wall Port-A-... | 1.No evident tumor recurrence or distant metastases from prior left flank resection. Stable examination when compared to the previous.2.Stable sclerotic lesion in the T8 vertebral body with findings suggestive of a vertebral body hemangioma. While a metastasis could have this appearance, this is considered less likely.... |
Generate impression based on findings. | Evaluate for chronic pancreatitis, pseudocyst, divisum or other abnormalities. Epigastric pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: There is significant pancreatic atrophy and the remaining gland cont... | Atrophic pancreas with numerous calcifications compatible clinical history chronic pancreatitis. No evidence of pseudocyst. |
Generate impression based on findings. | 67-year-old male with history of metastatic renal cell cancer. Assess for progression. CHEST:LUNGS AND PLEURA: Minimal bronchiectasis and atelectasis in the right lower lobe.Scattered calcified micronodules are consistent with prior granulomatous disease. Right upper lobe spiculated nodule measures 7 x 7 mm, unchanged ... | 1.Mild progression of disease evidenced by interval growth of soft tissue mass in the right renal fossa, either invading the liver or alternatively confluent with a liver metastasis.2.Stable adjacent IVC thrombus.3.Stable hepatic metastases.4.Growth of the right upper lobe spiculated mass may reflect progression of met... |
Generate impression based on findings. | 81 year old female with history of head and neck cancer (laryngeal cancer), CRT, compared to previous. LUNGS AND PLEURA: Mild centrilobular emphysema. Interval resolution of right middle lobe nodular opacity, and improvement in basilar consolidation. There is persistent bronchial wall thickening and chronic interstitia... | 1.No evidence of metastatic disease in the chest.2.Interval improvement in basilar consolidation, bronchiolitis, and right middle lobe nodular opacity consistent with aspiration and infection. |
Generate impression based on findings. | 77 year-old female with metastatic breast cancer. CHEST:LUNGS AND PLEURA: Multiple calcified and noncalcified micronodules. No new or suspicious nodules.MEDIASTINUM AND HILA: Multiple hypodense thyroid nodules again noted. Reference nodes are not significantly changed. Left supraclavicular node measures 8 mm, previousl... | No significant change in reference lesions. |
Generate impression based on findings. | Male 27 years old; Reason: assess for mass/lesion History: history of ca ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNE... | No CT evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 64-year-old female with melanoma of the skin and scalp and neck, reevaluate Limited intracranial and orbital views are unremarkable. The visualized mastoid air cells and paranasal sinuses are clear. Torus palatinus, normal anatomic variant.Redemonstration of postsurgical changes of a right neck dissection with scarring... | 1. Several right sided cervical lymph nodes have slightly increased in size. This is a nonspecific finding and continued follow-up is recommended.2. No specific evidence of residual/recurrent disease in the neck. |
Generate impression based on findings. | Male 47 years old; Reason: eval for intraabdominal trauma as a result of fall History: pt has severe luq ttp after syncopal episode. likely had trauma to that side of the abdomen during syncopal episode CHEST:LUNGS AND PLEURA: Bibasilar atelectasis with bibasilar bronchiectasis noted. No mass or mass detected.MEDIASTIN... | 1.No acute intra-abdominal trauma detected.2.Bibasilar bronchiectasis of unclear etiology |
Generate impression based on findings. | Female 62 years old; Reason: pt with LE edema evaluatd for pelvic mass also f/u on plumonar infiltrate noted on last CT History: coug milder but increased dyspnea CHEST:LUNGS AND PLEURA: Interval resolution of the right subpleural air space opacity. Interval development of groundglass opacity in the left lingula. Stabl... | 1. Stable hepatic lesions with stable adenopathy. 2. New area of ground glass opacity in the lingula with resolution of the previously seen opacity in the right middle lobe. |
Generate impression based on findings. | 37-year-old female with history of pulmonary embolus in 8/2013. Please check for resolution. PULMONARY ARTERIES: Diagnostic quality exam without evidence of pulmonary embolus. Resolution of previously seen emboli.LUNGS AND PLEURA: Resolution of basilar consolidation and effusions. No focal opacities or effusions on cur... | Resolution of previously seen emboli and basilar consolidation, without evidence of emboli or other significant abnormality on current exam. |
Generate impression based on findings. | 48-year-old male with history of tongue cancer, CRT, reevaluate No mass effect, focal edema or suspicious enhancement is present to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact.No exophytic mass of the aerodigestive tract. Interval increase in reticulation of the su... | 1. Treatment related change in the neck without evidence of progressive primary tumor or pathologic lymphadenopathy.2. No intracranial metastatic disease. |
Generate impression based on findings. | 55 year old female with dyspnea, restriction on PFTs, evaluate for ILD. LUNGS AND PLEURA: No findings to suggest interstitial lung disease. No pleural effusion, or focal lung opacity. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Cardiac size is normal without ... | No findings to suggest interstitial lung disease. |
Generate impression based on findings. | T3N2cM0 supraglottic SCC s/p 2C IC with carbo/taxol and CRT with TFHX on 11/20/13. There has been evolution of post-treatment findings with interval extubation and decreased supraglottic mucosal edema. There is no discernable residual supraglottic tumor. There is no significant cervical lymphadenopathy. The airways are... | Evolution of post-treatment findings with interval extubation and decreased supraglottic mucosal edema. No discernable residual supraglottic tumor or significant cervical lymphadenopathy. |
Generate impression based on findings. | 76 year old female with metastatic thyroid cancer on therapy, evaluate for disease progression with measurements. CHEST:LUNGS AND PLEURA: Trace dependent atelectasis. Scattered pulmonary micronodules are unchanged. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Enhancing necrotic mass in the superior m... | Stable to minimally increased superior mediastinal mass. Mediastinal adenopathy is unchanged. No new sites of disease identified. |
Generate impression based on findings. | Male, 68 years old, history of base of tongue cancer, and thyroid cancer, status post radiotherapy and chemotherapy. Post-treatment alterations are redemonstrated in the neck including thickening of the platysma, infiltration of the subcutaneous and deep fat planes and perhaps some mild infiltration/edema of the lung b... | Posttreatment change in the neck with no evidence of recurrent disease or pathologic adenopathy. |
Generate impression based on findings. | 90 with fall at home and blow to headSigns and Symptoms: fall at home with head trauma The CSF spaces are appropriate for the patient's stated age with no midline shift. A focus of encephalomalacia is present in involving part of the right middle and inferior frontal gyri measuring approximately 30 7 x 48 mm in axial d... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA.3.There is a focus of encephalomalacia in the right middle cerebral artery territory probably related to prior infarction4.punctate lesions in the basal ganglia probably are present old... |
Generate impression based on findings. | 64-year-old female with history of floor of the mouth cancer, status post CRT, reevaluate Postoperative changes of the right mandibulectomy, fibular graft reconstruction, and plate and screw fixation. There is been some interval osseous fusion of the mental aspect of the mandible reconstruction. No osseous erosions are... | 1. Solid appearing enhancement in the mid to distal tongue is suspicious for tumor.2. Avidly enhancing left level Ia lymph node is new and suspicious for pathologic adenopathy.3. There is thickening of the thyrohyoid membrane and asymmetric fullness of the right strap muscles which may be secondary to post therapy chan... |
Generate impression based on findings. | Male, 19 years old, chronic nasal congestion, facial pain and pressure, recurrent sinus infections. History of septoplasty and turbinate reduction. The frontal sinuses are small but well aerated. The frontal ethmoidal recesses are clear. The left sphenoid sinus is larger than the right. The intersphenoid septum deviate... | No evidence of active sinus inflammatory disease. |
Generate impression based on findings. | 16-year-old male with hip pain, concern for femoral acetabular impingement. Elongated 1.6-cm maximum transaxial dimension os acetabulum is noted. Contralateral right hip also demonstrates a CAM deformity and smaller os acetabulum.MEASUREMENTS: CAM location : Two o'clock position.Alpha angle : 73 degrees.Coronal center-... | CAM deformity and os acetabulum with measurements as above. |
Generate impression based on findings. | Malignant neoplasm of nasopharynx, unspecified siteRadiotherapy follow-up examinationChemotherapy follow-up examination. Clinical question: h/o HNC, CRT, compare to previous, measurements pls CT neck:There is redemonstration of a destructive mass along the left skull base without where a function of the left sphenoid b... | 1.Since the prior examination destructive changes along the left skull base are stable.2.Since the prior examination nasopharyngeal mucosal thickening involving the predominately the left soft palate and left nasopharynx stable. There is associated opacification of the left mastoid air cells suspected to be related to ... |
Generate impression based on findings. | Abdominal pain. Anastomotic leak status post drainage. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. No intrahepatic biliary ductal dilatation..SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant ab... | 1.Interval drainage of a perirectal fluid collection which has markedly decreased in size.2.Left renal mass likely represents an angiomyolipoma, unchanged. Consider embolization if desired clinically |
Generate impression based on findings. | Acute desaturation, tachycardia in cancer patient status post mesenteric thrombosis. PULMONARY ARTERIES: Limited quality study due to suboptimal opacification of the central pulmonary vasculature. Additionally, there is significant respiratory motion artifact present, which results in slice misregistration. No filling ... | 1. Limited assessment for PE due to motion artifact and sub-optimal contrast opacification of the central pulmonary vasculature. No evidence of pulmonary embolus to the proximal lobar level. PE in the distal lobar, segmental and subsegmental arteries cannot be ruled out.2. Extensive geographic appearing airspace opacit... |
Generate impression based on findings. | Facial paralysis, right sided ear and mandible pain. Evaluate for mass. Head: There is no evidence of intracranial mass or abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a large left maxillary sinus retention c... | No evidence of neck or intracranial masses. MRI with contrast of this region may be useful for further evaluation. |
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