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Generate impression based on findings. | Reason: Pt with hx of tonsil Ca; s/p CRT 2 year 11 months . Please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Small nodular ground glass opacities in the right lower lobe, suggestive of aspiration, new from previous.MEDIASTINUM AND HILA: Small right thyroid nodule unchanged and likely ... | No evidence of metastatic disease. |
Generate impression based on findings. | 69-year-old male with fever and lymphadenopathy. No infectious source. History of lymphoma and thymoma, in remission. CHEST:LUNGS AND PLEURA: Note is made of paramediastinal fibrosis, which may represent posttherapy changes. Bibasilar scarring/atelectasis.MEDIASTINUM AND HILA: Vascular calcifications of the aorta and i... | 1. 13-mm nonspecific hypodensity in the right lobe liver. This lesion is suspicious for metastases. Further evaluation with a contrast-enhanced MRI is recommended.2. Slight interval increase in retroperitoneal lymphadenopathy. 3. Interval resolution of the previously described left-sided hydronephrosis. Punctate, nonob... |
Generate impression based on findings. | Reason: PATIENT WITH HIV AND HX OF TUBERCULOSIS, POOR HX BY DAUGHTER, PATIENT NOT ON MEDICATIONS FOR TB History: PATIENT WITH HIV AND HX OF TUBERCULOSIS, POOR HX BY DAUGHTER, PATIENT NOT ON MEDICATIONS FOR TB LUNGS AND PLEURA: Moderate upper zone centrilobular emphysema.Mild basilar dependent atelectasis.No sign of TB ... | 1.Moderate emphysema. No sign of TB or other active pulmonary disease.2. Dilated biliary and pancreatic ducts of uncertain etiology. |
Generate impression based on findings. | 59 year old female with history of one week of progressive left lower quadrant pain, nausea vomiting and diarrhea with chills and history of diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No sign... | No small bowel obstruction, no free air and no radiographic evidence of diverticulitis. |
Generate impression based on findings. | hoarseness, left vocal cord weakness, right facial weakness, bilateral submandibular gland enlargement. Head: There is no evidence of intracranial mass or abnormal enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. Neck: The larynx appears unrem... | The submandibular glands and parotid glands are mildly prominent, but without focal lesions. This may represent sialosis, perhaps related to alcohol. The larynx appears unremarkable, without discernable polyp or other mass lesions, although laryngoscopy is often more sensitive for small mucosal lesions. No significant ... |
Generate impression based on findings. | Male 33 years old; Reason: cva History: cva. Note that the cerebral convexities were not included. Within these limitations, mean transit time, time to peak and, cerebral blood volume and cerebral blood flow maps do not identify any evidence for hypoperfused territory. | No CT evidence of perfusion abnormalities in the visualized brain. Note that the high convexities were not included which precludes analysis of this region. |
Generate impression based on findings. | Abdominal pain and vomiting and fever 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: There is mild right-sided hy... | Significantly enlarged leiomyomatous uterus, causing compression of the right ureter and mild right hydronephrosis. Fat stranding around the right ureter and the kidney is suggestive of pyelonephritis. Correlation with urinalysis is recommended.Complexed left adnexal cystic mass, suspicious for cystic ovarian neoplasm. |
Generate impression based on findings. | 83-year-old male with relapsed follicular lymphoma status post 6 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: There is interval resolution of the previously described focal airspace opacity in the left upper lobe. Scattered calcified, noncalcified, and ground glass small pulmonary nodules are stable from the prior e... | 1. Slight interval decrease in size of reference prevascular, mediastinal, retroperitoneal, and left inguinal lymph nodes. 2. Persistent 5.0-cm abdominal aortic aneurysm. |
Generate impression based on findings. | History of hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Small cystic lesion at the pancreas, unchanged.ADRENAL GLANDS: Bilateral nodular adrenal glands, unchanged. Right adrenal adenoma, measuring 2.... | Bilateral renal cysts are unchanged. Some of these renal lesions are too small to characterize. No CT findings to explain patient's hematuria.Right adrenal adenoma, unchanged.Cystic pancreatic lesion is unchanged. |
Generate impression based on findings. | Female 55 years old; Reason: 55 year old female with relapsed lymphoma. On observation. Compare to prior scan. History: none CHEST:LUNGS AND PLEURA: Mild upper lobe dominant emphysematous changes. There are multiple new focal ground glass opacities in both lungs.There is near symmetric upper lobe and lower lobe distrib... | 1.New bilateral multiple ground-glass nodules. Atypical infection would be the leading differential. Allergic drug reaction and hypersensitivity would also be considered.2.No change in the size of the target lesions. |
Generate impression based on findings. | 56-year-old male. Abnormal CXR. Evaluate lung fields. LUNGS AND PLEURA: Mild left pleural thickening. Calcified left lung granuloma. Left basilar subsegmental atelectasis/scarring. Mild lower lobe bronchial wall thickening.No focal airspace consolidation.MEDIASTINUM AND HILA: Left subclavian ICD leads terminate in the ... | 1. Mild lower lobe bronchial wall thickening. 2. Enlarged mediastinal lymph nodes, likely reactive. |
Generate impression based on findings. | left frontal meningioma - for intraop guidance/preop planning (cannot have MRI)Signs and Symptoms: tumor bleed; preop planning There is some 19 x 20 mm axial dimension extra-axial contrast enhancing mass which abuts the falx cerebra and the adjacent left superior frontal gyrus which is associated with vasogenic edema e... | 1.There is an extra-axial parafalcine mass present associated with the adjacent brain edema along the left frontal lobe and left paracentral lobule2.patient status post posterior fossa surgery. There is some encephalomalacia present in the cerebellum. There is an extra-axial fluid collection present in the posterior fo... |
Generate impression based on findings. | 73-year-old female patient with right shoulder osteoarthritis. Preoperative planning. There is medial narrowing of the glenohumeral joint with bone on bone apposition, osteophyte formation and subchondral cysts indicating severe osteoarthritis. The glenohumeral joint alignment is within normal limits and there is no fr... | Arthritic changes with joint effusion as described above. |
Generate impression based on findings. | Reason: nodular opacity ? breast on the CXR History: ams LUNGS AND PLEURA: Mild upper zone centrilobular emphysema.Clustered nodular ground glass and air space opacities in the left lower lobe, suggestive of aspiration.No other suspicious pulmonary nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy.Extensive ... | Focal opacities in left lower lobe suggestive of aspiration. No specific evidence of primary or metastatic cancer in the lungs. |
Generate impression based on findings. | 60 year old male. Metastatic mesothelioma and positive sputum for mycobacterium. Evaluate for underlying infectious disease. CHEST:LUNGS AND PLEURA: New focal airspace opacity in the right upper lobe (series 5, image 60), consistent with infection. Surgical changes at right lung base with a mesh graft again noted. Righ... | 1. New right upper lobe focal airspace opacity consistent with infection.2. Significant interval increase in right hemithorax pleural thickening and mediastinal lymphadenopathy.3. Numerous bilateral lung nodules consistent with hematogenous dissemination of tumor, not significantly changed from immediate prior CT but m... |
Generate impression based on findings. | Male 67 years old; Reason: Stage IV Esophagogastric Adenocarcinoma please compare to previous scan and provide index lesion measurements per RECIST History: As Above CHEST:LUNGS AND PLEURA: Stable bronchiectasis and scarring in the left apical anterior segment and in the left posterior medial lung segments. No suspicio... | 1.Multiple peritoneal and pelvic lymph nodes may represent peritoneal deposits versus metastatic disease and from a rectal primary.2.Sclerotic changes involving the transverse process of T5 and lumbar spine suspicious for metastatic disease, unchanged.3.Bosniak II F. left renal lesion is stable. |
Generate impression based on findings. | Male 55 years old; Reason: Prostate Cancer, evaluation of diease after 6 cycles of investigational therapy. History: Prostate Cancer ABDOMEN:LUNGS BASES: Non specific 4mm pleural based nodule in the right lung base.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS:... | 1. Prostate cancer s/p radiation seed therapy with metastatic disease in the spine and non specific retroperitoneal adenopathy.2.Non specific 4 mm nodule in the right lung base. CT chest advised for full characterization. |
Generate impression based on findings. | 76-year-old male with high-grade urothelial cancer and liver lesion. Evaluate liver for lesions. ABDOMEN:LUNG BASES: Bilateral lower lobe dependent atelectasis and left lower lobe scarring. Pacemaker leads with tips in the right atrial appendage and right ventricular apex are unchanged. Small pericardial effusion/thick... | 1.No significant interval change in a nonspecific subcentimeter homogenously hyperenhancing lesion in the right hepatic lobe, which may represent a flash filling hemangioma, however, follow up examination is recommended.2.No evidence of local recurrence. |
Generate impression based on findings. | Reason: Pt with BOT scc completed CRT in 2011. please re-eval for recurrent disease History: as above CHEST:LUNGS AND PLEURA: Mild upper lobe predominant paraseptal and centrilobular emphysema. Small cyst in the right middle lobe with slight wall thickening and adjacent interstitial opacity, unchanged since 2011. No su... | No evidence of metastatic disease. |
Generate impression based on findings. | Clinical question:? Hemorrhage left occipital. Signs and symptoms: AMS. Nonenhanced head CT:Examination demonstrate no convincing evidence of hemorrhage. Previously noted foci of increased density. in the left posterior temporal -- occipital region is significantly better visualized on the current study and clearly app... | 1.No evidence of intracranial hemorrhage.2.Focus of increased density in the left posterior temporal -- occipital region on the current exam clearly appears to represent calcification and not hemorrhage.3.Stable exam since prior study and without detectable new acute findings. |
Generate impression based on findings. | Reason: ?interval change - pt has history of interferon induced pneumonitis/fibrosis History: hypoxia LUNGS AND PLEURA: Moderate basilar bronchiectasis unchanged.Minimal subpleural fibrotic changes in the mid and lower lung zones similar in appearance to the prior exam.No new pulmonary opacities noted.No suspicious pul... | Basilar predominant traction bronchiectasis and mild subpleural fibrosis, unchanged. No acute abnormalities. |
Generate impression based on findings. | Reason: right vocal cord paralysis unknown etiology History: right vocal cord paralysis unknown etiology LUNGS AND PLEURA: Stable 11 by 8mm left upper lobe nodule with features suggestive of a hamartoma or granuloma.Additional very small nodules and scarring, unchanged.Mild centrilobular emphysema.Surgical staples at t... | No significant change and no specific evidence of neoplasm in the chest. |
Generate impression based on findings. | Reason: Egus CA on treatment. Please re-eval. Thanks. History: Egus CA CHEST:LUNGS AND PLEURA: Stable centrilobular and paraseptal emphysema.Mild bronchial wall thickening. Scattered areas of scarring in the left upper lobe, and right lower lobe.No suspicious pulmonologist or masses.No pleural effusions.MEDIASTINUM AND... | Interval decrease in gastroesophageal mass and multiple hepatic metastases. No new sites of disease identified. |
Generate impression based on findings. | Reason: compare to image from 11/2013, s/p treatment for aspiration pnuemonia History: cough LUNGS AND PLEURA: Bilateral upper lobe scarring and mild emphysema.Diffuse reticular interstitial opacities in the subpleural regions and lung bases with bronchial thickening, likely chronic.Moderately large left pleural effusi... | Findings the left hemithorax consistent with pleural effusion, possibly loculated, with underlying rounded atelectasis, not significantly changed. |
Generate impression based on findings. | Clinical question: Polyp of the nasal cavity. Signs and symptoms: Nasal polyp. Medtronic fusion sinus CT:Frontal sinuses.Very minimal mucosal thickening in the very dependent portion of bilateral frontal sinuses are present.Ethmoid sinuses. Evidence of bilateral ethmoidectomies. Mild bilateral mucosal thickening is not... | 1.Extensive chronic sinusitis and small retention cyst in paranasal sinuses with the exception of the frontal sinuses.2.Extensive postoperative changes of bilateral endoscopic functional sinus surgery and including partial bilateral ethmoidectomies.3.Occluded bilateral sphenoethmoidal recess, compromised however patent... |
Generate impression based on findings. | 69 year old female. Reason: h/o met thyroid ca, compare to previous, measurements pls History: none. LUNGS AND PLEURA: No significant interval change in size or number of innumerable bilateral diffuse pulmonary metastases. A reference left upper lobe lesion measures 12 x 12 mm (image 21, series #4), previously 12 x 12 ... | 1.Interval increase in size of the metastatic lesion of the left fifth rib.2.No significant interval change in pulmonary metastases, mediastinal/hilar lymphadenopathy, and left hepatic lobe metastasis.3.Right thyroid bed mass. Refer to CT scan of the neck for complete characterization. |
Generate impression based on findings. | Female 70 years old; Reason: 69 F with locally recurrent colon cancer s/p resection with persistently elevated CEA. Please eval for residual/metastatic disease. History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Minimal dependent atelectasis.MEDIASTINUM AND HILA: Right chest port catheter ... | 1. Likely metastatic implants in the anterior subcutaneous soft tissues, new from previous exam.2. Decrease in size of the previously referenced metastatic implant adjacent to the right colon. 2. Stable hepatic lesions, likely all benign. |
Generate impression based on findings. | 85 years. Male. Reason: right vocal cord paralysis unknown etiology History: right vocal cord paralysis unknown etiology Soft tissue evaluation is limited by lack of intravenous contrast.Head: There is no mass effect, midline shift, or acute hemorrhage. There is mild diffuse parenchymal volume loss without evidence of ... | 1. Evidence of right vocal cord paralysis without discrete mass or lymphadenopathy on this noncontrast exam. Surgical sutures in the right lung apex, in the expected vicinity of the expected course of the right recurrent laryngeal nerve. Please refer to the separate chest CT report as well. 2. No definite evidence of i... |
Generate impression based on findings. | Male 64 years old; Reason: metastatic prostate cancer, confirmatory scan to evaluate of progression History: metastatic prostate cancer, CHEST:LUNGS AND PLEURA: The previously referenced 1.2 x 1.1 cm right upper lobe nodule is now not measurable (series 5 image 37). Smaller scattered micronodules. Peripheral airspace o... | Stable nodal and bone metastatic disease without new lesions detected. |
Generate impression based on findings. | 20 year-old female with history of rhabdomyosarcoma, off therapy, evaluate for progression CHEST:LUNGS AND PLEURA: Micronodule along the left major fissure likely represents an intrapulmonary lymph node. No suspicious nodules or masses. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: Large bilateral th... | 1.No evidence of recurrent or metastatic disease.2.Multinodular thyroid gland. |
Generate impression based on findings. | 62-year-old male with urothelial cancer status post radical cystectomy. Evaluate for recurrence. Lack of intravenous contrast limits evaluation of solid organs as well as the collecting system.CHEST:LUNGS AND PLEURA: Note is made of paraseptal emphysema with an upper lobe predominance. Small right Bochdalek hernia.MEDI... | 1. Mediastinal and inguinal lymphadenopathy. Limited evaluation of the collecting systems, secondary to lack of intravenous contrast.2. 4.3-cm low density pelvic collection which may represent a lymphocele or seroma, although necrotic lymphadenopathy is a consideration. Further evaluation with a contrast enhanced MRI i... |
Generate impression based on findings. | 78 year-old male with metastatic prostate cancer. Evaluate disease after 3 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: Biapical scarring/atelectasis. Note is made of extensive centrilobular and paraseptal emphysema with an upper lobe predominance. There are scattered bilateral pulmonary micronodules. Not... | 1. Apparent interval increase in numerous sclerotic lesions affecting the axial and proximal appendicular skeleton consistent with the stated history of metastatic prostate cancer, however, further evaluation with a dedicated nuclear medicine bone scan is recommended.2. Persistent 3.4-cm pelvic fluid collection. 3. Per... |
Generate impression based on findings. | Reason: Esophageal cancer on treatment, please re-eval. Thanks. History: Egus ca CHEST:LUNGS AND PLEURA: Posterior paramediastinal postradiation fibrotic changes , more prominent on the left , and left basilar atelectasis stable.Minimal focal increase in pleural fluid adjacent to the medial basilar area of atelectasis ... | 1.No interval change in distal esophageal wall thickening. No new sites of disease identified. |
Generate impression based on findings. | Reason: Lung ca - on treatment, please reevaluate. Thanks. History: Lung cancer CHEST:LUNGS AND PLEURA: Spiculated subpleural nodule posteriorly in the left upper lobe measuring 15 x 16 mm on axial sections and 21 mm on coronal images, slightly decreased from 26 mm previously.Interval resolution of a small left pleural... | 1. Slightly decreased left upper lobe nodule, with decreased left pleural effusion.2. Decreased anterior and nodular pleural thickening in the left hemithorax consistent with metastatic disease. |
Generate impression based on findings. | Clinical question: Rule out chronic sinusitis. Medtronic fusion sinus CT:Frontal sinuses.The frontal sinuses are not developed. This is a normal anatomical variation.Ethmoid sinuses.Extensive bilateral ethmoid sinusitis (left greater than right).Sphenoid sinus.Small amount of frothy contents and the dorsal (dependent p... | 1.Anatomical variation or non-pneumatized frontal sinuses.2.Acute sinusitis the sphenoid sinus evident by a small amount of frothy sinus contents.3.Extensive (right greater than left) chronic sinus disease of bilateral maxillary sinuses with resultant occluded bilateral ostiomeatal units.4.Extensive bilateral ethmoid s... |
Generate impression based on findings. | 11 year old female with scaphoid fracture There is a fracture along the volar and and ulnar aspect of the distal radial metaphysis extending into the physes in near-anatomic alignment. No epiphyseal involvement is evident. A small amount of callus formation is seen. No additional fractures are evident, specifically no ... | 1.Healing Salter Harris 2 fracture of distal radius.2.No scaphoid fracture. |
Generate impression based on findings. | Reason: cough with abnormal CXR History: cough with abnormal CXR LUNGS AND PLEURA: Upper lobe predominant multifocal areas of subpleural scarring .Basilar subpleural areas of subsegmental atelectasis.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenop... | Upper lobe and apically predominant subpleural fibrotic changes compatible with a prior inflammatory process. No acute abnormalities identified. |
Generate impression based on findings. | 57 year-old male. DLCL lymphome with right PA and bronchus encasement with SOB. LUNGS AND PLEURA: Lower lobe bronchiectasis with decreased bronchial wall thickening. Basilar subpleural tree-in-bud opacities persist consistent with residual bronchiolitis. Interval resolution of right base consolidation and right upper l... | 1. Resolution of right base consolidation and decrease in right upper lobe nodular opacities and basilar bronchial wall thickening. No new pulmonary opacities.2. interval increase in bulky mediastinal lymphadenopathy.3. Interval stenting of right bronchus intermedius with reexpansion of lumen. |
Generate impression based on findings. | Altered mental status Tachycardia, unspecified The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical confluent white matter hypodensities of a moderate degree are present. Punctate calcifications are present in the globus pallidus bilaterally.Atherosclerotic ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA3.Periventricular and subcortical white matter signal changes are nonspecific. At this age they are most likely vascular related though they could be related to a neurodegenerative proce... |
Generate impression based on findings. | Fever, LAD, no infectious source, hx lymphoma and thymoma in remission. There is interval development of bilateral suprahyoid lymphadenopathy. For example, a left level 2A lymph node measures 22 x 19 mm and a right level 2A lymph node measures 24 x 18 mm. There is also new enlargement of the left lingual tonsil. There ... | Interval development of bilateral suprahyoid lymphadenopathy and left lingual tonsil enlargement, which suggests recurrent lymphoma. |
Generate impression based on findings. | T1N2B BOT SCC p16+ s/p CRT and TFHX completed in 10/2011. There are stable post-treatment findings in the region of the hypopharynx and oropharynx with persistent mild mucosal edema. There is no evidence of tumor recurrence. There is no evidence of significant cervical lymphadenopathy by CT criteria. The aerodigestive ... | No evidence locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: metastatic tonsil ca to lung, s/p CRT, on therapy, eval for dz progression with bi-dimensional measurements, on study 13-0311 History: as above CHEST:LUNGS AND PLEURA: Interval resolution of the previously described 6-mm right upper lobe nodule, which may have been due to infection.Surgical staples in the right... | 1.Slight increase in supraclavicular and paratracheal mediastinal lymph nodes.2. Resolution of right upper lobe nodule. |
Generate impression based on findings. | 69 year-old female. Sarcoma. Evaluate for metastases. CHEST:LUNGS AND PLEURA: Persistent left hemidiaphragm elevation and overlying basilar atelectasis, suspected to be from phrenic nerve paralysis. Mild left apical radiation fibrotic changes.Calcified lung granulomas. No suspicious pulmonary nodules or masses.MEDIASTI... | Nonspecific mildly enlarged mediastinal lymph nodes, increased in size from prior exam. Otherwise no significant interval change. |
Generate impression based on findings. | Male 62 years old; Reason: met CRC History: met crc CHEST:LUNGS AND PLEURA: Left upper lobe mixed ground glass opacity with solid components measures 1.9 x 1 .7 cm, (image 12, series 6), previously 2.4 x 1.5 mm . This morphology is suspicious for an indolent primary adenocarcinoma. Left upper lobe pulmonary micronodule... | 1. Interval decrease in size of large necrotic right middle lobe mass. Additional pulmonary nodules in the left and right upper lobes are also smaller to unchanged. 2. Decrease in size of hepatic metastases. 3. Cecal mass compatible with patient's history of colon cancer.4. No new sites of disease. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: UnremarkableLIVER, BILIARY TRACT: Gallbladder is distended. There is possible cholelithiasis. Fat stranding around the gallbladder. These findings are compatible with acute cholecystitis. Ultrasound may be helpful for further evaluation. No evidence of biliary dilatationSPLEEN: No sig... | Possible acute cholecystitis. Ultrasound may be helpful for further evaluation. |
Generate impression based on findings. | PTC treated with total thyroidectomy and resection left recurrent laryngeal nerve and Montgomery implant placed. The patient then developed an increasing mass in the right paratracheal region that caused intermittent VC weakness. The mass was resected, but there airway obstruction developed resulting in a tracheostomy.... | 1. Continued slight interval increase in size of the infiltrative recurrent tumor that encases the right common carotid artery within the right thyroidectomy bed, which now measures up to 37 mm, previously up to 34 mm. 2. No significant interval change in size of numerous lung, upper mediastinal, and partially imaged l... |
Generate impression based on findings. | Female 49 years old; Reason: RLQ abd pain, r/o inguinal hernia, chr appendicitis, neoplasm etc. History: RLQ abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL G... | 1.Pelvic lymphadenopathy, not significantly changed from CT dated 6/3/2008.. Etiology is unknown. 2. Dilated endometrial canal. Correlation with ultrasound I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Malignant neoplasm of upper lobe, bronchus or lungMalignant neoplasm of colon, unspecified site The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a moderate degree of periventricular and subcortical confluent hypodense white matter lesions present .No abnormal enhancing mass le... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.No evidence for brain metastases on this CT exam. Please note that MR is more sensitive in detecting metastases than CT. Specifically there is MRI from 3/11/13 which demonstrated a metastatic lesion which was not readily identified on the temporally... |
Generate impression based on findings. | 57 year old female with a history intra-abdominal fluid collections. Evaluate fluid collections. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with basilar consolidation/atelectasis.LIVER, BILIARY TRACT: Interval decrease in size of right sub-diaphragmatic abscess, which currently measures approximate 1.8 cm in... | 1. Chronic appearing infrahepatic IVC thrombus. Persistent perfusion abnormality affecting the right lobe of the liver may also represent thrombosis of the right portal vein.2. Interval decrease in size of large right sub-diaphragmatic abscess. 3. Persistent left upper quadrant abdominal collection with fistulous commu... |
Generate impression based on findings. | 58-year-old male. Reason: nasopharyngeal cancer compare to last CT \T\ measure 1) nasopharyngeal mass, 2) LLL nodule, 3) segment 8 liver lesion \T\ 4) left paraaortic node History: post 2 cycles of therapy. CHEST:LUNGS AND PLEURA: Interval increase in size of numerous pulmonary metastases with no definite new lesions i... | 1.Recommend future exams with IV contrast unless clinically contraindicated.2.Progression of metastatic disease with interval growth of numerous pulmonary and likely hepatic metastases, though incompletely evaluated. Recommend dedicated hepatic imaging for more complete characterization if clinically indicated.3.New gr... |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Weakness. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Examination demonstrates interval complete resolution of previously seen left cerebellar acute hemorr... | 1.There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.2.Complete resolution of previously noted left cerebellar hemorrhage an with residual focus of encephalomalacia.3.Grossly stable age indeterminate mild small vessel ischemic stroke... |
Generate impression based on findings. | Metastatic breast cancer CHEST:LUNGS AND PLEURA: Bilateral small pleural effusions. Biapical fibrosis.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Fatty infiltration of the liver. No focal liver lesions.SPLEEN: No significant abnormali... | Diffuse bone metastases involving the entire skeleton. Fat infiltration of the liver.Bilateral small pleural effusions, more on the right compared to the left. |
Generate impression based on findings. | Ovarian cancer CHEST:LUNGS AND PLEURA: Elevated right hemidiaphragm.MEDIASTINUM AND HILA: Paracardiac borderline enlarged lymph node unchangedCHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abno... | Interval increase in the size of the large pelvic mass.Possible peritoneal nodule lateral to the cecum. |
Generate impression based on findings. | Female 61 years old; Reason: abdominal pain post ERCP, r/o perforation History: abdominal pain ABDOMEN:LUNGS BASES: Heart size is enlarged. Minimal basilar atelectasis.LIVER, BILIARY TRACT: Liver contour is smooth. Parenchyma is unremarkable for unenhanced technique.SPLEEN: No significant abnormality noted.PANCREAS: Mu... | Status post placement of pancreas duct stent that terminates within the duodenum. Small foci of gas within the pancreatic parenchyma are likely postprocedural. Findings suspicious for small foci of free air adjacent to the colon near the hepatic flexure. There are multiple air containing colonic diverticula in the adja... |
Generate impression based on findings. | Fever, strep+, neck stiffness. There are prominent palantine tonsils and adenoids as well as enlarged bilateral suprahyoid lymph nodes. There is associated moderate narrowing of the oropharynx and nasopharynx. There is no swelling of the retropharyngeal soft tissues., There is no fluid collection to suggest abscess. Th... | Enlargement of the palantine tonsils and adenoids as well as enlarged bilateral suprahyoid lymph nodes, likely related to pharyngitis. No evidence of retropharyngeal abscess. |
Generate impression based on findings. | 73-year-old male with metastatic pancreatic cancer on chemotherapy. Presents with bloating. ABDOMEN:LUNG BASES: Right chest port tip terminates at the cavoatrial junction.LIVER, BILIARY TRACT: Multiple hypoattenuating lesions in the liver are suspicious for metastatic disease appearing similar to the prior study. For r... | Interval increase in size and number of numerous sclerotic bony lesions throughout the axial and proximal appendicular skeleton with interval decrease in size of the numerous hepatic metastatic lesions. No significant interval change in size of the pancreatic mass with associated splenic vein thrombosis/occlusion. |
Generate impression based on findings. | 81 year-old female with recurrent low grade ovarian cancer CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.... | Retroperitoneal adenopathy and most of the pelvic adenopathy and postsurgical changes in the left inguinal region are unchanged. One of the Left pelvic lymph nodes has increased in size within interval.Infiltrative soft tissue mass invading the left pelvic sidewall adjacent to the left acetabulum is unchanged. |
Generate impression based on findings. | SCC of the left tonsil s/p cis-RT with lung metastases, followed by chemotherapy with carbo/taxol/cetux. Head: There is no evidence of intracranial masses or abnormal enhancment. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The paranasal sinuses and ma... | 1. Stable to slight continued interval increase in size of right lower cervical and paratracheal lymphadenoapthy. Otherwise, no evidence of locoregional tumor recurrence in the left tonsillar region or significant suprahyoid lymphadenopathy. Please refer to the separate chest CT report for additional findings.2. No evi... |
Generate impression based on findings. | Reason: previous afib ablation- eval pulm vein History: fatigue The overall heart size is normal.Left Atrium: There are four distinct pulmonary veins which drain normally into the left atrium, two on the right and two on the left There is no evidence of left atrial appendage thrombus.RSPV: 17 X 20 mmRIPV: 16 X 17 mm. T... | 1. Normal pulmonary vein anatomy, with branching patterns as above. 2. There is no evidence of left atrial appendage thrombus. 3. Diffuse but mild coronary artery disease, as described above |
Generate impression based on findings. | 52 year-old female status post liver transplant with abdominal pain. ABDOMEN:LUNG BASES: Interval resolution of previously described right basilar consolidation. No pleural effusion or pneumothorax. Prominent cardiophrenic lymph node, unchanged.LIVER, BILIARY TRACT: No evidence of ascites. Postoperative changes consist... | Postoperative changes consistent with stated history of liver transplant without evidence of hepatocellular carcinoma. |
Generate impression based on findings. | Female 69 years old; Reason: evaluate for progression. History: sarcoma. Again seen is extensive surgical change within the left supraclavicular fossa and left posterior neck, unchanged. This includes volume loss with resection of at least the trapezius and levator scapulae muscles. The defect is bridged with a fatty s... | No evidence of recurrent disease. |
Generate impression based on findings. | 36 year old female with a history of recurrent UTIs and nephrolithiasis. Evaluate for nephrolithiasis. Lack of intravenous contrast limits evaluation of solid organs. Lack of enteric contrast with evaluation of bowel.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality no... | Bilateral nonobstructing renal calculi. |
Generate impression based on findings. | Nasopharyngeal cancer with lung, liver mets and retroperitoneal lymph nodes on IRB 12-0169. The examination is limited by lack of intravenous contrast administration. Within these limitations, there has been marked interval decrease in size of the right nasopharyngeal mass, without measurable residual disease. The skul... | 1. The examination is limited by lack of intravenous contrast administration. Within these limitations there has been marked decrease in size of the right nasopharyngeal carcinoma, without evidence of measurable residual tumor. No definite evidence of significant cervical lymphadenopathy. 2. Numerous partially imaged m... |
Generate impression based on findings. | Reason: evaluate for resolution of pneumonia History: dyspnea LUNGS AND PLEURA: Interval resolution of the extensive air space and groundglass opacities in both lungs. A minimal residual pleural and parenchymal scarring at the bases.Small right pleural effusion is present.No suspicious pulmonary nodules or masses.MEDIA... | 1.Significant interval clearing and resolution of extensive airspace groundglass opacities bilaterally.2.Small right pleural effusion.3.No significant acute cardiopulmonary abnormalities. |
Generate impression based on findings. | Reason: h/o HNC, CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of a pericardial effusion.Mild coronary calcification.CHE... | No interval change without evidence of metastatic disease. |
Generate impression based on findings. | 48 years old Male. Reason: h/o HNC, CRT, compare to previous, measurements pls Postsurgical changes of a right nodal dissection are similar to prior. Soft tissue stranding and pharyngeal mucosal edema are consistent with postradiation changes, slightly decreased in extent. No new masses. No lymphadenopathy.Limited view... | Stable postsurgical and post radiation changes without evidence of new lymphadenopathy or masses. |
Generate impression based on findings. | 51-year-old female. Status post right lower lobectomy. LUNGS AND PLEURA: Post-surgical changes right lower lobectomy. Scattered micronodules. 5 mm right basilar nodule (series 4, image 48).Moderate centrilobular emphysema.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: Mild degenerative change... | Moderate emphysema. Right lung base 5 mm nodule. Left adrenal nodule is incompletely characterized. Retrieval of prior CTs requested for comparison. |
Generate impression based on findings. | Female 69 years old; Reason: pt with metastatic breast cancer on treatment please assess disease response and compare to previous imaging History: MBC CHEST:LUNGS AND PLEURA: Small calcified micronodules consistent with previous granulomatous infection. No suspicious nodules.Mild chronic reticular and ground-glass inte... | 1.Stable nodularity in the right breast with stable inguinal nodal involvement. 2.Linear enhancement of the left gluteus muscle of unclear etiology. |
Generate impression based on findings. | 35-year-old female with fibrolamellar carcinoma with liver treated with resection and RFA. History of thoracic and pelvic disease either resected or embolized. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Reference paracaval lymphadenopathy measures 7.2 cm in the short axis, previously... | Large hepatic mass and associated abdominopelvic lymphadenopathy consistent with the stated history of metastatic fibrolamellar carcinoma. There is associated thrombosis of the portal vein and infrahepatic IVC as seen on a recent MRI. |
Generate impression based on findings. | Nasal congestion, chronic sinusitis. There are postoperative findings related to bilateral uncinectomy, internal ethmoidectomy, and middle turbinectomy. There is mild mucosal thickening within the left maxillary sinus. The left neoinfundibulum is patent. There is moderate opacification of the right maxillary sinus and ... | Findings of endoscopic sinus surgery with scattered paranasal sinus opacification amidst changes that are compatible with chronic sinusitis. |
Generate impression based on findings. | 73-year-old male with shortness of breath and opacity on recent chest radiograph. CHEST:LUNGS AND PLEURA: Note is made of small to moderate sized bilateral pleural effusions with underlying atelectasis/consolidation. There is pleural fluid tracking along the major fissure on the left. Multiple calcified granulomas are ... | 1. Bilateral pleural effusions, left greater than right, with underlying atelectasis/consolidation.2. Mild hepatomegaly. |
Generate impression based on findings. | 36 year-old female with melanoma -- status post 2 cycles of treatment -- assess response to therapy CHEST:LUNGS AND PLEURA: Enlarging nodules throughout both lungs. The prior reference left peri-fissural nodule (series 4 image 48) has increased in size and now measures 5.2 x 4.6 cm, previously 5.0 by 4.0 cm. No definit... | 1. Slight interval increase in size of reference pulmonary metastatic lesions with persistent mediastinal lymphadenopathy. 2. Slight interval decrease in size to stable diffuse liver metastatic lesions.3. Interval increase in size of ill-defined mixed lytic/sclerotic lesion in the L5 vertebral body consistent with meta... |
Generate impression based on findings. | 85 years old Female. Reason: rule out head bleed History: weakness The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. Subtle periventricular hypoattenuating foci may reflect mild small vessel ischemic changes, similar to prior. There is no mass effect, e... | Negative for acute abnormality. |
Generate impression based on findings. | Female 92 years old; Reason: stroke History: aphasia, R sided weakness. Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the right and left subclavian arteries, right and left common carotid arteries, ... | 1.No evidence for acute intracranial hemorrhage.2.Increased sulcal effacement and edema within the MCA territory consistent with large acute ischemic infarct.3.Significant atherosclerotic calcification of the cavernous and supra-clinoid internal carotid arteries but no discrete evidence for intracranial cerebrovascular... |
Generate impression based on findings. | 73 years old Male. Reason: esophageal foreign body, infection? History: prevertebral soft tissue swelling, dysphagia, candidiasis Limited imaging through the skull base is unremarkable. Patient is edentulous.An enhancing soft tissue mass obliterates the piriform sinuses, right greater than left, and results in severe n... | 1. Narrowing of the hypopharyngeal airway by an enhancing soft tissue mass. This, and the presence of a necrotic left jugulodigastric lymph node, is highly suspicious for neoplasm with extension along the superior paraglottic space bilaterally. Infection is considered much less likely. 2. 5mm hypoattenuating lesion in ... |
Generate impression based on findings. | 53 year old female with history of internal hernia and recent abdominal surgery. ABDOMEN:LUNG BASES: Bibasilar dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKID... | Findings of free air with a small amount of ascites and an area of slight loculation anterior to the anastomosis is suggestive of an anastomotic leak.These findings were discussed with the surgery resident Dr. Stern at the 4:00 p.m. |
Generate impression based on findings. | Swelling, mass, or lump in head and neck Enlargement of lymph nodes Serial CT images obtained during the biopsy procedure demonstrate the needle placement within the left neck mass. post procedural images demonstrate some air bubbles within the parotid lesion. | A total of 6 samples (two aspirates and 4 touch preps) were obtained and given for cytopathologic analysis. The cytopathologist suggested this most likely represents lymphoid tissue. Please refer to their report for further comments. Four biopsy samples were delivered to surgical pathology in one formalin jar for analy... |
Generate impression based on findings. | 15-year-old female with connective tissue disorder, end-stage renal disease and small vessel vasculitis with chest pain and anemia LUNGS AND PLEURA: There is patchy upper lobe predominant ground glass and tree in bud opacities. No focal consolidation or pleural effusion. No suspicious nodules or masses.MEDIASTINUM AND ... | 1.Upper lobe predominant scattered ground glass and tree in bud opacities is nonspecific. Differential includes pulmonary vasculitis, pneumonitis, viral infection, drug reaction and edema.2.Trace pericardial effusion. |
Generate impression based on findings. | 67-year-old male with a history of of pancreatitis, complicated by pseudocyst formation. Evaluate for necrosis. ABDOMEN:LUNG BASES: Large right-sided pleural effusion and bilateral dependent atelectasis. Interval development of a small left pleural effusion with underlying atelectasis/consolidation.LIVER, BILIARY TRACT... | 1. Interval decrease in size of the previously described pancreatic pseudocysts consistent with the stated history of pancreatitis. Chronic occlusion of the splenic vein is again seen.2. No significant interval change in multiple small hypodense lesions in the liver, some of which are too small to accurately characteri... |
Generate impression based on findings. | 78-year-old female with lymphadenopathy and fungal infection. Concern for occult fungal infection. Lack of intravenous contrast limits evaluation of solid organs.CHEST:LUNGS AND PLEURA: Note is made of small bilateral pleural effusions with overlying atelectasis/consolidation.Scattered bilateral pulmonary micronodules.... | 1. Findings consistent with diskitis/osteomyelitis at the level of the T8/T9 vertebral bodies. Postsurgical changes at the level of T7 to T10, consistent with the stated history of epidural abscess status post laminectomy. Epidural drain in place.2. Small bilateral pleural effusions.3. Scattered bilateral pulmonary mic... |
Generate impression based on findings. | Female 55 years old; Reason: ? appy History: RLQ pain after peri-umbilical pain ABDOMEN:LUNGS BASES: Right hilar lymphadenopathy, partially imaged.LIVER, BILIARY TRACT: Reference right hepatic lobe lesion measures 4.3 x 3. 2 cm (image 77/series 3) previously, 4.8 x 3.3 cm.There is new perihepatic fat stranding suggesti... | 1.New infiltration of the fat adjacent to the right hepatic lobe suggestive of extension of tumor across the hepatic capsule possibly the cause of the patient's right lower abdominal pain. The inflammation or tumor extends to the ascending colon. |
Generate impression based on findings. | Clinical question : Evaluate for possible subdural hematoma. Signs and symptoms going left-sided headache after fall. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissue of the scalp.Unremarkable cerebral cortex, cortical sulci, ventricular system CSF spaces and gray white matte... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule out CVA. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.There are extensive periventricular and subcortical low attenuation of white matter which are ... | 1.No acute intracranial process.2.Age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Large submental swelling, concern for abscess. The images are degraded by patient motion. There is a soft tissue attenuation (40 to 50 HU) focus in the midline of the submental space that measures approximately 25 AP x 30 RL x 15 SI mm. There is associated subcutaneous fat stranding and overlying skin thickening. Howev... | 1. Soft attenuation within the midline submental space that measures up to 30 mm with associated fat stranding likely represents a phlegmon, without rim enhancing fluid collections to suggest abscess.2. A tubular hyperattenuating structure in the medial right external auditory canal likely represents a foreign body. |
Generate impression based on findings. | Clinical question: Right facial droop, nystagmus, fever for two weeks there signs and symptoms: Evaluate mass. Nonenhanced head CT:There is no evidence of an acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.The cerebral cortex, cortical sulci, ventricula... | Negative nonenhanced head CT. |
Generate impression based on findings. | eval for pathology. Metastatic renal cell carcinoma The patient is status post L2 vertebrectomy with instrumentation. The patient is status post posterior fusion with metallic rods and pedicle screws and pedicles screws are present at L4, L3, L1 and T12. Vertebral body cage is present at L2. The general alignment of th... | 1.The patient is status post vertebrectomy and fusion at L2. It is not clear based on this exam whether there is local recurrence or encroachment on the thecal sac or spinal canal due to artifacts from metallic instrumentation. There is effacement of fat planes due to soft tissue infiltration surrounding the spinal can... |
Generate impression based on findings. | Female 59 years old; Reason: sbo History: abd distention ABDOMEN:LUNGS BASES: Nonspecific left lingular and lower lobe pulmonary nodules.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality n... | 1.Asymmetric distention of proximal small bowel loops (jejunum) and normal caliber ileum with mesenteric edema. Differential considerations include ongoing bowel obstruction, vasculitis, infection, inflammation. Consider follow up examination with enterography.2.Pulmonary nodules partially imaged. |
Generate impression based on findings. | 65 year old female. History of lung cancer. Tachycardia, dyspnea. Evaluate for PE. PULMONARY ARTERIES: No convincing evidence of acute pulmonary emboli.LUNGS AND PLEURA: Small pleural effusions bilaterally, partially loculated anteriorly on the right. Postsurgical changes of right middle lobectomy. Right mid lung conso... | 1. no specific evidence of acute pulmonary emboli.2. No significant interval change in right lung areas of consolidation, suspicious for infection superimposed on underlying radiation changes.3. Pancreatic tail enlargement, not significantly changed. |
Generate impression based on findings. | 30-year-old male with a history of ulcerative colitis, status post ileostomy takedown with abdominal pain, fever. Rule out obstruction versus infection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signific... | Postsurgical changes in the abdomen. No evidence of obstruction or intra-abdominal infection, as clinically questioned. |
Generate impression based on findings. | SLE and vasculitis, evaluate for mesenteric thrombus in the setting of nausea, vomiting, and diffuse abdominal pain ABDOMEN:LUNG BASES: Minimal dependent atelectasis.LIVER, BILIARY TRACT: Wedge-shaped hypodensity in the medial segment of the left hepatic lobe suggests focal fat, unchanged. Status post cholecystectomy.S... | 1.No specific evidence of mesenteric ischemia or other acute intraabdominal abnormality.2.Small bowel adhesive disease. |
Generate impression based on findings. | 51-year-old male. Reason: r/o PE History: shortness of breath, hx of DVT and off coumadin. PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolism.LUNGS AND PLEURA: Severe bullous emphysema redemonstrated. Interval increase in moderate right-sided effusion and compressive atelectasis. Right mid... | 1.No evidence of a pulmonary embolism.2.Evidence of increased heart failure, including increased moderate right pleural effusion and slightly increased pulmonary edema.3.Severe bullous emphysema unchanged. |
Generate impression based on findings. | 31 year old female with abdominal pain and vomiting. Status post gastric sleeve with stent placement in December. Lack of intravenous contrast limits evaluation of solid organs.ABDOMEN:LUNG BASES: Right basilar scarring/atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormalit... | 1.No findings to account for patient's symptoms. Interval placement of a gastric stent, otherwise, no significant interval change.2.Bilateral punctate renal stones without evidence of obstruction. |
Generate impression based on findings. | pain, vomiting, rule out obstruction ABDOMEN:LUNG BASES: 1.6 x 1.5 cm pulmonary nodule at the left lung base (series 4, image 12) is new from the prior exam. Several pulmonary nodules are scattered throughout the lung bases. New right pleural effusion.Enlarged azygoesophageal lymph node (series 3, image 4) measures 2.9... | 1.Small bowel obstruction with moderate ascites suggestive of ischemia or carcinomatosis.2.Increasing hepatic and pulmonary metastases.3.New and extensive lymphadenopathy in the chest and abdomen. |
Generate impression based on findings. | Male 79 years old; Reason: eval posterior circulation History: vertical nystagmus. Note that streak artifact from dental hardware limits evaluation.Neck CTA: Retroesophageal aberrant right subclavian artery is noted and there is a common origin of the carotid arteries from the aortic arch.There is no stenosis identifie... | 1.No acute intracranial abnormality.2.Incidental aberrant right subclavian artery and common origin of the common carotid arteries which is a normal variant.3.Diffuse lucency of the visualized osseous structures along the upper chest, correlate for possible underlying systemic disease such as myeloma or metastases.4.Le... |
Generate impression based on findings. | Reason: PE History: hypoxia PULMONARY ARTERIES: The quality of this examination is excellent. No pulmonary embolus to the subsegmental level.LUNGS AND PLEURA: Large right pleural effusion with compressive atelectasis of the right lower lobe.Subsegmental atelectasis involves the left lower lobe. Pulmonary nodule within ... | No pulmonary embolus to the subsegmental level.Large right pleural effusion. 10 x 10 mm nodule left lower lobe with associated posterior pleural-based consolidation and subsegmental atelectasis. The findings may be post inflammatory. Follow-up with thoracic CT in 3 to 6 months following resolution of right pleural effu... |
Generate impression based on findings. | Unspecified intracranial hemorrhage There is redemonstration of a 35 x 63-mm hematoma centered in the right temporal lobe associated with surrounding edema. The dimensions of this hematoma are unchanged. There is associated mass effect with some compression of the trigone of the right lateral ventricle . The visualized... | 1.There is a right temporal lobe hematoma which is stable when compared to the prior exam. |
Generate impression based on findings. | 38 year-old female. Follow-up of ARDS and bilateral pulmonary opacities. LUNGS AND PLEURA: Interval resolution of previously seen multifocal groundglass opacities and right pleural effusion.Interval development of extensive interstitial opacities with associated traction bronchiectasis and architectural distortion, par... | Interval development of acute fibrotic changes in both lungs, right greater than left. Resolution of groundglass opacities and right pleural effusion. |
Generate impression based on findings. | Unspecified intracranial hemorrhage Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the caro... | 1.Findings suggest an arteriovenous malformation associated with multiple pseudoaneurysm and dysplastic vessels located in the right temporal lobe which is the likely source of the patient's intracranial hemorrhage. Conventional angiography can help confirm this. The arteriovenous malformation may be compressed by the ... |
Generate impression based on findings. | Reason: ? pancreatitis History: abdominal pain in h/o cholangiocarcinoma ABDOMEN:LUNG BASES: Basilar scarring/atelectasis.LIVER, BILIARY TRACT: Ill-defined hypodensity along the hepatic fissure (series 3, image 43) suggests tumor involvement. Bilobar biliary stents are present. No intra-or extrahepatic biliary ductal d... | 1.Mesenteric soft tissue nodularity compatible with carcinomatosis.2.Ill defined hepatic hypodensity suggests tumor involvement given the patient's history of cholangiocarcinoma. |
Generate impression based on findings. | Female; 15 years old. Reason: evaluate for spondylosis/spondylolisthesis nonunion History: lbp hx in 2007 of spondylolysis with cheerleading. There is 7 mm of anterolisthesis of L5 upon S1, previously 5 mm. There is persistent bilateral L5 spondylolysis with sclerotic margins. There is a 2 mm wide gap in the par intera... | Bilateral spondylolysis of L5 upon S1 with non-union and associated 7 mm of spondylolisthesis, mild bilateral neural foramen stenosis, and probable heterotopic bone formation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
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