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Generate impression based on findings. | 48 year-old male with history of CVA. 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 sinuse... | No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | Swelling, erythema, bulla, evaluate for fasciitis Air is seen in the soft tissues inferior to the right tarsal bones. No bone erosion or periosteal reaction is seen.Nonspecific diffuse soft tissue swelling is seen throughout the right leg. Mild degenerative changes are seen at the right knee, right ankle, and right mid... | Air inferior to the right tarsal bones is suspicious for fasciitis |
Generate impression based on findings. | Hemophagocytic syndrome with leukopenia and anemia. Fevers and lower extremity edema CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Stable with... | No evidence for acute, inflammatory, or neoplastic process. Subcentimeter right renal calculus now absent. |
Generate impression based on findings. | 22-year-old male with osteosarcoma with recurrent pulmonary metastasis x 4, assess for new pulmonary metastasis. LUNGS AND PLEURA: Bilateral surgical sutures compatible with previous resection. No nodules or micronodules are identified. No pneumothorax or pleural effusions.MEDIASTINUM AND HILA: No significant lymphaden... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 69 year-old female with right hand/face weakness, slurred speech and hypertension. There is patchy hypoattenuation in the left frontal periventricular white matter extending into the left externa capsule . There is a focus of hypoattenuation the right putamen. The ventricles, sulci, and cisterns are symmetric and mildl... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Left frontal periventricular white matter and external capsule small vessel ischemic disease and right basal ganglia of indeterminate age. |
Generate impression based on findings. | Reason: Evaluation for pulmonary embolism in patient with sudden onset of shortness of breath and leg swelling 6 days ago. History: dyspnea, hypoxemia (oxygen saturation decreased at 88%), leg swelling. PULMONARY ARTERIES: Technically adequate exam for evaluation of pulmonary embolism. No pulmonary embolus identified.L... | No evidence of pulmonary embolism, or other significant abnormality. |
Generate impression based on findings. | Reason: 50 yo male with lung nodule on chest xray; please evaluate for abnormalities History: lung nodule LUNGS AND PLEURA: No pulmonary nodules identified. What was seen on the chest x-ray may have been an ossified costovertebral junction. MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Degenerative... | No significant thoracic abnormality. Specifically, no evidence of a nodule. |
Generate impression based on findings. | 21-year-old female with history of osteosarcoma and pulmonary metastases with hemoptysis LUNGS AND PLEURA: Postoperative changes in the left lower lobe and lingula.Irregular peripheral opacity in the right lower lobe is unchanged and likely postoperative. A 6-mm nodule along the right major fissure likely represents an... | No significant change from the prior exam. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 74-year-old male with history of lung cancer status post 6 cycles chemo, please re-eval. CHEST:LUNGS AND PLEURA: A cystic left upper lobe nodule now demonstrates an air-fluid level and is minimally decreased in size, now measuring 24 mm in maximal axial diameter (series #5, image 94), from previously 27 mm.A right uppe... | Continued slight decrease in size of left upper lobe now cavitary nodule. Two other nonsolid nodules in the right upper lobe are unchanged.Multiple hepatic metastases are grossly unchanged.Dramatic increase in right adrenal metastasis.No evidence of new metastases. |
Generate impression based on findings. | 36-year-old female with history of left thyroid lobectomy and enlarging right thyroid lobe. TECHNIQUE CT soft tissue neck after the administration of 65 mL Omnipaque 350 IV contrast. Diagnostic sensitivity is limited by patient body habitus.Postsurgical changes compatible with left thyroid lobectomy. There is continued... | 1.Continued heterogenous attenuation within an enlarged right thyroid lobe s/p left thyroid lobectomy as described above. This lesion appears grossly unchanged, but assessment is limited considering image degradation in this region due to patient body habitus.2.No new masses or lymphadenopathy identified. |
Generate impression based on findings. | 49 year-old female. Metastatic lung cancer status post 7 cycles of Nivolumab. Compare to previous. CHEST:LUNGS AND PLEURA: Reference right apical spiculated nodule measures 9 x 14 mm, previously 10 x 14 mm (series 6, image 21). Scattered micronodules are stable. No new pulmonary nodules. Moderate upper lobe centrilobul... | 1. No significant change in right upper lung spiculated nodule.2. Interval decrease in size of small right flank soft tissue metastases.3. No new sites of disease. |
Generate impression based on findings. | Female; 47 years old. Reason: neuroendocrine cancer compare to prior CT \T\ measure 1) Segment IVb liver lesion, 2) segment VII liver lesion \T\ 3) cecal mass History: post 2 cycles of therapy CHEST:LUNGS AND PLEURA: Multiple right-sided nodules are again identified. Reference right upper lobe lesion, best seen on imag... | 1.Stable pulmonary nodules.2.Multiple hepatic lesions are minimally changed with measurements as dictated above.3.Interval increase in size of cecal mass. |
Generate impression based on findings. | 75 or old male. Left parotid adenoid cystic carcinoma. Compare to last CT. CHEST:LUNGS AND PLEURA: Interval increased size of multiple pulmonary nodules in both lungs. This includes a right upper lobe nodule measuring 16 x 15 mm, previously 16 x 12 mm (series 5, image 51) and a right upper lobe nodule, now 11 mm previo... | Interval progression of lung and liver metastasis. |
Generate impression based on findings. | Reason: Eval possible mets LT lower lobe nodule increased in size, HCC with new lesions - please do chest with and without contrast History: Left lower lobe pleural based nodule, 1.8 x 0.9 cm, recurrent HCC LUNGS AND PLEURA: Scattered benign appearing micronodules.Recently described left base subpleural nodule adjacent... | Scarlike abnormality left lung base periphery, probably not a metastasis. |
Generate impression based on findings. | Male; 86 years old. Reason: Evaluation of Castleman's Dz, GIST and pelvic discomfort History: Castleman's and Hypothyroidism with growing thyroid mass (per symptoms) and pelvic discomfort with known retroperitoneal lymphadenopathy Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma ... | 1.Stable examination without significant change. |
Generate impression based on findings. | 70-year-old male. Reason: pt with stage IV thymoma s/p neo-adjuvant chemo/rt and surgery. History: now needs disease evaluation compare to previous scans and comment. CHEST:LUNGS AND PLEURA: The reference posterior right upper lobe nodule is difficult to evaluate given obscuration by surrounding consolidation on the cu... | 1.Continued decrease in anterior mediastinal mass.2.Right upper lobe pulmonary nodule is decreased in size from exam dated 8/21/2013.3.Suggestion of bowel wall edema and/or fat involving the right hemicolon, which may be secondary to a previous colitis. Clinical correlation is advised.4. |
Generate impression based on findings. | Reason: Recurrent head and neck cancer. Please evaluate for metastasis. History: As above LUNGS AND PLEURA: Paramediastinal fibrotic changes, most likely related to previous radiation therapy. Mild/moderate upper lobe predominant centrilobular and paraseptal emphysema.Calcified granuloma right middle lobe.No suspicious... | No evidence of metastatic disease. |
Generate impression based on findings. | Female; 42 years old. Reason: Please evaluate for appendicitis vs cholecystitis History: RUQ \T\ RLQ abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The gallbladder is unremarkable. No evidence of pericholecystic fluid or gallbladder wall thickening. No intra or extrahepatic duc... | No radiographic evidence to account for the patient's pain. These results were discussed with Dr. Zeiger on 12/23/13 at 1630. |
Generate impression based on findings. | 86 old male with thyroid mass/goiter, apparently enlarging per patient Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. The thyroid gland is massively enlarged. Measuring at the same approximates as that utilized previously, the right lobe again measures 10... | 1.Markedly enlarged and heterogenous thyroid gland without significant change in size or density characteristics.2.No clinically significant lymphadenopathy. |
Generate impression based on findings. | 74 year old female. Follow up of two nodules seen on CT chest 2/2013. LUNGS AND PLEURA: Severe centrilobular emphysema. Two nodules in the left lower lobe, each 5 mm in size (series 6, images 278 and 282).MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Calcified small right hilar nodes from healed granul... | 1. Two 5 mm nodules in the left lower lobe. Retrieval of prior scans if available is requested.2. Severe centrilobular emphysema. |
Generate impression based on findings. | 60-year-old female. Bilateral pneumonia, intubated. LUNGS AND PLEURA: Diffuse ground-glass opacities with septal thickening consistent with edema or ARDS. Reticulation in the upper lobes may represent developing fibrosis. Small bilateral pleural effusions. Basilar dependent mild atelectasis. Centrilobular emphysema.MED... | 1. Extensive diffuse ground-glass opacities with septal thickening, consistent with edema or ARDS. Small bilateral pleural effusions.2. Reticulation in the upper lobes may represent developing fibrosis.3. Findings consistent with pulmonary artery hypertension. |
Generate impression based on findings. | Female 56 years old; Reason: r/o acute ICH/change History: N/V, HA w/vision changes x 2 days, s/p craniotomy per CVA. Redemonstration of postsurgical changes from a right pterional craniotomy is redemonstrated. The craniotomy flap is unchanged in morphology. It remains perforated by numerous linear lucencies. Also rede... | 1.Continued interval reduction in the extracranial volume of fluid located external to the bone flap.2.The remainder of the intracranial findings are stable compared to previous exam. |
Generate impression based on findings. | Reason: afib, dilated aortic root on TEE History: afib, dilated aortic root on TEE LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No evidence of pulmonary edema.No pleural effusions.MEDIASTINUM AND HILA: Mild ectasia of the aortic root and a 3 cm in 3.3 cm, previously measuring 3.2 cm and 3.5 cm..There is ... | Normal CT angiography of the thoracic aorta. Specifically, there is no evidence of aortic dissection or focal aortic aneurysm. |
Generate impression based on findings. | 17 year-old female with mediastinal mass and histoplasmosis infection for follow-up LUNGS AND PLEURA: Scarring of the apical segment right upper lobe is noted. Previously noted 7-mm noncalcified nodule in the apical posterior aspect of the right upper lobe is smaller appears less nodular but poorly defined margins, imp... | Minimal interval decrease in size of the right superior mediastinal mass. Minimal interval decrease in noncalcified right apical nodule. Unchanged right hilar lymphadenopathy. Increased axillary lymphadenopathy. |
Generate impression based on findings. | Male; 79 years old. Reason: Rule out malignancy History: weakness, anorexia, weight loss ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Innumerable hypodensities with peripheral enhancement scattered throughout the liver parenchyma consistent with metastatic disease. Minimal intrahepatic duct... | 1.Abrupt and abnormal focal thickening of the colon at the rectosigmoid junction, innumerable hepatic lesions and diffuse lymphadenopathy consistent with metastatic disease, likely secondary to colonic primary.2.Diffuse metastatic bony lesions may be secondary to the above malignancy, but given the patient's age and en... |
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. The mastoid air cells are cl... | No acute intracranial abnormality. |
Generate impression based on findings. | 49 year-old male with headache. There appears some enhancement of the dural sinuses, which is likely from the abdominal CT earlier of the day. 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 ext... | No acute intracranial abnormality. |
Generate impression based on findings. | Male 56 years old; Reason: eval for appendicitis History: R sided tenderness, n/v ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs and of the vasculature. Given these limitations, the following observations were made:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: N... | 1.No acute intra-abdominal pathology.2.Moderate to severe atherosclerotic disease of the aorta and branch vessels |
Generate impression based on findings. | Male; 49 years old. Reason: nausea, bilious vomiting, LUQ pain History: nausea, bilious vomiting, LUQ pain ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: Hypodense segment 7 lesion measuring 2.9 x 1.5 cm is incompletely characterized. Consider dedicated liver imaging with CT or MRI. Non-cirrhot... | 1.No radiographic evidence to account for the patient's left upper quadrant pain.2.Hypodense segment 7 hepatic lesion is incompletely characterized. Consider dedicated liver MRI or CT for further evaluation. |
Generate impression based on findings. | 83-year-old male with a history of gastric outlet obstruction. Note is made of extensive streak artifact from residual barium within the ascending colon, limiting examination.ABDOMEN:LUNG BASES: There is a moderate-sized pleural effusions bilaterally with underlying atelectasis/consolidation. Left lower lobe calcificat... | 1. No evidence of obstruction, as clinically questioned2. Bilateral pleural effusions with underlying atelectasis/consolidation.3. Moderate amount of abdominopelvic ascites.4. Surgical changes from a prostatectomy, cystectomy and ileal conduit. 5. Mild right sided hydronephrosis. |
Generate impression based on findings. | 30 year-old male with leukocytosis of unknown origin. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is minimal mucosal thickening in the right maxillary sinus. The frontal sinuses, frontal-ethmoid recesses, anterior/posterior ethmoids, sphenoid si... | Unremarkable CT paranasal sinuses apart from minimal mucosal thickening in the right maxillary sinus. |
Generate impression based on findings. | Male 38 years old; Reason: 38yo male with EtOH pancreatitis and severe abdominal pain, known pseudocyst on OSH imaging, anemic and febrile concern for necrosis/hemorrhage. History: abd pain, anemia ABDOMEN:LUNGS BASES: Left pleural thickening and atelectasis noted. Nodule mass or pleural effusions identified.LIVER, BIL... | 1.Complicated pancreatitis as described above with two discrete pseudocysts and minimal residual pancreas. Invasion into the spleen and stomach is likely although difficult to assess on CT. Thrombosis of the splenic vein and SMV as above.2.Dr. Steira notified of the findings at 9:00 am on 12/24/13 |
Generate impression based on findings. | 21-year-old female. SOB status post MVA with pelvic fracture Friday. PULMONARY ARTERIES: Technically adequate examination. No acute pulmonary emboli identified. LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER AB... | No evidence of acute pulmonary embolism or specific findings to account for symptoms. |
Generate impression based on findings. | 65-year-old female. Reason: pe History: shortness of breath, tachy. PULMONARY ARTERIES: Technically adequate exam for evaluation of pulmonary embolism though respiratory motion artifact is seen. No pulmonary embolus identified.LUNGS AND PLEURA: Diffuse interlobular septal thickening and groundglass opacities consistent... | 1.No evidence of pulmonary embolism.2.New mild cardiomegaly, pulmonary edema, and bilateral pleural effusions are compatible with heart failure.3.Slight interval increase in size and number of bilateral lung metastases and adenopathy. 4.Stable right adrenal nodule. |
Generate impression based on findings. | Male; 41 years old. Reason: eval for appendicitis History: RLQ abdominal pain, nausea, loose stool ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No suspicious lesions identified. The gallbladder is unremarkable.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality not... | Scattered retroperitoneal, mesenteric, and pelvic pathologic-appearing lymphadenopathy. While the etiology is unclear, neoplastic and inflammatory processes must be included in the differential diagnosis. |
Generate impression based on findings. | 59 year old female. History of IVC filter and past PE. Dyspnea, chest pain, hypoxia. PULMONARY ARTERIES: Suboptimal examination for evaluation of segmental and subsegmental pulmonary embolism. No large central pulmonary emboli identified.LUNGS AND PLEURA: Scattered micronodules. Mild dependent atelectasis.MEDIASTINUM A... | Suboptimal examination. No large central pulmonary emboli or other significant abnormality identified. |
Generate impression based on findings. | 71 year-old female with abdominal pain and emesis with decreased ostomy output. Lack of intravenous contrast limits evaluation of solid organs.ABDOMEN:LUNG BASES: Note is made of bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: Hypodensity in the right lobe of the liver is incompletely characterized on the likely r... | 1. No evidence of obstruction, as clinically questioned. Diverticulosis without evidence of diverticulitis. 2. Ectatic abdominal aorta.3. Cirrhotic liver morphology. |
Generate impression based on findings. | Female 27 years old; Reason: assess for sbo, ruptured viscus History: sudden abd pain, peritoneal signs ABDOMEN:The exam is not sensitive for detecting lesions in the solid organs due to lack of intravenous contrast. Given that limitation, the following observations are made.LUNGS BASES: No significant abnormality note... | 1. No evidence of acute inflammatory process detected. Findings consistent with prior appendectomy. |
Generate impression based on findings. | 15 year-old male with large swelling unilaterally and inability to open mouth. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for mild right ethmoid and maxillary sinus mucosal thickening. Limited view of the intracranial structure is unremarkable. Examination shows enlargemen... | 1. Right sided tonsillitis with a peritonsillar abscess with resultant moderate narrowing of oro/nasopharynx and reactive lymphadenopathy. 2. Proximal right submandibular duct sialolith. |
Generate impression based on findings. | 67 year old male with history of invasive squamous cell carcinoma of the left lower gum s/p composite resection and induction chemotherapy. Again seen are postoperative changes compatible with left marginal mandibulectomy, bilateral neck dissection, and flap reconstruction. Scarring and infiltration within and around t... | Redemonstration of postsurgical changes s/p resection of invasive squamous cell carcinoma. New findings that are most compatible with progression of original tumor as detailed above. |
Generate impression based on findings. | 45-year-old female. Reason: pleural effusion History: pleural effusion, SOB.Additional history: Status post ventriculopleural shunt. LUNGS AND PLEURA: There is a moderate-sized, loculated right pleural effusion, presumably secondary to the patient's ventriculopleural shunt. The shunt catheter originates superiorly out ... | Moderate, loculated right pleural effusion, likely secondary to ventriculopleural shunt.Nonspecific scattered focal groundglass opacities in the left lung may represent early infection. |
Generate impression based on findings. | 31 year old female with abdominal pain, nausea, and vomiting. Evaluate for internal hernia versus appendicitis. ABDOMEN:LUNG BASES: Note is made of bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL G... | Postoperative changes of a gastric bypass without evidence of obstruction or appendicitis as clinically questioned. |
Generate impression based on findings. | 49-year-old male. Shortness of breath. LUNGS AND PLEURA: Patchy ground-glass opacities in both upper lobes, right greater than left, possibly representing infection/aspiration.Mild upper lobe centrilobular emphysema. Right apical paraseptal emphysema. Mild lower lobe bronchial wall thickening.No pleural effusion. Calci... | 1. Patchy ground-glass in both upper lobes, right greater than left, possibly representing infection/aspiration.2. Mild centrilobular emphysema. |
Generate impression based on findings. | Male; 34 years old. Reason: eval extent of obstruction History: abd tender -- air fluid levels on acute abd series ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Diffuse fatty infiltration of liver without evidence of cirrhosis. No intrahepatic ductal dilatation. The gallbladder is unremarka... | 1.Thrombus extending from the right internal iliac vein to the confluence of the common iliac veins.2.Cecal distention at the site of the prior anastomosis without evidence of acute inflammation. No evidence of obstruction.These results were discussed with Dr. Pasupneti by Dr. Masse on 12/24/13 at 0910. |
Generate impression based on findings. | 62 year-old male with altered mental status Trace air from previous shunt removal has resolved. The ventricular system remains stable in size, with persistent fourth ventricle and temporal horn dilatation. There are multifocal hypodensities in the periventricular white matter, left basal ganglia, left subinsular, and l... | Stable ventricular size and multifocal parenchymal hypodensities. |
Generate impression based on findings. | 68 year old female with a history of type B aortic dissection. Evaluate extent of dissection. CHEST:VASCULATURE: Again seen is 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 inf... | 1. No significant interval change of previously described type B aortic dissection with extension into the celiac axis.2. Interval development of small bilateral pleural effusions with underlying atelectasis. |
Generate impression based on findings. | 80 year-old female with gross hematuria. ABDOMEN:LUNG BASES: There is bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Subcentimeter nodule in the left adrenal gland with a density measu... | 2.3 cm mass along the superior pole of the left kidney is suspicious for a primary renal carcinoma. These findings were relayed to Dr. Cohen via phone call at 10:00 a.m. on 12/24/13. |
Generate impression based on findings. | Male; 61 years old. Reason: h/o metastatic rectal ca, on chemo holiday, eval for progression History: rectal ca CHEST:LUNGS AND PLEURA: Right upper lobe reference nodule has increased in size, best seen on image 25 of series 5, measures 3.2 x 2.5 cm, previously 2.2 x 1.7 cm. Multiple micronodules are again identified, ... | 1.Multiple new and enlarging lung nodules again noted with reference right upper lobe lesion increasing in size when compared to prior.2.Progression of right hilar lymphadenopathy.3.No evidence of intra-abdominal metastasis. |
Generate impression based on findings. | 48 year-old male with left sided weakness. 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 s... | No acute intracranial abnormality. |
Generate impression based on findings. | 67 year old female with known myeloma and hypercalcemia with atypical features raising the possibility of neoplastic origin. Evaluate for additional neoplasm, such as lung, renal, etc. Lack of intravenous contrast limits evaluation of solid organs and/or lymphadenopathy. Lack of enteric contrast limits evaluation of bo... | Numerous lytic lesions throughout the axial skeleton consistent with the stated history of myeloma. |
Generate impression based on findings. | Male; 59 years old. Reason: r/o source of bleeding History: unknown source of bleeding Motion limits evaluation.CHEST:LUNGS AND PLEURA: Bilateral pleural effusions right greater left.Right lower lobe consolidations with air bronchograms consistent with pneumonia.MEDIASTINUM AND HILA: No significant abnormality notedCHE... | 1.Bilateral pleural effusions and right lower lobe consolidation consistent with pneumonia.2.Diffuse ascites. While we cannot exclude active bleeding, there are no areas of increased density or layering to suggest hemoperitoneum. |
Generate impression based on findings. | 68-year-old female patient with cholangiocarcinoma. Please provide index lesion measurements for RECIST as required to follow per clinical trial. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Right cardiophrenic lymph node is stable compared to prior examination. Note is made of vascular... | Numerous reference liver lesions, some of which appear decreased in size compared to the prior study whereas others are not significantly changed. However, there is interval development of fat stranding adjacent to the transverse colon which raises the question of tumor extension along the omentum. |
Generate impression based on findings. | 33-year-old female. Reason: evaluate pulmonary infiltrates History: immunocompromised, severely hypoxic, concerned for fungal infection. LUNGS AND PLEURA: Extensive dense consolidation and groundglass opacities in the right lung with significant though more mild involvement of the left lung. Peribronchiolar distributio... | Extensive bilateral consolidation, right greater than left. Differential includes acute hemorrhage versus atypical infection, including PCP or viral pneumonia; atypical pulmonary edema is less likely. |
Generate impression based on findings. | 57-year-old male. History HNC status-post induction chemotherapy. Compared to last measurements. CHEST:LUNGS AND PLEURA: 6-mm subpleural nodule in the right lower lobe is unchanged dating back to 9/2013. Stable scattered micronodules. Calcified granulomas. No new pulmonary nodules.MEDIASTINUM AND HILA: No lymphadenopat... | 1. No evidence of metastatic disease in the chest or abdomen.2. Osteophyte in posterior longitudinal ligament in the upper thoracic spine causes spinal stenosis. Recommend neurologic correlation and consider MRI for further evaluation. |
Generate impression based on findings. | 73-year-old female. Prior CT with lung nodules and 6 month follow-up CT recommended. LUNGS AND PLEURA: 6-mm right apical pulmonary nodule on series 5, image 34 is unchanged. 9-mm posterior right upper lobe nodule on series 5, image 34; previously was 8 mm.Stable scattered micronodules. No new nodules identified.MEDIAST... | Right upper lobe two pulmonary nodules are unchanged from 6/2013. Another follow-up exam in 12 to 18 months recommended. |
Generate impression based on findings. | Aortic stenosis. Previous CABG. VESSELS:The distance from the sinotubular junction to the right brachiocephalic artery measures approximately 7 cm.SINUS OF VALSALVA: 3.5 X 3.6 X 3.4 cm SINOTUBULAR JUNCTION: 2.8 X 3.1 cmASCENDING THORACIC AORTA AT LEVEL OF MAIN PULMONARY ARTERY: 2.8 X 3.2 cmASCENDING THORACIC AORTA IMME... | 1. Adequate access vasculature, with measurements above.2. Mild pulmonary edema and left greater than right pleural effusions.3. Non-specific dilated intra- and extra-hepatic biliary ducts, without specific etiology evident, although a previously passed gallstone is a possibility. Correlation with lab values may be hel... |
Generate impression based on findings. | Female; 26 years old. Reason: Assess for recurrence of umbilical hernia or associated abscess History: Umbilical hernia repair 1 month ago, umbilical wall pain just left of umbilicus started 2 weeks ago, resolved, and then again starting yesterday ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT... | Post-operative changes at the umbilicus without evidence of hernia recurrence, bowel obstruction, or any radiographic evidence to explain the patient's pain. |
Generate impression based on findings. | 59 year old female with a history of unresectable cholangiocarcinoma. Status post biliary drain placement. Presents with abdominal pain. Lack of intravenous contrast limits evaluation of solid organs and for lymphadenopathy.CHEST:LUNGS AND PLEURA: Reference left upper lobe nodule measures 5 mm, previously 5 mm (41; ser... | 1. No acute intra-abdominal process. No significant interval change compared to the prior studies.2. Findings consistent with stated history of cholangiocarcinoma.3. Persistent 5 mm left upper lobe nodule. |
Generate impression based on findings. | Male, 48 years old, with left sided weakness. Evaluate for cervical cord lesion. Straightening of the cervical lordosis is likely positional. Alignment is otherwise unremarkable. Vertebral body heights and morphology are within normal limits. No fracture or focally destructive osseous lesion is seen.Please note that ca... | 1. Mild degenerative disk disease in the cervical spine.2. No evidence of fracture or focally destructive osseous lesion.3. The spinal canal contents, and in particular the spinal cord, are not well evaluated on CT. Given this caveat, no obvious intracanalicular abnormalities are seen. However, MRI would provide a more... |
Generate impression based on findings. | 65 year old female with recent fall, dizziness and chronic sinusitis. 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. There is a small right fronta... | 1. No acute intracranial abnormality. Small right frontal subgaleal hematoma. No calvarial fracture. 2. No evidence of acute sinusitis. Mild maxillary and ethmoid sinus inflammatory disease. |
Generate impression based on findings. | 67 year old man with chest pain and advanced liver failure. Patient had a non-diagnostic stress echo and is referred to rule out coronary artery disease prior to possible liver transplantation.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurc... | 1.There are several non-obstructive plaques (calcified and non-calcified) distributed throughout the coronary tree. 2.There is a severe stenosis (>70%) in the proximal portion of the first diagonal artery. 3.Mild calcification of the aortic root.This portion of the report pertains to the heart and great vessels only. T... |
Generate impression based on findings. | Female; 34 years old. Reason: Assess for intra-abdominal pathology, also portal venous phase requested in addition to assess aorta History: Diffuse abd pain (b/l upper, epigastric \T\ b/l lower) radiating to back, N/V ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The gallbladder is well vis... | Dilated appendix without surrounding inflammatory changes raises the question of early appendicitis. Correlation with detailed clinical exam and history is recommended. |
Generate impression based on findings. | Reason: pt with metastatic breast cancer on chemotherapy please assess response to treatment and compare to previous imaging History: MBC CHEST:LUNGS AND PLEURA: Right upper lobe anterior subpleural post radiation fibrotic changes are again identified.Redemonstration of a branching tubular opacity in left lower lobe, c... | 1.Interval decrease in the extrapleural soft tissue within the right inferior posterior chest wall corresponding to a decrease in FDG activity in the recent PET scan.2.No new sites of disease identified. |
Generate impression based on findings. | 30-year-old male. ARDS outside hospital, hypoxic. Evaluate for infection versus cardiogenic versus fibrosis in a patient with relapsed AML. LUNGS AND PLEURA: Diffuse ground glass nodular opacities in the mid to lower lung zones, increased from prior exam. Mild lower lobe bronchiectasis. No pleural effusion. Unchanged s... | Diffuse ground glass opacities in the mid to lower lung zones are nonspecific, but may represent atypical infection, including viral etiologies, pulmonary hemorrhage, or drug reaction. |
Generate impression based on findings. | 75 year-old female. Questionable interstitial lung disease found on x-ray. Pulmonary nodule. LUNGS AND PLEURA: No evidence of interstitial lung disease. Scattered micronodules. No suspicious pulmonary nodules or masses. Areas of bronchiectasis are present in the lower lobes.MEDIASTINUM AND HILA: Nonspecific hypodensity... | No evidence of interstitial lung disease or suspicious pulmonary nodules. Mild basilar bronchiectasis is present. |
Generate impression based on findings. | 45-year-old male. Adenoid cystic carcinoma. CHEST:LUNGS AND PLEURA: Marked interval increase in size and number of numerous bilateral lung and pleural metastases. Reference lesion in the right lung inseparable from the mediastinum measures 45 mm (series 4, image 55), previously 22 mm. Moderate right pleural effusion, n... | Marled interval progression of lung and pleural metastases. New right moderate pleural effusion. |
Generate impression based on findings. | 62 year-old female with pelvic pain. Normal pelvic exam. 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 signif... | No findings to account for patient's pelvic pain. |
Generate impression based on findings. | Male, 45 years old, history of salivary gland cancer, adenoid cystic, of the left submandibular gland. Findings are redemonstrated compatible with prior left submandibular gland resection. Evidence of a left neck dissection is also seen. Scarring within the surgical bed appears similar to the prior exam. No mass or pat... | 1. No evidence of progressive or recurrent disease in the neck.2. Findings in the lung apices concerning for progressive disease are better assessed on the separately dictated chest CT. |
Generate impression based on findings. | 75-year-old male. Reason: CXR shows widened mediastinum; evaluate for aortic aneurysm. History: see above. LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Tortuous ascending aorta with mild atherosclerotic calcification. Tortuous, enlarged ascending aorta without focal aneurysm or dissection.Ca... | Tortuous ascending aorta without focal aneurysmal dilatation. |
Generate impression based on findings. | 82 year-old male, shortness of breath, history of lung adenocarcinoma with new lung mass on chest radiograph, evaluate for recurrence versus infection. LUNGS AND PLEURA: Status post right upper lobectomy. Moderate emphysematous changes and apical scarring are similar to prior. Reference nodule in the right anterior upp... | New large right lung nodule suspicious for recurrent malignancy, with new subpleural nodularity and thickening as above. |
Generate impression based on findings. | Clinical question: Evaluate. Signs and symptoms: AMS. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiatio... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Blood on MRI. Unenhanced head CT:Examination demonstrate expected postoperative changes of a left anterior temporal -- frontal craniotomy.Small expected residual epidural air and fluid under the craniotomy flap is noted.Surgical cavity in the left inferior... | 1.Expected postoperative changes of left frontal and temporal craniotomy as detailed.2.Minimal residual blood and air in the surgical cavity in the left frontal -- temporal region with a postop change.3.Stable subtle mass effect of postoperative changes and possibly residual tumor and including trace midline shift to t... |
Generate impression based on findings. | Bilious vomiting abdominal pain and nausea history of sarcoid ptosis and head and neck carcinoma ABDOMEN:LUNG BASES: Patchy air space opacity left lung baseLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No change in pancreatic head/uncinate process low-attenuatio... | New abnormal wall thickening involving the distal colon, sigmoid, and rectum. Findings are suggestive for early acute infectious/inflammatory colitis. Given the history of antibiotic therapy, pseudomembranous colitis should be considered.Patchy air space opacity left lung base; cannot exclude early infectious/inflammat... |
Generate impression based on findings. | History appendiceal carcinoma with fever and abdominal pain ABDOMEN:LUNG BASES: Stable left lower lung base micronodule as seen on image 24 series 4 measuring 0.5 cm in diameter.LIVER, BILIARY TRACT: No change in segment 7 right lobe complex low attenuation lesion best seen on image 26 of series 3 measuring 1.6 x 1.9 c... | Status post resection of pelvic mass including TAH/BSO. Moderately severe distention of bladder with mild bilateral hydronephrosis and hydroureter. Otherwise no evidence for acute abnormality. |
Generate impression based on findings. | Left lower quadrant abdominal pain; history of traumatic foreign body rectal insertion ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality no... | Abnormal wall thickening involving the sigmoid colon and rectum associated with extensive pericolonic soft tissue infiltration consistent with acute infectious/inflammatory process, presumably secondary to traumatic foreign body rectal insertion. No obvious extraluminal extravasation noted. Possible small intramural ab... |
Generate impression based on findings. | Clinical question: Change in vision, right-sided weakness. Signs and symptoms: Right-sided weakness. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of early nonhemorrhagic ischemic strokes.Stable shunted lateral ventricle since prior exam.Stable nearly collapsed lef... | 1.No acute intracranial process.2.Stable shunted lateral ventricles. |
Generate impression based on findings. | 11 month old male with left sided scalp lesion. There is left parietal scalp swelling without fluid collection or underlying osseous abnormality. 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 ... | 1. Left parietal scalp swelling without fluid collection or underlying osseous abnormality. Etiology may include scalp inflammation/infection versus subgaleal hematoma. Clinical correlation. 2. No acute intracranial abnormality. |
Generate impression based on findings. | 19 year-old male with history of Burkitt's lymphoma with acute atrial fibrillation, evaluate for pulmonary embolus and mediastinal tumor PULMONARY ARTERIES: Technically adequate study. No evidence of a pulmonary embolus.LUNGS AND PLEURA: No consolidation. Small right pleural effusion with compressive atelectasis.MEDIAS... | 1.No evidence of a pulmonary embolus.2.Subcarinal soft tissue mass compatible with history of Burkitt's lymphoma abuts the left atrium.3.Heterogeneous appearing liver with multiple hypoattenuating lesions is suspicious for lymphomatous involvement.4.Small right pleural effusion. |
Generate impression based on findings. | 70 year-old male with altered mental status. There is mild 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. Minimal 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; 18 years old. Reason: assess for appy, less likely stone History: acute onset periumbilical/LLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signif... | No evidence of acute appendicitis. Free fluid in the pelvis is nonspecific and has been previously described as physiologic. |
Generate impression based on findings. | Female 55 years old; Reason: s/p loop ileostomy r/o abscess, fluid collection, leak, obstruction History: tachycardia, desaturation ABDOMEN:LUNG BASES: Interval development of bilateral moderate pleural effusions with overlying compressive basilar atelectasis. Dilation of the distal esophagus is again seen filled with ... | 1. Stable multiple dilated loops of small bowel extending to ostomy. The small bowel dilation is most likely due to chronic pseudoobstruction/peristaltic abnormality associated with scleroderma rather than mechanical obstruction. Interval removal of the enteric catheter. Otherwise stable examination. |
Generate impression based on findings. | Clinical question: Stroke. Signs and symptoms: Alteration of mental status. Unenhanced head CT:Examination demonstrate a patchy foci of low attenuation involving the cortex and subcortical white matter of left anterior and mid temporal lobe with resultant subtle effacement of the left sylvian fissure consistent with an... | 1.Acute left MCA territory temporal lobe and left basal ganglia acute nonhemorrhagic ischemic stroke.2.Unremarkable exam otherwise. |
Generate impression based on findings. | 58 year-old female with a history of nodular lymphoma presents with abdominal pain. Evaluate for colitis. ABDOMEN:LUNG BASES: There is bibasilar scarring/atelectasis. There is a small right fat containing Bochdalek hernia.LIVER, BILIARY TRACT: There is a small amount of abdominopelvic ascites.SPLEEN: Splenomegaly, unch... | 1. Mild wall thickening of the rectosigmoid colon suspicious for early colitis, including infectious and inflammatory etiologies, although neoplastic etiologies cannot be excluded. 2. Interval development of a small amount of ascites. 3. No significant interval change in reference retroperitoneal and pelvic lymph nodes... |
Generate impression based on findings. | 5 year-old female with head injury. 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 air cells ... | 1. No acute intracranial abnormality. 2. Evidence for paranasal sinus inflammatory disease and/or acute sinusitis. |
Generate impression based on findings. | 27-year-old male with neck and back pain, blurry vision, nausea, and papilledema. There are no extraaxial fluid collections or subdural hematomas. A right frontal approach shunt catheter tip terminates within the left frontal horn, unchanged. The size and shape of the ventricles has not significantly changed compared t... | No significant interval change in course of shunt catheter or ventricular sizes. |
Generate impression based on findings. | Female; 45 years old. Reason: eval incarcerated hernia vs appendicitis History: abd 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 notedL... | 1.No radiographic evidence to account for the patient's pain.2.Minimal hepatic steatosis/parenchymal dysfunction. |
Generate impression based on findings. | Female 59 years old; Reason: r/o SBO History: N/V, abd distension and tenderness, constipation ABDOMEN:LUNG BASES: Left lower lobe calcified pulmonary nodule. Right lower lobe pulmonary micronodule incompletely visualized. No pleural effusion.LIVER, BILIARY TRACT: Liver is normal in morphology without focal lesion. The... | 1. Interval development of prominent loops of bowel and mesenteric edema/haziness in the left hemiabdomen. Differential considerations include infectious or inflammatory etiology, however partial or low grade obstruction cannot entirely be ruled out. No transition point identified to suggest a mechanical obstruction pr... |
Generate impression based on findings. | 33 year-old male stastus post MVA and midline neck tenderness. There is straightening of the cervical lordosis. The cervical spine alignment is anatomic. The vertebral bodies, dens, lateral masses, pedicles, lamina, facets, and posterior elements are intact with no evidence of fracture or subluxation. Within the limits... | 1. No evidence of cervical spine fracture or subluxation, if spinal cord or ligamentous injury is suspected MRI is recommended.2. Small left thyroid nodule. |
Generate impression based on findings. | Clinical question: 66-year-old male with orthostatic hypotension, rule out vertebral basilar or carotid artery insufficiency. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT is however insensitive for early detection of acute nonhemorrhagic ischemic stroke.Mild pr... | 1.Unremarkable unenhanced head CT.2.CTA of the neck is unremarkable. There is a nondominant small left vertebral artery which remains patent through the neck and skull base as detailed. An unremarkable left pica is also identified. There is however further decreased caliber of distal left vertebral artery beyond the or... |
Generate impression based on findings. | Female; 82 years old. Reason: Eval for retroperitoneal bleed History: Hb drop, abdominal 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 atelectasi... | Small hemoperitoneum, likely postoperative in nature, without evidence of retroperitoneal hemorrhage or hematoma. |
Generate impression based on findings. | Clinical question: evaluate subdural. Signs and symptoms ground seen. Nonenhanced head CT:Examination demonstrate a small focus of subarachnoid hemorrhage and high convexity left anterior frontal region (axial images 25 through 28. No evidence of subdural as is questioned clinically.In addition there is a small focus o... | 1.Small focus of subarachnoid hemorrhage and high convexity left anterior frontal.2.A small focus of cortical and subcortical low attenuation along the interhemispheric aspect of left anterior frontal lobe concerning for a small focus of stroke. Recommend follow-up with an MRI exam. |
Generate impression based on findings. | Male 58 years old; Reason: assess for SBO History: Diffsue R-sided Abd pain since 5pm w/N \T\ no ostomy output x 24 hours; hx Crohn's w/ieostomy \T\ 20+ SBOs in past ABDOMEN:LUNG BASES: Coronary artery calcifications with cardiomegaly. Mild bibasilar atelectasis. No nodule or mass detected.LIVER, BILIARY TRACT: Choleli... | 1. Interval development of a small bowel obstruction, which has a chronic component given the desiccated feces in the small bowel, likely due to the inflamed loop of bowel entering the ostomy. Interloop mesenteric edema noted without free air or abscess collection seen.2. Cholelithiasis without complication |
Generate impression based on findings. | 67 year-old female with AML, baseline CT. The orbits are unremarkable apart from lens prostheses. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is focal opacification in the left ethmoid, unchanged. The frontal sinuses, frontal-ethmoid recesses, anterior/posterior ethmoids, s... | No evidence of sinusitis. |
Generate impression based on findings. | 55-year-old female. Reason: r/o pulmonary embolism History: desaturation, tachycardia. PULMONARY ARTERIES: Technically adequate exam for evaluation for pulmonary embolism. No pulmonary embolus identified.LUNGS AND PLEURA: New moderate bilateral pleural effusions with associated compressive atelectasis. Interval develop... | 1.No evidence of pulmonary embolism.2.New bilateral moderate-sized pleural effusions, edema, and atelectasis, consistent with CHF. |
Generate impression based on findings. | Male; 67 years old. Reason: eval constipation History: abd pain, constipation 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, BILIA... | 1.Acute uncomplicated pancreatitis.2.Cholelithiasis. |
Generate impression based on findings. | 72 year-old male with history of CVA. There is patchy hypoattenuation in the cerebral white matter. There are multiple well defined foci of hypoattenuation in the basal ganglia, thalami and cerebellum. The ventricles, sulci, and cisterns are symmetric and prominent, representing moderate volume loss. The gray-white mat... | 1. No acute intracranial hemorrhage. 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. Moderate brain volume loss. 3. Multiple, probably chronic infarcts in the basal ganglia, thalami and cerebell... |
Generate impression based on findings. | Clinical question: Rule-out abscess versus other infectious process. Signs and symptoms: Neutropenic fever. Unenhanced maxillofacial CT:Paranasal sinuses demonstrate minimal chronic sinus disease. There is noted left ostiomeatal unit and patent bilateral sphenoethmoidal recesses. No detectable abnormal enhancement.Ther... | Pre-and post enhanced CT of the maxillofacial region demonstrate mild chronic sinus disease and unremarkable otherwise. In particular no evidence of inflammatory/infectious process or abnormal enhancement as is questioned clinically. |
Generate impression based on findings. | 63-year-old male. Reason: c/f PE History: SOB, pleuritic CP. PULMONARY ARTERIES: Technically adequate for evaluation of pulmonary embolism. No pulmonary embolus identified.LUNGS AND PLEURA: A nodular opacity in the left lower lobe measuring 10 mm (image 95, series #8) is increased in size from the previous exam. Severa... | 1.No evidence of pulmonary embolism.2.Findings consistent with chronic aspiration pneumonitis.3.Interval growth of a left lower lobe nodule, concerning for malignancy or metastatic disease.4.Interval development of several right lower lobe subpleural nodules, which may be sequela of aspiration, though warrant follow up... |
Generate impression based on findings. | 35-year-old male with history of shortness of breath. Evaluate for pulmonary embolus. PULMONARY ARTERIES: No pulmonary embolusLUNGS AND PLEURA: In the lateral right middle lobe is a smoothly marginated pleural based lesion (series 10 image 90) which measures approximately 2 x 1.8 cm. This well circumscribed solid nodul... | No pulmonary embolus. Well circumscribed nodule on the lateral right middle lobe pleural surface, favor hamartoma although this is too small to characterize. Comparison with prior chest imaging, or follow up for stability is suggested. |
Generate impression based on findings. | 60 year old female with new wound hematoma/seroma. New wound opened at bedside with foul-smelling drainage. Elevated WBC. Evaluate fascia and evaluate for fistula. ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: Subcentimeter hypodensities in the liver are too small to characterize, but may rep... | 12.5-cm encapsulated fluid collection in the soft tissues along the anterior abdomen suspicious for abscess formation. There is no evidence of intra-abdominal extension or fistula formation, as clinically questioned. |
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