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Generate impression based on findings. | 50 year-old male with gist tumor. Evaluate for stability of disease. CHEST:LUNGS AND PLEURA: Pleural scarring/thickening along the right hemithorax without change. Mild apical emphysematous change.MEDIASTINUM AND HILA: Small thyroid nodule again noted. Increased attenuation in the the mediastinal fat is stable. Presuma... | Stable axillary adenopathyStable hepatic mass.Increasing size of peritoneal nodule.No change or slight increase in retroperitoneal adenopathy. |
Generate impression based on findings. | Malignant neoplasm of colon. Metastatic disease to supraclavicular area, mediastinum and liver. CHEST:LUNGS AND PLEURA: Scattered micronodules should be followed. Left pleural effusion with overlying compressive-type atelectasis.MEDIASTINUM AND HILA: Right supraclavicular lymph node measures 1.7 x 2.0 cm (image 15; ser... | Widespread metastatic disease with reference measurements given above. |
Generate impression based on findings. | Hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH N... | No GU related abnormality. Specifically, no evidence for renal mass on this noncontrast study. No evidence for acute inflammatory process, obstruction, or stone |
Generate impression based on findings. | HNC, CRT compared to previous. CHEST:LUNGS AND PLEURA: 4-5 mm flat subpleural nodular density with linear margins, previously 4-mm, not conclusively changed since the patient's study of 7/24/12 and most likely a benign subpleural lymph node. This measurement should be dropped on subsequent examinations. No suspicious p... | No evidence of metastatic disease. Cholelithiasis. |
Generate impression based on findings. | Prostate carcinoma with rising PSA and weight loss 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: Stable right re... | Status post prostatectomy. Interval appearance of mildly enlarged left external iliac lymph node; best considered indeterminate. Would pay special attention to this node on future surveillance scans |
Generate impression based on findings. | Female 57 years old; Reason: SBO History: abdominal pain, recent diagnosis ABDOMEN:LUNG BASES: No significant abnormality detected.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Indeterminate left adrenal nodule ... | 1. Small bowel dilation with small bowel feces sign suggestive of small bowel obstruction. The transition point appears to be in the right lower quadrant secondary to peritoneal carcinomatosis.2. Peritoneal nodularity compatible with carcinomatosis without significant interval change.3. Left greater than right hydronep... |
Generate impression based on findings. | 39 year-old female status post heart transplant experiencing recurrent headaches with neuropathic symptoms. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hem... | Negative noncontrast head CT. Specifically, there are no CT findings to explain the patient's symptoms. |
Generate impression based on findings. | 16 year-old male experiencing headache with brain mass, postop, evaluate for hemorrhage. There has been interval biopsy via a posterior frontal approach with concurrent placement of a right ventriculostomy catheter. A tiny amount of subarachnoid hemorrhage, pneumocephalus, intraventricular air, as well as a tiny amount... | There has been interval biopsy via a posterior frontal approach with concurrent placement of a right ventriculostomy catheter. A tiny amount of subarachnoid hemorrhage, pneumocephalus, intraventricular air, as well as a tiny amount of dependent blood within the occipital horns is consistent with the postoperative statu... |
Generate impression based on findings. | 35-year-old female with rapidly progressive erythema, pain laterally around the knee, evaluate for gas, soft tissue infection There is reticulation and edema of the subcutaneous soft tissues and fat that extends from the knee to the foot. There is induration of the skin along the lateral aspect of the proximal one thir... | Subcutaneous reticulation edema without evidence of soft tissue gas compatible with cellulitis. |
Generate impression based on findings. | 78-year-old male sepsis and ARDS CHEST:LUNGS AND PLEURA: Interval development of bilateral large pleural effusions and dependent atelectasis. Endotracheal tube is in place.MEDIASTINUM AND HILA: Mediastinal adenopathy, not significant changed. Mild cardiomegaly, unchanged.CHEST WALL: No significant abnormality notedABDO... | Interval development of bilateral large pleural effusions and dependent atelectasis.Interval development a small amount of ascites.Mediastinal retroperitoneal and mesenteric lymph nodes, stable. |
Generate impression based on findings. | 53-year-old male with abdominal pain. Rule out cholecystitis. ABDOMEN:LUNGS BASES: Patchy right lower lobe groundglass opacities may represent early infection or atelectatic changes.LIVER, BILIARY TRACT: The liver enhances homogeneously without focal lesion. The gallbladder is contracted. Small amount of pericholecysti... | 1.No CT evidence of cholecystitis, as clinically questioned. If clinical concern remains, recommend right quadrant ultrasound for complete evaluation of the gallbladder.2.Moderate ascites throughout the abdomen likely due to peritoneal dialysis.3.Early infection versus atelectatic changes in the right lower lobe. Clini... |
Generate impression based on findings. | 70 year-old male with recurrent small cell lung cancer with hypoxia and new pleural effusion PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus. The distal arteries are diminutive due to compression from surrounding mass. The main pulmonary artery measures 3.6 cm indicating pulmonary ar... | 1. Technically adequate exam without evidence of pulmonary embolus.2. Large right perihilar mass invading the mediastinum and compressing the proximal bronchi, pulmonary arteries and inferior pulmonary vein. Multiple pulmonary nodules, mediastinal lymphadenopathy and upper abdominal lymphadenopathy/mass consistent with... |
Generate impression based on findings. | 34-year-old female with history of abdominal pain. Evaluate for cause of pancreatitis. ABDOMEN:Exam is limited by significant motion artifact.LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Exam is significantly limi... | Mild inflammatory changes consistent with acute pancreatitis without evidence of complication in this limited exam. |
Generate impression based on findings. | Sickle cell disease, evaluate from his enteric ischemia ABDOMEN:LUNG BASES: Linear atelectasis at the lung basesLIVER, BILIARY TRACT: Dilated common bile duct. Mild intrahepatic biliary dilatation. Status post cholecystectomy.SPLEEN: Calcified small spleen.PANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | Normal CT angiography of the abdomen and pelvis.Calcified small spleen.Intra-and extrahepatic biliary dilatation. Etiology is unknown.Bone changes secondary to sickle cell disease.Mild wall thickening of the bladder with very compatible with cystitis. |
Generate impression based on findings. | 48-year-old female with wheezing and PEA arrest PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Evaluation of the lungs is limited due to motion artifact. Extensive bilateral upper lobe predominant interstitial opacity with septal thickening and patchy multifocal ba... | 1. Technically adequate exam without evidence of pulmonary embolus.2. Extensive bibasilar consolidation suggesting massive aspiration. 3. Diffuse interstitial opacities indicating pulmonary edema with underlying emphysema.4. High placement of endotracheal tube. |
Generate impression based on findings. | Female 52 years old; Reason: Eval fluid colletions seen on previous CT: 10 x 8.1-cm collection in the pelvic cul-de-sac, 4.1 x 4.3 cm fluid collection L flank History: On IV abx, doing well at home. Need to f/u fluid collections before d/c abx ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: ... | 1. Interval resolution of the previously seen fluid collections and removal of the surgical drains.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 64 year-old female with right lung cancer, new dysphagia and right-sided shoulder pain. LUNGS AND PLEURA: Small right pleural effusion. Right upper lobe nodule measures 8 x 8 mm (image 16 series 6). Linear and nodular opacities in the right lung and subsegmental right middle lobe atelectasis.MEDIASTINUM AND HILA: The h... | 1. Marked distal esophageal wall thickening suggesting esophagitis although underlying mass cannot be excluded.2. Right upper lobe nodule and small pleural effusion consistent with the patient's underlying lung cancer.3. Few mildly enlarged mediastinal lymph nodes. |
Generate impression based on findings. | 60 year-old female with chest pain, rule out PE PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Large left pneumothorax with collapse of the left lung. Moderate upper lobe predominant centrilobular emphysema. The collapsed left lung contains several foci of consolid... | 1. No pulmonary embolus. 2. Large left pneumothorax with collapse of the left lung and mild rightward mediastinal shift. Nodular opacity adjacent to a left apical bulla may represent atelectasis although follow up imaging may be considered following lung reexpansion, when clinically appropriate. |
Generate impression based on findings. | Malignant neoplasm of cheek mucosa CT neck:The patient is status post left sided mandibulectomy with placement of a prosthesis and the patient is status post removal of the left submandibular gland. In general the appearance of the left cheek and the left submandibular space remains stable when compared to the prior ex... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.There is some thickening along the mucosal lining of the oropharynx and vallecula and epiglottis which has developed since the prior exam. It is suspected to be post-treatment related. A follow-up exam would help confirm.3.the... |
Generate impression based on findings. | Female 58 years old; Reason: Rule out cholecystitis History: Abdominal pain, diffuse ABDOMEN:LUNGS BASES: Cardiomegaly with vascular congestion, status post AICD placement. No nodule or mass detected.LIVER, BILIARY TRACT: No focal lesion detected. Granuloma noted in the liver. Small amount of perihepatic fluid. Status ... | 1.Non specific inflammation in the right upper quadrant with fluid in the pelvis. Status post cholecystectomy. 2.Small hypoattenuating lesion in the right upper quadrant, MRI/MRCP advised for full characterization. |
Generate impression based on findings. | 60 year-old female with chest pain status post trauma LUNGS AND PLEURA: Low lung volumes with bilateral linear opacities suggest atelectasis and scarring. No pneumothorax or pulmonary contusion.MEDIASTINUM AND HILA: The heart size is normal. No mediastinal or hilar lymphadenopathy.CHEST WALL: No rib fractures are ident... | No acute abnormality. No rib fracture or pneumothorax. |
Generate impression based on findings. | Jaundice ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is intra-and extra hepatic biliary dilatation. Distal common bile duct is normal in caliber. The etiology is unknown but this may be secondary to stones or a neoplasm involving the distal common bile duct. Distended gallbladder wit... | Intra next hepatic biliary dilatation. Distended gallbladder with mild fat stranding around the gallbladder. The etiology is unknown. These findings there is secondary to a stone in the distal common bile duct, however, an underlying neoplasm cannot be excluded. M.R.C.P. is recommended for further evaluation.Mildly enl... |
Generate impression based on findings. | 69-year-old male with abdominal pain and continued intolerance of feeding ABDOMEN:LUNG BASES: Right-sided small pleural effusion. Partially visualized metastases in the lung bases.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | No evidence of bowel obstruction.Pulmonary metastases.Cholelithiasis.Bilateral renal cysts. |
Generate impression based on findings. | r/o recurrent tumorSigns and Symptoms: headaches, otalgia, neck pain, cellulitis to anterior neck CT neck:The patient is status post tracheostomy tube placement and a laryngectomy since the prior exam. There is a soft tissue mass present above the tracheostomy site measuring 45 x 33 mm axial dimensions no and 40 x 26 m... | 1.The patient status post recent total laryngectomy and tracheostomy tube placement. There is a soft tissue mass present at the surgical site at the level of the remaining thyroid cartilage above the tracheostomy tube and at the hypopharynx. Please correlate with clinical findings. The possibility this represent malign... |
Generate impression based on findings. | 63 year-old female, possible retained PICC line fragment LUNGS AND PLEURA: Right middle lobe loculated fluid collection with air fluid level consistent with an intrapulmonary abscess. Moderate bilateral pleural effusions with compressive atelectasis. Additional multifocal bronchial wall thickening and airspace opacitie... | 1. Air fluid collection in the right middle lobe consistent with an intrapulmonary abscess. Additional multifocal air space opacities and moderate bilateral pleural effusions consistent with pneumonia with mild overlying edema.2. No evidence of retained foreign body. |
Generate impression based on findings. | 52-year-old male with carcinoid tumor, compare prior exam CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema and multiple pulmonary cysts appear similar to the prior exam.Cavitating left upper lobe nodule with peripheral nodular density and 3-mm wall thickness (previously 3 mm) is not significantly changed (image... | 1. Unchanged reference lesions.2. Multiple non-reference pulmonary nodules and cavitary left upper lobe lesion appear unchanged. Two new pulmonary nodules near a previously noted groundglass opacity may represent recurrent aspiration are identified for which continued 3 month follow up is recommended to exclude maligna... |
Generate impression based on findings. | 52 year-old female with thymoma Morvan's syndrome CHEST:LUNGS AND PLEURA: Right lower lobe nodule measures 10 x 11 mm and previously measured 10 x 8 mm (image 39 series 4. Adjacent nodular opacity suggesting post posttreatment changes again identified. Left lung volume loss and paramediastinal clips. No new nodules or ... | Pulmonary nodules and associated treatment effect without significant interval change. Multiple nonspecific hypoattenuating splenic lesions appear similar to the prior exam. |
Generate impression based on findings. | 60 year-old female with history of second degree heart block progressing to complete heart block and cardiac MRI suggesting possible inflammation scarring evaluate for sarcoidosis LUNGS AND PLEURA: Mild basilar atelectasis or scarring. No evidence of interstitial lung disease or sarcoidosis.MEDIASTINUM AND HILA: Pacema... | 1. No findings to suggest sarcoidosis. 2. Possible left ventricular septal hypertrophy, although the cardiac phase cannot be confirmed. |
Generate impression based on findings. | 18 year-old female with metastatic lung cancer status post chemo and radiation therapy CHEST:LUNGS AND PLEURA: Postsurgical changes of right pneumonectomy and pleurectomy are again identified. Residual peripheral nodularity and thickening appears similar to the prior exam. Reference paramediastinal thickening correspon... | 1. Status post right pneumonectomy and pleurectomy with unchanged reference lesions as detailed above.2. Right renal cortical lesion for which a metastasis cannot be excluded and dedicated MRI may be considered for further characterization. |
Generate impression based on findings. | 55-year-old male with head and neck cancer, restaging LUNGS AND PLEURA: Right upper lobe micronodule is unchanged. No suspicious nodules or masses.MEDIASTINUM AND HILA: Several prominent mediastinal lymph nodes are unchanged. Right port catheter extends to the cavoatrial junction. The heart size is normal. No pericardi... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 62-year-old male with epiglottic cancer LUNGS AND PLEURA: Severe diffuse centrilobular and paraseptal emphysema with apical bullae. Scattered punctate micronodules some of which are calcified consistent with prior granulomatous disease.MEDIASTINUM AND HILA: Moderate coronary arterial calcification and atherosclerotic c... | No evidence of metastatic disease. Severe centrilobular and paraseptal emphysema. |
Generate impression based on findings. | 62 year-old female with lung cancer, evaluate and compare with prior CHEST:LUNGS AND PLEURA: Two mildly large enhancing right internal mammary lymph nodes measuring 5 mm diameter were not present on the exam dated 7/1/13 (image 35 series 3). Additional high density nodular anterior paramediastinal and posterior pleural... | Increased pleural nodularity and right internal mammary lymph nodes as detailed above for which continued close followup is recommended to exclude metastatic disease. |
Generate impression based on findings. | Female 71 years old; Reason: evaulate for ventral hernia recurrence vs seroma vs sarcoma. prev incisional hernia repair in 11/2011 History: LLQ soft mass ABDOMEN:LUNGS BASES: Nonspecific or less opacification noted in the bilateral lung bases.LIVER, BILIARY TRACT: The liver is normal in morphology and size. No focal le... | 1.Small midline ventral hernia containing loops of bowel without evidence of strangulation or obstruction.2.Non specific ground glass opacities in the lungs.3.Cholelithiasis |
Generate impression based on findings. | 8-month-old male with history of meningitis and chronic seizure disorder now vomiting for 7 days Right-sided subdural catheter is been removed, and the previously demonstrated right subdural fluid collection has nearly resolved. Prominent left-sided subdural CSF fluid has decreased over the interim as well measuring 8 ... | 1.Right-sided subdural catheter is been removed, and the previously demonstrated right subdural fluid collection has nearly resolved. 2.Prominent left-sided subdural CSF fluid has decreased over the interim as well measuring 8 mm (previously 10 mm). 3.Slight increase in size of the lateral ventricles, however it should... |
Generate impression based on findings. | Male 39 years old; Reason: eval for stones, s/p perc stone treatment, now with increased drainage and pain History: eval for stone remnants no contrast needed ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observation... | 1.Status post percutaneous nephroureterostomy on the left without residual stones or hydronephrosis. No perinephric fluid collections or hematoma seen. |
Generate impression based on findings. | Male 83 years old; Reason: AAA vs hernia History: LLQ abd pain ABDOMEN:LUNGS BASES: Coronary artery calcifications. No nodular mass detected.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormali... | 1.No CT evidence of the left lower quadrant pain. In particular, no AAA, hernia, obstruction, or diverticulitis. |
Generate impression based on findings. | Male 58 years old; Reason: 58 yo being worked up for heart transplant. colonoscopy revealed large polyp unable to be totally removed. please assess size and location of colonic mass; assess for possible mets History: see above ABDOMEN: Lack of IV contrast limits evaluation of solid organs and the vasculature. Given the... | 1.Incomplete characterization of previously seen polyp on the IC valve. No definite evidence of metastatic disease on this limited noncontrast examination. |
Generate impression based on findings. | Male 43 years old; Reason: Question of malignancy, chest, abdominal pain History: chest pain, abdominal pain, Extremely elevated white count (42) CHEST:LUNGS AND PLEURA: Bilateral small pleural effusions and dependent atelectasis, more on the left compared to the right side. Multiple villous, more in the upper lobes.ME... | Limited study due to lack of intravenous contrast. Hepato- splenomegaly. Axillary, mediastinal, retroperitoneal and pelvic adenopathy. These findings are suggestive of lymphoma.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 46 years old; Reason: eval for bowel obstruction vs bowel ischemia History: eval for bowel obstruction vs bowel ischemiaTECHNIQUE Axial CT images are obtained through the chest, abdomen and pelvis after administration of oral contrast and 90 ml intravenous Omnipaque 350. Coronal reformats were also generated and... | 1.Interval though no floor of bilateral groundglass opacities of uncertain etiology. Infection, ARDS, alveolar hemorrhage or drug reaction can be considered in differential diagnosis.2.Heterogeneous low density of enlarged liver. An underlying neoplasm cannot be excluded. MRI of the liver is recommended for further eva... |
Generate impression based on findings. | 14-week-old female with seizure disorder and history of intracranial hemorrhage, now vomiting A previously demonstrated depressed fracture has healed with that region the calvarium demonstrating an anatomic configuration. Previously demonstrated subgaleal hemorrhage, subdural hemorrhage and interventricular hemorrhage ... | 1.A previously demonstrated depressed fracture has healed with that region the calvarium demonstrating an anatomic configuration. 2.Previously demonstrated subgaleal hemorrhage, subdural hemorrhage and interventricular hemorrhage have resolved.3.There are no new hemorrhages. although one caveat is that portions of the ... |
Generate impression based on findings. | Male; 64 years old. Reason: Assess for surgical state s/p OHT and AICD removal; assess for possible source of infection History: Pt meets SIRS criteria; no organism found. LUNGS AND PLEURA: Patchy upper lobe air space consolidation, right greater than left, with air bronchograms. The findings are nonspecific but most l... | 1.Patchy upper lobe air space consolidation with air bronchograms, right greater than left and most compatible with multifocal infection.2.Significant upper abdominal ascites and moderate bilateral pleural effusions.3.Postsurgical changes as described above. |
Generate impression based on findings. | Female 58 years old; Reason: evaluate for recurrence of hernia at umbilicius. pt s/p repair 9/2013 History: small abdominal mass on exam ABDOMEN:LUNGS BASES: A valve replacement noted with cardiomegaly. Mild vascular congestion. No nodule detected.LIVER, BILIARY TRACT: No significant abnormality noted. Patient status p... | 1.Loculated fluid collection in the pelvis, abscess cannot be excluded.2.Small anterior abdominal paramedian collections, likely a seroma and residua ventral hernia.3.Dr. Hedburg notified of the findings at 8:30 on 12/15/13 |
Generate impression based on findings. | Female 46 years old; Reason: SBO History: pain and distension 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: Beni... | 1. Findings are compatible with early bowel obstruction, however, although much less likely, closed loop obstruction cannot entirely be ruled out given the decompression of most proximal and distal small bowel loops.. |
Generate impression based on findings. | Female 63 years old; Reason: rule out infection, elevated transaminitis History: n/v ABDOMEN:LUNGS BASES: Bilateral atelectasis and subpleural scarring. Mild cardiomegaly.LIVER, BILIARY TRACT: The liver is normal in size and morphology. No intrahepatic or extrahepatic biliary ductal dilation noted. The gallbladder is c... | 1.Obstructing right ureteral calculus with resultant hydronephrosis. No drainable fluid collections.2.Non obstructing left renal calculi3.Findings discussed with Dr. Nguyen at 8:37 on 12/15/13 |
Generate impression based on findings. | History of recurrent lymphoma. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No evidence of enlarged mediastinal lymph nodes.CHEST WALL: Right-sided Port-A-Cath terminates at the SVC.ABDOMEN:LIVER, BILIARY TRACT: Mild hepatomegaly. No evidence of intra-or extrahepatic biliary duct dilata... | Improvement in previous report is right lateral tracheal lymph nodes which are normal in their visualized.Mild hepatosplenomegaly. |
Generate impression based on findings. | Male; 20 years old. Reason: rule out PE History: chest pain and history of sickle cell disease. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Focal right lower lobe airspace consolidation, compatible with infection and/or aspiration. No pleural effusions. MEDIASTINUM AND HILA: Cardiomegaly wit... | 1.No evidence of pulmonary embolism.2.Right lower lobe airspace consolidation, compatible with pneumonia or acute chest syndrome. |
Generate impression based on findings. | History of ovarian cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Sclerotic focus involving the T3 vertebral body, unchanged.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Multiple hypodense splenic... | Minimal interval decrease in the size of the index left paraortic lymph node.Peritoneal Carcinomatosis and pelvic adenopathy, not significantly changed.Stable hypodense splenic lesions and T3 vertebral body sclerotic lesion of uncertain etiology. |
Generate impression based on findings. | 50 year-old male with history of follicular cell sarcoma CHEST:LUNGS AND PLEURA: Bilateral metastatic lesions are again noted. Index lesion in the right lower lobe measures 4 by 2.9 cm on image number 62, series number 5, increased in size compared to previous study. Other numerous metastatic lesions are also increased... | Interval increase in the size of the bilateral lung metastases.Destructive lesion involving the sacrum and right renal indeterminate hypodense lesion, unchanged. |
Generate impression based on findings. | Female 72 years old; Reason: diverticulitis History: abd pain and diarrhea ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted. Incidental focal fatty infiltration next is falciform ligament seen.SPLEEN: No significant abnormality noted.PANCREAS: No significant a... | Focal colitis of the descending colon. Differential considerations might include inflammatory versus infectious. Ischemic is thought to be less likely 1.1.2-cm left the artery enters. |
Generate impression based on findings. | Hodgkin lymphoma disease CHEST:LUNGS AND PLEURA: The apical scarring. There is also scarring in bronchiectasis in the right middle lobe. No lung nodules.MEDIASTINUM AND HILA: Minimal infiltrative soft tissue density in the anterior/superior mediastinum. An index retrocaval lymph node measures 9 mm in diameter image num... | Biapical scarring . Bronchiectasis and scarring involving the right middle lobe.Mediastinal borderline enlarged lymph nodes and infiltrative minimal soft tissue density in the upper/superior mediastinum. |
Generate impression based on findings. | Female 20 years old; Reason: r/o appy History: RLQ pain with rebound 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.KIDNEYS, ... | 1.No definite evidence of appendicitis, although the appendix is not clearly visualized. Focal area of inflammation in the ascending colon may be related to epiploic appendagitis versus omental infarction. Few mesenteric nodules right lower quadrant, nonspecific. No drainable fluid collections, free air, or abscess not... |
Generate impression based on findings. | Female 34 years old; Reason: h/o RLQ pain and possible stone, UPT neg History: see above ABDOMEN: 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:LUNGS BASES: Minimal bibasilar atelectasis.LIVER, BILIARY ... | 1.1 cm stone in the right UPJ with enlarged kidney and marked inflammatory change and edema to the perinephric fat mild-to-moderate hydronephrosis. |
Generate impression based on findings. | Female 35 years old; Reason: bacteremia, h/o VP shunt, eval for collection History: bacteremia Within the limits of a non-IV contrast enhanced examination which limits evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality no... | 1. interval removal of the CSF shunt catheter without drainable fluid collection or acute intra-abdominal pathology detected. |
Generate impression based on findings. | Status post endoscopy. Asses for bronchiectasis LUNGS AND PLEURA: Bibasilar, likely chronic atelectasis. No effusions or pneumothorax.MEDIASTINUM AND HILA: Right upper extremity PICC and right IJ venous access tips are at the SVC/right atrium.CHEST WALL: Neurostimulator and spinal rods as well as skeletal deformities a... | Bibasilar, likely chronic atelectases with no effusions or pneumothorax. |
Generate impression based on findings. | History of renal cell carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Interval increase in the size of the right rib metastases. The lesion now measures 5.3 x 2.4 cm on image number 72, series number 8. Previously, it was measuring 3.9 ... | Interval increase in the size of the right rib metastatic lesion.Interval resection of the right kidney.Dilated right testicular vein with possible thrombus and associated collateral vessels in the right retroperitoneum.Left renal hypodense lesions, unchanged.Small amount of fluid in the right nephrectomy bed.Cholelith... |
Generate impression based on findings. | 78-year-old male with altered mental status. History of normal pressure hydrocephalus status post ventriculoperitoneal shunt placement and remote history subdural hemorrhage. Redemonstrated is a right frontal approach shunt catheter terminating near the pre-pontine cistern, unchanged in position.As before, there has be... | 1.Redemonstrated is a right frontal approach shunt catheter terminating near the pre-pontine cistern, unchanged in position. As before, there has been slight decrease in size of the ventricles. 2.Previously demonstrated bilateral chronic subdural hematomas overlying prominent subarachnoid spaces have increased in size,... |
Generate impression based on findings. | 67-year-old male with altered mental status. Evaluate subdural hematoma. CT HEAD:High density subdural material consistent with acute hemorrhage is visualized along the right and left frontotemporal subdural regions, the falx, and the tentorium. The blood is thickest at the right frontotemporal region where it measures... | 1.Large bilateral right greater than left subdural hematoma measuring 20 mm in diameter with right-sided mass effect and leftward midline shift by 3 mm.2.Multilevel degenerative changes in the cervical spine without fracture or dislocation. |
Generate impression based on findings. | SOB, fever. Evaluate for cavitary lesion/abscess. LUNGS AND PLEURA: 6.5 x 3.7 cm cavitary predominately air-filled lesion (series 5, image 24) in the right upper lobe with a small amount of dependent fluid. There is surrounding ground-glass opacity as well as more nodular appearing areas of consolidation at its inferio... | 1. Large cavitary lesion in the right upper pole lobe with surrounding ground-glass opacities and nodular areas of consolidation. This could represent an abscess/infection; however a cavitating malignancy cannot be excluded and follow-up is recommended.2. Findings consistent with acute pulmonary embolism in central and... |
Generate impression based on findings. | 81-year-old female patient with pain after fall with negative radiograph. Evaluate for fracture. Left hip with medial joint space narrowing, acetabular osteophytes and small subchondral cysts, consistent with moderate osteoarthritis. No evidence of fracture or dislocation.Degenerative changes of the pubic symphysis.Cal... | No evidence of left hip fracture or dislocation. |
Generate impression based on findings. | Other specified visual disturbancesOther specified visual disturbances. evaluate for orbital fx, hematoma, cellultiis There is right periorbital soft tissue swelling present in the thickening of the right lacrimal gland. Although there is preseptal involvement there is minimal extraconal involvement adjacent to the rig... | 1.Right periorbital soft tissue swelling is almost exclusively preseptal and periorbital without any intraconal extension.2.A couple of air bubbles within the subcutaneous tissues adjacent to the right infraorbital rim. Please correlate with clinical symptoms, clinical findings and history for the origin of these air b... |
Generate impression based on findings. | Female 63 years old; Reason: To reassess for locally advanced pancreatic cancer History: Pancreatic cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Unchanged hepatic steatosi... | Pancreatic carcinoma with encasement of the portal vein and SMV. Loss of fat plane between the duodenum and tumor is also noted. Possible stable liver metastasis although limited evaluation due to underlying steatosis. |
Generate impression based on findings. | Male; 50 years old. Reason: evaluate for abdominal mass History: Intractable vomiting ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality noted... | 1.No evidence of abdominal mass.2.Moderate amount of retained food contents in the stomach may indicate a gastric emptying abnormality. |
Generate impression based on findings. | Left neck swelling. There is left level 1, 2, 4, and 5 lymphadenopathy, the largest of which is a level 2B lymph node that contains areas of hypoattenuation and measures 14 x 20 mm. There is diffuse prominence of the adenoids, although this can be within normal limits for age. There is no significant airway narrowing o... | Left cervical lymphadenopathy. Differential considerations include cervical lymphadenitis or reactive lymphadenopathy and less likely a neoplastic process. Partially imaged bilaterally tympanomastoid opacification may represent otomastoiditis or may be due to Eustachian tube obstruction related to nasopharyngeal swelli... |
Generate impression based on findings. | 27-year-old female. Pleurisy, chest pain. Evaluate for PE. PULMONARY ARTERIES: Technically adequate examination for evaluate for pulmonary embolism. No pulmonary emboli were identified.LUNGS AND PLEURA: No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. No signific... | No acute pulmonary emboli or specific findings to account for patient's symptoms. |
Generate impression based on findings. | 63 year-old female status post bowel resection. Reason: on-going abd pain and tenderness; loose stools, eval for intrabdominal collection, obstruction, inflammation ABDOMEN:LUNG BASES: Large bilateral pleural effusions and bilateral lower lobe consolidation/atelectasis have decreased since the prior exam, leaving a mod... | 1.Moderate grade distal small bowel obstruction has resolved. Moderate amount of free fluid in the abdomen and pelvis has resolved. Improved bilateral pleural effusions since prior exam. 2.Postsurgical changes in the right lower quadrant with open midline abdominal wound.3.Highly vascular soft tissue mass in the latera... |
Generate impression based on findings. | Reason: h/o thyroid cancer with mets to lung and liver check for prog History: none CHEST:LUNGS AND PLEURA: Widespread pulmonary metastases with reference measurements as follows.Soft tissue mass at the left apex medially measures 2.9 x 2.5 cm, previously 2.8 x 2.4 cm (image 14; series 5).Right middle lobe pulmonary no... | Continued slight increase in size of pulmonary metastases. Hepatic lesion is unchanged. |
Generate impression based on findings. | 52-year-old male. History of HNC and CRT. Compared to previous measurements. CHEST:LUNGS AND PLEURA: Nonspecific ground glass nodular opacity in the right upper lobe with adjacent mild retraction of the major fissure. There is a ground glass nodule in the left lower lobe. These are both new from prior exam and most lik... | 1. No definite evidence of metastatic disease.2. Interval resolution of previously seen clustered nodular opacities in the posterior segment of the right upper lobe, which were most likely due to aspirate.3. Two new nodular ground glass opacities in the right upper and left lower lobes, most likely postinflammatory. |
Generate impression based on findings. | Male 64 years old; Reason: 64 year old male with metastatic carcinoid. Staging. History: abdominal pain, nausea CHEST:LUNGS AND PLEURA: Large mass in the left upper lobe with partial collapse is noted. Small calcifications are seen within this mass suggesting metastatic spread of carcinoid tumor. Definite measurements ... | 1.Large lung mass in the left upper lobe with partial collapse of left upper lobe, likely metastatic disease or primary Carcinoid tumor.2.Large hepatic metastatic mass occupying the majority of the right lobe with few satellite lesions throughout the liver. |
Generate impression based on findings. | 67 year old female. Reason: concern for intraperitoneal bleed History: drop in H/H Lack of intravenous contrast limits evaluation of solid organs. ABDOMEN:LUNG BASES: Slight interval increase in the size of the right pleural effusion with underlying atelectasis/consolidation.LIVER, BILIARY TRACT: Cirrhotic morphology w... | Cirrhotic liver. Slight interval increase in ascites and right sided pleural effusion. No evidence of intraperitoneal hemorrhage, as clinically questioned. |
Generate impression based on findings. | 85 year old male. Reason: Increasing abdominal distension and nausea; concern for obstruction. History: distension/nausea ABDOMEN:LUNG BASES: Old healed right posterior rib fracture. Calcified mitral valve anulus. Left posterior base pleural thickening. Bibasilar paraseptal emphysema. No acute infiltrates. Small bilate... | No bowel obstruction. Emphysema. Gaseous distention of bowel suggests mild ileus. |
Generate impression based on findings. | 28 year old female. Reason: evaluate gastric bypass, intrabdominal pathology History: LLQ, LUQ abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 1 cm hepatic hypodensity in the right lobe (image 32, series 3) may be a cyst or hemangioma.SPLEEN: No significant abnormality notedPANC... | Gastric bypass with expected postoperative changes. No obstruction. No free air. No acute abnormalities were identified that explain the patient's pain. |
Generate impression based on findings. | 78 year old female. Reason: eval for diverticulitis History: abd pain, vomiting ABDOMEN:LUNG BASES: No acute infiltrates or effusions. Coronary artery calcifications.LIVER, BILIARY TRACT: Stable 3-cm peripherally and centrally calcified mass at the inferior margin of the right hepatic lobe appears benign. A second dens... | No diverticulitis. No acute intra-abdominal abnormality to explain the patient's pain. |
Generate impression based on findings. | 68-year-old male, hx heart transplant with aspergillus. Reason: eval for pneumonia vs effusion vs abdominal abscess from prior lymphocele. History: septic shock CHEST:LUNGS AND PLEURA: No infiltrates or effusions. Mild basilar atelectasis/scarring.MEDIASTINUM AND HILA: Retrosternal space is now filled with soft tissue ... | New retrosternal fluid collection and gas bubbles suggest abscess formation. Resolution of right upper lobe pneumonia. New L2 superior end plate invagination. |
Generate impression based on findings. | 61-year-old male. Sarcoma. Evaluate for response. LUNGS AND PLEURA: Without intravenous contrast, the accuracy of measurements of the right hemithorax mass, accompanying atelectasis, and the pleural effusion are limited. Post-surgical changes of right upper lobectomy. Moderate right pleural effusion, decreased from pri... | 1. Interval decreased size of right upper chest mass and moderate pleural effusion. Remaining masses in the right hemithorax are not significantly changed.2. Lack of intravenous contrast limits accurate measurement of the right hemithorax mass, accompanying atelectasis, and pleural effusion. For future exams, IV contra... |
Generate impression based on findings. | Squamous cell carcinoma of the oral tongue now 2 years since completion of radiation therapy. Extensive streak artifact from dental amalgam obscures much of the oral cavity. Furthermore, the exam is limited by the lack of intravenous contrast. Within this limitation, there are stable post-treatment findings with no def... | No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy, although the exam is limited by artifact from dental amalgam and lack of intravenous contrast. |
Generate impression based on findings. | Reason: Pt with hx of tongue cancer; s/p RT in 2011. Please re-eval for recurrence History: as above CHESTLUNGS AND PLEURA: Minimal basilar scarring and atelectasis. Scattered punctate micronodules are unchanged.MEDIASTINUM AND HILA: Atherosclerotic calcification of the aorta and its branches. Coronary calcification. T... | No evidence of metastatic disease. |
Generate impression based on findings. | Non-Hodgkin's lymphoma, new onset abdominal pain and lymph nodes on outside CT 5/2013 CHEST:LUNGS AND PLEURA: Stable, scattered punctate micronodules.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Hypodense lesions in the right lobe and le... | 1. Stable liver cysts.2. Mesenteric lymphadenopathy is unchanged from prior study.3. Mild interval increase in right renal cyst. |
Generate impression based on findings. | Reason: uncontrolled asthma History: sob cough LUNGS AND PLEURA: Mild-to-moderate diffuse bronchial wall thickening but no evidence of bronchiectasis or parenchymal opacity.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Mild degenerative involving the thoracic spine. There is a solitary nonspecific ... | 1. Mild-to-moderate diffuse bronchial wall thickening but no evidence of bronchiectasis or parenchymal opacity. While the findings are nonspecific they are consistent with the history of asthma.2. Incidental lesion in T9 vertebral body as described above. |
Generate impression based on findings. | 48-year-old female. Sarcoidosis. Evaluate for hilar lymphadenopathy. LUNGS AND PLEURA: Motion artifact in the lung bases decreases evaluation of fine detail. Small bilateral pleural effusions, new from prior exam, with mild nonspecific basilar atelectasis possibly representing element of aspiration. Debris is seen in t... | 1. No specific chest findings of sarcoidosis.2. Slightly prominent mediastinal lymph nodes, similar to prior exam.3. New small bilateral pleural effusions of unclear etiology.4. Debris in trachea with ground-glass opacity in the posterior aspect of the left upper lobe and basilar atelectasis, possibly secondary to aspi... |
Generate impression based on findings. | Reason: pt with lung ca s/p chemo and Rt History: doing well now needs evaluation compare to previous scans CHEST:LUNGS AND PLEURA: Continued decrease in left upper lobe mass now measuring 5.3 x 4.6 cm on image 40/157 (5.9 x 5.3 cm on prior).New trace left pleural effusion and new nonspecific groundglass and interstiti... | 1. Interval decrease in left upper lobe mass. New small left pleural effusion and new opacity in superior segment of the left lower lobe most likely related to radiation pneumonitis, though continued CT follow up is recommended. 2. Other findings stable. |
Generate impression based on findings. | 61-year-old male with metastatic renal cell cancer -- evaluate for progression of disease Lack of intravenous contrast limits evaluation of solid organs.CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules are again seen, appearing similar to the prior study. Reference left lower lobe nodule (series 6, image 81... | 1. Persistent bilateral pulmonary nodules. 2. No significant interval change in mediastinal lymphadenopathy. 3. Stable appearance to musculoskeletal metastases in the chest, abdomen, and pelvis. 4. No significant interval change in retroperitoneal lymphadenopathy and mass in left nephrectomy bed. |
Generate impression based on findings. | Reason: RUL nodule, r/o sarcoid History: SOB LUNGS AND PLEURA: Diffuse moderate to severe bronchial wall thickening with areas of mucus plugging and areas with very mild bronchiectasis.The opacity noted on radiograph correlates with a mixed groundglass and solid area of opacity in the superior segment of the right lowe... | 1. Diffuse moderate to severe bronchial wall thickening with areas of mucus plugging and areas with very mild bronchiectasis. While these findings are nonspecific they are most likely due to asthma or bronchitis. The imaging findings are not typical of sarcoidosis.2. The opacity noted on radiograph correlates with a mi... |
Generate impression based on findings. | Left sided preauricular lymphadenopathy and bilateral floor of mouth masses, possible osteomas, noted on clinical exam. Head: The exam is limited by lack of intravenous contrast. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are stable in size and configurat... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. Torus mandibularis. Mild torus maxillaris internal and externus is also present. 3. No evidence of significant cervical lymphadenopathy or left preauricular mass, although the exam is limited by lack of intravenous contrast. Otherwise, a benign 6 mm ... |
Generate impression based on findings. | Female; 56 years old. Reason: eval for progression History: metastatic RCC, on 6 months of pazopanib1346 CHEST:LUNGS AND PLEURA: Again noted are multiple pulmonary nodules. The reference right middle lobe nodule now measures 0.8 x 0.7 cm, previously measuring 0.8 x 0.7 cm (best seen on image 47 of series 4). Non-refere... | 1.New left-sided mediastinal lymphadenopathy.2.Non-reference pulmonary nodules have increased in size when compared to prior. Reference nodule is stable.3.Right renal mass has minimally decreased in size. |
Generate impression based on findings. | Reason: pre-chemotherapy baseline scan. Also, patient found to have RML infiltrate in OSH CT scan History: none LUNGS AND PLEURA: Faint linear opacity in the right middle lobe likely due to scarring or atelectasis. No evidence of pneumonia. Punctate left lower lobe micronodule on image 70/115, is nonspecific but presum... | Faint linear opacity in the right middle lobe likely due to scarring or atelectasis. No evidence of pneumonia. |
Generate impression based on findings. | 17 year-old female with history of AML in remission, now with improving fever and neutropenia. Status post broad-spectrum antibiotics. CHEST:LUNGS AND PLEURA: Several scattered pulmonary nodules are again seen, some of which have disappeared or decreased in size. A new right upper lobe pulmonary nodule is seen (series ... | Scattered subcentimeter pulmonary nodules are again seen, many of which have decreased in size or resolved. There is one new right upper lobe pulmonary nodule. The left lower lobe groundglass opacities are no longer visible. |
Generate impression based on findings. | 68-year-old male with head and neck cancer (tonsil). CT Head: The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection, or acute hemorrhage. No abnormal contrast enhancement is iden... | 1.Bulky right parapharyngeal necrotic mass has not significantly changed in size from the prior examination, but mass effect on the oropharyngeal airway appears to have increased. This may be secondary to swelling and post-treatment changes. 2.Reference necrotic right neck lymph nodes are not significantly changed in s... |
Generate impression based on findings. | 69 year-old female with right retroperitoneal mass. Evaluate for interval change. Lack of intravenous contrast limits evaluation of solid organs. Lack of enteric contrast limits evaluation of bowel.ABDOMEN:LUNGS BASES: A 5-mm nodule in the left lower lobe (4; image 3). Calcified left lower lobe granuloma is unchanged. ... | 1.Significant interval decrease in size of the previously described right retroperitoneal complex cystic mass.2.Dilated ascending and transverse colon, which appeared filled with oral contrast and stool. These findings may represent the sequela of constipation. 3.Left lower lobe 5 mm pulmonary nodule. |
Generate impression based on findings. | Reason: pt with recurrent tonsil ca, s/p CRT, tonsillectomy and ND, eval for dz, compare to previous with measurements History: as above CHEST:LUNGS AND PLEURA: Centrilobular nodules and tree in bud opacities, most pronounced in the right lower lobe, persist but are marginally improved. Associated bronchiectasis and de... | Chronic aspiration but no evidence of metastases. |
Generate impression based on findings. | Female 37 years old; Reason: new amsses or change in masses History: neurodendocrine tumors with node and liver masses CHEST:LUNGS AND PLEURA: Scattered pulmonary micro-nodules are stable, for example 3-mm nodule in superior segment left lower lobe is stable in size.MEDIASTINUM AND HILA: Right thyroid surgical clips ar... | No change in the reference lesions. The reference enhancing mesenteric lesions are unchanged. |
Generate impression based on findings. | History of renal cell carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Interval increase in the size of the right rib metastases. The lesion now measures 5.3 x 2.4 cm on image number 72, series number 8. Previously, it was measuring 3.9 ... | Interval increase in the size of the right rib metastatic lesion.Interval resection of the right kidney.Dilated right testicular vein with possible thrombus and associated collateral vessels in the right retroperitoneum.Left renal hypodense lesions, unchanged.Small amount of fluid in the right nephrectomy bed.Cholelith... |
Generate impression based on findings. | Seven month old evaluate ventricular size. Intraventricular catheter is identified with its tip at the foramina of Monro. There is extensive severe, stable ventriculomegaly of the lateral and third ventricles. Fourth ventricle is normal.The small amount of extra-axial CSF density along the right parietal lobe has decre... | Intraventricular catheter at the foramina of Monroe without significant change in ventriculomegaly of the lateral and third ventricles. |
Generate impression based on findings. | Evaluate for progression of subdural hematoma. There is no significant interval change in the bilateral hypodense holoconvexity subdural fluid collections, measuring up to 9 mm on the right and 8 mm on the left, although these have increased in size since June 2012. There is an unchanged right transfrontal ventricular ... | 1. No significant interval change in the bilateral hypodense holoconvexity subdural fluid collections, measuring up to 9 mm on the right and 8 mm on the left, although these have increased in size since June 2012. 2. No significant interval change in size or configuration of the ventricles and basal cisterns, although ... |
Generate impression based on findings. | 49-year-old female with history of metastatic breast cancer with known pulmonary metastases. Evaluate response to treatment. CHEST:LUNGS AND PLEURA: Right apical scarring/atelectasis, unchanged. Right medial pulmonary mass measures 3.5 x 2 .8 cm, previously 2.9 x 2.4 cm (image 41; series 6). Multiple additional small b... | 1. Persistent multiple pulmonary lesions consistent with metastatic disease, some of which appear increased in size.2. Post treatment change of the right axilla and chest wall. |
Generate impression based on findings. | 24 year old female. Reason: recurrent head and neck cancer on therapy. Evaluate for progressive disease with measurements. Recurrent squamous cell carcinoma of the nasopharynx status post surgery, chemotherapy and radiation. ABDOMEN: LUNG BASES: New bilateral diffuse pulmonary nodules may be due to pulmonary metastases... | Enlarging expansile lesion of right posterior ninth rib highly suggestive of metastatic disease. New bilateral pulmonary nodules are suggestive of pulmonary metastases. |
Generate impression based on findings. | 50 year old female. Reason: ovarian cancer s/p 6 cycles of Taxol/Carboplatin eval disease process post treatment. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted. Left thyroid cyst. CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT:... | Borderline enlarged pelvic lymph nodes bilaterally. Post-op hysterectomy and omentectomy changes.No other significant interval change since 6/24/2013. |
Generate impression based on findings. | 70-year-old male with a history of bladder cancer. Status post radical cystectomy. Please evaluate for metastatic disease with delayed imaging. ABDOMEN:LUNGS BASES: Right lower lobe pulmonary micronodule, appearing similar to the prior study. There is bibasilar atelectasis/scarring. No new pulmonary nodules or masses a... | 1.Changes status post cystectomy and ileal conduit.2.Interval resolution of the previously described abdominal fluid collection.3.No evidence of residual or recurrent disease. |
Generate impression based on findings. | Reason: pt with esophageal ca s/p weekly chemo for 12 weeks History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Bilateral nodular airspace opacities with variable cavitation.Reference left upper lobe lesion is larger at 19 x 12 mm on image 37/100 (17 x 11 mm on prior). Re... | Continued increase in size of left upper lobe reference nodule. Two other nodular opacities (right middle lobe and left lower lobe adjacent to heart) have also shown definitive increase in size. Left lower lobe reference nodule stable in size though is now more solid. No new sites of disease. |
Generate impression based on findings. | 76-year-old male with a history of renal cell carcinoma. Status post right-sided partial nephrectomy in June of 2013. Evaluate for renal recurrence. ABDOMEN:LUNG BASES: There is bibasilar dependent atelectasis/scarring. Note is made of scattered pulmonary micronodules some of which appear calcified suggestive of prior ... | Postsurgical changes with no definitive evidence of residual or recurrent disease. No significant interval change in prominent retroperitoneal and mesenteric lymph nodes. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Stable bilateral pleural effusions. Left sided pleural thickening and enhancement with so... | Stable CT with reference measurements as above. No new sites of disease. |
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