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Generate impression based on findings. | 67-year-old with history of metastatic thyroid cancer. Follow up exam. Head CT:There is no evidence of intracranial mass, hemorrhage or infarction. No enhancing abnormality is seen.Neck CT:Postsurgical changes secondary to prior thyroidectomy is seen with redemonstration of a linear tiny 1 to 2-mm focus of enhancing ti... | 1.Stable size of the reference left neck lymph node. No evidence of new adenopathy.2.No definite evidence of residual tumor in the thyroid bed. 3.No intracranial metastasis. |
Generate impression based on findings. | 71-year-old male with metastatic prostate cancer, rising PSA. Restage disease. CHEST:LUNGS AND PLEURA: Scattered nonspecific micronodules 3 mm or less in size throughout both lungs.No other significant abnormalities. No pleural disease.MEDIASTINUM AND HILA: No adenopathy. Coronary artery calcifications seen diffusely.C... | 1. Multiple pulmonary micronodules nonspecific in appearance. 2. Diffuse sclerotic foci throughout. The skeletal system compatible with metastases. 3. No enlarged lymph nodes seen in chest, abdomen or pelvis to suggest lymphadenopathy. |
Generate impression based on findings. | 76 year-old male with history of base of tongue cancer. The orbits are unremarkable. The paranasal sinuses are clear. Limited view of the intracranial structure is unremarkable. Mild left mastoid air cells opacification appears unchanged.Again identified are postsurgical changes in the neck with asymmetry of the tongue... | Stable post treatment changes of the neck. No evidence of pathological lymph nodes or recurrent tumor. |
Generate impression based on findings. | Male 37 years old; Reason: COLON CANCER S/P HEPATIC RESECTION OF TUMOR IN MARCH 2013. EVALUATE FOR INTERVAL CHANGE History: COLON CANCER CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY... | 1.Interval resolution of the previously seen small bowel obstruction with interval takedown of the right lower quadrant ostomy and re-anastomosis. No residual obstruction, free air, nor pneumatosis.2.No recurrent or metastatic disease 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. | 59 year old male. Reason: Stage IV colon cancer. Please compare to previous scan and provide index lesion measurements. CHEST:LUNGS AND PLEURA: Stable biapical scarring. Stable emphysema. Scattered pulmonary micronodules, unchanged.MEDIASTINUM AND HILA: There is interval resolution of the previously described nonocclus... | 1. Persistent bilobar hepatic metastatic lesions. While the reference hepatic lesions appear slightly increased in size, many of the metastatic lesions appear stable, when compared to the prior study2. Interval resolution of the previously described thrombus in the SVC. However, the caliber of the SVC appear significan... |
Generate impression based on findings. | 54-year-old male with history bladder cancer. Status post multiple resections. Evaluate for recurrence. Within the limits of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:CHEST:LUNGS AND PLEURA: Since prior examinat... | 1. Status post cystectomy with continent neobladder unchanged. 2. Status post interval left chest surgery with no evidence of recurrent or residual tumor seen. 3. No evidence of abdominal residual or metastatic tumor. |
Generate impression based on findings. | Male 66 years old; Reason: stage IIB colon cancer completed therapy June 2011. Evaluate for disease recurrence History: Stage IIB colon cancer CHEST:LUNGS AND PLEURA: Stable micro nodules without new or suspicious nodule or mass detected. MEDIASTINUM AND HILA: No thoracic lymphadenopathy. CHEST WALL: No significant abn... | No evidence of metastatic disease in the chest, abdomen, or pelvis. Stable examination. |
Generate impression based on findings. | 88 year old female with history of gross hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. Multiple hemangiomas and benign cysts in the liver. Common bile duct is borderline dilated and there is minimal intrahepatic biliary prominence.SPLEEN: No significant abnormality ... | Cholelithiasis. Liver hemangiomas and benign cysts. No CT findings to explain patient's hematuria |
Generate impression based on findings. | 76 year-old male. T2N0 BOT SCC status post FHX 5/8/2009. Reevaluate. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: Degenerative abnormalities of the thoracic spine.ABDOMEN: Absence of enteric contrast material markedly limits ... | No evidence of metastasis or other significant abnormality. |
Generate impression based on findings. | Male; 52 years old. Reason: 52 M with stage III colon cancer s/p resection, please eval for evidence of disease recurrence. History: none CHEST:LUNGS AND PLEURA: Stable nonspecific bilateral pulmonary micronodules.MEDIASTINUM AND HILA: No evidence of mediastinal or hilar lymphadenopathy.CHEST WALL: Right chest port wit... | 1.Interval decrease in size of mesenteric lymph node adjacent to the proximal colon near the anastomosis. |
Generate impression based on findings. | 65-year-old male. Cough. Follow-up abscess. Evaluate for underlying malignancy. LUNGS AND PLEURA: Unchanged right upper lobe linear scarring at site of prior consolidation seen on April and May 2013 CTs. No underlying suspicious mass is evident.6 mm right lower lobe peripheral nodule on series 5, image 62 is unchanged ... | 1. Resolved right upper lobe infection with mild residual linear scarring. 2. 6-mm right lower lobe peripheral nodule is stable and likely benign. 12-18 month follow-up recommended. |
Generate impression based on findings. | Reason: pe? History: elevated d-dimer, cp PULMONARY ARTERIES: No evidence of a pulmonary embolus.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Residual thymic tissue the anterior mediastinum.No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of a pericardial effus... | No evidence of pulmonary embolus. No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | 62-year-old female with metastatic stage IV colon cancer status post hepatic resection 2004. Completed therapy in June of 2005 Evaluate for interval change. CHEST:LUNGS AND PLEURA: Several scattered nonspecific micronodules are unchanged from prior study. No evidence of suspicious nodules.MEDIASTINUM AND HILA: Enlarged... | Stable examination without evidence of recurrence. |
Generate impression based on findings. | Reason: cardiopulm abnormality? History: shortness of breath LUNGS AND PLEURA: Patchy and ground glass opacity, greater at the apices with septal thickening and small pleural effusions.Multiple focal nodular air space opacities which may be due to infection or possibly edema.Bilateral basilar compressive atelectasis.ME... | 1.Pulmonary hypertension with CHF, pleural effusions and extensive lower lobe atelectasis.2. Patchy bilateral airspace opacities suggestive of infection. |
Generate impression based on findings. | 75-year-old male with history of prostate cancer. Evaluate for metastatic disease. ABDOMEN:LUNG BASES: Scarring with calcification at left lung base -- No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Punctate calcifications most likely from prior granulomatous disease -- no... | No evidence for metastatic disease in the abdomen or pelvis. No significant abnormalities detected. |
Generate impression based on findings. | Reason: Eval possible mets History: HCC, HCV, cirrhosis LUNGS AND PLEURA: No suspicious nodules or pleural effusion.MEDIASTINUM AND HILA: No significant lymphadenopathy.No pericardial effusion.CHEST WALL: Moderate degenerative disease in the spine.UPPER ABDOMEN: Absence of IV and enteric contrast material markedly limi... | No evidence of pulmonary metastases. |
Generate impression based on findings. | 64-year-old male with history of prostate cancer 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 ab... | No evidence of metastatic disease. |
Generate impression based on findings. | 48-year-old male with history of metastatic renal cell cancer CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: Index precarinal node measures 1.2 x 0.8 cm on image number 41, series number 3 This is unchanged from prior study.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Chol... | Minimal interval increase in the size of the retrocaval adenopathy and left mass invading the left hemidiaphragm.Enhancing metastatic lesion invading the inferior vena cava at the level of the portal confluence, not significantly changed from previous study. |
Generate impression based on findings. | History of colorectal cancer CHEST:LUNGS AND PLEURA: Emphysema. Subpleural scarring in both lungs.MEDIASTINUM AND HILA: Small mediastinal lymph nodes, nonspecific.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: N... | No CT evidence of metastatic disease. Emphysema and bilateral subpleural scarring. |
Generate impression based on findings. | History of posterior kidney disease presenting with bilateral flank pain and hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality no... | Findings consistent with both cystic kidney disease. No obvious enhancing mass is noted in both kidneys. Possible stones versus cyst wall l calcifications in the kidneys. |
Generate impression based on findings. | History of non-Hodgkin lymphoma CHEST:LUNGS AND PLEURA: Scarlike opacity in the right middle lobe and right lower linea atelectasis, unchanged.MEDIASTINUM AND HILA: Nodular, ill defined soft tissue in the anterior mediastinum is unchanged from previous study.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, B... | Slight interval decrease in the size of the splenic and mesenteric index lesions. |
Generate impression based on findings. | Female 76 years old; Reason: 76 F with metastatic colon cancer, now without evidence of disease. Please eval for interval change. History: none CHEST:LUNGS AND PLEURA: No suspicious nodules. Scattered areas of linear atelectasis. The pleural spaces remain clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial... | 1.No recurrent or metastatic disease detected with reference 7 mm lymph node measurement provided above. |
Generate impression based on findings. | 22-year-old male with history of testicular cancer, status post orchiectomy and chemotherapy CHEST:LUNGS AND PLEURA: 6 x 4 mm left upper lobe lung nodule on image number 52, series number 6, smaller in size compared to previous study. Subcentimeter nodule in the right middle lobe on image number 54, series number 6, un... | Interval decrease in the size of the extensive retroperitoneal lymph nodes and pulmonary nodules. |
Generate impression based on findings. | 55 year-old male with posterior headache. The ventricles, sulci, and cisterns are symmetric. There is mild volume loss of the cerebellum. Incidental cavum septum pellucidum. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemor... | 1. No acute intracranial abnormality. 2. Diffuse left parietooccipital scalp thickening, which is nonspecific and may representing inflammation or subgaleal hematoma. Clinical correlation is recommended. |
Generate impression based on findings. | 56-year-old female with metastatic colon cancer. Evaluate for interval changes from prior therapy. CHEST:LUNGS AND PLEURA: No change in the right apical partially calcified soft tissue mass radiating from hila postero-laterally. Scattered granulomata, some calcified throughout the lungs are again seen, unchanged. No ne... | 1. Marked increase in retroperitoneal and pelvic lymphadenopathy. 2. Stable appearance to small residual pancreatic mass compared with original 2/20/13 CT examination. 3. Right cecal mass with minimal change, but with substantial enlargement and pericecal lymph nodes. |
Generate impression based on findings. | 2 year-old male 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 mastoid ai... | 1. No acute intracranial abnormality. 2. Evidence of acute sinusitis. |
Generate impression based on findings. | 77 year-old female with renal cancer. History, weight loss, and pulmonary nodules. Rule-out malignancy. CHEST:LUNGS AND PLEURA: The prior noted. Multiple nodules seen on prior chest CT have resolved without any residual. No new foci of airspace disease, nodules or masses are seen. No pleural disease..MEDIASTINUM AND HI... | 1. Status post left nephrectomy. No evidence of recurrent or residual tumor disease. 2. Bifid right renal collecting system with apparent dilatation of the upper pole moiety. As no delay excretory phase imaging was obtained this cannot be further evaluated. If further imaging would be helpful to clinically evaluate as ... |
Generate impression based on findings. | 86 year-old male with syncope. There is patchy hypoattenuation in the cerebral white matter. 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 os... | No acute intracranial abnormality. Small vessel ischemic disease of indeterminate age. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 82-year-old female. Evaluate interval change in size of pulmonary nodules and biliary system. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules, some of which are clustered in the right upper lobe, are not significantly changed dating back to 3/2013. This includes the 12 mm largest nodule in the right lower ... | 1. Multiple bilateral pulmonary nodules, not significantly changed dating back to 3/2013, and likely post-inflammatory/benign. Follow-up CT in 12 months is recommended.2. Unchanged biliary and pancreatic ductal dilatation. Consider MRCP for further evaluation. |
Generate impression based on findings. | 77 year-old female status post fall. The ventricles, sulci, and cisterns are symmetric and appropriate for the patient's age. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. Intracranial arterial calcification. The ... | 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. | 52-year-old female. Cough and short of breath. Evaluate for pneumonia. LUNGS AND PLEURA: Multifocal bilateral nodular opacities, some with surrounding groundglass. There are some clustered micronodules in the left upper lobe.Mild centrilobular emphysema. Dependent bibasilar subsegmental atelectasis. No pleural effusion... | Multifocal nodular opacities and clustered left upper lobe micronodules. Atypical infection, including fungal etiologies is most likely. |
Generate impression based on findings. | Reason: follow up to ct from 10-29 / h/o post thigh excision sarcoma History: metastatic evaluation LUNGS AND PLEURA: Interval resolution only 3-mm left lower lobe micro-nodule, presumably due to infection.No suspicious nodules.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy. The heart is normal in size without pe... | Interval resolution of left lower lobe micro-nodule, consistent with infection.No evidence of metastatic disease. |
Generate impression based on findings. | Female 58 years old; Reason: H/o small bowel lymphoma, s/p chemo please restage History: N/V/abd pain CHEST:LUNGS AND PLEURA: Minimal left basal atelectasis. Scattered bilateral pulmonary micronodules, appearing similar to the prior study. No new or suspicious pulmonary nodules or masses are identified. Pleural spaces ... | 1.Stable exam without evident disease in the chest, abdomen or pelvis.2.Persistent mild intra-extrahepatic biliary ductal dilation. |
Generate impression based on findings. | 70 year-old male with parotid cancer and status post resection. The orbits are unremarkable. The paranasal sinuses are clear. There is partial opacification of the mastoid air cells. Limited view of the intracranial structure is unremarkable. Status post left parotidectomy and resection of the left condylar process. Th... | Postsurgical changes status post left parotidectomy and resection of the left condylar process. Nonspecific soft tissue in the surgical bed, which could representing granulation tissue. However, Tumor cannot be ruled out entirely. Continued follow-up is recommended. No lymphadenopathy or mass is noted. |
Generate impression based on findings. | 54-year-old male with history of squamous cell carcinoma of the tongue. Post induction evaluation. CHEST:LUNGS AND PLEURA: 9-mm groundglass nodule in the right apex (image 63, series #4) is unchanged in size and appearance. Appearance is highly suspicious for atypical adenomatous hyperplasia, adenocarcinoma in situ, or... | 1.Right apical ground glass nodule without perceptible change remains suspicious for indolent primary adenocarcinoma. Follow-up CT scan in approximately 6 months is recommended to evaluate interval growth.2.Incompletely evaluated all left adrenal nodule, stable and likely of benign etiology. |
Generate impression based on findings. | Female 36 years old; Reason: Met breast cancer needs evaluation from treatment and compare to prior lung nodules. History: Met breast cancer needs evaluation from treatment and compare to prior lung nodules. CHEST:LUNGS AND PLEURA: There is interval increase in size and number of numerous bilateral pulmonary nodules an... | Significant interval increase in size as well as number of the previously described pulmonary lesions as well as mediastinal lymphadenopathy suspicious for metastatic disease. |
Generate impression based on findings. | 25 years old Male. Reason: s/p bilateral lug transplant for cystic fibrosis History: recurrent bouts of pneumonia,headaches, fever and congestion The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is diffuse mucosal thickening of the maxillary sinuses ... | Extensive opacity throughout the paranasal sinuses with high-density in the maxillary sinuses, suggestive of a fungal sinusitis. |
Generate impression based on findings. | 64 year old female with metastatic breast cancer and left neck mass. Evaluate response to treatment. CHEST:LUNGS AND PLEURA: Left apical scarring/atelectasis, appearing similar to the prior study may represent post radiation/therapy changes. The reference right lower lobe nodule has resolved and may have simply represe... | Slight interval increase is size of the reference supraclavicular mass with persistent multiple pulmonary nodules and mediastinal lymphadenopathy consistent with the stated history of metastatic breast carcinoma. Please see CT of neck examination report for further details regarding the left lower neck lesion. |
Generate impression based on findings. | Male 56 years old; Reason: nephrolithiasis? History: r sided flank pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Patient is status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.... | 1.No acute intra-abdominal process detected. |
Generate impression based on findings. | Female 61 years old; Reason: h/o RCC History: none ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Fatty infiltration of the liver is noted. Small hypoattenuating lesion in segment 4 A. is seen, likely a cyst. There is no intra or extrahepatic ductal dilation. Small polyp is noted in the gal... | 1.Status post partial right nephrectomy with expected post operative changes in the right inferior pole. No recurrent or metastatic disease detected. |
Generate impression based on findings. | 61 year-old male. Reason: h/o spina bifida, tethered cord, myoclonus, intrathecal pump with sepsis and abd pain. Pump in LLQ with surrounding fluid collection. Eval for abscess and further etiology of abd pain. History: abdominal pain and guarding ABDOMEN:LUNG BASES: Stable benign micronodules along the pulmonary fissu... | 1. No renal abscess or perinephric fluid collection.2. Bladder wall thickening and suprapubic tube are unchanged, suspicious for chronic cystitis.3. Extensive postsurgical changes of the posterior lumbar spine. Soft tissue thickening posterior to the sacrum at the level of sacral postsurgical changes is incompletely ch... |
Generate impression based on findings. | Shortness of breath. Pre-op robotic mitral valve replacement. VESSELS:The distance from the sinotubular junction to the innominate artery is approximately 8cm.SINUS OF VALSALVA: 3.2 x 3.4 x 3.2 cmSINOTUBULAR JUNCTION: 2.9 X 2.9 cmASCENDING THORACIC AORTA AT LEVEL OF MAIN PULMONARY ARTERY: 3.2 X 3.2 cmASCENDING THORACIC... | 1. No dissection or aneurysm of the aorta. Orthogonal dimensions of the access vasculature are as above.2. Prominent non-specific nodular-appearing adrenal glands. Correlation with lab values may be helpful, if clinically warranted.3. Small sliding-type hiatal herniaI personally reviewed the Images and/or procedure wit... |
Generate impression based on findings. | 40 year-old female with diminished pedal pulses. Assess aorta and iliac arteries for kidney transplant. Pre-kidney transplant evaluation. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality not... | Minimal vascular calcification of the iliac arteries, as described above. |
Generate impression based on findings. | 25 year old female with a history of ARDS secondary to influenza A with fevers and rising leukocytosis. Concern for intra-abdominal infection. Please evaluate. CHEST:LUNGS AND PLEURA: Note is made of scattered bilateral, diffuse groundglass opacities and nodular consolidation with associated air bornchograms, consisten... | 1. Diffuse bilateral groundglass and nodular opacities and air bronchograms consistent with a stated history of viral infection complicated by ARDS. The ET tube tip terminates 1 cm above the level of the carina. 2. Small bilateral pleural effusions.3. No findings to suggest intra-abdominal infection, as clinically ques... |
Generate impression based on findings. | 33 year-old male with seizure. Extensive encephalomalacia in the bilateral frontal lobes, left greater than right related to prior intracranial hemorrhage is demonstrated. Left parietal lobe encephalomalacia is stable. There is no interval rehemorrhage. There is no evidence of mass effect or midline shift. The ventricl... | 1.No evidence of new bleed or mass effect.2. Stable extensive encephalomalacia as detailed above |
Generate impression based on findings. | Male; 74 years old. Reason: Multiphase renal CT scan to evaluate renal lesions seen on recent CT scan. History: Progressive weight loss. Innumerable renal lesions poorly characterized on contrast CT ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver parenchyma without evidence of suspicious... | 1.Numerous subcentimeter bilateral renal cysts, some complex, are too small to characterize. Renal cell carcinoma cannot be entirely excluded. Follow-up with MRI is recommended in 6 months.2.Benign right adrenal adenoma. |
Generate impression based on findings. | 83-year-old male status post status post retroperitoneal sarcoma resection with rectal injury and repair on 12/04/13, then developed abscess in the pelvis concerning for leak from rectal repair. Placed drain in the pelvic collection by IR. Please evaluate abscess. PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnor... | Interval decrease in size of the previously described pelvic abscess with percutaneous drain in place. Note is made of high density material within the aforementioned abscess cavity, which may represent rectal contrast and raises the question of fistula formation or rectal leak. |
Generate impression based on findings. | Reason: pt with lung ca s/p 6 cycles of chemo ended Sept 2013 History: doing so-so. Has gallstones and now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: New moderate right pleural effusion.Markedly increased right hilar and subcarinal mass consistent with lymphadenopathy, with a... | Marked increase in right hilar and mediastinal lymphadenopathy with a new right pleural effusion. |
Generate impression based on findings. | 54 year-old female with history of oral cancer. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. New since prior are postsurgical changes of a partial left mandibular alveolar ridge resection at level of the buccal space. The... | Interval postsurgical changes of a partial left mandibular alveolar ridge resection. No lymphadenopathy or mass is noted. |
Generate impression based on findings. | 53 year old female. Follicular lymphoma. Reason: NHL restaging History: None CHEST:LUNGS AND PLEURA: Stable micronodules.Note is made of biapical scarring/atelectasis. No new or suspicious pulmonary nodules or masses are identified.MEDIASTINUM AND HILA: Stable right thyroid subcentimeter nodule. Stable mediastinal aden... | Interval decrease but with large residual in extensive, confluent retrocrural, retroperitoneal, mesenteric and pelvic adenopathy with reference measurements above. |
Generate impression based on findings. | Female 73 years old; Reason: H/O DLBC Lymphoma s/p 6 cycles of DA EPOCH R in need of re staging scans. Please compare to prior. History: H/O DLBC Lymphoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: Stable large hiatal herniaCHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT:... | Interval decrease in size of pelvic and right inguinal adenopathy. No new adenopathy. |
Generate impression based on findings. | Reason: h/o recurrent oral cancer History: r/o chest mets LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Mild centrilobular emphysema is present.MEDIASTINUM AND HILA: Coronary artery calcifications.No mediastinal or hilar lymphadenopathy noted.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Clinical question: Evaluate for meningioma and NPH. Signs and symptoms: 84-year-old female with memory issues, urinary incontinence, imbalance with gait. History of meningioma from 2011. Unenhanced head CT:Examination demonstrate no detectable acute intracranial process. CT however is insensitive for early detection of... | 1.No acute intracranial findings.2.Advanced age indeterminate small vessel ischemic strokes.3.Prominence of lateral ventricles which is believed to be at these partially secondary to underlying volume loss secondary to small vessel ischemic strokes. The third ventricle is nearly normal in size.4.Isodense soft tissue at... |
Generate impression based on findings. | Female 63 years old; Reason: lower abdominal bloating and pain History: bloating and pain ABDOMEN:LUNGS BASES: Groundglass opacities bilaterally are incompletely characterized and not well visualized on this CT abdomen. Infectious etiology is considered.LIVER, BILIARY TRACT: Hyperenhancing lesion in segment IVb is like... | 1.No evidence of metastatic disease. Hyperenhancing lesion in segment IVb is likely a flash filling hemangioma, however metastatic disease cannot entirely be ruled out |
Generate impression based on findings. | 23 year-old male with headache. 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. |
Generate impression based on findings. | 68-year-old female. History of non-small cell lung cancer. Cough for two weeks status post XRT. Evaluate for radiation pneumonitis or other lung abnormality. LUNGS AND PLEURA: Spiculated right upper lobe nodule containing a fiducial marker is consistent with the known primary lung malignancy, measuring 7 x 9 mm, previo... | 1. Right upper lobe spiculated nodule consistent with the patient's known primary lung malignancy shows interval slight decrease in solid component and size.2. No acute abnormalities or new sites of disease. |
Generate impression based on findings. | Clinical question: 30-year-old male with left-sided level Ib mass. Signs and symptoms: Left jaw mass x 6 weeks. Enhanced neck CT:Limited intracranial contents is unremarkable.Images through the skull base and including cavernous sinuses, bilateral petrous bones remain within normal limits.Unremarkable images through th... | 1.A well demarcated low attenuation non-enhancing lesion (likely cystic) in the left submandibular gland measuring 32 x 23 mm sized. The appearance is not suggestive of a node. Recommend follow-up with MRI for better assessment. Lesion appears accessible for transcutaneous biopsy/aspiration.Please see above comments.2.... |
Generate impression based on findings. | Male 54 years old; Reason: SCC of tongue. Post induction evaluation. History: as above Head:The ventricles and sulci are normal in size. Again seen is the extra-axial enhancing right paraclinoid mass abutting the orbital apex and is unchanged in size measuring 3 mm (series 10, image 11). There is no mass effect or midl... | 1.Interval decrease in the size of the tongue mass and the neck lymphadenopathy.2.Interval resolution of the left-sided seroma.3.Unchanged enhancing right paraclinoid extra-axial lesion, likely meningioma. |
Generate impression based on findings. | Male; 49 years old. Reason: necrotizing pancreatitis History: necrotizing pancreatitis ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No evidence of suspicious hepatic lesion. No intra-or extrahepatic ductal dilatation. The gallbladder is unremarkable. There is complete thrombosis of the spl... | 1.Reaccumulation of pancreatic pseudocyst with local inflammatory changes as described above.2.Complete thrombosis of the splenic vein and near-complete thrombosis of the superior mesenteric vein.3.Moderate right-sided hydronephrosis.4.Right retroperitoneal fluid collection has minimally decreased in size. |
Generate impression based on findings. | 79-year-old male with history of bladder and prostate cancer. Status post cystectomy -- evaluate for new or metastatic disease. ABDOMEN:LUNG BASES: Left pleural effusion. Aneurysmal dilatation of the aorta is seen (approximately 4.8 cm) with peripheral chronic atherosclerotic thrombus. The aorta is only included in its... | 1. Prior cystectomy with no evidence of residual or recurrent tumor. 2. No evidence of lymphadenopathy or other abdominal metastases. 3. Distal thoracic aortic aneurysm and right iliac artery aneurysm (aortobiiliac endovascular stent described above.). 4. Near water density lesion in left external iliac chain, most lik... |
Generate impression based on findings. | 51-year-old female with history of stage IV pancreas cancer. Compare to prior scans and provide index lesion measurements. CHEST:LUNGS AND PLEURA: Bilateral scattered micronodules, unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT:... | No significant interval change in the size of the pancreatic body mass. However, the previously described extensive carcinomatosis and retroperitoneal lymhadenopathy, appears slightly decreased, when compared to prior study. |
Generate impression based on findings. | 14-year-old female status post SCFE repair in 2010 now with worsening right hip pain, evaluate for whether pin from right SCFE surgery is within the joint capsule PELVIS:The BMI is abnormally increased. Phlebolith in the left hemipelvis.It appears that the right orthopedic screw tip reaches the cortex of the femoral he... | Probable disruption of the right femoral head cortex by the orthopedic screw. |
Generate impression based on findings. | 85 year-old male with new diagnosis of lung cancer and confusion. There is patchy hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and prominent, representing age related volume loss. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, mi... | 1. No acute intracranial abnormality including intraparenchymal metastasis. 2. Small vessel ischemic disease of indeterminate age. Moderate brain volume loss. 3. Foci of lucency in the calvarium are nonspecific finding. |
Generate impression based on findings. | 33 year-old male with questionable seizure. 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 ... | No acute intracranial abnormality. |
Generate impression based on findings. | 45 year-old female with new psychosis. 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 sinus... | No acute intracranial abnormality. |
Generate impression based on findings. | 66 year-old male with headache, blurred vision and syncope. The ventricles, sulci, and cisterns are symmetric and mildly prominent, representing age related volume loss. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhag... | 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. | Male 61 years old; Reason: assess for progression of cancer, new mets, sbo History: abd pain, hx colon ca s/p resection The exam is insensitive detecting lesions in the solid organs of vasculature due to lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNGS BASES: Pleu... | 1.No definite evidence metastasis given limitation examination. Osseous lesions unchanged prior exam. |
Generate impression based on findings. | 71 year-old male status post fall. There is mild patchy hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and appropriate for the patient's age. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid colle... | No acute intracranial abnormality. Mild small vessel ischemic disease of indeterminate age. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 27 year-old female status post MVC and neck pain. 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 para... | 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. |
Generate impression based on findings. | 48-year-old female patient. Assess for gluteal abscess. There is an ill-defined area of soft tissue stranding and gas involving the soft tissues of the right buttock measuring approximately 8 x 5 cm in the axial dimension (series 3 image 84) and 14 cm in the craniocaudal dimension (coronal series 8028 image 28). Soft t... | Right gluteal collection without bone or muscle involvement. |
Generate impression based on findings. | 52 year-old female with fever and sinus congestion. The orbits are unremarkable. There is partial opacification of the right mastoid, and the left is are clear. Limited view of the intracranial structure is unremarkable. The frontal sinuses, frontal-ethmoid recesses, anterior/posterior ethmoids, sphenoid sinuses, and m... | No evidence of acute sinusitis. |
Generate impression based on findings. | Female 51 years old Reason: abdominal pain History: abdominal pain. Additional history based on prior CT reports indicate cirrhosis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic morphology of the liver. No focal masses. No biliary dilatation. Gallbladder is prominent and several r... | Cirrhotic morphology, splenomegaly and a small amount of ascites. Probable cholesterol gallstones. Correlate clinically and if indicated ultrasound may be obtained to evaluate for cholecystitis. The pericholecystic fluid is nonspecific given the generalized ascites. |
Generate impression based on findings. | Female, 59 years old, status post fall with headache. Mild stranding is seen in the left parietal scalp which may reflect an a soft tissue injury. The underlying bone to calvarium are intact.Patchy periventricular and subcortical hypoattenuation is a non-specific finding which most commonly represents age-indeterminate... | 1. No acute intracranial abnormality. Age indeterminate small vessel ischemic disease is suspected.2. No cervical spine fracture or acute malalignment. |
Generate impression based on findings. | Male 53 years old; Reason: Stage IV Hodgkin lymphoma, now s/p stem cell transplant; reevaluate disease status History: s/p stem cell transplant CHEST:LUNGS AND PLEURA: Bibasilar dependent atelectasis. No pleural effusions. No nodules or masses.MEDIASTINUM AND HILA: Slight increase in the pericardial effusion.CHEST WALL... | 1.Stable right axillary and periaortic lymph nodes.2.Fatty liver.3.Stable lytic lesion in the L4 vertebral body |
Generate impression based on findings. | Female 66 years old Reason: s/p cholecystectomy with duodenal fistula and drain decreased output and tachycardia evaluate for fluid collection. ABDOMEN:LUNG BASES: A small right pleural effusion. Bibasilar atelectasis or fibrosis.LIVER, BILIARY TRACT: The biliary stent in place. Expected pneumobilia. No definite focal ... | Pigtail catheter within a loculated collection porta hepatis. The collection is continuous with the duodenum. Other findings as above. |
Generate impression based on findings. | 86 year old female with dementia and sepsis of unclear etiology. Complains of worsening abdominal pain. Lack of intravenous contrast limits evaluation of solid organs. Lack of enteric contrast limits evaluation of bowel. Given these limitations, the following observations are made:ABDOMEN:LUNG BASES: Note is made of a ... | 1. Left basilar patchy consolidation. Differential considerations include infection as well as aspiration. There are small bilateral pleural effusions with underlying atelectasis/consolidation.2. Ectatic abdominal aorta with multiple abdominal aortic aneurysms. Aneurysmal dilation of the common iliac arteries bilateral... |
Generate impression based on findings. | 92 year old female with history of shortness of breath. Evaluate for pulmonary embolus. PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: Minimal left greater than right dependent atelectasis.MEDIASTINUM AND HILA: Small pericardial effusion. No appreciable lymphadenopathy. Nonspecific hypoattenuating lesions i... | No pulmonary embolus. Small pericardial effusion, and other findings as above. |
Generate impression based on findings. | Reason: please evaluate for focal consolidation, lower respiratory tract involvement given RSV positive History: 33M with history of T cell lymphoblastic leukemia presenting with RSV positive LUNGS AND PLEURA: Right middle lobe tree in bud and nodular opacities. Right upper lobe solid and ill-defined clustered ground g... | Right middle lobe tree in bud and nodular opacities. Right upper lobe solid and ill-defined clustered ground glass nodules, most consistent with atypical infection (consider fungal and mycobacterial etiologies). |
Generate impression based on findings. | 65 years old Male. Reason: evaluate for brain metastasis History: rcc, evaluate for brain metastasis Evaluation for intracranial metastases is limited by lack of intravenous contrast. Mild cerebral volume loss associated with aging is present. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray... | Negative nonenhanced head CT. No vasogenic edema or mass-effect to suggest cerebral metastases, however contrast enhanced CT or MRI are more sensitive exams. |
Generate impression based on findings. | 27-year-old male with Kawasaki disease and chronic HCV, now with cough/sore throat/fever for 5-7 days. Now with hypoxia despite oxygen therapy and +RVP c/w H1N1 pneumonia. PULMONARY ARTERIES: No pulmonary embolus. The proximal main pulmonary artery measures approximately 3.4 cm in diameter, which can be seen in pulmona... | 1.No pulmonary embolus2.Scattered regions of patchy ground-glass opacities, with multiple foci of consolidation. These findings are nonspecific, but are most compatible with multifocal pneumonia. |
Generate impression based on findings. | Female; 49 years old. Reason: S/P LVAD. hx of line sepsis with GPC and soft tissue infection; Eval for fluid collection History: Fever Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:CHEST:L... | 1.Small bilateral pleural effusions and pericardial effusion with bibasilar edema/atelectasis.2.No evidence of abnormal chest or abdominal loculated fluid collection as clinically queried. |
Generate impression based on findings. | Male, 53 years old, stage IV Hodgkin's lymphoma now status post stem cell transplant. Redemonstrated are scattered small lymph nodes involving the neck as well as right subpectoral space and right axilla. As before, none of these meets imaging criteria for pathologic enlargement. There is no significant interval change... | No significant interval change in reference lymph node measurements through the neck. No evidence of new or pathologic adenopathy is seen. |
Generate impression based on findings. | 34-year-old female with relapsed ALL and bacteremia. Rule out colitis versus abscess. Lack of intravenous contrast limits evaluation of solid organs and vasculature.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Note is made of fatty replacement of the liver. There is mild hepatomegaly. Statu... | Borderline retroperitoneal lymphadenopathy, as described above. No evidence of colitis or intra-abdominal abscess, as clinically questioned. |
Generate impression based on findings. | 22 year old female with history of shortness of breath and painful inspiration. PULMONARY ARTERIES: No pulmonary embolus within the limitations of mild motion artifact and patient body habitus.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Vertebral... | No pulmonary embolus. Note is made of a prominent suprahepatic IVC which causes mild compression of the distal thoracic esophagus, of uncertain clinical significance. Patency of the hepatic veins and IVC cannot be assessed due to inadequate contrast opacification related to contrast timing. |
Generate impression based on findings. | Male 63 years old; Reason: 63M s/p cystectomy/neobladder 11/14 c/b SBO s/p ex lap, end jejunostomy, ileal mucus fistula, now with elevated WBC, concern for abscess, fascial dehiscence ABDOMEN:LUNG BASES: Coronary artery calcifications. Distal tip of the central venous catheter in the cavoatrial junction. Calcified gran... | 1. Near complete interval resolution of the previously described dilated loops of small bowel.2. Post-op changes of cystoprostatectomy and neobladder formation. There is dehiscence of the midline abdominal incision along its inferior margin. There are associated foci of gas density and fat stranding in the surrounding ... |
Generate impression based on findings. | Female; 64 years old. Reason: metastatic breast cancer - evaluate response to treatment. Compare with 10/24 scan History: left neck mass. Postsurgical changes compatible with neck mass excision, including an open skin defect in the left anterior neck, are again noted. The overall configuration of the remaining left ant... | 1.Significant interval decrease in size of exophytic soft tissue component of left anterior neck mass as described above, with increased conspicuity of central areas of fluid density. Stable effacement of the left internal jugular vein. 2.Enlarged left posterior chest wall lymph nodes suspicious for tumor involvement, ... |
Generate impression based on findings. | Female, 68 years old, status post intracerebral hemorrhage. A hyperdense region is present within the left frontal lobe compatible with acute or early subacute hematoma measuring 1.9 x 1.4 cm on sagittal imaging. There is a mild degree of surrounding parenchymal edema and minimal if any local mass effect. No evidence o... | Left frontal parenchymal hematoma with mild surrounding edema and minimal mass effect. |
Generate impression based on findings. | Female; 54 years old. Reason: evaluate right renal mass; no need for oral contrast; please get w/wo History: none ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypodensity in the periphery of the right hepatic lobe, best seen on image 65 of series 6, is unchanged measuring 1.3 x 1.3 cm, prev... | 1.Small right lower pole kidney mass is stable in size and appearance, but concerning for a neoplasm.2.Stable hepatic lesions as described above. |
Generate impression based on findings. | 71 year-old female with histiocytic brain lesions and a history of fallopian tube carcinoma. Evaluate for tumor or lymphadenopathy. CHEST:LUNGS AND PLEURA: Note is made of biapical scarring/atelectasis. There is left lower lobe scarring/atelectasis. There are scattered pulmonary micronodules, appearing similar to the p... | No evidence of mass lesion or lymphadenopathy, as clinically questioned. |
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 renal arteries and veins. Single collecting systems with no masses or filling defects noted. |
Generate impression based on findings. | 65 year old female with history of wheezes, crackles and history of bronchitis LUNGS AND PLEURA: Scattered ground glass and nodular opacities are seen bilaterally. Anterior right middle lobe and lingula foci of consolidation, nonspecific but may be related to patient aspiration. Extensive bronchial wall thickening and ... | Scattered ground glass and nodular opacities are seen bilaterally, with bronchial wall thickening and tree in bud opacities. Additional right middle and lingula foci of consolidation. These findings are nonspecific, suggestive of MAI or other mycobacterial infection. Aspiration bronchiolitis is in the differential. |
Generate impression based on findings. | 70 year-old female with head and neck cancer. Redemonstrated are extensive post-treatment changes which are unchanged. The patient is status post total laryngectomy, left neck dissection and tracheostomy. There are no new discrete foci of contrast enhancement. There are no new soft tissue masses. There is no new clinic... | 1.Stable post-treatment changes. No definite evidence of tumor recurrence.2.No evidence of clinically significant lymphadenopathy. |
Generate impression based on findings. | Male 64 years old; Reason: metastatic Prostate cancer, evaluation of disease for initiation of investigational therapy. History: metastatic Prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: The mediastinal and pericardiac nodes. Reference retrosternal lymph node measures 1.4 ... | 1.Metastatic prostate cancer as described above with reference lesions provided. |
Generate impression based on findings. | 57 year old female with left lower extremity unilateral swelling. Would like CT abdomen and pelvis to rule out some sort of malignancy. ABDOMEN:LUNG BASES: There is minimal bibasilar scarring/atelectasis. Left lower lobe pulmonary micronodule.LIVER, BILIARY TRACT: Multiple subcentimeter hypodensities in the liver are t... | Nonspecific left inguinal lymphadenopathy. |
Generate impression based on findings. | Reason: T1N2bM0 SCC of oropharynx. Post induction evaluation. History: as above CHEST:LUNGS AND PLEURA: Benign-appearing micronodules, some calcified, unchanged.No evidence of pulmonary or pleural metastases.Mild apical paraseptal predominant emphysema.MEDIASTINUM AND HILA: Scattered mediastinal lymph nodes being withi... | 1. No suspicious pulmonary nodules identified.2. Slight enlargement of scattered mediastinal lymph nodes, all still within normal size limits but continued monitoring of these is recommended.3. Stable adrenal nodules, likely adenomas. |
Generate impression based on findings. | 44F with ?hyperparathyroidism and possible right chest parathyroid adenoma. Please evaluate for possible adenoma in the chestSigns and Symptoms: hypercalcemia, kidney stones There are several nodules present in the soft tissues of the lower neck . Their locations and serial Hounsfield units on dynamic CT or listed belo... | 1.There is a 4mm nodule below the right thyroid lobe suspicious for a parathyroid adenoma2.Parathyroid venous sampling.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 40-year-old male with history of metastatic germ cell tumor status post chemo and surgery. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No significant abnormality noted. Redemonstration of postsurgical changes in the anterior mediastinum similar to the... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Male; 53 years old. Reason: 53 yo with chronic RLQ abd pain, h/o diverticulitis now with persistent pain and wt loss. r/o tumor (colon or TI), colitis, diverticulitis, epiploic appendagitis History: 53 yo with chronic RLQ abd pain, h/o diverticulitis now with persistent pain and wt loss. r/o tumor, colitis, diverticuli... | 1.No radiographic evidence to account for the patient's right lower quadrant pain.2.Resolved diverticulitis.3.Two foci of non-obstructive jejunal intussusception without visible lead mass. |
Generate impression based on findings. | 59-year-old female with history of tachypnea, shortness of breath and hypoxia. Evaluate for mass. LUNGS AND PLEURA: Moderate emphysema, worse at the apices. Left lower lobe scarring, slightly increased when compared to 2004.MEDIASTINUM AND HILA: Scattered, mildly enlarged lymph nodes are seen within the mediastinum.CHE... | 1.Moderate emphysema.2.Scattered, mildly enlarged lymph nodes within the mediastinum are nonspecific and may be reactive in nature.3.Cirrhotic liver morphology with anterior abdominal varicose veins. |
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