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_11884_a_1.nii.gz
HCC on follow up.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. CTO increased in favor of the heart. The diameter of the ascending aorta increased by 41 mm and the diameter of the descending aorta increased by 31 mm. Pulmonary trunk diameter increased by 36 mm. There are extensive calcific plaque formations in the aortic arch and coronary arteries. 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; Bilateral pleural effusion is observed at a depth of 40 mm on the right and 37 mm on the left, and there are areas of passive atelectasis in the lower lobes of both lungs. There are pleuraparenchymal sequelae bands in the left lung lingular segment. There are metastatic pulmonary nodules measuring approximately 4.1 mm in diameter in the anterior upper lobe of the right lung and 13 mm in the superior lower lobe, approximately 4.6 mm in the apex of the right lung, and 16 mm in the hilar region of the left lung upper lobe. There are suture materials secondary to sternotomy in the sternum. In the sections passing through the upper part of the west; There is free intra-abdominal fluid at a depth of approximately 12 mm in the perihepatic area. Liver sizes have increased and liver parenchyma has a nodular appearance. Multiple hypodense heterogeneous areas are present in the liver (secondary to diffuse HCC). There are multiple solid lesions in both adrenal glands, the largest measuring approximately 56x65 mm in the left upper quadrant. Degenerative appearances are observed in the vertebrae and bone structures, and there is a destructive bone lesion accompanied by soft tissue with a diameter of approximately 48 mm in the right scapula.
Bilateral pleural effusion. Metastatic pulmonary nodules in both lungs. Cardiomegaly. Ascending aortic aneurysm. Metastatic lytic lesion with soft tissue component in the right scapula. Multiple metastatic soft tissue lesions in the abdomen and in both adrenal glands. Multiple hypodense lesions in liver parenchyma. Intra-abdominal free fluid.
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train_11885_a_1.nii.gz
Metastatic breast Ca, dyspnea
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Pericardial-pleural effusion was not detected. No pathological increase in wall thickness is observed in the thoracic esophagus. There are no lymph nodes in pathological size and appearance in the mediastinum, in both axillary regions and in the retropecroral area and adjacent to the internal mammarian vascular structure. In addition, there are areas of increased centriacinar nodular density in the mediobasal and posterobasal segments of the lower lobe of the right lung, with the appearance of a tree with peribronchial buds. Pneumonic infiltration due to viral pathogens is considered in the etiology of the findings. There are a few nonspecific stable nodules in millimeters in both lungs, which were also observed in the previous PET-CT examination. No pathology was detected in the upper abdominal sections within the image. In the bone structures within the image, sclerotic bone metastases were observed in the anterior of the right 1st and 5th rib, posterolateral of the right 6th rib, T12, T9 and T10, T2 vertebral corpuscles, and manbrium sternium. No soft tissue component accompanying bone metastases was detected.
Breast Ca. In the upper lobe, lower lobe superior and posterobasal segments, areas of unclear limited density increase in ground glass density and areas of centriacinar nodular density increase in the appearance of a tree with buds were observed in places. Pneumonic infiltration is considered in the etiology of the findings (viral pathogens were primarily considered in its etiology). Several millimetric nonspecific stable nodules in both lungs. Stable sclerotic bone metastases in T2-T9, T10 and T12 vertebral corpuscles in the right part of the manibrium sterni, anterior to the right 1st and 5th rib and posterolateral to the 6th rib.
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train_11886_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 were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Lymph nodes with short axes not reaching 1 cm in perihilar regions are observed in both lung hilum. 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 was no finding that could be compatible with active infiltration in the lung.
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train_11887_a_1.nii.gz
SWO
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Central venous catheter is observed. No lymph node in pathological size and appearance was observed in the axilla, supraclavicular fossa and mediastinum. Heart sizes are natural. Pericardial effusion is present in the form of mild smearing. Calibrations of mediastinal major vascular structures are natural. Calcified atherosclerotic plaques were observed in LAD. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. Subsympathetic atelectasis areas are observed in the lower lobes of both lungs. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In upper abdominal sections; Calcified atherosclerotic plaques are present in the abdominal aorta. Local thinning of the parenchyma thickness of both kidneys is consistent with chronic sequelae changes. Degenerative changes are observed in bone structures. No lytic-destructive lesion was detected.
Pneumonic infiltration is not detected. Calcified atherosclerotic plaques are present in LAD. Mild pericardial effusion is observed in the form of plastering.
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train_11887_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
A catheter image extending from the port chamber and right internal jugular vein to the superior-right atrium junction of the vena cava was observed on the anterior chest wall on the right. 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. Calibration of mediastinal main vascular structures as far as can be observed is natural. Heart contour, size is normal. A smear-like effusion was observed between the pericardial leaves. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries or in the LAD. A slightly more prominent smear-like effusion on the left between the bilateral pleural leaves and compressive atelectasis in the basal segments of the lower lobes of both lungs were 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 both lungs, there is a multilobar, multisegmental, central-peripheral localized, crazy paving pattern accompanied by widespread linear subsegmental atelectatic changes, and pneumonic infiltration with signs of vascular enlargement. The outlook is consistent with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Minimal tubular bronchiectatic changes revealed in the current examination were observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. As far as can be seen within the sections; gall bladder was not observed (operated). Some thinning of the cortex and chronic sequelae changes were observed in both kidneys. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The pancreas is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is diffuse idiopathic bone hyperostosis in the cervical and thoracic vertebrae.
Findings compatible with Covid-19 pneumonia in the lung parenchyma. Mild regressed minimal pericardial effusion, calcific atheroma plaques in the thoracic aorta and coronary arteries . Placing effusion in the bilateral hemithorax and compressive atelectasis in the adjacent lung planes; stable. Minimal revealed in the current examination in both lungs tubular bronchiectatic changes . Chronic sequelae changes in both kidneys . Diffuse idiopathic bone hyperostosis in cervical-thoracic vertebrae
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train_11888_a_1.nii.gz
chest pain, dyspnea
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 observed: mediastinal main vascular structures, heart contour, size is normal. Millimetric calcific atheroma plaque was observed in LAD. 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; A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Within the sections, the 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. Accessory spleen with a diameter of 18.5 mm was observed at the inferior level of the splenic hilus. In the middle thoracic level, milimetric Schmorl node impressions were observed in the end plateaus.
Calcific atheroma plaque in LAD. Several millimetric nonspecific pulmonary nodules in both lungs. Millimetric Schmorl nodule impressions on mid-thoracic endplates.
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train_11889_a_1.nii.gz
pneumonia.
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 are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. 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. 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 observed in the sections. There are no enlarged lymph nodes in pathological dimensions. 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.
Minimal emphysematous changes in both lungs.
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train_11890_a_1.nii.gz
Not given.
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. 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. 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_11891_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; 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 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. At the thoracic level, mild scoliosis with right-facing scoliosis was observed. Degenerative osteophytes were observed at the level of the lower thoracic and lumbar vertebrae within the sections.
No evidence of infection-mass was detected in the lung parenchyma. Degenerative osteophytes in the lower thoracolumbar vertebra corpus corners.
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train_11892_a_1.nii.gz
Shortness of breath, sore throat, fever
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; 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.
Thorax CT examination within normal limits
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train_11893_a_1.nii.gz
Not given.
1.5 mm thick transverse images obtained without IV contrast material were evaluated.
Bilateral nodular gynecomastia was observed. Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The esophagus was evaluated within normal limits. 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; A variation of the azygos lobe and fissure is observed on the right. There are cylindrical bronchiectasis in both lungs. Thick-walled, luminal secretion cylindrical and cystic bronchiectasis (bronchocele?) appearances were observed in the lower lobe of the left lung, and ground-glass densities were observed around the dilated bronchioles in the superior segment of the left lung lower lobe. Infected bronchiectasis? Focal fissural thickening or millimetric nodular density compatible with intrapulmonary lymph node is observed on the left. Appearances of millimetric non-specific nodules are observed in bilateral 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. Appearances of degenerative osteophytes were observed in the vertebra corpus corners.
Bilateral nodular gynecomastia Variation of azygos lobe and fissure on the right Cylindrical bronchiectasis in both lungs Bronchocele in the lower lobe of the left lung? Infected bronchiectasis? Focal fissural thickening or intrapulmonary lymph node on the left? Millimetric non-specific nodules in bilateral lungs Degenerative bone changes
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train_11894_a_1.nii.gz
Muscle pain, fever, weakness.
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_11895_a_1.nii.gz
dyspnea
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. Remnant thymus tissue is observed in the anterior mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Centrilobular emphysematous changes are observed in both lungs. There is a bulla measuring 21 mm in size in the lower lobe of the right lung. 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. Degenerative changes were observed in bone structures.
Mild emphysematous changes in both lungs, thickening of interlobular septa. Small remnant thymus tissue. Degenerative changes in bone structures.
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train_11896_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. Calibration of mediastinal major vascular structures is natural. 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. No pathological size and configuration of lymph nodes were detected at both hilar levels. In the anterior mediastinum, there is thymic tissue in which hypodense areas compatible with fatty involution are observed, which does not create a trigonal configuration mass effect. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. Both hemithorax are symmetrical. Mild pleuroparenchymal sequelae changes are observed at the posterobasal level of the lower lobe of the right lung. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, the gallbladder appears contracted. In the vicinity of the spleen hilum, a 7 mm nodular density compatible with the accessory spleen is observed. Mild degenerative changes are observed in the bone structure entering the examination area.
No finding compatible with pneumonia was detected.
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train_11897_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. Heart size increased. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Multiple small lymph nodes measuring up to 12 mm in the short axis and 17 mm in the long axis are observed in the mediastun. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are calcifications in the walls of the cardia at the esophagogastric junction. When examined in the lung parenchyma window; Slight patchy ground glass densities are observed in both lungs, located peripherally. In both hemithorax, there is an 8 mm effusion on the left in the form of a smear on the right. The findings were evaluated in favor of the suspected infectious process in the first place due to the current pandemic. In the lower lobe of the left lung, a small 19 mm bulla is present among the atelectatic changes. The left kidney entering the section area is partially observed. There is evidence of fluid attenuation, which is thought to be the left kidney at first, with regular contours and calcifications on the wall. Cortical cyst in the first place? thinning of the parenchyma, chronic hydronephrosis? evaluated in its favour. In case of doubt, CT or MRI with upper-lower abdomen contrast is recommended for further diagnosis. 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. Degenerative changes are observed in the bone structure, there is a slight decrease in density.
Findings described in the lung parenchyma can also be seen in Covid-19 viral pneumonia. However, it is not specific and can be seen in other infectious-non-infectious diseases. Small lymph nodes with a short axis measuring up to 12 mm in the mediastinum and axilla, Atherosclerosis, cardiomegaly. Bilateral plastering on the right, 8 mm thick effusion on the left. Calcifications and thickenings of the stomach walls at the esophagogastric junction, small hiatal hernia. Hepato-splenomegaly For the further differential diagnosis of the partial cystic finding described in the left kidney lodge, further examination with contrast upper-lower abdomen CT or MRI is recommended in case of doubt. Degenerative changes in bone structure, slight decrease in density.
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train_11898_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. A few lymph nodes in the right upper, bilateral lower paratracheal, aortapulmonary narrow diameter less than 1 cm are observed. No pathological LAP was detected in the mediastinum. Suture materials secondary to surgery in the sternum are observed. Calcific atherosclerotic plaques are observed in the ascending and descending aorta and aortic arch, and on the walls of the abdominal aorta. Metallic densities are observed in the aortic valve localization. Cardiothoracic index slightly increased in favor of the heart. Cardiac pace maker is monitored. No pleural effusion was detected in both hemithorax. Plaque-like pleural calcification is observed in the left hemithorax. In the evaluation of both lung parenchyma; Subsegmental atelectasis are observed in the right lung upper lobe anterior segment and lower lobe superior segment. In the superior segment of the lower lobe of the left lung, a 6 mm diameter irregularly contoured nodule/focal consolidation distinction cannot be made clearly, and there is hyperdensity in which motion artifacts are observed. Elevation is observed in the right diaphragm. Secondary to this, subsegmental atelectasis in the right lung upper lobe anterior segment and lower lobe superior segment. Bilateral adrenal glands in the sections passing through the upper abdomen have a natural appearance. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures.
Elevation in the right diaphragm. Subsegmental atelectasis in the right lung upper lobe anterior segment and lower lobe superior segment secondary to this. Calcification . Hyperdensities in the aortic mitral and trucispid valve localization, as pertaining to valve replacement.
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train_11898_b_1.nii.gz
pneumonia?
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 size increased. Aortic valve, mitral valve and tricuspid valve replacements are observed. Suture materials of the sternotomy are observed. Pericardial effusion was not detected. The material associated with the electrodes, the distal end of which ends in the mediastinum at the base of the left ventricle, adjacent to the sternum, was placed under the skin. Calibrations of mediastinal major vascular structures are natural. No space-occupying lesion was detected in the pericardial fat pad. The right hemidiaphragm is prominently elevated. It favors right diaphragmatic paralysis. Esophageal calibration was followed naturally. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was detected. Atelectasis parenchyma areas are observed in the middle and lower lobes of the right lung secondary to right diaphragmatic elevation. There is an irregularly circumscribed nodule with a diameter of approximately 7 mm in the superior segment of the lower lobe of the left lung. Plaque-like coarse calcification foci are observed in the posterior segment pleura of the left lung lower lobe. In the upper abdominal sections, the craniocaudal dimension of the right lobe of the liver has increased significantly by 210 mm. Macrolobulation is observed in its contour (cardiac S?). Slight free fluid is observed in the perisplenic area in the form of smearing. No lytic-destructive lesions were detected in bone structures.
Aortic, mitral and tricuspid valve replacement, significant increase in heart size Right diaphragm elevation Significant increase in liver size Perisplenic smear-like free fluid Nonspecific irregular bordered nodule in the left lung
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train_11899_a_1.nii.gz
mesothelioma
Before IVCM was given, axial plane sections were taken with MDCT and reconstructions were made at the workstation.
In the right hemithorax, especially adjacent to the middle lobe and lower lobe, there is a nodular thickening of the pleura. The described appearance is compatible with the diagnosis of mesothelioma stated in the clinical preliminary diagnosis of the patient. It is observed that the pleural thickening extends towards the esophagus and aortic anterior at the level of the mediobasal segment of the lower lobe of the lung. Due to the irregularity of the thickenings, the exact size cannot be given. However, as far as can be observed, the pleural thickening observed in the right hemithorax was measured approximately 20 mm at the level of the medial segment of the lung middle lobe at its thickest point. The thickening in this localization was approximately 16 mm in the previous examination. Extensions of pleural thickenings into the fissure are observed. At the level of the oblique fissure, the thickening described from the neighborhood of the lower lobe anterobasal segment of the lung was again measured about 20 mm in its thickest part. In the previous examination, there was a thickening of 6 mm in the thickest part of this localization. In addition, there is an appearance that may belong to a subpleural nodule or nodular pleural thickening, with an anterior-posterior diameter of 22 mm at its widest point, adjacent to the oblique fissure in the lower lobe anterobasal - mediobasal segments in the right lung. The longest diameter of the described view was 17 mm in the previous examination. In addition, there is another nodular lesion similar to the previous lesion with the longest diameter of approximately 23 mm in the anterobasal-mediobasal segments in the lower lobe of the right lung. The longest anterior-posterior diameter of the described lesion was measured as 16 mm in the previous examination. Also, subpleural nodules measuring approximately 7.5 mm in diameter are observed in the lower lobe of the right lung, the largest of which is in the posterobasal segment. Apart from these, there are millimetric nonspecific nodules in both lungs. In the lower lobe of the right lung, uniform interlobular septal thickenings are observed in places. The described appearance is not specific. It was thought to be related to cardiac pathology. It is recommended to follow. There was no mass in the left lung and no infiltrative lesion in both lungs. There are emphysematous changes in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. There is a pericardial effusion measuring 1 cm at its widest point. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. There are calcific atheromatous plaques in the aorta. Millimetric lymph nodes are observed in this examination in the mediastinum and hilar regions. Adjacent to the distal esophagus are also lymph nodes, the largest of which measures 10 mm in diameter. No pleural effusion or thickening was detected on the left. There is no upper abdominal free fluid-collection within the sections. Lymphadenopathies with a short diameter of 12 mm are observed on the left at approximately the level of the renal hilus in the paraaortic region. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected within the borders of non-enhanced CT. No lytic-destructive lesions were observed in the bone structures within the sections. A significant increase was observed in the pleural thickening, which is observed in the right hemithorax and is locally nodular, extending to the fissures. There is also an increase in the size of the nodular appearances in the right lung that may belong to subpleural nodules-focal pleural thickening. There is an increase in the size of the subpleural nodules described in the lower lobe of the right lung. An increase in the size of lymphadenopathies described in the paraaortic region was also observed. There was no difference in the dimensions of lymphadenopathies observed in the distal esophagus.
On follow-up, mesothelioma, a mass characterized by pleural thickening that extends to fissures in the right hemithorax and in places nodular, focal pleural thickenings in the right lung - nodular lesions that may belong to subpleural nodules, subpleural nodules in the lower lobe of the right lung, esophagus distal, adjacent to the distal esophagus and paraortic lymphadenopathy in the paraortic area . . Mediastinal and hilar lymph nodes . Emphysematous changes in both lungs
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train_11900_a_1.nii.gz
covid
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 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; Dependent increases in density are present in the lower lobes of both lungs. No infiltration was detected to suggest Covid-19 pneumonia. In the sections passing through the upper part of the abdomen, the medial crus of the left adrenal gland has a thick hypodense appearance. No significant pathology was detected in other abdominal sections. No lytic-destructive lesions were detected in bone structures.
Dependent density increases in lower lobe basal segments in both lung parenchyma . Left adrenal gland medial crus thick and hypodense non-functioning adenoma ?
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train_11901_a_1.nii.gz
pneumonia?
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 atelectasis and emphysematous changes 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. 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. 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 observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Atelectasis and emphysematous changes in both lungs. Atherosclerotic changes in the aorta and coronary arteries.
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train_11902_a_1.nii.gz
Diarrhea, cough, weakness
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. 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_11903_a_1.nii.gz
Shortness of breath.
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. There are several lymph nodes with a short axis measuring up to 5 mm in the mediastinum. When examined in the lung parenchyma window; there are multiple subpleural nodules up to 8 m in size in the right lung lower lobe posterior (in series 2 image 287), the largest of which is multiple in both lungs, especially at the apical levels of the upper lobe (findings early viral pneumonia? a carinomatous process? differential) Clinical and laboratory correlation and close follow-up are recommended for diagnosis). 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.
Subpleural nodules measuring up to 8 m posterior in the lower lobe of the right lung, the largest in the upper lobes of both lungs (findings are close due to clinical and laboratory correlation in terms of diagnosis in terms of early Covid 19 viral pneumonia? a carinomatous process?) and due to the current epidemic. follow-up is recommended).
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train_11903_b_1.nii.gz
Chest pain, lung nodules
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening are observed in the central parts of both lungs. There are minimal emphysematous changes in both lungs. There are millimetric multiple nodules in both lungs. The largest of these nodules is observed in the right lung lower lobe posterobasal segment in the peripheral area and measures approximately 7x9 mm in size. No mass or infiltrative lesion was observed in both lungs. Mediastinal structures cannot be evaluated optimally since no contrast material is given. As far as can be observed: Heart, contour size is normal. No pleural or pericardial effusion was detected. The width of the mediastinal main vascular structures is normal. Atheroma plaques are observed in the aorta. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. Thoracic vertebral corpus heights, alignments and densities are normal within the sections. There are osteophytes in the vertebral corpus corners. Neural pheromones are clear.
Millimetric multiple nodules in both lungs. Minimal bronchiectasis and minimal peribronchial thickening in the right segments of both lungs.
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train_11904_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. 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; A millimetric calcific nodule was observed in the anterior upper lobe of the left lung. There are minimal linear fibrotic densities in both lower lobes. 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.
Millimetric calcific nodule in the anterior upper lobe of the left lung Linear fibrotic changes in both lung lower lobes
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train_11905_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Thyroid gland sizes increased. A millimetric hypodense nodule with a calcified wall was observed on the left. It is recommended to be evaluated together with US. Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed. The mediastinum could not be evaluated optimally in the non-contrast adherent examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. 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; Subsegmental atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Focal pleural thickening was observed in the right lung lower lobe laterobasal segment, and milimetric calcific nodules and fibrotic recessions were observed in the vicinity. The described findings are consistent with sequelae. Apart from these, several calcific nodules with a diameter of 7.8 mm were also observed in both lungs, the largest of which was in the superior segment of the lower lobe on the right. No mass lesion-active infiltration with distinguishable borders 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. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches. Osteoporosis was observed in the thoracic vertebrae. Compression fracture characterized by loss of height in T12 vertebra superior end plate was observed.
Increased thyroid gland size, calcific nodule on the left; It is recommended to be evaluated together with US. Appearance compatible with tracheobronchopathia osteochondroplastica Diffuse calcific atheroma plaques in the thoracic aorta and coronary arteries Nonspecific calcific nodules in both lungs, focal pleural thickening accompanied by fibrotic changes in the right lung lower lobe laterobasal segment were evaluated in favor of sequelae. Calcific atheroma plaques in the abdominal aorta-visceral branches Osteoporosis in thoracic vertebrae, slight height loss in T12 vertebra upper end plate
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train_11906_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. Trachea and both main bronchi were in the midline 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; mediastinal main vascular structures, heart contour, size are normal. There are stents placed in LDA and RCA. 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; Left lung lingular and peripheral subpleural areas in the lower lobes of both lungs, nodular-patchy consolidation areas with ground glass densities around the nodular were observed, and the appearance is suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Linear atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen within the sections; liver, gall bladder, spleen, pancreas, both kidneys are normal. Calculus images up to 2 mm in diameter were observed in the upper pole of the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Stent placed in LDA and RCA . Appearance in both lungs Suspicious findings in terms of Covid-19 pneumonia; It is recommended to be evaluated together with clinical and laboratory. Linear atelectatic changes in the middle lobe of the right lung and the inferior lingular segment of the left lung . Left nephrolithiasis
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train_11907_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. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 42 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is larger than normal. The transverse diameter of the pulmonary conus 38 right and left pulmonary artery diameters were measured as 22 mm and 26 mm, respectively. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed 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; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segments of the left lung. Luminal narrowing and secondary air trapping areas-mosaic attenuation pattern was observed in the segmental-subsegmentary bronchi of both lung lower lobes. Mosaic attenuation is secondary to the small airway. Nonspecific parenchymal nodules with a diameter of 5.2 mm were observed in both lungs, the largest of which was in the posterobasal segment of the lower lobe of the right lung. No mass lesion-active infiltration 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. The gallbladder was not observed (operated). Surgical suture materials were observed in the gallbladder fossa. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Trabeculation increase secondary to osteoporosis and degenerative changes in the end plateaus were observed in the bone structures within the study area.
Fusiform aneurysmatic dilation of the thoracic aorta, increased diameter of the pulmonary conus. Hiatal hernia. Pleuroparenchymal sequelae density increases in right lung middle lobe and left lung upper lobe inferior lingular segment. Millimetric nonspecific parenchymal nodules in both lungs. Air trapping-mosaic attenuation pattern secondary to the small airway in the lower lobes of both lungs. Cholecystectomized. Osteoporosis in bone structures.
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train_11908_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. Sliding type hiatal hernia was observed 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; Segmentary tubular bronchiectasis and peribronchial thickening were observed in both lungs. Mucus plugs were observed in the bronchial lumens in the posterior segment of the right lung upper lobe. Tree budding and centrilobular nodular infiltration areas were observed in the peribronchial areas. The described findings were evaluated in favor of bronchiolitis. No mass lesion with distinguishable borders was detected in the lung parenchyma. Accessory spleen with a diameter of 1 cm was observed in the inferior of the spleen hilus in the upper abdominal organs that entered the examination area. Other 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. Degenerative Schmorl nodules were observed in the thoracic vertebral end plates.
· Segmentary tubular bronchiectasis, peribronchial thickening, budding tree view and centrilobular nodules in the lung parenchyma; evaluated in favor of bronchiolitis. Minimal degenerative changes in bone structure.
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train_11908_b_1.nii.gz
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. Emphysematous changes are present in both lungs. Bronchiectasis and peribronchial thickenings were observed in both lungs. Bronchiectasis is observed more prominently in the left lung upper lobe lingular segment and right lung upper lobe posterior segment. In the localizations described, bronchiectasis and peribronchial thickening are accompanied by centriacinar nodules, some of which have the appearance of budding trees. There are also atelectasis and sequela changes in these localizations. Consolidation was observed in a small area in the left lung upper lobe lingular segment inferior subsegment. It can cause its appearance similar to many pathologies. However, the described manifestations were primarily evaluated in favor of an infective pathology. It is recommended that the patient be evaluated especially for a specific infection. No mass was detected in both lungs. No pleural or pericardial effusion was observed.
Bronchiectasis and peribronchial thickening in both lungs and centriacinar nodules, some of which have the appearance of budding trees, accompanying these findings (it is recommended that the patient be evaluated especially for a specific infection).
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train_11909_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 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 upper lobe of the right lung, there are calcific calcific nodular densities up to 5 mm and atelectatic changes located superiorly laterally, and recessions in the pleura. Sequelae were evaluated in terms of changes. There are fibrotic changes at both apical levels. 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.
Calcific fibrotic sequelae changes at the apical levels of the upper lobes of both lungs and more prominently on the right side, recessions in the pleura on the apical surface on the right side.
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train_11910_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; In the left lung lower lobe mediobasal, barely distinguishable focal ground-glass opacity is observed. First of all, it was evaluated nonspecifically. In pandemic conditions, Covid-19 pneumonia is in the differential diagnosis. It is recommended to evaluate the patient together with clinical and laboratory findings. There is a fibrotic density in the posterior compatible with the sequelae change in the apical segment of the upper lobe of the right lung. 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.
Focal ground glass opacity, which can hardly be distinguished in the mediobasal section of the lower lobe of the left lung, was primarily evaluated as nonspecific. In pandemic conditions, Covid-19 pneumonia is included in the differential diagnosis. Clinical and laboratory correlation is appropriate.
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train_11911_a_1.nii.gz
malaise, shortness of breath
Sections were taken and reconstructions were made at the workstation before contrast material was administered.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because no contrast material is 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. 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 can be observed within the borders of non-enhanced 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.
Findings within normal limits
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train_11912_a_1.nii.gz
Throat ache
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_11913_a_1.nii.gz
weakness
Transverse sections of 3 mm thickness obtained without the application of IV contrast material were evaluated.
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. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; There are millimetric non-specific nodules in the bilateral lung. There is subsegmental atelectasis in the left lingular segment. 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 signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate.
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train_11914_a_1.nii.gz
Right middle lobe atelectasis, 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, the mediastinal main vascular structures, heart contour size is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding hiatal hernia is observed 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; Pleuroparenchymal fibroatelectasis changes were observed in the left lung upper lobe inferior lingular and al lobe laterobasal segments. A few nonspecific pulmonary nodules less than 5 mm in diameter were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Liver, gall bladder, spleen, pancreas, and both adrenal glands are normal as far as can be observed in non-contrast tests. The right kidney is normal, and a 17x10 mm cortical, macroscopic fat-containing mass lesion was observed in the lower pole of the left kidney, and it was evaluated in favor of angiomyolipoma. Focal caliectasia was observed at the junction of the upper-middle pole of the left kidney and a stone density of approximately 16x10 mm in the calyx was observed. Right-facing scoliosis is observed at the level of the thoracic vertebrae.
Pleuroparenchymal linear atelectatic changes in the left lung upper lobe inferior lingular segment and lower lobe basal segment. Several nonspecific pulmonary nodules in both lungs with diameters less than 5 mm. Angiomyolipoma in the lower pole of the left kidney, calculus causing focal caliectasis in the middle pole. Rotascoliosis with right-facing thoracic opening.
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train_11915_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. There are paraseptal emphysematous changes in the bilateral upper pole and left lower alobe superior segment. In the sections passing through the upper part of the abdomen, a 3.5 mm stone was observed in the middle zone of the left kidney. No lytic or destructive lesions were detected in bone structures.
In the evaluation of both lung parenchyma, no active infiltration or mass lesion was detected, there were paraseptal emphysematous changes and a 3.5 mm stone was observed in the middle zone of the left kidney.
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0
0
0
0
0
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0
train_11916_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 and heart were not evaluated optimally due to the lack of IV contrast, and as far as can be observed within the limits of non-contrast CT; The ascending aorta is wider than normal with an anterior, posterior diameter of 40 mm, and a descending aorta of an anterior and posterior diameter of 29 mm. Calcific atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In both axillary region and mediastinum, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are centriacinar emphysematous changes in both lungs. Sequela parenchymal changes are observed in the left lung upper lobe inferior lingular segment, right lung middle lobe medial segment, both lung apexes and lower lobe posterobasal segments. No active infiltration or mass lesion was detected in both lungs. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. Free fluid, loculated collection is not observed. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved. There was no finding in favor of fracture. There are degenerative changes.
There is no finding in favor of pneumonic infiltration in both lungs. There are centriacinar emphysematous changes and local sequela parenchymal changes in both lungs. Increased caliber of the thoracic aorta, ascending aorta, and descending aorta, calcific atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures. Degenerative changes in bone structures.
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1
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1
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train_11917_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, lobar and segmental bronchi, air passages are open. 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. When the lung parenchyma window is examined; A nonspecific nodular lesion with a diameter of 3 mm was observed in the posterobasal segment of the left lung lower lobe. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No space-occupying lesion was observed in a massive structure. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Millimetric, nonspecific solitary nodule in the lower lobe of the left lung.
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train_11918_a_1.nii.gz
bronchiectasis
Before IVKM was given, sections were taken in the axial plan and reconstruction was made at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening are observed in the central parts of both lungs. Minimal pleural effusion is observed on the left. Consolidated lung segment is observed in the lower lobe of the left lung adjacent to the pleural effusion. There is also minimal volume loss in the described localization. The appearance may belong to atelectasis or less likely to infective pathology. It is recommended to be evaluated together with laboratory findings. No mass was detected in both lungs. There are millimetric nonspecific nodules in both lungs. There is a mosaic attenuation pattern in both lungs (small airway disease ? small vessel disease ?). Mediastinal structures are not evaluated optimally because no contrast agent is given. As far as can be observed: The heart is larger than normal. There is minimal pericardial effusion. In addition, calcifications are observed in the pericardium. Peri,cardial effusion is observed as minimally hyperdense. High protein content or hemorrhagic content may have caused this appearance. If there is an indication, further examination is recommended. The anterior-posterior diameter of the ascending aorta is 43 mm at its widest point and is wider than normal. The aortic arch is elongated. The diameter of the descending aorta is normal. The main pulmonary artery was 40 mm in diameter and wider than normal. The diameters of the right and left pulmonary arteries are wider than normal. 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. There is dilatation of the intra and extrahepatic bile ducts. There is a hyperdense appearance measuring approximately 6 mm in diameter at the lower end of the common bile duct, and it was primarily thought to belong to the stone. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph node was observed. No lytic-destructive lesions were detected in the bone structures within the sections. There is an increase in kyphosis in the thoracic region. Widespread decrease in density consistent with osteopenia is observed in the vertebral corpuscles. In addition, there are localized and bridging syndesmophytes in the vertebral corpus, especially in the anterior parts. It is recommended that the patient be evaluated for ankylosing spondylitis.
Cardiomegaly, pericardial effusion, calcification in the pericardium, physiform aneurysmatic dilatation in the ascending aorta, atherosclerotic changes in the aorta, increase in pulmonary artery diameters. Pleural effusion on the left, consolidated lung segment in the lower lobe of the lung adjacent to the pleural effusion (atelectasis ? infective pathology)? .Mosaic attenuation pattern in both lungs. Minimal bronchiectasis and peribronchial thickening in both lungs. Millimetric nodules in both lungs. Dilatation of intra and extrahepatic bile ducts, choledocholithiasis.
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train_11918_b_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. Pericardial effusion is present. Pericardial effusion is also observed in his previous examination. Calibration of the aortic arch was 32 mm, the ascending aorta was 41 mm, the pulmonary conus was 38 mm, the right pulmonary artery was calibrated 30 mm, and the left pulmonary artery was 28 mm wider than normal. Intense calcific atheroma plaques are observed in all vascular structures, in the main branches of the aortic arch, and in the coronary arteries. The size of the right lobe of the thyroid gland has increased. The AP size is 42 mm and there is a large nodule formation with a central necrotic character. Depending on the nodule, a slight compression effect is observed in the trachea. Millimetric sized nodules are observed in the mediastinum, in the upper-lower paratracheal areas, and in the aorticopulmonary window. No lymph node with pathological size and configuration was detected at the hilar level. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; In the lower zones, an increase in the calibration of the bronchial branches and an increase in the peribronchovascular thickness are observed. Focal bud branch view is observed in the posterior segment of the right lung upper lobe, and it is also present in the previous examination. Density increases are observed that are compatible with bilaterally dependent vascular density. Consolidated lung segment is observed in the paracardiac area in the left lung and is present in the previous examination. There is a mosaic attenuation pattern in both lungs, especially in the lower-middle zones. It is also observed in his previous review. Intrahepatic bile ducts are observed as dilated in the central and left lobe in the upper abdominal sections entering the study area. The calibration of the common bile duct has increased and a density of approximately 7 mm is observed in the distal part of the common bile duct, which is considered consistent with choledocholithiasis. It is also observed in his previous review. The thickness of the parenchyma in both kidneys is thin and irregular. Nodular hyperdense formation with a diameter of approximately 6 mm is observed in the middle and posterior parts of the left kidney, which was also observed in the previous examination. It was evaluated as compatible with hemorrhagic cyst. However, a hypodense formation with a diameter of approximately 9 mm is observed in the posterolateral part of the left kidney, and it was evaluated as compatible with cortical cyst. It is also observed in his previous review. A hypodense nonspecific lesion with a diameter of approximately 8 mm is observed in the subcapsular area of the right lobe posterior segment of the liver. Surrounding soft tissue plans are natural. Intense degenerative changes are observed in the bone structure.
Cardiomegaly, aneurysmatic dilatations and intense atherosclerotic changes in the mediastinal main vascular structures . Mosaic attenuation pattern in the middle-lower zones of both lungs . Focal bud branch view in the posterior segment of the right lung upper lobe, increases in density consistent with bilaterally dependent vascular density . Choledocholithiasis, dilatation in the intra-extrahepatic bile ducts, are also present in the previous review.
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train_11919_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 mass or nodular space-occupying lesion was detected in the lung parenchyma. Mild hepatic steatosis is observed in upper abdominal sections. No lytic-destructive space-occupying lesion was detected in bone structures.
Inspection within normal limits.
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train_11920_a_1.nii.gz
dyspnea
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
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; In the lower lobes of both lungs, there are more widespread multilobar, more peripherally located scattered patchy-nodular ground glass densities and crazy paving pattern appearance. There are also air bronchograms accompanying the ground glass densities in the lower lobes (high probability for Covid-19, other viral pneumonia-acute eosinophilic pneumonia can be considered in the differential diagnosis). Clinic and lab. verification is recommended. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Bilateral pleural effusion-thickening was not observed. The upper abdominal organs are normal as far as can be observed in the non-contrast examination. 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 thoracic opening, scoliosis with the right-facing scoliosis was observed. Vertebral corpus heights are preserved.
More diffuse patchy-nodular, peripherally located ground-glass densities and crazy paving pattern in the lower lobes of both lungs (high probability for Covid-19, other viral pneumonias-acute eosinophilic pneumonia can be considered in the differential tab.). Clinical and laboratory verification is recommended.
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train_11921_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 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. There is a 2.5 mm nonspecific nodule in the posterior segment of the right lung upper lobe. 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.
Nonspecific nodule 2.5 mm in size in the posterior segment of the right lung upper lobe
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train_11922_a_1.nii.gz
Deformity deformity in the right 2-3rd ribs? Tumor?
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 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 gallbladder was not observed (operated). One image of 2 mm in diameter in the lower pole of the right kidney, and four images of calculi with a diameter of 4.5 mm in the upper and middle part of the left kidney were observed. Bone structures in the study area are natural. There was no finding in favor of tumor-significant deformation in the right 2nd and 3rd ribs.
Cholecystectomy. Bilateral nephrolithiasis.
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train_11923_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In both retroareolar areas, lesion areas with irregular borders and soft tissue density were observed. It is recommended to be evaluated together with breast USG for gynecomastia. No occlusive pathology was detected 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 is ectatic with an anterior-posterior diameter of 37 mm. Calibration of other mediastinal major vascular structures is natural. Heart contour and 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; Peripheral weighted crazy paving pattern and nodular ground glass consolidations with signs of vascular enlargement were observed in the posterior subsegment of the right lung upper lobe posterior, left lung upper lobe apicoposterior segment, right lung lower lobe basal and left lung lower lobe posterobasal segment. The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. Millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. 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. Degenerative changes were observed in bone structures.
Soft tissue density lesion in the bilateral retroareolar area (gynecomastia?); It is recommended to be evaluated together with breast USG. Fusiform ectasia in the ascending aorta. High suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory. Tubular bronchiectasis, peribronchial thickening that becomes prominent in the center of both lungs. Several millimetric nonspecific pulmonary nodules in both lungs. Degenerative changes in bone structure.
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train_11924_a_1.nii.gz
Cough, chest pain.
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. No lymph node was observed in the 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. Esophageal calibration was followed naturally. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was observed in both lung parenchyma. Slightly more prominent endobronchiolar prominence and centriacinar millimetric ground glass nodules are observed in bilaterally symmetrical upper lobes in both lungs. Radiological findings were evaluated in favor of respiratory bronchiolitis. Clinical correlation is recommended. Parenchymal coarse calcification foci are observed in the lower lobe of the right lung. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-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.
In both lungs, there are prominent, acinar nodular and endobronchiolar prominences in the upper lobes and they are evaluated in favor of respiratory bronchiolitis. Clinical correlation is recommended. Parenchymal coarse calcification foci in the lower lobe of the right lung.
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train_11925_a_1.nii.gz
not given
Without IVKM, 1.5 mm thick sections were taken in the axial plan and reconstructions were made at the workstation.
A breast prosthesis is observed on the right anterior chest wall and the skin thickness of the right breast has increased (secondary to the treatments?). No enlarged lymph nodes in pathological size and appearance were detected adjacent to bilateral axillary, retropectoral, supraclavicular and internal mammarian vascular structures. There is an appearance compatible with thymic remnant in the anterior mediastinum. The cardiothoracic ratio is in the upper physiological limits. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes were 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. Two nonspecific nodules are observed in the right lung, the largest of which is 4 mm in diameter in the posterior segment of the upper lobe, and the largest is calcific. No mass or infiltrative lesion was detected in both lungs. Sliding type minimal hiatal hernia is observed at the esophagogastric junction. No pathological increase in wall thickness was detected 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. Millimetric osteophytes are observed in the corners of the thoracic vertebra corpus.
Two millimetric nonspecific nodules in the right lung. Thickening of the right breast skin (secondary to treatments?). Minimal hiatal hernia.
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train_11926_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. 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; In both lungs, faint non-specific mild ground-glass-like density increases are observed at the lower lobe level. It is nonspecific. In the evaluation of the upper abdominal organs included in the sections, nodular formation is observed in the vicinity of the spleen, which is considered compatible with the accessory spleen. 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.
Slight nonspecific mild ground-glass-like density increases at the lower lobe level in both lungs, the appearance is atypical for Covid-19 pneumonia. Evaluation with clinical and laboratory findings is recommended.
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train_11927_a_1.nii.gz
Headache, weakness, 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. 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; A few millimetric nonspecific nodules are observed in both lungs. Apart from that, the aeration of the parenchyma in both lungs is normal, and no infiltrative lesion was 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 nonspecific nodules bilaterally.
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train_11928_a_1.nii.gz
Not given.
Non-contrast images were obtained with a section thickness of 1.5 mm in the axial plane towards the thorax.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in their lumens. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the mediastinum and in both hilum in pathological size and appearance. A minimal sliding hernia was observed in the distal esophagus. Heart contour, size is normal. Pericardial and pleural effusion-thickening was not observed. When the lung parenchyma window is examined; Pleural thickening extending from the apical segment of the right lung upper lobe to the posterior segment, a soft tissue mass of 17x17mm at this level, which was initially evaluated in favor of cicatricial sequelae, millimetric calcific plaques around the soft tissue mass, sequelae calcifications and traction bronchiectasis were observed. Nodular infiltrative appearance was observed in the centriacinar ground glass density in both upper lobes of the lungs. The appearance may be compatible with early-stage allergic - non-allergic bronchiolitis. Correlation with clinical and laboratory is recommended. Passive atelectatic changes were observed in the right lung middle lobe medial segment and inferior lingular segment paracardiac areas. Centriacinar emphysematous changes were noted in the basal segments of the lower lobe of the right lung. Apart from this, no infiltrative mass was detected in both lungs. A hypodense lesion area of approximately 5 mm in diameter was observed in the right lobe of the liver as far as can be observed in the non-contrast sections. Correlation with USG is recommended. The gallbladder, spleen, and both adrenal glands are normal. No mass with a selectable border was observed in the observable parts of the pancreas. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Calcific nodular appearance, dystrophic calcifications in the parenchyma, paracicatricial bronchiectasis, and diffuse fibrotic retraction in the apical-posterior segment of the right lung upper lobe, which is evaluated primarily in favor of sequelae. bronchiolitis? Correlation with clinical and laboratory is recommended. Millimetric lesion area with hypodense hypodense in the right lobe of the liver in non-contrast sections. Correlation with USG is recommended.
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train_11928_b_1.nii.gz
Lung ca?
Sections were taken without contrast medium 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 minimal bronchiectasis in the apical segment of the right lung upper lobe and nodular density increase in the apical segment of the right lung upper lobe, which causes structural distortion and volume loss around it, and is approximately 20 mm in diameter at its thickest part (series 2, section 48). There are many calcific nodules adjacent to the described localization. The described appearance was also present in the patient's previous examination, and no difference was found in its dimensions and appearance. First of all, pleuroparenchymal sequelae were evaluated in favor of fibrotic change. It is recommended to follow. There is also an appearance compatible with pleuroparenchymal sequelae change in the left lung apex. There are emphysematous changes in both lungs. It is observed in other 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 was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. No lytic-destructive lesions were observed in the bone structures within the sections.
Stable findings in favor of pleuroparenchymal sequela fibrotic changes in the apex of the right lung . Nonspecific nodules in both lungs . Emphysematous changes in both lungs
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train_11928_c_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 major vascular structures in the mediastinum is natural. 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. 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 trachea and main bronchi is normal, their lumens are clear. At the apical level of the upper lobe of the right lung, pleuroparenchymal irregular density increases accompanied by millimetric-amorphous calcifications are present. At this level, the appearance of paracastricial atelectasis is observed and there are hypodense areas compatible with emphysema in both lungs. The identified findings are also followed in the previous review. No significant difference was detected. There are faint ground-glass-like density increments at the posterobasal level of the lower lobe of the right lung. It is also observed in the old review. Sequelae changes are observed in the lingular segment of the left lung. Bilateral pleural effusion, pneumothorax were not detected. There is a stable nonspecific hypodense lesion with a diameter of approximately 9 mm at the level of the dome in the right lobe of the liver entering the section area. Density compatible with 2 mm diameter calculus is observed at the neck level of the gallbladder. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. On the left, in the lateral part of the 8th rib, millimetric nodular density is observed (compact bone islet?). Degenerative changes are observed in the bone structure.
Emphysematous changes in both lungs. · Stable nonspecific hypodense nodule at dome level in the liver. · Cholelithiasis.
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train_11929_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. The cardiothoracic index is natural. Calcific plaques are observed in the aortic arch and coronary arteries. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Pleural effusion-thickening was not observed in both hemithorax. In the evaluation of both lung parenchyma; More prominent diffuse centriacinar and panacinar emphysema are observed in the upper lobes of both lung parenchyma. There is a 6.5 mm nodule in the superior segment of the lower lobe of the right lung (Ima 270), with no significant difference observed in previous examinations. According to the previous examination, there is a stable nodule with a diameter of 2-3 mm adjacent to the fissure in the superior segment of the lower lobe of the left lung. In addition, there are 1-2 nonspecific nodules with a diameter of 2-3 mm in the current examination, which could not be clearly evaluated due to motion artifacts in this localization in the previous examination in the left lung lower lobe laterobasal segment. Similarly, in the right lung lower lobe laterobasal segment, one or two nodules with a diameter of 2-3 mm, which could not be clearly evaluated in the previous examination, are selected. In the sections passing through the upper part of the abdomen, the lesion, which is considered as non-functional adenoma, with fat intensities of 2x1.5 cm in the right adrenal gland with the part that can be seen in the abdominal sections, is selected. The right kidney was not included in the examination area. Slight anterior rotation of the left kidney is selected. The lower shoe could be the kidney. No obvious pathology was detected in bone structures.
Centriacinar-panacinar diffuse emphysemato areas in both lungs, the largest stable nodule in the right lung lower lobe superior segment, a stable nodule in the left lung lower lobe superior segment adjacent to the fissure, and also both lung lower lobe laterobasal segments are present in the previous examination due to motion artifacts in the previous examination. In the current examination, which is not clearly evaluated, 1-2 nodules with a diameter of 2-3 mm in nonspecific appearance.
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train_11930_a_1.nii.gz
Nodular ground-glass area in the upper lobe of the right lung
Before IVKM was given, sections were taken in the axial plan and reconstruction was made at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening are observed in both lungs, especially in the central parts. There are diffuse emphysematous changes in both lungs. There is an appearance evaluated in favor of pleuroparenchymal sequelae changes in both lung apex and left lung upper lobe lingular segment. There are also occasional linear atelectasis in both lungs. In the posterior segment of the upper lobe of the right lung, adjacent to the fissure, an irregularly circumscribed nodular lesion measuring 14 mm in the longest diameter at its widest point and a minimal ground glass area around it is observed. The described appearance is also present in the previous examination of the patient. Although there is no significant difference in lesion dimensions, the lesion is observed as more solid in this examination. Tissue diagnosis or close follow-up of the described appearance is recommended. There are centriacinar nodules in a small area in the basal segments of the left lung lower lobe and in the inferior subsegment of the upper lobe lingular segment. The described manifestations were primarily evaluated in favor of infective pathology. It is recommended to be evaluated together with the physical examination findings. No mass was detected in both lungs. There are 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 was detected. The ascending aorta has an anterior-posterior diameter of 40 mm and is minimally wider than normal. The diameters of the aortic arch and descending aorta are normal. Pulmonary artery diameters are normal. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. 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. No lytic-destructive lesions were detected in the bone structures within the sections.
Irregularly circumscribed nodule in the posterior segment of the upper lobe of the right lung (tissue diagnosis or close follow-up is recommended). Centriacinar nodules in the left lung that are primarily evaluated in favor of infective pathology . Diffuse emphysema in both lungs . Pleuroparenchymal sequelae changes and atelectasis in both lungs
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train_11930_b_1.nii.gz
Pulmonary nodule control.
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 detected in the trachea and lumen of both main bronchi. Mediastinal main vascular structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen, the diameter of the ascending aorta was 40 mm and showed fusiform dilatation. The diameters of the aortic arch and descending aorta are normal. Pulmonary artery diameters are normal. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; diffuse emphysematous changes evident in the upper lobes of both lungs and pleuroparenchymal sequelae in the apex of both lungs and in the lingular segment of the left lung upper lobe. In addition, there are areas of linear atelectasis in both lungs. In the right lung upper lobe posterior segment, adjacent to the fissure, there is an irregularly circumscribed nodular lesion of approximately 14x9 mm in size with minimal ground glass areas around it. Millimetric sized nonspecific pulmonary nodules are observed in both lungs. Centri acinar nodules observed in the left lung lower lobe basal segment and lingular segment in the previous examination were not detected in the current examination. Pleural thickening-effusion was not detected. In the upper abdominal sections included in the sections, no clearly demarcated lesion was detected within the borders of non-contrast CT. 3 mm diameter calculi is observed in the middle zone of the right kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Centriacinar nodules in the left lung observed in the previous examination were not detected in the current examination. Diffuse emphysematous changes and sequelae changes in both lungs. Right nephrolithiasis. No new pathology was detected in the current examination.
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train_11931_a_1.nii.gz
Metastatic small cell lung Ca
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The lymph node in the right supraclavicular fossa, measuring 8 mm in its short axis in the previous examination, is stable in the current examination. Numerous pathological lymph nodes are observed in the mediastinum. The shortest axis was measured 16 mm, the largest of which was in the subcarinal area. Mild pericardial effusion is present. There is a primary mass lesion infiltrating the mediastinum around the upper lobe bronchi in the left lung. In the old examination of the lesion, its long axis is 47 mm. No significant difference was found in the size of the mass in the current examination. A regression was detected in the finding of obstruction in the segmental bronchi of the mass located centrally in the left upper lobe of the lung parenchyma. Interlobular septal thickening and parenchymal ground-glass opacity are observed in the left upper lobe. There are bronchial wall thickness increases. These findings were thought to be in favor of a change secondary to treatment. There is subpleural light ground glass opacity in the posterior segment of the left lung upper lobe. It was thought that it may belong to the change secondary to the treatment with parenchymal ground glass opacities in the upper lobe. There was no significant finding in favor of Covid-19 pneumonia. No new mass lesion or nodule was detected in the lung parenchyma. Bilateral pleural effusion-thickening was not observed. In the non-contrast examination, liver metastases could not be distinguished. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The short axis of the metastic nodule in the portal hilus in the precaval area was measured 8 mm, and no significant difference was found. No suspicious lymph node for metastasis was detected within the sections. In the case, which is learned to have bone metastases, metastastic bone lesions cannot be distinguished radiologically. Therefore, it could not be evaluated.
Metastatic small cell lung Ca, right supraclavicular-mediastinal metastatic lymph nodes; stable. Stable primary mass lesion infiltrating the mediastinum around the upper lobe bronchi of the left lung It was evaluated in favor of related parenchymal changes. No significant finding was found in favor of Covid-19 pneumonia. Stable lymph node in the precaval area
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train_11931_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The examination was made to evaluate the covid lung involvement. Mediastinal and mass evaluation is suboptimal in non-contrast imaging. CTO is within normal limits. There is mild pericardial prominence and mild effusion at the base of the heart. Calibration of major vascular structures in the mediastinum is natural. Multiple lymph nodes are observed in the mediastinum with a tendency to coalesce and superposed on each other. However, since they could not be distinguished from mediastinal vascular structures and from each other, a comparative evaluation was made with the previous examination. No prominent lymph node was detected at the level of the right hilus. However, the mass lesion extending from the prevascular level to the hilum on the left and invading the left pulmonary artery in the previous examination and narrowing it significantly is also observed in the current examination, and it extends from this level along the hilus to the intraparenchymal area in the form of peribronchial thickening. Pleuroparenchymal density increments extending apically in the upper lobe are also present in the current review. According to her previous review, no findings consistent with progression were found at this level. In the previous examination, ground-glass-like intensity increments in the area starting from the level of the lesion and extending to the superior were slightly regressed in the current examination. In the case of Covid PCR positive, the appearance may correspond to the CT findings of Covid. Apart from this, no significant finding suggestive of Covid pneumonia was detected in both lungs. Mild sequelae changes are also observed in the linguistic segment. There is multiple hypodense lesion consistent with liver metastasis. Both adrenal and spleen, pancreatic segments and gall bladder included in the examination area are normal. According to the previous examination, stable-looking mass lesions are observed in the right perigastric area, the largest of which is 23x17 mm in size. Bone structure is slightly heterogeneous. However, no clear demarcation lesion was detected in CT examination.
Multiple lymph nodes are present in the mediastinum. A mass lesion extending along the peribronchial sheath is observed intraparenchymal at the left hilar level. Ground-glass-like density increases observed in the upper lobe at the level up to the perihilar area in the previous review decreased in the current review. However, no significant finding that can be evaluated in favor of Covid pneumonia was detected in other areas.
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train_11931_c_1.nii.gz
Pulmonary Ca patient in follow-up
Non-contrast images with a section thickness of 1.5 mm were taken in the axial plane.
The trachea is in the aorta line and both main bronchi are open. Evaluation of mediastinal structures in which the examination is unenhanced is suboptimal. As far as it can be examined; Heart sizes are normal. Minimal effusion is observed in the pericardial space. In the hilum of the left lung, the lesion area of the soft tissue density, which causes minimal narrowing of the left main bronchus and its branches, is observed. Since the examination was without contrast, its borders could not be clearly defined. Numerous lymphadenopathies are observed in the aortopulmonary space, pretracheal space, paravascular area and subcarinal region, and supraclavicular area. The described lymphadneopathies show conglomeration and could not be distinguished from each other. The largest measurable area of lymphadenopathy was measured at 22 mm in diameter at the aortopulmonary window (measured as 32 mm in the previous examination). Apart from these lymphadenopathies, lymphadenopathies are also observed in the upper abdominal sections included in the imaging. The largest one was observed in the aorta-caval area and its short axis was measured 15 mm (previous 22 mm). When examined in the lung parenchyma window; Pleuroparenchymal linear densities are observed in the apical segment and anterior-posterior segments in the upper lobe of the left lung. In addition to these findings, there are nodular ground-glass opacities from the apical segment to the lingular segment in the upper lobe of the left lung (Covid-19 pneumonia?). There are many hypodense lesions consistent with liver metastases. Both adrenal glands were evaluated as normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Lymphadenopathies with multiple conglomerations are observed in the mediastinum. There are hypodense lesions consistent with multiple metastases in the liver. Lephaadenopathies are observed in the paraaortic, paracaval and mesenteric areas. The largest of these lymphadenopathies is observed in the aortocaval area on the right and a reduction in size is observed. An increase in nodular ground glass areas is observed in the left lung.
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train_11931_d_1.nii.gz
Not given.
Axial sections of 1.5 mm thickness were taken without contrast material and reconstructed at the workstation.
Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. In the case with primary lesion in the right hilar region and mediastinal tumor infiltration, no significant difference was found in the component of the primary tumoral lesion in the lung hilum. In axial sections, the longest axis was measured as 56 mm in the current examination. The relationship of the described mass with mediastinal vascular structures could not be evaluated optimally because the examination was without IV contrast. Heart contour and size are natural. No pleural effusion or increased thickness was detected. Irregularly circumscribed nodular lesion accompanied by pleuroparenchymal sequelae recessions in the apical segment of the left lung upper lobe is stable. In the current examination, there are density increases in ground glass density accompanied by newly developed interlobular septal thickness increases in the left lung upper lobe anterior segment and peripheral areas in the upper lobe superior and inferior lingular segments, and in the central area of the right lung middle lobe medial segment and lower lobe superior segment. In the case with a history of radiotherapy, the appearances were primarily evaluated in favor of changes secondary to radiotherapy. In the case with known liver metastases, the size of the metastatic lesions in the liver was measured as 57 mm in the current examination, with the longest axis in the axial sections in segment 4B localization in the current examination, while it was measured as 52 mm in the previous CT examination, and a slight increase in their size was noted. A metastatic lymph node was observed adjacent to the celiac trunk, and the shorter diameter of the larger one was 23 mm in the current examination and 20 mm in the old CT examination. No intraabdominal free fluid, loculated collection was detected. No lytic-destructive lesion was observed in the bone structures within the image.
Stable primary mass in the left lung hilum; areas of increased density in ground glass density accompanied by newly developed interlobular septal thickness increases in the left lung superior and upper lobe superior and inferior lingular segment in the peripheral area and in the central area in the right lung middle lobe medial segment and lower lobe superior segment; In the case with a history of radiotherapy, the appearances were primarily evaluated in favor of changes secondary to radiotherapy. In the current examination, there is a slight increase in the size of multiple metastatic erosions observed in both lobes of the liver and the size of the lymph node observed in the vicinity of the celiac trunk. No newly developed lesion was detected.
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train_11931_e_1.nii.gz
Lung ca, Covid-19 pneumonia
Sections were taken without contrast medium and reconstructions were made at the workstation.
Peripheral and central consolidations, more prominent in the lower lobe of the right lung, and ground glass areas accompanying the consolidations are observed. In addition, there are peripherally located ground glass areas in both lungs, some of which are nodular in shape. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. There is minimal pericardial effusion. No pleural effusion was detected. No upper abdominal free fluid-collection was observed in the sections.
Not given.
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train_11931_f_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. Right upper-bilateral lower paratracheal mediastinal lymphadenomegaly, which can be distinguished on non-contrast examination, is observed, the largest of which reaches approximately 3 cm. The cardiothoracic index is natural. Calcific plaques are observed on the walls of the coronary artery. Pericardial effusion is present in the form of minimal smearing. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; more prominent in the right lung, peripheral and peribronchial ground glass densities-consolidations are observed in the anterior segment of the left lung upper lobe. Evaluated as compatible for Covid-19 pneumonia. In addition, pleuroparenchymal sequelae densities are observed in the left lung apex. In the sections passing through the upper part of the abdomen, lesions consistent with hypodense metastasis are observed, measuring approximately 4 cm in the medial segment of the left lobe, the largest of which is in the liver. Bilateral adrenal glands appear natural. Multiple bone metastases are present in costovertebrae in bone structures.
There is no significant difference in mediastinal LAPs.
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train_11932_a_1.nii.gz
Flu, nasal burning. pneumonia?
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. 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. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures.
??Examination within normal limits. ?
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train_11933_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; There are minimal fibrotic changes in the lower lobes of both lungs. Pleural effusion-thickening was not detected. In the upper abdominal sections, the appearance of sleeve gastrectomy is observed in the stomach. 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. There are Schmorl nodules and minimal degenerations on the vertebral endplates.
Minimal fibrotic changes in the lower lobes of both lungs. Sleeve gastrectomy. Minimal degeneration of vertebrae.
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train_11934_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. There is a sliding type hiatal hernia. 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; Peribronchial and subpleural nodular consolidation areas are observed in both lung parenchyma, which become prominent towards the basals. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Atypical areas of pneumonic infiltration in both lungs; Radiological findings are consistent with lung parenchymal involvement of Covid infection.
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train_11935_a_1.nii.gz
Cervical osteosarcoma in follow-up.
Axial sections of 1.5 mm thickness were taken without contrast material and reconstructed at the workstation.
No pathological increase in wall thickness was observed in the thoracic esophagus. Trachea, both main bronchi are open and no occlusive pathology is detected. Calibration of mediastinal vascular structures and heart contour and size are natural. No pericardial and pleural effusion or increased thickness was detected. There is a heterogeneous hypodense appearance in the anterior mediastinum that does not occupy space, and it was evaluated in favor of residual thymus tissue. No lymph node was observed in the mediastinum in pathological size and appearance. In the examination made in the lung parenchyma window; No active infiltration or nodular lesion was detected in both lungs. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image.
Findings within normal limits.
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train_11936_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; In the upper lobe of the right lung, density increases in the form of peribronchial nodular ground glass near the center are observed. 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.
Centrally located pneumonic ground-glass infiltrates in the upper lobe of the right lung (not specific for viral pneumonia. Bacterial pneumonia is considered in the foreground).
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train_11937_a_1.nii.gz
cough fever
Transverse sections of 3 mm thickness obtained without the application of IV contrast material were evaluated.
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. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural consolidations were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. 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.
Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances.
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train_11938_a_1.nii.gz
Cough, fever.
Sections were taken in the axial plane without contrast material with a thickness of 1.5 mm and reconstructions were made at the workstation.
Heart contour and size are normal. Pleural or pericardial effusion - no thickening was detected. The diameters 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. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Linear atelectasis areas are observed in the left lung upper lobe lingular segment, right lung middle lobe medial and lower lobe laterobasal segments. There is a 1 cm diameter bleb formation in the superior segment of the right lung lower lobe. No upper abdominal free fluid-collection was detected in the sections. Within the limits of non-enhanced CT, there is no mass with distinguishable upper abdominal borders. There are focal Schmorl nodules on the end plates of the thoracic vertebrae, osteophytic tapering in places at the vertebral corpus corners, and a hypodense nodular lesion compatible with a 10x12 mm hemangioma at the T10 corpus level. No lytic-destructive lesions were detected in the bone structures within the sections.
Non-contrast chest CT findings within normal limits, except for sequelae linear atelectasis in both lungs.
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train_11939_a_1.nii.gz
shortness of breath, cough
Axial sections of 1.5 mm thickness were taken without IVKM and reconstructions were made at the workstation.
Mediastinal vascular structures and heart examination could not be optimally evaluated due to lack of contrast, and the calibration of the vascular structures, heart contour and size are natural. Widespread calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures. No pericardial or pleural effusion was observed. There is no pathological increase in wall thickness in the thoracic esophagus, and a slight sliding type hiatal hernia is observed at the lower end. . In the trachea, just proximal to the carina level, the appearance of a mucus plug is observed, which is leveled in the lumen. Both main bronchi are open and no obstructive pathology is detected. In mediastinal lymph node stations, no lymph node is observed in pathological size and appearance. Since the examination was mobile, both lung parenchyma could not be evaluated optimally and no active infiltration or mass lesion was detected in both lung parenchyma. There are emphysematous changes in both lung parenchyma. Sequelae pleuroparenchymal bands are observed in the right lung upper lobe anterior, middle lobe and lower lobe posterobasal segment, left lung lingular segment and lower lobe anterobasal and posterobasal segments. In bilateral bronchial structures, there is mild ectasia, which is more clearly observed in the center, accompanied by minimal peribronchial thickness increases, and it was evaluated in favor of sequelae changes. A 4 mm nonspecific intrapulmonary nodule is observed in the posterior segment of the right lung upper lobe. In the abdominal segments within the image, hyperdense nodular lesions measuring 16 mm in size are observed in the middle zone of the left kidney and in the upper pole, the largest in the middle zone (hemorrhagic cyst?). In addition, cortical nodular lesions with hypodense fluid density are observed in the middle zone of the left kidney and the largest in the upper pole and the size of 17 mm in the upper pole (cyst?). Degenerative changes in the bone structures in the study area and increases in reticular density secondary to osteopenia are observed in the vertebral corpuscles.
Pleuroparenchymal sequelae bands and areas of increase in density compatible with linear atelectasis in the localizations described above in both lung parenchyma, emphysematous changes in both lung parenchyma, millimeter-sized nonspecific pulmonary nodule in the posterior segment of the right lung upper lobe. Mucus plug in the trachea just proximal to the carina level in the left kidney (cyst?) and hyperdense (hemorrhagic cyst?) cortical lesions
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train_11940_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. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Both hemithorax are symmetrical. When examined in the lung parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear. Right lung upper lobe posterior segment 4 mm in diameter, dorsal subpleural area 2 mm in diameter, anterolateral 2 mm in diameter, anterior segment caudally 4.5x3 mm, a little more caudally 5x3 mm, subleural larger 4 mm in lower lobe posterobasal segment, a few laterobasal There are nodules with a diameter of 3 mm in the segment. Sequelae changes are observed at the apical level of the left lung. Sequelae changes are observed in the inferior lingular segment. A subpleural nodule with a diameter of 3 mm is observed in the diaphragmatic subpleural area in the anteromediobasal segment. In the laterobasal segment, there are two adjacent nodules with a diameter of 3 mm. A nodule with a diameter of 3 mm is observed in the superior segment of the lower lobe. In the upper abdominal organs, including sections; The spleen is slightly enlarged. 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 are observed in the bone structures in the examination area. There is minimal left-facing scoliosis in the dorsal region (positional?).
Multiple nodule formation in both lungs not larger than 5 mm.
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train_11941_a_1.nii.gz
Covid 19 pneumonia?
Axial sections of 1.5 mm thickness were taken without contrast material and reconstructed at the workstation.
Mediastinal main vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. There are calcific atheromatous plaques on the wall of mediastinal vascular structures and coronary vascular structures. Calibration of vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. A mosaic attenuation pattern is observed (small airway disease? small vessel disease?). Sequela parenchymal changes are observed in the right upper lobe anterior, middle lobe medial segment and lower lobe posterobasal segment, left lower lobe posterobasal segment, upper lobe lingular segments, and upper lobe apicoposterior segment in both lungs. Centriacinar emphysematous changes are observed in both lungs, which are more prominent in the apex of both lungs. No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. Free fluid, loculated collection is not observed. No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes. Left-facing scoliosis is observed in the thoracic vertebral column.
There is no evidence of active infiltration or mass lesion in both lung parenchyma, and sequela parenchymal changes, centriacinar emphysematous changes and mosaic attenuation pattern are observed (small airway disease? small vessel disease?). Mediastinal vascular structures, calcific atheroma on the wall of coronary vascular structures plaques . Degenerative changes in bone structure.
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train_11942_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Sliding type hiatal hernia 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. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A few non-specific parenchymal nodules measuring 4.2 mm in diameter, the largest of which was located subpleural in the upper lobe of the right lung, and 5 mm in diameter in the lower lobe superior segment of the left lung were observed. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the study area; 2 mm diameter calculi was observed in the upper pole of the left kidney. A 4.5 mm diameter calculus was also observed in the middle zone of the right kidney. A hypodense lesion with a diameter of 7 mm was observed in the left lobe of the liver. No lytic-destructive lesion was detected in bone structures.
Millimetrically sized non-specific parenchymal nodules in both lungs. Liver hypodense lesion. Bilateral nephrolithiasis.
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train_11943_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
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; 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; Peribronchial thickening was observed in the segmental-subsegmental bronchi of both lungs. Band-passive atelectatic changes were observed in the left lung upper lobe lingular segment and right lung middle lobe medial segment. A mosaic attenuation pattern was observed in the lower lobes of both lungs. It was thought to be secondary to thickening of the bronchial walls and luminal narrowing. No mass lesion-active infiltration with distinguishable borders 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. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative Schmorl node impressions were observed on the end plates in the middle parts of the thoracic vertebrae.
Peribronchial thickening in the segmental-subsegmental bronchi of both lungs, clear mosaic attenuation pattern in the lower lobes of both lungs, mosaic attenuation was thought to be secondary to small airway stenosis. Pleuroparenchymal fibroatelectasis sequelae changes in left lung upper lobe inferior lingular and right lung middle lobe medial segment Degenerative Schmorl node impressions in thoracic vertebral end plates
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train_11944_a_1.nii.gz
Seizure, trauma?
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, airticopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Mosaic attenuation is present in both lungs. Interlobular septa in the bilateral lung are slightly prominent. Nonspecific ground-glass densities are observed in the middle lobe and lower lobe of the right lung. 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 lesions were detected in bone structures.
Mosaic attenuation in both lungs, . Increase in cardiothoracic index in favor of the heart and slight prominence in interlobular septa possibly secondary to this . Minimal ground-glass densities with nonspecific appearance in the middle lobe and lower lobe of the right lung. Not typical for Covid pneumonia. Cannot be excluded. Clinic and lab evaluation is recommended.
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train_11945_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; 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. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a short axis smaller than 1 cm are observed in the mediastinal, upper-lower paratracheal, prevascular, subcarinal areas and both hilar regions. When examined in the lung parenchyma window; Ground-glass density increases with interlobular septal thickenings showing a tendency to coalesce in both upper and lower lobes of both lungs and a focal consolidation area in the apicoposterior segment of the left lung were observed. The outlook was evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia. Clinical-laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the study area; A hypodense lesion with a diameter of 27 mm was observed in the posterior cortex of the right kidney (cyst). No lytic-destructive lesion was detected in bone structures.
There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical-laboratory correlation is recommended. Right renal hypodense lesion (cyst).
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train_11946_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. Pericardial effusion-thickening was not observed. There are calcific atheromatous plaques in the aorta and coronary arteries. 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; In both lungs, especially in the posterobasal parts of the lower lobes, ground glass densities, some of which are difficult to distinguish, are observed. The outlook is in favor of viral pneumonia. These findings are also frequently observed in 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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train_11947_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. There are few pericardial effusions measuring up to 30 mm in thickness. Calcific atheroma plaques are observed in the aorta and coronary arteries. 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 small amount of effusion is observed in both lungs, more prominent on the right. There is a consolidation area on the basis of atelectatic changes in the basal part of the lower lobe of the right lung, and viral pneumonia cannot be excluded in the background of cardiac failure. Clinical laboratory correlation and follow-up is recommended. 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 osteopenic appearance is present in the bone structures in the examination area, and degenerative sclerotic changes are observed in the end platers of the vertebral corpuscles.
The findings described above in the lung parenchyma were primarily evaluated for pulmonary edema secondary to cardiac failure and bilateral pleural and pericardial effusion. laboratory correlation monitoring is recommended. Pericardial effusion 25 mm thick. Osteopenic appearance in bone structures. Degenerative changes in the end plates of the vertebral corpuscles . Increase in cardiothoracic index . Atherosclerosis
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train_11948_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. The ascending aorta measures 45 mm. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques are observed in the coronary arteries and aortic arch. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Large hiatal hernia is 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; There are mild mosaic attenuation patterns in both lungs and mild thickening of the interlobular septa. No nodular lesions were 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. There is a decrease in density in the bone structures in the study area. There are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles.
A mild mosaic attenuation pattern is observed in the lung parenchyma. There is minimal thickening of the interlobular septa. The ascending aorta is measured 45 mm. Large hiatal hernia Diffuse density reduction and degenerative changes are observed in bone structures.
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train_11948_b_1.nii.gz
not given
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. Atheroma plaques were observed in the aorta and coronary arteries. The ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal. The diameters of the aortic arch and descending aorta are normal. The main pulmonary artery diameter was 38 mm and wider than normal. There are short lymph nodes less than 1 cm in diameter, some with calcifications in the mediastinum and hilar regions. There are no pathologically enlarged lymph nodes. There is no pathological wall thickness increase in the esophagus within the sections. There is bilateral minimal pleural effusion, more prominent on the right. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are emphysematous changes in both lungs. In addition, increases in density and volume loss, which are evaluated in favor of linear atelectasis and pleuroparenchymal sequelae changes, are observed in both lungs. There is consolidation with air bronchogram in a small area in the right lung lower lobe laterobasal segment, and the described consolidation was not observed in the patient's previous Pulmonary CT Angiography examination. It was learned from the patient's history that he had a diagnosis of pulmonary embolism. The described minor consolidation in the lower lobe of the right lung may belong to pulmonary infarction. No mass was detected in both lungs. No appearance that can be evaluated in favor of pneumonic infiltration was observed in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Atherosclerotic changes in the aorta and coronary arteries, fusiform aneurysmatic dilation in the ascending aorta, increased pulmonary artery diameter. Mediastinal and hilar lymph nodes. Bilateral pleural effusion. Emphysematous changes in both lungs. Findings evaluated in favor of atelectasis and sequelae changes in both lungs. Consolidation (infarct?) in a small area in the lower lobe of the right lung.
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train_11949_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. Millimetric lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. A nodular ground glass density of approximately 8.5 mm is observed in the paratracheal area at the apex of the right lung upper lobe. A band-shaped subsegmental atelectasis is observed in the lingula of the left lung. In the upper abdominal sections included in the examination, a calyceal millimetric stone in the middle part of the right kidney and a cortical millimetric cyst in the medial upper pole of the left kidney are observed. Other 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Emphysematous changes in the lung . Right lung upper lobe focal nodular ground-glass density (Suspicious for the onset of Covid pneumonia. Clinical and laboratory correlation is recommended.) Right nephrolithiasis, left renal cyst.
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train_11950_a_1.nii.gz
Multiple myeloma, COVID. pneumonia?
Without IVKM, 1.5 mm thick sections were taken in the axial plan and reconstructions were made at the workstation.
An appearance compatible with gynecomastia is observed in the bilateral retroareolar area. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The diameter of the ascending aorta was 40 mm, and the diameter of the descending aorta was 31 mm and increased. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. In the mediastinum and bilateral hilar regions, there are several lymph nodes with a diameter of 9.5 mm, the largest of which is in the aortopulmonary window. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal tubular bronchiectasis and accompanying peribronchial thickness increase are observed. There are diffuse emphysematous changes in both lungs. In both lungs, lower lobe posterior segment, left lung upper lobe lingular segment, and right lung middle lobe medial segment, there are peripherally located areas of consolidation and atelectasis in which air bronchograms are observed in places. In both lungs, more diffuse peripherally located interlobular septal thickness increases in the lower lobes and accompanying areas of linear atelectasis are consistent with sequelae fibrosis. There are several short nonspecific nodules less than 3 mm in diameter in both lungs. No pathological increase in wall thickness was detected in the esophagus. As far as can be evaluated within the limits of non-contrast CT; There is a low-density hypodense lesion of 30x30 mm in the middle zone of the left kidney (cyst?). There is an increase in nodular thickness in the left adrenal gland. There are sclerotic bone metastases in the left 4,5,6,7,8,9 and 10th ribs. There is sclerotic bone metastasis in the L11 vertebral body that causes less than 50% height loss.
Peripheral, focal consolidation and localized atelectasis areas in both lungs in the patient followed up with viral pneumonia Peripheral weighted interlobular septal thickness increases, accompanying ground glass areas and atelectasis areas in both lungs; The sequela is compatible with fibrosis. Emphysematous changes in both lungs, bilateral minimal tubular bronchiectasis and accompanying peribronchial thickness increase. Several millimetric nonspecific nodules in both lungs. Dilatation of the aorta, calcific atheroma plaques in the aorta and coronary arteries. Left renal hypodense lesion (cyst?). Increased nodular thickness in the left adrenal gland. Sclerotic metastases in the left 4th-10th ribs, sclerotic metastases that cause less than 50% height loss in the L1 vertebral body.
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train_11951_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be observed, the calibration of the vascular structures and the heart contour size are normal. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; Density increases were observed in ground glass density in both lungs multilobar peripheral subpleural localized. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. There is a diffuse decrease in liver parenchymal density secondary to hepatosteatosis as far as can be seen within the borders of unenhanced CT in the upper abdominal sections within the image. No lymph nodes were observed in intraabdominal free fluid, loculated collection, pathological size and appearance. No lytic or destructive lesions were observed in the bone structures in the study area.
Findings consistent with viral pneumonia in both lungs
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train_11952_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. There are lymph nodes with a short axis measuring up to 10 mm in the aorticopulmonary window in more than one paratracheal area in the mediastinum and in the anterior mediastinum. When examined in the lung parenchyma window; mosaic attenuation patterns in both lungs, bilateral pleural effusion measuring 26 mm in thickness on the right and 19 mm in thickness on the left. Apart from this, no nodular or infiltrative lesion was detected in both 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. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse degenerative changes are observed in the bone structure.
Small vessel disease?, findings consistent with small airway disease? Atelectatic changes in the basal segments of the lower lobes of both lungs. Consolidations that may be compatible with an early infectious process. A small amount of bilateral pleural effusion measuring 26 mm in thickness on the right and 19 mm on the left. Lymph nodes with a short axis measuring up to 10 mm in the aorticopulmonary window in more than one paratracheal area in the mediastinum and in the anterior mediastinum Cardiomegaly Diffuse degenerative changes in bone structure.
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train_11953_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 minimally larger than normal. Minimal pericardial effusion was observed. Bilateral minimal pleural effusion is also observed. There is no pleural or pericardial thickening. Atheroma plaques are observed in the coronary arteries and aorta. 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 no pathological wall thickness increase in the esophagus within the sections. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are sometimes linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in the right lung. Millimetric stones were observed in the gallbladder. No upper abdominal free fluid-collection was detected in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open.
Minimal pericardial or pleural effusion. Atherosclerotic changes in the aorta and coronary arteries. Millimetric nonspecific nodules in the right lung. Atelectasis in both lungs. Cholelithiasis.
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train_11953_b_1.nii.gz
Shortness of breath.
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 minimal emphysematous changes in both lungs. Occasionally, linear atelectasis was 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. There is minimal pericardial effusion. No pleural effusion was observed. There are atheromatous plaques in the aorta and coronary arteries. Especially the coronary arteries are diffuse plaque. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Sliding type hiatal hernia was observed at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No lytic-destructive lesions were detected in the bone structures within the sections.
Atherosclerotic changes in the aorta and coronary arteries, pericardial effusion. Emphysematous changes in both lungs. Atelectasis in both lungs.
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train_11953_c_1.nii.gz
dyspnea
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 minimal peribronchial thickening in both lungs and a minimal ground glass appearance, more prominent in the lower lobe of both lungs. In addition, uniform interlobular septal thickening was observed in both lungs. The described appearance is non-specific. However, when evaluated together with the patient's other findings, it was thought that this appearance might be due to cardiac pathology. There are millimetric nonspecific nodules in both lungs. Occasional atelectasis was observed 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. Pericardial effusion was observed. Pericardial effusion measured 23 mm at its thickest point. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques 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 was observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are open.
Pericardial effusion, atherosclerotic changes in the aorta and coronary arteries. Minimal smooth interlobular septal thickening in both lungs, minimal peribronchial thickening in both lungs, ground glass appearance in both lungs (secondary to cardiac pathology?). Millimetric nodules in both lungs.
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train_11954_a_1.nii.gz
Lung ca.
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: A soft tissue appearance measuring approximately 50x35 mm is observed in the widest part of the left lung upper lobe apicoposterior segment apical subsegment. It is understood that the described appearance causes obliteration in the bronchial structures, and this appearance was considered to be the primary mass of the patient. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidations and soft tissue appearances, structural distortion and volume loss were observed in the left lung upper lobe and lower lobe superior segment. The appearances described were primarily thought to be sequelae changes due to treatments. It is recommended that the patient be evaluated and followed up with previous examinations. No mass or infiltrative lesion was detected in the right lung. There are millimetric nodules in both lungs. The largest of the nodules is observed in the left lung upper lobe lingular segment and measured 7 mm in diameter. The described appearances were primarily evaluated in favor of metastases. It is recommended that the patient be evaluated together with previous examinations. There are emphysematous changes in both lungs. There are two adjacent nodular density increases in the apical segment of the upper lobe of the right lung. The largest of the nodular density increments described was measured at 13 mm in diameter. This appearance may also be a sequelae change or a primary or metastatic lung mass. Again, it is recommended that the patient be evaluated and followed up with previous examinations. Heart contour and size are normal. Atheroma plaques are present in the aorta and coronary arteries. No pleural or pericardial effusion was detected. There is a lymphadenopathy measuring approximately 15x13 mm between the left common carotid artery and the subclavian artery in the upper mediastinum. Apart from this, 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. No upper abdominal free fluid-collection was detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Lung Ca, mass in the apical subsegment of the apical subsegment of the left lung upper lobe, lymphadenopathy in the upper mediastinum, millimetric nodules in both lungs (primarily evaluated in favor of metastases). Increases in adjacent nodular density in the apical segment of the upper lobe of the right lung (sequelae fibrotic changes?, metastases?, primary lung mass? It is recommended to be evaluated together with the patient's previous examinations). Findings evaluated primarily in favor of treatment-related changes in the left lung. Emphysematous changes in both lungs. Atherosclerotic in the aorta and coronary arteries. Hiatal hernia.
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train_11955_a_1.nii.gz
COPD
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; Millimetric nonspecific nodules are observed in both lungs. 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.
Millimetric nonspecific nodules in both lungs.
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train_11956_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. There are calcific atheromatous plaques in the aorta and coronary arteries. 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; Minimal mosaic attenuation pattern is observed in both lungs. Focal ground glass densities are observed in the right lung middle lobe medial and lateral segment, left lung lower lobe superior segment and laterobasal segment. It was evaluated in favor of viral pneumonia. Findings are one of the frequently observed findings in Covid-19 pneumonia. In addition, linear atelectasis areas are observed in the lower lobes of 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.
Focal ground glass opacities in both lungs that may be consistent with Covid-19 pneumonia. Mosaic attenuation pattern in both lungs and areas of linear atelectasis in the lower lobes. Calcific plaques in the aorta and coronary arteries.
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train_11957_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures as far as can be observed, heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; In both lung parenchyma, multilobar, peripheral subpleural localized, indistinct borders, consolidation and intense increases in ground glass density are observed. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. No mass was detected in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic-destructive lesion was detected in the bone structures within the image.
Findings consistent with viral pneumonia in both lungs.
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train_11958_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. Pulmonary arteries are minimally ectatic. Calcific atheroma plaques are observed in the aorta and coronary arteries. Heart size increased. Other mediastinal main vascular structures 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. In the mediastinal area, lymph nodes whose short axes do not exceed 1 cm and whose fatty hiluses can be distinguished are observed. When examined in the lung parenchyma window; Ground-glass-consolidation areas are observed in both lungs, which are scattered and usually involve the subpleural areas. There are structural distortions, interseptal and interlobular thickness increases within the consolidation areas in places. These outlooks favor viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. Cysts are observed in the left kidney included in the examination. 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Viral pneumonia findings. These findings are also frequently observed in Covid-19 pneumonia. Cardiomegaly. Calcific plaques in the aortic coronary arteries.
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train_11959_a_1.nii.gz
Fire
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
The trachea is in the midline and both main bronchi are open. Heart dimensions and major vascular structures appear normal. Lymph node enlargement in pathological size and appearance was not observed in the pretracheal, prevascular and subcarinal regions, bilateral hilar and axillary regions. No pathological wall thickness increase was observed in the esophagus within the sections. When the lung parenchyma window is examined; parenchymal aeration of bilateral lungs is natural. No active infiltration, consolidation or space-occupying lesion was observed. Obliq fissure-based nodule with calcification in the lower lobe of the right lung with a diameter of 4 mm. It was thought to be a sequela. Pericardial-pleural thickening and effusion were not observed. Upper abdominal organs in the study area have a natural appearance. No fractures or lytic-sclerotic lesions were observed in the bone structures in the study area.
Pulmonary nodule in the right lung interpreted in favor of sequelae
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train_11960_a_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. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. 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. When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma. Nonspecific parenchymal nodules measuring 2.5 mm in diameter were observed in the right lung middle lobe and lower lobe laterobasal segment. 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.
Millimetric sized nonspecific parenchymal nodules in the right lung, no signs of pneumonia were detected.
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train_11961_a_1.nii.gz
Lung Ca.
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Multiple lymphadenopathy was observed in the lower cervical chain, upper mediastinum, prevascular, paratracheal, subcarinal and both hilar regions within the sections. The largest lymphadenopathies described are observed in the upper mediastinum and measure 45x37 mm and 26x25 mm at their widest points, respectively. Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathological increase in wall thickness was detected in the esophagus within the sections. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peribronchial thickening is observed in both lungs, especially in the central parts. Consolidations are observed in the right lung upper lobe posterior segment and right lung upper lobe anterior segment. There are cavities within these consolidated areas. When the described manifestations were evaluated together with lymphadenopathies in the mediastinum, they were thought to be primarily primary and metastatic lung masses. Apart from this, appearance-consolidation was observed in soft tissue density in the peribronchial area in the lower lobe of the left lung. This appearance may belong to an infective pathology or to a mass. A large number of millimetric nodules were detected in both lungs. The largest of these nodules is observed in the lower lobe of the left lung and its longest diameter is 9 mm. These nodules were evaluated in favor of metastases. There are ground-glass appearances in the lower lobe of the right lung and in the posterior peripheral area of the middle lobe. These views are not specific. First of all, it was evaluated in favor of infective pathology. It is recommended to evaluate the patient together with laboratory findings. No upper abdominal free fluid-collection was detected in the sections. There is a mass measuring approximately 60 mm in the left adrenal gland. The mass could not be characterized because no contrast agent was given. It is recommended that the patient be evaluated together with their medical history. No lytic-destructive lesions were detected in the bone structures within the sections.
Lymphadenopathies in the lower cervical chain, mediastinum, and hilar regions within the sections, nodules primarily evaluated for metastases in both lungs, mass in the left adrenal gland (metastasis?), consolidations in the right lung upper lobe (primary or metastatic lung masses?). Left lung lower lobe soft tissue appearances that may belong to infective pathology or mass in the peribronchovascular area. Ground-glass views in the peripheral areas of the right lung (viral pneumonia?).
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train_11962_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
Mild gynecomastia appearance is observed. CTO is within the normal range. Calibration of mediastinal 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. 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. A nonspecific nodule with a diameter of 2 mm is observed in the anterior segment of the right lung upper lobe. Slightly more caudally, a 3 mm diameter ground-glass nodule is observed. There are focal ground-glass-style densities in the middle lobe. Pleuroparenchymal sequela changes are observed. Sequelae changes are observed in the right lung posterobasal. There is a focal ground-glass-like density increase in the right lung lower lobe superior segment. Focal ground-glass-like density increase is observed in the upper lobe posterior segment. A nonspecific nodule with a diameter of 2 mm is observed in the anterior segment of the upper lobe of the left lung. Sequelae changes are observed in the inferior lingular segment. Focal ground-glass-like density increases are present in the left lung lower lobe laterobasal segment and inferior lingular segment. A 5 mm diameter nodule is observed at the posterobasal level. Bilateral pleural effusion, pneumothorax were not detected. In both lungs, there are blurred and focal ground-glass-like density increases that give a slightly nodular appearance. Findings may be compatible with early-stage infective processes (including Covid). Clinical laboratory correlation is recommended. When the upper abdominal sections included in the sections are examined; millimeter-sized density compatible with accessory spleen is observed. Degenerative changes are observed in the bone structure.
Blurred and focal ground-glass-like density increases are observed in both lungs giving a slightly nodular appearance. Findings may be compatible with early-stage infective processes (including Covid). Clinical laboratory correlation is recommended.
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train_11963_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. 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_11964_a_1.nii.gz
pneumonia?
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 is not detected. No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural. Old fracture lines are observed in the right 7th and 8th ribs. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. No suspicious mass or nodular space-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.
Pneumonic infiltration was not detected in the lung parenchyma, previous rib fractures on the right
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train_11965_a_1.nii.gz
not given
Sections were taken without contrast medium 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. 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 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. There is an increase in density in the thymus localization in the anterior mediastinum. The described appearance is nonspecific. This appearance may belong to thymic hyperplasia. It is recommended that the patient be evaluated and followed up with clinical and laboratory findings. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are millimetric osteophytes at the vertebral corpus corners. The neural foramina are open.
Increased density in the anterior mediastinum (thymic hyperplasia?).
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train_11966_a_1.nii.gz
upper respiratory tract infection
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. 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.
Examination within normal limits.
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train_11967_a_1.nii.gz
Not given.
In the axial plane, images with 1.5 mm slice thickness without contrast were obtained with IV contrast (Opaxol 300 mg/100 ml vial was given as IV contrast agent).
Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. 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; Subsegmental atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial, left lung upper lobe inferior lingular segment. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. A mosaic attenuation pattern was observed in the lower lobes of both lungs (small airway disease?small vessel disease?). No mass lesion-active infiltration with distinguishable borders 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. 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 parenchymal nodules in both lungs. Paracardiac minimally compressive atelectasis in the right lung middle lobe and left lung upper lobe inferior lingular segment. · Mosaic attenuation pattern in both lung lower lobes (small airway disease?, small vessel disease?).
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