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Generate impression based on findings. | Male, 63 years old, history of metastatic basal cell to the neck status post surgery. Evaluate for recurrence. Evidence of interval left neck dissection is seen. A cystic mass formerly present within the left submandibular space has been resected along with the left submandibular gland. The surgical bed shows scarring ... | Since the prior examination, a cystic left submandibular space mass has been resected. No evidence of recurrent disease or pathologic adenopathy is detected. |
Generate impression based on findings. | 63-year-old male status post cystectomy for bladder cancer in 2005, evaluate for disease ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Scattered calcifications compatible with prior granulomatous disease. Diffuse fatty infiltration of the liver. SPLEEN: No significant abnormality noted.PANC... | Status post cystoprostatectomy with no evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: palate cancer History: r/o chest mets LUNGS AND PLEURA: No suspicious pulmonary nodules. No pleural effusion.MEDIASTINUM AND HILA: There is a small prevascular lymph node between the right brachiocephalic vein and the innominate artery (series 3 image 28) measuring 9 mm. In metastatic disease measure approximat... | One small prevascular lymph node measures 9 mm. No mediastinal or hilar lymphadenopathy.No suspicious pulmonary nodules. |
Generate impression based on findings. | 63-year-old male with ampullary adenocarcinoma status post Whipple, restaging following chemotherapy. Reason: HIGH RISK DUODENAL CANCER. EVALUATE FOR RECURRENCE. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. Nodular scarlike opacity in the right lower lobe with is unchanged. Additional peripheral ... | 1.The hepatic dome metastasis is much larger since the prior exam.2.Pelvic and retroperitoneal lymphadenopathy is unchanged. |
Generate impression based on findings. | Reason: pt with stage IV melanoma History: melanoma Lack of intravenous contrast limits evaluation of vascular structures and solid parenchymal organs. Within these limitations, the following observations can be made:CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified and clustered as ... | 1.No evidence of metastatic disease on this limited non IV contrast enhanced exam. 2.Stable calcified nodules at the left lung base and additional scattered ground-glass opacities are likely post-inflammatory or post-infectious. |
Generate impression based on findings. | Male, 56 years old, hard palate cancer status post surgery and radiation. Evaluate for recurrence. Since the prior examination, surgical alteration is demonstrated including partial left maxillectomy to include the hard palate, left maxillary alveolar ridge and a portion of the left maxillary sinus wall. Resection was ... | Extensive post surgical change is demonstrated consistent with partial left maxillectomy and flap repair. This is the first postoperative study and will therefore serve as a new baseline.Given the limitations mentioned above, no definite residual or progressive disease is visualized. There is a small air and fluid coll... |
Generate impression based on findings. | 59-year-old female with history of thoracic dissection. CHEST:LUNGS AND PLEURA: No nodules, masses or airspace disease. No pleural disease.MEDIASTINUM AND HILA: CT Angiogram shows postsurgical changes with ascending graft aorta. No evidence of abnormal contrast enhancement in the perigraft space to suggest leak. The pr... | 1. Ascending aortic graft without findings suspicious for continued anastomotic leak. 2. Descending aorta stent with distal dissection of contrast in a type Ib endo- leak, new since March, 2013. 3. Decreased flow in prior visualized infrarenal aortic dissection with contrast now only visualized at the penetrating ulcer... |
Generate impression based on findings. | Reason: h/o metastatic skin cancer History: r/o lung mets LUNGS AND PLEURA: Subsegmental atelectasis involving the lingula and left lower lobe.No suspicious pulmonary nodules. No pleural effusion.MEDIASTINUM AND HILA: The heart size is normal. No pericardial effusion.No supraclavicular, mediastinal or hilar lymphadenop... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: h/o parotid cancer History: r/o mets LUNGS AND PLEURA: Calcified granuloma lateral basal segment left lower lobe. No suspicious pulmonary nodules. No pleural effusion.MEDIASTINUM AND HILA: Retroesophageal right subclavian artery, normal variant. Stable nodularity in the anterior mediastinum dating back to 3/201... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: metastatic thyroid ca with mets to lung and hilar, on therapy, eval for dz, compare to previous with measurements History: as above CHEST:LUNGS AND PLEURA: No significant change in innumerable bilateral pulmonary metastases. Reference left upper lobe nodule measures 12 x 11 mm, previously measured 12 x 11 mm (s... | Stable lung and hilar metastatic disease. |
Generate impression based on findings. | Reason: r/o PE History: sob with tachycardia PULMONARY ARTERIES: No pulmonary embolus to the subsegmental level.LUNGS AND PLEURA: Multi-focal patchy regions of groundglass are fairly uniform in distribution from the apices to the basis, extending into the posterior costophrenic sulci. It is predominantly peripheral in ... | No evidence of pulmonary embolus to the subsegmental level.Predominantly peripheral groundglass was localized regions of bronchiectasis and bronchiolectasis extending from the apices to the bases. This, along with a patulous esophagus, raises the question of a mixed connective tissue disorder. Another consideration inc... |
Generate impression based on findings. | 69 year old male. Reason: Colon cancer on chemotherapy holiday. CHEST:LUNGS AND PLEURA: Stable emphysema.Stable micronodules. Reference right middle lobe nodule best seen on image 63 of series 4, measures 0.4 cm in diameter.MEDIASTINUM AND HILA: Stable right thyroid nodule. Stable reference AP window lymph node, best s... | Stable examination. |
Generate impression based on findings. | Female 91 years old. Reason: T3 N1 Colon Cancer History: Colon Cancer follow up. CHEST:LUNGS AND PLEURA: Stable micronodules.MEDIASTINUM AND HILA: Stable mediastinal lymph nodes. Aortopulmonary lymph node is stable measuring 1.3 x 2.8 cm image number 41, series number 4. Coronary artery calcifications.CHEST WALL: Degen... | 1.Anterior abdominal wall hernia containing portion of transverse colon without obstruction2.Pelvic prolapse with a cystocele and rectocele.3.Cholelithiasis. Stable examination. No measurable metastatic disease. |
Generate impression based on findings. | 60 year old with history of renal cell carcinoma status post nephrectomy. Evaluate for recurrence. Reason: restaging scans s/p 2.5 years post op; please assess for metastatic disease. CHEST:LUNGS AND PLEURA: Right middle lobe nodule is not significantly changed and measures 2.1 x 1 .7 cm (image 63; series 3) most consi... | Stable postoperative changes without evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | 58-year-old male with metastatic renal cancer, assess for progression. Reason: met RCC, evaluate for progression on everolimus. CHEST:LUNGS AND PLEURA: Scattered micronodules, not significantly changed. Chronic left basilar interstitial opacities, scarring and volume loss. Trace left pleural effusion is unchanged. MEDI... | Stable examination. No new lesions. |
Generate impression based on findings. | 77 year-old female with abdominal pain, left lower quadrant. Rule-out diverticulitis. Within the limits of a non-IV contrast enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality noted... | 1. Left iliac and lumbar spine changes consistent with known diagnosis of multiple myeloma. 2. No gastrointestinal tract abnormality seen -- specifically no evidence for diverticulitis or appendicitis. 3. Apparent small amount of free mesenteric fluid and dependent pelvis of uncertain etiology and significance. |
Generate impression based on findings. | 63-year-old male with history of bladder cancer. Status post cystectomy with ileal conduit with known pulmonary nodule. ABDOMEN:LUNG BASES: 9mm left lower lobe lung nodule, unchanged. No other nodule seen in the lung bases, however, the entirety of lungs not examined.LIVER, BILIARY TRACT: Diffuse fatty infiltration of ... | 1. Nine mm left lower lobe lung nodule, unchanged since 12/18/12. 2. Prior cystoprostatectomy with continent neobladder unchanged in appearance without evidence of recurrent, residual or metastatic disease. |
Generate impression based on findings. | 70 year-old female with history of carcinoma of unknown primary, suspected pancreaticobiliary primary. Now on chemotherapy holiday for 5 months. CHEST:LUNGS AND PLEURA: Lung parenchyma shows scattered micronodules unchanged. No new nodules, masses or foci of air space consolidation seen. No pleural disease.MEDIASTINUM ... | 1. No change in the right axillary cluster of small enhancing lymph nodes. 2. No change hypodense, probably cystic, subcentimeter lesion in pancreatic body -- see above discussion. 3. No change punctate calcific densities, which may lie in the course of the common bile duct. |
Generate impression based on findings. | Reason: metastatic prostate cancer, evaluation of disease. History: none LUNGS AND PLEURA: No suspicious pulmonary nodules. No pleural effusion. MEDIASTINUM AND HILA: The heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy.CHEST WALL: Multiple lytic foci throughout the ribs, clavicles... | No evidence of pulmonary metastases.Extensive osseous metastases. |
Generate impression based on findings. | Evaluate for bleed or other abnormality status post stem cell transplant. There is very mild patchy periventricular hypoattenuation which is stable from previous and most likely represents sequela of non-acute small vessel ischemic disease. There is no intracranial mass, edema or hydrocephalus. The midline is intact. O... | No acute intracranial abnormality which would account for the patient's symptoms. Nonspecific mild hypoattenuation which could represent sequela of chronic small vessel ischemic disease. |
Generate impression based on findings. | rule out bleed, seizure VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal.OTHER:Limited evaluation of the paranasal ... | No evidence of intracranial hemorrhage as clinically queried. |
Generate impression based on findings. | 69-year-old male with alcoholic hepatitis and cirrhosis. Follow-up of liver lesions. CHEST:LUNGS AND PLEURA: Biapical cortical scarring appears unchanged. There is a somewhat spiculated -- appearing nodular density in the left lower lobe on image 37/99. Although this may represent bronchial artery hypertrophy, the appe... | Number one. Bilateral nodular densities within the lung. Follow-up recommended.2. Small hepatic lesions which are felt unlikely represent hepatocellular carcinoma. |
Generate impression based on findings. | Male 76 years old; Reason: h/o bladder cancer s/p cystectomy and ileal conduit. r/o mets History: none ABDOMEN:LUNG BASES: Bibasilar atelectasis/scarring.LIVER, BILIARY TRACT: Subcentimeter hypodensity in the right lobe of the liver is too small to characterize, but likely represents a simple cyst.SPLEEN: No significan... | Postoperative changes consistent with the stated history of cystectomy and ileostomy with conduit without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Female 31 years old; Reason: hx kidney stones History: kidney stones 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.Non-obstructing nephroliths without evidence of hydronephrosis, or perinephric edema. |
Generate impression based on findings. | 57-year-old female with stage IV pancreatic cancer. Reason: Pancreas cancer surveillance scan. Please provide index lesion measurements. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Multiple thyroid nodules are unchanged.CHEST WALL: Bilateral breast prostheses. ABDOMEN:LIVER, BILIARY T... | Increased size of patient's right hepatic lobe mass. Other lesions are unchanged. |
Generate impression based on findings. | 72 year old male. Reason: h/o RCC, surveillance Six month follow-up from the prior study. ABDOMEN:LUNG BASES: Linear opacities in the lung bases consistent with atelectasis and/or scarring. Left lower lobe scar, volume loss and pleural thickening are stable. LIVER, BILIARY TRACT: No significant abnormality. SPLEEN: No ... | Multiple renal lesions are unchanged from prior examination. The reference lesion in the left kidney is not significantly changed from prior examination. |
Generate impression based on findings. | 59 year-old male with dysphagia. 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 hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and... | No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 60 year-old male with history of GIST. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: New small focus of hypoattenuation in the periphery of the right lobe with rim enhancemen... | 1.New focus of hypoattenuation with rim enhancement in the periphery of the right liver is worrisome for metastasis.2.Large pelvic mass has minimally increased in size.3.Bilateral right greater than left hydronephrosis is unchanged. |
Generate impression based on findings. | 25 year-old male with facial trauma and pain in the maxillary region on the right. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There are comminuted fracture of the right maxillary sinus posterolateral and anterior walls. There are blood products in th... | Right maxillary sinus comminuted fractures with accumulation of blood products in the in the right maxillary sinus and OMU. Dr. Valenzi was text paged with the findings at 3:08 pm. |
Generate impression based on findings. | History of lymphoma with SVC clot. LUNGS AND PLEURA: No focal lung opacities, effusions or pneumothorax.MEDIASTINUM AND HILA: Normal cardiomediastinal size. No evidence of enlarged lymph nodes. No pericardial effusion.CHEST WALL: Left subclavian venous access is again noted. The SVC clot has significantly decreased in ... | Interval improvement in the size of the SVC clot. |
Generate impression based on findings. | 60-year-old female. Ewing's sarcoma. Evaluate for metastases. LUNGS AND PLEURA: Status post right middle lobe wedge resection. 6-mm groundglass nodule in the right upper lobe (series 4, image 37), previously measured 5 mm on 8/2013 CT, and has been present dating back to 3/2012. New few scattered groundglass opacities,... | 1. Right upper lobe ground-glass nodule is 6 mm compared to 5 mm previously. Continued annual follow-up recommended.2. New scattered right upper lobe groundglass opacities are most likely infectious/inflammatory and continued surveillance recommended.3. Findings suggestive of small airways disease in the lung bases.4. ... |
Generate impression based on findings. | 77-year-old male with a history of bladder carcinoma status post radical cystectomy with orthotopic neobladder. Please evaluate for metastatic disease. ABDOMEN:LUNG BASES: Scattered pulmonary micronodules, some of which are calcified, suggestive of prior granulomatous disease, appearing similar to the prior study. No n... | Post surgical changes consistent with the stated history of cystectomy with neobladder creation without evidence of residual or recurrent disease. |
Generate impression based on findings. | 23 year-old male with possible cribriform plate fracture after nasal trauma. 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 hemorrhage. The skull vault is unr... | 1. No evidence of skull base fracture or significant defect . 2. No definite intracranial or maxillofacial abnormality. |
Generate impression based on findings. | Male 55 years old; Reason: met renal cell carcinoma, evaluate for progression of disease. CHEST:LUNGS AND PLEURA: Numerous pulmonary, parenchymal nodules are again seen diffusely, bilaterally. These lesions are stable. Index lesion (series 5, image 65) measures 1.0 x 0.9 cm in the left lower lobe. Index lesion (series ... | Overall stable examination.1. Stable size of pulmonary metastatic reference nodules. 2. Stable hypodense lesion seen in inferior right lobe of liver. 3. Soft tissue mass in right nephrectomy bed is stable. 4. Stable lytic lesion in L2 vertebral body. 5. Stable appearance to reference subcarinal lymph node. |
Generate impression based on findings. | 58-year-old male with history of advanced pancreatic cancer. CHEST:LUNGS AND PLEURA: Scattered nonspecific micronodules without significant change.MEDIASTINUM AND HILA: Right chest Port-A-Cath with tip at the cavoatrial junction. No evidence of mediastinal lymphadenopathy.CHEST WALL: No significant abnormality notedABD... | 1.Pancreatic body mass has minimally decreased in size.2.Interval development of small amount of free peritoneal fluid in the dependent pelvic space of uncertain significance.3.Stable non-specific pulmonary micronodules. |
Generate impression based on findings. | Reason: Lung cancer on treatment, please re-eval. Thanks. History: Lung cancer CHEST:LUNGS AND PLEURA: Significant interval increase in right pleural effusion.Volume loss, architectural distortion, and right paramediastinal/perihilar post radiation changes.Right upper lobe paramediastinal mass demonstrates interval inc... | 1.Significant interval increase in right pleural effusion.2.Increasing is right upper lobe paramediastinal mass.3.Increasing size of right first hepatic metastasis.4.No new sites of disease identified. |
Generate impression based on findings. | 41 year-old male with adult onset of hydrocephalus. A stereotactic device is in place, which produces extensive streak artifacts obscuring visualization of the intracranial structures. There is redemonstration of moderate supratentorial ventriculomegaly, which is unchanged from prior. The aqueduct is not dilated. The f... | Unchanged moderate supratentorial ventriculomegaly on the present limited, preop planning exam. |
Generate impression based on findings. | Reason: hx H\T\N ca, post CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: Left lower lobe benign appearing micro-nodule, unchanged since 7/2011.No sign of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Scattered mediastinal and hilar lymph nodes still are wit... | No evidence of metastatic disease or other significant abnormality. No interval change. |
Generate impression based on findings. | Reason: s'p resection of mandible tumor9/4; eval as new baseline and eval for mets History: none LUNGS AND PLEURA: Moderate to severe centrilobular emphysema.No evidence of pulmonary or pleural metastases.Thick-walled bronchi and bronchiectasis unchanged.MEDIASTINUM AND HILA: Mild to moderate coronary calcifications ar... | No evidence of metastatic disease, or other significant abnormality. |
Generate impression based on findings. | Reason: right lower lobe pulmonary nodule - eval for interval change History: cough LUNGS AND PLEURA: 9-mm right lower lobe nodule image 234 series 6, previously 8 mm, at 9 mm on the study before that, so other scattered benign not significantly changed. Other benign appearing micronodules are stable.New ground glass r... | Unchanged right lower lobe nodule, continued and follow-up recommended. New ground glass lesion right lower lobe described above, which could also be assessed in 6 to 12 months as the likelihood of cancers low since it was not present last year. |
Generate impression based on findings. | 76 years old Male. Reason: rule out disc disease, compression History: severe spasticity Solid organ evaluation is limited by suboptimal contrast bolus timing. THORACIC SPINEThere is calcium deposition along the ligamentum flavum predominantly along the upper thoracic spine. There is ligamentum flavum calcification dom... | 1.Multilevel thickening and calcification of the ligamentum flavum mainly in the upper thoracic spine, results in narrowing of the spinal canal at T1, T2, T3, T4 and T5 but significantly worse at T4 where there appears to be severe spinal stenosis. If clinically appropriate an MRI of the thoracic spine may be of benefi... |
Generate impression based on findings. | 71 year old male. History of rectal cancer. Reason: R/o obstruction History: decreased ostomy output, abdominal pain CHEST:LUNGS AND PLEURA: Scattered bilateral pulmonary nodules, not significantly changed from previous study.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality n... | Small bowel obstruction has developed with transition at the pelvic mass invading the left bladder base near the ureterovesical junction. |
Generate impression based on findings. | 65 year old female. Pancreatic neoplasm. Stage IV pancreas cancer. Compare to previous. CHEST:LUNGS AND PLEURA: Multiple pulmonary micronodules are stable in size since the prior examination. The reference left upper lobe nodule measures 4 x 5 mm unchanged (image 40; series 5).MEDIASTINUM AND HILA: There is no evidence... | Stable examination. |
Generate impression based on findings. | Clinical question: Evaluate tumor. Signs and symptoms: Meningeal cancer. Enhanced neck CT:Unremarkable images through the skull base and including normal appearing bilateral cavernous sinuses and bilateral petrous bones.Unremarkable images through the nasopharynx, oropharynx, nasal passage and oral cavity.Unremarkable ... | 1.Stable symmetrical mucosal thickening of the larynx without interval change since prior study and representing post pain changes. No evidence of recurrence of tumor or cervical adenopathy by CT size criteria.2.Interval decrease in the size of the thrombosed right internal jugular vein compared to prior exam and no ev... |
Generate impression based on findings. | Reason: evaluate for metastasis. History: osteosarcoma. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: A residual thymic tissue within the intermediastinum.No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of the pericardial effusion.CHEST WALL: Right hum... | No evidence of metastatic disease. |
Generate impression based on findings. | 51 year-old female with history of squamous cancer of unknown primary. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast e... | No CT evidence of intracranial abnormality, including metastasis. |
Generate impression based on findings. | Male, 54 years old, status post T4 through 6 compression fractures, status post fusion. Evaluate bony fusion. The patient is status post partial corpectomy of the T5 and T6 vertebral bodies. A spacer device has been placed within the defect. The posterior elements also been removed from T4 through T6. Posterior fusion ... | Findings are demonstrated status post partial corpectomy of the T5 and T6 vertebral bodies, posterior spinal canal decompression from T4 through T6, and posterior spinal fusion from T2 down to T9. Focal kyphotic angulation of the spine seen on the prior examination has been corrected. |
Generate impression based on findings. | 59-year-old male. History of suspected PCP pneumonia and AMS. Evaluate for infection. LUNGS AND PLEURA: Significant decrease in bilateral ground-glass opacities, with only minimal scattered opacities remaining. Moderate left and trace right pleural effusions with bibasilar dependent atelectasis, similar to prior exam. ... | 1. Significant decrease in bilateral ground-glass opacities, with only minimal scattered opacities remaining. 2. Moderate left and trace right pleural effusions are not significantly changed. Interval increase in ascites. |
Generate impression based on findings. | 69 year-old female with new onset AFib and progressive dementia. 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 hemorrhage. The osseous structures are unremar... | No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | Reason: evalute for metastasis or recurrence. History: sarcoma. CHEST:LUNGS AND PLEURA: Postsurgical changes involving the left chest wall including fibrotic changes, left lung volume loss, and pleural thickening are similar in appearance to the prior exam.No new suspicious pulmonary nodules.No pleural effusions.MEDIAS... | 1.Postoperative changes involving the left chest wall without evidence of recurrent or metastatic disease.2.Fibrotic changes, volume loss, and pleural thickening in the left hemithorax, similar in appearance to the prior exam. No evidence of pulmonary metastases. |
Generate impression based on findings. | 82-year-old male. Metastatic renal cancer status post two cycles of therapy with VEGF inhibitor. LUNGS AND PLEURA: 4 mm nodule in the right middle lobe is unchanged (series 6, image 52). Other micronodules are also unchanged. New small bilateral pleural effusions.MEDIASTINUM AND HILA: Severe coronary artery and moderat... | 1. Stable 4 mm right middle lobe nodule. No new lung lesions identified.2. Stable left adrenal mass. Refer to same day MRI for further details on abdominal findings. |
Generate impression based on findings. | 51 year old female. Reason: eval appy History: abd pain: epigastric, RLQ > LLQ with n/v, WBC 24 ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly, the liver measures more than 20 cm craniocaudally. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADR... | Acute appendicitis. |
Generate impression based on findings. | 67-year-old female with a history of metastatic ovarian cancer to right breast and axilla currently receiving chemotherapy. Restaging evaluation. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: There is interval decrease in size and number of t... | 1. Heterogenous mass which appears to abut the uterus which is incompletely characterized and may simply represent multiple uterine fibroids, however, further evaluation with MRI or US examination could be considered to further evaluate for gynecologic pathology. There is significant interval decrease in size of the pr... |
Generate impression based on findings. | 33-year-old male with clinical stage I testicular cancer -- assess for recurrence. CHEST:LUNGS AND PLEURA: No change subcentimeter right basilar lung parenchymal nodule (series 5, image 68). No new nodules are seen. No masses, airspace consolidation or other abnormalities. No pleural disease.MEDIASTINUM AND HILA: No si... | 1. Stable subcentimeter pulmonary nodular density at right base. 2. Stable subcentimeter index left periaortic lymph node. 3. No other diagnostic abnormality seen and no evidence of new or metastatic disease. |
Generate impression based on findings. | Female; 60 years old. Reason: patient with microscopic hematuria; delayed imaging to eval kidney and upper tracts History: frequency, urgency, microscopic hematuria ABDOMEN:LUNG BASES: Mild bilateral lower lobe scarring and atelectasis.LIVER, BILIARY TRACT: Multiple nonenhancing punctate foci of hypoattenuation in the ... | No radiographic evidence to account for the patient's symptoms. |
Generate impression based on findings. | Female 38 years old; Reason: H/O Hodgkin Lymphoma s/p 4 cycles ABVD in need of restaging. Please compare to prior. History: Hodgkin Lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality noted. Incidental azygous lobe noted.MEDIASTINUM AND HILA: Previously seen large mediastinal mass has markedly decreased measuri... | 1.Marked decrease in size of the mediastinal mass.2.Supraclavicular lymphadenopathy, refer to neck CT from the same day for full description. |
Generate impression based on findings. | Female 72 years old; Reason: Restaging for metastatic colon cancer History: Colon cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, unchanged. There are mild emphysematous changes in the upper lobes . The pleural spaces remain clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Mil... | Significant interval increase in abdominopelvic disease consistent with the stated history of metastatic colon cancer. |
Generate impression based on findings. | Female, 38 years old, history of Hodgkin's lymphoma status post 4 cycles ABVD, in need of restaging. Bulky mediastinal adenopathy is only partially visualized on this examination, but nonetheless, has significantly decreased in size. Please refer to the separately dictated chest CT for full details.In the neck, no path... | Prior referenced lymph nodes within the lower right neck have decreased in size. There are no frankly pathologic lymph nodes in the neck by size criteria. Interval significant reduction in the size of mediastinal adenopathy is also seen, though this is incompletely visualized on the present study. Please refer to the s... |
Generate impression based on findings. | Female 72 years old; Reason: pt on Tykerb/Herceptin please eval disease status and compare to previous imaging History: metastatic breast cancer CHEST:LUNGS AND PLEURA: Spiculated mass in the left upper lobe measures 1.9 x 1.6 cm, previously 1.6 x 1.5 mm (image 31; series 6), slightly increased in size.MEDIASTINUM AND ... | 1.Gradual increase in the left upper lobe pulmonary lesion.2.Stable pelvic lymph nodes. |
Generate impression based on findings. | Female 27 years old; Reason: abdominal fullness x1 year History: abdominal fullness x1 year 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: No significant abnormality noted.SPLEEN: ... | 1.No acute intra-abdominal process detected to explain the patient's abdominal fullness. |
Generate impression based on findings. | Male 63 years old; Reason: 2 inch mass in epigastrium. Feels like bone. ?tumour. Has previously had barium peritonitis. History: Lost 13 pounds. Mass in abdomen. ABDOMEN:LUNGS BASES: No mass lesion detected. Calcifications are noted along the hepatic dome.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: N... | 1.No mass detected as clinically questioned. Dystrophic calcifications in the anterior abdominal wall may correlate with physical findings. |
Generate impression based on findings. | 58-year-old male with history of PTLD Hodgkin lymphoma in need of restaging after 4 cycles of ABVD CHEST:LUNGS AND PLEURA: Right apical scarring, unchanged. No other significant nodules, masses or airspace abnormalities. No pleural disease.MEDIASTINUM AND HILA: Calcified lymph nodes from prior granulomatous disease. Th... | 1. Either stable or minimally decreased residual lymph nodes as measured and described above in the chest and abdomen. 2. Evolving superior vena cava. Nonocclusive thrombus with minimal residual.. |
Generate impression based on findings. | Clinical question: Shunt evaluation. Signs and symptoms: headache. Unenhanced head CT:Examination demonstrates shunted supratentorial ventricular system with resultant complete collapse of right lateral ventricle and small left lateral ventricle without interval change in size or placement of catheter since prior exam.... | 1.Stable right-sided shunt and small size of supratentorial ventricular system since prior study.2.No detectable acute new findings. |
Generate impression based on findings. | Clinical question : Out intracranial bleed, given DIC with gram-negative septic shock. Signs and symptoms:altered mental status not waking up on ventilator. Portable head CT:Unremarkable images through posterior fossa and with normal size of fourth ventricle in midline.No detectable acute intracranial process, CT howev... | No acute intracranial process. Stable exam since prior study. |
Generate impression based on findings. | Presenting with acute epigastric pain. Evaluate for bowel ischemia The study is limited due to lack of intravenous contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are multiple hypodense lesions throughout the liver. Lack of IV contrast limits there optimal evaluation, however, th... | Limited study due to lack of intravenous contrast. Numerous hypodense lesions in the liver, suspicious for metastatic disease, however, incompletely characterized due to lack of intravenous contrast. Further evaluation with contrast-enhanced CT or MRI is recommended. |
Generate impression based on findings. | Clinical question: Evaluate for stroke/TIA. Signs and symptoms: Word finding difficulty. Nonenhanced head CT:No detectable acute intracranial process CT however it is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Examination demonstrates periventricular and subcortical low attenuation white m... | 1.No acute intracranial process.2.Small vessel ischemic strokes of indeterminate age is suspected.3.Focus of calcification in the pons likely dystrophic however less likely possibility of a cavernoma cannot be entirely excluded.4.Right frontal skull osteoma. |
Generate impression based on findings. | Evaluate for pancreatitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver.SPLEEN: No significant abnormality notedPANCREAS: There parenchymal calcifications within the pancreas consistent with chronic pancreatitis. In addition there is peripancreatic fat... | Acute on chronic pancreatitis without evidence of complications or necrosis.Fatty infiltration of the liver. |
Generate impression based on findings. | 27-year-old female, with history of multiple blunt trauma 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 signi... | No no CT evidence of acute traumatic injury. |
Generate impression based on findings. | 42-year-old male status post Whipple surgery with pancreatic leak and fevers ABDOMEN:LUNG BASES: Large right-sided pleural effusion and trace left sided pleural effusion with dependent atelectasis, stable.LIVER, BILIARY TRACT: Small amount of perihepatic fluid. There is a percutaneous drain within the collection. Pneum... | Interval increase in the size of retroperitoneal collection with other small collections as described above. Large right pleural effusion, unchanged. |
Generate impression based on findings. | 31-year-old male with 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, URETERS: No significant abnormality no... | Nonspecific wall thickening of the cecum which may represent colitis. Appendix is not visualized, however, there is no CT evidence of acute appendicitis. |
Generate impression based on findings. | 33-year-old male with paraplegia,, presumed ureterostomy, chills and decreased ostomy output. Lack of IV contrast significantly limits evaluation of solid margins of the abdomen.ABDOMEN:LUNG BASES: Atelectasis/scarring at left base.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality... | Bilateral nephrolithiasis without hydronephrosis or obvious perinephric changes.Rectal distention with mild wall thickening which may be due to proctitis.Mild gastric distention. |
Generate impression based on findings. | 45 year-old female with abdominal pain ABDOMEN:LUNG BASES: Paracardiac borderline enlarged lymph nodes on the right side, not significantly changed from prudent study.LIVER, BILIARY TRACT: Mild fatty infiltration of the liver and acromegaly.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality no... | Small enhancing lesion within the endometrial cavity. Pelvic ultrasound is recommended for further evaluation.Hepatomegaly and fat infiltration of the liver. |
Generate impression based on findings. | Clinical question: Trauma. Signs and symptoms: Loss of consciousness. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation.Unremarkable cal... | Negative nonenhanced head CT. |
Generate impression based on findings. | 52 year-old female with possible stones or perinephric abscess This study is limited due to lack of intravenous contrast.ABDOMEN:LUNG BASES: Small amount of pericardial fluid.LIVER, BILIARY TRACT: CT findings the distal chronic liver disease. Focal liver lesions cannot excluded due to lack of intravenous contrast.SPLEE... | Limited study due to lack of intravenous contrast. Findings consistent with chronic pancreatitis and chronic liver disease. No evidence of renal stones or hydronephrosis is questioned. Minimal right perinephric stranding, nonspecific. |
Generate impression based on findings. | Clinical question: Status post cart with known brain bleed. Signs and symptoms : As a above. Portable head CT:There is no detectable acute intracranial process CT however is insensitive for early detection of acute nonhemorrhagic ischemic stroke.Portable technique and several motion artifact results seen mild deteriora... | No convincing evidence of acute intracranial findings |
Generate impression based on findings. | Right lower quadrant pain for one day 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 n... | Nonspecific mesenteric and bilateral inguinal borderline enlarged lymph nodes. No CT evidence of acute appendicitis. |
Generate impression based on findings. | 20 year-old female with history of HIV and presenting with abdominal pain, nausea and vomiting ABDOMEN:LUNG BASES: A there is diffuse wall thickening of the esophagus suspicious for esophagitis in a patient with known history of HIV.LIVER, BILIARY TRACT: Periportal edema and gallbladder wall thickening suggestive of he... | CT finding suggestive of esophagitis and hepatitis. |
Generate impression based on findings. | 93 year-old female, evaluate for diverticulitis small bowel obstruction or colitis ABDOMEN:LUNG BASES: Large hiatal hernia.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URET... | CT findings consistent with acute distal small bowel obstruction. The transition point is in the right lower quadrant, etiology is uncertain. |
Generate impression based on findings. | Clinical question: Right-sided paralysis status post LVAD placement and TV repair. Signs and symptoms: Not moving right side. Nonenhanced head CT:Examination demonstrates a focus of low attenuation involving the cortex and subcortical white matter of left posterior parietal lobe with resultant subtle mass effect and co... | 1.Late acute to early subacute left posterior parietal nonhemorrhagic ischemic stroke with regional mass-effect as detailed.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Clinical question: Evaluate for postop hemorrhage. Signs and symptoms: Headache. Unenhanced head CT:There is no evidence of acute intracranial process in particular no evidence of hemorrhage as clinically is questioned area CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Examinati... | 1.No acute intracranial process.2.Enlargement of right cavernous sinus consistent with tumor invasion.3.Expected postoperative changes of transphenoidal hypophysectomy with fluid/soft tissue density within the sphenoid sinus.4.Slight prominence of pituitary gland. |
Generate impression based on findings. | 27 year-old female with altered mental status. 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 hemorrhage. The osseous structures are unremarkable. The paranas... | 1. No acute intracranial abnormality. 2. No evidence of cervical spine fracture or subluxation, if spinal cord or ligamentous injury is suspected MRI is recommended.3. Trace gas in the left retropharyngeal space, which is likely related to ET/enteric tube placement. |
Generate impression based on findings. | 68-year-old male with tachycardia, desat, shortness of breath, EKG changes. Rule out PE. PULMONARY ARTERIES: Extensive intraluminal filling defects with saddle embolus, involving the central pulmonary arteries, lobar branches, and extending to the segmental arteries bilaterally. LUNGS AND PLEURA: Basilar wedge-shaped c... | Extensive bilateral pulmonary emboli with possible evolving right sided infarct . |
Generate impression based on findings. | Male, 41 years old, congenital hydrocephalus, status post third ventriculocisternostomy. A burr hole defect in the right frontal bone as well as a small amount of intraventricular air are expected postoperative findings. There is a very subtle hypodense tract through the right frontal lobe from the burr hole to the rig... | Expected postoperative findings as discussed above. Moderate supratentorial ventriculomegaly appears similar to prior exams. |
Generate impression based on findings. | 51-year-old female with chest pain, elevated d-dimer. Rule out PE. PULMONARY ARTERIES: No evidence of pulmonary emboli as clinically questioned.LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysematous changes are redemonstrated. No focal air space opacity. No pleural effusions. Mild bronchial/bronchiolar wa... | No evidence of pulmonary embolism, as clinically questioned.Mild upper lobe predominant centrilobular emphysema and bronchial/bronchiolar wall thickening. |
Generate impression based on findings. | 85 year-old male with increasing shortness of breath over the last 10 days, known prior PE. Additional history per prior reports: Mesothelioma. PULMONARY ARTERIES: No evidence of pulmonary embolus. Previously seen subacute to chronic left sided pulmonary emboli are not visualized on the current exam.LUNGS AND PLEURA: R... | 1.No evidence of PE as clinically questioned.2.Small right pleural effusion and underlying right basilar atelectasis unchanged.3.Findings consistent with known mesothelioma with postoperative changes, similar in appearance to the prior exam. |
Generate impression based on findings. | 70 year-old male patient with pain. Evaluate for fracture. No evidence of fracture or dislocation. Mild osteoarthritis affects the left hip.Vascular calcifications are noted. | No evidence of fracture or dislocation. |
Generate impression based on findings. | Clinical question: Status post ETV. Signs and symptoms: Status post ETV. Nonenhanced head CT:Examination demonstrate interval right frontal burr hole for surgical approach.There is an acute extra axial/subdural collection at the level of the burr hole and extending posteriorly. It also contains multiple small air bubbl... | 1.Interval right frontal burr hole and with evidence of an acute subdural collection under the burr hole measuring at 13.4-mm in thickness and approximately 53 mm in length. There is several associated mass effect.2.New acute hematoma in the right basal ganglia with measuring at 15 x 21 x 18 mm size which appears to be... |
Generate impression based on findings. | Squamous cancer in abdomen, unknown primary. Evaluate for metastases. LUNGS AND PLEURA: No suspicious pulmonary nodules. There is nodular tumor thickening of the left posterior medial pleura with a maximal thickness of 23 mm (series 4, image 66), previously measured 20 mm. The thickening extends to the left lateral sur... | 1. Periesophageal lymphadenopathy. 2. Nodular soft tissue thickening along the left inferior posteromedial pleura consistent with metastases, slightly increased in size from prior exam.3. Bulky lower thoracic and upper abdominal para-aortic and retrocrural lymphadenopathy, progressed from prior exam. 4. No evidence of ... |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms: Left-sided weakness. Nonenhanced head CT:There is evidence of interval decreased size of right frontal acute subdural hematoma. It measures approximately 8.8 mm in thickness compared to prior study measurement of 13.4-mm. The longest AP axis of subdural al... | 1.No convincing evidence of any acute new finding since prior study.2.Interval decreased size of right frontal acute subdural hematoma. Measuring maximum of 8.8-mm compared to prior study measurement of 13.4.3.No convincing evidence of change in the size of acute right basal ganglia/thalamic hematoma and subtle associa... |
Generate impression based on findings. | Male, 70 years old, with history of recurrent palate cancer. Presents with fixed nodule inferior to left mandible. Please evaluate for mass. Extensive treatment-related changes are again identified throughout the neck, including anterior volume loss, effacement of fat planes, and thinning of the left hard palate.Multip... | 1. Hyperemic, enhancing left submandibular gland containing multiple new sialoliths, associated with local inflammatory changes as described above. Findings suggest interval development of sialoadenitis s/p excision. 2. Increased prominence of multiple level 1B lymph nodes, one of which is necrotic. Differential consid... |
Generate impression based on findings. | 56-year-old tumor. History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Left basilar scarring. 7-mm right middle lobe nodule is stable dating back to 5/2013, but was not present on 3/2013 scan and priors. Additional micronodules are unchanged.MEDIASTINUM... | 1. 7 mm right middle lobe nodule is stable dating back to 5/2013, but not seen on 3/2013 scan and priors. It remains suspicious for a metastasis. 2. Stable 19 x 22 mm right hepatic lobe lesion.3. A second smaller right hepatic lesion was faintly visible in retrospect 10/2013, but not on studies previous to this. It is ... |
Generate impression based on findings. | Reason: Is sarcoid involvement in lungs? If so, extent of? History: Mild restriction on PFT's, LUNGS AND PLEURA: Mild bilateral predominantly upper zone and peri-bronchovascular ground glass and reticular opacity with some architectural distortion and traction bronchiectasis consistent with fibrosis. This pattern is co... | Moderate chronic interstitial disease with evidence of fibrosis, slightly increased since 2005, consistent with sarcoidosis. |
Generate impression based on findings. | Reason: Patient with history of cancer of tonsil, soft palate and floor of mouth. History: Please evaluate for metastasis LUNGS AND PLEURA: Apical radiation fibrosis.Scattered benign appearing micronodules are present, as well as a day he stable right lower lobe superior segment subpleural area of scarring.There is no ... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Reason: LLL opacity seen on chest xray, concern for developing pneumonia History: shortness of breath, fever, neutropenia LUNGS AND PLEURA: Consolidation and atelectasis in the left lower lobe with focal air space opacity in the lingula and also in the right upper lobe, consistent with pneumonia.MEDIASTINUM AND HILA: N... | Bilateral airspace opacities, most severe in the left lower lobe, consistent with pneumonia. |
Generate impression based on findings. | 59 year-old female with worsening cough, congestion and wheeze. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There are bubbly fluids in the left maxillary with narrowed left infundibulum. The frontal sinuses are underdeveloped. The anterior/posterior e... | Evidence of acute left maxillary sinusitis. |
Generate impression based on findings. | Reason: asthma severe uncontrolled History: SOB cough wheezing. LUNGS AND PLEURA: Diffuse bilateral bronchial thickening compatible with chronic asthma.No sign of pneumonia or other complications.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence o... | Diffuse bilateral bronchial thickening consistent with chronic asthma. No sign of pneumonia or other complications. |
Generate impression based on findings. | Reason: polymyositis eval for ILD. restrictive pfts History: sob LUNGS AND PLEURA: Extensive bilateral predominately lower zone bronchiectasis and scarring. Small subpleural nodular and scar like opacities are unchanged.No new findings.No significant air trapping on the expiration scan.MEDIASTINUM AND HILA: Multiple mi... | Extensive bilateral bronchiectasis and scarring, without significant interval change. |
Generate impression based on findings. | Lung neoplasm without specification of site. CHEST:LUNGS AND PLEURA: Extensive emphysema with and large lung volumes.The left lower lobe demonstrates multiple focal and somewhat confluent peripheral opacities greater in the anterior and basilar aspects of which some are cavitary. Adjacent pleural thickening and extensi... | Nonspecific left lower lobe abnormalities representing questionable in infection versus suspected primary malignancy (probable adenocarcinoma) with associated hilar lymphadenopathy. Please correlate with prior outside pathology possible prior imaging if available. |
Generate impression based on findings. | Female; 44 years old. Reason: intrabd pathology? History: leukocytosis, abd pain, vomiting. Exam is limited by motion artifact and poor contrast enhancement.ABDOMEN:LUNG BASES: Small bilateral patchy basilar infiltrates. Small right pleural effusion.LIVER, BILIARY TRACT: Dilated hepatic veins and borderline hepatomegal... | 1.Small right pleural effusion and bilateral basilar patchy infiltrates.2.Scattered retroperitoneal and inguinal lymphadenopathy. |
Generate impression based on findings. | Reason: stage IV adenocarcinoma of the lung (to bone) on active surveillance, reimaging History: shortness of breath CHEST:LUNGS AND PLEURA: There is a small right pleural effusion. Focal area of consolidation with air bronchograms noted in the right perihilar region which presumably represents this patient's known neo... | 1.Right perihilar area consolidation compatible with known/residual neoplasm.2.Multiple osseous metastases within the upper thoracic spine with pathologic fractures at T2 and T6. Recommend MRI of the thoracic spine for further assessment. |
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