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Generate impression based on findings. | Iron deficiency anemia 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: Punctate left upper pole renal stone withou... | 1 cm polypoid lesion in distal ileum which may correspond to the abnormality seen on the video capsule endoscopy. |
Generate impression based on findings. | Female, 24 years old, history of nasopharyngeal cancer, on therapy. Postoperative changes are again seen within the nasal cavity and paranasal sinuses.Ill-defined nasopharyngeal thickening and enhancement is redemonstrated. As on prior scans, evidence of invasion of the central skull base, clivus and the left petrous a... | Accurate size assessment of the patient's nasopharyngeal tumor is complicated by the ill-defined margins and poor sensitivity of CT to distinguish tumor from hyperemic mucosa and secretions. Given this caveat, no definite or reliable evidence of progressive disease is seen based on comparison with the prior CT. No new ... |
Generate impression based on findings. | T2N2B right tonsil SCC, status post resection 1/19/11 and induction, followed by CRT in 2012. There are stable post-treatment findings without evidence of tumor recurrence or significant cervical lymphadenopathy. The airways are patent. The remaining salivary glands appear unchanged, with hyperemia of the left submandi... | 1. No evidence of locoregional tumor recurrence of significant cervical lymphadenopathy.2. Bubbly secretions within the right maxillary sinus may represent acute sinusitis in the appropriate clinical setting. |
Generate impression based on findings. | Reason: questionable lymphadenopathy on CXR - CT chest with contrast to further evaluate History: none LUNGS AND PLEURA: Mild basilar interstitial opacity which appears to be chronic, possibly due to scarring. Scattered punctate micronodules are present which measure up to 2 -- 3 mm (subpleural right upper lobe image 3... | 1. No significant intrathoracic lymphadenopathy. Though there are scattered nodes involving the mediastinum and hilum, all are subcentimeter and not pathologic by size criteria.2. Mild nonspecific axillary lymphadenopathy, left greater than right.3. Intra-and extrahepatic biliary ductal dilation. This is only partially... |
Generate impression based on findings. | Female; 52 years old. Reason: Follicular NHL History: Evaluate extent of disease CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Reference subcarinal lymph node, best seen on image 39 of series 3, appears stable measuring 1.8 x 1.0 cm, previously 1.7 x 1.0 cm.CHEST WALL: No significant ab... | Stable examination. |
Generate impression based on findings. | Reason: T2N2B R tonsil SCC - Resection 1/19/11 at OSH; s/p induction f/b CRT in 2012. please re-eval for recurrent dz History: as above CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are stable and presumably postinflammatory. Apical scarring and emphysema.MEDIASTINUM AND HILA: Scattered subcentimeter nodes ar... | No evidence of metastatic disease. |
Generate impression based on findings. | Left T1N2b tonsil SCC who is 2 years and 3 months out from completion of radiation therapy. Head: There is no evidence of intracranial mass or abnormal enhancement. The ventricles and basal cisterns are stable in size and configuration. There is no midline shift or herniation. Thre is a retention cyst within the right ... | 1. Stable post-treatment findings without evidence of locoregional tumor recurrence or residual significant lymphadenopathy.2. No evidence of intracranial metastases. |
Generate impression based on findings. | Reason: PT with hx of HNC s/p CRT 2011. Please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: New nonspecific punctate 1-2 mm micronodule in the periphery of the right lower lobe (image 132/326 of the high-resolution series). Other scattered punctate micronodules are stable. MEDIASTINUM AN... | New very small (1-2 mm) micronodule in the right lower lobe which is most likely post inflammatory though continued follow up is recommended to exclude growth/malignancy. Other findings are stable with no definitive evidence of metastatic disease. |
Generate impression based on findings. | Follicular lymphoma. There is no significant interval change in the cervical lymph nodes. For exam, a right level 2 lymph node measures 9 x 12 mm, previously 8 x 12 mm, a left level 2 lymph node measures 8 x 12 mm, previously 7 x 13 mm, and a left supraclavicular lymph node measures 7 x 13 mm, previously 7 x 13 mm. The... | No significant interval change in the cervical lymph nodes to suggest recurrent lymphoma in the neck. |
Generate impression based on findings. | Status post craniotomy for unruptured aneurysm clipped and 2nd one coiled with rupture and subdural, post-op 12 week follow up. There are stable sequela of posterior communicating artery aneurysm clipping and right posterior communicating artery aneurysm coiling. Streak artifact obscures surrounding anatomy. There is a... | 1.There is an unchanged persistent small left frontal convexity subdural collection, without evidence of acute intracranial hemorrhage, within the limitations of streak artifact related to the treated bilateral posterior communicating aneurysms.2.Stable extensive right MCA territory encephalomalacia. |
Generate impression based on findings. | Male, 47 years old; Reason: met melanoma, evaluate for progression. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodule or mass. No consolidation or pleuraleffusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is seen. The heart isnormal in size and there is no pericardial effusion. Coronary artery ... | 1. Ill-defined liver metastases are stable.2. Stable left axillary mass.3. No new lesions. No other significant change. |
Generate impression based on findings. | 29 year old male. Reason: profound weight loss and back pain. Also PPD positive w normal CXR. Possible peritoneal TB. History: Weight loss ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Focal punctate calcifications in the liver suggestive of old granulomatous disease.SPLEEN: No significant a... | No definite evidence of peritoneal tuberculosis was found. No specific abnormality was found to explain profound weight loss. Back pain may be due in part to degenerative changes at L4 -- S1 with joint space narrowing, endplate sclerosis and spur formation. |
Generate impression based on findings. | 82 year old female. Reason: H/O Gastric DLBC Lymphoma s/p 4 cycles of R CHOP in need of restaging. Please compare to OSH images. CHEST:LUNGS AND PLEURA: Mild diffuse ground glass opacities and scattered, probably calcified, 3 mm nodules are stable. MEDIASTINUM AND HILA: Coronary artery calcifications. CHEST WALL: No si... | Gastric body mass corresponds with the outside PET-CT abnormality, with much smaller size and extent. Gastric fundus abnormal wall thickening on prior exam is not seen. |
Generate impression based on findings. | T1N2b right pyriform sinus cancer s/p completion of CRT in October of 2012. There are stable post-treatment findings, including mild supraglottic mucosal edema. However, there is no evidence of mass lesions or significant cervical lymphadenopathy. The airways are patent. There is an unchanged 4 mm hypoattenuating left ... | Stable post-treatment findings without evidence of locoregional tumor recurrence of residual significant cervical lymphadenopathy. |
Generate impression based on findings. | Tracheal deviation on CXR; h/o testicular cancer. There is no significant tracheal deviation. The airways are patent. No mass lesions are identified. There is no significant cervical lymphadenopathy. The thyroid gland is unremarkable. The salivary glands are also unremarkable, The major cervical vessels are patent. The... | No evidence of tracheal deviation, airway stenosis, mass lesions, or significant cervical lymphadenopathy. |
Generate impression based on findings. | 18 year-old male status post RPLND. Assess for abdominal process after several days of falling hemoglobin. ABDOMEN:LUNG BASES: No infiltrates or effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significan... | 1. Resolution of air and fluid collections. 2. Resolved ascites and hematoma. 3. Enlarged left paraaortic and iliac lymph nodes. |
Generate impression based on findings. | Female 45 years old. Reason: Status of known of eneteric-cutaneous fistula seen on 11/20 CT abd/pelv? History: known enteric cutaneous fistula, on abx, assessing to see if there has been resolution, no change or worsening. ABDOMEN:LUNG BASES: No lung nodules are noted in the lung bases. No infiltrates or effusions. LIV... | Interval increase in the size and number of liver metastases.The enterocutaneous fistula was not found and may be closed. Enteric contrast in the small bowel is contained within the abdomen and no communication with the open midline wound was demonstrated. |
Generate impression based on findings. | Reason: 61M w endocarditis History: endocarditis LUNGS AND PLEURA: There are bilateral pleural effusions, right greater than left.Groundglass and air space opacities in both lungs are compatible with edema.7-mm nodule identified in the right middle lobe (image 45, series 4) is nonspecific.MEDIASTINUM AND HILA: Moderate... | 1.Start numbering Bilateral extensive groundglass and air space opacities compatible with edema/atelectasis, pleural effusions, right greater than left, and cardiomegaly all compatible with CHF.2.Nonspecific 7-mm right middle lobe nodule. |
Generate impression based on findings. | 83-year-old status post right distal ureterectomy. Right ureteral reimplant, assess for possible urinary tract recurrence or metastases ABDOMEN:LUNG BASES: Bi-basilar atelectasisLIVER, BILIARY TRACT: Multiple hypodense nonenhancing lesions in both lobes of liver most likely cysts. Calcified granuloma identified in the ... | 1. Proximal right ureter demonstrates mild wall thickening, most likely inflammatory or postoperative in nature.2. Distal right ureter is focally dilated with normal insertion into the bladder most likely postoperative in nature.3. Compression fracture of L1 vertebral body and T8 vertebral body noted |
Generate impression based on findings. | Reason: Pulmonary nodule History: None LUNGS AND PLEURA: Interval decrease in size of right lower lobe pulmonary nodule now measuring 7 x 7 mm on image 76/111 (13 x 22 mm on prior). No new pulmonary nodules. Scarring in the lingula.MEDIASTINUM AND HILA: Orphaned pacemaker leads. Postop change from heart transplant. Sca... | The reference right lower lobe pulmonary nodule has decreased in size to 7 x 7 mm. The decrease in size and history of negative PET scan are suggestive of a benign, post inflammatory nodule. |
Generate impression based on findings. | Female, 56 years old, status post cranioplasty. Evaluate placement of cranioplasty and assess postoperative fluid collection. Post surgical alteration consistent with right pterional craniotomy is redemonstrated. The craniotomy flap is unchanged in morphology. It remains perforated by numerous linear lucencies. Also re... | 1. Stable appearance of the right pterional craniotomy flap.2. Interval reduction in the volume of fluid which surrounds both the extracranial and intracranial surfaces of the flap. |
Generate impression based on findings. | Female 48 years old; Reason: Evaluate for nephrolithiasis, renal or bladder lesion causing hematuria. History: hematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: 2.8 x 3.4 cm hypoattenuating lesion in the liver dome, likely a cyst.Patient is status post cholecystectomy.SPLEEN: No sign... | 1.No CT evidence to suggest the patient's hematuria. |
Generate impression based on findings. | Reason: evaluate left chest wall mass History: above LUNGS AND PLEURA: Scarring and atelectasis in the left upper lobe in the area adjacent to the left fourth rib treated mass presumably related to radiation change. Scattered punctate micronodules are unchanged and presumably postinflammatory. No new pulmonary nodules.... | No evidence of measurable disease. |
Generate impression based on findings. | Reason: Disease evaluation follow up. History: as abovePer prior radiology reports the patient has a history of pyriform sinus head and neck cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Coronary calcificationCHEST WALL: Degenerative change involving the thoracic spine. ABDOMEN: ... | No evidence of metastatic disease. |
Generate impression based on findings. | 75-year-old with left-sided weakness. There is no evidence for acute infarct, hemorrhage, or midline shift. Ventricles and cisterns appear normal. Soft tissues and osseous structures are unremarkable. Limited evaluation of the orbits and paranasal sinuses demonstrate no focal abnormality. | Unremarkable head CT. |
Generate impression based on findings. | Reason: locally recurrent tongue HNSCC, s/p induction chemotherapy, precarinal and right hilar lymph node. Evaluate for disease response. History: recurrence in neck head cancer CHEST:LUNGS AND PLEURA: Apical scarring. No new pulmonary nodules. Scattered punctate micronodules are stable and presumably post inflammatory... | Increase in intrathoracic lymphadenopathy. Increase in infiltrative high right paratracheal/thoracic inlet mass. Please see dedicated neck CT report for further details. |
Generate impression based on findings. | Right tonsil squamous cell carcinoma in situ, T2N2b, s/p tonsil resection and right modified radical neck dissection in August of 2005 and chemoradiotherapy with cisplatin completed November of 2005. The patient now has recurrent squamous cell carcinoma in the right neck. Head: There is no evidence of intracranial mass... | 1. Interval increase in size of the recurrent tumor centered within the right tracheoesophageal groove that encases and mildly narrows the right common carotid artery. The mass is also indistinct from the esophagus, right tracheal wall, and right lobe of the thyroid gland.2. No evidence of intracranial metastases. |
Generate impression based on findings. | 56-year-old male with LVAD with pain, tenderness, and abdominal distention. Evaluate for hematoma of the left abdomen, and the left testicle. CHEST:LUNGS AND PLEURA: Bibasilar scarring/atelectasis.MEDIASTINUM AND HILA: Left chest wall generator and biventricular ICD leads as well as LVAD are in expected location. Sever... | 1. Interval increase in size of the left rectus abdominis sheath hematoma. LVAD in appropriate position. 2. Gallstones without evidence of acute cholecystitis. |
Generate impression based on findings. | Female; 49 years old. Reason: RA, uncontrolled DM, sarcoid, with N/bilious emesis and RUQ/R flank pain. Eval for nephrolithiasis, acalculous cholecystitis (hx of CCK0, SBO). History: N/V, RUQ flank/abdominal pain Lack of IV contrast administration limits evaluation.CHEST:LUNGS AND PLEURA: Bilateral lung base bronchiect... | Stable left lower pole nonobstructive renal calculus. No evidence of cholecystitis. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis LUNGS AND PLEURA: Diffuse predominantly subpleural and basilar interstitial disease with reticular opacities, traction bronchiectasis and mild honeycombing, consistent with UIP.No significant air trapping on expiration scan.MEDIASTINUM AND HILA: Moderate mediastinal and ... | Diffuse interstitial disease, compatible with UIP, unchanged since the previous scan. |
Generate impression based on findings. | 71-year-old female. Metastatic lung cancer status post chemotherapy. Compare to previous. CHEST:LUNGS AND PLEURA: Post-surgical changes of left lower lobectomy with scattered basilar consolidation, pleural nodularity and loculated pleural fluid, similar to prior exam. Left lung peripheral scarring and chronic interstit... | 1. Two small subcentimeter right lung nodules, while not significantly changed in size, are increased in density. No significant interval change in size or appearance of remainder of pulmonary nodules. Nonspecific left sided pleural thickening is unchanged. Continued follow up is recommended. No new pulmonary metastase... |
Generate impression based on findings. | 58 year old male with a history of liposarcoma. Evaluate for lung metastatic disease. CHEST:LUNGS AND PLEURA: Micro-nodules in the right middle lobe. No infiltrates or effusions. Right diaphragmatic thickening and calcification at the hepatic dome may be old scar. MEDIASTINUM AND HILA: No significant abnormality notedC... | 1. No measurable metastatic disease. Thickened right hemidiaphragm most consistent with old scarring. 2. Encapsulated fluid collection within the soft tissues along the anterior right thigh. While these findings may represent post surgical changes/hematoma, secondary to the resection of a previously described large rig... |
Generate impression based on findings. | 60-year-old male with PTCL-NOS status post 6 cycles of CHOEP in need of end of treatment scans. CHEST:LUNGS AND PLEURA: There is minimal left apical scarring/atelectasis. There is bilateral dependent atelectasis. No suspicious pulmonary nodules or masses are identified. No pleural effusion or pneumothorax.MEDIASTINUM A... | No evidence of lymphadenopathy. No measurable disease. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Redemonstration of a right lower lobe calcified granuloma. MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of a pericardial eff... | No interval change without evidence of metastatic disease. |
Generate impression based on findings. | Reason: hx H\T\N ca, s/p CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: Scattered punctate calcified and noncalcified micronodules are unchanged and presumably benign.Previously noted patchy groundglass opacities have nearly completely resolved and were likely seco... | No evidence of metastatic disease. |
Generate impression based on findings. | T4aN2c R BOT SCC who completed radiation therapy approximately 1.5 years ago. There was an in-field recurrence in Oct 2012 as well as lesions in the posterior pharyngeal wall, piriform sinuses, and cervical esophagus. Panendoscopy on 11/9/12 showed no recurrent tumor on examination and benign findings on pathology in t... | 1. No evidence of locoregional tumor recurrence of significant cervical lymphadenopathy.2. At least moderate stenosis of the proximal right internal carotid artery secondary to atherosclerotic plaque. This can be further evaluated via dedicated vascular imaging. |
Generate impression based on findings. | Male; 47 years old. Reason: hx of ALL s/p allo HSCT and hx of GVHD now with intermittent daily abdominal cramping, constipation and GERD notable GI symptoms History: hx of abdominal cramping/pain Lack of intravenous contrast limits evaluation.CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA:... | Within the limitations of a non-enhanced study, no radiologic evidence to account for the patient's symptoms. |
Generate impression based on findings. | Reason: increasing DOE and cough, history of NSIP, assess for aspiration History: cough LUNGS AND PLEURA: Patchy ground glass and interstitial opacities at the bases, right greater than left, are not significantly changed. No new opacities are identified. There is patchy very mild air trapping.Small area of scarring wi... | Stable parenchymal and interstitial opacities suggestive of NSIP. No new opacities to suggest aspiration. |
Generate impression based on findings. | Communicating hydrocephalus. There has been interval decrease in size of the ventricular system, in which the lateral and third ventricles are now nearly collapsed. There is an unchanged right transparietal ventricular shunt catheter that terminates in the frontal horn of the left lateral ventricle. There is no evidenc... | Interval decrease in size of the ventricular system with ventricular shunt in position, in which the lateral and third ventricles are now nearly collapsed. This may indicate over-shunting in the appropriate clinical setting versus resolution of prior hydrocephalus. |
Generate impression based on findings. | Reason: Please describe and identify LUQ abdominal mass History: abdominal mass Lack of intravenous contrast limits evaluation of solid organs.ABDOMEN: LUNG BASES: Bilateral scarring/atelectasis of bilateral lung bases.LIVER, BILIARY TRACT: A hypodense subcentimeter lesion in hepatic segment 8 is too small to further c... | 1. Findings suggestive of phlegmon formation versus early abscess along the left anterior hemiabdomen. No drainable collection is identified. Near complete interval resolution of the previously described loculated fluid collection along the anterior abdominal wall. 2. Right adnexal cystic lesion is incompletely charact... |
Generate impression based on findings. | Fever CHEST:LUNGS AND PLEURA: Right upper left upper, left lingular, right lower and left lower lobe airspace opacities, likely subsegmental atelectases. The possibility of no effusions superimposed pneumonia cannot be excluded.MEDIASTINUM AND HILA: Postsurgical clips are noted in the mediastinum. No evidence of perica... | Multifocal air space opacities either atelectasis or pneumonia.Horseshoe kidneys. |
Generate impression based on findings. | Newly diagnosed Hodgkin lymphoma, in need of initial staging. There is extensive left cervical lymphadenopathy. For example, a left parotid lymph node measures 18 x 18 mm, a left level 5 lymph node measures 30 x 41 mm, and a left supraclavicular lymph node measures 26 x 47 mm. A left level 2 B lymph node demonstrate ce... | 1. Extensive left cervical lymphadenopathy, compatible with Hodgkin lymphoma.2. Prominence of the lateral ventricles, which can be further evaluated via dedicated brain imaging. |
Generate impression based on findings. | Evaluate for PE PULMONARY ARTERIES: Pulmonary arteries branch normally with no evidence of thrombosis.LUNGS AND PLEURA: A 18 mm right lung pleural-based nodule. Left lung base airspace opacity consistent with a lung nodule or subsegmental atelectasis is noted as well. No effusions or pneumothorax.MEDIASTINUM AND HILA: ... | Right and left lower lobes air space opacities either of infectious origin or atelectasis. No evidence of PE. |
Generate impression based on findings. | Syncope and collapse. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses are clear. There is mild opacification of the mastoid air cells. The skull and ext... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Reason: h/o HNC/ACC and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Stable scattered nonspecific micronodules.Mild basilar scarring.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Focal left thyroid calcification.No hilar or mediastinal lymphaden... | No specific evidence of metastatic disease. Stable small pericardial effusion. |
Generate impression based on findings. | 41 year old male patient with tenderness to palpation. Evaluate for fracture. Mild joint space narrowing and acetabular osteophytes, consistent with mild osteoarthritis in the bilateral hips. No evidence of fracture or dislocation.Mild degenerative changes in the sacroiliac joints and the symphysis pubis.Mild multileve... | No evidence of fracture or dislocation. |
Generate impression based on findings. | 50 year-old female with history of celiac disease and abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETER... | Minimally increased number of folds involving the ileum. This may be compatible with patient's known history of celiac disease. |
Generate impression based on findings. | 25 year old female with Crohn's disease with multiple fluid collections requiring drainage and pleural effusions. Reason: LLQ fluid collection, please evaluate - with PO and IV contrast History: fevers, chills. ABDOMEN:LUNG BASES: Moderate left pleural effusion is stable. Persistent left base consolidation/atelectasis.... | 1.Stable left moderate pleural effusion.2.Interval resolution of right lower quadrant abscess, with percutaneous drain removed.3.Superior portion of the complex, multiloculated left upper quadrant and left pericolic gutter abscess has resolved. A percutaneous drain is present in the inferior, left lower quadrant aspect... |
Generate impression based on findings. | 41 years old Male. Reason: r/o fx History: midline ttp CERVICAL SPINE: Alignment is anatomic. Vertebral body heights and disk spaces are maintained. No acute fractures are identified. Central canal is within normal limits. No abnormal soft tissue masses are identified.There is stranding and irregularity along the soft ... | 1. No acute osseous abnormality.2. Soft tissue stranding and irregularity along the posterior neck, may indicate ligamentous injury. MRI may be beneficial for further characterization if clinically warranted. 3. Degenerative changes including disk bulge and probable extrusion at L4 -- 5 and disk bulge at L5 -- S1. |
Generate impression based on findings. | Suicide attempt following ingestion of Draino-O. s/p gastric pull-up. Recurrent aspiration pneumonia and dysphagia. The patient is status post left neck surgery. There are air bubbles present along the soft tissues of the left neck extending to the subcutaneous tissues and into the anterior aspect of the superior media... | 1.The patient is status post left neck and mediastinal surgery. There are bubbles present in the left neck associated with infiltration of the fat planes. No obvious ring enhancing lesion to suggest abscess. The possibility of superinfection cannot be excluded. Please correlate with clinical findings.2.There is a commi... |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Altered mental status. Nonenhanced head CT: There is no detectable intracranial acute abnormalities in particular no evidence of hemorrhage.There is mild prominence of cortical sulci for patient's stated age of 44. Correlate with history and risk factors.U... | No acute intracranial findings. |
Generate impression based on findings. | Clinical question: 102 year old female with AMS and pleural effusion. Signs and symptoms: Asked above. Nonenhanced head CT:No detectable acute intracranial process.CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Minimal subcortical and periventricular low-attenuation white matter likely... | No acute intracranial process. |
Generate impression based on findings. | Clinical question : Evaluate for mass. Signs and symptoms: Headache and HIV. Enhanced head CT:No detectable abnormal parenchymal or leptomeningeal enhancement.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation.Unremarkable calvarium and soft tissues of ... | 1.Unremarkable exam and without evidence of abnormal parenchymal/leptomeningeal enhancement.2.Mild chronic sinusitis and partial opacification of bilateral mastoid air cells and left middle ear cavity. |
Generate impression based on findings. | Clinical question: Please assess for edema or signs of new stroke, patient had CVA on outside hospital last week. Signs and symptoms: Headache and visual hallucination. Nonenhanced head CT:Examination demonstrate small bilateral occipital subacute nonhemorrhagic strokes with subtle associated effacement of adjacent cor... | 1.Small bilateral occipital and a tiny left superior cerebellar subacute nonhemorrhagic ischemic strokes as detailed.2.Advanced age indeterminate small vessel ischemic strokes is noted.3.Extensive findings of calvarium consistent with Paget's disease. |
Generate impression based on findings. | Clinical question: History of breast cancer, headache, hypertension; rule out metastases. Signs and symptoms: As mentioned above. Unenhanced head CT:No detectable acute intracranial process CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Lack of intravenous contrast reduces the se... | 1.No acute intracranial process.2.No detectable metastatic disease on this non-infused exam. Please see above comments.3.Chronic left PCA territory ischemic stroke similar to prior exam from 2012. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial injury. Signs and symptoms: Evaluate for intracranial injury. Nonenhanced head CT:No detectable at U. posttraumatic intracranial, calvarial or soft tissues of the scalp the findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- whit... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Status post craniotomy. Signs and symptoms: Status post craniotomy. Unenhanced head CT:Examination demonstrates extensive postoperative changes of left anterior frontal craniectomy as well as left orbit and in including enucleation and surgery at the level of the floor of the left anterior cranial fo... | 1.Expected extensive postoperative changes of left anterior frontal craniectomy and postop changes of left orbit including enucleation and surgery at the level of the floor of the anterior cranial fossa as detailed above.2.There is subtle mass effect on the left frontal lobe secondary to postop changes.3.Minimal expect... |
Generate impression based on findings. | 75-year-old female with left-sided weakness. Evaluate for stenosis. NONCONTRAST CT HEADThe ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous ... | 1.No acute intracranial hemorrhage or other brain parenchymal abnormalities. However CT is insensitive for the detection of acute ischemia. A brain MRI has become available since this CT exam. Refer to the brain MRI for further details.2.Proximal short segment defect spanning 4 mm in the the right P1 segment of the rig... |
Generate impression based on findings. | Female 51 years old; Reason: 51 year old female with sarcoidosis and low-grade NHL. Compare to prior exam. History: none CHEST:LUNGS AND PLEURA: Status post right lower lobe wedge resection. Volume loss in the upper lobes. Findings compatible with known history of sarcoidosis including nodular septal beading. Interval ... | 1.Enlarged left axillary and left subpectoral lymph nodes are stable.2.Mild small bowel dilatation without identification of a discrete transition point which is also stable.3.Interval development of a wedge compression deformity in T9 , MRI advised to characterize impingement or cord compression. In conjunction with t... |
Generate impression based on findings. | 102 year old female. Status post thoracentesis. History of pleural effusion. LUNGS AND PLEURA: Large left hydropneumothorax with dependent layering hyperdensity consistent with blood. This causes marked compressive atelectasis and consolidation of the left lung, mostly the lower lobe, limiting evaluation for underlying... | 1. Large left hydropneumothorax with small amount of dependent hemorrhage. This causes severe compressive atelectasis and consolidation of the left lung, limiting evaluation of lung pathology. Repeat CT upon reexpansion of the left lung with IV contrast if possible is recommended to exclude underlying infectious or neo... |
Generate impression based on findings. | 61 year-old female with right lower quadrant abdominal pain. Evaluate for intra-abdominal pathology. ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: Non-enhancing subcapsular hypoattenuating lesion in the right posterior liver measuring 1.2 x 2.9 cm likely represents a benign hepatic cyst. No ev... | 1.No evidence of acute appendicitis.2.Indeterminant left kidney mass as described above. Consider a non-contrast enhanced CT for further evaluation. Follow up is recommended.3.Extensive calcifications of the abdominal aorta and coronary arteries. |
Generate impression based on findings. | 29-year-old female status post Whipple and small bowel resection for neuroendocrine tumor. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Note is made of a 2.0 x 1.6 cm hypervascular lesion in segment 8 of the liver, suspicious for metastatic disease (17; series 9). Note is made of diffuse fa... | Hypervascular lesion in segment 8 of the liver is suspicious for metastatic disease in the setting of a known primary neuroendocrine tumor. |
Generate impression based on findings. | penile cancer and planning lymph node dissection for staging. Evaluate lymph nodes prior to dissection. Evaluate general abdomen for other lymphadenopathy. ABDOMEN:LUNG BASES: Small bilateral pleural effusions and right basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abn... | 1. Small bilateral pleural effusions. 2. Mostly small subcentimeter scattered lymph nodes identified nonspecific in appearance in the pelvis with one slightly larger lymph node in the left obturator chain, all not changed significantly. |
Generate impression based on findings. | 34-year-old female with chest pain, tachycardia, shortness of breath, lower extremity pain and swelling. Rule out PE. Exam is limited by respiratory motion artifact and patient's body habitus. PULMONARY ARTERIES: No evidence of pulmonary embolus.LUNGS AND PLEURA: Moderate diffuse bilateral groundglass pattern with nodu... | 1.No evidence of pulmonary embolus, as clinically questioned.2.Interval increase in diffuse groundglass opacities with stable lymphadenopathy, compatible with the progressive pulmonary sarcoidosis.3.Mild hepatosplenomegaly. |
Generate impression based on findings. | Tachycardia, SOB. Evaluate for PE. PULMONARY ARTERIES: Technically adequate examination for evaluating pulmonary embolism. No pulmonary emboli identified.LUNGS AND PLEURA: Right middle lobe intrapulmonary abscess with decreased fluid within it. There is a decrease in the amount of consolidated lung surrounding this abs... | 1. No evidence of pulmonary embolism.2. Right middle lobe intrapulmonary abscess with decreased internal fluid. There is decrease in consolidation surrounding the abscess as well as upper lobe predominant multifocal groundglass opacities. |
Generate impression based on findings. | Reason: restaging scans s/p 4 cycles of systemic immunotherapy History: hx of head and neck cancer CHEST:LUNGS AND PLEURA: Previously described noncalcified nodule within the right upper lobe (image 47) has increased in size. Using similar measurement technique, it measures 7 mm, as compared to 5 mm. The right middle l... | Progressive increase size of right upper and middle lobe nodules suspicious for metastases. Additional pulmonary nodules are stable. No interval mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | Reason: chest pain, tachycardia, r/o PE History: chest pain, tachycardia, r/o PE PULMONARY ARTERIES: There is no evidence of a pulmonary embolus.LUNGS AND PLEURA: Multifocal areas of groundglass opacities are noted in the upper lobes bilaterally as well as left lower lobe.Moderate size right pleural effusion with under... | 1.No evidence of a pulmonary embolus.2.Multifocal mixed groundglass and solid opacities compatible with an atypical infection including fungal etiologies.3.Multiple wedge-shaped hypodensities within the liver, suggestive of infarction or infection.4.5-cm, hypodense mass within the pancreas, compatible with a pancreatic... |
Generate impression based on findings. | 61-year-old female with pain, nausea. Within the limits of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vascular structures, following observations can be made:ABDOMEN:LUNG BASES: Cardiomegaly and ICD with expected appearances.LIVER, BILIARY TRACT: Lobulated near water dens... | 1. No abdomen/pelvic findings to account for patient's symptomatology. 2. Residual barium in cecum and sigmoid colon substantially limits ability to evaluate those regions. |
Generate impression based on findings. | 26 year old female with RUQ pain. Evaluate for cholelithiasis/cholecystitis. Absence of intravenous contrast enhancement limits evaluation of the solid parenchymal organs and vascular structures, but within these limitations the following observations can be made:ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER,... | Within the limitations of a noncontrast enhanced study, no radiographic evidence to account for the patient's pain. No diagnostic abnormalities are identified. |
Generate impression based on findings. | Clinical question: Persistent left-sided sinusitis. Signs and symptoms: Nasal congestion and discharge. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and without evidence of disease.Sphenoid sinus is well pneumatized and unremarkable.Ethmoid sinuses are well pneumatized and without evidence of sinusiti... | 1.No evidence of acute or chronic sinus disease.2.Two small osteomas in the right posterior ethmoid and left anterior ethmoid air cells as detailed.3.Mild nasal septum deviation to the right without bony septal spur and unremarkable images through the nasal passage otherwise. |
Generate impression based on findings. | 48 year old female with abdominal pain. Evaluate for Crohn's flare. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Unchanged subcentimeter hypodense foci in the liver, which are too small to fully characterize, but likely representing benign cysts.SPLEEN: No significant abnormality noted.ADR... | 1. Persistent 1.5 cm abscess anterior to the rectum, likely secondary to proctocolitis of inflammatory bowel disease. There are also findings consistent with active inflammatory bowel disease affecting the distal ileum at the level of the ileocolonic anastomotic site. 2. No evidence of bowel obstruction. |
Generate impression based on findings. | Clinical question: Status post fall with increasing headaches. Signs and symptoms: As above. Unenhanced head CT:There is no evidence of acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.There is evidence of anatomical variation of cavum vergae and with n... | Negative nonenhanced head CT and stable since prior head CT from 9 -- 11 -- 13. |
Generate impression based on findings. | 55-year-old male with dyspnea on mild exertion. Evaluate for PE. PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: No areas of consolidation, pleural effusion, or pneumothorax. Mild bilateral apical paraseptal emphysema.MEDIASTINUM AND HILA: While this is exam is not optimized for evaluation of the... | No evidence of pulmonary embolism, as clinically questioned. |
Generate impression based on findings. | 71-year-old man with recurrent tonsillar/base of tongue cancer status post 4 cycles of systemic immunotherapy. CT brain:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age. Unchanged focal hypodensity within the right basal ganglia likely represents a prominent perivascular space.BRAIN PARENC... | No evidence of intracranial metastases.More necrotic and slightly decreased in size (on sagittal images) focus of soft tissue thickening and enhancement of the left aspect of the base of the tongue and tonsillar pillar. Stable appearing postoperative changes, necrotic right level 2/3 node, ill-defined enhancement in th... |
Generate impression based on findings. | Clinical question: Evaluate for bleeding. Signs and symptoms: Status post TSH. Nonenhanced head CT:Examination demonstrates expected postoperative changes of transphenoidal hypophysectomy. Minimal postoperative air within the sella is noted. There is also opacification of the sphenoid sinus with fatty tissue consistent... | 1.Expected postoperative changes of transphenoidal hypophysectomy and including minimal post op air within the sella, fatty density packing material in the sphenoid sinus and fluid levels in bilateral maxillary sinuses.2.No acute intracranial process and unremarkable head CT otherwise. |
Generate impression based on findings. | Clinical question: Sinus surgery for ligation of sphenopalatine artery. Signs and symptoms: And excessive nasal epistaxis and Medtronic fusion sinus CT:All paranasal sinuses are well pneumatized and without evidence of acute or chronic sinus disease.Bilateral ostiomeatal units of maxillary sinuses and bilateral sphenoe... | Unremarkable nonenhanced Medtronic fusion CT of paranasal sinuses. |
Generate impression based on findings. | 83-year-old female with a history of chronic abdominal wound. Rule out enterocutaneous fistula. ABDOMEN:LUNG BASES: Reference 5-mm left lower lobe nodule is unchanged (4/14). The reference subcentimeter right lower lobe nodule is obscured by pulmonary opacity. Note is made of bilateral pleural effusions with underlying... | 1.Persistent open wound along the anterior abdominal wall with associated debris and foci of air. If the patient has gauze packing with iodophorm, this could explain the high density material within the site. There are, however, additional findings which are suspicious for enterocutaneous fistula formation along the in... |
Generate impression based on findings. | Female 60 years old; Reason: assess for metastatic endometrial cancer History: bleeding CHEST:LUNGS AND PLEURA: Scattered nonspecific lung nodules, with the largest measuring 4-mm nodule in the right lower lobe. Smaller 3-mm pleural-based nodules are seen in the right and left lower lobe. No pleural disease.MEDIASTINUM... | 1.Few nodules in the lungs, largest in the right lower lobe. Continued follow-up is advised.2.No evident metastatic disease detected in the abdomen/pelvis.3.Lesion in the endometrial canal compatible with carcinoma. |
Generate impression based on findings. | 70 year-old male with hematuria. ABDOMEN:LUNG BASES: No significant abnormality noted. LIVER, BILIARY TRACT: Liver parenchyma appears normal. No evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intra-or extrahepatic ductal dilatation. No evidence of suspicious liver lesions.SPLEEN: ... | 8 mm left inferior pole non-obstructing calyceal calculus. Kidneys, ureters, and bladder are otherwise unremarkable. |
Generate impression based on findings. | 59-year-old male with a history of rectal cancer follow up examination. CHEST:LUNGS AND PLEURA: Unchanged calcified left lower lobe presumed granuloma. Scarlike opacity in the left lung base, unchanged.MEDIASTINUM AND HILA: Small mediastinal lymph nodes without significant lymphadenopathy, unchanged. Unchanged atherosc... | No substantial interval change in reference measurements compared to the prior examination. |
Generate impression based on findings. | Male 55 years old; Reason: 55yoM w/ pancreatic cancer please evaluate for progression. History: Pancreatic cancer. CHEST:LUNGS AND PLEURA: Stable appearance of the pulmonary nodules. For reference, left upper lobe pulmonary nodule measures 6 x 4 cm (series 10221, image 33), stable in size. Stable nodularity along the l... | 1. Interval development of extensive peritoneal carcinomatosis.2 interval increase in size of the left hilar lymphadenopathy. 3.Pancreatic mass is not well visualized, however appears stable since previous exam.4. Hepatic metastases are not well-visualized, although no new hepatic metastatic lesions are detected.5.Stab... |
Generate impression based on findings. | 76-year-old male with a history of metastatic prostate carcinoma. Evaluation of disease after 9 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: Stable micronodules. No new or suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality n... | 1. Slight interval increase in size of abdominopelvic lymphadenopathy, consistent with the stated history of metastatic prostate cancer, with reference measurements above.2. Gallstones without evidence of acute cholecystitis. |
Generate impression based on findings. | 37-year-old male with a history of pancreas mass in MEN-1 syndrome status post parathyroidectomy. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology without suspicious hepatic lesions. Hepatic and portal veins are patent.SPLEEN: No significant abnormality noted.PAN... | Multiple persistent hyperenhancing lesions in the pancreas: in the tail and body, which remain suspicious for islet cell neoplasms. |
Generate impression based on findings. | 54 year old male. Shortness of breath with history of pulmonary hypertension and recent molded exposure. Evaluate for groundglass or other abnormality. LUNGS AND PLEURA: Diffuse mosaic attenuation of both lungs. This may be seen with hypersensitivity pneumonitis possibly with small airways disease. MEDIASTINUM AND HILA... | 1. Diffuse mosaic attenuation suggestive of hypersensitivity pneumonitis. 2. Findings consistent with pulmonary artery hypertension. |
Generate impression based on findings. | Female, 3 years old, status post fall, continuing lethargy. Evaluate for hemorrhage. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The vent... | 1. No acute intracranial abnormality or other specific findings to account for the patient's lethargy.2. Paranasal sinus opacification and marked prominence of the adenoids. Correlation with URI symptoms is suggested. |
Generate impression based on findings. | 62-year-old male. Fever. History of mycobacterium infection status post stem cell transplant. History of myelodysplastic syndrome. Evaluate for pneumonia. LUNGS AND PLEURA: Increased tree-in-bud opacities and nodular opacities in both lungs, most pronounced in the lung bases. Left basilar consolidation with adjacent sm... | 1. Increased bilateral tree in bud and nodular opacities consistent with recurrent/increasing MAI infection. Graft versus host disease is in the differential diagnosis.2. Stable mediastinal, hilar, and supraclavicular lymphadenopathy. |
Generate impression based on findings. | Reason: AML, need for pre-chemotherapy CT of chest and sinus History: none LUNGS AND PLEURA: Scattered ill-defined nodules primarily clustered in the right middle lobe are present. Mild dependent atelectasis posteriorly.MEDIASTINUM AND HILA: Right PICC extends to the SVC/RA junction level.Mild coronary calcifications a... | Clustered nodules in the right middle lobe; the differential diagnosis includes atypical infection or leukemic deposits given the patient's markedly elevated white blood count. |
Generate impression based on findings. | Reason: T2N1 oral tongue SCC on FHX completed 6 cycles adjuvant FHX 6/10/11 History: as above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Residual thymic tissue or anterior mediastinal lymph nodes are upper normal size, unchanged.No significant mediastinal or hilar disease. CHEST WALL... | No evidence of metastases or other significant abnormality. |
Generate impression based on findings. | Male 66 years old; Reason: Pancreas Cancer: Restaging History: none CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes are noted, not enlarged by CT criteria and unchanged. Interval resolution of thrombus around the tip of the Port-A-Cath.CHEST WALL: Righ... | 1. Interval decrease in size of pancreatic mass with unchanged vascular invasion. |
Generate impression based on findings. | 52 year-old male with left facial swelling. The orbits are unremarkable except for chronic blowout fracture of the right lamina papyracea. The mastoid air cells are clear. There are left maxillary sinus retention cyst and left maxillary, sphenoid and ethmoid mucosal thickening. Limited view of the intracranial structur... | 1. Unremarkable contrast enhanced CT soft tissue neck.2. Paranasal sinus inflammatory disease. |
Generate impression based on findings. | Female, 44 years old, history of tongue squamous cell carcinoma on FHX completed 6 cycles of adjuvant FHX 6/10/11. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Mucosal thickening within the right maxi... | 1. Post treatment changes in the neck with no evidence of recurrent disease or pathologic adenopathy.2. No evidence of intracranial metastatic disease. |
Generate impression based on findings. | 79-year-old male with history of metastatic prostate cancer. CHEST:LUNG BASES: 5-mm nodule in the left upper lobe best seen on image 38 of series 10261 is nonspecific, but unchanged. Bilateral punctate calcifications are non-specific but may represent prior granulomatous disease.MEDIASTINUM AND HILA: Reference posterio... | Minimal changes in lymphadenopathy as described above. |
Generate impression based on findings. | Malignant neoplasm of thyroid glandSecondary malignant neoplasm of lung(197.0)Diagnosis Edits: Clinical question: metastatic thyroid with mets to hilar and lung, on therapy, eval for dz, compare to previous with measurements CT neck:The patient is status post thyroidectomy. There is infiltration of the fat planes of th... | 1.There is no evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.a left paracentral lobule lesion remains a stable and partially calcified and still is smaller than its original size3.left parotid gland nodule is stable4.multiple lung nodules are compatible with ... |
Generate impression based on findings. | 66-year-old female. Lung cancer follow-up. On oral chemotherapy. CHEST:LUNGS AND PLEURA: Small right pleural effusion and pleural thickening, not significantly changed. Adjacent atelectasis/mass is obscured by effusion and limits accurate measurement. Focal atelectasis and calcification of the right base, unchanged. Th... | 1. Interval removal of right pleurex catheter. No significant change in right pleural fluid and pleural thickening. Adjacent atelectasis/mass is obscured by the effusion and limits accurate measurement.2. Right hepatic lobe lesion is unchanged.3. Stable mediastinal lymph nodes.4. No new sites of disease identified. |
Generate impression based on findings. | 83-year-old male with history of bladder and prostate cancer status post cystoprostatectomy, bilateral pelvic lymph node dissection, and ileal conduit. Evaluate for recurrent or metastatic disease. CHEST:LUNGS AND PLEURA: Bilateral pulmonary micronodules, unchanged.MEDIASTINUM AND HILA: Enlarged, multinodular thyroid w... | Stable examination with unchanged mild to moderate left-sided hydroureteronephrosis status post ileal conduit creation. |
Generate impression based on findings. | 45-year-old. Left upper lobe mass. Known lung cancer. Compared to CT from 5/2013. LUNGS AND PLEURA: Spiculated left upper lobe nodule measures 2.7 x 2 .5 cm (series 6, image 37), previously 2.1 x 2.8 cm (series 4, image 41 on prior study). Mild upper lobe predominant centrilobular emphysema.MEDIASTINUM AND HILA: Medias... | 1. Increased size of left upper lobe spiculated nodule consistent with patient's known primary lung malignancy.2. Mediastinal lymphadenopathy, some nodes are larger while others are smaller.3. Multiple liver lesions concerning for metastases, poorly visualized on this noncontrast exam. Recommend IV contrast enhanced st... |
Generate impression based on findings. | Reason: Monitoring for disease response to chemotherapy - 71 yo M w squamous cell carcinoma of lung with liver mets History: NSCLC CHEST:LUNGS AND PLEURA: Pulmonary fibrosis in a UIP pattern not typically changed compared to the prior exam.Left upper lobe mass (image 37, series 5) measures 4.6 cm x 3.1 cm, previously, ... | 1.Stable minimal increase in size of the left upper lobe mass.2.Interval increase in size of enlarged mediastinal lymph nodes.3.Interval increase in reference hepatic metastasis.4.No new sites of disease identified.5.Underlying pulmonary fibrosis, stable. |
Generate impression based on findings. | 43 year-old female with history of left parotid cancer. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Postsurgical changes of the left parotidectomy are noted. There is no evidence of recurrent mass, or enlarged lymph node... | No evidence of recurrent tumor or lymphadenopathy in the neck. |
Generate impression based on findings. | Male; 52 years old. Reason: metastatic prostate cancer, Evaluation of disease after 6 months of investigational therapy. ABDOMEN:LUNG BASES: No acute infiltrates or effusions. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL ... | Multi-focal osseous metastases. No other significant abnormality. |
Generate impression based on findings. | 64-year-old female with history of lung cancer, status post resection. CHEST:LUNGS AND PLEURA: Again seen is a right upper lobe groundglass nodule measuring 9 mm in diameter (image 126, series #4), smaller from prior exam (utilizing image 114, series #5). Previously commented upon right lower lobe groundglass nodule de... | 1. Right upper lobe groundglass nodule slightly decreased in size from prior exam. Recommend follow-up examination in one year.2. Stable right middle lobe nodule, likely benign.3. Previously noted possibly groundglass nodule more likely represents focal bronchiolar wall thickening of inflammatory etiology. |
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