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Generate impression based on findings. | 25 year-old female with history of AML, nasal and facial congestion and increasing drainage and progressing cough. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure shows a small area of hypodensity with minimal peripheral calcification in the right anterior frontal lobe. T... | Evidence of acute sinusitis. |
Generate impression based on findings. | Breast cancer CHEST:LUNGS AND PLEURA: Interval decreased volume on the right with suspected post surgical partial resection and volume loss more pronounced in the immediate prior exam in October. The bronchiectasis and architectural distortion in the proximal right middle and right lower lobes has increased with simila... | Interval progression of multiple intra-pulmonary and pleural suspected metastatic lesions and lymphadenopathy, see reference measurements provided |
Generate impression based on findings. | Female; 90 years old. Reason: eval for intra-abd bleeding s/p surgery History: increasing abd distension, decreasing hgb Examination of the solid organ parenchyma and vascular structures is limited by lack of intravenous contrast.ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: Massive perihepati... | 1.Moderate amount of abdominal and pelvic ascites. Differential diagnosis should include hemoperitoneum and mucin spillage.2.Interval removal of large pelvic mass.3.Cholelithiasis. |
Generate impression based on findings. | Breast cancer CHEST:Clinical informationLUNGS AND PLEURA: Persistent unchanged bilateral and largely apical nonspecific micronodules. No suspicious new abnormalities including new nodules or masses. No effusionsMEDIASTINUM AND HILA: No lymphadenopathy.The cardiac and pericardium are within normal limitsCHEST WALL: Inte... | 1. Status post right mastectomy with residual postsurgical changes and a suspected seroma. Reference measurements above2. Sclerotic skeletal metastatic disease unchanged. |
Generate impression based on findings. | Female, 50 years old, unrelenting sinus congestion. The right frontal sinus is undeveloped. The left frontal sinus is small but clear. The left frontoethmoidal recess is clear.There is at most minimal scattered ethmoid mucosal thickening. The ethmoid air cells are however largely clear.The sphenoid sinuses and aerated ... | Mild strandy mucous is present in the left maxillary sinus. There may be minimal mucosal thickening through the ethmoid air cells. Otherwise, no evidence of significant mucosal inflammatory disease. |
Generate impression based on findings. | Reason: PE? History: SOB, tachycardia PULMONARY ARTERIES: No evidence of a pulmonary embolus to the segmental level.LUNGS AND PLEURA: Status post left upper lobectomy with volume loss in the left lung. New moderate sized bilateral pleural effusions with underlying atelectasis.Right lower lobe nodule (image 71 series 9)... | 1.No evidence of a pulmonary embolus to the segmental level.2.New moderate size bilateral pleural effusions3.Minimal reduction in size of the large left anterior wall destructive mass.4.New right lower lobe pulmonary nodule suspicious of metastatic disease.5.Hepatic hypodensities suggestive of metastatic disease. Recom... |
Generate impression based on findings. | Clinical question: Cyst in the fourth ventricle causing obstructive hydrocephalus. Preoperative planning. Signs and symptoms: Headache and papilledema. Surgical planning unenhanced head CT:Examination is performed while a stereotactic surgical guidance device in place.The fourth ventricle remains within normal size and... | Surgical planning nonenhanced head CT demonstrate obstructive supratentorial hydrocephalus without change since prior studies. |
Generate impression based on findings. | Breast cancer, follow-up metastatic mediastinal lesions CHEST:LUNGS AND PLEURA: Stable right over left apical volume loss with bronchiectasis and scarring. The appearance remains nonspecific with multiple scattered small micronodules, unchanged. No new findings to suggest intrapulmonary metastatic disease or new acute ... | Interval increasing mediastinal lymphadenopathy and suspected recurrence of breast metastatic disease. Although the interval immediate change is not reversed to studies and imaging from 5/1/13 lymph nodes demonstrate interval increase in size since September. Questionable new iliac lytic osseous lesion and metastatic d... |
Generate impression based on findings. | 68-year-old male. SOB, cough. LUNGS AND PLEURA: Subpleural reticulation, traction bronchiectasis, and honeycombing more prominent at the lung bases is compatible with UIP pattern with etiologies including idiopathic and mixed connective tissue disease. No suspicious pulmonary nodules or masses. No groundglass opacities... | 1. Findings consistent with UIP which may be idiopathic in origin or secondary to other etiologies including connective tissue disease.2. Findings suggestive of pulmonary artery hypertension. |
Generate impression based on findings. | Female; 55 years old. Reason: rectal cancer History: rectal cancer s/p combined neoadjuvant chemo/RT CHEST:LUNGS AND PLEURA: Two distinct nodules were identified. A 6-mm nodule in the periphery of the right lower lobe adjacent to the major fissure best seen on image 44 of series 4. A second nodule in the left lower lob... | 1.Heterogeneously enhancing soft tissue mass involving the sigmoid colon and uterus with scattered pelvic and retrocrural lymphadenopathy.2.Subcentimeter bilateral pulmonary nodules. Close follow up is recommended. |
Generate impression based on findings. | HNC, CRT. CHEST:LUNGS AND PLEURA: No pleural fluid. Interval clearing of bronchiolitis seen previously with new groundglass opacity in the right middle lobe abutting the fissure, consistent with mild aspiration pneumonitis. Scattered pulmonary micronodules measuring up to 5-mm unchanged. Right lower lobe nodule (5/73) ... | 1. No conclusive signs of pulmonary metastases.2. Mildly prominent lymph nodes in the left anterior mediastinum nonspecific at this time but should continue to be monitored on subsequent exams.3. Sacroiliac joint sclerosis and anterior facet joint effusion suspicious for inflammatory arthritis.4. Fusiform abdominal aor... |
Generate impression based on findings. | Female, 66 years old, history of breast cancer metastatic to the bones. Assess disease status. Cervical:No significant interval change is seen in the conformation or size of a mixed lytic and sclerotic lesion affecting the C6 vertebral body, left transverse process, left pedicle and interarticular zone. Loss of height ... | 1. No significant interval change in the appearance of metastatic lesions involving the C6 and L5 vertebrae. Associated bony collapse and foraminal compromise are also unchanged.2. Scattered nonspecific lucent areas involving the cervical spine and the lumbar spinous processes as above are also unchanged.3. No new lesi... |
Generate impression based on findings. | Clinical question: evaluate for CVA. Signs and symptoms: unresponsive nursing home. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Examination demonstrates extensive periventricular and subcortical low attenuation white... | 1.Extensive age indeterminate small vessel ischemic strokes.2.No acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes. |
Generate impression based on findings. | Fevers and hypoxia. Unresolved pneumonia question secondary process. LUNGS AND PLEURA: Small pleural fluid collections, right greater than left. The previously seen omental measuring up to 6-mm (5/22). Linear subsegmental atelectasis right lower lobe. Compressive atelectasis at the lung bases. Scattered calcified micro... | 1. Improving right upper lobe pulmonary opacities and bronchial wall thickening consistent with resolving pneumonia. Small pleural fluid collections.2. Main pulmonary artery is enlarged compatible with pulmonary arterial hypertension.3. Apparent mid-esophageal stasis may be anatomic in etiology due to compression of th... |
Generate impression based on findings. | Male 62 years old; Reason: 61 year old man with mantle cell NHL s/p autologous stem cell transplant in 2011. Compare to prior scans. History: none CHEST:LUNGS AND PLEURA: The lungs remain clear. The pleural spaces remain clear. The central airways remain patent.MEDIASTINUM AND HILA: Reference mediastinal lymph node mea... | Stable exam. No recurrent lymphadenopathy. Measurements are given above. |
Generate impression based on findings. | Malignant neoplasm of unspecified part of the peritoneum. (Mesothelioma) LUNGS AND PLEURA: Small left pleural fluid collection persists. Multiple small nodules along the left minor fissure measuring from 1 to 4-mm in size; though difficult to identify on the prior examination these may have been present previously but ... | Persistent small left pleural fluid collection with very small and questionable foci of pleural nodularity in the anterior costophrenic angle. Small pulmonary and left pleural nodules appear unchanged compared to the most recent previous examination. Occult metastases cannot be excluded. Abdominal findings will be repo... |
Generate impression based on findings. | Male 54 years old. Reason: mesothelioma, s/p 4 cycles of immunotherapy needing repeat CT scan for confirmation of response. Please evaluate and compare with previous scans using same target lesions. ABDOMEN:LUNG BASES AND PLEURA: No significant abnormality notedLIVER, BILIARY TRACT: Numerous hypodense lesions in the li... | 1.Increased diffuse peritoneal thickening and ascites.2.Hypodense liver lesions are stable.3.Bilateral cystic renal lesions are stable. |
Generate impression based on findings. | 53-year-old with headache and intracranial hemorrhage. EXTERNAL DEVICES:When compared to the prior exam, there has been interval placement of an intracranial pressure bolt over through the right frontal bone. Patient is intubated.BRAIN PARENCHYMA:Centered within the right basal ganglia, and extending into the right sup... | Mixed density large hemorrhage centered within the right basal ganglia and extending into the right superior temporal gyrus. Small right frontal and right temporal lobe hematomas are identified that are similar in size the prior exam.Extensive vasogenic edema and sulcal effacement result in a persistent right to left m... |
Generate impression based on findings. | 54 year old male. Reason: evaluate for renal cancer recurrence. History: hx of renal cell ca, thyroid ca. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signifi... | Status post right partial nephrectomy with expected postop changes. Interval enlargement of the right midpole dorsal cyst now measuring 2.5 cm in greatest dimension, increased from 1.7 cm and the 4/17/2013 examination. Left kidney has scarring and cysts, stable since 4/17/2013. No local recurrence at the operative site... |
Generate impression based on findings. | Male, 59 years old, history of left neck cancer, s/p chemotherapy and radiotherapy. Findings compatible with left neck dissection are again seen including scarring/infiltration through the fascial planes and a relatively small left sternocleidomastoid muscle. Additional treatment related changes include generalized inf... | 1. No evidence of recurrent disease in the neck. 2. Treatment related changes in the neck are slightly more prominent.3. Nodular soft tissue in the mediastinal prevascular space is better assessed on the separately dictated chest CT. |
Generate impression based on findings. | Microscopic hematuria. Hydronephrosis. 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: A few hyperdense foci are n... | No definite findings to explain microscopic hematuria. No evidence of hydronephrosis. |
Generate impression based on findings. | Female, 54 years old. Reason: history of ovarian cancer, currently receiving treatment. eval for progression and response using measurements if applicable. Please compare with previous. CHEST:LUNGS AND PLEURA: Index right lower lobe mass series 5 image 64 measures 3 x 2 cm. No new nodules.MEDIASTINUM AND HILA: No signi... | Stable examination. No new sites of disease. |
Generate impression based on findings. | Reason: Re-staging scans s/p 8 cycles of investigational systemic immunotherapy. Please compare to outside scans dated Aug2013 History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size is normal without pericardial eff... | 1. Enhancing soft tissue lesion along the distal right ureter described in detail previously is unchanged. Right hydronephrosis and hydroureter are slightly worse compared to prior2. Stable left paraaortic lymph node. |
Generate impression based on findings. | Female 44 years old; Reason: kidney donor History: kidney donrs ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild periportal edema. No focal mass detected.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEY... | Single left renal artery and two right renal arteries. Single renal veins. Single collecting systems with no masses or filling defects noted. A right ureterocele is suggested. |
Generate impression based on findings. | Adenocarcinoma in the right upper lobe. Follow-up LUNGS AND PLEURA: Postsurgical right upper lobectomy without evidence of interval change or recurrence. Focal right lower lobe thickening and/or subpleural nodule remains 13 mm in short axis (image 74 series 5). Scattered micronodules also unchanged. No suspicious new a... | Stable pulmonary appearance and probable scarring without distinct new findings to suggest recurrent disease. Reference measurements provided |
Generate impression based on findings. | Female, 96 years old, with recent falls and high INR. Evaluate for intracranial bleeding. Moderately extensive periventricular hypodensity is seen, a non-specific finding which most commonly represents age-indeterminate small vessel ischemic disease.No intracranial hemorrhage or abnormal extra-axial fluid collection is... | 1. Moderately advanced age indeterminate microvascular disease.2. No acute intracranial hemorrhage or other posttraumatic sequelae. |
Generate impression based on findings. | History of ulcerative colitis, status post ileostomy takedown , increased white cell count ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormalit... | Postsurgical changes in the abdomen. No evidence of abscess or collection. Left lower pole stone. |
Generate impression based on findings. | Small cell lung cancer, follow-up CHEST:LUNGS AND PLEURA: Left paramediastinal opacities, bronchiectasis and architectural distortion again compatible with radiation fibrotic change. No superimposed new abnormalities an interval resolution of the previously described large and moderate left or right pleural effusions. ... | Questionable left upper lobe mass with associated dural thickening somewhat concerning for recurrence given patient history. PET imaging may be helpful. |
Generate impression based on findings. | Postsurgical hypothyroidism. Crest syndrome. Former smoker. Pulmonary hypertension. LUNGS AND PLEURA: Right upper lobe nodule posteriorly inseparable from the major fissure measures 4 x 6 mm, previously 4 x 5 mm. Irregularity at the lung its medial border appears new when compared to the previous exam. Comparing back t... | 1. Right upper lobe posterior segment nodule inseparable from the nature fissure not conclusively changed allowing for differences in scan variability.2. The second nodule seen more laterally the posterior segment of the right upper lobe is stable to slightly smaller compared to prior examinations.3. Stable subcentimet... |
Generate impression based on findings. | Male, 75 years old, history of retromolar trigone cancer status post CRT. 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. No suspicious soft tissue masses or pathologic enhancement is seen at any point a... | 1. No evidence of disease recurrence in the neck.2. No intracranial metastatic disease. |
Generate impression based on findings. | Reason: hx of RMT Ca, s/p CRt, eval for dz, compare to previous History: as above CHEST:LUNGS AND PLEURA: Elevation of the right hemidiaphragm and volume loss in the right lung compatible with history of a previous right upper lobectomy.Right middle lobe nodule unchanged (image 56 series 5) measuring 5 mm. . Additional... | No evidence of metastatic disease. |
Generate impression based on findings. | 13-year-old male with Crohn's disease/celiac disease, evaluate for stricture and/or structural abnormality ABDOMEN:LUNG BASES: Central line with the tip at the superior cavoatrial junction. Mild atelectasis at bilateral bases.LIVER, BILIARY TRACT: Distended gallbladder with thin normal. No radiopaque calculus. Liver en... | 1.Small segment of the jejunal bowel wall thickening.2.Distal TI was not visualized due to lack of oral contrast despite a two hour delay after administration of contrast. |
Generate impression based on findings. | 71-year-old female. History of smoking, COPD, CHF, chronic descending aortic dissection and large nodule consistent with cancer in 2012. CHEST:LUNGS AND PLEURA: Moderate bilateral pleural effusions, right greater than left. Bibasilar atelectasis/consolidation, left greater than right. Very mild upper lobe centrilobular... | 1. 8 mm right upper lobe spiculated nodule has progressively increased in size and solid component, highly suspicious for a primary lung malignancy.2. Bilateral pleural effusions and basilar atelectasis/consolidation, likely obscures the previously seen 17 mm right lower lobe and 7 mm right middle lobe nodules. Continu... |
Generate impression based on findings. | Mesothelioma status post-pleurectomy and decortication. CHEST:LUNGS AND PLEURA: Volume loss in and pleural thickening/fluid on the right consistent with provided history of mesothelioma. Postsurgical changes including diaphragmatic mesh noted. Left lower lobe micronodules has resolved, presumably post inflammatory. Den... | Right hemithorax mesothelioma with no significant change in index level measurements. Subtle areas of enhancement and nodularity in the intercostal spaces are suspicious for early chest wall disease. |
Generate impression based on findings. | 60 year-old male with history of metastatic prostate cancer. Assess for disease progression. CHEST:LUNGS AND PLEURA: Note is made of left sided pleural thickening along the posteromedial aspect of the left lower lobe. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Sclerotic metastases involving the s... | 1. Interval increase in size and number of numerous sclerotic metastases affecting the axial and proximal appendicular skeleton.2. Stable pelvic lymphocele. |
Generate impression based on findings. | Male; 53 years old. Reason: mets lung cancer, s/p chemo, now with PD, pls c/w previous study and evaluate dz status. History: lung ca Absence of intravenous contrast enhancement limits evaluation of solid organ parenchyma and vascular structures.CHEST:LUNGS AND PLEURA: Centrilobular and paraseptal emphysema in the apic... | 1.Interval increase in size of left suprahilar mass and mediastinal/hilar lymph nodes. 2.Scattered small intra-abdominal lymphadenopathy. |
Generate impression based on findings. | 76-year-old male. Cough. Evaluate change in lung nodules and left lower lobe consolidation. History of COPD and MAI, waxing and waning pulmonary nodules. LUNGS AND PLEURA: Severe diffuse centrilobular emphysema. Scarring in the right upper lobe the surgical staples.Flat right upper lobe nodule measures 8 x 9 mm in cros... | 1. Stable right upper lobe nodule. No new nodules identified.2. Interval improvement in left lower lobe atelectasis/consolidation.3. Extensive mucus impaction in right bronchus intermedius and right middle as well as lower lobe segmental bronchi, similar to prior exam. |
Generate impression based on findings. | 55 year old male with history of head and neck squamous cell carcinoma, compared to previous. Reference nodule, lateral to the right sternocleidomastoid measures 10 x 7 mm (series 6 image 37), unchanged. Right level lymph node now measures 7 x 5 mm (series 6 image 36) unchanged. No new cervical lymphadenopathy. Posttre... | Stable reference nodes in the right neck. No evidence of recurrent disease. |
Generate impression based on findings. | Reason: 55 y/o male with hx of SCC of Skin s/p CRT please r-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Postsurgical changes are identified in the right lower lobe related to resection of previously identified pulmonary nodules.No new pulmonary nodules identified.No evidence of a pleural e... | Interval right lower lobe wedge resection for metastatic nodules. No new metastatic foci identified. |
Generate impression based on findings. | Lung cancer status post lower lobectomy. LUNGS AND PLEURA: Postsurgical volume loss from left lower lobectomy. No pneumothorax or pleural fluid. Patchy air space opacities in the right costophrenic angle region with adjacent micronodules are most likely postinflammatory. There is also tree in bud pattern in the depende... | 1. Bronchiolitis and air space opacities in the dependent aspects of the lungs is most likely the result of prior aspiration. Unable to exclude early infection on the right.2. Mild left pleural thickening could be post inflammatory from pleurectomy3. Left internal mammary chain lymphadenopathy was present on the outsid... |
Generate impression based on findings. | 78-year-old male. Reason: Hx minimally invasive bladder cancer with new RUL nodule - adeno. Met vs new primary. History: Asymptomatic LUNGS AND PLEURA: A solid, spiculated mass in the right upper lobe has increased in size measuring 1.4 x 1.0 cm (image 45, series #5), from previously 1.0 x 0.7 cm. Two micronodules in t... | Interval growth of right upper lobe spiculated mass, concerning for primary lung malignancy. |
Generate impression based on findings. | 58 year-old female. Cough. Bilateral lower lobe nodules. History of breast cancer. LUNGS AND PLEURA: Previously seen 19 mm nodule has resolved, and was most likely post-infectious/inflammatory. 5 mm left lower lobe nodule is unchanged at 5 mm (series 6, image 49). The remainder of the nodules are unchanged.MEDIASTINUM ... | Interval resolution of right lower lobe nodule, and was most likely post-infectious/inflammatory. Remainder of pulmonary nodules are unchanged. |
Generate impression based on findings. | 80 years old female with history of paraganglioma, status post chemo/RT. Post surgical change is redemonstrated status post right mastoidectomy, stable. Postsurgical change is also noted in the right neck with soft tissue volume loss and effacement of the fat planes. Enhancing soft tissue centered within the right jugu... | Stable enhancing mass centered in the right jugular foramen with stable associated bony expansion/lysis. No adenopathy in the neck. |
Generate impression based on findings. | Shortness of breath post inflammatory pulmonary fibrosis. Unspecified diffuse connective tissue disease. Worsening PFTs. LUNGS AND PLEURA: Background of diffuse very mild groundglass opacity superimposed upon emphysema. Patchy peribronchial distribution groundglass opacity slightly more dense than the background diseas... | Minimal progression of interstitial fibrosis compared to the 2010 examination with development of very mild subpleural reticulation and honeycombing in pre-existing areas of disease. Distribution of these abnormalities can be seen with rheumatoid lung disease. Mild air trapping is indicative of a small airways disease.... |
Generate impression based on findings. | 84-year-old female. Evaluate pharyngeal mass extension. LUNGS AND PLEURA: Numerous bilateral pulmonary nodules ranging from a few millimeters to 9 mm in the right upper lobe (image 95, series #5). Right lower lobe pulmonary cyst. No pleural effusions.MEDIASTINUM AND HILA: A partially imaged large, heterogeneously enhan... | 1.Large mass arising from the left thyroid lobe with compression of the adjacent vasculature as well as shift and compression of the trachea.2.Numerous bilateral or nodules suspicious for metastatic disease. |
Generate impression based on findings. | Paraganglioma (glomus jugulare and multicentric paraganglioma in lung) in 2005 status post chemo and RT. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules and micronodules ranging from solid to groundglass and density similar in number compared to the previous examination. Index nodule in the right middle lobe measure... | Multiple pulmonary lesions unchanged in number with reference measurements detailed of the body of the report. Hepatic and skeletal lesions are also unchanged. |
Generate impression based on findings. | 44 year old female. Reason: pt with hx of colon cancer s/p Hyperthermic Intraperitoneal Chemotherapy (HIPEC), needs post op imaging. CHEST:LUNGS AND PLEURA: Right pleural effusion and right lower lobe collapse have resolved. MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right sided venous access de... | Cystic nodular mass(es) in the pelvis up to 3.1 cm diameter may be better evaluated with transvaginal ultrasound or MRI. Large multiloculated cystic pelvic mass is absent. Probable hepatic cyst. Ascites and right pleural effusion have resolved. |
Generate impression based on findings. | 41 year-old female with head congestion. The orbits are unremarkable. The right mastoid is partially opacified, and the left is clear. Limited view of the intracranial structure is unremarkable. There is mild mucosal thickening in the bilateral maxillary sinus with mild narrowing of the infundibuli. The frontal sinuses... | Mild maxillary sinus inflammatory disease. |
Generate impression based on findings. | Female; 56 years old. Reason: r/o abscess, liver lesions, hematoma History: fever CHEST:LUNGS AND PLEURA: Moderate-sized right pleural effusion with associated atelectasis.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy.CHEST WALL: Right chest port with tip at the cavoatrial junction.ABDOMEN:LIVER, BILIARY TRACT: ... | 1.Large heterogeneously enhancing lesion with punctate gas bubbles in the right posterior hepatic lobe likely represents hepatic abscess. Additionally, a moderate sized subcapsular fluid collection is noted in the anterolateral aspect of the liver.2.Small mesenteric fluid collection inferior to the proximal transverse ... |
Generate impression based on findings. | 56-year-old woman with history of metastatic chordoma presents with cough. Follow-up examination.Right lower lobe wedge resection April 2011: Metastatic chordoma CHEST:LUNGS AND PLEURA: Reference right upper lobe pulmonary nodule measures 1.0 x 0 .7 cm, previously 0.7 cm x 0.6 cm (series 5 image 41). Right middle lobe ... | Persistent subcarinal and porta hepatis lymphadenopathy with slight interval increase in size of the reference right upper lobe pulmonary nodule, suspicious for metastatic disease. |
Generate impression based on findings. | 56-year-old male presenting with diarrhea and weight loss ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signi... | Thickened gastric folds particularly in the fundus. Further evaluation with upper endoscopy may be helpful. Small bowel loops are unremarkable. |
Generate impression based on findings. | malignant neoplasm of the head face and neck There is infiltration of the fat planes of the right neck associated with thickening of the platysma muscle and pharyngeal mucosal tissues. The right valecula is obliterated. The epiglottis remains thick. There is no convincing evidence for local recurrence.The tongue base a... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.The thyroid gland appears stable with multiple hypodense nodules which are nonspecific on CT imaging.3.Degenerative changes in the cervical spine are stable |
Generate impression based on findings. | 45-year-old male with history of Hodgkin's lymphoma status post 2 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Subcentimeter nodule in the right middle lobe previously is no longer visualized. Interval resolution of the previously described small left pleural effusion.MEDIASTINUM AND HILA: The reference conglomerate... | Interval decrease in the size of the reference conglomerate anterior mediastinal adenopathy. Stable nonspecific sclerosis in both lumbar and upper thoracic vertebral bodies. Fatty infiltration of the liver. |
Generate impression based on findings. | 68 year old male with a history of waldenstrom macroglobulinemia. Pre stem cell transplant. CHEST:LUNGS AND PLEURA: Note is made of elevation of the left hemidiaphragm. There is left basilar scarring/atelectasis.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Left jugular catheter tip terminates at th... | No acute process. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 55-year-old male with history of bladder neoplasm CHEST:LUNGS AND PLEURA: Right apical fibrosis. Scattered bilateral micronodules. Index nodule measures 3 mm in the right middle lobe on image number 53, series number 5.MEDIASTINUM AND HILA: Ectatic ascending aorta measuring 4.1-cm image number 52, series number 3.CHEST... | Interval development of a large pelvic soft tissue mass destroying the sacrum. Additional intrapelvic and left retroperitoneal masses are also noted.Interval increase in the size of the retroperitoneal lymph nodes.Left upper pole renal lesion. Renal cell carcinoma cannot exclude. Scattered bilateral small micronodules.... |
Generate impression based on findings. | Respiratory failure, assess right lung field. Artificial heart. LUNGS AND PLEURA: A right-sided chest tube is present the lung base terminating posteriorly. Centrilobular and paraseptal emphysema, but no pneumothorax.Moderate volume of pleural fluid on the right which may be partially loculated the lung apex. Small lef... | 1. Extensive consolidation throughout the right lung presumably represents a pneumonia. There is an associated moderate volume of pleural fluid on the right which appears partially loculated near the apex.2. Groundglass opacities and centrilobular nodules in the left upper lobe are also most likely infectious however t... |
Generate impression based on findings. | 36-year-old male. Fever, cough. Evaluate for cause of fever. LUNGS AND PLEURA: Interval resolution of previously seen right lower lobe groundglass opacity. No focal airspace consolidation or pleural effusion.MEDIASTINUM AND HILA: Venous catheter tip at the cavoatrial junction. Scattered small subcentimeter lymph nodes.... | Interval resolution of previously seen right lower lobe groundglass opacity. No new findings. |
Generate impression based on findings. | Female; 56 years old. Reason: LLQ, evaluate for cause. Creatinine ordered today History: same ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple hypoattenuating lesions with peripheral nodular enhancement are identified in the liver. The largest of these lesions is located in the hepatic... | 1.No radiographic evidence to explain the patient's left lower quadrant pain.2.Multiple hepatic hemangiomas |
Generate impression based on findings. | 80 year-old female. Assess etiology of left supraclavicular lymph node, sore throat, spitting up mucus. LUNGS AND PLEURA: Mild apical paraseptal emphysema. 7 mm right upper lobe subpleural pulmonary nodule (series 4, image 51) is unchanged dating back to 2007, most likely benign. Additional scattered nodules are unchan... | No specific findings to account for patient's symptoms. Limited visualization of the left supraclavicular region demonstrates no lymphadenopathy, see same day CT soft tissue neck for a more detailed evaluation of this area. |
Generate impression based on findings. | 58 years old Female. Reason: neuro rec, follow up History: s/p arrest Image quality degraded by motion artifact. Since prior examination, the sulci, particularly in the right temporoparietal regions are less conspicuous. This in combination with subtle low-attenuation in the same region is consistent with edema. Also p... | Progression of cerebral edema, most pronounced in the right tempoparietal region, now with transtentorial herniation on the right. |
Generate impression based on findings. | Metastatic breast cancer on treatment CHEST:LUNGS AND PLEURA: Mild diffuse septal thickening. Small pleural fluid collections, left greater than right. Nodularity of the fissures consistent with pleural metastases. Scattered micronodules, about the same.MEDIASTINUM AND HILA: Right paratracheal diverticulum no significa... | Interval progression of metastatic disease with new skeletal and hepatic metastases, pleural metastases and indeterminate septal thickening which could reflect lymphangitic spread of metastatic disease. |
Generate impression based on findings. | 71 year-old female with AML, neutropenic, fever. Rule out infiltrate. LUNGS AND PLEURA: Scattered nodular and ground glass opacities in the right middle lobe are decreased. Interval development of left lower lobe groundglass opacities with areas of frank consolidation (image 75 of series #5) is compatible with pneumoni... | New left lower lobe consolidation is compatible with pneumonia. Interval decrease in previously noted nonspecific right middle lobe opacities.Solid nodular appearance of the cranial aspect of the right kidney. Recommend renal ultrasound for more complete evaluation to exclude neoplasm versus complex cystic lesion.Findi... |
Generate impression based on findings. | Clinical question: CVA? Signs and symptoms: One week of slurred speech and unsteady gait. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are few small foci of low attenuation in the subcortical and periventricula... | 1.Mild age indeterminate small was ischemic strokes. Consider MRI if concern for acute stroke is high.2.Unremarkable exam otherwise. |
Generate impression based on findings. | Clinical question: Loss of consciousness status post battery. Signs and symptoms: Facial swelling and loss of consciousness. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ... | No acute intracranial process. Small right parietal subgaleal edema/hemorrhage. |
Generate impression based on findings. | Clinical question: LVAD c/b intracranial hemorrhage. Signs and symptoms: Intracranial hemorrhage interval head CT. Unenhanced head CT:Examination demonstrate a large hemorrhagic right PCA territory ischemic stroke involving right posterior temporal -- occipital region. Combination of edema from stroke as well as hemorr... | 1.Ischemic hemorrhagic stroke in the right posterior temporal -- occipital region with internal large focus of hemorrhage measuring at 30 x 63 mm size and with resultant 9-mm leftward midline shift.2.Minimal age indeterminate small muscle ischemic strokes and a chronic right cerebellar ischemic or stroke remains very s... |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms: Left-sided weakness. Nonenhanced head CT:Acute hematoma in the right basal ganglia/thalamus is again identified. It measures approximately 23 x 13-mm in its transaxial dimensions. Which is only minutely larger than prior study (22 x 11) however this could ... | 1.Minute interval increased size of right frontal subdural collection from prior measurements of 8.2 mm thickness to 8.8-mm.2.right basal ganglia -- thalamic hematoma measuring at 22 x 13 compared to prior study measurement of 22 x 11. This minute interval change good be result of slice positioning rather than true inc... |
Generate impression based on findings. | 66 year old female with chest pain and dyspnea and lung abnormality seen on previous CT examination. Follow-up examination. CHEST:LUNGS AND PLEURA: Reference subpleural nodule in the anterior aspect of the left upper lobe measures 4 mm, previously 4 mm (30; series 10).Again seen is a groundglass nodule in the right upp... | 1. Persistent groundglass nodules with the largest measuring 17 mm in the right upper lobe which is suspicious for adenocarcinoma in situ. Differential considerations include atypical adenomatous hyperplasia, although atypical infection cannot be completely excluded and clinical correlation is indicated.2. Lipid rich r... |
Generate impression based on findings. | 24 year old female. Reason: evaluate pulmonary stenosis, s/p left PA stent angioplasty in 2005; also evaluate possible partial anomalous pulmonary venous connection. History: SOB Height: 60 inWeight: 225 lbsBSA: 2 m^2BMI: 46 kg/m^2Cardiac Morphology:Left Ventricle:EDV: 86 ml The left ventricle is normal in size, shape,... | 1. Left PA stent is 12 mm diameter, compared with right PA 24 mm diameter. Post-stenotic dilation of the left PA is 22 mm in diameter. 2. Anomalous right superior pulmonary vein drains into the superior vena cava near the junction with the right atrium. 3. No significant coronary artery disease on this limited examinat... |
Generate impression based on findings. | 13-year-old male with Crohn's disease/celiac disease, evaluate for stricture or SBO ABDOMEN: Within the limitations of a non-IV contrast enhanced examination which limits evaluation of solid organ parenchyma and vascular structures, the following observations can be made:LUNG BASES: No significant abnormality noted. Ce... | Bowel wall thickening of a 6 - 8 cm segment of terminal ileum. In conjunction with the short segment of jejunal wall thickening seen on prior CT, this is compatible with patient's history of Crohn's disease. |
Generate impression based on findings. | Clinical question: Intracranial bleed? Resolution of previous bleed? Signs and symptoms: Not responsive. Nonenhanced head CT:No evidence of intracranial hemorrhage.Unremarkable cortical sulci, cerebral cortex, ventricular system, CSF spaces and gray -- white matter differentiation.Midline is maintained.Unremarkable cal... | 1.No evidence of intracranial hemorrhage.2.No convincing evidence of any new finding since prior study.3.Unremarkable unenhanced head CT. |
Generate impression based on findings. | 67-year-old male. Reason: SOB, possible saddle embolus on TTE History: SOB, possible saddle embolus on TTE PULMONARY ARTERIES: No pulmonary embolus identified.LUNGS AND PLEURA: Multiple scattered bilateral calcified micronodules, consistent with prior granulomatous disease. Other scattered noncalcified micronodules are... | No evidence of pulmonary embolism as clinically questioned.Unchanged large paraesophageal hiatal hernia. |
Generate impression based on findings. | 42-year-old male. SIRS, cough, tachycardia. PULMONARY ARTERIES: Technically adequate examination for evaluating pulmonary embolism. No pulmonary emboli identified.LUNGS AND PLEURA: No focal airspace consolidation or pleural effusion.MEDIASTINUM AND HILA: Cardiomegaly without a significant pericardial effusion. Patulous... | No evidence of acute pulmonary embolism or other findings to account for symptoms. |
Generate impression based on findings. | Female; 33 years old. Reason: r/o stone History: hematuria and left flank pain Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILI... | No radiographic evidence to account for the patient's left flank pain and hematuria. |
Generate impression based on findings. | SIRS and abdominal distention in 42-year-old male; heart failure ABDOMEN:LUNG BASES: Cardiomegaly; dilated esophagus in a somewhat unusual location, lateral to the aorta. See chest CT reported separately for complete chest evaluation.LIVER, BILIARY TRACT: Hepatomegaly without focal parenchymal mass lesion. Portal venou... | 1. Small atrophic fused horseshoe kidney with changes of chronic medical renal disease. 2. Bony changes consistent with chronic renal disease without focal abnormality. 3. Diffuse edema with anasarca. 4. Hepatomegaly. 5. No other abdominal/pelvic abnormality seen. |
Generate impression based on findings. | Male 79 years old; Reason: evaluate for mass History: malaise, weakness, weight loss CHEST:LUNGS AND PLEURA: Marked centrilobular and paraseptal emphysema noted. Nodular apical opacity is noted on the right, new since 2006. No spiculated masses or nodules.MEDIASTINUM AND HILA: The heart is mildly enlarged.A coronary ar... | 1.No acute pathological process detected.2.Apical nodular opacity in the right lung. Differential considerations include scarring versus neoplastic process. Continued follow up advised. |
Generate impression based on findings. | Clinical question: Evaluate for brain metastases. Signs and symptoms will metastatic prostate cancer presenting with altered mental status. Enhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Examination demonstrates ... | 1.No detectable parenchymal or leptomeningeal enhancement to suggest metastatic disease.2.Multiple calvarial metastatic lesions without evidence of extraosseous spread.3.Minimal age indeterminate small vessel ischemic strokes as detailed. |
Generate impression based on findings. | 57 year-old female with persistent clear fluid drainage without congestion. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There appears a small discontinuity in the right fovea ethmoidalis (image 41, series 80346). The cribriform plate, left fovea ethmo... | 1. Probable small defect in the right fovea ethmoidalis with no CT evidence of encephalocele. 2. Chronic depressive fracture of the right nasal bone. 3. Unremarkable CT paranasal sinus otherwise. |
Generate impression based on findings. | 57-year-old male with a history of medullary urothelial carcinoma status post cystectomy and neobladder creation with fever and history of intra-abdominal abscess. ABDOMEN:LUNGS BASES: Note is made of bibasilar atelectasis/scarring. There is interval resolution of the previously described small pleural effusions. No ev... | 1.Persistent findings suspicious for intraparenchymal abscess formation within the right kidney.2.Interval development of a 4.6-cm encapsulated fluid collection in the right hemipelvis suspicious for abscess formation. 3.There is wall thickening of the neobladder and fat stranding the surrounding area. Correlation for ... |
Generate impression based on findings. | 71-year-old male with hypoxia, hypotension, new RBBB. Assess for PE. PULMONARY ARTERIES: Technically adequate exam with no evidence of pulmonary embolus.LUNGS AND PLEURA: Mild predominantly centrilobular emphysema favoring the upper lobes. Bilateral basilar atelectasis and scarring. MEDIASTINUM AND HILA: Postsurgical c... | 1.No evidence of pulmonary embolism. 2.Basilar dependent atelectasis and no other acute abnormality. |
Generate impression based on findings. | Female; 39 years old. Reason: r/o stone History: hematuria with left LBP Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TR... | No radiographic evidence to explain the patient's symptoms. |
Generate impression based on findings. | Female 30 years old; Reason: epigastric/RUQ pain with stone on u/s; eval for inflammation History: see above ABDOMEN:LUNGS BASES: No significant abnormality noted.Small hiatal hernia noted.LIVER, BILIARY TRACT: No significant abnormality noted. The cholelithiasis on ultrasound is not well visualized on the CT examinati... | 1.Stable to slight decrease in size of the adnexal and mesenteric masses with no new adenopathy or lesions. |
Generate impression based on findings. | Female; 56 years old. Reason: complication of pancreatitis? History: abd pain, abn LFT, elevated WBC Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnorm... | 1.Common bile ductal dilatation measuring 11 mm and minimal dilatation of the pancreatic duct at the neck. If further imaging would be helpful for patient care, MRCP may be considered.2.No CT evidence of acute pancreatitis or complications from pancreatitis. |
Generate impression based on findings. | 24 year-old female. History of PE not on anticoagulation. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study for evaluation of PE. No acute pulmonary emboli evident. Previously seen segmental and subsegmental PE have resolved.LUNGS AND PLEURA: Bibasilar linear scarring now present at sites of previously se... | 1. No acute pulmonary embolism. Interval resolution of previously seen segmenta/subsegmental PE.2. Basilar scarring is now present at previously seen sites of pulmonary hemorrhagic infarcts. |
Generate impression based on findings. | 95-year-old female patient with left hip externally rotated. Evaluate for left hip fracture. Left bipolar hemiarthroplasty with cemented femoral component. No evidence of acute fracture or dislocation. No evidence of loosening or hardware failure. Mild chondrocalcinosis affects the left hip.Moderate degenerative change... | Left bipolar hemiarthroplasty without radiographic evidence of acute fracture or dislocation. |
Generate impression based on findings. | 47 year-old female with neutropenic fever, evaluate for infection. The orbits are unremarkable. The mastoids are partially opacified. The middle ear cavities are clear. Limited view of the intracranial structure is unremarkable. There is minimal mucosal thickening in the maxillary and sphenoid sinuses. The frontal sinu... | 1. No evidence of sinusitis. Minimal maxillary and sphenoid sinus inflammatory disease. 2. Leftward nasal septal deviation with a bony spur. 3. Partial opacification of the mastoids, which is nonspecific. Clinical correlation for mastoiditis is recommended. |
Generate impression based on findings. | 52 year old female with a history of metastatic breast cancer presents with emesis. Evaluate for tumor burden or SBO. ABDOMEN:LUNG BASES: Note is made of bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: Subcentimeter hypodensity in the right lobe of the liver is too small to characterize, but likely represents a si... | 1. Wall thickening of the colon with associated mesenteric nodularity is most consistent with metastatic disease in the setting of a known primary carcinoma. There is interval development of a soft tissue mass in the right lower quadrant adjacent to the cecum, which is suspicious for progression of disease.2. Multiple ... |
Generate impression based on findings. | 75 year old female with a history of ulcerative colitis and lung cancer. Status post left lobectomy with right upper quadrant pain x 1 week, status post cholecystectomy. ABDOMEN:LUNGS BASES: Postsurgical changes consistent with the stated history of left lower lobectomy.LIVER, BILIARY TRACT: The liver is diffusely hypo... | 1.No acute intra-abdominal process.2.Marked chronic appearing degenerative changes affecting the lumbar spine including a chronic appearing compression fracture of T12. |
Generate impression based on findings. | Reason: 76-year-old male with a history of metastatic RCC. Evaluate disease status. History: asymptomatic CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are again noted, some which have decreased while some have increased in size.The reference left upper lobe nodule now measures 1.0 cm, previously 1.0 cm (image 39;... | 1.Mixed response of multiple pulmonary nodules, some of which have increased in size and some of which have decreased in size. 2.Interval development of a liver lesion suspicious for metastatic disease. 3.Persistent retrocrural lymphadenopathy. |
Generate impression based on findings. | Male 42 years old; Reason: eval for sinusitis History: patient with HIV, fevers, tachycardia and nasal ulcer. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is a deep bony lucency surrounding the partially remaining right maxillary premolar tooth w... | 1.No evidence of acute sinusitis. 2.Hyperdense mucosa of the oropharynx and hypopharynx is of uncertain etiology. Given that the patient received contrast for abdominal and pelvic CT this could represent contrast. Fungal infection is another possibility in an HIV positive patient.3.Poor dentition with the right maxilla... |
Generate impression based on findings. | Male 52 years old; Reason: HCC screening History: cirrhosis, ESRD on HD ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour: The liver contour is nodular..Cholelithiasis is noted in the gallbladder. There is no intrahepatic or extrahepatic biliary ductal dilation. Portal vein: Pate... | 1.Cirrhotic morphology without evidence of lesion to suggest HCC2.cholelithiasis3.Abnormal appearance of the transverse colon. While it is common for the ascending colon and cecum to demonstrate this pattern in cirrhosis, it is not expected in the transverse colon. This raises the concern for infectious versus inflamma... |
Generate impression based on findings. | 57 year-old female with nasal congestion and discharge. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure shows mild ventriculomegaly. The frontal sinuses are hypoplastic. There is mucosal thickening in the anterior/posterior ethmoids and maxillary sinuses. The sphenoid sin... | 1. Mild ethmoid and maxillary sinus inflammatory disease. 2. Mild ventriculomegaly shown on this nondedicated exam. |
Generate impression based on findings. | 47-year-old female. Neutropenic fever status post unrelated donor stem cell transplant. Evaluate for infection. LUNGS AND PLEURA: 11-mm nodule in the left lung base on series 5, image 210. Minimal basilar scarring. 5-mm right upper lobe nodule (series 4, image 31). No pleural effusion.MEDIASTINUM AND HILA: Right IJ cat... | 11-mm nodule in the left lung base possibly fungal infection. |
Generate impression based on findings. | Male 50 years old; Reason: rectal cancer restaging History: rectal cancer CHEST:LUNGS AND PLEURA: There is minimal basilar atelectasis.MEDIASTINUM AND HILA: There is no evidence of mediastinal or hilar lymphadenopathy.CHEST WALL: There is no evidence of axillary lymphadenopathy.ABDOMEN:LIVER, BILIARY TRACT: There is a ... | 1.Stable right inguinal mesenteric hypodensity which likely represents a hernia repair mesh.2.Stable to slightly smaller pelvic lymphadenopathy.3.Stable non-circumferential thickening of the rectal wall, representing the patient's reported rectal cancer. |
Generate impression based on findings. | 79-year-old edema. History of lung cancer with lung nodules. Evaluate for progression. LUNGS AND PLEURA: Dense partially calcified areas of pleural thickening in the right lung base, stable dating back to 2012, and likely sequelae of prior pleurodesis or surgery/trauma.Multiple pulmonary calcified and noncalcified nodu... | Stable pulmonary nodules dating back to 7/2012. Continued follow-up to two years is recommended. No new findings. |
Generate impression based on findings. | Male 70 years old; Reason: Weight loss evaluation History: Unintentional weight loss 20#, negative EGD, ? pulmonary or abdominal pathology CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: Moderate coronary ar... | 1.No acute intraabdominal pathology detected. |
Generate impression based on findings. | Female; 57 years old. Reason: History of germ cell tumor, s/p transplant, assess for recurrence History: none CHEST:LUNGS AND PLEURA: Reference right upper lobe lung nodule abutting the major fissure, best seen on image 44 of series 5, is stable measuring 1.5 x 0.6 cm, previously 1.4 x 0.5 cm.MEDIASTINUM AND HILA: Refe... | 1.Stable right lung nodule and perihilar lymph node. |
Generate impression based on findings. | 45 years old Male. Reason: Hx of Hodgkin's Lymphoma History: s/p 2 cycles of chemotherapy Interval decrease in size of cervical lymphadenopathy. Reference measurements are as follows:Index right level II jugulodigastric node (series 1202 image 43) measures 12 mm in short axis, previously 18 mm.Index right level IIb lym... | 1. Interval decrease in cervical lymph node size from prior. No current cervical lymphadenopathy or new masses.2. Please refer to separate chest CT findings regarding the mediastinal mass. |
Generate impression based on findings. | Female; 57 years old. Reason: evaluate right flank mass r/o hernia History: right flank mass ABDOMEN:LUNG BASES: Small blebs at the right base.LIVER, BILIARY TRACT: No evidence of suspicious lesion. No intra-or extrahepatic ductal dilatation. The gallbladder is unremarkable.SPLEEN: No significant abnormality notedPANCR... | 1.Right flank benign lipoma as described above.2.Minimally enlarged left para-aortic lymph node. |
Generate impression based on findings. | 67-year-old female. History of metastatic medullary thyroid cancer. Compared to previous. CHEST:LUNGS AND PLEURA: Scattered nodules are unchanged. No new or suspicious pulmonary lesions identified.MEDIASTINUM AND HILA: Status post thyroidectomy. Left paratracheal esophageal diverticulum is unchanged. No mediastinal or ... | Abdominal and skeletal metastases without significant change. No new lesions identified. |
Generate impression based on findings. | 28-year-old female with a history of stage IIIc germ cell tumor, growing teratoma syndrome, and known mediastinal disease. Six-month follow-up examination. CHEST:LUNGS AND PLEURA: Note is made of multiple bilateral pulmonary micronodules, appearing similar to the prior study. No new pulmonary nodules or masses are iden... | 1. Interval decrease in previously described peritoneal metastases in the abdomen and pelvis with a persistent mass in the porta hepatis, with reference measurements above.2. Slight interval decrease in size of anterior mediastinal soft tissue density mass likely representing thymic hyperplasia.3. Dilated common bile d... |
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