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Generate impression based on findings. | 52-year-old male with history of metastatic melanoma. Status post chemotherapy CHEST:LUNGS AND PLEURA: No pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: Note is made of a nodule in the soft tissues along the superior aspect of the posterior right hemithorax, study ... | Persistent right pelvic adenopathy consistent with metastatic disease. No significant interval change in the subcentimeter nodule in the soft tissues along the superior aspect of the posterior right hemithorax also suspicious for metastatic disease. |
Generate impression based on findings. | Male 60 years old; Reason: 60M with prostate cancer, s/p prostatectomy, with persistent PSA and small para-aortic LN seen on outside CT 7/2013. restage and compare with prior scan. History: non CHEST:LUNGS AND PLEURA: Minimal bibasilar atelectasis noted.MEDIASTINUM AND HILA: No pathologically enlarged lymph nodes.CHEST... | 1.Status post prostatectomy without evident metastatic disease detected. |
Generate impression based on findings. | Status post left lower lobe resection for solitary fibrous tumor. Chest tubes in place with foul-smelling drainage. Please assess for pleural fluid collections or other evidence of infection. LUNGS AND PLEURA: When compared to the prior CT, there has been interval resection of the left lower lung mass. Two chest tubes ... | 1.Loculated hydropneumothoraces on the left, with a small amount of free left pleural fluid. Cannot exclude infection of these collections.2.Left lower lung areas of consolidation adjacent to the aforedescribed collections in surgical bed, nonspecific but could be due to infection and/or aspiration with atelectasis lik... |
Generate impression based on findings. | Male; 78 years old. Reason: h/o RCC with abd discomfort History: above ABDOMEN:LUNG BASES: The previously identified left upper lobe lung nodule is not visualized on this exam. Mild bibasilar atelectasis.LIVER, BILIARY TRACT: Evaluation of the liver parenchyma is limited by lack of significant portal venous contrast en... | 1.No radiographic evidence to account for the patient's abdominal pain.2.Status post left nephrectomy without evidence of local recurrence.3.Stable infrarenal aortic aneurysm.Please note that longer than usual delays are needed to ensure opacification of the portal veins due to slow cardiac output. |
Generate impression based on findings. | 51 year old female with hemorrhage of the rectum and anus. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple subcentimeter hypodensities in the liver are too small to characterize, but likely represent simple cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abnorma... | 5.1-cm left adnexal septated cystic lesion. Further evaluation with a dedicated pelvic ultrasound is recommended. |
Generate impression based on findings. | evaluate L cranial mass for aneurysm that is calcified Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant s... | 1.There is a left middle cranial fossa extra-axial mass present which is suspicious for a meningioma. It is associated with vasogenic edema. An MRI of the brain would help further asses this for it relationship to adjacent critical structures such as the cavernous sinus and brain.2.There is a left ophthalmic segment an... |
Generate impression based on findings. | 49-year-old female with history of soft tissue sarcoma of the left thigh. Evaluate for metastases. Motion artifact degrades this exam.LUNGS AND PLEURA: The reference left lower lobe nodule (series 4 image 46) measures approximately 7 mm, unchanged from prior. No new pulmonary nodules are seen.MEDIASTINUM AND HILA: No s... | No significant interval change in the 7-mm left lower lobe pulmonary nodule. |
Generate impression based on findings. | Stage III lung CA status post chemo and RT. Follow-up. Cough and shortness of breath on exertion. CHEST:LUNGS AND PLEURA: Small right pleural fluid collection, minimally larger.The index right lower lobe lesion is overall smaller measuring 22 x 13 mm (4/78) compared to 26 x 15 mm. Tumor immediately cranial to the refer... | Interval decrease in right lower lobe index lesion measurement. Adjacent to the lesion there is a new heterogeneous masslike area of peribronchial consolidation which could represent radiation-related organizing pneumonia however is suspicious for an area of active tumor. Suggest correlation with PET scan. In addition,... |
Generate impression based on findings. | Female; 58 years old. Reason: lymphoma re-staging History: lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Right central venous catheter with tip in the right atrium.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No evidence of suspicious hepatic lesio... | 1.Minimal decrease in size of retroperitoneal lymphadenopathy as described above.2.Stable intra-and extrahepatic biliary ductal dilatation. |
Generate impression based on findings. | Reason: h/o laryngectomy new bleeding from stoma History: new bleeding from stoma LUNGS AND PLEURA: Fibrosis within the anterior aspect of the upper lobes, left greater than right, stable.Lower lobe bronchial wall thickening with scattered areas of mucoid impaction consistent with recurrent aspiration. No focal pneumon... | Opacification of the superior esophagus with high density material suspicious for hemorrhagic fluid, likely related to hemorrhage at the stomal site. No peri-stomal hematoma or significant debris surrounding the tracheostomy tube or within the superior trachea.Chronic changes in the lower lobes related to recurrent asp... |
Generate impression based on findings. | AML with previously with noted at nodules and lower lobe and RLL GGO. LUNGS AND PLEURA: Small pleural effusions, right greater than left with associated compressive atelectasis. Several subcentimeter pulmonary nodules bilaterally mixed response, some of the lesions present previously are smaller (left lower lobe 4/58),... | Mixed response, overall worse with new and larger pulmonary nodules suspicious for fungal pneumonia or other atypical infection; the nodules at this time are larger than would be expected with CMV and appear to have a peri-bronchovascular distribution. Previously seen small nodules and groundglass opacity have largely ... |
Generate impression based on findings. | Male 76 years old; Reason: hematuria, eval upper tracts with CT with delayed imaging History: none ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Large hepatic cyst and several small hypodensities likely cysts. Punctate granuloma. No focal masses.SPLEEN: No significant abnormality noted.PAN... | 1.Findings to explain hematuria.2.Unexpected finding of a cystic lesion visualized in the scrotum could be evaluated further with scrotal ultrasound. |
Generate impression based on findings. | Female 71 years old; Reason: 71 yr old patient with ovarian cancer s/p surgery 12-5-13 eval post procedure compare to 12-5-13 scan History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heavy atherosclerotic calcifications with multifocal ulcerated plaques. Port-A-Cath tip in SVC j... | Status post resection of the right calcified inguinal lymph node and resultant postoperative seroma versus hematoma without other complication or metastatic disease detected. Otherwise, stable examination. |
Generate impression based on findings. | Reason: lung mass History: eval of lung mass LUNGS AND PLEURA: There is a large, hypervascular mass within the left upper lobe measuring 4.9 x 8.9 cm in transverse and AP dimensions, respectively (series 3 image 40). This extends into the left anterior mediastinum. There is a lobule of the mass that appears to extend b... | Large, hypervascular mass within the left upper lobe measuring 4.9 x 8.9 cm that extends into the left anterior mediastinum. Associated large conglomerate of aortopulmonary lymphadenopathy. The mass obliterates the left superior pulmonary artery immediately beyond its ostium. It attenuates the left superior pulmonary v... |
Generate impression based on findings. | 80 year-old woman with known aneurysm of the ascending aorta. Evaluate for rupture or dissection. CT ANGIOGRAPHY: As noted previously, the aorta and its branch vessels are tortuous but patent throughout their visualized courses. The ascending and proximal descending aorta exhibit aneurysmal dilatation (see specific mea... | Unchanged aneurysmal dilatation of the aorta without evidence of dissection or other complication. |
Generate impression based on findings. | Reason: rule out cardiac pseudoaneurym, evaluate lymphadenopathy History: dizziness LUNGS AND PLEURA: Significant respiratory motion artifact. Incidental azygos lobe. The lungs are underinflated with blurring of the pulmonary vasculature. No pleural effusion is identified through.MEDIASTINUM AND HILA: Postsurgical find... | Findings reflect surgically corrected Tetralogy of Fallot with a valved RA to PA conduit. The previously described abnormality on prior cardiac MRI does not represent a pseudoaneurysm but is consistent with partial anomalous pulmonary venous return to the left brachiocephalic vein.There are two pulmonary veins on the l... |
Generate impression based on findings. | 41 year old with altered mental status. Please evaluate for cerebral edema in the setting of hyperammonemia. No acute infarct, abnormal mass lesions, edema, or hemorrhage. Bilateral basal ganglia calcifications are identified. Calcification is also seen in the pons. There is scattered subcortical hypodensity this is a ... | No evidence of cerebral edema as clinically queried. Nonspecific cerebral white matter hypodensities. |
Generate impression based on findings. | Male 67 years old; Reason: Hx of thymoma; evaluate for recurrence History: See Above CHEST:LUNGS AND PLEURA: Paramediastinal fibrosis and scarring in the lungs consistent with radiation fibrosis. No lung nodules. No effusions.MEDIASTINUM AND HILA: Soft tissue density in the left superior mediastinum abutting the great ... | Stable mediastinal adenopathy and slightly increased size of the retrocaval fluid collection. |
Generate impression based on findings. | 78 year-old female with episode of confusion and possible seizure. There is a wedge shaped hypoattenuation in the right inferior frontal gyrus with loss of gray-white differentiation. There is a focus of hypoattenuation in the left cerebellum, unchanged. There is patchy hypoattenuation in the cerebral white matter. The... | 1. Wedge shaped hypoattenuation in the right inferior frontal gyrus with loss of gray-white differentiation is concerning for infarct. However, it is difficult to establish its acuity based on the present exam. MRI brain is recommended for further evaluation. 2. No acute intracranial hemorrhage. 3. Mild small vessel is... |
Generate impression based on findings. | 67 year-old male with thymoma. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. The oral cavity, oro/nasopharynx, hypopharynx, larynx and subglottic airways are unremarkable/patent. The epiglottis, vallecula, piriform sinuses... | 1. Partially visualized anterior mediastinal soft tissue lesion. Please correlate with CT chest for further details. 2. No evidence of mass or adenopathy in the neck. |
Generate impression based on findings. | Saddle embolus of pulmonary artery. PULMONARY ARTERIES: In adequate infusion quality. A radiopaque marker is seen the in the main pulmonary artery anteriorly. Small caliber infusion catheters extend into the right main pulmonary artery (6/149) and into a distal subsegmental branch of a left lower lobe pulmonary artery ... | Interval TPA catheter placement from an IVC approach with catheters in the right main and a distal subsegmental branch of the left lower lobe; findings discussed with Dr. Dimmock (4428) at the time of examination. Interval improvement in overall burden of remaining embolus with residual nonocclusive thrombus from the r... |
Generate impression based on findings. | 57 year-old male with larynx cancer. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for minimal maxillary sinus mucosal thickening. Limited view of the intracranial structure is unremarkable. Postoperative changes are seen from prior tracheostomy, laryngectomy, myocutaneous fl... | Stable to slightly improved posttreatment changes. No definite recurrent mass or new lymphadenopathy. |
Generate impression based on findings. | Female 30 years old; Reason: assess the status of inflammatory pseudotumor History: none CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodule, unchanged.MEDIASTINUM AND HILA: Anterior mediastinal soft tissue is not significantly changed, measuring 4.3 x 2.5 cm (series 3 image 34), previously measuring 4.4 x 2.3 cm w... | Stable examination with stable anterior mediastinal and soft tissue and retroperitoneal nodes. |
Generate impression based on findings. | Male; 32 years old. Reason: stone? History: persistent 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, BILIARY TRACT: No... | 1.Left 2 mm distal ureterolithiasis with adjacent inflammation and minimal hydroureter/hydronephrosis.2.Right and left non-obstructing renal calculi. |
Generate impression based on findings. | 33 years old Male. Reason: pls eval for recurrence History: 33M with history of T cell lymphoblastic leukemia s/p resection of thoracic mass now with recurrence of back pain wo neurologic sx Soft tissue evaluation is limited by lack of intravenous contrast. Please also note that MR is more sensitive for delineation of ... | 1. Elongated fluid collection in the posterior thoracic surgical bed, slightly decreased from 9/15/13. Given the limitations CT and the lack of intravenous contrast, the possibility of tumor recurrence, intrathecal extension, and abscess cannot be excluded. MRI with contrast can be considered for further evaluation. 2.... |
Generate impression based on findings. | 40 year old female with history of left upper lobe subcentimeter nodule. A follow-up. Back pain. LUNGS AND PLEURA: Left upper lobe perifissural nodule (series 5 image 78) is again seen, unchanged in size. The second perifissural nodule (series 5 image 127) measures approximately 4 mm, unchanged in size. No new pulmonar... | Tiny, perifissural micronodules are stable over the interval. The size, shape and location are most compatible with subpleural lymph nodes. No additional CT follow-up is necessary, unless the patient is a smoker or otherwise high risk for malignancy. |
Generate impression based on findings. | 49-year-old female with history of cholangiocarcinoma and pancreatic neuroendocrine tumor. Status post SMV stenting with recurrent upper GI bleeding and varices. Assess patency of the superior mesenteric vein stents. ABDOMEN:LUNG BASES: Small but enlarging right pleural effusion.LIVER, BILIARY TRACT: Since the prior ex... | 1.Unchanged ill-defined soft tissue in upper retroperitoneum suspected to represent tumor.2.Status post interval stenting of the portal and superior mesenteric veins with interval thrombosis of the central portion of the stents.3.Enlarging presumed left lobe liver metastasis.4.Increasing ascites. |
Generate impression based on findings. | 19 year-old female with a history of tuberous sclerosis. Please evaluate. LAM and renal angiomyolipoma. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Neural stimulator device along the anterior left hemithorax. ABDOMEN:LIVER, BILIARY TRACT: N... | 1. No significant interval change in small renal masses which are too small to characterize but may represent small angiomyolipomas versus cysts. If follow up examination of renal masses is desired, MRI could be considered, rather than CT. No evidence of LAM as clinically questioned. 2. 3.7 cm left adnexal cystic lesio... |
Generate impression based on findings. | 49-year-old female with history of cholangiocarcinoma and pancreatic neuroendocrine tumor. Status post SMV stenting with recurrent upper GI bleeding and varices. Assess patency of the superior mesenteric vein stents. ABDOMEN:LUNG BASES: Small but enlarging right pleural effusion.LIVER, BILIARY TRACT: Since the prior ex... | 1.Unchanged ill-defined soft tissue in upper retroperitoneum suspected to represent tumor.2.Status post interval stenting of the portal and superior mesenteric veins with interval thrombosis of the central portion of the stents.3.Enlarging presumed left lobe liver metastasis.4.Increasing ascites. |
Generate impression based on findings. | Right shoulder status post Laterjet procedure, now with right shoulder pain. Assess bony healing. Two screws are seen across the bone graft along the anterior-inferior aspect of the glenoid. The bone graft has completely fused with the glenoid compatible with healing. There continues be a small anterolateral cleft at t... | Status post glenoid fusion of the bone graft to the anterior-inferior aspect . |
Generate impression based on findings. | 65-year-old male with history of stem cell transplant. Now with fever and tachypnea. LUNGS AND PLEURA: Motion from breathing degrades this exam. Small left greater than right pleural effusion, and associated atelectasis. A small amount of pleural fluid tracks within the left major fissure. Dependent atelectasis abuttin... | Small, left greater than right pleural effusion and associated atelectasis. No specific signs of infection.Lipomatous hypertrophy of the intra-atrial septum and posterior wall of the right atrium/IVC causing mass effect on the suprahepatic IVC; if further workup is clinically warranted, MR may be of use. |
Generate impression based on findings. | 68 year-old male with left ear cancer. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure shows intracranial arterial calcification. There is redemonstration of small nodes at the preauricular space superficially, unchanged. No lymphadenopathy ... | No evidence of local recurrence or lymphadenopathy in the neck soft tissue. |
Generate impression based on findings. | Lung nodule LUNGS AND PLEURA: Postoperative changes right upper lobectomy. Severe centrilobular emphysema. Interval resolution of previously seen irregular airspace nodule in the right lower lobe. Debris in the right mainstem bronchus. The bronchus intermedius has an irregular contour and the right middle lobe bronchus... | 1. Interval resolution of right lower lobe nodules, presumably postinflammatory or postinfectious. 2. Indeterminate spiculated nodule in the lingula, probably unchanged but poorly evaluated on the last exam due to patient motion. CT follow-up may be performed in 6-12 months in a low risk patient. If the patient has a h... |
Generate impression based on findings. | Reason: oral cancer History: r/o lung mets LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Mild bronchial wall thickening is present with areas of basilar scarring, unchanged. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Severe coronary artery calcification is present. There are calcif... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Fatigue. ASD VESSELS:SINUS OF VALSALVA: 3.0 X 3.2 X 2.9 cmSINOTUBULAR JUNCTION: 2.6 X 2.7 cmASCENDING THORACIC AORTA AT LEVEL OF MAIN PULMONARY ARTERY: 2.6 X 2.6 cmASCENDING THORACIC AORTA IMMEDIATELY PROXIMAL TO THE INNOMINATE ARTERY: 2.4 X 2.6 cmPROXIMAL DESCENDING THORACIC AORTA IMMEDIATELY DISTAL TO THE LEFT SUBCLA... | Normal appearance of the access vasculature, as measured above.Please note that the cardiac/coronary CT examination will be reported separately. |
Generate impression based on findings. | Male 56 years old; Reason: Pt with ETOH cirrhosis. Please eval for lesions History: ETOH cirrhosis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour: The liver contour is nodular. Heterogeneous enhancement is noted throughout the liver, with areas of low attenuation compatible wi... | Cirrhotic morphology with subtle arterial enhancement and washout in segment 4B. Patient's fatty infiltration limits evaluation, for full characterization MRI.Dr. Te notified of the findings at 3:15 on 12/20/13 |
Generate impression based on findings. | Female; 77 years old. Reason: Left breast cancer 1995, now with recurrent dz in skin of left History: recurrent left breast cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Nonpathologic sized mediastinal lymph nodes.CHEST WALL: Left axillary surgical clips. Nonpathologic sized lymp... | 1.Scattered non-pathologic sized lymph nodes without definitive evidence of metastatic disease.2.Cholelithiasis.3.Right thyroid nodule. |
Generate impression based on findings. | 49-year-old male with history of nasal esthesioneuroblastoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significantly enlarged mediastinal or hilar lymph nodes.Incidental note made of a normal variant left vertebral artery arising directly from the aortic arch.CHEST WALL: No signi... | No findings to suggest metastatic disease. |
Generate impression based on findings. | Malignant neoplasm of scapula and long bones of the upper limit (osteosarcoma). Stable pulmonary metastases. LUNGS AND PLEURA: Postoperative findings consistent with multiple bilateral areas of wedge resection.Focal scarring in a delayed apex is stable at 12 x 13 mm.Subsolid nodule in the left lower lobe stable at 8-mm... | Stable exam. |
Generate impression based on findings. | Female 59 years old; Reason: right breast IDC with positive lymph node; CT for metastatic w/u History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Small soft tissue with calcifications noted in the right upper breast. Subcentimeter non... | 1.No evident metastatic disease detected. |
Generate impression based on findings. | Female; 55 years old. Reason: kidney stones, hydronephrosis History: kidney stones 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, ... | 1.No evidence of urolithiasis or hydronephrosis.2.Common biliary ductal dilatation. If patient care warrants additional imaging, consider MRCP for further evaluation. |
Generate impression based on findings. | Three years after right upper lobectomy for stage I A. adenocarcinoma LUNGS AND PLEURA: Postsurgical changes of a right upper lobectomy. Scattered micronodules and areas of mucous plugging. No signs of localized recurrence.6 x 5 mm groundglass nodule in the medial right middle lobe (4/41) has slowly increased in size s... | 1. Stable 6 x 5 mm nodule in the medial right middle lobe with differential diagnosis of AAH versus AIS/MIA, continued yearly follow-up recommended.2. No signs of localized recurrence.3. Dense breast tissue with internal nodules which are nonspecific by CT scan, correlate with physical examination and, if clinically wa... |
Generate impression based on findings. | Reason: h/o ear canal cancer History: r/o chest mets LUNGS AND PLEURA: Punctate benign appearing micronodules are unchanged.There is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No significant mediastinal or hilar lymphadenopathy.Moderate to severe coronary artery calcifications are present.CHES... | No evidence of metastases, or other significant abnormality. No change. |
Generate impression based on findings. | Reason: followup of pulmonary blastomycosis History: cough LUNGS AND PLEURA: The previously seen large left upper lobe residual cyst has scarred down significantly, with an asymmetrically thick wall but overall improvement. Other small nodules and cysts are stable and there is evidence of progression or recurrence of i... | Marked reduction in size of residual left upper lobe cysts, although it now has an asymmetrically thick wall probably related to healing than recurrence. No other significant change in nodules and small cysts. No specific evidence of recurrent infection. |
Generate impression based on findings. | Female; 45 years old. Reason: r/o wound abscess, SBO History: vomiting, pain and drainage from wound 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: Mild bibasilar atelec... | Interval increase in small bowel inflammation adjacent to the midabdominal wall surgical wound. Questionable extraluminal fluid and gas collection may represent an abscess. |
Generate impression based on findings. | Reason: smoker with asbestos exposure, r/o fibrosis versus COPD. Patient has severe DOE History: DOE, cough LUNGS AND PLEURA: Severe apical paraseptal emphysema with large bullae.No specific evidence of interstitial lung disease, or asbestos related pleural disease.Small benign-appearing micronodules are present some c... | 1. Severe paraseptal emphysema with large bullae.2. No evidence of asbestos-related interstitial or pleural disease.3. Cirrhotic liver morphology. |
Generate impression based on findings. | Reason: s/p sleeve RUL History: cancer LUNGS AND PLEURA: Status post right upper lobe resection with no evidence of tumor recurrence.MEDIASTINUM AND HILA: Postsurgical changes right hilum.Previously seen right perihilar fluid collection has resolved.Residual thymic tissue is stable in appearance.CHEST WALL: No signific... | No evidence of tumor recurrence rather significant abnormality. Prior mediastinal fluid collection has resolved. |
Generate impression based on findings. | 76 year old female. Reason: evaluate TAA s/p TEVAR History: evaluate TAA s/p TEVAR CHEST:LUNGS AND PLEURA: Basilar subsegmental atelectasis and consolidation.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Coronary artery calcifications and stents.VASCULATURE: Stent graft in the aortic arch. Thromb... | 1.Status post TEVAR with persistent aortic arch saccular aneurysm. No evidence of endoleak. 2.Right groin wound as described above. |
Generate impression based on findings. | 56-year-old male with right tonsil cancer. Brain:The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or suspicious contrast enhancement. Left frontal developm... | 1. Right palatine tonsil thickening with no measurable mass lesion. Continued follow up is recommended. 2. Interval decrease in size of a necrotic right level 2a lymph node.3. No intracranial metastases are present.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: T1N2bMx SCC of R tonsil. Post induction evaluation. History: as above CHEST:LUNGS AND PLEURA: Scattered benign-appearing micronodules are unchanged.There is no specific evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.A central line extends to the SVC.Min... | 1. No evidence of metastases.2. Complex left renal cyst, stable.3. Age indeterminate compression fracture of L1, stable. |
Generate impression based on findings. | Evaluate for progression of metastatic disease. Chemotherapy follow-up. CHEST:LUNGS AND PLEURA: Moderate right pleural fluid collection is slightly larger. Septal thickening and nodularity suggestive of lymphangitic spread of tumor bilaterally with subjective increase in number of septal micro-nodules. Innumerable cent... | Interval increase in size of right upper lobe mass, right pleural fluid collection and extent of pulmonary and lymphangitic metastases. Stable sclerotic sternal lesion, likely a metastasis. |
Generate impression based on findings. | 68 year old male with history of mesothelioma status post chemotherapy. Evaluate and compare to prior. CHEST:LUNGS AND PLEURA: Left hemithorax pleural thickening and subpleural consolidation, consistent with mesothelioma, appear similar to prior. Left lower lobe predominant nonspecific in interstitial opacities, unchan... | Stable findings consistent with history of mesothelioma. |
Generate impression based on findings. | 95 year-old male with intracranial hemorrhage. There has been no significant interval change of bifrontal acute on chronic subdural hematomas since prior study. There is no midline shift. Redemonstration of infarcts on the left frontal and parietal lobes, no change since prior study. No new infarct is seen.The ventricl... | No significant interval change of bilateral acute on chronic subdural hematomas. Stable infarcts on the left frontal and parietal lobes |
Generate impression based on findings. | Lung mass super d protocol LUNGS AND PLEURA: Solid spiculated mass in the in the posterior aspect of the right apical segment measures 5.3 x 3.5 cm on coronal image 51. On the coronal MIP sequence of the outside study the lesion measured approximately 4.1 x 3.6 cm however atelectasis associated with the lesion makes me... | 5.3-cm irregular mass in the right upper lobe with linear spiculation extending to the pleural surface is suspicious for primary pulmonary malignancy. In the appropriate clinical setting, aggressive atypical infection may have a similar radiographic appearance. The mass occurs approximately 5-cm from the carina. No vis... |
Generate impression based on findings. | 52 year old female with persistent CVA tenderness. Evaluate for renal cysts, abscess, mass, or stone. Tenderness on the right. Lack of intravenous contrast limits evaluation of solid organs. Lack of enteric contrast limits evaluation of bowel.ABDOMEN:LUNG BASES: LIVER, BILIARY TRACT: No significant abnormality notedSPL... | No acute intra-abdominal process. There is a moderate amount of stool noted throughout the colon. |
Generate impression based on findings. | 64 year old female with history of cough. Evaluate right middle lobe lung nodule. LUNGS AND PLEURA: The previously described pleural based right middle lobe nodule measures approximately 7 mm in the widest dimension (series 4 image 43), unchanged from prior when using the same measurement technique.MEDIASTINUM AND HILA... | Stable right middle lobe nodule, without acute abnormality. |
Generate impression based on findings. | Face/neck pain, lymphadenopathy prominence in left hilum seen on CT neck. LUNGS AND PLEURA: 2-mm subpleural nodules in the right middle lobe (5/59) are too small to characterize; the medial nodule was visible previously on abdominal CT scan of 6/1/2005 and is compatible with a benign lesion. The lateral nodule is relat... | 1. Mild mediastinal lymphadenopathy is nonspecific in appearance. 2.Mild enlargement of the left atrium may be correlated with echocardiography if there is clinical suspicion for mitral valve disease. 3.Pulmonary micronodules are most likely benign; if the patient has a high risk for primary pulmonary malignancy, one y... |
Generate impression based on findings. | T4N1M0 nasopharyngeal carcinoma s/p CRT 9/09, now with systemic metastases. Serial CT images obtained during the aspiration procedure demonstrate the cannula, needle and biopsy gun placement within the prevertebral lesion. Following needle removal images obtained demonstrate no complications. | C6-C7 prevertebral lesion aspiration and biopsy under CT guidance. The cytopathologist found some cells suspicious for undifferentiated carcinoma. |
Generate impression based on findings. | 31 year-old female with neck stiffness and fever. 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 mast... | 1. No acute intracranial abnormality. 2. Evidence for acute sinusitis and sinus inflammatory disease. In addition, findings on the right maxillary sinus are suggestive of chronic obstruction/sinusitis. A polyp at the maxillary infundibulum or ostium cannot be ruled out. |
Generate impression based on findings. | 46 year-old female with tongue cancer and status post partial glossectomy. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Examination shows a necrotic, peripherally enhancing mass along the right lateral tongue extending in... | 1. Right lateral tongue necrotic mass extending into the tip and crossing the midline. Status post partial glossectomy. 2. No cervical lymphadenopathy by CT size criteria. 3. Right upper pulmonary nodule. |
Generate impression based on findings. | 22 year old man with ASD who is planning on undergoing closure via robotic procedure is referred for pre-operative assessment of cardiac anatomy.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and left ... | 1. There are no significant coronary artery stenoses present. 2. Very large secundum type ASD is noted. No other congenital heart defects noted. 3. Very severe RV dilation. 4. Severe RA dilation. Moderate LA dilation. 5. Mild dilation of the main pulmonary artery.This portion of the report pertains to the heart and gre... |
Generate impression based on findings. | 66 year-old male with history of tongue cancer, status post CRT and now tongue weakness and difficulty speaking and swallowing. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial ... | 1. No intracranial metastasis. 2. Stable posttreatment changes with no evidence of local tumor recurrence or cervical lymphadenopathy. 3. Acute sinusitis. |
Generate impression based on findings. | 54 year-old male with stage 4 lung cancer and altered mental status. There appears a focus of hypoattenuation in the left basal ganglia. 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-axi... | 1. No mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. Noncontrast enhanced CT is insensitive to early detection of metastasis. MRI should be considered if clinical suspicion for metastasis persists. 2. Small focus of hypoattenuation in the left basal ganglia, which may repres... |
Generate impression based on findings. | 53 year-old male with hepatic encephalopathy and confusion. Examination shows moderate supratentorial ventriculomegaly. The patient is status post right parietal ventriculostomy with a shunt catheter terminating at foramen Monroe on the right. There is edema along the catheter tract. The fourth ventricle is within norm... | Moderate supratentorial ventriculomegaly status post right parietal ventriculostomy. CT is insensitive to early detection of CVA or encephalopathy. MRI should be considered if clinical suspicion persists. |
Generate impression based on findings. | 16 year-old female with altered mental status. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranas... | No acute intracranial abnormality. |
Generate impression based on findings. | 55-year-old prior pancreatectomy multiple hernia with mesh repair, obstruction or inflammation, ischemia ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Ill-defined hypo-dense peripherally based lesions within the hepatic parenchyma are nonspecific, could represent focal fatty infiltration. No... | 1. Focal areas of fatty infiltration within the liver.2. Sequel of chronic pancreatitis involving the pancreatic head and uncinate process.3. Few distended, measuring up to 2.7 cm small bowel loops in the midabdomen with possibly transition point in the midabdomen without interloop fluid, favor a partial low-grade foca... |
Generate impression based on findings. | Post gastric bypass with distention nausea and vomiting ABDOMEN:LUNG BASES: Moderate Pericardial effusionLIVER, BILIARY TRACT: Mild intrahepatic biliary ductal dilatation, which can be explained due to cholecystectomy. No focal lesions. Hepatic vessels are patent.SPLEEN: No significant abnormality notedPANCREAS: Tortuo... | 1. Moderate pericardial effusion2. Focal acute pancreatitis involving the pancreatic head without necrosis or fluid collection. Stable tubular, cystic lesion within the hepatic head. This possibly could be the cause of pancreatitis and could represent an obstructed IPMN or a mucinous neoplasm. This should be further ev... |
Generate impression based on findings. | 63 year-old male with blurry vision and headache. There is patchy hypoattenuation in the periventricular 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 collectio... | 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. | 55 year-old male with altered mental status. There is patchy hypoattenuation in the periventricular 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/acu... | 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. | 68 years old female with intracerebral hemorrhage. There is redemonstration of a hematoma in the left frontal lobe, which has been stable in size since prior. There is a mild degree of surrounding parenchymal edema. No evidence of generalized mass-effect is seen. No new hemorrhage.No evidence of subdural, subarachnoid ... | Stable left frontal parenchymal hematoma with minimal mass effect. No new hemorrhage. |
Generate impression based on findings. | 57 year-old female with left sided neck pain. NONCONTRAST CT HEADThe ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremar... | 1. No acute intracranial abnormality. 2. No evidence of aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation. |
Generate impression based on findings. | 62 year-old male status post shunt removal. There has been removal of the left frontal shunt catheter. There is trace air in the bilateral frontal horns and catheter tract. The ventricular system has been stable in size, with temporal horns remaining dilated. There are multifocal hypodensities in the periventricular wh... | Status post shunt removal. Stable ventricular size and multifocal parenchymal hypodensities. |
Generate impression based on findings. | 40 year-old male. Tachycardia, chest pain. PULMONARY ARTERIES: Technically suboptimal exam for evaluating pulmonary embolism. No acute pulmonary emboli identified to the lobar level.LUNGS AND PLEURA: Left basilar linear atelectasis. No focal airspace consolidation or pleural effusion.MEDIASTINUM AND HILA: No significan... | No evidence of pulmonary embolism to the lobar level or specific findings to explain patient's symptoms. |
Generate impression based on findings. | 34-year-old male. History of SCD, CHF cough, status post AICD, PE, CAD. Shortness of breath. PULMONARY ARTERIES: Technically adequate examination for evaluating pulmonary embolism. Acute completely occlusive segmental pulmonary embolus in the left upper lobe and a subsegmental embolus in the right lower lobe are identi... | 1. Segmental and subsegmental acute pulmonary emboli are identified.2. Mild pulmonary edema in the lower lobes.3. Moderate pericardial effusion.Findings communicated to clinical service, Dr. Worku, at time of dictation. |
Generate impression based on findings. | 68 year-old male patient with history of right leg pain and fever with positive white blood cell scan. Evaluate for right leg infection and fluid collection. There is anatomic alignment without bone abnormality. Specifically, no osseous erosions or other specific findings to suggest osteomyelitis or other acute abnorma... | No fluid collection or radiologic evidence of osteomyelitis affecting the right leg. Soft tissue fat stranding as above. |
Generate impression based on findings. | 60-year-old female. Hypoxic and tachycardic. Evaluate for PE. PULMONARY ARTERIES: Technically adequate exam. No pulmonary emboli identified. LUNGS AND PLEURA: Low lung volumes with basilar/dependent atelectasis. Attenuation of the trachea and bronchi consistent with tracheobronchomalacia.MEDIASTINUM AND HILA: Cardiomeg... | No evidence of pulmonary embolism. Severe collapse of the trachea and bronchi consistent with tracheobronchomalacia. |
Generate impression based on findings. | 66-year-old male. History of tongue cancer and left shoulder sarcoma. Evaluate for lung metastases. LUNGS AND PLEURA: Multiple calcified pulmonary nodules and noncalcified micronodules, not significantly changed since 2008, statistically most likely granulomas. Groundglass nodule in the anterior right middle lobe uncha... | 1. 2.6 x 2.5 cm mildly hypodense mass in the upper pole of the right kidney highly suspicious for primary renal neoplasm.2. No evidence of lung metastasis.3. Right hilar lymphadenopathy, not significantly changed from 2008.Findings regarding the renal mass were emailed to M. Crowley and Dr. Stenson at time of dictation... |
Generate impression based on findings. | 46 year old. Recent diagnosis of right lateral oral tongue cancer status post partial glossectomy. LUNGS AND PLEURA: A 7 mm nodule in the right middle lobe (series 4, image 61) and a 10 mm nodule in the left upper lobe (series 4, image 39) contain coarse calcifications, favoring post-infectious/inflammatory lesions ove... | Two pulmonary nodules with coarse calcifications are indeterminate, however post-infectious/inflammatory lesions are favored. 3 month follow-up CT recommended given lack of evidence of granulomatous disease elsewhere. |
Generate impression based on findings. | 73 years. Male. Reason: patient with hx of supraglottic CA s/p tx, now w/ new postcricoid lesion found on endoscopy in OR Head: No abnormal enhancing foci to suggest metastases. Ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midl... | BRAIN: 1. No acute intracranial abnormality or evidence of metastases.2. Periodontal disease involving the maxillary molarsNECK:1. Obstructive supraglottic mass with cartilaginous extension and involvement of the vocal cords and posterior cricoid space. No cervical lymphadenopathy is identified.2. Atherosclerosis with ... |
Generate impression based on findings. | 73-year-old male. History of supraglottic cancer status post treatment, now with new postcricoid lesion found on endoscopy. LUNGS AND PLEURA: Right lower lobe atelectasis/consolidation, new from 11/2013 CT. Scattered calcified pulmonary nodules, statistically most likely granulomas.MEDIASTINUM AND HILA: Tracheostomy. M... | 1. Small left paratracheal region lymph nodes are increased in size from prior PET/CT and are indeterminate.2. No definite evidence of pulmonary metastasis.2. Right lower lobe atelectasis/consolidation new from 11/2013 PET/CT is compatible with pneumonia. |
Generate impression based on findings. | 41 year-old female with abdominal pain. Evaluate for stone. Lack of intravenous contrast limits evaluation of solid organs. Lack of enteric contrast limits evaluation of bowel.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPA... | Findings consistent with acute appendicitis. These findings were relayed to Dr. Sharma at 9:10 a.m. on 12/21/13. |
Generate impression based on findings. | 61 year old with a history of metastatic prostate cancer in retroperitoneal lymphadenopathy with a distended abdomen. New disease reported on outside hospital CT examination. ABDOMEN:LUNG BASES: Again seen are scattered pulmonary nodules. There is made of bilateral pleural effusions, right greater than left, with under... | 1. Interval increase in size and number of innumerable hepatic metastatic lesions as well as interval increase in size of retroperitoneal and mesenteric lymphadenopathy with associated encasement and attenuation of the abdominal aorta and IVC, as described above, consistent with the stated history of metastatic prostat... |
Generate impression based on findings. | 45-year-old bladder cancer, now with hematuria. Status post cystectomy and neobladder 2009 ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Few gallstones noted within the gallbladder. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significa... | 1. Small punctate calcification within the right kidney could represent nonobstructing renal calculus or or nephrocalcinosis2. No evidence of metastatic disease |
Generate impression based on findings. | 32 year-old abdominal pain, rule out obstruction Limited study comment or diskitis is not administered. This limits sensitivity to detect small lesions in solid organs and bowel.ABDOMEN:LUNG BASES: Few it is of interstitial thickening and ground glass opacities, in the periphery in bilateral lung bases. No consolidatio... | 1. Diffuse small and medium-sized vessels atherosclerosis2. Small atrophic kidneys3. No evidence of bowel obstruction.4. Left sided central venous catheter with tip in the infrahepatic IVC. |
Generate impression based on findings. | 67-year-old male. Evaluate for source of enterocutaneous fistula versus undrained intra-abdominal fluid collection. ABDOMEN:LUNG BASES: Note is made of moderate-sized bilateral pleural effusions with underlying atelectasis/consolidation.LIVER, BILIARY TRACT: Status post cholecystectomy. Biliary stent in place. Note is ... | 1. Findings consistent with an enterocutaneous fistula with apparent communication with the body of the stomach adjacent to the gastrostomy site, as described above.2. Intermediate density collection in the gallbladder fossa may represent postoperative seroma/hematoma. Differential considerations include biloma formati... |
Generate impression based on findings. | 46 year old male. NHL. Reevaluate. CHEST:LUNGS AND PLEURA: Scattered micronodules without significant interval change. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No axillary lymphadenopathy. Gynecomastia.ABDOMEN: Absence of enteric contrast materi... | No evidence of enlarged lymph nodes in the chest or abdomen. |
Generate impression based on findings. | 45 year-old female with chronic sinusitis. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure shows a pineal cyst. The patient is status post bilateral uncinectomy, antrectomy and partial ethmoidectomy with patent infundibuli. The frontal sinuses are small. The frontal-ethmo... | Status post FESS. No evidence of sinusitis. |
Generate impression based on findings. | 60 year-old with periumbilical pain, hypercoagulable, rule-out intra-abdominal abnormality Limited study. Intravenous contrast not administered. This limits the sensitivity to detect small lesions in solid organs and bowel.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips n... | 1. No evidence of bowel obstruction or ileus. 2. Atrophic native kidneys with transplant kidney in right iliac fossa. |
Generate impression based on findings. | 80 year-old female with left hip/thigh pain and left hip bony erosion. Please assess for possible right lower quadrant mass. ABDOMEN:LUNG BASES: Note is made of bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: There is mild intra-and extrahepatic biliary ductal dilation. Status post cholecystectomy.SPLEEN: No signi... | Large left renal mass with invasion into the left renal vein, suspicious for a primary renal carcinoma. Expansile, lytic lesion along the superior aspect of the left acetabulum is suspicious for metastatic disease. |
Generate impression based on findings. | 63-year-old male. Newly diagnosed lung cancer. No therapy so far. Needs baseline prior to initiation of therapy. CHEST:LUNGS AND PLEURA: Spiculated left upper lobe mass which abuts mediastinal pleura measures 2.5 x 2.7 cm, previously 1.8 x 2.7 cm (series 5, image 28). Innumerable bilateral pulmonary nodules, most are n... | 1. Increased size of left upper lobe spiculated nodule consistent with patient's known primary lung malignancy.2. Innumerable pulmonary nodules, most are not significantly changed but a few are larger.3. Mass-like enlargement of pancreatic head/uncinate process, may represent focal fibrosis from chronic pancreatitis bu... |
Generate impression based on findings. | 68-year-old female with chest pain and back pain. Evaluate for aortic dissection. CHEST:VASCULATURE: Note is made of a type B aortic dissection originating distal to the origin of the left subclavian artery. The major arch vessels are not involved and are supplied by the true lumen. The dissection extends inferiorly an... | 1. Findings consistent with a type B aortic dissection with extension into the celiac axis, as described above.2. Bilateral nonobstructing renal calculi. |
Generate impression based on findings. | 53-year-old female with hemoglobin drop status post hysterectomy, evaluate for retroperitoneal hematoma This study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: None is made of bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: The gallbladder is distended, which appears increased when compared to the pri... | 1. High density fluid within the abdomen and pelvis consistent with intra-abdominal hemorrhage. Given the lack of intravenous contrast, active hemorrhage is more likely.2. Multiple gallstones within a distended gallbladder.3. Postoperative changes consistent with the recent history of hysterectomy including multiple he... |
Generate impression based on findings. | 68 year-old female with right NSCLC and acute altered mental status. The patient is status post right frontal craniotomy and anterior circulation aneurysm clipping. The ventricles, sulci, and cisterns are symmetric and unremarkable. There are multiple small areas of encephalomalacia in the bilateral cerebellar hemisphe... | 1. No evidence of intracranial hemorrhage, mass effect, or edema. CT is insensitive to early detection of CVA or neoplasm. MRI should be considered if clinical suspicion persists. 2. Chronic bilateral cerebellar infarcts. |
Generate impression based on findings. | Left tibial osteosarcoma receiving chemotherapy. LUNGS AND PLEURA: Tree in bud opacities are present in right upper and right middle lobes adjacent to minor fissure. A micronodule in the right lower lobe (image 48/77) is not changed.MEDIASTINUM AND HILA: Ductus arteriosus calcification is identified, normal variant ana... | Unchanged examination. No evidence of metastatic disease. |
Generate impression based on findings. | 23 year-old female, somnolent, minimally responsive. The ventricular size is top normal without CT evidence of transependymal CSF migration. The 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 ... | No acute intracranial abnormality. |
Generate impression based on findings. | 67 year-old female with headache and blurry vision. 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/acu... | 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. | 52 year-old male with tongue cancer and CRT. The orbits are unremarkable. The paranasal sinuses are clear. There is partial opacification mastoid air cells. Limited view of the intracranial structure is unremarkable. There appears increased conspicuity of ill defined enhancement and edema in the right hemitongue when c... | Increased conspicuity of ill defined enhancement and edema in the right hemitongue and new posttreatment changes when compared to the exam 9/20/2013, which may be secondary to recent biopsy and or treatment. No cervical lymphadenopathy. |
Generate impression based on findings. | 59 year-old male with altered mental status. 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 hemo... | Motion degraded exam. 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. | 59 year-old female with anisocoria. There is redemonstration of small vessel ischemic change and basal ganglia and cerebellar lacunar infarcts, which appear similar to that on the prior MRI earlier this year. The ventricles, sulci, and cisterns are symmetric and mildly prominent. The gray-white matter differentiation ... | No acute intracranial hemorrhage or territorial infarct. Stable appearance of small vessel ischemic disease and lacunar infarcts. However, CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 35 year-old male status post fall and with headache 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 unrem... | 1. No acute intracranial abnormality or calvarial fracture. 2. No evidence of cervical spine fracture or subluxation, if spinal cord or ligamentous injury is suspected MRI is recommended. |
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