VolumeName
string
ClinicalInformation_EN
string
Technique_EN
string
Findings_EN
string
Impressions_EN
string
Medical material
int64
Arterial wall calcification
int64
Cardiomegaly
int64
Pericardial effusion
int64
Coronary artery wall calcification
int64
Hiatal hernia
int64
Lymphadenopathy
int64
Emphysema
int64
Atelectasis
int64
Lung nodule
int64
Lung opacity
int64
Pulmonary fibrotic sequela
int64
Pleural effusion
int64
Mosaic attenuation pattern
int64
Peribronchial thickening
int64
Consolidation
int64
Bronchiectasis
int64
Interlobular septal thickening
int64
train_1155_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. There are sequel changes. Pleural effusion-thickening was not detected. Hepatosteatosis is observed in the upper abdominal sections included in the sections. No lytic or destructive lesions were detected in the bone structures in the study area.
Aeration of both lung parenchyma is normal, no nodular or infiltrative lesion is detected in the lung parenchyma, sequelae changes and hepatosteatosis are observed in the upper abdominal sections including the sections.
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train_1156_a_1.nii.gz
Cough, fever, phlegm, chills and chills for 3 days.
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. Ground glass areas are more prominent in the peripheral areas and some are round in shape. The described findings are the findings frequently observed in Covid-19 pneumonia. There are minimal emphysematous changes in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The ascending aorta is measured 40 mm in anterior-posterior diameter and is minimally wider than normal. There are atheromatous plaques in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are open.
Findings evaluated in favor of viral pneumonia in both lungs.
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train_1157_a_1.nii.gz
Operated cervix Ca, control
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There were cavitary lesions adjacent to the right lung upper lobe posterior segment, right lung lower lobe anterobasal segment, and left lung lower lobe superior segment adjacent to the major fissure. In the right lung lower lobe laterobasal segment, no significant difference was found in the dimensions of the central necrotic irregular border cavitary nodule identified in the previous examination. However, there is a thickening of the wall and it was evaluated in favor of metastasis. There is a cavitary lesion with nodular thickening on the wall in the basal segment bronchi bifurcation localization in the superior segment of the right lung lower lobe. A stable parenchymal air cyst was observed in the left lung lower lobe laterobasal segment. In the anterobasal posterobasal segments of the lower lobe of the right lung and in the laterobasal segment, consolidation areas forming a crazy paving pattern accompanied by the most intense interlobular septal thickening were observed. In this examination, parenchymal findings are progressive. In the previous examination of the patient, this level of ground glass opacities is present. In the case whose RT history is unknown, the findings may be secondary to post-RT or may be compatible with viral pneumonias reported in the previous examination. It is recommended to be evaluated together with clinical and laboratory. As far as can be observed in the sections, hypodense mass lesions were observed at the junction of the liver segment 2 and segment 7-8, and it was learned that they were metastases. Left kidney dimensions and parenchyma thickness decreased. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Operated cervix Ca on follow-up . Stable cavitary lesions in both lungs. Findings with an unknown history of RT may be secondary to post-RT. However, viral pneumonia was considered in the differential diagnosis. It is recommended to evaluate together with clinical and laboratory. Liver stable metastases in both lobes
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train_1157_b_1.nii.gz
Operated cervix Ca, pneumonia?
Axial sections of 1.5 mm thickness were taken without contrast material and reconstructions were made at the workstation.
Trachea, both main bronchi are open. Mediastinal vascular structures were not evaluated optimally due to the lack of contrast in cardiac examination. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; An increase in soft tissue thickness is observed in the vicinity of the right lung lower lobe bronchi, and there is a significant increase in size in the previous CT examination. It was measured as 9 mm at its thickest part in the previous CT examination, and it was measured as 18 mm at its thickest part in the current examination. In the current examination, centriacinar nodular opacity increases and ground glass densities are observed adjacent to the lesion described in the posterobasal segment of the right lung lower lobe. In addition, it was noted that the cavitary lesion observed in the posterior of the apical segment of the upper lobe of the right lung did not change in size, but its wall became more pronounced. An increase in the size of the cavitary lesion observed in the lateral segment of the lower lobe of the left lung was noted, and it was measured as 9x8 mm in the current examination. In the previous CT examination, it was measured as 7.5x7 mm. It was measured as 20x12 mm in the current examination, and it was measured as 33x15 mm in the previous CT examination. Intra-abdominal parenchymal organs could not be evaluated optimally because the examination was performed without IV contrast material, and there are lesions learned to be hypodense metastases in the liver segment 2, segment 8-7 junction localization. The lesion size, which was measured as 11 mm in the previous CT examination, was measured as 14 mm in the current examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
There is a pneumonic infiltration as well as endobronchial spread of the described lesion cannot be excluded. and cavitary lesion with an increase in size in the lateral segment of the lower lobe of the left lung and the lateral segment of the right lung. lesions learned to be tastasis; increase in lesion sizes observed at segment 2 level in the current examination
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train_1157_c_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
KT port is observed in the right hemithorax zone. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; The cavitary lesion size of approximately 3. Accompanying subsegmentary atelectasis has just developed. In the vicinity of the cavity, regression is also observed in a few irregular contoured nodular densities, which were more evident in the previous examination. Apart from these, millimetric-sized cavitary lesions in the right lung upper lobe posterior segment, right lung upper lobe anterior segment in the paramediastinal area, and left lung lower lobe superior segment peripheral lung parenchyma, with air in the central part, which were also observed in the previous examination, have a stable appearance. Budding tree appearances observed in the anterior segment of the left lung upper lobe in the previous examination - bronchiolitis is regressed in the current examination. In sections passing through the upper part of the west; In the liver dome, there are lesions with faint borders, increasing in size, which are 28 mm in the current examination, approximately 18 mm in the previous examination, and approximately 17 mm in the current examination and approximately 15 mm in the previous examination in the left lobe lateral segment. No significant pathology was detected in the bilateral adrenal glands. The left kidney is smaller than the right. No lytic-destructive lesions were detected in bone structures.
Stable, irregularly contoured cavitary lesion that is associated with the right lung lower lobe bronchus, destroying the bronchus; Newly developed peripheral consolidation areas with irregular contours of similar density in the segment. In the lower lobe of the right lung, the irregular contoured centracinar nodular densities, most of which have a newly emerged progressive appearance. In addition, millimetric-sized stable cavitary lesions in both lungs . Regression in the appearance of bronchiolitis with the budding tree view observed in the anterior segment of the left lung upper lobe in the previous examination. Metastases with increasing size in the liver dome and left lobe lateral segment.
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train_1157_d_1.nii.gz
GI bleeding.
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. In both hemithorax, there are effusions with a thickness of 48 mm on the left and 13 mm on the right, more prominently on the left. When examined in the lung parenchyma window; A cavitary mass lesion that causes bronchial destruction around the bronchus in the lower lobe superior, which was observed in both lungs in the previous examination, was also observed in the right lung upper lobe posterior segment in the previous examination and measured up to 9 mm (8 mm in the previous examination), which was observed in the previous examination and showed a slight increase in size in the current examination. ) suspicious solid nodular lesion in favor of malignancy is observed. A suspicious nodule in favor of malignancy, which was measured up to 6 mm in the previous examination and 8.5 mm in the current examination, is observed adjacent to the fissure in the superior lower lobe of the left lung. In the upper sections included in the study area, findings measuring up to 21 mm in the left parenchyma of the liver and up to 42 mm in the right lobe were evaluated in favor of metastases. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Nasogastric tube is available. Atrophic left kidney was observed. No lytic-destructive lesion was detected in bone structures.
Solid nodular lesions with cavitary causing destruction around the bronchus in the left lung lower lobe superior, with an increase in the surrounding destruction in the current examination, with high suspicion of mild dimensional increases in favor of malignancy in the right lung upper lobe posterior segment and left lung lower lobe superior and left lung over the fissure. New pleural effusions in both lungs measuring 48 mm in the left hemithorax and 14 mm in the right hemithorax. Metastatic lesions that increase in size in the liver, the pelvicalyceal structures in the right kidney are partially observed and show ectasia. The left kidney is atrophic.
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train_1157_e_1.nii.gz
Metastatic cervix ca, Covid-19 pneumonia?.
Sections were taken without contrast medium and there were no reconstructions at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are lesions that are understood to be metastatic in both lungs. The largest of the described lesions is observed in the central part of the lower lobe of the right lung and there is cavitation in the central part of this lesion. The longest diameter of the described lesion measured approximately 40 mm at its widest point. Significant growth was observed in the dimensions of the lesion, which was observed in the subpleural area in the lateral, in the superior segment of the lower lobe of the right lung. The longest diameter of the described lesion was measured 23 mm in this examination and 8 mm in the previous examination at its widest part. When evaluated together with other lesions, it was thought that the described lesion was primarily a lesion. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. The port chamber was observed in the subcutaneous adipose tissue in the right hemithorax. The port catheter terminates in the superior distal portion of the vena cava. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No fracture or lytic-destructive lesions were detected in the bone structures within the sections.
Cervical ca on follow-up, metastatic lesions in both lungs.
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train_1158_a_1.nii.gz
Cough
Before IVKM was given, sections were taken in the axial plan and reconstruction was performed at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is a mosaic attenuation pattern in both lungs (small airway disease ? small vessel disease?). Atelectasis is observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. There are calcific atheroma plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph nodes were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes at the vertebral corpus corners. The neural foramina are open.
Mosaic attenuation pattern in both lungs. Millimetric nodules in both lungs. Atherosclerotic changes in the aorta and coronary arteries.
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train_1159_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Benign calcific nodules with a diameter of 4.8 mm were observed in both lungs, more common on the left, and the largest in the superior segment of the left lung lower lobe. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. A hypodense nodular lesion with a diameter of 1 cm was observed in the upper pole posterior of the right kidney as far as can be observed in the sections (cyst?). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Millimetric nonspecific calcific nodules in both lungs . Hypodense nodular lesion (cyst?) in the right kidney upper pole posterior.
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train_1160_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lung parenchyma, there are ground-glass densities in all lobes, which tend to merge widely from the central to the periphery. In addition, paraesophageal and paratracheal air densities are observed at the paramediastinal and upper mediastinal levels. At these levels, trachea and esophageal integrity as far as can be followed are normal. In the upper abdominal organs, there is a millimetric accessory spleen adjacent to the spleen. Other upper abdominal organs are natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Pneumomediastinum findings have recently developed.
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train_1161_a_1.nii.gz
cough, sputum
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear atelectasis areas are observed in the upper lobe and lower lobes of the left lung and in the basal segments of the lower lobe of the right lung. No gross pathology was detected in the upper abdomen sections included in the sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Areas of linear subsegmental atelectasis in both lungs
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train_1162_a_1.nii.gz
hypoglycemia
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node in pathological pathological size and appearance was observed in the mediastinum. There are several non-specific mediastinal lymph nodes. Heart size increased. More prominent on the left is an increase in diameter in all valve compartments. There are stent material and calcified atheroma plaques in the coronary arteries. Pericardial effusion is not detected. There is a pleural effusion with a diameter of 7 cm between the leaves of the right pleura, and 4 cm on the left, and fissural edema on the right. The extraction took place in the expirium. Trachea and bronchial structures are collapsed. Subsegmental atelectasis areas are observed in both lungs. No pneumonic infiltration area was detected in the lung parenchyma. Perihepatic free fluid is present in the upper abdominal sections.
Not given.
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train_1163_a_1.nii.gz
Fever, headache and malaise
Sections were taken before IVKM was given and reconstructions were made at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis and minimal peribronchial thickening in the central parts of both lungs. Budding tree appearances are observed in both lungs, more prominently on the right. In addition, consolidations are observed in the right lung middle lobe lateral segment and upper lobe anterior segment lateral segments. The described manifestations were primarily evaluated in favor of infective pathology. No mass was detected in both lungs. There are pleuroparenchymal sequelae changes in both lung apex. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. The largest of the described lymph nodes is observed in the paratrecheal region and its short diameter is 11 mm. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph node was detected. In the upper abdominal organs within the sections, there is no mass with discernible borders as far as it can be observed within the borders of non-enhanced CT. No lytic-destructive lesions were detected in the bone structures within the sections. There are nonspecific sclerotic bone lesions in the bone structures within the sections. The described bone lesions can also be observed in the previous examination of the patient.
Findings evaluated primarily in favor of infective pathology in both lungs, more prominent on the right
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train_1163_b_1.nii.gz
pneumonia
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. The diameter of the ascending aorta was approximately 37 mm. Pericardial effusion-thickening was not observed. The thoracic esophagus is in normal calibration. No pathological wall thickening was detected. Lymph nodes with a short diameter of up to 5 mm were observed in the mediastinal prevascular area, the aortopulmonary window, and the paratracheal area. It is stable. When examined in the lung parenchyma window; Sequela fibrotic changes were observed in the apex of both lungs. Consolidations observed in both lungs in the previous examination have been resorbed in the current examination, and there are only localized linear atelectasis in their sites. In addition, segmental atelectasis was observed in the medial segment of the right lung middle lobe. Nonspecific parenchymal nodules were observed in both lungs, the largest of which was 3 mm in diameter in the medial segment of the right lung middle lobe. In addition, aeration increases were observed in both lungs, consistent with panlobular emphysema. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the evaluation of bone structures, multiple levels of sclerotic lesions were observed in the vertebral bodies. Height loss was observed in L1 vertebra.
Consolidations observed in the previous examination in both lungs have been resorbed in the current examination and only minimal fibroatelectatic changes and panlobular emphysema in both lungs. Lymph nodes not reaching mediastinal pathological size. Diffuse sclerotic lesions in bones.
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train_1163_c_1.nii.gz
Multiple myeloma.
1.5 mm thick non-contrast sections were taken in the axial plane.
The examination was performed without contrast and the mediastinal structures were evaluated as suboptimal. As far as can be seen, the diameter of the ascending aorta is 40 mm and it shows fusiform dilatation. Heart contour size is natural. Pericardial minimal effusion is observed. No dilatation was detected in the pulmonary arteries. Thoracic esophageal calibration was normal, and no significant pathological wall thickening was detected in the non-contrast examination limits. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. There are lymph nodes measuring 18x12.5 mm in size in mediastinal upper-lower paratracheal, precarinal, and subcarinal localizations. When examined in the lung parenchyma window; Diffuse multiple patchy consolidation areas and concomitant ground-glass density increases are observed in both lungs. Bilateral peribronchial thickenings are observed. Interlobular septal thickenings are noted in the lower lobes of both lungs (secondary to cardiac pathology?). In the upper abdominal sections in the study area; A few hypodense lesions measuring 7 mm in diameter were observed in the liver, the largest of which was at segment 6 level. A hypodense lesion with a diameter of 19 mm is observed in the upper pole of the left kidney (cortical cyst?). Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Multiple levels of sclerotic lesions are observed in bone structures within the study area. Slight loss of height is observed in the L4 vertebral corpus.
Diffuse patchy areas of consolidation and accompanying ground-glass densities in both lung parenchyma. Although the appearance is nonspecific, fungal infections or viral infectious pathologies should be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Mediastinal lymph nodes. Millimetrically sized hypodense lesions in the liver. Hypodense lesion in the left kidney (cyst?) . Diffuse sclerotic lesions in bone structures.
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train_1163_d_1.nii.gz
multiple myeloma
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi are open and no obstructive pathology is detected. The mediastinal vascular structures and heart could not be evaluated optimally because of the lack of contrast in the examination. As far as can be seen, the diameter of the ascending aorta AP is 40 mm and it shows fusiform dilatation. The heart contour and size are normal. Pericardial pleural effusion was not detected. Dilatation is not observed in the pulmonary arteries. No pathological increase in wall thickness is observed in the thoracic esophagus. When examined in the lung parenchyma window; In the previous CT examination, there is significant regression in the multiple patchy consolidation areas observed in both lung parenchyma, and there are minimal ground glass densities in their sites. No newly developed focus of infection was detected. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdomen sections within the image, several hypodense lesions are observed in the liver parenchyma, the largest measuring 13x10 mm in segment 6. A hypodense lesion with a diameter of 19 mm is observed in the upper pole of the left kidney (cyst?). No upper abdominal free fluid or loculated collection is observed. There are multiple levels of sclerotic bone lesions in the bone structures within the study area. Slight loss of height is observed in the anterior and central parts of the L4 vertebral body.
A decrease in the size of lymphadenopathies observed in the mediastinum is observed, and the largest one is 12 mm in diameter at the precarinal level. being measured. Diffuse stable sclerotic lesions in bone structures . A few millimetric-sized hypodense lesions in the liver and hypodense lesions in the left kidney
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train_1163_e_1.nii.gz
multiple myeloma
The examination was carried out without contrast at a slice thickness of 1.5 mm
CTO is within the normal range. The aortic arch was calibrated to 33 mm and was wider than normal. Calibration of the ascending aorta is normal. Pulmonary trunk calibration is 30 mm. It is wider than normal. Calibration of the right and left pulmonary arteries is normal. The descending aorta calibration is natural. In the case, a venous port-catheter extending towards the right atrium in the nasogastric tube and superior vena cava is observed. Lymph nodes are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum, the largest of which is approximately 15x10 mm in size as can be evaluated in non-contrast examination. Although it could not be evaluated clearly in the non-contrast examination at both hilar levels, no significant lymph node with pathological size and configuration was detected. At the level of the thoracic inlet, the esophageal wall thickness line becomes prominent and causes indentation in the posterior wall of the trachea. There is a hypodense lesion in the left kidney upper zone posterior. It does not differ significantly from the previous review. On the right, a nodular density of approximately 6 mm in diameter located under the skin is observed between the fat planes at the level of the chest wall. It was not detected in his previous review ( met ?). In the evaluation of both lungs in the parenchyma window; Nodular thickness increases are observed in the interstitial scars, more prominently in the lower zones. However, the consolidative areas and surrounding frosted glass-like density increments observed in the previous examination regressed in the current examination. Again, in the current examination, there is significant regression in the pleural effusion observed in the previous examination, and it is observed as approximately 12 mm in the thickest part of the left lung. There is a nodule with a diameter of approximately 5 mm in the lateral segment of the middle lobe of the right lung, which could not be clearly distinguished in the previous examination. Another nodule with a diameter of 5 mm is observed in the superior segment of the left lung lower lobe. In the current examination, a relatively well-defined lesion of approximately 60x28 mm in the axial plane is observed in the anteromediobasal segment of the lower lobe of the right lung, closely related to the descending aorta and dorsomedial pleura. The lesion also shows a close relationship with the lower lobe bronchi. It was not detected in the previous review.
However, there are regressions in the consolidation areas in the current review. Again, the prominent pleural effusion observed in the previous examination decreased significantly in the current examination. However, there are a few nodular lesions, especially in the left lung lower lobe anteromediobasal location, which were not observed in the previous examination.
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train_1164_a_1.nii.gz
cough.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Right upper, bilateral lower paratracheal lend nodes with millimetric size are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures.
No mass nodule infiltration was detected in both lungs.
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1
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train_1165_a_1.nii.gz
Cough, COVID?
Without IVKM, 1.5 mm thick sections were taken in the axial plan and reconstructions were made at the workstation.
The size of the thyroid gland has increased and its parenchyma has a heterogeneous appearance. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is an increase in peribronchial thickness. A mosaic attenuation pattern is observed in the lower lobes of both lungs (small airway disease? Small vessel disease?). In the posterior segment of the lower lobe of the right lung, there is a patchy consolidation area accompanied by ground glass areas, a concomitant budding tree view, increases in centeriacinar density, and subsegmental atelectasis (infectious pathology?). A few millimetric, calcific nodules are observed in both lungs. There are areas of linear atelectasis in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections.
Patchy area of consolidation and accompanying ground-glass areas, centriacinar density increases and areas of atelectasis in the lower lobe of the right lung; It is recommended to be evaluated in terms of infectious pathologies. Mosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?). Several millimetric calcific nodules in both lungs.
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train_1166_a_1.nii.gz
respiratory distress
Sections were taken without contrast medium and reconstructions were made at the workstation.
There is an endotracheal tube in the trachea. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes and occasional linear atelectasis in both lungs. In addition, minimal pleuroparenchymal sequelae changes are observed in both lung apex. There is consolidation in the peripheral area in the posterior segment of the right lung upper lobe. This appearance may belong to an atelectasis or pneumonic infiltration. In this examination, this distinction could not be made. There are centriacinar nodules in the peripheral area in the lateral part of the left lung upper lobe apicoposterior segment. The views described are nonspecific. These appearances may be compatible with distal airway disease. It is recommended to evaluate the patient together with the physical examination findings. No mass was detected in both lungs. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. There is no pericardial effusion. Atheroma plaques are observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No lytic-destructive lesions were detected in the bone structures within the sections.
Minimal emphysematous changes in both lungs . Consolidation-atelectasis cannot be differentiated in the posterior segment of the right lung upper lobe . Linear atelectasis in both lungs . Pleuroparenchymal sequelae changes in both lung apexes . Minimal pleural effusion on the right . Atherosclerotic changes in the aorta and coronary arteries
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train_1167_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Pericardial effusion was not detected. Esophageal calibration was followed naturally. In lung parenchyma evaluation; There are atypical pneumonic infiltration areas in the parenchyma of both lungs in the form of bilateral ground glass nodules and occasionally accompanied septal thickness increases. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection. A few nonspecific nodules, some of them calcified, millimetric, some of which are located in fissures and in ovoid configuration, were observed in both lungs. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections, there is a decrease in the density of the liver parenchyma consistent with mild hepatosteatosis. No lytic-destructive lesions were detected in bone structures.
Atypical pneumonic infiltration areas consistent with lung parenchymal involvement of Covid infection. Non-specific millimetric nodules in both lungs . Mild hepatosteatosis.
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1
1
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1
train_1168_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Scattered patchy ground-glass opacities are observed, predominant in the subpleural areas of both lungs. It is in favor of viral pneumonia. It is one of the typical findings of Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Typical-probable Covid-19 pneumonia.
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0
0
0
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1
0
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0
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0
train_1169_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. Thoracic aorta diameter is normal. There is an effusion with a pericardial size of up to 6 mm. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Thickening of the interlobular septa in both lungs, mosaic attenuation patterns, volume losses and atelectatic changes, especially in the lower lobes, are observed. There is a small amount of pleural effusion, more prominent on the right bilateral side. An infiltrative lesion is observed in the left breast. The examination of the upper abdominal organs was partial and was evaluated as suboptimal. Minimal smear-like effusion and millimetric air density are observed in the perihepatic area. There is a diffuse density decrease in bone structures. Hypertrophic osteophytic taperings are observed in the vertebral corpus end plates.
Infectious processes accompanied by cardiac stasis; clinical laboratory correlation, follow-up is recommended. Cardiomegaly Pericardial effusion in the form of a smear. Perihepatic effusion with millimetric air density. A small amount of pleural effusion, more prominent on the right bilateral side. Diffuse degenerative changes in bone structures, decrease in density. Infiltrative lesion is observed in the left breast.
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1
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0
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1
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1
1
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1
train_1170_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung. Pleural effusion-thickening was not detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A calculi of 4 mm in diameter was observed in the middle zone of the right kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Sequelae changes in the right lung. No sign of pneumonia was detected. Right nephrolithiasis.
0
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0
0
0
0
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0
1
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0
train_1171_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. The aortic arch calibration is 31 mm. It is larger than normal. Calibration of other mediastinal major vascular structures is normal. Pericardial effusion-thickening was not observed. There are calcific atheroma plaques in the aortic arch and at the level of the ascending aortic root. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. There is a decrease in density consistent with emphysema in both lungs. Mild sequelae changes are observed at the apical level. Pleuroparenchymal sequela changes at basal levels in both lungs, air cysts on the left, and densities compatible with sequelae in the subpleural area on the right are observed. There was no significant finding in favor of pneumonia. No pleural effusion or pneumothorax was detected. Hiatal hernia is observed. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure.
No finding compatible with pneumonia was detected. Sequelae changes in both lungs, findings consistent with emphysema. Degenerative changes in bone structure. Hiatal hernia.
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1
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1
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1
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0
train_1172_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal vascular structures were evaluated as suboptimal because the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen of the trachea and both main bronchi. The diameter of the ascending aorta was measured 35 mm. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. Sliding type minimal hiatal hernia is observed. Mediastinal and bilateral hilar millimetric lymph nodes are observed. No lymph node was detected in pathological size and appearance. When examined in the lung parenchyma window; A calcified nonspecific pulmonary nodule with a diameter of 6 mm is observed in the middle lobe of the right lung. In the middle lobe anterior cortex of the right lung, a lesion with a fat density of 5 mm in diameter compatible with angiomyolipoma is observed in the first plane. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections included in the examination area, there is a lesion in the upper pole of the left kidney, predominantly exophytic, with a size of 30x20 mm, which is evaluated in favor of angiomyolipoma when evaluated together with the MR examination containing macroscopic fat. Millimetric sized simple cortical cysts are observed in both kidneys. There are calcific atherosclerotic changes in the wall of the abdominal aorta. Thoracic kyphosis increased in bone structures in the study area. Bridging osteophyte spur formations are observed in the right anterolateral of the thoracic vertebra. It is recommended to be evaluated in terms of DISH disease.
Calcified atherosclerotic changes in the thoracoabdominal aorta. Calcified nonspecific pulmonary nodule of millimeter size in the right lung. Lesion in the upper pole of the left kidney, which was initially evaluated in favor of angiomyolipoma. Bilateral renal cortical cysts. Findings compatible with thoracic spondylosis and DISH disease. A lesion with millimetric fat density in the anterior cortex in the right kidney midzone, initially compatible with angiomyolipoma.
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train_1173_a_1.nii.gz
chest pain
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. There is an appearance compatible with hepatosteatosis in the liver parenchyma entering the section area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Hepatosteatosis
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
train_1174_a_1.nii.gz
Chronic obstructive pulmonary disease.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. No obstructive pathology was detected in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Since the examination was without contrast, it was evaluated as suboptimal and is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the mediastinal prevascular area, in the aortopulmonary window, in the paratracheal area, in the bilateral hilar region, in the paratracheal area, oval-shaped lymph nodes with a short diameter reaching 6 mm are observed. Reactive lymph nodes are observed in the bilateral axillary region. No lymph node reaching pathological size was detected in the bilateral supraclavicular region. When examined in the lung parenchyma window; In both lungs, aeration differences between lobules are observed from place to place. Particularly in the basals, an increase in aeration consistent with panlobular emphysema is observed, leading to a mosaic attenuation pattern here. No nodular or infiltrative lesion was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. In the superior medial neighborhood of the spleen, an isodense appearance is observed with the millimetric spleen (accessory spleen?). A hyperdense exophytic lesion is observed in the middle probe of the left kidney. MR correlation is recommended. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Mosaic attenuation pattern in both lungs and increased aeration in lower lobes consistent with panlobular emphysema. Mediastinal lymph nodes. Exophytic hyperdense appearance in the right kidney (MR correlation is recommended).
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1
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0
train_1175_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
A calcified nodule was observed in the left thyroid lobe. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A parenchymal nodule with a diameter of 4 mm was observed in the superior segment of the left lung lower lobe. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Several 14x10 mm lymph nodes were observed in the vicinity of the celiac trunk, which entered the imaging area.
Parenchymal nodule in the left lung. Lymph nodes in the celiac trunk.
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train_1176_a_1.nii.gz
chest pain
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear atelectasis in the middle lobe of the right lung, the upper lobe lingular segment of the left lung, and the lower lobe of both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. There is a decrease in liver parenchyma density consistent with moderate adiposity. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open.
Atelectasis in both lungs Atherosclerotic changes in the aorta and coronary arteries Hiatal hernia Thoracic spondylosis
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train_1177_a_1.nii.gz
weakness, chills, shivering, fever, headache, nausea
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
In the lingular segment of the left lung, a consolidation area of 7 x 6 cm at its widest point, including air bronchograms, was observed. Pneumonic infiltration? Appropriate post-treatment control is recommended. And there is another 3.5 x 2 cm infiltration area in the apical segment of the right lung upper lobe. A carinal 14 x 11 mm lymph node and millimetric lymph nodes at other levels were observed in the mediastinum. A nodular mass of 10 mm in diameter is observed in the lower outer quadrant of the left breast, breast ultrasonography is recommended. A millimetric hyperdense appearance was observed in the neck of the gallbladder. Ultrasonography is recommended. Accessory spleen with a diameter of 13 mm was observed. Bilateral os acromiale variation was observed. Trachea and main bronchi are open. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax.
Pneumonic infiltration in left lung lingular segment and right lung upper lobe apical segment? Appropriate post-treatment control is recommended. Lymph nodes identified in the mediastinum Nodular mass appearance defined in the lower outer quadrant of the left breast, breast ultrasonography is recommended. Stone in the neck of the gallbladder? Ultrasonography is recommended.
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train_1177_b_1.nii.gz
pneumonia.
Before IVCM was given, axial plane sections were taken with MDCT and reconstructions were made at the workstation.
Consolidation is observed in the left lung upper lobe lingular segment. It is understood that the patient disappeared in the frosted glass areas observed around the consolidation in the previous examination. Apart from this, no infiltrative lesion was detected in both lungs. No mass was observed in both lungs. No pleural or pericardial effusion or thickening was detected. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.
Not given.
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train_1178_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Thorax CT examination within normal limits
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train_1179_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. The ascending aorta calibration is 40 mm. It is at the upper limit of normal. The aortic arch calibration is 31 mm. It is slightly wider than normal. Calibration of other mediastinal vascular structures is natural. Millimetric calcific atheroma plaques are observed in the left coronary artery. A venous port is observed at the right pectoral level and its catheter extends caudally through the superior vena cava. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathologically sized and configured lymph nodes were detected at mediastinal and both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. There are faint focal and mostly peripherally located ground glass-style density increments in both lungs. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Mild sequelae changes are observed at the apical level. Sequelae changes are observed at the posterobasal level of the left lung. No bilateral pleural effusion or pneumothorax was detected. The left kidney is atrophic. A millimetric nodular lesion is observed in the anterior of the spleen, which may be compatible with the accessory spleen or lymph node. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Due to respiratory artifact in the bone structure, local examination, especially in the upper zones, bone structure evaluation is suboptimal, but degenerative changes are observed.
Blurred focal and mostly peripherally located ground glass-like density increases in both lungs; It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Atrophic appearance in the left kidney.
1
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train_1180_a_1.nii.gz
Cough, weakness and shortness of breath
Axial sections of 1.5 mm thickness were taken without contrast material and reconstructed at the workstation.
Peripheral subpleural ground-glass density areas are observed in both lung parenchyma, more prominently on the right, and enlargement of the vascular structures is noted in these areas. Findings are specific for Covid-19 pneumonia, and it is recommended to be evaluated together with clinical and laboratory findings and followed up after treatment. A peripheral subpleural localized nodule of 17x13 mm in size is observed in the posterior segment of the right lung upper lobe. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. Mediastinal main vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. No increase in pericardial and pleural effusion was detected. There are calcified atheromatous plaques in the wall of the aortic arch. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. The right thyroid lobe was not observed (operated?, hypoplasia?). As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected. In the middle zone of the right kidney, a hyperdense stone in millimetric sizes is observed. There are suture materials secondary to the operation in the gallbladder lodge. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Degenerative changes are observed.
Ground-glass density areas thought to be Covid-19 pneumonia in the etiology of peripheral subpleural localization are observed in both lung parenchyma, which is more prominent on the right, and it is recommended to be evaluated together with clinical and laboratory findings and post-treatment control. lesion. Right thyroid lobe not observed (operated?, hypoplasia?). Degenerative changes in bone structure. Right nephrolithiasis. Cholecystectomized.
1
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train_1181_a_1.nii.gz
Cough, phlegm, pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild sequelae changes are observed at both apical levels. Micronodular ground-glass densities are observed, which can hardly be distinguished from subpleural parenchyma located in the middle and lower lobes of the right lung and subpleural in the lower lobe of the left lung. It can be seen in an early infectious process. Clinical laboratory correlation and follow-up are recommended. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Findings that can be seen in an early infectious process; Kilink laboratory correlation and follow-up is recommended due to the current pandemic.
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0
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train_1182_a_1.nii.gz
Fire
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the subpleural area of the upper lobe of the right lung, serial 202 image 55 shows a finding consistent with a small 16 mm bulla. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Findings compatible with small 16 mm bulla in serial 202 image 55 in the subpleural area of the upper lobe of the right lung . Thorax CT examination within normal limits
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1
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train_1183_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Examination is suboptimal because of respiratory artifacts. Trachea, both main bronchi are open. In the anterior mediastinum, there is thymic tissue in trigonal configuration, which does not show any mass effect. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 1-2 sections at the apical level of the right lung were not included in the field of view. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. It was not found to be compatible with pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
It was not found to be compatible with pneumonia.
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train_1184_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm
KT port is observed in the anterior part of the right hemithorax. Trachea and main bronchi are open. Right upper-lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. Contour, size, parenchymal density of the liver are normal. RF ablation areas are observed in the liver. In addition, there are metastases in all segments of both lobes in which no significant difference was observed in the previous MRI examination. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts are normal. The gallbladder was not observed (operated). Spleen contour size parenchyma density is normal. The subcapsular lesion in the spleen, which was observed in the previous MRI examination, cannot be detected in the CT examination. Pancreas contour size parenchyma density is normal. Both kidney size contour parenchyma densities are normal. No renal solid or cystic mass was detected. The bilateral adrenal gland appears natural. Although bladder filling was not complete, no obvious pathology was detected in the lumen. Prostate and seminal vesicles are normal. Pathological wall thickening is not observed in the intestinal loops. Right paramedian postoperative defective appearance is observed in the lower abdominal quadrant. Anastomosis lines are observed in the rectum localization and the small intestine loops on the right. It has a mildly stable dense appearance between the right small bowel loops in previous and current examinations. The anus wall of the small intestine is slightly prominent. No lytic-destructive lesion is observed in the bone structures entering the section area.
Since the previous examination is MR, there is no significant difference in liver metastases when comparing MR and CT examinations. Stable RFablation areas in the liver . Subcapsular cyst/lesion in the spleen described in the previous examination is not selected in the CT examination. Anastomosis line in rectum localization and small intestine localization in the right lower quadrant . Anastomosis line, the walls of the small intestine are slightly thick and the surrounding area appears edematous.This appearance is also present in the previous examination.
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train_1184_b_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. In the sections passing through the upper abdomen, there is a decrease in density consistent with mild hepatosteatosis in the liver. Postoperative changes are observed in the medial segment of the liver left lobe and at the level of the lateral segment. There are also postoperative changes in the gallbladder bed. Both adrenals are natural. The spleen is observed to be full. There is nodular formation in the spleen hilum, which is considered compatible with the accessory spleen. There are degenerative changes in the bone structure in the examination area. There is left-facing scoliosis in the dorsal region. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures.
There was no finding consistent with significant metastasis in both lung parenchyma. Slight degenerative changes in bone structure, left-facing scoliosis in the dorsal region
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train_1184_c_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. On the right, the port chamber was observed on the anterior chest wall, and the image of the catheter extending distal to the superior vena cava was observed. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Central - peripherally located ground glass nodules are observed in the basal segments of the lower lobe of the right lung, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Mass lesion with distinguishable borders in both lungs - no active infiltration was detected. As far as can be seen within the sections; hypodense lesions were observed in both lobes of the liver and it was evaluated in favor of metastasis in the case with a history of colonic ca. The largest of the described metastatic lesions are observed in segment 8 and segment 7, with diameters of 32 mm and 40 mm, respectively. Nodular density increases in the omentum and peritoneal thickening and nodular soft tissue lesions in the posterior neighborhood of the liver on the right were observed, and the appearance was evaluated in favor of peritoneal carcinomatosis. Spleen, pancreas, both kidneys, bilateral adrenal glands are normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
High suspicious findings for Covid-19 pneumonia in the right lung lower lobe basal segments; it is recommended to be evaluated together with clinical and laboratory. Metastatic mass lesions in the liver, peritoneal carcinomatosis
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train_1185_a_1.nii.gz
Aspiration pneumonia?
1.5 mm thick non-contrast sections were taken in the axial plane.
Port chamber and catheter image extending superiorly to the vena cava were observed on the right anterior chest wall. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. In the mediastinal region, no lymph node was detected in the pathological size and appearance in the non-contrast examination margins. Bilateral hilar region examination could not be evaluated clearly because of lack of contrast. Heart size increased. There is an effusion measuring 11 mm in its thickest part in the pericardial area. Pericardial thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; There are consolidation areas in the left lung lingular segment and lower lobes with a common consolidation tendency. In addition, widespread subsegmental atelectasis areas in the upper lobe and lower lobe of the left lung are noteworthy. No significant mass, nodule-infiltration was detected in the right lung. Bilateral peribronchial thickenings were observed. There was no bilateral pleural thickening and no effusion on the right. There is a free pleural effusion measuring 11 mm in thickness between the pleural leaves on the left. Mild emphysematous changes are observed in both lungs. The liver contours are irregular in the upper abdominal sections in the examination area. Diffuse pathological wall thickening compatible with gastric Ca and infiltration in the perigastric fatty planes were observed at the level of the stomach lesser curvature-antrum partially entering the examination area. There is free fluid in the abdomen. The stomach and esophagus appear dilated due to the mass. No lytic destructive lesion was detected in bone structures.
Areas of consolidation that tend to merge in a patchy manner in the upper and lower lobes of the left lung, areas of widespread subsegmental atelectasis in the upper lobe of the left lung . Left pleural effusion . Mild emphysematous changes in both lungs . Pathological wall thickness increase compatible with gastric Ca at the level of the lesser curvature-antrum of the stomach and diffuse dilation of the proximal stomach and esophagus.
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train_1186_a_1.nii.gz
Trauma.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are atelectatic changes in the lower lobes of both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are hypertrophic osteophytic taperings in the dorsal vertebral corpus end plates.
Hypertrophic osteophytic tapering in dorsal vertebral corpus endplates. There are atelectatic changes in the lower lobes of both lungs.
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train_1187_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. A nonspecific solid nodule of 2.3 mm is observed in the posterior segment of the right lung upper lobe. Ventilation of both lungs is natural. Hyperdense views of multiple foreign bodies between the subcutaneous fatty tissue and muscle planes of the anterior abdominal wall in the anterior chest wall and upper abdominal sections. is monitored. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
No findings in favor of pneumonic infiltration were detected in both lungs, and millimeter-sized nonspecific nodules in the posterior segment of the right lung upper lobe. Hyperdense appearances of multiple foreign bodies between the subcutaneous fatty tissue and muscle planes of the anterior chest wall and upper abdominal wall of the abdomen.
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train_1188_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Soft tissue density compatible with gynecomastia was observed in both retroareolar areas. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; A catheter image extending to the superior vena cava was observed. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A triangular soft tissue density was observed in the anterior mediastinum (remnant thymus?). No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Fibroatelectatic changes were observed in the lower lobe of the left lung. No mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. In the upper abdominal sections in the study area; A well-circumscribed, hypodense nodular lesion of approximately 16 mm in diameter at the same density as the spleen was observed at the pancreatic tail localization-splenic hilus level. The appearance may belong to a pathology of the spleen parenchyma or the tail of the pancreas. However, since the examination is without contrast, it cannot be characterized in this examination. It is recommended to be evaluated together with contrast-enhanced MR examination. Multiple, heterogeneous increases in density were observed in all bone structures in the study area. It is recommended to be evaluated in terms of hematological diseases. Bone infarcts can be considered in the differential diagnosis.
Bilateral gynecomastia. Triangular soft tissue density (remnant thymus?) in the anterior mediastinum. Fibroatelectatic changes in the left lung. Localization of the pancreatic tail-well-circumscribed, hypodense nodular lesion at the level of the splenic hilus and co-density with the spleen; the appearance may belong to a pathology of the spleen parenchyma or the tail of the pancreas. However, since the examination is without contrast, it cannot be characterized in this examination. It is recommended to be evaluated together with contrast-enhanced MR examination. Multiple, heterogeneous increases in density in all bone structures in the study area; It is recommended to be evaluated in terms of hematological diseases. Bone infarcts can be considered in the differential diagnosis.
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train_1188_b_1.nii.gz
B-cell ALL
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a millimetric nodule with a ground glass area around it in the peripheral area of the left lung lower lobe superior segment. This nodule was not observed in the patient's previous examination. The described appearance is non-specific. It is recommended to evaluate the patient together with clinical, physical examination and laboratory findings. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen: Central venous catheter is seen on the right. The catheter terminates in the right atrium. Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. The corpus heights and densities of the vertebrae in the sections are normal. Bone structures within the sections are observed as heterogeneous hyperdense. The views described are not specific. It may be due to primary disease involvement or changes due to treatments.
ALL in follow-up Nodule with a ground-glass appearance around the superior segment of the left lung lower lobe
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train_1188_c_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the lower lobe of the left lung, at the junction of the anteromedial lateral segment (series 2, image 173), atelectatic change is observed in the form of a linear thick band with nodular appearance. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
In the lower lobe of the left lung, atelectatic changes in the form of a thick band at the junction of the anteromedial lateral segment and new nodular appearance were initially evaluated in favor of the infectious process, clinical lab. blind. recommended.
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train_1189_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Significant regression was observed in the consolidations observed in the right lung middle lobe medial segment, both lungs in the lower lobe superior segment, and in the right lung lateralbasal segment, and they are in reticular infiltration. A calcific parenchymal nodule was observed in the lingular segment of the left lung. Nonspecific millimetric nodules are observed in both lungs. In the posterobasal segment of the lower lobe of the right lung, patchy acinar infiltration has recently developed in two foci. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures.
Reticular infiltrates in bilateral lungs Calcific parenchymal nodule in the lingular segment of the left lung Nonspecific millimetric nodules in both lungs Acinar infiltrates in the posterobasal segment of the lower lobe of the right lung
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train_1190_a_1.nii.gz
Shortness of breath
Sections were taken without contrast medium and reconstructions were made at the workstation.
Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. Especially the right atrium is observed to be extremely large. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. The main pulmonary artery diameter was 44 mm and wider than normal. The diameters of the aortic arch and descending aorta are normal. The main pulmonary artery was 40 mm in diameter and wider than normal. It is understood that the patient underwent aortic and mitral valve replacement. There is minimal pleural effusion on the right. Atelectasis was observed in the middle lobe and lower lobe of the right lung. These atelectasis were thought to be due to pleural effusion and cardiomegaly. In addition, linear atelectasis were observed in the middle lobe and lower lobes of the right lung. There are linear atelectasis in the upper lobe lingular segment and lower lobe of the left lung. Emphysematous changes were observed in both lungs. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. There is minimal intra-abdominal free fluid. No intra-abdominal collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were observed. There is minimal lobulation in the liver contours. It is recommended that the patient be evaluated for liver parenchymal disease. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open.
Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries. Minimal fusiform aneurysmatic dilation of the ascending aorta. Enlargement of pulmonary artery diameters. Atelectasis in both lungs, more prominent on the right. Pleural effusion on the right. Emphysematous changes in both lungs. Millimetric nodules in both lungs. Intraabdominal minimal free fluid. Lobulation in liver contours.
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train_1191_a_1.nii.gz
Not specified.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Heart dimensions and compartments appear natural. Calibration of mediastinal major vascular structures is natural. Pericardial effusion was not observed. No space-occupying lesion was detected in the mediastinum within the limits of non-contrast CT. No features were detected in the upper abdominal sections within the limits of non-contrast CT. When examined in the lung parenchyma window; Trachea and both main bronchial columns are open. No pneumonic infiltration or consolidation area was observed in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures included in the study area.
Examination within normal limits
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train_1192_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Bilateral hilar lymphadenopathies with a diameter of 12 mm in the right upper paratracheal region, the largest in the mediastinum, as far as can be distinguished from the non-contrast examination, are observed and were also present in the previous examination. The current thin examination with contrast from the previous examination is without contrast. Trachea and main bronchi are open. The cardiothoracic index is natural. Pleural effusion was not distinguished in both hemithorax. Focal consolidations observed in the lower lobe posterior segment in the right lung tend to coalesce more in the current examination. In addition, there are air cysts in the upper lobe posterior segment of the right lung, and in the apicopoposterior segment of the left lung upper lobe, which were also observed in the previous examination. More prominent budding tree views in the lower lobes between nodules suggest active infection (bronchiolitis component). No obvious pathology was detected in bone structures.
Mediastinal stable pathological lymphadenopathies . Multiple nodules in miliary pattern in both lungs . Confluence of both lungs in the lower lobes and in the posterior segment of the right lung upper lobe, and the area in the apicoposterior segment of the right lung upper lobe enlarged according to the previous examination. The appearance was evaluated as progressive disease. TB and sarcoidosis is in the differential diagnosis.
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train_1192_b_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Multiple appearances of prevascular, aortopulmonary, paratracheal, subcarinal and hilar lymph nodes were observed in the mediastinum, the largest of which was 2.5x 1.5 cm in the prevascular area. Heart and mediastinal vascular structures appear natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Thickening of the peribronchovascular axial interstitium, prominent centrilobular-perilymphatic nodules in bilateral diffuse, middle and lower zones, and interlobular septal thickening are observed in places (necrotizing granulomatous inflammation as a result of lung core biopsy dated OCTOBER 2019). In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Hemangioma? Enchondroma? Follow-up is recommended.
Sarcoidosis with mediastinal and pulmonary parenchymal involvement in the follow-up lesion defined in the T7 vertebral body
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train_1193_a_1.nii.gz
covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious nodule or mass-occupying lesion was observed in the lung parenchyma. In the upper abdomen sections, there is a solid lesion of heterogeneous density with areas of fat density in the left adrenal gland with a long diameter of 4 cm. It was evaluated in favor of adenoma because it contains areas of fat density. However, its dimensions are at the upper limit. Diffuse fusiform diameter increase was observed from the celiac trunk. Its diameter was measured 13 mm before the bifurcation. Atherosclerotic plaques are present in the abdominal aorta and its branches. Calcified atherosclerotic plaques were observed in the thoracic and abdominal aorta. No lytic-destructive space-occupying lesion was detected in bone structures.
Adenoma in the upper border of the left adrenal gland. Calcific atherosclerotic plaques in the thoracic and abdominal aorta. Fusiform diameter increase due to atherosclerotic vascular disease in the celiac trunk.
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train_1194_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild centrilobular paraseptal emphysematous changes are observed at the apical levels of both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Mild centrilobular paraseptal emphysematous changes at the apical levels of both lungs
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train_1195_a_1.nii.gz
Millimetric nodules in the left lung
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are emphysematous changes in both lungs. Occasionally, linear atelectasis was observed in both lungs. Mild irregularly circumscribed nodules are observed in the apical subsegment of the upper lobe of the left lung, the largest of which measures approximately 12 mm in the longest diameter. Minimal structural distortion and minimal volume loss are also observed in these localizations. There are also centriacinar nodules, some of which have the appearance of budding trees, around the nodules described. The described manifestations may be due to a sequelae change or may be due to a specific infection (tuberculosis?). There are also millimetric nonspecific nodules in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. There is minimal pericardial effusion. The aortic arch is elongated. The diameter of the descending aorta was 41 mm at its widest point and was wider than normal. The anterior-posterior diameter of the ascending aorta was also measured 40 mm and was minimally wider than normal. There are atheromatous plaques in the aorta and coronary arteries. The diameters of the pulmonary arteries are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There are millimetric stones in the gallbladder. No lytic-destructive lesions were detected in the bone structures within the sections.
Sequelae changes in the apical subsegment in the apicoposterior segment of the left lung upper lobe or findings that may be due to a specific infection Emphysematous changes in both lungs Millimetric nodules in both lungs Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, minimal pericardial effusion Cholelithiasis
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train_1195_b_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Heart size increased. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. There is minimal pericardial effusion. The ascending aorta measures 40 mm in diameter and is wider than normal. The diameter of the descending aorta was 41 mm. The aortic arch is elongated. When both lung parenchyma windows are evaluated; In the apical subsegment of the left lung upper lobe apicoposterior segment, irregularly circumscribed nodular lesions with a long diameter of 12 mm were observed. Structural distortion and volume loss are observed in this localization. In addition, there are tree-like centriacinar nodules with buds around the described nodules. Follow-up is recommended. Emphysematous changes are present in both lungs. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. There was no significant change in other findings in the current examination.
Not given.
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train_1196_a_1.nii.gz
Metastatic prostate ca, decrease in oxygen saturation, fever.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Evaluation of solid organs, vascular structures and mediastinal areas is suboptimal due to the lack of contrast of the examination. Trachea, both main bronchi are open. There are calcific atheroma plaques in the aorta and coronary arteries. Aortopulmonary paratracheal lymph nodes are observed at the level of the hilum of both lungs, the largest of which is approximately 9 mm in diameter at the level of the aortopulmonary window. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Pleural effusion reaching 5 cm at its thickest point on the left and 2.5 cm on the right and compression atelectasis in the accompanying lung parenchyma are observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Atelectasis areas are observed in the left lung upper lobe medial and lateral lingular segment, right lung middle lobe lateral segment, right lung lower lobe posterobasal and mediobasal area, and left lung upper lobe superior segment level. Consolidation areas, which are evaluated primarily in favor of atelectasis, are observed in the left lung upper lobe lateral lingular segment and left lung lower lobe superior segment. There is also pneumonic infiltration with a low probability in the differential diagnosis. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Numerous lytic metastases are observed in the bone structures within the study area.
Pleural effusions in both lungs. Linear atelectasis areas located in different lobes of both lungs, consolidation area in left lung upper lobe lateral lingular segment and left lung lower lobe superior segment; firstly, it was evaluated in favor of atelectasis. It is in the differential diagnosis of pneumonic infiltration with a low probability. There are lytic lesions consistent with multiple metastases in the bones. Calcific plaques are observed in the aorta and coronary arteries.
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train_1196_b_1.nii.gz
Metastatic prostate ca, pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The ascending aorta has a slightly ectatic appearance with an anterior-posterior diameter of 37 mm. The anterior-posterior diameter of the descending aorta is 30 mm at its widest point and is wider than normal. Calibration of pulmonary arteries is natural. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraortic branches and coronary arteries. It appears elongated and tortuous in the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae thickening was observed in the posterior costal pleura in both hemithoraces. Pleuroparenchymal fibroatelectasis sequelae changes were observed in both lung lower lobe basal segments. Peribronchial thickening was observed in segmental-subsegmentary bronchi in both lungs. Millimetric sized stable nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lung parenchyma. No pleural effusion was detected. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Numerous lytic sclerotic bone metastases were observed in the bone structures within the study area.
Fusiform ectasia, elongated and tortuous appearance in the thoracic aorta, cardiomegaly, calcific atheroma plaques in the thoracic aorta, supra aortic branches and coronary arteries Segmental-subsegmental bronchial thickening in both lungs Millimetric stable nodules in both lungs Pleevoma in the lower lobe basal chymal segments of both lungs fibroatelectasis sequelae changes Multiple lytic sclerotic diffuse metastases in bone structures
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train_1196_c_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Calcific atheroma plaques were observed in the aorta. Calcific plaques are present in the LAD and left main coronary arteries in the coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are peribronchial budding tree-like densities in both lungs, especially in the upper lobes. In addition, subpleural ground-glass densities are seen, most prominently in the anterior right upper lobe. The bronchial walls are thickened centrally. There are consolidations in both lung lower lobe posterobasals, more prominent on the left. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Sclerotic lesions are observed in all bone structures included in the sections.
Peribronchial reticulonodular densities in the upper lobes of both lungs and subpleural ground-glass densities, most prominently in the anterior right upper lobe (viral pneumonia?, bacterial bronchiolitis?, consolidations more prominently in the left lower lobes of both lungs, aspiration pneumonia?). Diffuse sclerotic lesions in bone structures. Aorta and coronary artery sclerosis.
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train_1197_a_1.nii.gz
Fever etiology.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Mild effusion was observed in the pericardial space. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar pathological dimensions were detected. No lymph nodes in pathological size and appearance were observed in the bilateral supraclavicular and axillary regions. Pleural effusion reaching 18 mm in thickness in the right pleural space and 31 mm in the left pleural space was observed. Peribronchial thickening was observed in the bilateral lower lobes of the lung, and ground glass densities and atelectatic changes were observed in the lower lobe basal segments in the areas adjacent to the effusion. Nonspecific pulmonary nodules less than 5 mm in diameter were observed in both lungs, the largest in the right lung lower lobe laterobasal segment. Liver, spleen, both adrenal glands and pancreas are normal as far as can be seen on non-contrast images. Mild degenerative changes are observed in bone structures.
Pericardial-pleural effusion. Peribronchial thickening in the bilateral lung lower lobes, ground-glass densities and atelectatic changes in the areas adjacent to the effusion in the lower lobe basal segments . Nonspecific pulmonary nodules less than 5 mm in diameter in both lungs
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train_1198_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures.
No mass, nodule-infiltration was detected in both lung parenchyma.
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train_1199_a_1.nii.gz
Covid 19 pneumonia?
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Several millimetric nonspecific nodules in both lungs.
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train_1200_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Pericardial effusion is observed. The pulmonary trunk caliber was 29 mm, wider than normal. Calibration of other major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. There are soft tissue appearances projected to the lumen in the trachea (Mucus impactions?). Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Widespread and confluent consolidated areas are observed in both lungs. There are sequelae changes accompanying appearance in both lungs. In the pandemic process, it is recommended to evaluate the case in the first place in terms of Covid pneumonia together with clinical and laboratory findings. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Widespread and confluent consolidated areas in both lungs and sequelae changes in both lungs. Pericardial mild effusion.
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train_1201_a_1.nii.gz
Chest pain lasting for 1 week
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. The upper abdomen is partially observed, and multiple cysts are observed in both kidneys and liver. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Bilateral polycystic kidney Multiple cysts in the liver
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train_1201_b_1.nii.gz
COVID pneumonia?
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule or infiltration was detected in both lungs. In the sections passing through the upper part of the west; A large number of hypodense, possibly cystic structures, some of which are hemorrhagic, are observed in the liver and left kidney in the examination area (polycystic disease?). No obvious pathology was detected in bone structures.
No mass, nodule or infiltration was detected in both lung parenchyma. Multiple hypodense, probable cystic structures (polycystic disease?) in the liver and left kidney, some of which are hemorrhagic, in the left kidney.
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train_1202_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Millimetric sized lymph nodes are observed in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In both lungs, there are scattered but partly confluenced frosted glass-like density increments. It has been evaluated as compatible with covid pneumonia during the pandemic process. Densities consistent with pleural parenchymal sequelae are occasionally observed on this floor. No pleural effusion or pneumothorax was detected. Upper abdominal organs included in sections; A decrease in density consistent with steatosis is observed in the liver. Nodular density compatible with accessory spleen is observed in the spleen hilum. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area.
Scattered but occasional confluence has formed in both lungs, and frosted glass-style density increases have been evaluated as compatible with covid pneumonia during the pandemic process. Mild hepatosteatosis
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train_1203_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits
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train_1204_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There are calcific atheroma plaques in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Mild atelectatic changes are observed in the posterobasal segments of both lung lower lobes. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, there is a finding consistent with mild hepatosteatosis in the liver parenchyma density. Diffuse, mild hypertrophic osteophytic tapering is observed in the bone structures, especially in the anteriors of the vertebral corpus endplates.
Mild hypertrophic osteophytic tapering in the end plates of the vertebral corpuscles Dependent atelectatic changes in the basal segments of the lower lobes of both lungs
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train_1205_a_1.nii.gz
Hemoptysis after URTI.
Without IVKM, 1.5 mm thick sections were taken in the axial plan and reconstructions were made at the workstation.
The thyroid gland parenchyma is heterogeneous and several hypodense nodules, some of which are calcific, are observed in both lobes. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Calcific atheroma plaques are observed in the anterior descending coronary artery. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are centriacinar nodular density increases characterized by a budding tree view in the posterior segment of the left lung upper lobe. It is compatible with early stage infectious pathologies. There are areas of linear atelectasis in both lungs. There are several millimetric nonspecific nodules in the right lung. No mass was detected in both lungs. No pathological increase in wall thickness was observed in the esophagus. Within the limits of non-contrast BT; There is no discernible mass in the upper abdominal organs. There are osteophytes bridging at the corners of the thoracolumbar vertebral corpus within the sections, and vacuum phenomenon secondary to degeneration in the intervertebral disc spaces in places. There are hypodense lesions in the T10, T11 and L1 vertebral bodies with a corduroy appearance compatible with hemangioma. No lytic-destructive lesions were observed in bone structures within the sections.
Increases in centriacinar nodular density in the upper lobe of the right lung are significant for early-stage infectious processes. Linear areas of atelectasis in both lungs. Several millimetric nonspecific nodules in the right lung. Several hypodense nodules, some of them calcific, in both thyroid lobes. Thoracic spondylosis.
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train_1206_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO increased in favor of the heart. The aortic arch calibration is 31 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is normal. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. Although lymph nodes are observed in the aorticopulmonary window at the prevascular level in the upper-lower paratracheal area in the mediastinum, their short axes do not exceed 1 cm. In the non-contrast examination, no pathologically sized and configured lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Nodular soft tissue appearances, which may be compatible with mucus impaction, are observed in the trachea at the level of the aortic arch. There is mild thickening of the peribronchial sheath in the lower zones at the central level. There is a mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). A smear-like pleural effusion is observed in the right lung. At the basal level in the right lung and in the middle lobe, pleuroparenchymal density increases, which are evaluated primarily in favor of sequelae, are observed. In the right lung lower lobe superior segment, there is a millimetric sized calcific nodule adjacent to the fissure, and a 3 m diameter nonspecific nodule in the dorsal subpleural area of the lower lobe superior segment. In the sections passing through the upper abdomen, the gallbladder is observed slightly prominently. The wall thickness is at the level of the funus and is prominent. Pericholecystic mild edema is present. Sonographic evaluation is recommended. A nodular formation with a diameter of approximately 8 mm, compatible with the accessory spleen, is observed in the anterior neighborhood of the spleen. There are degenerative changes in the bone structures in the study area. A slight loss of height is observed in the anterior of the L12 vertebra corpus.
Cardiomegaly. Mosaic attenuation pattern (small vessel disease?, small airway disease?). Mild pleural effusion in the right lung and sequelae changes in the right middle and inferior lobe. The thickness of the gallbladder wall is at the level of the funus and is evident. Pericholecystic mild edema. Sonographic evaluation is recommended. Degenerative changes in bone structure, slight loss of height in the anterior L12 vertebral corpus.
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train_1207_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
CVP catheter is observed on the right. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A pleural effusion measuring 2.6 cm in the thickest part on the right and 1 cm in the widest part on the left was observed in both hemithorax. In both lungs; Multifocal nodular ground glass densities and consolidation were observed in the lower lobe basal of the left lung, showing confluence with each other. Although the described findings suggest Covid-19 pneumonia, other viral pneumonias are also included in the differential diagnosis. Linear atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Nonspecific millimetric parenchymal nodules were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse calcified atheroma plaques were observed in the splenic artery and abdominal aorta. Intra-abdominal free-loculated fluid was not detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Multifocal nodular ground-glass densities and consolidations confluent with each other in both lungs in the left lung lower lobe basal; suggesting Covid-19 pneumonia, other viral pneumonias are also included in the differential diagnosis. It is recommended to be evaluated together with clinic and laboratory. In the left lung inferior lingular segment and linear fibroatelectasis sequelae changes in the middle lobe of the right lung . A few nonspecific pulmonary nodules in both lungs . Bilateral pleural effusion . Diffuse calcified atheromatous plaques in the thoracic aorta and splenic artery
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train_1208_a_1.nii.gz
covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits
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train_1209_a_1.nii.gz
Traumatic hemothorax
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
A drainage catheter was placed in the loculated pleural fluid in the anterior segment of the upper lobe of the right lung, and most of it was found to be drained. There is an increase in the size of loculated pleural fluid in the upper lobe of the right lung. More prominent linear atelectasis areas are observed in the basal segments of both lungs. A linear increase in density is observed in the upper lobe of the left lung, which matches the trace and shows nodularity in the central part, and is stable. No pneumonic infiltration was detected in the lung parenchyma. Pericardial effusion was not observed. No lymph node was detected in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. No loculated or free fluid was detected in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures.
Bilateral hemothorax, drainage catheter was placed. There is an increase in loculated pleural fluid sizes in the right lung upper lobe.
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train_1210_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in bone structures.
Nonspecific parenchymal nodules in both lungs. Mild degenerative changes in bone structures.
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train_1211_a_1.nii.gz
Left hilar enlargement.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the thoracic aorta calibration is normal. The diameters of the right and left pulmonary arteries were 28 and 26 mm, respectively, and were above normal. Heart sizes increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries. Surgical material placed secondary to the ASD operation was observed in the atrial septum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mixed type hiatal hernia was observed at the lower end of the esophagus. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae causing structural distortion and volume loss were observed in the right lung middle and left lung upper lobe inferior lingular segment. Sequelae changes were also observed in the peripheral subpleural areas of the left lung lower lobe mediobasal segment. Lung parenchyma is emphysematous. No mass lesion-active infiltration was detected in the lung parenchyma. As far as can be observed in the sections, the gallbladder was not observed (operated). Subcapsular linear calcification in the midsection of the spleen was evaluated in favor of sequelae. At mid-thoracic level, bridging spur formations in the right anterolateral corners of the vertebral corpus and secondary scoliosis with a left-facing opening were observed.
Increased diameters of both pulmonary arteries, cardiomegaly, atherosclerotic wall calcifications in the thoracoabdominal aorta and coronary arteries. Mixed hiatal hernia. Sequelae changes in both lungs. Emphysema in both lungs. Bridged spur formations at the mid-thoracic level and left-facing scoliosis.
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train_1212_a_1.nii.gz
Chest and back pain.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits.
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train_1213_a_1.nii.gz
Lung Ca in follow-up, lung infection?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: When the first examination of the patient is examined, the primary mass of the patient is observed in the lower lobe of the right lung. In this examination, consolidation with air bronchogram is observed in the central and peripheral parts of the right lung, especially in the middle lobe. The primary mass of the patient could not be followed up due to consolidation. Apart from the described consolidation, soft tissue lesions that may be compatible with nodule-nodular consolidations are observed in the upper lobe of the right lung. In the described appearances, they may be due to metastases or to an infective pathology. This distinction was not made in this study. There are peribronchial thickenings in the left lung and aerated right lung, and centriacinar nodules in the left lung, especially in the lower lobe, in places. The described manifestations were primarily evaluated in favor of infective pathology (distal airway disease?). No mass was detected in the left lung. There is minimal pleural effusion on the right. No pleural effusion was detected on the left.
Not given.
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train_1214_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is within normal limits. Calibration of the aortic arch is at the maximal physiological limit. Calibration of mediastinal and other major vascular structures is natural. Several lymph nodes are observed in the mediastinum, the largest of which is in the right paratracheal area and has 17x8 mm dimensions. Pathological size and configuration of lymph nodes were not detected in both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Thickening of the peribronchial sheath is observed. A mosaic attenuation pattern is present in almost all areas (small vessel disease?, small airway disease?). Focal consolidative parenchyma area is observed in the posterior segment of the right lung upper lobe. There is a focal consolidation area in the lingular segment of the left lung. It is recommended to evaluate the case together with clinical and laboratory findings in terms of infective processes (findings were initially evaluated as atypical for Covid pneumonia). Pleural effusion and pneumothorax were not detected in both lungs. The gallbladder entering the section area was not observed in the lodge. At the left adrenal level, a nodular density of approximately 25x20 mm and a density of -6 HU, which is considered to be compatible with adenoma, is observed. There is millimetric calcification in its wall. There is a 13 mm in diameter faint hypodense lesion (cortical cyst?) in the middle posterolateral aspect of the left kidney. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Right adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure.
Mosaic attenuation pattern in almost all areas. Focal consolidative parenchyma area is observed in the right lung upper lobe posterior segment. There is an area of focal consolidation in the lingular segment of the left lung. It is recommended to evaluate the case together with clinical and laboratory findings in terms of infective processes (findings were initially evaluated as atypical for Covid pneumonia). Nodular density at the left adrenal level, which is approximately 25x20 mm in size and has a density of -6 HU, which is considered compatible with adenoma. 13 mm diameter faint hypodense lesion (cortical cyst?) in the posterolateral aspect of the left kidney.
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train_1215_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. An increase in heart size is observed. Calcific atheroma plaques are observed in the coronary arteries, aortic arch and descending aorta. The ascending aorta measured 40 mm. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a small amount of smearing effusion in both hemithorax bilaterally. There are bronchiectasis in the right lung middle lobe and left lung lower lobe basal segment, more prominently on the right. A few millimetric nonspecific subpleural nodules are observed in both lungs. No infiltrative lesion was detected in both lung parenchyma. In the upper abdominal organs included in the sections, in the liver fluid attenuation, oval-shaped hypodense findings, the largest of which was 18 mm at the level of the left lobe segment 2, were evaluated in favor of cysts. Oval-shaped findings were evaluated in favor of cysts in bilateral attenuation of fluid whose multiple dimensions could not be clearly measured in both kidneys. A 9 mm hyperdense finding in the gallbladder was evaluated in favor of a stone. There is a diffuse density decrease in the bone structures in the examination area. It has an osteopenic appearance. Mild left-facing scoliosis is observed in the dorsal vertebrae.
Bronchectatic changes in both lungs, more prominent in the middle lobe of the right lung . A few millimetric nonspecific subpleural nodules in both lungs . Mild emphysematous changes in both lungs . Small amount of effusion in both hemithorax in the form of smearing . Atherosclerosis . Cardiomegaly . Multiple cysts in the liver . Folicistic kidney . Cholelithiasis . Osteopenic appearance in bone structures.
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train_1216_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. The aortic arch calibration is 30 mm. It is slightly above normal. Calibration of other mediastinal major vascular structures is normal. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. There is a decrease in density consistent with emphysema in both lungs. There are diffuse focal reticulonodular density increases in the upper-middle zones of both lungs and the left lung basal, accompanied by focal ground-glass-like densities. It is recommended that the case be evaluated primarily in terms of viral pneumonias. A 5x3 mm subpleural nonspecific nodule is observed at the posterobasal level of the lower lobe of the left lung. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. There are millimetric sized calcules in the gallbladder. There is a diverticula in the proximal part of the descending colon. No diverticulitis was detected. Mild degenerative changes are observed in the bone structure entering the examination area.
Scattered focal reticulonodular density increases in the upper-middle zones of both lungs and the left lung basal, accompanying focal ground-glass densities, it is recommended to evaluate the case primarily in terms of viral pneumonias. Density reduction in both lungs compatible with emphysema Cholelithiasis
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train_1217_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Millimetric calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Atelectasis consolidation areas with air bronchogram sign are observed in the left lung upper lobe inferior lingula and right lung upper lobe anterior. It is recommended to follow the clinical and laboratory correlation of the findings in terms of the onset of an infectious process. In the upper abdominal organs included in the sections, the contours of the liver parenchyma are irregular. The parenchyma is slightly heterogeneous. There is caudate lobe hypertrophy. It has been evaluated for chronic parenchyma disease within the limits of the examination, and a suspicious lesion of 25 mm in size is observed in the subdiaphragmatic area in the superior right lobe, which is difficult to choose within the examination limits. Clinical correlation and contrast-enhanced upper abdomen CT is recommended for better differential diagnosis. Diffuse density reduction is observed in bone structures. There are hypertrophic osteophytic taperings on the end plates.
Atelectasis consolidation areas with air bronchogram sign are observed in the inferior lingula on the left side of both lungs in the upper lobe anterior. Due to the current pandemic, clinical and laboratory correlation and close follow-up are recommended for a suspected infectious process. Chronic parenchymal disease in the liver. In the subdiaphragmatic area of the liver right lobe superior, a suspicious lesion of 25 mm in size, which is difficult to choose within the limits of the examination, is observed. For better differential diagnosis, clinical correlation and contrast-enhanced upper abdomen CT or MRI are recommended. Atherosclerosis. Degenerative changes in bone structure.
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train_1218_a_1.nii.gz
Operated breast ca
Before IVKM was given, sections were taken in the axial plan and reconstruction was performed at the workstation.
It was learned that the patient was operated on the left breast. Radiopaque appearances are observed in the upper outer quadrant of the left breast and were evaluated in favor of surgical materials. A slightly irregular circumscribed mass with a longest diameter of 20 mm is observed just to the left of the medial midline in the upper inner quadrant of the left breast. In the right breast, there is 1 cm of thickening of the skin at its thickest part. There is another mass in the upper half of the right breast, in the middle part, whose borders can hardly be distinguished from the breast tissue. The longest diameter of the described mass was approximately 30 mm. In the upper outer quadrant of the right breast, 3 adjacent nodular lesions are observed in the axillary tail localization. The largest of the described lesions measured approximately 20x17 mm. It is thought that the described appearances may be intramammary lymph nodes. There is lymphadenopathy in the right axilla measuring 20x30 mm. Apart from this, no pathologically enlarged lymph nodes were detected in both axillae. There is lymphadenopathy with a short diameter of 12 mm in the right infraclavicular region (series 3 section 37). A mass is observed around the sternum that causes erosion and destruction in the sternum. The mass surrounds the sternum and the sternocostal joint. There is also extension of the mass to the retrosternal region. Although the exact size could not be given due to the infiltrative character of the described mass, the anteroposterior and transverse diameters (series 3 section 107) were measured approximately 50x110 mm at its widest point. Bilateral pleural effusion is observed, more prominently on the left. The pleural effusion measured approximately 95 mm at its thickest point on the left. The pleural effusion on the right is loculated. No occlusive pathology was detected in the trachea and both main bronchi. Occasionally, linear atelectasis is observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Minimal pericardial effusion is observed. In the superior mediastinum, there are round-shaped lymph nodes in the anterior part of the mediastinal main vascular structures. The size of the described lymph nodes was 9 mm. There are millimetric lymph nodes in the mediastinum and hilar regions as far as can be observed in this examination. However, no pathologically enlarged lymph nodes were detected. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There are lymphadenopathies in the preaortic area adjacent to the proximal abdominal aorta, and also in the paraaortic and interaortocaval regions. The shortest diameter of the largest of the described lymphadenopathies measured 11 mm. There are millimetric nodular lesions in the subcutaneous adipose tissue in the epigastric region. These lesions were thought to be metastases. Except for the findings described in the sternum, no lytic-destructive lesions were detected in the bone structures within the sections. There is no significant difference in the dimensions of the mass observed in the sternum. No significant difference was found in the findings described in both breasts. Minimal regression was observed in the number and size of lymph nodes observed in the right axilla and infraclavicular region. An increase in the amount of pleural effusion is observed on the left. A reduction in the size of the lymph nodes in the abdomen was observed.
In the follow-up, ca of the operated breast, mass in the upper inner half of the left breast, mass in the upper half of the right breast, nodular lesions in the axillary tail localization in the upper outer quadrant of the right breast (intramammary lymph nodes), lymphadenopathies in the right axilla and right infraclavicular region and abdomen, in the superior mediastinum milimetric lesions evaluated in favor of lymph nodes, bilateral pleural effusion.
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train_1218_b_1.nii.gz
Operated breast Ca
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
It was learned that the patient was operated on the left breast. Secondary surgical materials are observed at the retroarelar level of the left breast. A slightly irregular circumscribed mass with a longest diameter of 20 mm is observed just to the left of the medial midline in the upper inner quadrant of the left breast. A thickening of 1 cm is observed in the thickest part of the skin in the right breast. Another deep-seated mass, which can be distinguished from the breast tissue, was observed in the upper half of the right breast. In the upper outer quadrant of the right breast, 3 adjacent nodular solid mass lesions are observed in the axillary tail localization. The largest of the described lesions measured 15x7.5 mm. It was measured as 21x17 mm in the previous examination. It is thought that the described views may be compatible with the lymph nodes. Lymph nodes with oval configuration were observed in the left axilla, the largest of which was 14.7 mm in the long axis (14.5 mm in the previous examination). Around the sternum, an infiltrative mass causing destruction and erosion in the sternum is observed. The mass surrounds the sternum and the sternocostal joint. There is also a retrosternal extension of the mass. Although the exact size could not be given due to the infiltrative character of the described mass, the anterior-posterior and transverse diameters were approximately 41x93 mm (45x95 mm in the previous examination) at its widest point. Bilateral pleural effusion is observed, more prominently on the left, and the effusion forms a phantom tumor in both major fissures. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The catheter extending from the right internal jugular vein to the right atrium and the port chamber on the right anterior chest wall were observed. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. In the superior mediastinum, in the anterior part of the mediastinal main vascular structures, there are round-shaped lymph nodes in the right upper paratracheal, subcranial and bilateral hilar area. The largest lymph nodes described were measured 20x16.8 mm. No pathological wall thickness increase was observed in the esophagus within the sections. When the lung parenchyma window is examined; Patchy irregularly circumscribed consolidation areas extending along the peribronchial area were observed in the upper lobe anterior segments of both lungs, in the middle and lower lobes of the right lung, and in the lingular segment of the left lung. Findings were evaluated in favor of pneumonic infiltration. Clinic and lab. It is recommended to be evaluated together with the findings. There are millimetric nodular lesions in the subcutaneous adipose tissue in the epigastric region. The appearances are also present in the previous examination of the patient. Lymphadenopathies are also present in the preaortic, paraaortic and interaorthocaval regions adjacent to the proximal abdominal aorta. It measured 14 mm in the short axis of the largest of the described lymphadenopathies. Except for the findings described in the sternum, no lytic-destructive lesions were detected in the bone structures within the sections. Minimal regression was observed in the dimensions of the mass observed in the sternum. A regression was observed in the size of the nodular lesions described in the outer quadrant of the right breast and thought to be compatible with the lymph node. Bilateral pleural effusion decreased. Focal patchy consolidation areas observed in the peribronchial area of both lungs have only recently emerged in the current study. Initially, it was thought to be compatible with infection. Clinic and lab. correlation is recommended. There was no significant difference in the sizes of subcutaneous nodules in the abdominal paraaortic lymph nodes and epigastric region.
Not given.
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train_1219_a_1.nii.gz
Operated left breast ca.
Sections were taken without contrast medium and there were no reconstructions at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Volume loss, structural distortion and calcific nodule were observed in the anterior part of the left upper lobe of the lung. The described appearance was first evaluated in favor of sequelae change. Atelectasis is observed in the middle lobe of the right lung. There are emphysematous changes in both lungs. There are several millimetric non-specific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are calcific lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph node was detected. There is a sliding type hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections. The left breast was not observed. No mass with discernible borders was detected in the mastectomy site and in the right breast. There are no pathologically enlarged lymph nodes in both axilla and retropectoral regions. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fracture lytic-destructive lesion was detected in the bone structures within the sections.
Operated breast ca. Emphysematous changes in both lungs. Pleuroparenchymal sequelae changes in the left lung. Atelectasis in both lungs.
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train_1219_b_1.nii.gz
dyspnea
Sections were taken without contrast medium and there were no reconstructions at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Volume loss, structural distortion and calcific nodule were observed in the anterior part of the left upper lobe of the lung. The described appearance was first evaluated in favor of sequelae change. Atelectasis is observed in the middle lobe of the right lung. There are emphysematous changes in both lungs. There are several millimetric non-specific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are calcific lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph node was detected. There is a sliding type hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections. The left breast was not observed. No mass with discernible borders was detected in the mastectomy site and in the right breast. There are no pathologically enlarged lymph nodes in both axilla and retropectoral regions. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fracture lytic-destructive lesion was detected in the bone structures within the sections.
Operated breast ca. Emphysematous changes in both lungs. Pleuroparenchymal sequelae changes in the left lung. Atelectasis in both lungs. Does not differ significantly.
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train_1220_a_1.nii.gz
Covid pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Imaging is quite suboptimal due to motion artifact. Trachea, both main bronchi are open. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node was observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious space-occupying lesion was detected in mass or nodular structure. No features were detected in the upper abdomen sections. . No lytic-destructive lesion was detected in the bone structures included in the study area.
Examination within normal limits
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train_1221_a_1.nii.gz
Malignancy screening, CRF
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aorticopulmonary, millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures appear natural as far as can be distinguished from the non-contrast examination. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; diffuse centrinacinar nodules in both lungs and a more prominent budding tree appearance in the lower lobes of both lungs (bronchiolitis?). Contour, size, parenchymal density of the liver are normal. No significant lesion was distinguished in the non-contrast examination. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts are normal. The gallbladder appears to be minimally contracted. No obvious pathology was observed in the lumen. Spleen size and parenchyma density are natural. Pancreas size and parenchyma density are natural. Both kidney sizes are below normal. Ectasia in the pelvicalyceal system was not distinguished. Calcifications are selected in the parenchyma and vascular structures. The bilateral adrenal gland appears natural. Although bladder filling was insufficient, no obvious pathology was observed in the lumen. The prostate size is 4.6x3.5 cm. Parenchyma is homogeneous. Periprostatic fatty tissues are clear. Seminal vesicles are natural. In the left sacroiliac joint, a heterogeneous area with a more hypodense and sclerotic appearance is selected on the iliac face. It may be significant in terms of sacroiliitis. Less likely, it can be evaluated for renal osteodystrophy. In addition, a deformed appearance is observed in the 6th rib on the left, in lithic form. In the 7th and 8th ribs, a deformed appearance, which is thought to belong to the previous fractures, is observed. L5 vertebra is bilaterally sacrolised.
Centracinary nodules in both lungs and more prominent budding tree appearances in both lung lower lobes are recommended for evaluation in terms of bronchiolitis. In the 6th rib, deformed appearance in lithic form, and also in the 7th and 8th ribs, deformed appearances of old fractures are observed.
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train_1222_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Millimetric calcific plaques are observed in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits
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train_1223_a_1.nii.gz
Sore throat, runny nose, joint pain, fever.
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are two millimetric nonspecific nodules in the left lung. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of unenhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Millimetric nodules in the left lung.
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train_1224_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits
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train_1225_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures.
Findings within normal limits
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train_1226_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The thyroid gland is prominent in the right lobe and the parenchyma is heterogeneous in both lobes. There is a 26x19 mm hypodense nodule in the right lobe. CTO is normal. Pulmonary trunk calibration is at the maximal physiological limit. Right and left pulmonary arteries are normal. Calibration of the aortic arch and other mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, lymphadenomegaly is observed in almost all areas, the largest at the right lower paratracheal level and approximately 17x17 mm in size. No pathological size and configuration of lymph nodes were detected at both hilar levels. Pathological lymph nodes, the largest of which is 25x20 mm in size, are observed in the left axillary lodge. Soft tissue planes are dirty in the axilla and axillary tail lodge. When examined in the lung parenchyma window; A nodule with a diameter of approximately 2 mm is observed in the anterior segment of the right lung upper lobe. There are several nodules, the largest of which is 2 mm in size, superposed to the minor fissure. Again, a 2 mm sized nodule is observed and was also detected in PET-CT. Sequelae changes are observed in the middle lobe. Consolidative parenchyma areas are present in both lungs basal. 1-2 nodules, the largest of which is 3 mm in diameter, are observed in the superior segment of the lower lobe. There are 1-2 nodules with a diameter of 2 mm at the apical level in the left lung. A subpleural nodule with a diameter of 4 mm is observed in the laterobasal segment of the lower lobe of the left lung. It was not detected in the previous review. In the upper abdominal sections included in the image, the gallbladder was not observed in the lodge. Operative densities were detected. The right adrenal is full. The right kidney is observed as atrophic and there is hypodensity in the middle part that may be compatible with a pararenal cyst. It was not observed in the left kidney lodge. At the level of the left humerus, which is in the examination area, a mass lesion that partially enters the image, irregularity in the cortex, and destructive changes are observed. In the case with RCC anamnesis, it was initially evaluated as compatible with metastasis. In addition, there is a fracture in the sternum at the level of the image. There are lesions compatible with diffuse metastasis at the vertebral corpus levels, more prominent at the cervicodorsal level. Pathological fracture is observed in the D4 vertebra, which causes a height loss of approximately 75%. At the level of the D6 vertebra, metastasis is observed, involving the facet joints and spinous process on the left, and spreading in the surrounding soft tissue planes. Soft tissue appearance compatible with invasion is also observed in soft tissue planes in the paravertebral area at the level of D4 vertebra.
The appearance is atypical for Covid pneumonia. Millimetric multiple nodules are observed in both lungs, the largest of which is in the left lung laterobasal segment and 4 mm in diameter. When evaluated under these conditions, it is thought that some of the nodules are newly developed. Diffuse metastasis in the bone structure . Pathological fracture appearances in the D4 vertebra, in the area partially entering the image at the level of the left humerus, spread to the surrounding soft tissue planes . Pathological lymph nodes in the mediastinum and left axillary level
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train_1226_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Although the mediastinal examination is suboptimal due to the lack of contrast, lymph nodes with a size of 21x16 mm are observed in the right upper paratracheal and prevascular distance in the mediastinum. On the right, there is a catheter inserted through the jugular. A few round lymph nodes, the largest of which are 21x16 mm in size, were observed in the left axilla. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; In the bilateral hemithorax, there is an effusion of 30 mm on the right and 32 mm on the left in its widest part, and passive atelectasis in the vicinity of the effusion are observed. . The left kidney was not observed in the upper abdominal sections included in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Mild thickening is observed in the right adrenal gland. The left adrenal glands were normal and no space-occupying lesion was detected. The gallbladder is operated. Within the sections, there is a lytic-expansil mass lesion extending from the proximal left humerus to the neck. Lytic lesions reaching 17 mm in size are observed in the sternum. Multiple lytic lesions in the upper thoracic vertebrae, especially in the vertebral corpuscles, and a collapse fracture that causes more than 70% loss of height in the T4 vertebral corpus are observed. A soft tissue mass extending from the left facet joint to the paravertebral area is observed at the level of the T6 vertebra. An expansile lesion reaching approximately 23x18 mm in size is observed in the posterior of the 9th rib on the left.
Cholestectomy. Bone metastases, pathological collapse fracture in T4 vertebral body. (stable) . Stable metastatic mass in left paravertebral area at T6 vertebral level and compression in spinal canal. (stable) .Slight reduction in size in mediastinal and left axillary laps, slight reduction in size of metastatic mass present in left 9th rib. Newly developed pleural effusion and passive atelectasis in lower lobes. Millimetric nodules described in the lungs in the previous examination of the patient cannot be clearly distinguished in the new examination (superposition?).
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train_1227_a_1.nii.gz
Localized rhonchi in the right lung.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the main vascular structures in the mediastinum, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A mild type 1 hiatal hernia was observed at the lower end of the esophagus. Lymph nodes with a short axis measuring less than 1 cm in the mediastinum that did not reach the pathological size were observed. When examined in the lung parenchyma window; In the apical and posterior segment of the right lung upper lobe, pleuroparenchymal fibrotic recessions, thickening of the pleura, mild volume loss and structural distortion were observed in the paramediastinal area. At this level, distortion and traction bronchiectasis in the major fissure secondary to fibrotic recessions were observed. Apart from this, central tubular bronchiectasis of both lungs was observed. A millimetric nonspecific subpleural nodule was observed adjacent to the major fissure in the anterior segment of the upper lobe of the right lung. Liver, gallbladder, spleen, both kidneys, and both adrenal glands are normal as far as can be seen on non-contrast images. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Fibroatelectasis recessions compatible with sequelae in the paramediastinal area in the upper lobe of the right lung, traction bronchiectasis accompanied by mild volume loss, thickening of the pleura and structural distortion. Nonspecific subpleural nodule in the right lung upper lobe anterior segment, adjacent to the major fissure. Central tubular bronchiectasis of both lungs
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train_1227_b_1.nii.gz
Aspergillus control
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Mediastinal millimetric lymph nodes were observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the anterior segment of the upper lobe of the right lung, several millimetric nospecific pulmonary nodules were observed in both lungs. Mild emphysematous changes were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
Parenchymal fibrosis and paracicatricial bronchiectatic changes causing structural distortion and volume loss in the upper lobe of the right lung; it is stable. Stable nonspecific pulmonary nodules in millimeters in both lungs. Bronchiectatic changes in both lungs, . No new findings were detected in the current examination.
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train_1227_c_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Mediastinal millimetric lymph nodes were observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. When examined in the lung parenchyma window; Parenchymal fibrosis and paracicatricial bronchiectatic changes were observed in the right lung upper lobe posterior and apical, causing structural distortion, and there was no significant change in the findings described according to the previous examination. According to the previous examination, several millimetric nospecific pulmonary nodules were observed in both lungs, which were stable. Mild emphysematous changes were observed in both lungs. Bronchiectatic changes were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
Parenchymal fibrosis and paracicatricial bronchiectatic changes causing structural distortion and volume loss in the upper lobe of the right lung are stable. Stable nonspecific pulmonary nodules in millimeters in both lungs. Bronchiectatic changes in both lungs. No new findings were detected in the current examination.
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train_1227_d_1.nii.gz
cough, shortness of breath
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In the supraclavicular fossa, axilla and mediastinum, no lymph node was observed in pathological size and appearance within the limits of non-contrast examination. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. When examined in the lung parenchyma window; In the upper lobe apical segments of both lungs, there are increases in density, which are thought to be fibrotic, accompanied by loss of pleuroparenchymal volume. It is more prominent on the right and what happens to traction bronchiectasis in the right lung upper lobe bronchi. Sequelae of previous TB infection are in favor. Active pneumonic infiltration or consolidation area is not observed in the lung parenchyma. Nonspecific millimetric nodular lesions were observed in the lung parenchyma. Sequelae changes in the apical segment are more prominent in its vicinity. No suspicious mass or nodular space-occupying lesion was detected. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Findings in favor of previous TB sequelae . Nonspecific millimetric nodules in both lungs . Pneumonia was not detected.
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train_1228_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. There is a sliding hernia at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal emphysema was observed in the upper lobes of the lung parenchyma. Peripheral weighted ground glass densities are present in both lungs, being more prominent in the lower lobes. Bilateral millimetric nonspecific nodules are observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Aortic and coronary artery atherosclerosis Emphysema and nonspecific nodules in lungs Ground-glass densities compatible with bilateral covid pneumonia
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train_1229_a_1.nii.gz
Follow up due to drowning.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; right lung middle lobe, left lung upper lobe lingular and both lungs lower lobe basal segments; In the lower lobe basal segments, the most common, peribronchial predominant irregularly circumscribed patchy-focal consolidation areas accompanied by budding tree view-centrilobular acinar infiltrates are observed. The outlook was initially evaluated in favor of aspiration pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Findings consistent with aspiration pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.
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train_1230_a_1.nii.gz
COPD? Bronchiectasis?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The pulmonary trunk caliber was measured at approximately 30 mm and was wider than normal. Calibration of other mediastinal vascular structures is natural. An increase in heart size was observed. There are calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures, and pericardial effusion is observed. It measures approximately 20 mm in size at its deepest point. Bilateral minimal pleural effusion was observed. It measures approximately 10 mm in size at the left at its deepest point. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Thin-walled air cysts measuring 14x10 mm in size were observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. A few millimetric nodules measuring 3 mm in diameter were observed in both lungs, the largest of which was in the middle lobe of the right lung. There are minimal emphysematous changes in both lungs. In the upper abdominal sections within the image, low-density, increased thickness of approximately 24x11 mm on the left and approximately 20x10 mm on the right is observed in both adrenal gland corpuscles. First of all, it was evaluated in favor of adenoma. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance. No lytic or destructive lesions are observed in the bone structures within the image, and there are degenerative changes.
Increased heart size, increased pulmonary trunk calibration, thoracic aorta, calcified atheroma plaques on the wall of coronary vascular structures. Pericardial, bilateral minimal pleural effusion. Emphysematous changes in both lungs, sequela parenchymal changes in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment, thin-walled air cysts with smooth borders in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment. Minimal emphysematous changes in both lungs. Low-density nodular thickness increases in both adrenal gland corpuscles in the upper abdominal sections within the image; firstly, it was evaluated in favor of adenoma. Degenerative changes in bone structures.
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