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Generate impression based on medical findings. | Male, 65 years old. Reason: Neutropenic fever- r/o opacity History: neutro fever Small focus of atelectasis or scarring again noted at the left lung base. No pleural effusion or pneumothorax. No acute bony abnormality. Normal heart size. Left-sided PICC, unchanged. | No acute cardiopulmonary process on radiography. |
Generate impression based on medical findings. | 60-year-old female with history of pancreatic cyst. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Large thick-walled cystic lesion centered within the pancreatic body measuring 6.7 x 6.6 cm with a moderate amount of debris layering within the dependent... | Large cystic lesion arising from the pancreatic body which is favored to represent a pancreatic pseudocyst, however a mucinous neoplasm cannot be excluded. There is distal pancreatic ductal dilation as well as significant mass effect on the gastric antrum. |
Generate impression based on medical findings. | Reason: assess for interval resolution of pulmonary edema with diuresis History: as above Moderate cardiomegaly with bilateral interstitial and airspace opacity, not significantly changed.The patchy nature of the pulmonary opacities is more suggestive of infection/aspiration and pulmonary edema. | Patchy pulmonary opacities consistent with infection and aspiration, not significantly changed. |
Generate impression based on medical findings. | Female, 42 years old.Reason: post op History: post op Mild to moderate cardiomegaly.No specific evidence of infection or edema. | Mild to moderate cardiomegaly, otherwise unremarkable. |
Generate impression based on medical findings. | Male, 66 years old.Fevers history of SCT with MDS assess for infection or opacities. Lung volumes remain low. Interval development of moderate bronchial wall thickening, associated atelectasis and peribronchial airspace opacities, most pronounced in the left lower lobe. Possible small pleural effusions.Vertebroplasty c... | Bronchial wall thickening, atelectasis and peribronchial opacity suspicious for infection. |
Generate impression based on medical findings. | Evaluate lines. Unchanged jugular venous catheters, endotracheal tube and ECMO cannulae.Diffuse pulmonary opacities with improved lung aeration compared to the prior study. The left upper lobe remains completely opacified. Peripheral opacity consistent with layering pleural fluid. There is a small remaining anterior pn... | Improved lung aeration. Tubes and lines unchanged in position. |
Generate impression based on medical findings. | Female, 33 years old.Reason: loculated pleural effusion History: loculated pleural effusion s/p drain placement. Interval placement of a right pleural pigtail catheter that terminates in the right perimediastinal location. The left port remains accessed.Large right loculated pleural effusion and pleural thickening not ... | No significant change in the loculated large right pleural effusion following pigtail catheter placement. |
Generate impression based on medical findings. | 75-year-old female with history of lymphoma presents with right lower extremity swelling. Ultrasound negative for DVT. Concern for vascular compression by lymphadenopathy. CHEST:LUNGS AND PLEURA: Scattered parenchymal scarring, especially in the apices, remains. Small bilateral pleural effusions are again noted.An AVM ... | Progression of the disease in the form of lymphadenopathy.Narrowing of the right common/external iliac veins secondary to adjacent adenopathy. This is likely the cause of visualized edema affecting the right side.Development of mild wall thickening affecting the terminal ileum. Right lower lobe pulmonary AVM, unchanged... |
Generate impression based on medical findings. | Cough and elevated WBC, possible pneumonia. Opacities in the right lung on a background of emphysema and fibrosis have not resolved and are worse. Confluent opacities in the projection of the right upper lobe along the minor fissure as well as in the right middle lobe are new may represent infection or neoplasm.Unchang... | Worsening opacities in the right lung which are now suspicious for neoplastic process, recommend thoracic CT. Dr. Elaine Worchester (4781) notified via Web exchange text page at 12:22 PM on 11/15/2016 in addition to an email. Superimposed indolent atypical infection such as MAI is also a possibility and is not excluded... |
Generate impression based on medical findings. | The exam is degraded by motion artifact.BRAIN: Foci of restricted diffusion are noted in the right dorsal putamen and right parietal periventricular white matter, consistent with acute infarction. Multiple chronic lacunar infarcts are again noted in the bilateral cerebellar hemispheres. FLAIR signal abnormality in the... | 1. Small foci of restricted diffusion in the right dorsal putamen and right parietal periventricular white matter are consistent with acute infarction. 2. No significant stenosis in the major intracranial vasculature.3. Note examination is moderately motion degraded. |
Generate impression based on medical findings. | Female, 36 years old.Reason: chest pain, hx MI History: chest pain/back pain Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities. | No significant abnormality. |
Generate impression based on medical findings. | Knee instability MENISCI: There is mild irregularity of the free edge of the anterior horn of the medial meniscus with similar but more conspicuous findings noted in the anterior horn of the lateral meniscus near the root. This may reflect degeneration/degenerative tearing, but is of questionable significance.ARTICULAR... | 1. Redemonstration of nondisplaced patellar fracture.2. Intact cruciate and collateral ligaments.3. Additional findings described above. |
Generate impression based on medical findings. | Entire left sided numbness in the last 2 weeks which occurs daily usually when waking up. Brain MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is unchanged mild coaptation of the right frontal horn. The ventricular system... | 1. No evidence of acute infarct, acute intracranial hemorrhage, or mass.2. No evidence of significant steno-occlusive lesions in the major head and neck arteries. |
Generate impression based on medical findings. | Male, 73 years old.Reason: hx o/LLL abscess History: same Mild to moderate cardiomegaly.Streaky basilar opacities suggestive of atelectasis, but no evidence of pneumonia or prior lung abscess.Cervical spine stabilization hardware. | Cardiomegaly and streaky basilar atelectasis, otherwise unremarkable. |
Generate impression based on medical findings. | Male, 60 years old.Reason: R/o infiltrate History: chest discomfort No focal consolidation, pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. | No acute cardiopulmonary process. |
Generate impression based on medical findings. | Reason: s/p thyroidectomy, neck pain and dysphagia. Partial thyroidectomy in 1979 for a symptomatically large goiter. She reports benign pathology. She had a completion thyroidectomy in 12/2013, pathology report with colloid nodular disease. RIGHT LOBE: Homogenous, hypoechoic soft tissue in the right thyroid bed extend... | Findings consistent with residual or recurrent thyroid tissue in the thyroidectomy bed. No suspicious nodules or masses. |
Generate impression based on medical findings. | Visualization of the thorax is limited by the field of view and length of scan, which excludes substantial areas of the lungs.CHEST: Visualization of the thorax is limited by the field of view and length of scan, which excludes substantial areas of the lungs.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTIN... | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on medical findings. | Cardiogenic shock, check Swan-Ganz Swan-Ganz minimally retracted, tip extends at the bifurcation of the right and left pulmonary artery. ICD-9 remaining underlying cardiopulmonary appearance is otherwise similar | Swan-Ganz minimally repositioned and mildly retracted |
Generate impression based on medical findings. | Female, 20 years old.Reason: ARDS? History: see above Line position stable. Support devices unchanged.Coarse bilateral interstitial and airspace opacities of ARDS, unchanged. No significant pneumothorax is visualized. Retrocardiac atelectasis increased, consider retained secretions or mucous plugging. | No interval change |
Generate impression based on medical findings. | Female, 64 years old.Reason: Lung Nodule History: Lung Nodule No lung nodule identified.A left pleural effusion is smaller than before with less adjacent atelectasis.Right lung unremarkable. | Improving left pleural effusion and basilar consolidation. No nodule identified. |
Generate impression based on medical findings. | Age: 67 yearsGender: MaleReason for Study: Reason: Recently admitted locally for pneumonia; repeat chest XR locally showed small pleural effusion to L side. Please evaluate progress of effusion. History: Previous SOB Left-sided ICD unchanged.Decreased lung volumes basilar atelectasis.No focal areas of consolidation.No ... | Bilateral basilar subsegmental atelectasis. No specific evidence of infection or edema. |
Generate impression based on medical findings. | Reason: assess for thyroid nodules History: asymmetric thyroid on clinical exam RIGHT LOBE MEASUREMENTS: 1.8 x 1.8 x 6.7 cmLEFT LOBE MEASUREMENTS: 1.7 x 1.5 x 5.5 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Hypoechoic, predominantly cystic nodule in the mid right thyroid measures 1.0 x 0.5 x 1.1 cm. A hyperechoic focus i... | Multiple predominantly cystic thyroid nodules, probably benign. |
Generate impression based on medical findings. | Female, 13 years old. Anti NMDA Receptor Encephalitis, seizures. Evaluate for ovarian teratoma. PELVIS:UTERUS, ADNEXA: A 3.5 x 3.3 x 4.0 cm simple left ovarian cyst is noted. No associated solid component or abnormal enhancement. No other pelvic mass lesion is identified. The uterus is normal in appearance. Trace free ... | 1.A 4 mm left ovarian cystic lesion is compatible with a follicular cyst.2.No other mass is identified in the pelvis. |
Generate impression based on medical findings. | Male, 65 years old.Status post LVAD and chest tube taken out, assess for pneumothorax. Interval removal of one of the mediastinal drains, other hardware and devices unchanged. Small left pleural effusion similar to prior. No specific signs of pulmonary edema. No pneumothorax. | No pneumothorax. |
Generate impression based on medical findings. | Reason: assess for masses or abnormalities that may be causing lower abdominal pain. PELVIS:UTERUS, ADNEXA: The uterus is anteverted and anteflexed and is normal in size. Normal variant nabothian cysts are noted. There is poor definition of the endometrial-myometrial junction. The ovaries appear within normal limits in... | 1.Poor definition of the endometrial-myometrial junction which can be seen with adenomyosis.2.No abnormal mass lesions are identified within the pelvis to account for the patient's symptoms. |
Generate impression based on medical findings. | 42-year-old woman with history of chromophobe type renal cell carcinoma status post resection in 2008, subsequent hepatic metastasis ablation in 2015. ABDOMEN:LIVER, BILIARY TRACT: There is a new 8 mm T2 hyperintense round lesion in segment 7 at the dome (401/37). This lesion abuts the diaphragm, it is difficult to dis... | 1.New segment 7 lesion at the dome which abuts the diaphragm (making it difficult to discern enhancement) but is suspicious for a new hepatic metastasis.2.Hepatic ablation defect and left nephrectomy without evidence of local recurrence. |
Generate impression based on medical findings. | Age: 73 yearsGender: MaleReason for Study: Reason: evaluate L pleural effusion History: see above Decreased lung volumes.Bilateral pleural effusions mildly increased since the prior exam.Basilar edema/atelectasis again noted.No new focal pulmonary opacities. | Interval increase in pleural effusions |
Generate impression based on medical findings. | 19 years old male with history of craniopharyngioma now with increased headache, evaluate ventricular size. Patient is status post right frontal craniotomy, with placement of ventriculostomy catheter having tip in the third ventricle and small amount of encephalomalacia abutting the distal catheter; this is not signifi... | No hydrocephalus or change in ventriculostomy catheter position since 2007. |
Generate impression based on medical findings. | 79-year-old male with chronic kidney disease RIGHT KIDNEY: Measures 11.9 cm in length. Three right renal cysts measuring up to 5 cm in diameter without septation or nodular component. Increased echogenicity without hydronephrosis, nephrolithiasis, or solid mass. LEFT KIDNEY: Measures 12.3 cm in length. Two left renal c... | 1. Increased renal echogenicity consistent with medical renal disease and bilateral simple cysts as detailed above. 2. No nephrolithiasis, hydronephrosis, or suspicious mass lesion. |
Generate impression based on medical findings. | Ms. Bray is a 46-year-old female presenting from outside hospital with two suspicious lesions identified in the left breast. These were biopsied and final pathology revealed atypia, but no malignancy. She presents today for MRI for further evaluation. There is heterogeneous amount of fibroglandular tissue in both breas... | (1) Two enhancing lesions with T2 hyperintense signal (suggestive of mucin content) in the left breast, corresponding to the biopsied lesions at outside hospital. Repeat US guided biopsies of these two lesions was performed on same day as MR. Awaiting final pathology. (2) No additional MR evidence of malignancy.BIRADS:... |
Generate impression based on medical findings. | 35-year-old female with history of Hodgkin's disease. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Right paratracheal adenopathy is unchanged measuring 16 x 9 mm.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Heterogeneous enhancement of the liver is unchang... | Stable right paratracheal lymph node. No significant interval change. |
Generate impression based on medical findings. | Episodes of confusion since 2014. Epilepsy protocol. The bilateral hippocampal regions are symmetric. There is no evidence of gray matter heterotopia or cortical dysplasia. There is no evidence of intracranial hemorrhage, mass effect, or acute infarct. The brain parenchyma appears unremarkable. The ventricles and basal... | Unremarkable evaluation of the brain with no specific findings to account for the patient's symptoms. |
Generate impression based on medical findings. | Female, 47 years old.Reason: Reevaluate pulmonary edema History: SOB Clear lungs. No pleural effusion or pneumothorax. No acute bony abnormality. Normal heart size. | Resolution of previously demonstrated pulmonary edema and pleural effusions. Decrease in heart size, now normal. |
Generate impression based on medical findings. | Female, 67 years old.Reason: eval for infection, infiltrate History: 6204 The cardiomediastinal silhouette is unremarkable.Lungs are clear.Mild left basilar atelectasis and possible small effusion. | No interval change |
Generate impression based on medical findings. | Altered mental status, evaluate for brain metastases. There is no restricted diffusion to suggest acute infarction. There are scattered foci of increased T2/FLAIR signal within the bilateral cerebral white matter which do not appear significantly changed compared to the 8/20/2016 examination allowing for differences in... | 1.No evidence of acute infarct or other acute intracranial abnormality.2.Few scattered areas of signal abnormality within the cerebral white matter which are nonspecific and not significantly changed compared to 8/20/2016. These may represent chronic small vessel ischemic changes or sequela of other injury.3.No evidenc... |
Generate impression based on medical findings. | Male, 74 years old.Reason: evaluate Swan-Ganz catheter. Swan-Ganz catheter has been pulled back slightly terminating within the RPA. Unchanged port catheter. Increase in basilar opacities, likely atelectasis. Mild interstitial pulmonary edema. Small pleural effusions. Unchanged heart size. No pneumothorax. | Swan-Ganz catheter has been pulled back slightly terminating within the RPA. Unchanged port catheter. Increase in basilar opacities, likely atelectasis. Mild interstitial pulmonary edema. |
Generate impression based on medical findings. | 62 year old with a previously noted right middle lobe nodule. History of smoking LUNGS AND PLEURA: Redemonstration of a 4-mm micronodular right middle lobe, unchanged since the previous examination. No other pulmonary, pleural abnormalities can be identified.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST ... | Small stable micronodular right middle lobe without interval change over 6 months. In view of this patient's history of smoking a follow up examination in one year is recommended. |
Generate impression based on medical findings. | Male, 73 years old.Reason: PNA vs other lung infection History: prod cough Mild basilar interstitial opacities, which may be chronic as there is no other evidence of edema.Ill-defined left basilar nodular opacity, for which follow-up is recommended.Left subclavian catheter, tip in SVC. | No evidence of pneumonia. Left basilar nodule, follow-up radiograph or CT recommended. Chronic appearing basilar interstitial opacities noted. |
Generate impression based on medical findings. | 42 year-old female. 4-Cm bleeding gastric mass. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis or consolidation. No definite lung nodules.MEDIASTINUM AND HILA: ET tube. NG tube. No pathologic size nodes.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No... | Gastric mass. No definite evidence of metastatic disease. Other findings as above. |
Generate impression based on medical findings. | 68 year old female status post fall 2 weeks ago, headache Low-attenuation in the right frontal and parietal region consistent with prior infarct. Additional subcortical and periventricular areas of patchy low attenuation consistent with small vessel ischemic disease of indeterminant age. There is no evidence of bleed o... | Findings consistent with prior infarct in the right frontoparietal region. No evidence of acute ischemic process or hemorrhage. If evaluation for acute ischemia is clinically indicated, MRI is recommended. |
Generate impression based on medical findings. | 30 year old female with Cushing's disease. Now with bilateral ribs/chest pain. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heterogeneous enlargement of the right thyroid lobe with mixed calcific and low densities. No mediastinal or hilar adenopathy.CHEST WALL: Fractures of the left 9t... | 1) Fractures of left 9th and 10th ribs posteriorly, raising the question of direct trauma.2) Heterogeneously enlarged right thyroid lobe.3) Questionable small enhancing left adrenal nodule.4) No intrapulmonary abnormalities. |
Generate impression based on medical findings. | Female, 73 years old.Coughing and short of breath evaluate for infection. Unchanged cardiomegaly. Sternotomy hardware appears intact. No focal airspace opacities, pleural fluid or pneumothorax. | No acute pulmonary abnormality. Specifically, no signs of pneumonia. |
Generate impression based on medical findings. | Female, 25 years old.Reason: ptx, pneumonia? History: chest pain No acute cardiopulmonary normality. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | 70 year-old male with metastatic gastric cancer with esophageal stricture. Evaluate GE junction prior to endoscopic stent placement for esophageal stricture. CHEST:LUNGS AND PLEURA: Interval development of small left pleural effusion with overlying atelectasis. Apical scarring. Scattered pleural nodular calcifications ... | 1. Interval development of distal esophageal stricture. 2. Interval increase in cardiophrenic lymph node and ascites. 3. Otherwise, stable intraperitoneal disease. |
Generate impression based on medical findings. | Reason: HCV, eval for HCC History: HCV LIVER: The liver is mildly enlarged, measuring 17.6 cm in length. Normal echogenicity. No focal lesions. No intrahepatic dilation.BILIARY TRACT: No evidence of cholelithiasis. The gallbladder wall is not thickened, measuring 0.2 cm. There is no pericholecystic fluid. The common he... | 1. The liver is mildly enlarged. There are no focal lesions visualized.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Male, 57 years old.Reason: Concern for pneumonia History: Febrile with recent surgery Subsegmental atelectasis of the right middle lobe. Blunting of the left costophrenic angle may represent a focus of aspiration or subsegmental atelectasis. Cardiac mediastinal silhouette is unremarkable. No evidence of pulmonary edema... | Opacities suspicious for subsegmental atelectasis. No specific evidence of pneumonia. |
Generate impression based on medical findings. | 45-year-old female patient with abdominal distention. Evaluate for cholecystitis. (Upon review of prior imaging, the patient has had a cholecystectomy). LIVER: The liver measures 22.1 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TR... | 1. Status post cholecystectomy as noted on prior CT.2. Hepatomegaly and mild ascites.3. Mild right hydronephrosis. |
Generate impression based on medical findings. | Female, 61 years old.Fever and tachycardia. Small fibrotic appearing lungs with interval increase in opacity diffusely but particularly in the right upper lobe since the prior study of 2014. Scattered solid appearing upper lobe nodular opacities bilaterally are of indeterminate etiology. Unchanged cardiomediastinal app... | Severe progressive pulmonary fibrosis with increased opacity in the right upper lobe and scattered solid appearing upper lobe nodular opacities. Recommend correlation with CT scan. Differential considerations include infection, acute exacerbation of interstitial lung disease, drug reaction or malignancy. |
Generate impression based on medical findings. | Male, 67 years old.Reason: chest pain History: chest pain, cough Left lung and chest wall mass unchanged, with underlying rib destruction.Mild interstitial opacities with septal lines could indicate edema although the heart is not large.Right apical scarring unchanged. | Large left lung and chest wall mass with rib destruction unchanged. |
Generate impression based on medical findings. | Congestive heart failure with ascites LIVER: Unremarkable parenchymal echogenicity without mass. Liver length 15.7 cmGALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No ductal dilatation.PANCREAS: 1.9 x 1.9 x 1.8 cm cystic lesion arising from the pancreatic body.RIGHT KIDNEY: Echogenic parenchyma again noted wi... | Unremarkable hepatic parenchyma without mass or ductal dilatation. Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without obstruction. Mild ascites.Pancreatic body cyst. |
Generate impression based on medical findings. | Male, 70 years old.Reason: s/p TECAB with ct removal History: S/p TECAB with CT removal Chest tubes removed with no pneumothorax.Increased basilar atelectasis may be from mucous plugging.Heart size remains normal.Right jugular catheter removed. | No pneumothorax following chest tube removal. Increased basilar atelectasis may be from mucous plugging. |
Generate impression based on medical findings. | Male, 48 years old.History bladder cancer status post radical cystectomy. Evaluate for metastatic disease. Soft tissue and bony structures are pertinent only for mild degenerative disk throughout the thoracic spine, unchanged. Cardiac and mediastinal silhouettes are normal in appearance. Lung parenchyma is normal witho... | No acute cardiopulmonary disease and no evidence for metastatic disease. |
Generate impression based on medical findings. | Reason: eval for cause of chest pain History: chest pain Unremarkable cardiac and mediastinal silhouette. No significant pulmonary abnormalities on the chest radiograph though a subsequent CT scan shows multiple pulmonary nodules.Surgical clips in the neck. | No gross radiographic abnormalities but see subsequent CT scan report. |
Generate impression based on medical findings. | Male 71 years old Reason: Assess RUQ for gallbladder pathology given gallbladder wall thickening on CT History: Abdominal pain LIVER: Liver measures 16.6 cm in length. Main portal vein patent with normal directional flow, velocity measures 22 cm/s. BILIARY TRACT: Gallbladder contracted making evaluation for wall thicke... | 1. Left lower pole solid appearing renal lesion measuring up to 3.9 cm suspicious for neoplasm.2. Contracted gallbladder making assessment for wall thickening suboptimal, differential considerations for appearance include hypoalbuminemia, recent meal and/or underlying chronic cholecystitis. No definite additional secon... |
Generate impression based on medical findings. | Evaluation for cardiopulmonary stability/line stability. IABP. IABP marker 4 cm below the top of the aortic arch. Right jugular Swan-Ganz catheter tip at the level of the pulmonary outflow tract near the main pulmonary artery. Mediastinal drains unchanged in position.Extensive edema-like opacities unchanged from earlie... | IABP marker 4 cm below the top of the aortic arch. Worsening pulmonary opacities. Trace left apical pneumothorax. |
Generate impression based on medical findings. | Female, 28 years old.Reason: sob History: sob Low lung volumes. No pleural effusion or pneumothorax. No focal pulmonary opacities. The cardiac mediastinal silhouette is within normal limits. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Respiratory failure Tracheostomy tube, Dobbhoff, LVAD, right jugular dialysis catheter and ICD are all unchanged.Mild motion degrades sensitivity with persistent diffuse partial changes representing early edema with moderate effusions and a retrocardiac opacity likely atelectasis | LVAD unchanged |
Generate impression based on medical findings. | Female, 26 years old.Reason: r/o acute chest History: chest pain in patient with sickle cell crisis, new O2 requirement Heart size near upper normal.Linear basilar scarring.No evidence of infection or infarction.Skeletal abnormalities of sickle cell unchanged.Cholecystectomy clips noted. | Heart size upper normal with scarring but no acute pulmonary abnormality. |
Generate impression based on medical findings. | 68 year-old male with a history of cholestasis and TPN. LIVER: The liver parenchyma is mildly coarsened. It is normal in size, measuring 19 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. There is normal hepatopetal portal venous blood flow at 20 cm/sec.BILIAR... | Dilated gallbladder with cholelithiasis and biliary sludge without specific findings of acute cholecystitis. |
Generate impression based on medical findings. | Abnormal findings on diagnostic imaging of skull and head, not elsewhere classified [R93.0], Reason for Study: ^Reason: further eval findings on CT concerning for stroke History: CT findings concerning for stroke, s/p VA ECMO \T\ myocardial dysfunction Brain MRI:There are multifocal restricted diffusion lesions involvi... | 1. Subacute/acute ischemic infarctions on bilateral hemispheres as described above with hemorrhagic conversion on the right parietal lobe lesion.2. Near complete occlusion of the cervical segment of the left ICA with reconstitution of the distal left ICA at the level of cavernous sinus segment.3. Normal pituitary gland... |
Generate impression based on medical findings. | Metastatic small cell lung cancer, brain metastases, on chemotherapy. There are postoperative findings related to right frontal craniotomy, with underlying confluent high T2 signal with encephalomalacia and susceptibility effect in the right frontal lobe, with an unchanged subcentimeter area of enhancement. There are a... | Postoperative findings related to right frontal craniotomy, with an unchanged nonspecific subcentimeter area of enhancement. Multiple other supratentorial and infratentorial metastatic lesions are stable or smaller and many contain hemorrhagic components. |
Generate impression based on medical findings. | Female, 77 years old.Reason: f/u s/p rll History: f/u s/p rll Subtle right hemithorax volume loss from right lower lobectomy, with no evidence of metastases. What may be perceived as a nodule in the right lower lung zone is likely a vessel on end. Previously described left lower lung nodular opacity barely visible.No r... | No specific evidence of tumor recurrence following right lower lobectomy. Large hiatal hernia. |
Generate impression based on medical findings. | Male, 71 years old.Widened mediastinum with chest pain. Metallic bullet fragments project over the right posterior lateral chest wall.Chronic blunting of the right costophrenic angle. No pneumothorax or conclusive pleural fluid. No signs of pulmonary edema or pneumonia. Normal heart size. The thoracic aorta is slightly... | No specific signs of mediastinal hematoma. Normal heart size. |
Generate impression based on medical findings. | Cough No cardiopulmonary abnormality | Normal |
Generate impression based on medical findings. | 70-year-old male with history of prostate cancer. Left lateral base 3+4, left medial base 3+4. PELVIS:PROSTATE:Prostate Size: 4.8 x 2.7 cmPeripheral Zone: In the left lateral base there is a T2 hypointense lesion with restricted diffusion measuring 1.4 x 0.7 cm (image 27 of series 601). This lesion abuts the seminal ve... | Left lateral peripheral base lesion compatible with patient's known prostate adenocarcinoma which abuts the seminal vesicles. |
Generate impression based on medical findings. | Age: 50 yearsGender: FemaleReason for Study: Reason: eval for infection History: sob, cough, weakness The cardiomediastinal silhouette is unremarkable.The lungs are clear.There are no pleural effusions.Moderate degenerative changes throughout the thoracic spine. | No acute cardiopulmonary abnormalities are identified. No specific evidence of infection or edema. |
Generate impression based on medical findings. | There is diffuse T2 signal hyperintensity in the left slightly greater than right periventricular white matter and appears similar to prior MRI in 2012; findings compatible with periventricular leukomalacia and encephalomalacia. Diffusely diminished supratentorial white matter volume as well as thinning of the corpus ... | 1.No significant change in extensive periventricular T2/FLAIR signal abnormality, periventricular cystic changes, and diminished supratentorial white matter volume. Findings are again consistent with periventricular leukomalacia/encephalomalacia related to remote injury.2.No intracranial mass, acute infarct, or hemorrh... |
Generate impression based on medical findings. | MS, follow-up progression. History of paresthesias. There are several punctate and curvilinear T2/flair hyperintensities demonstrated in the periventricular and subcortical white matter which are unchanged in size, appearance, and location compared to the prior MRI. A stable punctate T2/flair hyperintensity is noted wi... | No significant interval change in size and number of scattered T2/FLAIR hyperintensities seen in the subcortical and periventricular distribution, compatible with history of demyelinating disease. |
Generate impression based on medical findings. | Male, 31 years old.Rule out acute chest in sickle cell patient, chest pain The lungs and pleural spaces are clear. There is mild cardiomegaly. No pneumothorax. | Cardiomegaly without consolidation or pleural effusion. |
Generate impression based on medical findings. | Female, 60 years old.Reason: 60F with neutropenic fever. History: neutropenic fever Increasing interstitial abnormality as well as consolidation in the right middle lobe which may be due to infection. There may be superimposed pulmonary edema. PICC tip in SVC | Increasing interstitial abnormality as well as consolidation in the right middle lobe which may be due to infection. There may be superimposed pulmonary edema. |
Generate impression based on medical findings. | Female, 64 years old.Reason: Left lobe decreased breath sounds History: as above Endotracheal tube tip 3-cm above the level of the carina. Nasogastric tube tip off the caudal margin of the film.Unchanged lobular cardiomegaly, enlargement of the central pulmonary vasculature and apparent pulmonary vascular redistributio... | No interval change |
Generate impression based on medical findings. | 60 -year-old female colon cancer status post resection. Please evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Subcentimeter nodule in the right middle lobe measuring 5 .number 13, series number 5. Emphysema.MEDIASTINUM AND HILA: Cardiomegaly. Aortic valvular calcifications.CHEST WALL: No significant abnormali... | Limited study due to lack of IV contrast.Trace amount of ascites.Ill-defined hyperdensity in the lower pole of the right kidney likely representing a complex cyst, however, lack of IV contrast precludes further evaluation. Large anterior abdominal wall abscess with diffuse cellulitis.Borderline enlarged retroperitoneal... |
Generate impression based on medical findings. | Male, 68 years old, with brain lesion for evaluation. The left basal ganglia ring enhancing lesion persists, with perhaps a mild interval decrease in size, now measuring up to 23 mm in diameter, previously up to 25 mm. Internal diffusion restriction seen on prior exams continues to diminish. Subtle developing periphera... | 1.Persistent ring enhancing lesion in the left basal ganglia with perhaps a mild interval decrease in size. A rim of T1 hyperintensity continues to development around this lesion. 2.Diffusion restriction internal to the above lesion is reduced. Some progression of surrounding T2 signal abnormality is seen, at least alo... |
Generate impression based on medical findings. | Right foot/ankle mass; chronic pain Ankle/hindfoot: There is slight prominence of the subcutaneous fatty tissue anterior to the lateral malleolus which could represent a lipoma but this is equivocal. There is otherwise no discrete mass identified. There is minimal edema of the subcutaneous fat about the ankle both medi... | 1. Mild nonspecific soft tissue edema of the foot and ankle as described above.2. Prominence of the subcutaneous fat anterior to the lateral malleolus may represent a lipoma but this is equivocal. There is otherwise no discrete mass identified.3. Small foci of increased signal intensity lateral to the proximal phalanx ... |
Generate impression based on medical findings. | Female, 37 years old. Pain. Evaluate for labral tear. ACETABULAR LABRUM: There is abnormal high signal within the anterior superior labrum, compatible with a tear.ARTICULAR CARTILAGE AND BONE: Bone marrow signal intensity is normal.SOFT TISSUES: No significant abnormality noted. ADDITIONAL | Anterior superior labral tear. |
Generate impression based on medical findings. | Female, 71 years old.Reason: r/o pneumonia History: sob, tachycardia Stable cardiac enlargement with atherosclerotic changes of aorta and an aortic stent graft in place involving the descending thoracic aorta.Large lung volumes compatible with COPD.Interval removal of right central catheter.Interval increase in by a la... | Interval removal of right central catheter with no pneumothorax.Interval increase in bilateral pleural effusions with left basilar opacity. Consider infection. |
Generate impression based on medical findings. | Age: 23 yearsGender: MaleReason for Study: Reason: chest tube History: chest tube Left-sided chest tube unchanged.No pneumothorax identified.Decreased lung volumes a stable cardiomediastinal silhouette.Minimal basilar atelectasis. | Left-sided chest tube unchanged. No evidence of a pneumothorax. |
Generate impression based on medical findings. | Female, 34 years old.Reason: eval for active tb with hx +PPD or + QuantiFeron History: eval for active tb with hx +PPD or + QuantiFeron Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities.No active TB. | No significant abnormality. |
Generate impression based on medical findings. | Female, 56 years old.Reason: eval for infiltrate, PNA; hx of EtOH hepatitis History: abd pain, hypotension Right basilar subsegmental atelectasis and right pleural effusion are present.Heart size normal.No change. | Unchanged basilar atelectasis and pleural effusion |
Generate impression based on medical findings. | A 66 year old male with paroxysmal atrial fibrillation, increased CPK extra-cardiac sarcoidosis with suspected cardiac involvement from previous cardiac MRI in 2009. Referred now to cardiac MRI for follow up. Left VentricleThe left ventricle remains normal in size and systolic function. The overall LV ejection fraction... | 1. Well-preserved left ventricular function with an LVEF of 58%.2. Enhancement at the basal infero-lateral segment similar to cardiac MRI of 2009. This spares the endocardium and is not likely to represent a prior myocardial infarction. Given the clinical history, this is suggestive of cardiac sarcoidosis. There is no ... |
Generate impression based on medical findings. | Male, 53 years old.Sudden onset of chest pain evaluate mediastinum. Severe cardiomegaly. Thickening of the fissures and vascular unsharpness consistent with moderate to severe pulmonary edema. Moderate volume of pleural fluid bilaterally.Please note that chest radiograph has a limited sensitivity for detection of vascu... | Moderate to severe CHF. |
Generate impression based on medical findings. | Reason: ett tube History: intubation ET tube tip 8 cm above the carina.Severe emphysema and bilateral lower zone airspace opacity with several discrete nodules, not significantly changed since the previous radiograph.No new findings. | ET tube in acceptable position. |
Generate impression based on medical findings. | 61-year-old female with history of intubation. Evaluate ET tube placement. ET tube tip 2 cm above the carina. Feeding tube in the stomach with tip outside the field of view. Status post median sternotomy with fracture of the 3 inferior sternal wires. Coronary stents are seen.Low lung volumes. Chronic appearing intersti... | Endotracheal tube tip 2 cm above the carina, otherwise stable cardiopulmonary appearance. |
Generate impression based on medical findings. | Male, 83 years old.Reason: r/o worsening of fluid status or acute parenchymal changes History: acute SOB and worsening hypoxia Worsening perihilar interstitial and airspace opacitiesSuggestive of edema or aspiration, with persistent bilateral pleural effusions. Heart size normal.Right PICC, tip in axillary region. | Worsening perihilar opacities suggestive of worsening edema or aspiration. |
Generate impression based on medical findings. | Male, 60 years old.Swan placement. Cardiogenic shock. Right jugular catheter has been replaced. New right jugular Swan-Ganz catheter tip projects over the right main pulmonary artery. Unchanged cardiomegaly. Sternotomy hardware and a bioprosthetic aortic valve noted.Large right pleural fluid collection and a probable s... | Right jugular Swan-Ganz catheter projects over the right main pulmonary artery, no pneumothorax. No acute change in pulmonary or pleural abnormalities. |
Generate impression based on medical findings. | Male, 26 years old.Reason: infiltrates History: desaturation New complete whiteout of the left hemithorax, likely atelectasis. No new focal pleural parenchymal opacity in the right hemithorax. Heart size difficult to assess. No pneumothorax. Lines and tubes are unchanged. | New complete whiteout of the left hemithorax, likely atelectasis. |
Generate impression based on medical findings. | Male 61 years old with elevated PSA and 2 prior negative biopsies. PELVIS:PROSTATE:Prostate Size: 4.9 x 6.0 x 6.0 cmPeripheral Zone: There is a 9 x 6 mm lesion (series 301, image 64) in the left base and a 5 x 4 mm lesion (series 301, image 66) in the right base. These lesions are dark on T2 and ADC and demonstrate ear... | Small peripheral zone lesions in the prostate base bilaterally are suspicious for prostate carcinoma. |
Generate impression based on medical findings. | Male 65 years old Reason: Pt is a 65 yo male w/ hx of follicular lymphoma; pre-asct eval History: Pre-stem cell transplant evaluation. Cardiac mediastinal silhouette is within normal limits.No focal opacity, pneumothorax, pleural effusion is identified.No evidence of metastatic disease. | No acute cardiopulmonary abnormality. No specific evidence of metastatic disease. |
Generate impression based on medical findings. | Male, 57 years old.Reason: SOB, elevated CK History: r/o ILD Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities. | No significant abnormality. |
Generate impression based on medical findings. | 44-year-old female with cough x 9 months, chest pain tonight; tachycardic - hemoptysis two days ago. Query any respiratory infection, PE, or signs of CA. CHEST:PULMONARY VASCULATURE: No PE. Study is diagnostic to the level of the subsegmental pulmonary arteries.LUNGS AND PLEURA: Mild upper lobe predominant centrilobula... | 1. No evidence of PE.2. Mild upper lobe centrilobular emphysema. |
Generate impression based on medical findings. | 20-year-old female presents with right upper quadrant pain. Evaluate for cholelithiasis. LIVER:Measures 17.4 cm. Course, heterogenous echogenicity of the liver parenchyma. No focal masses, ascites, intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gall... | 1. Course, heterogenous echogenic texture of the liver parenchyma is with chronic liver disease/parenchyma dysfunction.2. Gallbladder was not fully visualized on this study. There is a small fluid collection between the inferior vena cava and the liver which could represent a decompressed gallbladder although this coul... |
Generate impression based on medical findings. | Intubated evaluate ETT. ETT tip about 3 cm above the level of the carina. Right jugular catheter and presternal ICD again noted. Interval placement of an enteric tube which extends to the right of midline in the upper abdomen.Unchanged cardiomegaly and mild diffuse interstitial abnormality. Left costophrenic angle blun... | ETT tip 3 cm above the level of the carina. |
Generate impression based on medical findings. | 30-year-old male with history of right testicular cancer. Surveillance imaging. Normal cardiomediastinal silhouette.No acute focal airspace opacity. No discrete pulmonary nodules.Pleural spaces are clear. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Female 58 years old with left kidney cyst on prior CT, evaluate size and characterization RIGHT KIDNEY: The right kidney measures 10.0 cm in length and has normal corticomedullary differentiation. No shadowing calculi or hydronephrosis is present. Previously noted low-attenuation focus on CT abdomen dated 12/20/2014 is... | Previously noted low attenuation indeterminate focus on CT abdomen dated 12/20/2014 is not visualized. Recommend dedicated cross-sectional imaging for further characterization of this lesion. |
Generate impression based on medical findings. | Right base of skull mass. MRI: There is an unchanged lesion with high T2 and low T1 signal involving the right petrous apex and basiclivus. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are unchanged T2 hyperintense foci within the cerebral white matter and foci of susceptibility effect... | 1. Unchanged lesion within the right petrous apex and basiclivus for which the differential diagnosis includes trapped secretions and less likely neoplasm, such as low grade chondrosarcoma. 2. Unchanged subcentimeter cerebral aneurysms.3. Unchanged probable microangiopathic white matter disease and hypertensive microhe... |
Generate impression based on medical findings. | Reason: edema, PNA History: chest pain, Afib with RVR Small lung volumes with no gross cardiopulmonary abnormalities. | No acute abnormalities. |
Generate impression based on medical findings. | Female, 49 years old.Nocturnal emesis, worsening lung exam. Evaluate possible aspiration. Sternotomy hardware and an orphaned ICD coil fragment in the projection of the left brachiocephalic vein are unchanged. Linear scarring or atelectasis in the left upper lobe. No pneumothorax. No focal pulmonary opacities. | No signs of aspiration or other acute pulmonary abnormality. |
Generate impression based on medical findings. | Evaluate for growth of thyroid nodules or adenopathy RIGHT LOBE MEASUREMENTS: 3.9 x 1.2 x 1.2 cmLEFT LOBE MEASUREMENTS: 3.6 x 1.1 x 1.2 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Heterogeneous thyroid echotexture with mixed hyper and hypoechoic parenchyma typical for thyroiditis, increasing from the prior examination. I... | Heterogeneous thyroid echotexture with mixed hyper and hypoechoic parenchyma typical for thyroiditis. Stable right inferior lobe nodule. |
Generate impression based on medical findings. | 61-year-old male with prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Asymmetrically enlarged thyroid gland, unchanged.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hypodensities throughout the liver, which are too small to accura... | Interval decrease in the size of the retroperitoneal and pelvic enlarged lymph nodes.Slight interval increase in the extent and density of the sclerotic bone metastases. |
Generate impression based on medical findings. | Enteric tube placement Suboptimal study secondary to patient motion artifact. Enteric tube seen with side-port in gastric body. Nonobstructive bowel gas pattern. Presumed residual contrast in right renal collecting system. Vascular calcifications. | Enteric tube as above.Please see same day chest radiography for additional findings. |
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