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Generate impression based on medical findings. | Age: 68 yearsGender: MaleReason for Study: Reason: Line position History: As above Tubes and lines unchanged.Stable cardiac mediastinal silhouette.Pleural effusions left greater than right, pulmonary opacities, and left retrocardiac consolidation/atelectasis similar to the prior exam.No new pulmonary opacities identifi... | Support devices unchanged. Stable cardiopulmonary appearance. |
Generate impression based on medical findings. | Again seen are postsurgical changes of bifrontal craniotomy for resection of right frontal meningioma. There is unchanged appearance of the encephalomalacia in the right superior frontal gyrus. There is minimal linear enhancement along the medial aspect of the resection cavity compatible with postsurgical change. No f... | Postsurgical changes of right frontal meningioma resection. No findings to suggest residual or recurrent tumor. |
Generate impression based on medical findings. | Male, 40 years old.Reason: evaluate for TB or nodules History: night sweats, increasing bump to left breast The cardiomediastinal silhouette is upper limits of normal. No focal pulmonary opacity, pleural effusion, or pneumothorax. No cavitary lesions, pleural thickening or calcified granulomas. | No acute cardiopulmonary disease. No evidence of tuberculosis. |
Generate impression based on medical findings. | Female, 29 years old.Reason: eval for pna, effusion History: SOB, CP Clear lungs. No pleural effusion or pneumothorax. No acute bony abnormality. Normal heart size. | No acute cardiopulmonary process on radiography. |
Generate impression based on medical findings. | 36-year-old female with fever tachycardia and hypotension CHEST:LUNGS AND PLEURA: Nonspecific, dependent atelectasis in the lung bases and lower lobes. Bilateral trace pleural effusions.MEDIASTINUM AND HILA: Nonspecific borderline enlarged hilar and mediastinal lymph nodes. An index pretracheal node measures 1.1 x 1.2 ... | Mild periportal edema. Hepatic hemangioma is unchanged.Bilateral small pleural effusions and pericardial effusion.Nonspecific borderline enlarged mediastinal and upper retroperitoneal lymph nodes. |
Generate impression based on medical findings. | Age: 58 yearsGender: FemaleReason for Study: Reason: Pre-op clearance History: same The cardiomediastinal silhouette is unremarkable.The lungs are clear.There are no pleural effusions. | No acute cardiopulmonary abnormalities are identified. |
Generate impression based on medical findings. | There are nonspecific foci of T2/FLAIR hyperintensity in the periventricular and subcortical white matter which are favored to represent chronic small vessel ischemic disease. A focus of peripherally increased T2-weighted signal in the left anterior parietal white matter is favored to represent a chronic lacunar infar... | 1. No evidence of intracranial metastases.2. Additional chronic findings, including mild chronic small vessel ischemic disease, lacunar infarct in the left anterior parietal white matter and areas of T2 hyperintensity in the globi pallidi, which may be related to remote toxic metabolic or ischemic injury. |
Generate impression based on medical findings. | The ventricles and sulci are normal in size. There are scattered foci of T2 hyperintensity within the white matter without associated mass effect. The cerebellar tonsils are in appropriate position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There are no extraaxial fluid ... | 1.Chronic small vessel ischemic disease.2.No masses, mass affect, or midline shift. |
Generate impression based on medical findings. | Male, 50 years old.Assess position of endotracheal tube. ETT and enteric tube unchanged in position.No pneumothorax or signs of CHF. Retrocardiac scarring or atelectasis on the left unchanged. Dependent atelectasis in the right lung similar to most recent previous but improved compared to earlier radiographs.Lung volum... | No acute change in atelectasis. ETT tip 2 cm above the level of the carina. |
Generate impression based on medical findings. | Postoperative for hernia, cirrhosis with rising LFTs LIVER: Coarse echotexture of the liver consistent with cirrhotic morphology. Liver measures 15.2 cm. No focal lesions noted. Portal vein demonstrates normal flow directionality and patency. Perihepatic fluid/ascites noted which now demonstrates multiple septations an... | Cirrhotic morphology of the liver with portal hypertension mild splenomegaly. Moderate amount of perihepatic ascites which now demonstrates multiple septations and possibly loculated.CholelithiasisMildly echogenic kidneys. Limited evaluation of the right kidney. Nonobstructing left renal calculus. |
Generate impression based on medical findings. | Female, 41 years old.Reason: intubated History: intubated Previously noted right basilar opacities have improved. Lungs are hypoinflated. Persistent left lower lobe opacity likely atelectasis or aspirate.Bilateral venous catheters, endotracheal tube and nasogastric tube are unchanged. | Previously noted right basilar opacities have improved. Lungs are hypoinflated. Persistent left lower lobe opacity likely atelectasis or aspirate. |
Generate impression based on medical findings. | Female, 57 years old.Cough. Unremarkable cardiomediastinal silhouette.Bilateral patchy opacities with bronchial wall thickening, suspicious for infection. | Bilateral opacities with bronchial wall thickening, suspicious for infection. Atypical and viral etiologies should be considered. Pulmonary edema also on the differential diagnosis. |
Generate impression based on medical findings. | Female, 56 years old.Reason: Preop MVR History: Preop MVR Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities.No specific evidence of infection or edema.Mild chronic interstitial opacities versus artifact, possibly hemosiderin deposition given the history of mitral disease. | No significant abnormality. |
Generate impression based on medical findings. | Age: 67 yearsGender: FemaleReason for Study: Reason: pneumonia History: cough, sob x 1 week, wheezing hx of asthma, sleep apnea The cardiomediastinal silhouette is unremarkable.Minimal left basilar scarring/discoid atelectasis.No focal airspace opacities.No pleural effusions. | No acute cardiopulmonary abnormalities identified without interval change. No specific evidence of infection. |
Generate impression based on medical findings. | Female, 51 years old.Reason: chest pain, sob History: above No acute cardiopulmonary abnormality. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Bladder cancer No cardiopulmonary abnormality. Mild pectus deformity, a normal variant | Normal |
Generate impression based on medical findings. | Female, 72 years old.Reason: evaluate lung fields History: shortness of breath with exertion Heart size upper normal.No specific evidence of infection or edema. | No acute abnormality. |
Generate impression based on medical findings. | Reason: eval acute pathology History: leukocytosis Unremarkable cardiac and mediastinal silhouette. Catheter tip in the SVC.Mild basilar scarring but no sign of pneumonia or other acute findings. | No acute abnormalities. |
Generate impression based on medical findings. | Reason: Evaluate for new leukocytosis History: leukocytosis Unremarkable cardiac and mediastinal silhouette. Diffuse interstitial opacity, greater in the upper lobes with a focal nodular component in the right upper lobe measuring approximately 4 cm in maximum diameter.The differential diagnosis includes postinfectious... | Nodular right upper lobe opacity with a differential diagnosis that includes neoplasm. If previous radiographs or CT scans can be obtained from elsewhere for comparison that would be helpful. Unless it resolves promptly, a thoracic CT scan is recommended. |
Generate impression based on medical findings. | Reason: ARDS, intubated History: ARDS, intubated ET tube tip approximately 5 cm above the carina.NG tube tip in the stomach and catheter tip in the SVC.Temperature probe tip in the lower esophagus.Large layered out pleural effusions with underlying opacity compatible with atelectasis and consolidation, not significantl... | ET tube in acceptable position. |
Generate impression based on medical findings. | Reason: pain History: pain Five lumbar type vertebral bodies are presumed to be present. There is grade 1 anterolisthesis of L4 on L5. There is slight straightening of the normal lumbar lordosis. The vertebral body heights are well-maintained. There is multilevel loss of intervertebral disc space with endplate degenera... | 1.Multilevel spondylotic changes affect the lumbar spine, most pronounced at L3-4, L4-5 and L5-S1 where there is central stenosis, lateral recess stenosis, and neural foraminal stenosis, as detailed above.2.There is a combination of disc disease and facet hypertrophy resulting in narrowing of the bilateral neuroforamin... |
Generate impression based on medical findings. | Female, 27 years old.Reason: OHS History: As above ET tube approximately 2 cm above the carina.No change in appearance of marked cardiomegaly, widened mediastinum and pulmonary edema. | No interval change in the marked cardiomegaly and pulmonary edema |
Generate impression based on medical findings. | Age: 54 yearsGender: MaleReason for Study: Reason: check ETT placement History: intubated ET tube and right IJ venous catheter are unchanged.Decreased lung volumes with stable cardiac enlargement.Basilar opacities are compatible with atelectasis and pleural effusions.No new pulmonary opacities identified. | Support devices unchanged with ET tube tip 5 cm above the carina. Stable cardiopulmonary appearance with pleural effusions and basilar atelectasis. |
Generate impression based on medical findings. | Female, 74 years old.Reason: rule out PNA History: rule out pna Moderate cardiomegaly.No specific evidence of infection or edema. | Cardiomegaly, but no acute abnormality. |
Generate impression based on medical findings. | Female 16 years old Reason: MRCP to check bile ducts for abnormalities in view of persistently elevated GGT in patient 15 years post transplant. and no evidence of rejection or autoimmune hepatitis on most recent liver biopsy. History: Elevated GGT. ABDOMEN:LIVER, BILIARY TRACT: Changes related to orthotopic liver tran... | 1.No evidence of intrahepatic biliary ductal dilatation.2.Surgical changes related to orthotopic liver transplant. |
Generate impression based on medical findings. | Male 64 years old Reason: lvad work up History: lvad workup LIVER:Liver is normal in appearance without evidence of focal hepatic mass. Liver measures 14.3 cm. Main portal vein is patent with normal directional flow and a peak velocity of 33 cm/s.GALLBLADDER, BILIARY TRACT: No intra or extrahepatic biliary duct dilatat... | No sonographic abnormality of the visualized abdominal viscera. |
Generate impression based on medical findings. | Female, 72 years old.Concern for aspiration. There are low lung volumes and motion artifact limiting assessment of the lungs. Left basilar discoid atelectasis. No new abnormal focal parenchymal opacities to suggest aspiration pneumonitis, as clinically questioned.Limited assessment for pleural effusions. No pneumothora... | Assessment is limited by motion artifact and hypoventilatory projection. Within these limitations, no findings to suggest aspiration pneumonitis or aspiration pneumonia. |
Generate impression based on medical findings. | Male, 79 years old.Shortness of breath. Evaluate volume status. Interval worsening of previously seen right pleural thickening and loculated effusion, now with aeration limited to the right upper lobe. No evidence of pulmonary edema. No left pleural effusion or pneumothorax.Cardiomediastinal silhouette is within normal... | Interval worsening of previously seen right pleural thickening and loculated effusion, now with aeration limited to the right upper lobe. No evidence of pulmonary edema. |
Generate impression based on medical findings. | Age: 24 yearsGender: MaleReason for Study: Reason: bilateral lung transplant s.p bilateral chest tube insertion History: hypoxia Status post bilateral lung transplant.New right-sided chest tube has been placed with its tip directed at the apex.New left-sided chest tube identified in the upper thorax with its tip direct... | Interval placement of new bilateral chest tubes with persistent right pneumothorax and suspected left apical pneumothorax. Extensive pulmonary opacities unchanged.. |
Generate impression based on medical findings. | Reason: pneumothorax History: work of breathing up Persistent small left pneumothorax with the apex of the lung about 2 cm from the chest wall.Left pleural drain in place and basilar opacities suggestive of aspiration pneumonia. | Persistent small left apical pneumothorax. |
Generate impression based on medical findings. | Shortness of breath Left PICC line remains unchanged with tip projected into the proximal SVC. Swan-Ganz removed. Underlying cardiopulmonary appearance similar with grossly clear lungs. Decreased lung volumes with suspected basilar scarring and/or atelectasis. Scattered calcified granuloma throughout in the spleen | Swan-Ganz removed |
Generate impression based on medical findings. | Female, 59 years old.Check for ET tube NG tube tip looped in the stomach. ET tube approximately 3 cm from the carina. Worsening trend of diffuse pulmonary opacities. Stable cardiomediastinal silhouette. | Worsening trend of diffuse pulmonary opacities consistent with multifocal pneumonia. |
Generate impression based on medical findings. | 65 year old male with a history of multiple arrhythmias including non-sustained ventricular tachycardia and frequent PVCs, supraventricular tachycardia, and paroxysmal atrial fibrillation who is referred for cardiac MRI for further evaluation.MEDICATIONS: Atenolol and Aspirin. First Pass PerfusionDuring hyperemia, no p... | 1. No perfusion defects/ "ischemia" present during hyperemia.2. No prior myocardial infarction. 3. The left ventricle is moderately dilated with low normal systolic function (LVEF 52%) and evidence of myocardial fibrosis, inflammation, or infiltration as described above. 4. The right ventricle is mildly dilated with no... |
Generate impression based on medical findings. | Female, 60 years old.Reason: Need CXR to interpret V/Q scan No focal lung consolidation or evidence of overt left-sided heart failure. Probable nipple shadow overlies the left lower hemithorax. Unchanged cardiomegaly. Small right pleural effusion. No pneumothorax. | Small right pleural effusion.Probable nipple shadow overlies the left lower hemithorax. |
Generate impression based on medical findings. | Reassess lung fields assess for pulmonary edema or new infiltrate. Metastatic prostate CA, CHF, concern for pneumonitis which improved with steroids now with acutely worsened hypoxia. Motion artifact. Low lung volumes. Left subclavian ICD unchanged. Coarse interstitial opacities and volume loss in the bases with periph... | Limited assessment of the interstitial abnormality due to motion artifact, but no conclusive acute change allowing for differences in inspiration compared to the prior study. |
Generate impression based on medical findings. | Reason: smoker with chronic cough History: chronic cough in a smoker Unremarkable cardiac and mediastinal silhouette.No significant pulmonary or pleural disease. | No significant abnormalities. |
Generate impression based on medical findings. | 61-year-old male patient with left foot wound and elevated CRP/ESR. Evaluate for osteomyelitis. The first toe is amputated through the metatarsophalangeal joint. The second and third toes are amputated through the proximal phalanges. There are foci of signal void in the soft tissues at the amputation sites, which may b... | Abnormal signal intensity and flattening of the second metatarsal head as described above. While we cannot exclude osteomyelitis (likely chronic given the radiographic appearance), these findings could represent sequelae of chronic mechanical trauma, similar to that seen in Freiberg's infraction, as we see no sinus tra... |
Generate impression based on medical findings. | Reason: Fever; PNA or other cause for fever? History: Fever Unremarkable cardiac and mediastinal silhouette. Coarse basilar interstitial opacities, unchanged since previous radiographs, suggestive of bronchiectasis and fibrosis, possibly related to recurrent aspiration. | Chronic basilar opacities which raise the question of recurrent aspiration, but no specific evidence of pneumonia. |
Generate impression based on medical findings. | Chest pain, sickle cell disease Extensive osseous stigmata related to known sickle cell disease. Cholecystectomy clips and an unchanged right subclavian single port.Cardiopulmonary appearance is significant for persistent decreased volumes with new mixed interstitial and minimally nodular airspace opacities greater bot... | Osseous and vascular changes related to sickle cell disease without superimposed findings to suggest infection. |
Generate impression based on medical findings. | Female, 21 years old.Reason: sickle cell, SOB History: see above No specific findings of acute chest syndrome. No pleural effusion or pneumothorax. No focal pulmonary opacities. Cardiac mediastinal silhouette is within normal limits. Right chest port terminates in the SVC. | No acute cardiopulmonary abnormality or findings to suggest acute chest syndrome. |
Generate impression based on medical findings. | Nausea with vomiting, unspecified [R11.2], Reason for Study: ^Reason: NSCLC mets to brain with bulky dz and hz of radiation (last in 12/2015), now with intractable nausea/vomiting History: nausea/vomiting There are significant interval decrease in size as well as the extent of surrounding edema of all previously seen i... | 1. Interval decrease in size and the extent of surrounding edema on previously seen intra axial metastatic lesions since prior scan indicating interval improvement.2. No new metastatic lesion is found.3. No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on medical findings. | Chiari, status post decompression, syrinx, worsening head and neck pain. Brain: There are postoperative findings related to Chiari decompression surgery and fourth ventricular stenting. There is kinking of the cervicomedullary junction posteriorly towards the overlying dura, which appears similar as on the prior exam. ... | 1. Postoperative findings related to Chiari decompression with kinking of the cervicomedullary junction posteriorly towards the overlying dura, which may secondary to adhesion formation.2. Trace residual thoracic syrinx. 3. Postoperative findings related to tethered cord release and partial resection of filar fibrolipo... |
Generate impression based on medical findings. | 62-year-old male with metastatic prostate cancer, restage disease. CHEST:LUNGS AND PLEURA: Mild bilateral lower lobe subpleural fibrosis is again seen and slightly improved. No suspicious nodules, masses, or pleural effusion are visualized. MEDIASTINUM AND HILA: Reference node in the aortopulmonary window measures 1.1 ... | No significant change in appearance of the metastatic bone changes and prominent lymph nodes as described above. Correlate bone findings with recently ordered bone scan. |
Generate impression based on medical findings. | Neurofibromatosis type I. Evaluate myelomeningocele status post repair, thoracic dural ectasia, yearly follow-up. Susceptibility artifact from spinal hardware limits evaluation for possible signal abnormalities in the spinal cord. There are postoperative findings related to attempted myelomeningocele obliteration and s... | Susceptibility artifact somewhat limits evaluation; however, there is no gross interval change in the right thoracic myelomeningocele. Other stigmata of neurofibromatosis 1 and associated postoperative findings are unchanged. |
Generate impression based on medical findings. | Female, 68 years old.Reason: mets small cell lung cancer,. s/p R thoracentesis on Monday, c/o increased SOB, pls evaluate effusion. History: increased SOB Enlarging right pleural effusion with right basilar consolidation.Unchanged small left pleural effusion.No significant pneumothorax.Right jugular catheter, tip in SV... | No pneumothorax following right thoracentesis. |
Generate impression based on medical findings. | Male, 58 years old.Reason: eval for new infiltrate History: neutropenic fever Interval placement of right central venous catheter with tip in projection of superior vena cava. No pneumothorax.Heart size normal.Lungs clear. | Central venous catheter. No pneumothorax.No evidence of infection or edema. |
Generate impression based on medical findings. | 52-year-old male presents for evaluation of a Swan-Ganz and an intra-aortic balloon pump. Swan-Ganz catheter has its tip overlying the right main pulmonary artery. An intra-aortic balloon pump marker projects approximately 6.7 cm below the top of the aortic arch. An ICD overlies the left chest wall has its leads superi... | 1.Swan-Ganz and intra-aortic balloon pump as described above.2.Right upper lobe opacity indeterminate but may been present previously and could be enlarging. Recommend follow-up chest radiographs to assess for improvement/resolution and exclude possibility of neoplastic process.3.Probable acute on chronic bronchitis wi... |
Generate impression based on medical findings. | Female, 67 years old.Reason: evaluate for pneumonia History: cough, chest pressure, sob Increased opacification in the medial right lung base, difficult to distinctly delineated on lateral view. Postsurgical changes in the left hemithorax are unchanged. Unchanged heart size. No new pleural effusion or pneumothorax. No ... | Increased opacification medial right lung base, consistent with aspiration, pneumonia, or atelectasis. Chest radiograph follow-up in 8 weeks after treatment is suggested. |
Generate impression based on medical findings. | 40 year-old male with history of colon cancer, status post resection. Liver metastases, jaundice. CHEST:LUNGS AND PLEURA: Interval development of bilateral numerous parenchymal metastases. Previously mentioned right middle lobe nodule now measures 2.9 x 2.1-cm image number 51/106.MEDIASTINUM AND HILA: Subcarinal adenop... | Interval progression of disease with increase in number and size of the lung metastases. New hepatic metastases and intrahepatic biliary dilatation as described above. Retroperitoneal adenopathy. |
Generate impression based on medical findings. | Reason: why does she have labored breathing? History: above Diffuse severe nonspecific bilateral air space opacity compatible with edema, infection or hemorrhage, with a moderately large left pleural effusion and possibly a smaller effusion on the right.Catheter tip in the SVC. | Markedly increased diffuse severe airspace opacity compatible with edema, infection, and/or hemorrhage. |
Generate impression based on medical findings. | Male, 72 years old.Reason: IABP placement check History: ADHF Interval placement of an intra-aortic balloon pump which terminates in the proximal descending thoracic aorta. A femoral Swan-Ganz catheter has also been placed with mild redundancy in the subvalvular RVOT and terminating in the proximal descending left pulm... | Successful placement intra-aortic balloon pump. Femoral Swan-Ganz catheter terminates in a left descending pulmonary artery, repositioned on subsequent radiographs. |
Generate impression based on medical findings. | 58-year-old male with metastatic esophageal cancer and persistent pleural effusions, question esophageal fistula. CHEST:LUNGS AND PLEURA: Interval decrease in size of a small non-loculated left effusion with persistent left basilar consolidation/atelectasis. Left chest tube tip terminates near the left apex within the ... | 1) Left chest tube tip directed toward the left apex with a now small, non-loculated left pleural effusion with small amount of pleural hemorrhage. Left basilar atelectasis/consolidation persists.2) Persistent right small effusion with decreased basilar consolidation.3) Esophageal stents extend from just below the thor... |
Generate impression based on medical findings. | Ms. Finlay is a 62 year old female with a personal history of right breast biopsy in 2007 for LCIS and left breast biopsy in 2007 for ALH. She has no current breast related complaints. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.No abnormal e... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on medical findings. | Corresponding to the area of abnormal signal predominantly in the L4 vertebral body posteriorly extending into the left pedicle, there is prominent stippled enhancement. More ill-defined enhancement also involves the superior endplate of L5 on the left, also extending into the left pedicle. There is severe disk space ... | Corresponding enhancement involving the left posterior L4 vertebral body and to a lesser degree the left L5 superior endplate extending into the left pedicles, in areas of previously noted abnormal signal. Given severe degenerative changes and lack of epidural/paravertebral soft tissue, findings are more favored to rep... |
Generate impression based on medical findings. | Male, 67 years old.Swan placement. Right jugular Swan-Ganz catheter and IABP marker unchanged in position.A radiopaque device which may reflect a catheter hub projects over the left lower thorax but is of unclear etiology.Moderate interstitial edema. No pneumothorax. | No significant change in cardiopulmonary appearance. Moderate CHF. |
Generate impression based on medical findings. | Female, 72 years old.Reason: Eval lines/tubes/devices History: Eval lines/tubes/devices Moderate right and small left apical pneumothoraces are stable.Unchanged pneumomediastinum.Extensive soft tissue emphysema has significantly worsened.Stable lower lung zone opacities consisting of edema, right base consolidation and... | Stable pneumothoraces and pneumomediastinum, but increased soft tissue emphysema. Stable pulmonary opacities. |
Generate impression based on medical findings. | Female, 78 years old.Reason: CTICU History: Daily CXR Chest tubes postop with no pneumothorax.Unchanged left basilar consolidation with enlarging pleural effusions.ET tube tip approximately 3 cm above the carina.A Dobbhoff tube extends below the lower margin of the image.Right jugular Swan-Ganz catheter, tip in right v... | Enlarging pleural effusions with persistent left lower lobe consolidation. Unchanged support devices except for a new Dobbhoff tube. |
Generate impression based on medical findings. | Female, 37 years old.Reason: 37yo F w/ R pleural effusion, evaluate for interval change History: as above Decreased right hemithorax volume with an enlarging right apical air-fluid level in the cavity, and fluid adjacent to the right lung base.Left lung unremarkable.A Dobbhoff tube extends below the lower margin of the... | Enlarging right upper lobe air-fluid collection and further compression of the right lung. |
Generate impression based on medical findings. | Diagnosis: Other idiopathic scoliosis, site unspecifiedClinical question: evaluate for neurological injurySigns and Symptoms: signals lost during surgeryComments: Non infused MRI complete spine. Patient status post surgery for spinal fusion. Signals lost during surgery. All hardware removed. Patient to be in PICU | Cer... | 1.There is no compromise to the spinal cord appreciated. No spinal cord compression is identified.2.No abnormal lesion is identified in the spinal cord. Please note that no diffusion sequences were performed for the detection of acute spinal cord infarction.3.Findings were discussed with Dr Sullivan at around 7pm on 11... |
Generate impression based on medical findings. | Age: 67 yearsGender: MaleReason for Study: Reason: right kidney tumor. metastatic work up History: weight loss The cardiomediastinal silhouette is unremarkable.The lungs are clear.No pleural effusions.Moderate degenerative changes and mild kyphosis of the thoracic spine. | No acute cardiopulmonary abnormalities are identified. No evidence of metastatic disease. |
Generate impression based on medical findings. | Head and neck cancer as well as lung cancer and a new mass within the left cerebellar hemisphere on CT neck: evaluate for metastatic disease. There appear to be four supratentorial and infratentorial peripherally-enhancing masses with surrounding T2 hyperintensity. For example, a left cerebellar hemisphere lesion measu... | A few supratentorial and infratentorial masses with associated edema are compatible with metastatic disease. |
Generate impression based on medical findings. | Male, 51 years old.Reason: Pulm edema History: HF Stable support devices.Severe cardiomegaly is unchanged. Increasing right basilar opacity and effusion.No pneumothorax. | Stable marked cardiomegaly however increasing right basilar opacity and effusion. Support devices unchanged. |
Generate impression based on medical findings. | Male, 79 years old.Presenting with shortness of breath and chest pain, please rule out pneumothorax. The right central venous catheter via internal jugular line has become retracted in the subcutaneous tissues. It is unclear whether the tip is intravascular. Unchanged cardiomegaly. There may be a small left pleural eff... | 1. Right central venous catheter is coiled within the subcutaneous tissues. Recommend replacing the line. Even if the catheter flushes, would recommend not using for inotropic therapy.2. Worsening left lower lobe pulmonary opacity. |
Generate impression based on medical findings. | Female, 59 years old.Dyspnea off anticoagulation history of PE. Right costophrenic angle volume loss, scarring and pleural thickening unchanged. New lower lobe subpleural rounded consolidation visible on the lateral radiograph.Pulmonary vascular redistribution, but no specific signs of pulmonary edema. No pneumothorax.... | New lower lobe focal opacity is visible only on the lateral radiograph nonspecific and could reflect rounded atelectasis, although infarct is within the differential diagnosis. |
Generate impression based on medical findings. | Reason: eval gallbladder for pathology abdomen for fluid collection History: abd pain, s/p gallbladder shunt, abd wound infection LIVER: Liver measures 14.3 cm with coarse echogenicity. Portal vein is patent with normal direction and velocity of 0.3 m/s. No suspicious hepatic mass is noted.BILIARY TRACT: Common bile du... | Gallstone noted without evidence of acute inflammation or biliary ductal dilatation. Coarse echogenic liver compatible with steatosis. |
Generate impression based on medical findings. | 38-year-old male with metastatic colorectal cancer. CHEST:LUNGS AND PLEURA: Multiple metastatic lung nodules are reidentified. Reference right upper lobe lesion measures 19 x 17 mm on image number 33, series number 3. Left upper lobe reference lesion measures 24 x 19 mm image number 22, series number 3. All the lung no... | Interval increase in the size of the hepatic and pulmonary metastases.Right-sided moderate to severe hydronephrosis called by invasion of the distal right ureter by a pelvic soft tissue mass is unchanged. |
Generate impression based on medical findings. | Age: 92 yearsGender: FemaleReason for Study: Reason: fever History: fever Decreased lung volumes with stable cardiac enlargement.Minimal basilar atelectasis.No focal airspace consolidation.No pleural effusions. | No acute cardiopulmonary abnormalities identified without interval change. No specific evidence |
Generate impression based on medical findings. | CHEST:LUNGS AND PLEURA: Visualization of the lung parenchyma is limited by the field of view and length of scan which excludes a substantial amount of the lungs. No significant abnormality noted. No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: No significant abnormality noted in the extracardiovascula... | No significant abnormality noted in the extra cardiovascular portions of the examination. |
Generate impression based on medical findings. | Reason: evaluate mets History: hx of osteosarcoma Unremarkable cardiac and mediastinal silhouette.No significant pulmonary or pleural disease. | No sign of metastases or other significant change. |
Generate impression based on medical findings. | Male, 51 years old.Reason: assess ETT placement and lines History: assess ETT and line placement Bilateral pleural effusions and basilar opacities are unchanged.ET tube tip approximately 6 cm above the carina. An NG tube terminates in the stomach. Multiple central lines are unchanged in position as is a right upper qua... | Unchanged support devices. ET tube tip approximately 6 cm above the carina. Stable pulmonary opacities and pleural effusions. |
Generate impression based on medical findings. | 56-year-old male with shock. ETT placement ET tube approximately 5 cm above the carina. Right IJ central venous catheter tip in the central SVC. An Impella device overlies the cardiac shadow. There is near complete opacification of the right lung which is likely due to layering pleural effusion with a component of atel... | 1. ET tube 5 cm above the carina. 2. Near complete opacification of the right lung likely due to a layering pleural effusion with a component of atelectasis. Hyperlucency in the left lung may due to technique. Please see subsequent report. |
Generate impression based on medical findings. | Male, 47 years old.Evaluate endotracheal tube position Endotracheal tube tip approximately 2 cm above the carina, unchanged. Right sided central venous catheter with tip in the SVC.Decreased lung volumes with interval increase in retrocardiac consolidation/atelectasis. No large pleural effusions or pneumothorax. | 1.ET tube tip 2 cm above the carina. 2.Interval increase in retrocardiac consolidation/atelectasis |
Generate impression based on medical findings. | 67-year-old female with history of squamous cell cancer of the tongue. LUNGS AND PLEURA: Right apical bulla. Scattered calcified micronodules most likely reflect prior granulomatous infection. Few 1- to 2-mm micronodules are also most likely post inflammatory. No suspicious masses or nodules. No focal consolidation, ed... | 1.No evidence of metastatic disease to the chest. No acute pulmonary abnormalities.2.Borderline enlarged gastrohepatic nodes of uncertain clinical significance but more likely to represent local gastric inflammation rather than metastatic disease. |
Generate impression based on medical findings. | Preoperative planning for a cystic lesion in the left cerebellar pontine angle. There is a cystic lesion in the left cerebellopontine angle cistern that measures up to approximately 25 mm. There is associated posterior deviation of the left cranial nerve 7 and 8 complex and mass effect upon the brainstem, left middle c... | Limited preoperative planning MRI demonstrates a left cerebellopontine angle cistern cyst that measures up to approximately 25 mm with associated posterior deviation of the left cranial nerve 7 and 8 complex and mass effect upon the brainstem, left middle cerebellar peduncle, and left cerebellar hemisphere. |
Generate impression based on medical findings. | Male, 66 years old.Reason: hx of kidney cancer, evaluate for metastatic disease History: see above Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities.No evidence of metastases. | No significant abnormality. |
Generate impression based on medical findings. | Left knee pain MENISCI: There is intrasubstance degeneration of the posterior horn of the medial meniscus. Some signal abnormality extends to the tibial articular surface indicating superficial fraying. No fluid-filled tear is evident. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: There is full-thic... | Large loculated fluid collection within the subcutaneous tissue along the anterior aspect of the patellar tendon which appears most consistent with a hemorrhagic subcutaneous infrapatellar bursitis, although the inferior extent of this collection is not included in its entirety on this examination. Other findings as de... |
Generate impression based on medical findings. | Male, 29 years old.ETT placement, ARDS and pancreatitis. Endotracheal tube terminates 4 cm above the level of the carina. Other tubes and lines unchanged.Bilateral airspace opacities about the same. Left pleural fluid collection increased in volume. Small volume of pleural fluid on the right probably unchanged. | ETT 4 cm above carina. No significant change in pulmonary opacities. Increase in volume of pleural fluid on the left. |
Generate impression based on medical findings. | Male, 64 years old.Reason: ETT History: lethargy Diffuse airspace almost nodular opacities have not significantly changed except for some worsening in the retrocardiac region, consistent with infection or aspiration.Given the patient's history of renal cell cancer, rapid progression of metastases are also in the differ... | Unchanged pulmonary opacities consistent with infection or aspiration. |
Generate impression based on medical findings. | 79-year-old male post intubation Right IJ venous catheter tip in the SVC. ET tube 4 cm above the carina Dobbhoff tube tip in the stomach.Slight interval improved aeration of the right lung with persistent perihilar and basilar opacities likely combination of aspiration and pleural effusion with atelectasis. Increasing ... | Slight interval improved aeration of the right lung with persistent pleural effusion and atelectasis. Increased left pleural effusion with adjacent atelectasis/consolidation. |
Generate impression based on medical findings. | Reason: eval lung fields History: s/p MVR Small lung volumes with basilar subsegmental atelectasis, not significantly changed.Heart size about upper normal or mildly enlarged with evidence of recent median sternotomy.No pneumothorax or other acute change. | Basilar atelectasis with no acute change. |
Generate impression based on medical findings. | Reason: pvad History: pvad New right jugular catheter extending to the area of the SVC though its tip is not visible.Pacemaker leads and cannulae unchanged.Large bilateral pleural effusions with underlying atelectasis.No other significant change. | New catheter with no complications. |
Generate impression based on medical findings. | Reason: pulm edema History: o2 req Cardiopulmonary monitoring and support devices, unchanged.Cardiomegaly, mediastinal widening, moderate effusions and basilar atelectasis, not significantly changed.No specific evidence of pulmonary edema on the current radiograph. | Pleural effusions and atelectasis unchanged with resolution of interstitial edema. |
Generate impression based on medical findings. | Male, 52 years old.Reason: evaluate parenchyma fibrosis History: mixed connective tissue dies ease Query mild interstitial pulmonary edema. Mild bibasilar subsegmental atelectasis or scarring. Mild cardiomegaly. Cardiac leads terminate in the expected location of the right atrial appendage and RV apex. | Question of mild interstitial pulmonary edema. Patchy bibasilar atelectasis and/or scar. |
Generate impression based on medical findings. | Clinical question: Rule out stroke. Signs and symptoms: Slurred speech. Nonenhanced brain MRI:No detectable acute intracranial process and negative diffusion weighted series.Large focus of encephalomalacia extensively involving the right frontal, right basal ganglia and right anterior parietal lobe consistent with a la... | 1.No acute intracranial process and negative diffusion weighted images.2.Large chronic right MCA territory ischemic stroke and minimal chronic small vessel ischemic strokes.3.Stable right median small right occipital calvarial defect and an underlying right cerebellar focus of encephalomalacia since prior head CT exam ... |
Generate impression based on medical findings. | Female, 15 years old, with left occipital simple partial seizures, right inferior quadrantanopsia, fluctuating area of left T2/FLAIR hyperintensity reported and MRIs. Again seen is ill-defined T2 hyperintensity involving the left paramedian occipital lobe cortex and subcortical white matter. No parenchymal destruction ... | Redemonstrated is ill-defined T2 hyperintensity involving the cortex and subcortical white matter of the left paramedian occipital lobe. No focal or masslike lesion is seen. MR spectroscopy demonstrates reduced NAA which generally reflects neuronal injury or loss, as well as a mild elevation of choline and perhaps mini... |
Generate impression based on medical findings. | 56-year-old female history of recurrent cervical cancer. Patient received chemo 4/08 -- 5/08 with ICRT 6/09. Evaluate for disease. Patient will be starting chemotherapy protocol. Patient is status post librt biopsy. Also complaining of low back pain and buttock pain and swelling left leg. Rule out metastases. CHEST:LUN... | Progression of disease in the lungs, liver and peritoneum. Involvement of left pelvic sidewall and sacrosciatic notch likely explain patient's symptoms of buttock pain and left leg swelling. Other findings as above. |
Generate impression based on medical findings. | Male, 77 years old.Extubated. Interval removal of endotracheal tube. Redemonstration of left pleural effusion and retrocardiac opacity. Additionally, right-sided basilar atelectasis and interstitial opacities are seen on the left. Bilateral abdominal drains and enteric tube with tip in the gastric body remain. Status p... | Persistent left pleural effusion and retrocardiac opacity |
Generate impression based on medical findings. | Age: 85 yearsGender: FemaleReason for Study: Reason: eval infectious source History: hypotension New right central venous catheter placed with its tip in the SVC.Previous right IJ venous catheter with its tip in the RA.Stable cardiomediastinal silhouette.Increasing interstitial opacities compatible with edema.Left retr... | tInterval increase in pulmonary edema and pleural effusions compatible with volume overload/CHF. |
Generate impression based on medical findings. | Male, 65 years old.History of malignant pleural effusion. Follow-up after Pleurx removal. Right subclavian pacemaker, left subclavian chest port, and left IJ catheter are unchanged.Stable mild cardiomegaly, improved since the prior exam.Low lung volumes with small left pleural effusion and left basilar opacities, uncha... | Small left pleural effusion is unchanged. |
Generate impression based on medical findings. | Prostate cancer CHEST:LUNGS AND PLEURA: 5-mm nodule in the right middle lobe on image number 44, series number 4 is unchanged. Mild emphysematous changes in the lungs are unchanged.MEDIASTINUM AND HILA: Left thyroid lobe nodule is unchanged. Small right are retrocrural node is unchanged.CHEST WALL: Sclerotic foci in th... | No significant change from previous study. |
Generate impression based on medical findings. | Age: 58 yearsGender: MaleReason for Study: Reason: 58yr old male with history of MM; pre-auto sct evaluation History: evaluate Stable cardiomediastinal silhouette.The lungs are clear.No pleural effusions.Redemonstration of T6 kyphoplasty.Fracture deformity involving the anterior aspect of the left sixth rib. | No acute cardiopulmonary abnormalities identified without interval change. |
Generate impression based on medical findings. | Male, 53 years old.Reason: S/P Esophageal Perforation History: S/P Esophageal Perforation Two left chest chest tubes unchanged with a small amount of pleural air medially in the right costophrenic angle.Unchanged basilar opacities.Right PICC, tip in the SVC.Tracheostomy tube tip approximately 4 cm above the carina.An N... | No change in two left chest tubes, basilar opacities and a small amount of pleural air. |
Generate impression based on medical findings. | Reason: r/o acute chest History: sob Heart size upper normal with no sign of CHF.Mild scarring at the left base and no acute findings. | No acute abnormalities. |
Generate impression based on medical findings. | Reason: Patient with IABP, please evaluate placement History: As above Balloon catheter tip about 2 cm below the top of the aortic arch and catheter tip at the SVC/R junction.Perihilar interstitial and airspace opacity compatible with edema or aspiration, not significantly changed.No new findings. | Balloon catheter tip in the proximal descending aorta. |
Generate impression based on medical findings. | Male, 76 years old.Reason: intubated History: intubated Patchy pulmonary opacities with pleural effusions are unchanged.Moderate cardiomegaly is stable, status post valve replacement.ET tube tip approximately 6 cm above the carina.A Dobbhoff tube terminates in the stomach. An NG tube terminates in the stomach.Left subc... | Patchy pulmonary opacities consistent with edema and aspiration or infection. |
Generate impression based on medical findings. | Female, 23 years old.Reason: r/o infiltrate History: chest pain. VP shunt catheter tubing courses down the right neck and thorax, entering the abdomen close to midline and terminating beyond the field-of-view.No focal air space opacity.No pneumothorax, pulmonary edema, or significant pleural effusion.Unremarkable cardi... | No specific evidence of infection. |
Generate impression based on medical findings. | Male, 60 years old.Mental status changes. Unremarkable cardiomediastinal silhouette.No specific evidence of infection or edema.Pigtail catheters noted in the abdomen. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Female, 63 years old.Reason: PTX History: PTX Interval extubation. No definite right-sided pneumothorax is noted. Pneumoperitoneum is also less apparent. No new focal lung consolidation. Unchanged heart size. | No definite right-sided pneumothorax or pneumoperitoneum is present though the current study is of lower quality than the previous study. |
Generate impression based on medical findings. | Male, 65 years old.Reason: eval for new infiltrate, consolidation History: hypoxic, minor hemoptysis, sob Numerous bilateral pulmonary nodules and reticular opacities in the right lung, compatible with known metastases and lymphangitic spread.Small right effusion.Mild increase in right lung consolidation.Stable cardiom... | Mild increase in right lung consolidation which may reflect infection or hemorrhage. |
Generate impression based on medical findings. | Female, 61 years old.Reason: s/p cardiac surgery History: s/p cardiac surgery Lines and tubes are unchanged. Unchanged diffuse pulmonary opacities. Moderate-sized loculated pleural effusions again noted. Unchanged cardiomegaly. No pneumothorax. | Unchanged pulmonary edema pattern with loculated pleural effusions. |
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