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Generate impression based on findings. | 64 year-old female with somnolence. There is minimal hypodensity 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/acute hemorrhag... | 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. | 89 year old female with weakness and trouble ambulating. There is mild patchy hypoattenuation in the cerebral white matter and a focus of hypoattenuation in the right basal ganglia. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effe... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA or neoplasm. MRI should be considered if clinical suspicion persists. 2. Mild small vessel ischemic disease of indeterminate age. Right basal ganglia hypodensity may be perivascular space versus age indeterminate lacunar infarct. |
Generate impression based on findings. | 20 year-old male with AML, to rule out baseline sinusitis. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is moderate mucosal thickening in the right maxillary sinus, infundibulum, OMU, frontal sinus and frontal-ethmoid recess. There is a retention... | 1. No evidence of acute sinusitis. 2. Marked right and mild left paranasal sinus inflammatory disease. 3. Probable oroantral fistula on the left. 4. Leftward nasal septal deviation with spurring. |
Generate impression based on findings. | 76 year-old male with recent right lower gingival biopsy positive for invasive squamous cell carcinoma. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute h... | 1. Findings are compatible with right lower gingival squamous call carcinoma with alveolar ridge erosion at the right mandibular first and second molars. No lymphadenopathy by CT size criteria. 2. No intracranial metastasis. |
Generate impression based on findings. | 23 year-old male with history of Burkitt's, restaging. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast enhancement. The ... | Minimally asymmetric enhancement of the right tentorium, which could be due to prominent veinous enhancement. Neoplastic infiltration is felt less likely. Unremarkable contrast enhanced CT head otherwise. |
Generate impression based on findings. | 26 year-old female 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 an... | No acute intracranial abnormality. |
Generate impression based on findings. | 3 year-old male with ataxia and vomiting. 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 paranasal sinuses are clear. There is opacification o... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Opacification of the mastoids and middle ear cavities. Clinical correlation for infection. |
Generate impression based on findings. | 84 year old female with confusion. The ventricles, sulci, and cisterns are symmetric and prominent, representing volume loss. Confluent periventricular and subcortical hypodensities are suggestive of small vessel ischemic disease. Left caudate and right basal ganglia hypodensities are consistent with prior lacunar infa... | 1. No acute intracranial abnormalities. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Moderate small vessel ischemic disease of indeterminate age. Prior lacunar infarcts. |
Generate impression based on findings. | 30 year-old male with seizures. 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. | 35 year-old male with acute leukemia and functional neutropenic fever. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There are mild mucosal thickening and small retention cyst in the maxillary sinuses. The frontal sinuses, frontal-ethmoid recesses, ante... | No evidence of acute sinusitis. Mild maxillary sinus inflammatory disease. |
Generate impression based on findings. | Male 74 years old; Reason: Eval for colitis History: abdominal pain, bloody diarrhea ABDOMEN:LUNGS BASES: Pacer wire. Scarring or atelectasis right middle lobe and left lower lobe. No discrete nodules or effusions.LIVER, BILIARY TRACT: Two numerous to count hypodense masses throughout all lobes of the liver consistent ... | 1.Pancreatic mass with diffuse hepatic metastases.2.Large left inguinal hernia with some fluid in the hernia sac correlate clinically to rule out ischemia although no bowel wall thickening is seen. |
Generate impression based on findings. | Female 46 years old Reason: eval for obstruction, abscess, hernia History: post operative LLQ pain at scar ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signif... | Postsurgical changes left anterior lateral abdominal pelvic wall. One focus of gas may be postsurgical or may be related to infection correlate clinically.Left adnexal cyst (>3cm longest dimension) correlate with ultrasound.Lucent focus left iliac crest may be postsurgical or posttraumatic correlate clinically. Other f... |
Generate impression based on findings. | 81 year-old male status post fall. The ventricles, sulci, and cisterns are symmetric and prominent compatible with volume loss. The gray-white matter differentiation is normal. Moderate hypoattenuation in the periventricular white matter suggestive of chronic ischemic small vessel disease. Foci of low-attenuation focus... | 1. No acute intracranial abnormality. 2. Moderate age indeterminate small vessel ischemic disease and brain volume loss. Multiple chronic appearing lacunar infarcts. 3. No evidence of cervical spine fracture or subluxation, if spinal cord or ligamentous injury is suspected MRI is recommended.4. Degenerative changes of ... |
Generate impression based on findings. | Female 56 years old Reason: r/o obstruction History: abd pain, nausea Exam is not sensitive detecting lesions in the solid organs of vasculature due to the lack of intravenous contrast. Given that is limitation, the following observations are made:ABDOMEN:LUNG BASES: 1.5 x 0.8 cm right middle lobe nodule series 4 image... | Increasing size right middle lobe solid nodule compared to 2010. Note that is not seen in the field of view of the one the older CT scans from 2004 and 2008.Nonobstructive parastomal hernia. |
Generate impression based on findings. | Chest pain and right lower extremity edema, assess for pulmonary embolism. PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolism.The main pulmonary artery is normal in size.LUNGS AND PLEURA: Mild subsegmental dependent atelectasis.No pneumothorax or pleural effusions.Several scattered calcifi... | 1.No evidence of pulmonary embolism. 2.Subcentimeter hepatic and renal hypodensities likely representing benign cysts. |
Generate impression based on findings. | Female 62 years old Reason: eval for diverticulitis, colitis History: abdominal pain, diarrhea ABDOMEN:LUNG BASES: Pacer wires.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, ... | No findings to explain the patient's symptoms. |
Generate impression based on findings. | Male 53 years old; Reason: eval for pyelo, stent function History: fever, b/l flank pain, recent neobladder, b/l stents ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Subcentimeter too small to characterize segment for a likely cyst.SPLEEN: No significant abnormality noted..PANCREAS: No sig... | Postsurgical changes with filling defects consistent with blood clots in the collecting system left greater than right with mild bilateral hydronephrosis and hydroureter.Bilateral pelvic fluid collections consistent with postsurgical lymphocele, seroma or hematoma. Compression of the right external iliac vein. |
Generate impression based on findings. | Reason: 66 year old with DLBCL s/p chemotherapy and now has new O2 requirement. ? etoposide pneumonitis. History: dyspnea LUNGS AND PLEURA: New (from 8/16/2013) bilateral upper lobe predominant ground glass opacities and nodules which spare the periphery are present. These are likely due to a drug reaction or hypersens... | 1.New bilateral upper lobe predominant ground glass opacities which are likely due to a drug reaction or hypersensitivity pneumonitis. If the patient is neutropenic, atypical infection should also be considered.2.Small bilateral pleural effusions. 3.Prominent mediastinal lymph nodes, similar to prior. 4.Splenic hypoatt... |
Generate impression based on findings. | Male 57 years old Reason: s/p ileoanal pouch for ulcerative colitis c/b ischemic gut. now bowel in discontinuity. Fever/leukocytosis. pls eval for fluid collection/pneumonia History: fever, leukocytosis CHEST:LUNGS AND PLEURA: Small to moderate bilateral pleural effusions. Extensive patchy geographic air space opacitie... | Portal, splenic and superior mesenteric vein thrombosis.These findings were related to the clinical service and discussed with Dr. Kenneth Chakour, pager 3865 by Dr. Trilisky the radiology resident on call. Moderate volume ascites.Persistent but improving lung findings as above. |
Generate impression based on findings. | Female 83 years old Reason: assess left sided hydronephrosis and to exclude pelvic fx History: as above Exam is not sensitive for detecting lesions in the bowel or solid organs are vasculature due to the lack of oral or intravenous contrast. Given those limitations, following observations are made:ABDOMEN:LUNG BASES: S... | Left periaortic retroperitoneal mass consistent with adenopathy. Less likely exophytic mass off of the duodenum. Splenic mass. Rule out lymphoma, metastatic disease, less likely stromal tumor. Other findings as above.Findings discussed with Dr. Rajesh Jain pager 3457. |
Generate impression based on findings. | Acute respiratory failure, assess for PE PULMONARY ARTERIES: Exam is limited by motion artifact, body habitus, and contrast bolus timing. No large pulmonary emboli are identified in limited examination; exam not diagnostic for small pulmonary emboli. The main pulmonary artery is dilated which can be seen in right heart... | 1.No large pulmonary emboli are identified in limited examination; exam not diagnostic for small pulmonary emboli. Dilated main pulmonary artery which can be seen in right heart strain. 2.Severe bilateral airspace opacities, cardiomegaly, and small bilateral pleural effusions compatible with CHF. Cannot exclude concomi... |
Generate impression based on findings. | 43 year-old female with dysphagia and vocal changes. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Examination shows a circumferential, necrotic, enhancing mass at the posterior aspect of the supraglottis. The mass measure... | Supraglottic mass, extending into the paraglottic space, false vocal cords, posterior cricoid space, and aryepiglottic folds, and causing airway narrowing as described above. Cervical lymphadenopathy as above. |
Generate impression based on findings. | Female 60 years old Reason: 60F short bowel syndrome 2/2 extensive SB resection, total abd colectomy, chronic EC fistula close to jejunostomy site, w increased pain, drainage, poor healing around fistula site History: abdominal pain, EC fistula ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: L... | Large laminated gallstone with thickened gallbladder without biliary dilatation. Postsurgical changes as described above. |
Generate impression based on findings. | Female 54 years old Reason: cholecystitis on bedside ultrasound History: RUQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Gallbladder and biliary tract. Normal liver. No CT evidence of cholecystitis or cholelithiasis despite reported bedside ultrasound findings.SPLEEN: No significant a... | Marked submucosal edema distal half of the stomach with perigastric nodes likely gastritis. |
Generate impression based on findings. | Male 23 years old Reason: please evaluate for lad History: 23M with history of Burkitt's lymphoma, now relapsed, presents for staging CHEST:LUNGS AND PLEURA: Small right pleural effusion. Right basilar atelectasis or consolidation. Small patchy slightly nodular opacities in the left lower lobe. This was not seen on the... | Large right lower quadrant mass with signs of carcinomatosis. Progression of disease. Patchy airspace disease lung bases right pleural effusion.Several ill-defined hypodense lesions in the liver may represent hepatic involvement with lymphoma. |
Generate impression based on findings. | Male 48 years old Reason: assess for stone/clot/R hydro History: R abd pain, s/p R pcnl ABDOMEN:LUNG BASES: Bilateral small to moderate pleural effusion and associated atelectasis or consolidation, right greater than left. Correlate clinically.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant... | Postsurgical changes right kidney with tract communicating between collecting system and right posterior pararenal space with continued air leak. Previously seen large left kidney stones fungal no longer seen small fragments are still present in the collecting system on the right. Mild right hydroureter.Ascites. |
Generate impression based on findings. | Male 48 years old Reason: eval for progression History: metastatic RCC CHEST:LUNGS AND PLEURA: 4 millimeter micronodule right middle lobe series 5 image 65. Previously measured left lower lobe nodule series 5 image 64, 8 x 7 mm previously 11 x 7mm. Left lower lobe nodule or lymph node along the fissure measures 4 x 4 m... | Increase in size and number of retroperitoneal lymph nodes consistent with progression of disease. Stable lung nodules. |
Generate impression based on findings. | Female 64 years old Reason: 64 year old female with metastatic ovarian cancer. Staging. History: abdominal pain CHEST:LUNGS AND PLEURA: This well-defined micronodules and some discrete nodules. Some patchy ground glass opacities are improved compared to the prior exam. There is a persistent small to moderate size right... | Small lymph nodes but increasing in size. Haziness of the mesenteric fat concerning for carcinomatosis but without discrete measurable solid lesion. Micronodules lung and some small patchy ground glass areas improving compared to the prior exam. Other findings as above. |
Generate impression based on findings. | Male 50 years old Reason: Metastatic adenocarcinoma please compare to previous scan and provide index lesion measurements to determine response to therapy History: As above CHEST:LUNGS AND PLEURA: Stable micronodules.MEDIASTINUM AND HILA: Index mediastinal and retrocrural nodes measure as follows: subcarinal node serie... | No new sites of disease. Index lymph nodes measured as above. |
Generate impression based on findings. | Female 53 years old Reason: eval for mets, tumor, typhilitis History: abd pain, on chemo, off/on neutropenia ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sign... | Long segment markedly edematous distally in the neoterminal ileum as discussed above. Minimal free fluid in the pelvis. |
Generate impression based on findings. | Female 18 years old Reason: appy History: abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant ... | No findings to explain patient's symptoms. No CT evidence of appendicitis |
Generate impression based on findings. | Male 52 years old; Reason: RUQ pain History: pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Pericholecystic fluid and no gallbladder wall submucosal edema. Extensive fat stranding and fluid extends from the region of the gallbladder around the hepatic flexure and in the right paracolic... | Fat stranding and fluid right upper quadrant as detailed above. Favor gallbladder etiology. |
Generate impression based on findings. | 2 year-old male with 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. There is opacification of pa... | No acute intracranial abnormality. |
Generate impression based on findings. | 4 year-old female with vomiting but no 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 mastoid ... | No acute intracranial abnormality. |
Generate impression based on findings. | 14 year-old male with syncope. 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 m... | No acute intracranial abnormality. |
Generate impression based on findings. | 82 year-old female with AML, to rule out baseline sinusitis. The orbits are unremarkable except for lens prostheses. The mastoids are clear. Limited view of the intracranial structure is unremarkable apart from mild arterial calcification. There is leftward nasal septal deviation with spurring. The frontal sinuses, fro... | No evidence of sinusitis. Leftward nasal septal deviation with spurring. |
Generate impression based on findings. | Male; 44 years old. Reason: Pls give delayed contrast for visual of the ureters (CT Urogram) History: abdominal pain, hematuria ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENA... | 1.Bilateral moderate hydronephrosis without evidence of stent dysfunction.2.Non-obstructing right renal calculus.3.Stable metastatic disease and postsurgical changes. |
Generate impression based on findings. | Male 58 years old; Reason: pt with metastatic melanoma s/p seveal cycles of DTIC chemotherapy - please assess response to therapy History: melanoma CHEST:LUNGS AND PLEURA: Bilateral pulmonary metastatic deposits are again seen, relatively stable in size. For example, Right lower lobe pulmonary lesion measures 1.0 x 1.0... | 1.Near stable size measurements of the reference lesions. No definite new lesions. |
Generate impression based on findings. | Male, 63 years old, relapsed AML with ongoing neutropenic fevers. Very mild mucosal thickening is evident through the ethmoid air cells. The paranasal sinuses are otherwise free of significant mucosal thickening and debris. There is mild soft tissue opacification at the level of the left frontoethmoidal recess. The maj... | No evidence of active sinusitis. |
Generate impression based on findings. | 82-year-old female with chest pain. Rule out PE. PULMONARY ARTERIES: Technically adequate for evaluation of pulmonary embolism although there is respiratory motion artifact in the lung bases. No pulmonary embolus identified.LUNGS AND PLEURA: Respiratory motion artifact limits evaluation of the lower lobes. A 6-mm nodul... | No evidence of pulmonary embolism as clinically questioned.Slight interval growth of right lower lobe pulmonary nodule. A follow-up in 12 months is suggested. |
Generate impression based on findings. | Male, 57 years old, history of diffuse large B-cell lymphoma involving the tonsil and neck. The left palatine tonsil is markedly enlarged measuring approximately 3.5 x 3.0 cm (image 28 series 7). On the prior examination, the left palatine tonsil was normal in size and without evidence of discretely measurable tumor. T... | 1. Interval development of marked thickening of the left palatine tonsil. This results in partial effacement of the oropharyngeal airway. The airway does, however, remain patent.2. Bulky left level 2 adenopathy is redemonstrated. Since the prior examination, a dominant node or aggregate of nodes has increased in size w... |
Generate impression based on findings. | Male; 63 years old. Reason: relapsed AML w/ ongoing neutropenic fevers, eval for intraabd infection History: ongoing neutropenic fevers 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:... | 1.Diffuse wall thickening of the distal duodenum and proximal jejunum which, given the patient's history of relapse AML and neutropenic fever, may represent gastroenteritis.2.Right kidney lesion as described above cannot be accurately characterized without contrast enhancement. If patient care warrants further imaging,... |
Generate impression based on findings. | 92 year-old female status post MVA and new onset hearing loss and fatigue. There is patchy hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and prominent, representing volume loss. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shi... | No acute intracranial abnormality. Moderate 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. | Male 57 years old; Reason: 57 year old man with DLBCL of the neck and tonsil. Initial staging exam. History: Neck swelling and sore throat. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified. No discrete masses or nodules detected. Paragraph the pleural spaces are clear.MEDIASTINUM AN... | 1.No pathologically enlarged adenopathy detected. |
Generate impression based on findings. | 37-year-old male. Nasopharyngeal cancer and PEs as well as chronic aspiration. Evaluate for aspiration pneumonia versus PE. PULMONARY ARTERIES: Technically adequate exam for evaluating pulmonary embolism. No acute pulmonary emboli identified.LUNGS AND PLEURA: Debris in the right mainstem bronchus and trachea. Extensive... | 1. No evidence of acute pulmonary embolism.2. Findings consistent with aspiration bronchiolitis/infection. |
Generate impression based on findings. | 26 year-old female with swallowed fish bone. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. No radiopaque foreign body is detected. No lymphadenopathy or mass is noted. The oral cavity, oro/nasopharynx, hypopharynx, larynx ... | Unremarkable contrast enhanced CT soft tissue neck with no evidence of radiopaque foreign body, lymphadenopathy or mass. |
Generate impression based on findings. | History provided states 77-year-old male with Crohn's disease. Status post colectomy with worsening abdominal pain, nausea, vomiting, slightly elevated lactate. Concern for obstruction. Prior CT imaging states patient has history of ulcerative colitis ABDOMEN:LUNG BASES: Right pericardial 2.5-cm diameter lesion, unchan... | 1. Status post colectomy with right lower quadrant ileostomy, unchanged in appearance since 11/30/13. 2. No evidence of significant bowel obstruction. 3. No change soft tissue density adjacent to right pericardium. |
Generate impression based on findings. | Wrist fracture, evaluate for fracture Comminuted intra-articular fracture of the distal radius is seen with the fracture fragments in near anatomic alignment. The fracture involves primarily the dorsal aspect of the radius. There is associated soft tissue swelling. The visualized tendons appear intact and there is no e... | Comminuted intra-articular distal radius fracture. |
Generate impression based on findings. | Female; 75 years old. Reason: r/o diverticulosis History: abdominal pain, rectal bleeding ABDOMEN:LUNG BASES: Left hilar granuloma incompletely visualized.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significan... | 1.Chronic diverticulosis without evidence of acute diverticulitis.2.Diffuse atherosclerotic disease of the abdominal aorta and its branches. |
Generate impression based on findings. | 65 or old male. Hospitalized two weeks status post stem cell transplant, acutely SOB and hypoxic, known chronic DVTs. PULMONARY ARTERIES: Diagnostic exam for pulmonary embolism to the segmental level. Motion degradation the upper lobes limits evaluation. No acute pulmonary pulmonary emboli seen.LUNGS AND PLEURA: Modera... | 1. Limited evaluation of the upper lobes due to motion degradation. No acute pulmonary embolism seen to the segmental level.2. Moderate bilateral pleural effusions, left greater than right, with small amount of ascites, increased from prior exam. No specific evidence of pulmonary edema. |
Generate impression based on findings. | 58 old female with shortness of breath, chest pain, abnormal chest x-ray. Evaluate for PE and consolidation of left lower lobe. PULMONARY ARTERIES: Technically adequate examination for evaluation of pulmonary embolus. No pulmonary embolus identified.LUNGS AND PLEURA: Moderate bilateral pleural effusions with associated... | No evidence of pulmonary embolism.Cardiomegaly with mild pulmonary edema and bilateral effusions suggestive of heart failure. |
Generate impression based on findings. | Male; 55 years old. Reason: POD 10 s/p liver transplant with recent post op hct drop, now with tachycardia, ileus, elevated WBC, please look for pseudoaneurysm, hematoma, ileus, SBO History: POD 10 s/p liver transplant with recent post op hct drop, now with tachycardia, ileus, elevated WBC, please look for pseudoaneury... | 1.Pseudoaneurysm of the common hepatic artery at the site of surgical anastomosis with surrounding hematoma and active contrast extravasation.2.High-grade partial small bowel obstruction with transition point in the right lower quadrant.3.Bilateral multifocal airspace opacities consistent with bilateral pneumonia.4.Dif... |
Generate impression based on findings. | 35 year old male. New acute leukemia with functional neutropenic fever. LUNGS AND PLEURA: Bibasilar linear atelectasis/scar. A few scattered calcified and noncalcified micronodules. No focal airspace consolidation or pleural effusion.MEDIASTINUM AND HILA: No definite mediastinal or hilar lymphadenopathy within limits o... | No specific evidence of infection. |
Generate impression based on findings. | 62-year-old female with refractory abdominal pain. Evaluate for mesenteric ischemia. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No abnormality seen in liver, however, arterial phase imaging does not fully evaluate liver parenchyma. Gallbladder and biliary tract appear normal.SPLEEN: No si... | 1. Mild atherosclerotic changes throughout the abdominal aorta and without significant narrowing or evidence of decreased flow to intestines. 2. No abnormality seen in the intestinal tract to suggest ischemia. |
Generate impression based on findings. | 52-year-old male.Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules identified. Mild bronchial wall thickening is present, as well as subsegmental atelectasis in the right lower lobe. Calcified left lingular micronodule suggestive of prior gra... | No evidence of metastatic disease. Findings are present suggesting chronic aspiration. |
Generate impression based on findings. | 80 year-old female. Evaluate for connective tissue disease. LUNGS AND PLEURA: Large right and small left pleural effusions with associated atelectasis. Patchy basilar predominant ground-glass opacities with septal thickening suggestive of edema. Nonspecific nodular opacities are superimposed on this background of groun... | Bilateral pleural effusions and basilar predominant ground-glass opacities with septal thickening, most consistent with CHF pattern. There are superimposed nodular opacities on the background of edema, of uncertain etiology. |
Generate impression based on findings. | Female 37 years old; Reason: please assess for possivle infection, pt septic, possible UTI History: fever, tachycardia, RLQ tenderness ABDOMEN:LUNGS BASES: Bibasilar atelectasis with a small left pleural effusion. Opacity in the left lung base is incompletely characterized, correlate for infectious etiology.LIVER, BILI... | 1.Slight interval decrease in size of the perigastric fluid collection with more organization and containing foci of gas, with enhancement of the wall concerning for superinfection.2.Decrease in the amount of hemoperitoneum without frank contrast extravasation3.Malposition of the PEG tube as described above |
Generate impression based on findings. | 64 year old female with ovarian cancer receiving chemotherapy. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules. The reference left lower lobe nodule is not significantly changed and measures 6 x 5 mm, previously measured 6 x 5 mm (series 6, image 62). A non-reference right middle lobe nodule appears mildly... | 1.Significant interval increase in size non-reference hepatic lesions.2.Stable to slightly increased size of lung nodules. 3.Stable reference lymph nodes. |
Generate impression based on findings. | 82 year-old female with AML. Evaluate for baseline infiltrate. LUNGS AND PLEURA: Clustered micronodules and nodular opacities in the left lower lobe and related post-surgical changes consistent with history of benign granulomatous disease. 12 x 13 mm spiculated nodule in the right middle lobe best seen on the coronals ... | 1. Clustered micronodules and nodular opacities in left lower lobe most consistent with biopsy proven benign granulomatous disease.2. Spiculated nodule in the right middle lobe of uncertain etiology, may be infectious or neoplastic. Recommend retrieval of prior studies for comparison. 3. Findings suggestive of pulmonar... |
Generate impression based on findings. | 89-year-old female with abnormal brain lesion, elevated liver function test. Rule-out signs of malignancy. CHEST:LUNGS AND PLEURA: No parenchymal lung nodules or masses. Dependent atelectasis.. No pleural disease.MEDIASTINUM AND HILA: Markedly enlarged left thyroid lobe with heterogeneous appearance, measuring 6.1 x 5.... | 1. Left lobe thyroid mass. 2. Small bowel, and colon appear normal -- stomach is nondistended and cannot be evaluated, although wall thickening present mat relate to lack of distention. 3. No other significant abnormality seen. |
Generate impression based on findings. | Male; 64 years old. Reason: r/o obstruction vs diverticulitis History: LLQ 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: Minimal bibasilar atelectasis.LIVER, BILIA... | Early diverticulitis of the distal descending colon. |
Generate impression based on findings. | 54-year-old male. Reason: Patient with recent gingival biopsy positive for invasive squamous cell carcinoma. Please evaluate for metastasis. History: As above. LUNGS AND PLEURA: Multiple scattered bilateral micronodules, some calcified. Noncalcified 6-mm right upper lobe nodule (series #4, image 82) and 7-mm left lingu... | 1.Scattered calcified and noncalcified micronodules, most likely representing prior granulomatous disease. However, metastatic disease cannot be definitively excluded. Continued surveillance is recommended.2.Mild subpleural reticulation could represent early fibrosis.3.No definite evidence of metastatic disease. |
Generate impression based on findings. | 70-year-old male. AML, persistent neutropenic fevers. Evaluate for infiltrate. LUNGS AND PLEURA: Moderate right and small left pleural effusions, new from prior exam, with associated atelectasis. Patchy upper lobe predominant ground-glass opacities likely related to expiratory phase of scan and associated edema given p... | 1. No specific evidence of infection.2. Interval development of moderate right and small left pleural effusions and pulmonary edema. |
Generate impression based on findings. | Female, 64 years old, with altered mental status, nausea vomiting after fall last week. Minimal infiltration of the right parietal scalp has improved from the prior exam. The bones of the calvarium are intact.The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial... | 1. Resolving right parietal scalp injury.2. No acute intracranial abnormalities. |
Generate impression based on findings. | 49 year-old female. History of AML and Hodgkin's lymphoma in 1985. Cough. Evaluate for infection. LUNGS AND PLEURA: Bilateral paramediastinal radiation fibrosis with bronchiectasis, unchanged. Moderate bilateral pleural effusions, not significantly changed.Mild patchy groundglass opaciites in lower lung zones with sept... | 1. Nodular opacities in the right lower lobe possibly represent atypical infection.2. Persistent pleural effusions and mild pulmonary edema.3. Axillary lymphadenopathy, new from prior exam. |
Generate impression based on findings. | 34-year-old male with Hodgkin's lymphoma. CHEST:LUNGS AND PLEURA: No significant change in peripheral nodular opacity in the right lower lobe, which may represent scarring (series 5, image 62). No consolidation or pleural effusions.MEDIASTINUM AND HILA: Calcified lesion adjacent to inferior left heart border unchanged,... | 1.No evidence of lymphadenopathy.2.Calcified lesion adjacent to left heart border is unchanged, likely representing treated tumor.3.Stable subcentimeter liver hypodensity, which most likely represents cyst. |
Generate impression based on findings. | 66 year-old female. Acute SOB. Evaluate for pneumonia versus effusion. LUNGS AND PLEURA: Patchy right lower lobe consolidation consistent with pneumonia. Small right pleural effusion. Left lower lobe ill-defined centrilobular nodules and mild bronchial thickening, consistent with aspiration/small airways disease. MEDIA... | Right lower lobe consolidation consistent with pneumonia. Small right pleural effusion. |
Generate impression based on findings. | 68 year-old male with prostate cancer under active surveillance. Equivocal findings on cytology and CT scan in 5/2013. Gross hematuria. ABDOMEN:LUNG BASES: Right basilar scarring.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADREN... | 1.No suspicious renal or collecting system lesions.2.Stable left renal sinus cyst, which is likely cause of dilation of left upper pole calix. |
Generate impression based on findings. | 16-year-old female with right lower quadrant abdominal pain -- rule-out appendicitis. 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 not... | 1. No signs of appendicitis -- no abnormality seen to account for right lower quadrant pain. 2. Left ovarian cyst. |
Generate impression based on findings. | Reason: high res ct requested History: hypoxia, possible hx of sarcoida 3/30/08 LUNGS AND PLEURA: Mild mosaic attenuation abnormality demonstrating air trapping on the expiratory images. No evidence of interstitial lung disease.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: There i... | 1.Mosaic attenuation pattern and evidence of air trapping on the expiration images.2.No evidence of interstitial lung disease. Specifically, no evidence of sarcoidosis.3.Cardiomegaly and small pericardial effusion.4.Enlargement of the pulmonary artery compatible with pulmonary arterial hypertension. |
Generate impression based on findings. | 31 year-old female with right lower quadrant pain, nausea and vomiting x 1 week -- assess for appendicitis or any source of abdominal infection or cause of pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No... | 1. Mild thickening of transverse colon, raising question of colitis. 2. No other abnormalities seen. |
Generate impression based on findings. | 71-year-old male who suffered mechanical fall, now with inner left thigh and left pelvic pain (inguinal region.) Was hypotensive overnight with dropping hemoglobin. Please rule out bleed Within limits of a non-IV contrast enhanced examination which limits evaluate for solid parenchymal organs and vascular structures, t... | 1. No evidence abdominal/pelvic bleeding. 2. Abnormal renal appearance with enhancement of the cortex diffusely most consistent with prior contrast administration and acute tubular injury. |
Generate impression based on findings. | 52 year-old male status post fall. 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 a... | No acute intracranial abnormality. |
Generate impression based on findings. | 59 year-old female with headache. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast enhancement. The osseous structures ar... | No intracranial abnormality on this pre- and post-contrast CT head. |
Generate impression based on findings. | 54-year-old male with history of upper tract TCC. Surveillance CT urogram. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse decrease in attenuation consistent with fatty infiltration, with focal sparing in segment 4.SPLEEN: No significant abnormality notedPANCREAS: No significant abnorm... | 1.Apparent decrease in thickening of right bladder wall, consistent with known TCC. 2.Stable small retroperitoneal and pelvic lymph nodes. |
Generate impression based on findings. | 54-year-old male. Reason: Evaluate known R sided malignant pleural effusion for possible catheter placement. H/o NSCLC History: Dec breath sounds on R, known effusion. LUNGS AND PLEURA: Large loculated right-sided pleural effusion extends inferiorly to the level of T11 in its posteriolateral aspect (sagittal image 35).... | 1.Loculated right-sided pleural effusion, as above.2.Dense consolidation of the right middle and lower lobes, obscuring previously seen mass on outside CT.3.Mediastinal lymphadenopathy grossly unchanged. |
Generate impression based on findings. | 14-year-old female with left ankle fracture, evaluate for articular surface involvementEXAMINATION: CT left ankle with 3-D reconstructions 12/23/13 Oblique fracture through the distal tibial metaphysis extends to the physis with widening of the physis. The fracture extends into the epiphysis anteromedially. The fractur... | Type IV Salter-Harris fracture of the tibia without articular surface involvement. |
Generate impression based on findings. | Female; 43 years old. Reason: assess for stone History: hx stone, 3 days dysuria/frequency b/l low back \T\ low abd pain, hematuria 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:LU... | Large left renal calculus which has the appearance of a developing staghorn, associated with mild hydronephrosis and perirenal inflammatory changes. |
Generate impression based on findings. | 76 year old male with history of T-cell lymphoma status post Gemzar Navelbine therapy. CHEST:LUNGS AND PLEURA: Increased moderate left pleural effusion with overlying subsegmental left basilar atelectasis.MEDIASTINUM AND HILA: Increased mediastinal adenopathy. Reference prevascular conglomerate of lymph nodes measures ... | 1.Increased size of mediastinal, retroperitoneal, and mesenteric lymphadenopathy.2.Increased moderate left pleural effusion. |
Generate impression based on findings. | Female; 66 years old. Reason: evaluate lung/liver masses History: lung/liver masses CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules have increased when compared to prior with reference pleural based nodule in the right lower lobe, best seen on image 50 of series 80964, measuring 2.1 to 1.7 cm, previously 1.0 x 0.... | 1.Pancreatic body mass which has obliterated the splenic vein and partially encases the SMA.2.Widespread metastatic disease including interval increase in size and number of pulmonary nodules and relatively stable hepatic lesions.3.Increased ascites. |
Generate impression based on findings. | Male 66 years old; Reason: NHL, re-eval and compare to previous History: increasing jaw mass, NHL. Redemonstrated is a soft tissue mass lateral to the right mandible involving the buccal/gingival spaces which has increased in size compared to last exam, now measuring 24 x 56 x 25 mm (axial series 7, image 29, series 80... | 1.Interval increase in the size of the soft tissue mass in the right buccal/gingival space by all dimensions. 2.Slight increase in the lysis of the buccal surface of the mandible at the level of the mental foramen secondary to involvement of the mandible by the tumor.3.Stable scattered lymph nodes in the neck without n... |
Generate impression based on findings. | Male, 18 years old, history of juvenile nasal angiofibroma. Postsurgical changes are again noted and compatible with resection of the patient's original large angiofibroma. These changes include absence of the inferomedial wall of the right maxillary sinus, right middle nasal turbinate, and several right ethmoid air ce... | 1. Resolution of the previously described enhancing nodule within the right posterior nasopharynx presumably status post resection, with stable enhancement of the soft tissues surrounding the right pterygoid plate. Differential considerations include residual/recurrent disease or postsurgical reaction within this regio... |
Generate impression based on findings. | 13-year-old female with history of kidney stones, follow-up ABDOMEN:LUNG BASES: No consolidation or pleural effusions.LIVER, BILIARY TRACT: Normal appearance of the liver without focal lesions or ductal dilatation. The gallbladder appears normal.SPLEEN: Normal in appearance.PANCREAS: Normal in appearance.ADRENAL GLANDS... | Interval placement of a right ureteral stent with improved right-sided hydronephrosis. Nephrolithiasis and a 5 mm right ureteral stone are unchanged. |
Generate impression based on findings. | Reason: other adenopathy? History: smoking, cervical adenopathy LUNGS AND PLEURA: Severe apical predominant paraseptal and centrilobular emphysema, slightly progressed.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.Mild coronary vascular calcifications are present. Very small hiatal hernia.CHEST... | Severe apical predominant paraseptal and centrilobular emphysema slightly progressed. No evidence of lymphadenopathy. |
Generate impression based on findings. | 57-year-old male. Tonsillar SCC. Staging prior to chemotherapy. CHEST:LUNGS AND PLEURA: Multiple nodules with angular margins along both fissures are not significantly changed, likely intrapulmonary lymph nodes. Scattered micronodules, similar to prior exam. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HIL... | No definite evidence of metastases in the chest or abdomen. |
Generate impression based on findings. | Inguinal hernia with left and right groin bulge and pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Right ren... | Small bilateral fat containing inguinal hernias without bowel involvement |
Generate impression based on findings. | 83 year old female patient with history of pain and snapping sound with focal swelling on physical exam. Assess for biceps tendon tendon tear. The biceps tendon cannot be well visualized on CT examination. There are degenerative cysts in the femoral head compatible with mild osteoarthritis. No evidence of fracture or d... | Biceps tendon cannot be well visualized on CT examination and an MR shoulder is recommended if there is continued clinical concern for tendon rupture. No evidence of fracture or dislocation about the right shoulder. |
Generate impression based on findings. | 79-year-old male. Right lung mass. LUNGS AND PLEURA: Large partially loculated right pleural effusion with small amount of air in the pleural space. Nodular circumferential pleural thickening. Associated compressive atelectasis/consolidation, most prominent in right lung base. Right chest tube terminates in the posteri... | 1. Right perihilar mass highly suspicious for a primary lung malignancy. Recommend that future exams be done with intravenous contrast if no contraindications exist. 2. Large right pleural effusion with associated extensive nodular pleural thickening, probably a malignant pleural effusion. Right chest tube terminates i... |
Generate impression based on findings. | 46 year old female with microhematuria. 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: 1 cm hypodense lesion in t... | Hypodense left renal lesion measuring about 1 cm is too small to accurately characterize but appears to have mild internal complexity (Bosniak IIF); this is most likely benign in nature, however, interval follow-up in approximately 6 months is recommended to confirm stability. |
Generate impression based on findings. | 66-year-old male with non-Hodgkin lymphoma -- reevaluation. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Scattered small pretracheal and precarinal lymph nodes are again seen. These have minimally changed in size with the reference lymph node (series 3, image 27) measuring 1.2 x 0 .8 cm... | Increasing size of lymph nodes in right axilla, abdomen, and pelvis, as measured above. |
Generate impression based on findings. | Female 82 years old; Reason: Multiphase CT scan to evaluate for renal lesion or bladder lesion causing hematuria and weight loss. History: Hematuria. Past CT scan with renal lesion (?cyst) and bladder wall thickening ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Several small calcification... | 1.No etiology for patient's hematuria seen. No significant abnormalities in abdomen/pelvis. |
Generate impression based on findings. | Prostate carcinoma 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: Right renal scar. Left renal cyst.RETROPERITONE... | No evidence for adenopathy or metastatic process. |
Generate impression based on findings. | 18 year-old female with history of recurrent clear cell sarcoma status post chemotherapy, radiation and resection CHEST:LUNGS AND PLEURA: Biapical scarring is unchanged with postsurgical changes in the left upper lobe. Thickening of the right major fissure is increased from the prior exam. Right anterior paramedian las... | 1.Soft tissue masses between the liver and chest wall are unchanged since 7/11/2012.2.Right hepatic hypodensity is unchanged in size and may represent a resolving hematoma. |
Generate impression based on findings. | Reason: worsening ILD vs. edema. better characterize infiltrates History: hypoxia, h/o amio induced ILD LUNGS AND PLEURA: Diffuse, predominantly subpleural reticular interstitial opacity with areas of mild architectural distortion and traction bronchiectasis slightly progressed since the prior exam.Minimal honeycombing... | Mild interval progression of interstitial fibrosis compatible with history of amiodarone toxicity. |
Generate impression based on findings. | Male, 57 years old, history of laryngeal cancer, needs staging. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Enhancing tumor is redemonstrated involving predominantly the right aspect of the larynx. W... | 1. Progressive thickening of the previously seen laryngeal tumor is seen, at least at the level of the right aryepiglottic fold. Tumor extends superiorly to the base of the epiglottis and inferiorly to the right subglottic mucosa. Findings are present suspicious for extralaryngeal spread through or beneath the inferior... |
Generate impression based on findings. | 75-year-old male with left parotid adenoid cystic carcinoma, left parapharyngeal space mass, right upper lobe mass. Redemonstrated are postoperative findings related to left total parotidectomy and lateral temporal bone resection with flap reconstruction. A heterogeneous enhancing mass within the left parapharyngeal sp... | 1.Continued decrease in size of the recurrent adenoid cystic carcinoma within the left parapharyngeal space adjacent to the medial surgical margin, which now measures up to 18 mm in maximal dimension. No significant cervical lymphadenopathy.2.A right apical lung nodule that measures up to 8 mm is consistent with metast... |
Generate impression based on findings. | 51-year-old male. Adenocarcinoma of the lung on Carbo/TEM chemo. Restage after C2. CHEST:LUNGS AND PLEURA: Large heterogeneously enhancing right lung mass measures 7 x 5.6 x 6.8 cm (AP x TR x CC), previously 8.8 x 6 x 8.4 cm. It is again seen to abut the pleura.Ipsilateral nodules likely of the metastases, some are unc... | 1. Large right lung mass consistent with patient's known adenocarcinoma is decreased in size.2. Right lung nodules probably representing metastasis, some are the same in size while others are decreased in size.3. Mediastinal and bilateral hilar lymphadenopathy, not significantly changed.4. No new sites of disease ident... |
Generate impression based on findings. | Reason: 20 male with newly diagnosed AML, r/o baseline infiltrate History: AML LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of a pericardial effusion.Hypoattenuating blood pool compatible with anemia.CHEST WALL: ... | No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | 74-year-old male. Lung mass. Evaluate for interval change. Possible organized pneumonia. LUNGS AND PLEURA: Left upper lobe extensive bronchiectasis and cavitation with consolidation, fibrosis, and volume loss, with slightly increased consolidation in the left perihilar region.Left lingula nodular small opacities consis... | 1. Left upper lobe cavitary lesion, bronchiectasis, and nodular opacities consistent with mycobacterial or other chronic bacterial infection. This certainly also could represent developing organizing pneumonia.2. Slight interval increase in lingular and left perihilar areas of consolidation consistent with more acute i... |
Generate impression based on findings. | Reason: Evaluate pelvic fluid collection resolution History: pelvic fluid collection post IR drain, Drain currently in place PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality not... | 1. Interval decrease in right hemipelvis fluid collection. |
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