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Generate impression based on findings. | 51 year old female with history of muscle weakness/Eaton-Lambert syndrome. Rule out lung mass. LUNGS AND PLEURA: Scattered pulmonary micronodules, one of which are calcified. Multiple scattered scar like opacities are again seen, with one area of scarring in the right middle lobe having increased from prior. No masses.... | Given the lack of intravenous contrast, no lung or mediastinal masses were seen. Scattered pulmonary micronodules and multiple areas of scarring in the lungs as above which are for the most part unchanged from prior exam. |
Generate impression based on findings. | 60 year-old male status post esophagectomy/gastric pull up in 12/4 now with obstruction. Evaluate for possible diaphragmatic herniation, small bowel obstruction. CHEST:LUNGS AND PLEURA: There is biapical scarring/atelectasis. There is bibasilar scarring/atelectasis. MEDIASTINUM AND HILA: Note is made of postoperative c... | Findings consistent with a small bowel obstruction, likely related to adhesions, with a probable transition point in the left upper quadrant. |
Generate impression based on findings. | 69-year-old male with history of neutropenic fever. Evaluate for pneumonia versus aspiration. CHEST:LUNGS AND PLEURA: Left apical opacity is similar to slightly decreased in size. Left lower lobe groundglass opacities are again seen, most consistent with prior aspiration. Inferior left upper lobe subsegmental atelectas... | Left apical and left lung base ground glass opacities appear similar to slightly decreased in size from prior. No new findings to suggest infection. |
Generate impression based on findings. | Reason: history of AML, would like repeat baseline CT of chest and sinus for monitoring. History: none LUNGS AND PLEURA: No significant abnormality noted. Specifically, there is no evidence of infection.Minimal atelectasis or scarring affects the left lung base.MEDIASTINUM AND HILA: No significant mediastinal or hilar ... | Resolution of prior pulmonary opacities with no current evidence of infection. |
Generate impression based on findings. | 66 year old female with a history of stage IV ampullary cancer status post wedge resection of liver lesion. Please provide index lesion measurements. CHEST:LUNGS AND PLEURA: Scattered micronodules which are nonspecific but unchanged.There is bibasilar scarring/atelectasis.MEDIASTINUM AND HILA: Vascular calcifications i... | 1. Near complete interval resolution of the previously described intrahepatic fluid collection. No drainable collections are identified. 2. The reference pancreatic mass like enhancement is difficult to measure, but appears slightly decreased in size when compared to the prior study dated 10/10/13. |
Generate impression based on findings. | Male; 46 years old. Reason: EGJ Adenocarcinoma: Restaging History: none CHEST:LUNGS AND PLEURA: No suspicious lung lesion noted.MEDIASTINUM AND HILA: Mediastinal lymphadenopathy is unchanged with reference lesion best seen on image 51 of series 3 measuring 2.0 x 0.8 cm, previously 1.9 x 1.0 cm.CHEST WALL: Right chest p... | Stable to slightly progressive metastatic disease with measurements as dictated above. |
Generate impression based on findings. | 61-year-old male with history of gastric adenocarcinoma. Restaging examination. CHEST:LUNGS AND PLEURA: Unchanged scattered nonspecific micronodules. No new pulmonary nodules or masses are identified.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes, similar to prior exams. No hilar lymphadenopathy. Normal si... | Stable examination without evidence of recurrence or metastatic disease. |
Generate impression based on findings. | Male; 74 years old. Reason: pt with h/o esophageal ca s/p newer chemotherapy History: doing fairly ok now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules have increased in size, many now cavitating, with reference left basilar nodule, best seen on ima... | Progression of metastatic disease with measurements as dictated above. |
Generate impression based on findings. | 60 year old female. Reason: eval caliber of tracheal stenosis History: stridor, tracheal stenosis w/ stent. LUNGS AND PLEURA: A tracheal stent is unchanged in position with the proximal concentric narrowing redemonstrated. However, the distal aspect is discontinuous posteriorly with an 8-mm flap extending into the trac... | 1.Tracheal stent appears broken distally with a metal flap projecting intraluminally.2.Improved left upper lobe consolidation with residual cavitation.3.Chronic right middle lobe collapse. New right lower lobe subsegmental atelectasis, possibly related to aspiration.4.Unchanged right upper lobe nodule. |
Generate impression based on findings. | 59 year old female status post hemicolectomy with wound infection. Please evaluate for intra-abdominal abscess. Severe abdominal pain in the left upper and left lower quadrants. ABDOMEN:LUNG BASES: No significant abnormality noted. Prominent cardiophrenic lymph node, unchanged. Again seen are mediastinal and hilar lymp... | 1. Nonspecific fat stranding in the soft tissues along the anterior abdomen with an associated sinus tract extending from the skin surface. Superimposed infection cannot be excluded, however, there is no evidence of abscess formation, as clinically questioned. 2. Gallstones without evidence of acute cholecystitis. |
Generate impression based on findings. | 38-year-old male with history of lung nodule seen on radiograph. LUNGS AND PLEURA: There is an approximately 1 centimeter right upper lobe well-circumscribed calcified nodule. This corresponds to the previously seen nodule on radiography. Left lung base subsegmental atelectasis/scarring and small scattered foci of grou... | Calcified, benign appearing granuloma in the right upper lung corresponds with the previously noted nodule on chest radiography. |
Generate impression based on findings. | Clinical question: Status post lumbar fusion L4 -- L5. Patient is now complaining of right thigh pain. Attention to right side screw placement. Signs and symptoms: As above. Nonenhanced lumbar spine CT:Examination is suboptimal due to patient's large body habitus as well as streak artifacts from postoperative fixating ... | 1.Postoperative changes of posterior fusion at L4 -- L5 including placement of bilateral interpedicular screws at L4 and L5 without evidence of extension of placed screws into the neural foraminal or spinal canal. The appropriateness of the position should be decided by the referring clinical physician. There is also e... |
Generate impression based on findings. | Renal cell carcinoma status post partial nephrectomy 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 x 1.1 cm in... | 1 cm intermediate attenuation cystic focus arising from the left kidney which has demonstrated subtle but consistent growth dating back to 2011. A slowly growing neoplastic process must be considered. Recommend correlation with dedicated renal CT or MR. |
Generate impression based on findings. | 9 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 an... | No acute intracranial abnormality. |
Generate impression based on findings. | 33 year-old female with nasal congestion and discharge. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. Examination shows postsurgical changes of right antrectomy, uncinectomy and ethmoidectomy. There is mild to moderate mucosal thickening in the right ma... | Status post right sided endoscopic paranasal sinus surgery. Mild to moderate mucosal thickening in the right maxillary sinus and frontal-ethmoid recess. |
Generate impression based on findings. | 55-year-old female with a history of breast cancer and "nonuniform density of the ribs" CHEST:LUNGS AND PLEURA: New small right pleural effusion.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Innumerable mixed lytic/sclerotic lesions are seen throughout the visualized axial spine, ribs and visualize... | 1.Innumerable mixed lytic/sclerotic lesions are seen throughout the visualized axial spine, ribs and visualized portions of the pelvis.2.Right hydronephrosis/hydroureter with the distal ureter not well visualized. This finding is new when compared to prior CT. |
Generate impression based on findings. | 39-year-old male with gross hematuria. ABDOMEN:Extensive metal streak artifact from posterior spinal fixation device limits examination.LUNG BASES: No significant abnormality noted. Sternotomy wire incompletely visualized. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPAN... | 1. No findings to account for the patient's hematuria. 2. Multiple exostoses involving the pelvis and proximal femora. |
Generate impression based on findings. | Male; 34 years old. Reason: obstruction vs. constipation vs. other acute intraabdominal process History: diffuse abdominal pain x 1mo, severe constipation, N/V ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No suspicious lesions identified. The gallbladder is distended and unremarkable.SPLEE... | No radiographic evidence to account for the patient's symptoms. |
Generate impression based on findings. | Male; 68 years old. Reason: acute intraabdominal process History: abdominal pain in RUQ and b/l lower quadrants, +Murphy's, N/V/D, black stools ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Numerous subcentimeter liver hypodensities are incompletely characterized on this exam but likely repr... | 1.Cholelithiasis without evidence of acute cholecystitis.2.Moderate amount of ascites3.Diffuse bladder wall thickening which favors chronic inflammatory changes. |
Generate impression based on findings. | 55 year-old female with altered mental status. Mild ventriculomegaly unchanged from previous head CT. The cisterns are symmetric and unremarkable. Focus of hypodensity at right globus pallidus likely represents old lacunar infarct. Encephalomalacia of the left subinsular, sequela of old infarct. Scattered periventricul... | No CT evidence for acute intracranial pathology. |
Generate impression based on findings. | 20 year-old male patient with fever and white count. Evaluate for osteomyelitis/sacral decubitus ulcer for abscess or other fluid collection. Again seen is extensive subcutaneous and muscular edema within the right buttock predominately affecting the gluteus maximus muscle with subcutaneous ulceration containing air al... | Right inferior gluteal ulceration with sinus tract and air extending to bone compatible with osteomyelitis. No evidence of drainable fluid collection. |
Generate impression based on findings. | 17 year-old female with history of recurrent osteosarcoma status post resection and chemotherapy LUNGS AND PLEURA: Postsurgical changes from right lower lobe and left upper lobe resections appear similar to the prior exam. No consolidation or pleural effusions. 2-mm micronodule along the minor fissure (4/46) is unchang... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 73 years old; Reason: Assess for cause of weight loss, possible stricture in terminal ileum on colonoscopy History: Anorexia, weight loss, diarrhea ABDOMEN:LUNGS BASES: The descending thoracic aorta is tortuous. No nodule detected.LIVER, BILIARY TRACT: Incidental note note is made of a Riedel's lobe. No focal le... | 1.Skip lesions of edematous mucosa in the distal ileum with stricturing of the terminal ileum with thickened wall. These findings are nonspecific however findings are likely due to inflammatory process like Crohn's disease. |
Generate impression based on findings. | Male 73 years old; Reason: eval diverticulitis History: LLQ abd pain, rectal bleeding ABDOMEN:LUNGS BASES: Bibasilar atelectasis and vascular congestion noted. The heart is mildly enlarged.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormalit... | 1.Colitis of the descending colon which is nonspecific, correlate for infectious versus inflammatory etiology. Neoplasm is thought less likely given its long segment involvement. 2. Indeterminate renal lesions bilaterally, dedicated renal CT or MR advised. |
Generate impression based on findings. | Reason: h/o met parotid gland ca, compare to previous, measurements pls. Pt w/ ESRD, on dialysis. OK to use dye per Dr. Villaflor History: none CHEST:LUNGS AND PLEURA: Stable scattered nonspecific micronodules.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal l... | 1.No suspicious pulmonary nodules or masses.2.Stable exam without evidence of new sites of disease.3.Ascites unchanged from the prior two exams. |
Generate impression based on findings. | 77-year-old male. Reason: s/p LLL resection History: s/p LLL resection. LUNGS AND PLEURA: New left-sided pigtail catheter in the posterior left posterior upper lobe lies at the superior aspect of a moderate-sized, multiloculated left hydropneumothorax, mildly decreased in size. At its base, a left-sided chest tube trac... | 1.Mild to moderate decrease in loculated left sided hydropneumothoraces.2.Moderately decreased left lung consolidation. |
Generate impression based on findings. | 4 year-old male status post fall 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... | No acute intracranial abnormality. |
Generate impression based on findings. | 11 year-old male with chronic nasal obstruction. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structures is unremarkable. Other then minimal mucosal thickening in the maxillary sinuses and posterior left ethmoids, the remaining sinuses are clear and there are no air-fluid levels... | Other then minimal mucosal thickening in the maxillary sinuses and posterior left ethmoids, the remaining sinuses are clear and there are no air-fluid levels. |
Generate impression based on findings. | 54-year-old female with history of non-Hodgkin's lymphoma post stem cell transplant. CHEST:LUNGS AND PLEURA: Apical pleural scarring without change. Small lingular nodules without change. These may represent small nodes.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.... | No progressive or new adenopathy. |
Generate impression based on findings. | 31 year-old female with chronic nasal obstruction. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There are retention cyst and minimal mucosal thickening in the dependent right and left maxillary sinuses, respectively. The frontal sinuses, frontal-ethmoi... | Unremarkable CT paranasal sinuses apart from mild maxillary sinus inflammatory disease. |
Generate impression based on findings. | Female 39 years old; Reason: Rectal Cancer: Restaging PET/CT History: none CHEST:LUNGS AND PLEURA: Biapical scarring/atelectasis.MEDIASTINUM AND HILA: Anterior mediastinal soft tissue measures 2.0 x 0 .9 cm, previously 2.2 x 0.9 cm (image 33/series 401). Subcarinal lymphadenopathy measures 12 mm in the short axis (42; ... | 1. Persistent subcarinal lymphadenopathy. Although this appears similar to the prior study, this appears to have increased in size when compared to the prior studies dating back to 9/16/2011. While these findings may represent metastatic disease, in conjunction with the nonspecific wall thickening of the distal esophag... |
Generate impression based on findings. | 66-year-old male with history of eosinophilic and organizing pneumonia, pneumothorax and worsening pulmonary edema . Assess lung pathology given worsening hypoxia. LUNGS AND PLEURA: Right pneumothorax again seen, with chest tube unchanged in position. Debris is seen within the right-sided chest tube. Bilateral basilar ... | 1.Basilar predominant bronchiectasis with consolidation in and fibrosis most likely chronic in nature.2.Diffuse groundglass opacities with sparing of the apices. Differential includes acute on chronic hypersensitivity pneumonitis, eosinophilic pneumonia with accompanying organizing pneumonia, drug reaction or less like... |
Generate impression based on findings. | Female; 70 years old. Reason: XL-184-308 Follow-up. Please acquire ARTERIAL AND DELAYED VENOUS enhancement. Must be performed on TC162 scanner. Call HIRO 2-9172 w/ questions. History: hx/o RCC assessment after 8 wks of investigational study drug CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules again noted. Left upper... | Interval progression of metastatic disease with reference measurements as above. |
Generate impression based on findings. | Clinical question: 67-year-old female with history of AML status post SCT collapse with low platelet count, fall with injury to the head. Ruled out intracranial hemorrhage. Signs and symptoms: Fall and injury to the head. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tis... | 1.No acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.2.Stable extensive periventricular, subcortical and bilateral basal ganglia foci of low-attenuation. |
Generate impression based on findings. | 18-year-old male with history of ulcerative colitis status post total proctocolectomy with ileostomy and Hartman's pouch, with confirmed pancreatitis. ABDOMEN:LUNG BASES: Multiple pulmonary micronodules, appearing similar to prior study. No new pulmonary nodules or masses are identifiedLIVER, BILIARY TRACT: No focal he... | The distal body and tail of the pancreas appear mildly enlarged and edematous consistent with uncomplicated acute pancreatitis. |
Generate impression based on findings. | Male; 79 years old. Reason: r/o worsening perforation History: guarding, recent perf seen on CT in Nov 2013 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: There is been ... | Interval progression of pulmonary metastatic disease without evidence of bladder rupture. |
Generate impression based on findings. | Reason: eval rib fx, hemothorax, ?infection History: fall, weakness LUNGS AND PLEURA: Moderate size right pleural effusion is identified with underlying right basilar atelectasis.No significant pulmonary edema.Scattered calcified and noncalcified micronodules compatible with prior granulomatous disease.No suspicious pu... | 1.Evaluate with moderate sized right pleural effusion and accompanying basilar atelectasis.2.Severe edema and anasarca involving the chest and abdominal body wall.3.No acute rib fracture identified. No evidence of a hemothorax. |
Generate impression based on findings. | Reason: evaluate for response. History: 67 year old female with a history of sarcoma. CHEST:LUNGS AND PLEURA: Again seen are multiple pulmonary nodules, which appear increased in size and number. Reference right apical nodule measures 6 mm, previously 5 mm (series 5, image 18). There is interval development of nodular ... | 1.Increasing pulmonary and hepatic metastases with persistent osseous lesions.2.No significant interval change in large reference pelvic mass with extension to the left pelvic sidewall and invasion of adjacent small bowel loops, left ureter, and possibly the sigmoid colon.3.Chronically obstructed left kidney with incre... |
Generate impression based on findings. | Abnormal symphysis pubis CT examination was performed with sagittal and coronal reconstructions. Evaluation of the images reveals vacuum phenomena in both sacroiliac joints, excluding the diagnosis of sacroiliitis.Examination of the pubic symphysis reveals marked sclerosis and some widening at the physis. There are sma... | Osteitis pubis |
Generate impression based on findings. | Female; 62 years old. Reason: 62yo female with recurrent fallopian tube cancer. Assess for disease progression History: supraclavicular LAD CHEST:LUNGS AND PLEURA: Bilateral emphysematous changes and apical scarring again noted. Multiple lung nodules bilaterally have increased in size and number. Additionally, multiple... | Bilateral lung lesions have increased in size and number which could be secondary to inflammatory changes, but widespread metastatic lung disease must be considered. Left supraclavicular adenopathy consistent with metastatic focus. |
Generate impression based on findings. | Reason: PE? History: chest pain, hx sickle cell disease PULMONARY ARTERIES: Technically good quality study with no evidence of pulmonary embolism.LUNGS AND PLEURA: Left lower lobe consolidation and left pleural effusion.Nonspecific opacity right lung base.MEDIASTINUM AND HILA: No significant mediastinal lymphadenopathy... | 1. No evidence of pulmonary embolism.2. Left basilar consolidation and left pleural effusion consistent with pneumonia. |
Generate impression based on findings. | 57-year-old male. Reason: evaluate right lower chest mass - possible right lung herniation after chest tube History: intermittent soft mass. CHEST:LUNGS AND PLEURA: Small right pleural effusion and basilar atelectasis. Surgical clips in the anterior basis bilaterally.MEDIASTINUM AND HILA: Moderate cardiomegaly. Mild co... | Soft tissue thickening of the right anterior chest wall at the level of the xiphoid process. No evidence of herniation. |
Generate impression based on findings. | Reason: please assess for lymphadenopathy and supraclavicular mass History: please assess for lymphadenopathy and supraclavicular mass LUNGS AND PLEURA: Minimal dependent atelectasis or scarring, otherwise unremarkable lungs and pleura. MEDIASTINUM AND HILA: Left vertebral artery arises directly from the arch, normal v... | No mediastinal or hilar lymphadenopathy, or other significant abnormality. |
Generate impression based on findings. | 33-year-old male with history of esophageal cancer ("~9cm tumor"). Recent chemo/radiation therapy please evaluate for changes since prior imaging. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Esophageal thickening from approximately level of T9-10 and extending down to just inferior to... | Lower esophageal thickening has decreased in size from the prior CT scan on 10/10/13 as described above. |
Generate impression based on findings. | Reason: copd, lung transplant eval History: as above, shortness of breath LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema is present, with large lung volumes.Right middle lobe and lingular scarring is present.MEDIASTINUM AND HILA: Mild coronary artery calcification is present.No mediastinal or hilar l... | COPD/emphysema and prior granulomatous disease. |
Generate impression based on findings. | 4 year-old female with sore throat, neck swelling and neck pain. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Examination shows diffuse inflammatory changes of the soft tissues in the submental and submandibular spaces. T... | 1. Findings are compatible with submental and submandibular cellulitis with formation of phlegmon or early abscess between anterior bellies of the digastric muscles. 2. Reactive cervical lymphadenopathy. 3. No evidence of airway compromise or retropharyngeal fluid collection. |
Generate impression based on findings. | Evaluate for reverse ball-and-socket prosthesis There are marked degenerative changes involving the glenohumeral joint with sclerosis and articular irregularity. There appears to be a large joint effusion. The humeral head is high riding consistent with a chronic tear versus atrophy. There's been little change from the... | Marked degenerative changes in the glenohumeral joint with a high riding humeral head |
Generate impression based on findings. | 65 year old female with history of fever and leukocytosis. Assess for right lower lobe pneumonia and pleural effusion CHEST:LUNGS AND PLEURA: Postsurgical findings consistent with history of right middle lobectomy. Previously described patchy righty interstitial and air space opacities have slightly increased in extent... | 1.Slight interval increase in the right lung patchy perihilar and basilar air space opacities, suspicious for infection superimposed on underlying radiation changes.2.Right lateral chest surround the with focus of internal gas, correlate for infection.3.Right gluteal foci of gas are partially visualized, correlate with... |
Generate impression based on findings. | 30 year-old female with history of productive cough and cavitary lesions seen the on radiograph. LUNGS AND PLEURA: Again seen is a left mid lung cavitary process involving the left upper and left lower lobe posteriorly. Within this process are air bronchograms and multiple foci of gas. The remainder of the lung parench... | Left mid lung cavitary process is again seen, with multiple foci of gas internally. The remaining lung, apart from this process, is within normal limits. |
Generate impression based on findings. | Clinical question: Evaluate for stroke. Signs and symptoms: Left-sided facial droop and lower extremity weakness. Nonenhanced head CT: No detectable acute intracranial process.CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes. Examination demonstrates fairly extensive subcortical a... | 1.No acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. 2.Extensive age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | -Year-old male with rectal pain. Evaluate for abscess. PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Just above the anal verge, there is a somewhat lobulated fluid attenuation with several gas bubbles ... | Ano-rectal abscess. See above. |
Generate impression based on findings. | Altered mental status. Nonenhanced head CT:Examination demonstrates a new focus of parenchymal hemorrhage in the left cerebellum posteriorly measuring at 17 x 15-mm in its transaxial dimensions. There is some surrounding vasogenic edema present also. No significant mass effect.Right occipital subarachnoid hemorrhage de... | 1.Nonenhanced head CT demonstrate interval increased hemorrhage in the supratentorial space and the suspected a small focus of left posterior frontal parenchymal hemorrhage. There is also new hemorrhage in the posterior fossa in the dorsal aspect of the left cerebellum with subtle surrounding edema.2.Partially visualiz... |
Generate impression based on findings. | 74-year-old male. Reason: r/o PE, also evaluate for other causes of hypoxiaAdditional history per chart: Silicosis, pulmonary hypertension. PULMONARY ARTERIES: Technically inadequate for evaluation of a pulmonary embolism. No pulmonary embolus identified.LUNGS AND PLEURA: Small bilateral pleural effusions with fluid al... | 1.No evidence of pulmonary embolism.2.Moderate cardiomegaly, small bilateral effusions, and probable interstitial edema suggestive of CHF.3.Extensive, severe basilar predominant interstitial fibrosis in a UIP pattern, presumably secondary to silicosis given the patient's history.4.Upper lobe predominant centrilobular a... |
Generate impression based on findings. | 67 year-old male with lethargy. There is confluent hypoattenuation in the cerebral white matter and foci 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 effect, edema, midline shift, intr... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Confluent hypoattenuation in the cerebral white matter and foci of hypoattenuation in the right basal ganglia are nonspecific but could represent advanced small vessel i... |
Generate impression based on findings. | 69 year-old female with right facial numbness, ear pain and slurred speech. 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 ... | 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. | 56 year-old female status post fall. There is a small focus of hypoattenuation in the anterior left thalamus. 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 shift, intra- or extra-axial f... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. A small lacunar infarct in the anterior left thalamus, likely chronic. Brain volume loss. |
Generate impression based on findings. | Female; 21 years old. Reason: e. faecalis bacteremia. looking for a source History: bacteremic 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: Bibasilar atelectasis. Smal... | No radiographic evidence for source of bacteremia. |
Generate impression based on findings. | Male 64 years old; Reason: metastatic cholangiocarcinoma, restaging History: metastatic cholangiocarcinoma, restaging CHEST:LUNGS AND PLEURA: Biapical scarring/atelectasis. Right upper lobe subcentimeter pulmonary nodule measures 6 mm, previously 5 mm (image 41, series 4).MEDIASTINUM AND HILA: No significant abnormalit... | 1. The reference hepatic lesion appears larger when compared to the prior exam. There is also interval increase in size and conspicuity of the non reference satellite lesions. The reference porta hepatis lymphadenopathy appears unchanged.2. Interval repositioning of the Port-A-Cath with the tip in the azygos vein. Ther... |
Generate impression based on findings. | Male 37 years old; Reason: abscess Rt cheek, lower jaw History: facial swelling. The right parotid gland is swollen and demonstrates increased enhancement compared to the left parotid gland. There is no organized fluid collection to indicate abscess. No visible sialolith to indicate obstruction of the parotid duct. How... | Swelling and enhancement of the right parotid gland and Stensen's duct with associated reactive lymphadenopathy but no organized fluid collection to indicate abscess. Findings consistent with right-sided parotitis. |
Generate impression based on findings. | 24 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. | Female 53 years old; Reason: eval for appendicitis History: RLQ abdominal pain. ABDOMEN:LUNGS BASES: 1.5-cm partially calcified pleural-based nodule in the right lung base (series 10218 image 7) is noted. Bibasilar atelectasis seen.LIVER, BILIARY TRACT: Numerous hypodense lesions with peripheral nodular enhancement are... | 1.No acute intra-abdominal pathology detected.2.Hepatic lesions which likely represent hemangiomas although incompletely characterized on this single phase of contrast. Dedicated renal CT or MR advised for full characterization if clinical suspicion for metastatic disease persists.3.1.5-cm pleural-based right lower lob... |
Generate impression based on findings. | Female; 53 years old. Reason: renal mass seen on back MRI, please characterize and rule out mets History: renal mass seen on back MRI, please characterize and rule out mets CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormal... | 1.No evidence of suspicious renal mass.2.Cholelithiasis without evidence of acute cholecystitis. |
Generate impression based on findings. | Female 22 years old; Reason: eval for obstruction History: LLQ abdominal, post-splenectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormalit... | Distended J-pouch without evidence of obstruction. |
Generate impression based on findings. | 50 year-old female. Status post MVR and chest tube pull. Assess for intra-pleural fluid, particularly on the right side. LUNGS AND PLEURA: Interval removal of right anterior chest tube and placement of a posterior chest tube, which terminates in the right apex.There is marked interval increase in size of the large comp... | Marked interval increase in size of right hemothorax. |
Generate impression based on findings. | Female; 53 years old. Reason: mets lung cancer, s/p almost 3 yrs of Crizotinib for ALK+ lung cancer, pls c/w previous study to evalaute tx response. History: lung ca CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Reference prevascular lymph node, best seen on image 25 of series ... | Postsurgical changes as described above. No evidence of disease progression. |
Generate impression based on findings. | Non-Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: Stable right middle lobe subcentimeter peripheral nodule best seen on image 47 of series 5 measuring 0.4 cm in diameter.MEDIASTINUM AND HILA: Interval decrease in size of mediastinal and hilar adenopathy. Reference right paratracheal lymph node best seen on image 32 of ser... | Continued interval decrease in size of adenopathy with no new adenopathy noted. |
Generate impression based on findings. | 66-year-old female. SOB. History of RUL lung cancer s/p radiation, currently on chemotherapy. Concern for pneumonitis or cancer. LUNGS AND PLEURA: Extensive ground-glass opacities in the mid to lower lung zones bilaterally. There is associated traction bronchiectasis and architectural distortion. Findings most consiste... | 1. Extensive bilateral pulmonary opacities consistent with radiation pneumonitis.2. Focal consolidation in right middle and lower lobes could also reflect post-radiation changes but infection is also a possibility. 3. 8 x 18 mm right upper lobe nodule. |
Generate impression based on findings. | Male 73 years old; Reason: Evaluate for progression of metastaic disease; compare to previous scan. CHEST:LUNGS AND PLEURA: Interval development of right upper lobe ground glass opacities, which are nonspecific. Stable right suprahilar and left infrahilar scar-like opacities and volume loss. Hypoattenuating area with f... | 1. No significant interval change in reference left infrahilar lymph node.2. Non specific hypoattenuating parenchymal lung lesion with foci of air, inferior to the left hila. Minimally changed over the past 12 months, and is of uncertain etiology, including post obstructive necrosis, low grade infectious process or nec... |
Generate impression based on findings. | Male; 69 years old. Reason: microscopic hematuria, assess for urinary source History: microscopic hematuria, assess for urinary source ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant lesions identified. The gallbladder is unremarkable.SPLEEN: No significant abnormality notedPANC... | 1.Polyploid filling defects of the bladder wall as described above. Follow up is recommended.2.Stable left nephrolithiasis. |
Generate impression based on findings. | 75-year-old female. Reason: eval right lung fields History: hypoxia, chest pain. ? Lobectomy. LUNGS AND PLEURA: Large right pleural effusion with extensive compressive atelectasis with only a small volume of aerated right upper lobe. Effusion measures near water density. No obvious nodules. Left lung is clear.MEDIASTIN... | Large right pleural effusion with associated compressive atelectasis.Anasarca. |
Generate impression based on findings. | 55-year-old male with a history of resection of the terminal ileum for Crohn's disease on 3/17/89. Does this patient have Crohn's disease of the small bowel? ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status-post cholecystectomy. Subcentimeter hypodensity in the left lobe of the liver is ... | Postsurgical changes without findings to suggest active inflammatory bowel disease. |
Generate impression based on findings. | Status post fall, orbital and nasal injury patient on Pradaxa. Unenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Heavy bilateral cavernous carotid, left vertebral and minimally the right vertebral artery vascular calcification is noted.Unremarkab... | 1.Unremarkable nonenhanced head CT for any acute intracranial, calvarial or scalp pathology.2.Unremarkable intracranial contents.3.Minimally depressed left nasal bone fracture. |
Generate impression based on findings. | Female 45 years old; Reason: evaluate for signs of small bowel or colon vasculitis, history of lupus, abdominal pain and diarrhea. History: pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Subcentimeter hypodensity in the spleen is too small to ch... | 1.No findings to account for the patients pain. No acute intra-abdominal process. |
Generate impression based on findings. | 44-year-old female with moyamoya and intracranial hemorrhage There has been interval right craniectomy for cerebral edema decompression with mild transcranial herniation. Previously demonstrated 10 mm right to left midline shift now measures 6 mm. As before there is diffuse right hemispheric edema with loss of gray-whi... | 1.There has been interval right craniectomy for cerebral edema decompression with mild transcranial herniation.2.Unchanged right thalamic as well as subarachnoid hemorrhage. |
Generate impression based on findings. | 57 year-old male. Restaging for head and neck small cell cancer. CHEST:LUNGS AND PLEURA: Stable scattered micronodules. No suspicious pulmonary nodules. Mild paraseptal emphysema in the upper lobes.MEDIASTINUM AND HILA: Debris in the dependent aspect of the trachea. Severe coronary artery calcifications. No mediastinal... | No evidence of metastasis in the chest or abdomen. |
Generate impression based on findings. | Female 60 years old; Reason: pt with metastatic breast cancer s/p several cycles of chemo please assess response to therapy and compare to previous imaging History: MBC CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema.Persistent right lung pleural thickening and loculated pleural effusion. Note is made of a 10-... | 1.Persistent extensive osseous metastatic disease affecting the axial and proximal appendicular skeleton. 2.No significant interval change in T9 vertebral body compression fracture, likely pathologic. 3.Persistent 10 mm left upper lobe ground glass nodule; continued surveillance recommended |
Generate impression based on findings. | 1-year-old male with history of Wilms tumor and enlarged right hilar lymph node, status post left nephrectomy here for surveillance evaluation. LUNGS AND PLEURA: No focal pulmonary nodules or masses to suggest metastatic disease. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Previously noted enlarged right ... | 1.Interval decrease in right hilar lymph node which is of uncertain significance.2.No evidence of pulmonary metastatic disease. |
Generate impression based on findings. | 43 year old female and a cancer stage III, status post CRT done January, 2011. Evaluate interval change. Remote history of Hodgkin's lymphoma status post radiation therapy to thorax. CHEST:LUNGS AND PLEURA: No change. Biapical pleural/parenchymal scarring. No, new or suspicious pulmonary nodules. No pulmonary airspace ... | 1. No evidence for metastatic or recurrent tumor. 2. No change left parauterine/left adnexal mass since 2011. 3. Stable examination since 12/28/12. |
Generate impression based on findings. | Male; 55 years old. Reason: lung cancer s/p 45 cycles of chemotherapy please evaluate for disease and compare with previous scan using the same target lesions History: lung cancer CHEST:LUNGS AND PLEURA: Minimal interval increase in size left pulmonary nodules and pleural thickening. Reference pleural thickening adjace... | Slight increase in size of left lung lesions with measurements as dictated above, but otherwise stable exam. |
Generate impression based on findings. | 54 year old female. History of thyroid cancer status post CRT. Compare to previous. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Mild right apical scarring. Small left upper lobe pleural nodule with an associated area of linear scarring, which may be post inflammatory or post traumatic in origin, ... | 1. No definite evidence of metastasis in the chest or abdomen.2. Right adrenal nodule is most likely a benign adenoma given its stability dating back to 7/2013, this can be confirmed with dedicated adrenal MRI/CT imaging3. Spinal stenosis at L3-4, correlate with neurologic symptoms and exam. |
Generate impression based on findings. | Clinical question: History of non-Hodgkin's lymphoma, status post 5 cycles of chemotherapy, assess response to treatment. Signs and symptoms: History of NHL. Enhanced neck CT:Examination demonstrates significant interval improvement of multiple bilateral cervical lymph nodes since prior exam.Previously measured bilater... | Significant interval decreased size of bilateral cervical lymph nodes. Please reviewed detailed/measured reference nodes above. |
Generate impression based on findings. | 46-year-old female status post laparoscopic cholecystectomy postoperative day two. Persistent pneumoperitoneum and abdominal pain. ABDOMEN:LUNG BASES: There are small bilateral pleural effusions with underlying atelectasis/consolidation.LIVER, BILIARY TRACT: Status post cholecystectomy. Probable fatty infiltration of t... | 1. Free intraperitoneal air and free abdominopelvic fluid are slightly more pronounced then typically expected postoperatively. Although this may still be within the realm of normal, correlation with the patient's surgical history is recommended. However, no loculated collection adjacent to a loop of bowel is identifie... |
Generate impression based on findings. | 46-year-old female. Reason: persistent pneumoperitoneum shown CXR, s/p lap cholecystectomy History: some abd pain, shortness of breath. PULMONARY ARTERIES: Technically limited exam due to patient's body habitus. Exam adequate for detection of pulmonary embolism to the lobar levels. No central or lobar pulmonary embolus... | No evidence of pulmonary embolism in this technically limited exam.Small bilateral pleural effusions. |
Generate impression based on findings. | 62-year-old male. History of base of tongue cancer, T3/4N2bM0. LUNGS AND PLEURA: Biapical scarring. Mild to moderate centrilobular emphysema.Unchanged 5 mm flat nodule in the left lower lobe, unchanged and most likely benign (series 4, image 76). No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: Mild cor... | No evidence of intrathoracic metastasis. |
Generate impression based on findings. | Clinical question: Rule out adenopathy/recurrence. Signs and symptoms: History of thyroid cancer, status post recurrence. Now status post surgery and XRT. Enhanced neck CT:Limited view of intracranial space is unremarkable.The skull base including cavernous sinuses, bilateral petrous bones are unremarkable. Unremarkabl... | By CT size criteria there is no detectable cervical adenopathy. |
Generate impression based on findings. | Female 62 years old; Reason: metastatic thyroid ca to chest, on therapy, eval for dz, compare to previous with measurements History: as above. Head CT: No evidence of an intracranial mass, hemorrhage, or infarction. There is no abnormal intracranial enhancement. The ventricles are stable in size and configuration. The ... | 1. Continued interval stable to decreased metastatic cervical lymphadenopathy.2. No evidence of intracranial metastatic disease. |
Generate impression based on findings. | 62-year-old male. Reason: s/p esophagectomy History: esophageal cancer. CHEST:LUNGS AND PLEURA: Chronic aspiration at the bases.MEDIASTINUM AND HILA: Stable postoperative changes of esophagectomy and gastric pull-up. Previously focal wall thickening is stable measuring 8 mm (image 30, series #3), unchanged from 9/12/20... | Stable postoperative changes without evidence of recurrence or metastatic disease. |
Generate impression based on findings. | Female 58 years old; Reason: h/o met HNC, compare to previous, measurements pls History: none. As on the prior examination, diffuse stranding through the fascial planes of the anterior neck is seen. Interval slight decrease in the mucosal edema/hyperemia is also demonstrated involving the tongue base, larynx and hypoph... | Stable treatment-related changes in the neck. No evidence of recurrence or lymphadenopathy. |
Generate impression based on findings. | 58-year-old female with metastatic lung cancer status post chemotherapy. CHEST:LUNGS AND PLEURA: Right upper lobe mass measures 47 x 36 mm (series 6, image 30), unchanged. Reference left upper lobe nodule measures 14 x 14 mm, previously 13 x 13 mm (series 6, image 46). Unchanged ill-defined nodular opacities in the lef... | Stable pulmonary masses, reference lymph nodes, and small left posterior chest wall soft tissue metastases. No new sites of disease. |
Generate impression based on findings. | 28 year old female. Reason: r/o adenopathy, recurrence History: h/o thyroid cancer, s/p surgery and now XRT. LUNGS AND PLEURA: No suspicious pulmonary nodules identified.MEDIASTINUM AND HILA: No, mediastinal or hilar lymphadenopathy. The previously enlarged right paratracheal lymph node remains resolved.CHEST WALL: No ... | No evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 65-year-old male. Reason: 64Yrs male 27 months s/p left lower lobe wedge excision of a T1aN0M0 stage IA adenocarcinoma and 14 years s/p left upper lobectomy for management of a T2N0M0 stage IB lymphoepithelioid tumor History: history of lung cancer. Streak artifact from right orthopedic shoulder prosthesis limits evalu... | No evidence of recurrence or metastatic disease. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Moderate coronary artery calcifications are present, as well as a minimal pericardial effusion.A right jugula... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 66 year-old male with T1N0 base of tongue cancer, pyriform, and FOM cancer. Evaluation of the tongue and floor of mouth are limited by streak artifact from dental amalgam. Post surgical changes from a right floor of mouth wide local excision, excision of the right submandibular gland, and bilateral neck dissection are ... | 1.Postsurgical changes s/p wide local excision at the floor of the mouth, with interval resolution of previously seen submental fluid collection and increased prominence of post-treatment changes as detailed above. 2.No findings to suggest disease recurrence or metastatic adenopathy. 3.Multilevel degenerative disease o... |
Generate impression based on findings. | 20 year-old female with chronic nasal congestion. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is mild mucosal thickening in the bilateral maxillary sinuses. The frontal sinuses, frontal-ethmoid recesses, anterior/posterior ethmoids, and sphenoid... | Unremarkable CT paranasal sinus apart from mild maxillary sinus mucosal thickening. |
Generate impression based on findings. | 70 year old female. Reason: Gastric cancer please compare to previous imaging and provide measurements for all index including Gastrohepatic lymph node as required for RECIST History: As above CHEST:LUNGS AND PLEURA: Slight interval increase in scattered bilateral nodular ground-glass opacities which are nonspecific bu... | 1.Interval increase in size of the previously described pulmonary groundglass opacities which do not have the typical imaging appearance of metastatic disease although multifocal adenocarcinoma in situ is a differential consideration.2.Persistent mediastinal and hilar adenopathy. 3.Persistent hepatic metastases, some o... |
Generate impression based on findings. | Clinical question: Rule out stenosis. Signs and symptoms: Possible acute stroke. Nonenhanced head CT:No detectable acute intracranial process.As was noted on prior exam there is evidence of age indeterminate small muscle ischemic strokes evident by the ventricle and subcortical low attenuation of white matter. Minimal ... | 1.Nonenhanced head CT demonstrate no acute intracranial process. Age indeterminate small less ischemic strokes as detailed. 2.CTA of the neck demonstrates very small hypoplastic right vertebral artery. There is a small calcific plaque at the origin of this hypoplastic right vertebral with suspected high-grade stenosis.... |
Generate impression based on findings. | 52-year-old male. Metastatic laryngeal cancer to the lung status post CRT and laryngectomy. On therapy. CHEST:LUNGS AND PLEURA: Volume loss and scarring extending from the right hilum to the apex with associated soft tissue measuring up to 17 mm in thickness is unchanged (series 3, image 50). Left apical fibrosis.No su... | Stable examination with reference measurements provided. No new sites of disease. Left pleural effusion has resolved. Persistent aspiration bronchiolitis most severe in the right lower lobe. |
Generate impression based on findings. | 76-year-old male with a history of bladder cancer. Status post TURBT. Evaluate for recurrence. ABDOMEN:LUNG BASES: Scattered pulmonary micronodules, appearing similar to the prior study. No new pulmonary nodules or masses are identified. There are marked coronary artery calcifications.LIVER, BILIARY TRACT: Subcentimete... | 1. No significant interval change in reference pelvic adenopathy.2. Gallstones without evidence of acute cholecystitis. |
Generate impression based on findings. | 81 year-old male with hoarseness secondary to vocal cord tumor. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. The previously seen enhancing lesion in the anterior two third of the right true vocal cord now measures 10 x 6 ... | Interval decrease in size of a right vocal cord mass as described above. No cervical lymphadenopathy. |
Generate impression based on findings. | 72 year-old male. Explanation of neck mass, acute hemoglobin drop. Mass noted on CXR. CHEST:LUNGS AND PLEURA: Left perihilar irregular, necrotic mass measures 5.2 x 6.5 cm (series 3, image 38) with extension to the pleural surface associated pleural mass on series 5, image 34. It is continuous with the left main pulmon... | 1. Left perihilar irregular necrotic mass compatible with a primary lung malignancy with extension to the mediastinum and pleural surface. 2. No hematoma identified to explain hemoglobin drop. |
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