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_12868_a_1.nii.gz
Weakness, chills, chills, fever
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; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Findings within normal limits
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train_12868_b_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 detected 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. Calcific atheroma plaque was observed in LAD. 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Calcific atheroma plaque in LAD. · There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma.
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train_12869_a_1.nii.gz
dyspnea.
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 size increased. Left ventricular diameter increased. Calibrations of mediastinal major vascular structures are natural. Atherosclerotic plaques are observed in the coronary arteries. Pericardial effusion was not detected. A stent is observed in the circumflex artery. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. A subsegmental linear atelectasis area is observed in the lingular segment of the left lung upper lobe. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal sections, there is a 24 mm diameter nodular lesion in the left adrenal gland that cannot be characterized by this examination. Atherosclerotic plaques in the form of wall calcifications are observed in the aortic arch and abdominal aorta. No lytic-destructive lesions were detected in bone structures.
Stent in the circumflex artery, increase in heart size. Subsegmental atelectasis area in the upper lobe of the left lung. Nodular lesion in the left adrenal gland that cannot be characterized by this examination.
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train_12869_b_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. In both lungs, there are widespread consolidations and interlobular septal thickenings accompanying the consolidations, more prominently in the lower lobes. The distributions and appearances of the described appearances are non-specific. In the pandemic process, the appearances may belong to Covid-19 pneumonia. It is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs. There is bilateral minimal pleural effusion. Pericardial effusion was not detected.
Not given.
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train_12869_c_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In the previous examination, diffuse consolidations and consolidations along the peribronchovascular interstitium, more prominent in the lower lobes of both lungs, and ground-glass appearances and interlobular septal thickenings accompanying the consolidations are completely regressed in the current examination. Ground-glass densities are present throughout the peribronchovascular spaces in both lungs, more commonly in the lower lobes. It was thought to be compatible with the sequelae or resolution period. No mass was detected in both lungs. Minimal pleural effusion identified in bilateral previous examination is completely regressed on current examination. Pericardial effusion was not detected. No significant difference was found in other findings.
Not given.
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train_12870_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. The aortic arch calibration is 30 mm. It is slightly above normal. Calibration of vascular structures at other levels is natural. Millimetric sized lymph nodes are observed in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mildly emphysema-like and centrilobular millimetrically symmetrical nodules are observed in both lungs (hypersensitivity pneumonitis?, respiratory bronchiectasis?, infectious diseases?). Evaluation with clinical and laboratory findings is recommended. A subpleural 4 mm diameter nodule is observed at the lower lobe laterobasal level in the left lung. In the lower lobe superior segment, pleuroparenchymal subpleural millimetric densities are observed. Bilateral pleural effusion pneumothorax was not detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. On the anterior wall of the gallbladder corpus, a millimetric density of 2 mm, which may be compatible with calculus, is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Nodular density compatible with the accessory spleen with a diameter of 5 mm is observed in the spleen hilum. Other upper abdominal organs included in the sections are normal. Surrounding soft tissue planes are normal. Minimal degenerative changes are observed in the bone structures entering the examination area.
Mildly emphysemalike and centrilobular millimetrically symmetrical nodules in both lungs (hypersensitivity pneumonitis?, respiratory bronchiectasis?, infectious diseases?). Evaluation with clinical and laboratory findings is recommended. Millimetric density that may be compatible with calculus in the gallbladder
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train_12871_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; A slight ground glass density increase is observed in the left lung upper lobe lingula anterobasal. It was evaluated primarily in the direction of atelectasis. Clinical laboratory correlation is recommended for better differential diagnosis in terms of the onset of an acute infiltrative process. Upper abdomen organs are partially included in the study and were evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Slight increase in left lung upper lobe lingula anterobasal density was primarily evaluated in the direction of atelectasis. Clinical laboratory correlation is recommended for better differential diagnosis in terms of the onset of an acute infiltrative process.
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train_12871_b_1.nii.gz
fever cough
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. 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; Ground-glass density is observed in the left lung, upper lobe, inferior lingula, and pleura, accompanied by retraction. Clinical and laboratory correlation of findings in terms of early viral pneumonia (Covid-19) 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Ground-glass density in the left lung upper lobe inferior lingula accompanied by retraction in the pleura; clinical and laboratory correlation of the findings in terms of early viral pneumonia (Covid-19) is recommended.
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train_12872_a_1.nii.gz
Cough, 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 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. In lung parenchyma evaluation; 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. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Findings within normal limits.
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train_12873_a_1.nii.gz
Not given.
Non-contrast images with a slice thickness of 1.5 mm were obtained in the axial plane (Opaxol 300 mg/100 ml IV was given as a contrast agent).
CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. In the anterior mediastinum, thymic tissue with trigonal configuration, which does not cause mass effect, is observed. There are no pathologically sized and configured lymph nodes in the mediastinum and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. 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. Nodular density, which may be compatible with the millimetric accessory spleen, is observed in the posterior inferior neighborhood of the spleen. Surrounding soft tissues are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
· No finding compatible with pneumonia was detected.
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train_12874_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. Pulmonary trunk calibration is 34 mm. It is wider than normal. Both pulmonary artery calibrations are within normal limits. The aortic arch calibration is 30 mm. It is slightly above normal. Ascending and descending aorta calibrations are natural. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Hiatal hernia is observed. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window, at the prevascular level, the largest of which was measured at the prevascular level and measuring approximately 24x12 mm. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. Both hemithorax are symmetrical. In almost all areas of both lungs, there are peripheral predominantly interlobular, subpleural thickenings in the septa, and thickenings in the peribronchial sheath, and occasionally ground glass-like density increases are observed on this floor. It is recommended to evaluate the case together with clinical and laboratory findings in terms of interstitial lung disease and possible accompanying infective processes. Density reduction and bulla-bleb formations consistent with emphysema are observed in both lungs. Bilateral pneumothorax was not detected. A smear-like pleural effusion is observed in both lungs and extends from the basal to the upper zone. Its thickness was measured as 7 mm on the right and 17 mm on the left at its most prominent point. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. Degenerative changes are observed in the bone structure entering the examination area. There are findings compatible with DISH.
Interstitial lung disease? In the case, there are frosted glass-like density increments on this floor from place to place. It is recommended to be evaluated together with clinical and laboratory findings in terms of accompanying infective processes. Bilateral mild pleural effusion Atherosclerotic changes Diffuse degenerative changes in bone structure Hepatosteatosis, hiatal hernia
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train_12875_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
There are suture materials belonging to sternotomy in the sternum. Suture materials are observed in the pericardium and coronary arteries (past bypass operation). Calcified lymph nodes in the right upper paratracheal and right hilar region and accompanying pleural sequelae increase in thickness in the right upper lobe apical segment of the right lung, and parenchymal calcification focus are in favor of primary TB sequelae (ghon complex). There are wall calcifications in the ascending aorta, aortic arch, and thoracic aorta. No lymph node in pathological size and appearance was observed in the mediastinum. No lymph node was observed in the axilla in pathological size and appearance. In the section, no lymph node in pathological size and appearance was observed in both supraclavicular fossae. Thyroid gland dimensions and contours appear natural. It was observed along the esophageal trace and no asymmetric wall thickness increase was detected. When examined in the lung parenchyma window; There is breath artifact in both lungs. There are subsegmental atelectasis areas in the right lung middle lobe medial segment and left lung lingula inferior segment. In both lungs, there is a mosaic attenuation pattern with bronchial wall thickness increases and accompanying air trapping areas in the lower lobe basal segments. Subpleural dependent atelectasis areas are observed in both lung basal segments. A ground glass opacity is observed in the right lung middle lobe lateral segment, adjacent to the fissure. Gross pathology is not observed in the upper abdominal organs included in the sections. There are wall calcifications in the abdominal aorta and its branches. In the bone structures within the study area; There is narrowing of the C7-T1 disc space, and degenerative sclerotic changes in the end plateaus adjacent to the disc. There are osteophyte formations leading to bridging in the anterolateral corners of the vertebrae.
Mosaic attenuation pattern characterized by increased bronchial wall thickness and occasional air trapping in the lower lobe segment bronchi of both lungs. Areas of subsegmental atelectasis in both lungs and areas of dependent atelectasis in the basal segments. Ground-glass opacity is observed in the right lung middle lobe lateral segment, adjacent to the fissure. It was thought to be related to atelectasis. Clinical follow-up is recommended in terms of early infection. Changes secondary to previous bypass operation. Degenerative changes in bone structure.
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train_12876_a_1.nii.gz
OKHN in a case with multiple myeloma, 14th day neutropenic fever, focus?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No occlusive pathology was detected in the trachea and lumen of both main bronchi. A catheter extending from the right internal jugular vein to the superior border of the vena cava was observed. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; ascending aorta and aortic arch calibration are natural. The descending aorta is wider than normal with an anterior-posterior diameter of 32 mm. Calibration of pulmonary arteries is natural. Heart contour, size is normal. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A 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; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Sequelae density increases were observed in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. Several nonspecific parenchymal nodules with a diameter of 4.9 mm were observed in both lungs, the largest of which was in the lateral segment of the right lung middle lobe. Segmentary-subsegmentary minimal peribronchial thickening was observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Sequelae thickening was observed in the posterior costal pleura in both hemithoraces. 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. In the multiple myeloma case, diffuse lytic bone lesions were observed in the bone structures within the sections. Vertebral corpus heights are preserved.
Fusiform aneurysmatic dilatation in the descending aorta. Hiatal hernia. Sequelae changes in both lungs, millimetric nonspecific parenchymal nodules. Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). Diffuse lytic bone lesions in bone structures consistent with multiple myeloma.
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train_12876_b_1.nii.gz
pneumonia? Fungal infection? 20th day fever
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
There is a port catheter in the superior vena cava. 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 nodules measuring up to 5 mm in serial 2 image 220, more than one in both lungs, and in the middle lobe of the right lung. A small bochdalek herniation with intra-abdominal fat is observed at the esophagogastric junction. 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. Lytic appearances are observed in almost all bones of the patient, who is known to have multiple myeloma in almost all bones. Height losses are observed in the TH12 vertebral body due to lesions secondary to degenerative or multiple myeloma.
Nodules measuring up to 5 mm in both lungs, the largest in the middle lobe of the right lung. Diffuse multiple myeloma secondary changes in bone structures. There was no finding in favor of an infectious process.
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train_12876_c_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
A central venous catheter was observed. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; The diameter of the descending aorta was 31 mm, wider than normal. Calibration of other mediastinal vascular structures is natural. Heart contour and size are natural. Calcified atheroma plaques in millimetric sizes were observed in the wall of the aortic arch. Minimal pericardial effusion was observed. No pleural effusion or thickening was detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected 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 were observed in pathological size and appearance. When examined in the lung parenchyma window; There are sequela parenchymal changes in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. Millimetrically sized nonspecific stable nodules were observed in both lungs. No active infiltration or mass 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 it can be observed within the borders of non-contrast CT. Stable lytic bone lesions were observed in the patient known to have multiple myeloma in the bone structures within the image.
In places, there are sequela parenchymal changes. No active infiltration or mass lesion was detected. There is an increase in descending aorta calibration. Minimally stable pericardial effusion was observed. There are stable lytic lesions in bone structures.
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train_12877_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO increased in favor of the heart. The aortic arch calibration is 33 mm. It is wider than normal. Pulmonary trunk calibration is at the maximal physiological limit with 28 mm. Calibration of the right and left pulmonary arteries and other mediastinal vascular structures is normal. Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mixed type hiatal hernia is observed in the case. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. When examined in the lung parenchyma window; There is a decrease in density compatible with emphysema in both lungs. Sequelae changes are observed at the apical level. There are sequelae changes at the posterobasal level of the right lung. Sequelae changes are observed in the lower lobe superior segment. There are sequelae changes at the posterobasal-laterobasal level of the left lung lower lobe. There was no finding consistent with active infiltration in both lungs. Pneumothorax, pleural effusion were not observed. In the upper abdominal organs included in the sections, a decrease in density consistent with mild steatosis in the liver is observed. The right kidney is not included in the image. However, there is a hypodense appearance compatible with a probable exophytic cyst with an average density of 7 HU in the kidney site. There are changes secondary to sternotomy. Degenerative changes are observed in the bone structure.
Although sequela changes are observed in both lungs, no pathology suggestive of active infection was detected. Emphysematous density reduction. Mixed hiatal hernia. Possible exophytic cyst in the right kidney lodge. Degenerative changes in bone structure.
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train_12877_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed. Postoperative changes were observed in the pericardium. Heart size increased. Mixed hiatal hernia was observed. No lymph node was detected in mediastinal pathological size and appearance. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; Contour irregularities and subpleural lines were observed in the pleura in both lungs. Interlobular septa thickening was observed in both lungs (secondary to cardiac pathology?). Bilateral mild pleural effusion and atelectatic changes in adjacent lung parenchyma were observed. Bilateral peribronchial thickenings were observed. A millimetric nonspecific parenchymal nodule was observed in the right lung. In the upper abdominal sections in the examination area, the liver contours are irregular (Liver parenchymal disease?). Left kidney dimensions are reduced. Cortical cysts were observed in both kidneys. Degenerative changes were observed in the bone structures in the study area. Metallic suture materials due to sternotomy were observed on the anterior thorax wall.
Cardiomegaly, atherosclerotic changes. Mixed hiatal hernia. Sequelae changes in both lungs. Bilateral smooth interlobular septal thickenings (secondary to cardiac pathology?). Bilateral pleural effusion and atelectatic changes. Left renal atrophy. Cyst in bilateral kidney. Degenerative changes in bone structure. Irregular appearance in liver contours (liver parenchymal disease?).
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train_12878_a_1.nii.gz
Lung Ca
Non-contrast images were taken in the axial plane with a slice thickness of 1
CTO is normal. Calibration of the aortic arch and other major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration lymph node is observed at the right hilar level. There is a mass lesion that is observed to be erased. When examined in the lung parenchyma window; There are emphysematous changes, more prominent in the upper-middle zones of both lungs, which are prominent on the right. Sequelae changes are observed at the apical level and are also observed in the previous examination. Right lung upper lobe anterior segment central necrotic nodule with a diameter of approximately 7.5 mm is observed and was not detected in his previous examination. Again, there is a partially consolidated soft tissue in the peribronchovascular sheath around the anterior segment of the upper lobe of the right lung, which was not observed in the previous examination. It was not detected in the previous review. In the right lung, there is a consolidated area where air bronchograms are observed starting from the upper lobe posterior segment and filling all lower lobes. It was not detected in the previous review. In addition, dense ground-glass-like density increases in partially consolidated character in the middle lobe of the right lung are not observed in the previous examination. A 13 mm diameter mass with necrotic cavitation in the upper lobe anterior segment of the left lung was not detected in the previous examination. Ground-glass-like density increases are observed in the lingular segment of the left lung. It was not detected in the previous review. Again, in the upper lobe apicoposterior segment, it is not observed in the previous examination in the consolidated area, which extends towards the pleura in the middle-lower zones and is observed adjacent to the fissure. In addition, infiltrative bud branch landscapes observed in the lower lobe superior segment at the hilar level were not detected in the previous examination. The described branch with bud extends towards the baseline along the peribronchovascular sheath with a view. In this localization, no significant pathology was detected in the previous examination. There is a metastatic lesion in the left clavicle, which also leads to bone destruction and paraosseous involvement, which was also observed in the previous examination. In the 4th rib on the left, there is a metastatic lesion with prominent paraosseous extension and expansion according to the previous examination. Neighboring soft tissue changes continue along the interlobar fissure. This component was not detected in the previous review. Cortical irregularity, which may be compatible with a pathological fracture, is observed at the 7th rib on the left. It is also available in the old review. Apart from this, degenerative changes are observed in the bone structure.
Consolidative areas in the upper lobe apicoposterior segment of the left lung, branches with buds at the perihillar level on the left, and millimetric nodules in the superior segment of the lower lobe of the left lung (according to the previous examination, it is understood that some of them have significant progression and some are newly developed) . Starting from the upper lobe posterior segment in the right lung Consolidative areas with air bronchograms throughout all basal segments and partially consolidative and prominent ground-glass-like density increases in the middle lobe were not detected in his previous examination. Nodules with central necrotic-cavitary appearance in both lungs were not detected in the previous examination. Findings compatible with emphysema in both lungs
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train_12879_a_1.nii.gz
Fever, cough, viral pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. 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 seen; 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 lytic-destructive lesions were detected in the bone structures within the sections.
Findings within normal limits
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train_12880_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. CTO is within normal limits. Calibration of the aortic arch is at the maximal physiological limit with 29 mm. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. In the anterior mediastinum, thymic tissue is observed in trigonal configuration without mass effect. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a decrease in density compatible with emphysema in both lungs. A nonspecific nodule with a diameter of 3 mm is observed in the left lung lingular segment, adjacent to the fissure. There are 1-2 nodules with a diameter of 2 mm in the inferior lingular segment, and sequelae changes are observed in the lower lobe posterobasal and lateralobasal levels in the caudal of the inferior lingular segment. There is a 3x2 mm nodule at the posterobasal level. At the laterobasal level, 2 adjacent nodules, the largest of which are 3 mm in diameter, and a few more nodules with a diameter of 3 mm in a little more superiorly are observed. There was no finding suggestive of pleural effusion, pneumothorax or pneumonia. In the upper abdominal organs included in the sections, there is a decrease in density consistent with steatosis in the liver. A focal density of hypodense appearance is observed adjacent to the falciform ligament (focal adiposity?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.
There was no finding compatible with pneumonia or empyema in both lungs. Mild sequela changes and nonspecific millimetric nodule formations in the left lung
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train_12881_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. In the mediastinum, there are paraaortic, paratracheal and bilateral hilar lymph nodes with a short diameter of 14 mm in the left lung hilum and a short diameter of 11 mm in the paraaortic localization. These lymph nodes primary may belong to metastatic lymph nodes in the present case. It will be appropriate to be examined with PET-CT. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. The air passages of the trachea and both main bronchi, lobar and segmental bronchi are open. Mosaic attenuation pattern is observed in the lung parenchyma. It is nonspecific. There are nodules in the lung parenchyma, some of which are in round configuration, the largest of which is a pleural-based nodule measuring 8 mm in diameter in the right lung lower lobe superior segment. The primary is highly suspicious of metastasis until proven otherwise in the present case. No suspicious space-occupying lesion was observed in the paracardiac fat pad. In the upper abdominal sections; There is a faintly circumscribed hypodense lesion in liver segment 7 localization. In the section, no lymph node in pathological size and appearance was observed in the portal hilus and paraaortic localization. No loculated or free fluid was detected in the abdomen in the section. No lytic-destructive lesions were detected in bone structures.
Cervix Ca. Mediastinal lymph nodes, the presence of metastatic lymph node could not be excluded in the case with a primary one. Nodules in round configuration in both lungs were evaluated with high suspicion in favor of metastasis. It will be appropriate to be examined with PET-CT. Hemangiomas in the liver.
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train_12882_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calibration of mediastinal major vascular structures is natural. Heart contour, size is normal. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Post-op stent materials were observed in the coronary artery. Pericardial minimal effusion was observed. Pericardial thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Mild emphysematous changes were observed in both lungs. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Bilateral mild peribronchial thickenings were observed. No mass-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Calculus was observed in the gallbladder lumen in the upper abdominal sections that entered the examination area. 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. No lytic-destructive lesion was detected in bone structures.
Mild emphysematous changes in both lungs. Bilateral millimetrically sized nonspecific parenchymal nodules. Bilateral mild peribronchial thickenings. Atherosclerotic changes. Cholelithiasis.
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train_12883_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures.
Findings within normal limits
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train_12884_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. Multiple lymph nodes are observed in the mediastinum, in the lower-upper paratracheal area, and in the aorticopulmonary window, the largest of which is in the aorticopulmonary window and measures approximately 12x6 mm. No pathological size and configuration of lymph nodes were detected at both hilar levels. There is thymic tissue in the anterior mediastinum without mass effect. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Calibration of trachea and main bronchus is natural. Thickening of the peribronchovascular sheath is observed. Branch with buds are seen in the basal segments, slightly more prominent on the left, in both lungs, and it was not detected in the old CT film dated 2015. It is recommended to evaluate the case with fever-cough history in terms of pneumonic infiltration. The defined changes are observed in the upper-middle zones with a lighter and fainter appearance. There is an increase in pleuroparenchymal linear density consistent with sequelae changes in the posterobasal segment of the lower lobe of the right lung. A nodule with a diameter of 3 mm is observed in the anterior segment of the upper lobe of the left lung. On the left, a superposed nodule with a diameter of approximately 5 mm is observed on the interlobar fissure. No pleural effusion or pneumothorax was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Branch bud landscapes consistent with bilateral pneumonic infiltration, more prominent in the lower zones of both lungs
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train_12885_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. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Other mediastinal main vascular structures are normal. Heart size increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small lymph nodes measuring up to 13 mm in size are observed in the mediastinum. When examined in the lung parenchyma window; There is an effusion in both lungs measuring 28 mm in thickness on the right and 13 mm on the left. There is a small amount of loculated effusion extending to the fissure in the lower lobe of the right lung. Emphysematous changes are observed in both lungs. Sequelae pleural changes are observed especially in the upper lobes. There are atelectatic changes at basal levels in both lung lower lobes. There are mild bronchiectasis and peribronchial sheathing at the basal level of 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. There are diffuse degenerative changes and decrease in density in bone structures.
Although no obvious infectious process is detected in the lung parenchyma, there are mild atelectasis and peribronchial sheathing, mild bronchiectasis, suspicious small consolidation indistinguishable from atelectatic changes in the lower lobes of both lungs, more prominent on the right. clinical lab. blind. and follow-up is recommended. Atherosclerotic changes. Small amount of effusions, pleural parenchymal sequelae in both hemithorax, less on the left. Small lymph nodes in the mediastinum. Diffuse degenerative changes and decrease in density in bone structures.
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train_12885_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is at the maximal physiological limit. The aortic arch calibration is 30 mm, slightly wider than normal. Calibration of the ascending aorta is normal. Right pulmonary artery calibration is 31 mm, wider than normal. Left pulmonary artery calibration was 28 mm and wider than normal. Pulmonary trunk calibration is slightly above normal (29 mm). Calibration of other major vascular structures is natural. Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta. There are calcific atheroma plaques in the coronary arteries. There is a cardiac pacemaker at the left pectoral level. Their catheters are observed at the level of the superior vena cava and the right atrium and ventricle. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mild hiatal hernia is observed. Multiple lymph nodes are observed in the mediastinum, the largest of which was measured in the right upper paratracheal area and measuring 15x12 mm. Millimetric lymph nodes are observed at the right hilar level. Also available in old review. When examined in the lung parenchyma window; In the area extending towards the middle zone in both pleural distances, pleural effusion reaching 39 mm on the right and 20 mm on the left in its thickest part is observed. There is an appearance compatible with emphysema in both lungs. Pleural effusion is observed at the fissure level on the right. At baseline, mild atelectatic lung segments are observed adjacent to the pleural effusion. In the right lung lower lobe superior segment, thickening of the peribronchial sheath and slight ground-glass-like density increases are observed. In the upper abdominal organs included in the sections, there is a density compatible with calculus in the gallbladder. A hypodense appearance, which may be compatible with a cortical cyst, is observed in the left kidney. There is a slight increase in dorsal kyphosis in the bone structure in the examination area. Degenerative changes are observed in the bone structure.
Not given.
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train_12886_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The mediastinum is displaced to the right. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Hemorrhagic pleural effusion reaching 52 mm in its thickest part was observed in the left pleural space, extending from the apex to the basis, with fluid-fluid leveling in it, and hyperdense appearances compatible with blood products in the depandane. A smear-like effusion extending to the major fissure was observed in the right pleural space. When examined in the lung parenchyma window; Passive atelectatic changes were observed in the right lung upper lobe posterior, right lung apical segment and lower lobe. The left lung has a large partial collapse, except for the upper lobe anterior segment and the lingular segment. The main bronchus and segmental bronchi are open. No mass lesion with distinguishable borders was detected in both lungs. Liver, spleen, pancreas, and both adrenal glands are normal as far as can be observed in the non-contrast examination. The right kidney is atrophic. Left kidney parenchyma has increased thickness, edematous and inflamed appearance. Bilateral nephrostomy catheters were observed. Large staghorn calculi were observed in the left kidney, superior pole and pelvis. A double J catheter is also observed in the left kidney. The distal end of the Double J catheter terminates in the bladder. The Double J catheter passes through the parenchyma proximally adjacent to the nephrostomy catheter and opens into the posterior pararenal space. Hematoma areas were observed in the pararenal area and left psoas. In addition, in the left kidney, the nephrostomy catheter terminates in the proximal ureter. A hyperdense well-defined lesion area of 39x33 mm perigastric was observed in the intraperitoneal area inferior to the body-tail junction of the pancreas. It is recommended to be evaluated together with previous examinations, if any, and further examination with MR if clinically necessary. At the thoracic level, left-facing scoliosis was observed. Verebra coprus heights are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Hemothorax on the left, collapse in most of the left lung . Placing pleural effusion on the right and passive atelectatic changes in the posterior and lower lobes of the right lung upper lobe . Staghorn calculus in the left kidney, increased thickness of the left kidney parenchyma and edematous appearance, in pararenal fatty planes, along the left psoas muscle Extending hematoma . Atrophic changes in the right kidney, bilateral nephrostomy catheter, double J catheter extending to the posterior pararenal area on the left . Hyperdense nodular lesion area in the inferior of the pancreas body-tail junction, where the pancreatic relationship cannot be clearly observed; if present, it should be evaluated together with previous examinations and, if clinically necessary, MRI Further examination is recommended.
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train_12887_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: A well-circumscribed hypodense lesion of 13x7 mm was observed in the upper-inner quadrant of the left breast (intramammary lymph node?). Control with US is recommended. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; subpleural 4 mm in diameter nonspecific parenchymal nodule was observed in the middle lobe of the right lung. In the left lung inferior lingular segment, band-like sequela fibrotic density increases were observed. Mild emphysematous changes were observed in both lungs. An accessory spleen with a diameter of 15 mm was observed adjacent to the spleen hilus in the upper abdominal sections in the examination area. A hypodense lesion with a diameter of 12 mm was observed in the medial segment of the left lobe of the liver. It cannot be characterized in this examination. Degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected. Fusion was observed in T5, T6 vertebrae and posterior elements (congenital block vertebra). Hemivertebra appearance and congenital block vertebrae were observed in T5 vertebrae and T7 vertebra. There is mild rotoscoliosis with left-facing opening in the thoracic vertebrae.
Emphysematous changes in both lungs, sequelae changes in the left lung, nonspecific parenchymal nodule in the middle lobe of the right lung. Hemivertebrae appearance and congenital block vertebrae in the localizations described in the report in the thoracic vertebrae. Hypodense lesion in the liver, nodular lesion in the left breast inner quadrant. US control is recommended.
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train_12888_a_1.nii.gz
not specified
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 sizes are slightly increased. Left ventricular diameter increased. Calibrations of mediastinal major vascular structures are natural. Calcified atheroma plaques are present in LAD. The dimensions of the right thyroid lobe have increased and hypodense density of nodules is observed in the parenchyma. The shooting was performed in the middle expiration. There is more pronounced mosaic attenuation in the upper lobes of the lung parenchyma. It was primarily thought that it developed secondary to small airway involvement in mosaic attenuation. Subsegmental atelectasis areas are observed in both lungs, most prominently in the upper lobe of the right lung. There are subpleural areas of consolidation accompanied by volume loss in the right lung middle lobe lateral segment and left lung upper lobe. Presence of pneumonic infiltration could not be excluded. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. There is a slight sliding type hiatal hernia in the upper abdomen sections entering the image forehead. There are wall calcifications in the abdominal aorta and thoracic aorta. No lytic-destructive lesions were detected in bone structures.
Mosaic attenuation pattern and atelectatic parenchyma areas in the lung parenchyma. There is an increase in heart size. Calcified atheromas are observed in LAD. The diameter of the left ventricle has increased. There are areas of focal consolidation in the middle lobe of the right lung and the upper lobe of the left lung. The presence of an infectious process could not be ruled out. It would be appropriate to correlate it with the clinical follow-up and laboratory.
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train_12889_a_1.nii.gz
Widespread body pain, weakness, malaise
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. There are mediastinal lymph nodes below 1 cm in right upper and bilateral lower paratracheal diameters. Calcified atheroma plaque is observed proximal to LAD. Pericardial effusion was not detected. Although the calibration of the mediastinal main vascular structures is natural, a slight increase in the diameter of the fusiform aneurysmatic arch is observed in the aorta. The diameter of the aortic arch was 32 mm. In the evaluation of lung parenchyma; In both lungs, areas of ground glass opacity are observed, accompanied by bilaterally asymmetrical septal thickening towards the basal segments of the lower lobe and consolidation areas in the basal segments, especially on the right. Radiological findings were evaluated as compatible with the lung parenchyma involvement of Covid 19. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. There is a diaphragmatic hernia with a diameter of 4 cm in the posterior part of the right diaphragm. Mild herniation of the upper pole of the right kidney into the thoracic cavity is observed from the hernia defect. A nodular lesion consistent with an adenoma of 2 cm in diameter was observed in the right adrenal gland in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures. At the thoracic level, there is scoliosis with the apex pointing to the right.
Findings compatible with the lung parenchyma involvement of Covid 19 . Slight aneurysmatic diameter increase in the aortic arch. Right diaphragmatic hernia and right adrenal adenoma.
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train_12890_a_1.nii.gz
lymphoma
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 minimal emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. The largest of these nodules is observed in the lateral segment of the right lung middle lobe, and its longest diameter is 5 mm. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen: There is a central venous catheter on the right. The catheter terminates in the right atrium. Heart contour and size are normal. There are millimetric atheroma plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. 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. There is a 1 cm diameter stone in the gallbladder. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No lytic-destructive lesions were detected in the bone structures within the sections.
Millimetric nodules in both lungs Minimal emphysematous changes in both lungs Atherosclerotic changes in the aorta and coronary arteries
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train_12891_a_1.nii.gz
Runny nose cough wheezing.
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. There is minimal bronchiectasis in both lungs, especially in the central parts. Subsegmental atelectasis is observed in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. 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. Mediastinal main vascular structures are normal. There are calcific atheromatous plaques in both coronary arteries. There are millimetric lymph nodes in the mediastinum and hilar regions. There are no pathologically enlarged lymph nodes. Sliding type hiatal hernia is observed at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. There are no lytic-destructive lesions in the bone structures within the sections.
Subsegmentary atelectasis in the lingular segment of the right lung middle lobe and left lung upper lobe. Minimal bronchiectasis in both lungs. Atherosclerotic changes in the coronary arteries.
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train_12892_a_1.nii.gz
low dose no contrast
Transverse sections with a thickness of 1.5 mm obtained without the application of IV contrast material were evaluated.
The right thyroid lobe is larger than normal and nodular in appearance. Trachea and left main bronchus are open. The heart and mediastinal structures are slightly displaced to the right. Calcific atheroma plaques are noted in coronary vessels and major vascular structures. Minimal pericardial effusion was observed. Esophagus is within normal limits. A mass that narrows the upper lobe bronchus and obliterates the intermediary bronchus in the right hilum, causes postobstructive atelectasis in the lower lobe, and cannot be clearly differentiated from the accompanying atelectasis. Its effects on the bronchial system increased during follow-up. Subpleural odular appearances are observed in the posterior segment of the right lung upper lobe, and their dimensions have increased, albeit minimally. No pathological lymph node was detected in the mediastinum. Pleural effusion was observed in both hemithorax. It decreased on the right and increased on the left. There are appearances of atelectasis in adjacent lung areas. There was no significant change in the follow-up in the nodular lesion of 2x1.5cm in the right adrenal gland. An exophytic cyst with a diameter of 3.5 cm originating from the lateral cortex was observed in the middle part of the right kidney. The gallbladder was observed as 9.7 x 5.6 cm distally. There is a lytic and sclerotic expansile metastatic lesion in the posterior of the left 6th rib. There are also metastatic lesions in other ribs. Diffuse osteoporosis is observed in the vertebrae. There are appearances of degenerative osteophytes in the vertebral corpus corners.
Right lung malignant neoplasm, postobstructive atelectasis at follow-up Bilateral pleural effusion, passive atelectasis Right adrenal metastasis Bone metastases Nodular goiter Renal cyst Distension in the gallbladder
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train_12893_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. Pericardial effusion-thickening was not observed. A calcific atheroma plaque is observed in the aortic arch, which is in the study area. 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_12894_a_1.nii.gz
Sore throat, weakness, malaise
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 5 mm in the mediastinum. When examined in the lung parenchyma window; Slight patchy ground glass densities are observed in the posteriors of the lower lobes of both lungs. Findings are consistent with Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up is recommended. A few millimetric nodules are observed in the left main fissure. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Findings consistent with Covid-19 viral pneumonia; clinical laboratory correlation and follow-up is recommended. Several non-specific nodules in both lungs.
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train_12895_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 lower lobe of the right lung, adjacent to the fissure, a space-occupying lesion that causes retraction in the pleura with its contours corrugated and up to 27x24 mm in size is observed. A small amount of pneumothorax secondary to post biopsy is observed in the right hemithorax. There is calcification measuring 10 mm in size in the apicoposterior of the left upper lobe of the 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. There are hypertrophic osteophytic taperings and degenerative changes in the vertebral corpus end plates.
A small amount of pneumothorax after post-biopsy secondary to the large mass lesion described superiorly adjacent to the fissure in the lower lobe of the right lung. 10 mm calcification in the apicoposterior of the upper lobe of the left lung. Degenerative changes in bone structures.
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train_12895_b_1.nii.gz
Operated lung Ca, nodule?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
It was understood that there was an opereo due to lung ca. Volume loss, structural distortion, sequelae changes and suture materials are observed in the operation line. In the current examination of the patient, densities evaluated primarily in favor of the infective process are observed in the form of a widespread budding tree view in both lungs, especially in the right lung and lower lobe. Specific infections should be considered in the differential diagnosis. Because of the infective pathologies described, it is suboptimal to compare the patient with his previous examinations. However, no significant dimensional difference was detected in the nodules described in the previous examination in the superior segment of the left lung lower lobe. In the right lung lower lobe superior segment, there are a few nodules that are slightly larger in size and radiopaque, except for infective nodules. Although these are primarily evaluated in favor of the infective process, follow-up examination is recommended after treatment. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pathological lymphadenopathy was not detected in the mediastinum, both lung hilum and bilateral axillae.
In the patient with operated lung Ca; In both lungs, pulmonary nodules, which are evaluated primarily in favor of the infective process, are observed in the form of a widespread budding tree view. Due to the described infective process, the evaluation of the patient in terms of pulmonary nodules in previous examinations is suboptimal. However, no significant difference was found in the sizes of the pulmonary nodules described in previous examinations in the left lung. Post-treatment follow-up examination is recommended.
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train_12896_a_1.nii.gz
Covid-19 pneumonia?
Sections were taken without contrast medium and there were no reconstructions at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes and millimetric nonspecific nodules in both lungs. Peripheral and centrally located ground glass appearances are observed in both lungs. Many of the frosted glass looks are round shaped. During the pandemic process, these findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. There is no pleural effusion. 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. Liver parenchyma density decreased in line with minimal adiposity. Vertebral corpus heights and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed.
Findings consistent with viral pneumonia in both lungs.
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train_12897_a_1.nii.gz
Fever and cough.
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 linear atelectasis in the left lung upper lobe lingular segment inferior subsegment. 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 is a millimetric atheroma plaque in the aortic arch. 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. Both kidneys are atrophic. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Millimetric atheroma plaque in the aortic arch. Linear atelectasis in the lingular segment of the upper lobe of the left lung.
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train_12898_a_1.nii.gz
Lung ca.
Before IVCM was given, axial plane sections were taken with MDCT and reconstructions were made at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Peribronchial thickening is observed around the upper, middle and lower lobe bronchi in the right lung. In the right lung lower lobe superior segment, a malignant mass with irregular borders measuring 30x30 mm is observed at its widest part. The described appearance may be of primary mass or metastasis. In addition, there are many nodules in both lungs, the largest of which is in the inferior subsegment of the left lung upper lobe lingular segment and the longest diameter is 12 mm, and they are evaluated in favor of metastases. Apart from these, irregular interlobular septal thickenings are observed in the upper and middle lobes of the right lung and soft tissue density appearances in the peripheral subpleural area in the lateral segment of the right lung middle lobe. In the described appearances, lymphangitis was evaluated in favor of carcinomatosa. 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 a pericardial effusion measuring 30 mm in its thickest part. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph node was observed. In the upper abdominal organs within the sections, as far as can be observed in this examination, there is no mass with distinguishable borders. There are no lytic-destructive lesions in the bone structures within the sections. In addition, it has been understood that many nodules observed in both lungs have newly emerged and the old nodules have increased in size. In addition, it is understood that the findings described in the upper and middle lobes of the right lung and evaluated in favor of lymphangitis carcinomatosa have appeared recently. Pericardial effusion has just appeared.
Malignant mass in the lower lobe of the right lung, metastases in both lungs, findings in favor of lymphangitis carcinomatosa in the right lung, pericardial effusion.
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train_12898_b_1.nii.gz
Not given.
Axial sections of 1.5 mm thickness were taken without contrast material and the workstation was reconstructed.
Trachea, left main bronchus is natural. . The effusion extending to the apex in the right lying position is observed, measuring 17.5 mm in the deepest part in the pericardial area, 15 mm in the deepest part in the left pleural area, and 31 mm in the deepest part in the right pleural area. 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 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 right hilar region, by narrowing the right main bronchus, a mass lesion of infiltrative character is observed, the boundaries of which are observed along the bronchial structures and cannot be clearly distinguished in the consolidated lung parenchyma. Right lung aeration is markedly decreased, and there is aeration only in the upper lobe anterior and posterior. Nodular interlobular septal thickness increases are observed in the aerated lung parenchyma, and it was evaluated as compatible with lymphangitis carcinomatosa. Multiple number of metastatic nodular lesions are observed in the left lung parenchyma. In the abdominal sections within the image, no mass was detected within the uncontrast CT classes. Right 8 in bony structures within the image. lytic bone lesions are observed in the lateral part of the rib, the right scapula, and the right lateral part of the corpus sterni, and cortical destruction is present. No significant soft tissue component is observed. It was evaluated in favor of metastasis.
An infiltrative mass is observed in the right hilar region, narrowing the main bronchus and continuing along the upper middle and lower lobe bronchi. concordant nodular interlobular thickness increases are observed. Pericardial, bilateral pleural effusion. Right lateral part of the coprus sterni, right 8 . Bone lesions in the lateral part of the rib and in the right scapula, which cause destruction in the lytic cortical structure, and which are evaluated in favor of metastasis without any obvious soft tissue component
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train_12899_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. Pericardial effusion is observed in the pericardial area, causing approximately 2 cm in its thickest part. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial 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; Pleural effusion leading to approximately 2 cm in the left lung and compression atelectasis in the adjacent lung parenchyma are observed. In the lower lobes of both lungs, there are reticulonodular density increases that form consolidation areas from place to place. Ground glass densities are observed in the lower lobes of both lungs and peribronchial wall thickness increases are observed in the lower lobe bronchi. Stones are observed in the left kidney in the upper abdominal sections entering the section area. 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.
Cardiomegaly. Pericardial effusion. Bilateral pleural effusion, more prominent on the left. Consolidation and nodular densities in the lower lobes of both lungs, which may be compatible with pneumonia. Calculus in left kidney.
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train_12900_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. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. 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. Accessory hemiazygos was observed. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Multiple nonspecific, mostly calcified, millimetric parenchymal nodules were observed in both lungs. Focal consolidation area was observed at the fissure level in the right lung middle lobe lateral segment. Fibroatelectatic changes were observed in both lungs. In the upper abdominal sections in the study area; A hypodense lesion with a diameter of 2 cm was observed in the middle zone of the right kidney. It cannot be characterized clearly due to artifacts (cyst?). Several hypodense lesions with a diameter of 18 mm were observed in different localizations in both lobes of the liver. Diffuse degenerative changes in bone structure were observed. There are slightly bridging spur formations anteriorly in the thoracic vertebrae.
Emphysematous changes in both lungs. Fibroatelectatic changes in both lungs. Focal consolidation area in right lung middle lobe. The outlook may be compatible with the infectious process. However, clinical-laboratory correlation and post-treatment control are recommended in terms of distinguishing the possible underlying mass. Multiple parenchymal nodules in both lungs, some of which are calcified. Hypodense lesion adjacent to the middle zone of the right kidney; cannot be clearly characterized due to artifacts (cyst?). Hypodense lesions in the liver. Diffuse degenerative changes in bone structure.
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train_12901_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be 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 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. Osteodegenerative changes were observed in the thoracic vertebrae.
· There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma. · Osteodegenerative changes in thoracic vertebrae.
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train_12902_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 nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
Findings within normal limits
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train_12903_a_1.nii.gz
Dry cough.
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. Multiple lymph nodes are observed in the mediastinum, parahilar area, anterior to the trachea, and in the aorticopulmonary window, with the largest measuring up to 18 mm in the long axis and 9 mm in the short axis. 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. There are several 16 mm lymph nodes at the level of the esophagogastric junction. Bone structures in the study area are natural. Vertebral corpus endplates have prominent osteophytic tapering and osteopenic appearance. Degenerative loss of height is observed in the central part of the TH 11 vertebral body.
Multiple mediastinal lymph nodes of the sizes described above. Clinical correlation follow-up is recommended for differential diagnosis of lymphoprolative disease. There are several 16 mm lymph nodes at the level of the esophagogastric junction There are prominent osteophytic taperings and osteopenic appearance in the vertebra corpus end plates. Degenerative loss of height is observed in the central part of the TH 11 vertebral body.
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train_12904_a_1.nii.gz
Operated stomach ca.
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 lumen. Calcified atheroma plaques were observed in the mediastinal main vascular structures. The heart is normal as far as it can be seen in non-contrast sections. Calcified atheroma plaques were observed in the aortic valve and coronary arteries. In addition, calcified atheroma plaques were observed in the main vascular structures. Pericardial effusion-thickening was not observed. The thoracic esophagus is in normal calibration. No pathological wall thickening was observed. There is an esophagojejunostomy anastomosis. No pathological wall thickening was detected in the non-contrast sections at this stage of the anastomosis line. Lymph nodes with an increase in size were observed in the mediastinal prevascular area, in the aortopulmonary window, in the paratrecheal area, and in the bilateral hilar region, with a short diameter of 1 cm in the current examination. In the previous examination, the largest one measured 6 mm in diameter. There was no lymph node that reached pathological size in the bilateral supraclavicular area and axillary region. When examined in the lung parenchyma window; A 13 mm diameter nodule containing stable eccentric calcification was observed in the medial part of the right lung upper lobe posterior segment. Reticulonodular consolidations accompanied by ground-glass appearances were observed in the middle lobe of the right lung. It was formed in the current examination. The appearance was primarily evaluated as infective. Post-treatment control is recommended. In addition, ground-glass appearances similar to those observed in the current examination were observed in the posterobasal segment of the lower lobe of the right lung. 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. Thoracic kyphosis has increased. In the thoracic vertebrae, osteophyte formations were observed in the vertebral corpus corners secondary to degeneration. A decrease in T9 vertebral corpus height compatible with compression fracture draws attention.
Operated stomach ca, gastrectomy, and esophagojejunostomy anastomized. Reticulonodular consolidations and ground-glass appearances in the right lung middle lobe revealed in the current examination, as well as ground-glass appearances in the right lung lower lobe posterobasal segment (the appearances were evaluated primarily as infective. Post-treatment control is recommended). Stable nodular lesion with stable eccentric calcification in the posterior segment of the right lung upper lobe. Osteodegenerative bone disease.
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train_12905_a_1.nii.gz
covid
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, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. CT involvement score was evaluated as moderate. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Amorphous parenchymal calcifications are observed in the liver. 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_12906_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 normal. There are lymph nodes in the mediastinum, the largest in the lower paratracheal area and measuring 15x8 mm. No pathological size and configuration lymph nodes were detected in both hilum. When examined in the lung parenchyma window; In both lungs, ground-glass-like density increases with peripheral distribution and sequelae changes are observed on this background. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. No bilateral pleural effusion or pneumothorax was 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. Density compatible with 1-2 mm diameter calculi is observed in the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural.
Ground-glass-like density increases in both lungs with peripheral distribution and sequelae changes in this background; It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia.
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train_12907_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. Calcific plaques were observed in the coronary arteries. There are millimetric calcific plaques in the aorta. 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; Nonspecific nodules reaching 3.5 mm in diameter are observed in both lungs, the largest of which is close to the major fissure in the right lower lobe. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Degenerative changes are observed in the vertebrae.
Aortic and coronary artery atherosclerosis Millimetric nonspecific nodules in the lungs Degenerative changes in the vertebral column
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train_12908_a_1.nii.gz
covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Complete fracture lines, some of which are displaced, are observed in the left 4,5,6 and 9th ribs. 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 detected in both lung parenchyma. Pneumothorax is not observed. No alveolar contusion was observed. No suspicious mass or nodular space-occupying lesion was detected. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
costal fractures
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train_12909_a_1.nii.gz
Chest pain, cough.
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. Large ground glass area and interlobular septal thickening in the ground glass area were observed in the apicoposterior segment of the upper lobe of the left lung and in the posterobasal segment of the lower lobe. There is also a nodular ground glass area in a small area in the posterobasal segment of the lower lobe of the right lung. The described manifestations are the findings frequently observed in Covid-19 pneumonia. There are millimetric nonspecific nodules in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: 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 it 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 evaluated in favor of viral pneumonia in both lungs.
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train_12910_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; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, a stone density of 4.5 mm in size was observed in the lower pole calyx of the left kidney. 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.
Left nephrolithiasis
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train_12911_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. Siliding type hiatal hernia is observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In the left lung inferior lingular segment, band-like sequelae gliotic density increases were observed. No mass nodule-infiltration was detected in both lung parenchyma. Pleural thickening-effusion was not detected. Contour, size, parenchymal density of the liver are normal. No space-occupying solid or cystic mass lesion was detected. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts, gallbladder are normal. The contour, size, parenchyma density of the spleen is normal. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. The contour, size, parenchyma density of the pancreas is natural. No space-occupying solid or cystic mass lesion is observed. No enlargement was detected in the main pancreatic duct. Contour, size, localization, parenchymal thickness, parenchymal staining, left pelvicalyceal structures of both kidneys are normal. Grade I hydroureteronephrosis was observed in the right kidney, and 3.3 mm diameter calculus was observed in the distal ureter lumen and at the ureterovesical junction. A calculi of 3 mm in diameter was observed in the middle zone of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A benign calcified lesion with a diameter of 9 mm in the left half of the abdomen, adjacent to the small intestine loops, was observed. The contour, capacity and wall thickness of the bladder are natural. Paravesical fat planes are preserved. Prostate gland sizes are natural. Parenchyma is homogeneous. Periprostatic fatty tissues are clear. Seminal vesicles are natural. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Abdominal vascular structures are natural. No enlargement or stenosis-occlusion was detected in the abdominal aorta. No lytic-destructive lesion was detected in the bone structures entering the section area.
No sign of pneumonia detected. Subsegmentary atelectatic changes in the left lung. Hiatal hernia. Left nephrolithiasis. Calculus in the lumen of the right distal ureter and it causes grade I hydroureteronephrosis.
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train_12912_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Other mediastinal major vascular structures, heart contour, size are normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Ground-glass density increases with septal thickenings in the peribronchovascular area and peripheral subpleural area in the upper and lower lobes of both lungs and focal consolidations in the lower lobes were observed. Outlook Covid-19 pneumonia was evaluated in accordance with frequently reported imaging features. Clinical and laboratory correlation 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. No lytic-destructive lesion was detected in bone structures.
There are imaging features frequently reported for Covid-19 pneumonia in both lungs. Clinical and laboratory correlation is recommended.
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train_12913_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 hypodense nodule with a diameter of 6 mm is observed in the left lobe of the thyroid gland. Heart contour and size are normal. Minimal pericadial effusion is observed. No pleural effusion was detected. The widths of the mediastinal main vascular structures are normal. Millimetric calcific atheroma plaques are observed in the aorta. A few lymph nodes with a short diameter of less than 5 mm are observed in the mediastinum, and no enlarged lymph nodes in pathological size and appearance were detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A few submillimetric nonspecific nodules are observed in both lungs. There are areas of linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. The gallbladder was not observed (operated). There is a nonspecific sclerotic focus at the level of the T11 vertebra corpus. Millimetric osteophytes are observed in the corners of the thoracic vertebra corpus within the sections. No lytic-destructive lesion was observed. In both axillae, several lymph nodes with a diameter of 8 mm, of which a hypodense fatty hilus is selected, are observed.
Several submillimetric nonspecific nodules in both lungs. Linear areas of atelectasis in both lungs. Hypodense nodule in the left lobe of the thyroid gland. Cholecystectomy.
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train_12914_a_1.nii.gz
Operated metastatic colon Ca
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. A slightly irregularly circumscribed nodule measuring approximately 8x8 mm was observed in the apical subsegment of the left lung upper lobe apicoposterior segment (series 3 section 62). The described nodule was measured as approximately 10x10 mm in the previous examination of the patient. It was learned that stereotactic radiotherapy was applied to the described lesion. Apart from this, there are other millimetric nodules in the upper lobe of both lungs, the anteromediobasal segment of the lower lobe of the left lung, and the middle lobe of the right lung. The largest of these nodules is observed in the anterior segment of the left lung upper lobe, and its longest diameter is 4 mm. The manifestations of the described lesions are non-specific. therefore, they were thought to be metastases in these appearances. Close monitoring is recommended. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. The port chamber is observed in the right hemithorax. The port catheter terminates at the superior-right atrium junction of the vena cava. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No fractures or lytic-destructive lesions were observed in the bone structures within the sections.
Operated colon ca on follow-up . Millimetric nodules (metastases?) in both lungs
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train_12914_b_1.nii.gz
Colon Ca, cough, Covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In the upper lobe of the left lung, there are two nodular lesions measuring 6 mm and 8 mm, which were also observed in the previous PET-CT at the apical level in series 2 image 94 and series 2 image 93. In the lower lobe of the right lung, a new nodular density measuring up to 13 mm is observed in the subdiaphragmatic area, adjacent to the subpleural costophrenic sinus, in series 2, image 328. It is difficult to distinguish from neighboring atelectasis. Pleural thickening? lesion? Upper abdominal organs included in the sections are partially included in the examination and were evaluated as suboptimal. When evaluated together with the current MR abdomen upper examination at the liver segment 5 level; The fluid loculation, whose borders cannot be clearly distinguished at the subdiaphragmatic level (in the area known to be drained secondary to fluid loculation after metastasectomy before), penetrates to the basal level of the right lung lower lobe and forms a 32 mm mass formation with irregular contours. Mass lesion and infection differential diagnosis cannot be made in the patient whose primary level is known at the described level. Further examination is recommended for better differential diagnosis after treatment. Postoperative clips of intrahepatic stent materials are observed in the right lobe of the liver. A slight decrease in density is observed in the bone structures in the study area. There are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles.
Dimensional increase up to 2 mm in nodular lesions observed in previous examinations in the upper lobe of the left lung . New nodular density measured up to 13 mm in the basal segment of the lower lobe of the right lung, adjacent to the costophrenic sinus. New lesion? Pleural thickening? . When the liver is evaluated together with the current MR abdomen upper examination at the level of segment 5; (in the area where drainage was known to be secondary to fluid loculation after metastasectomy), fluid loculation at the subdiaphragmatic level, whose borders cannot be clearly distinguished, penetration to the basal level of the right lung lower lobe, and irregular contours in the lung parenchyma It forms a mass formation of 32 mm. The differential diagnosis of mass lesion and infection cannot be made in the patient whose primary is known at the described level. Further examination is recommended for a better differential diagnosis after treatment.
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train_12914_c_1.nii.gz
Follow-up metastatic colon Ca.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. A port catheter extending from the right anterior chest wall to the right atrium is observed. Within the limits of the non-contrast examination, no lymphadenopathy was observed in the mediastinal area in pathological size and appearance. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Minimal effusion is observed in the pericardial area. Heart sizes are normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Intense pleural effusion is observed in both lungs, more prominently on the right. It reaches a thickness of approximately 9 cm in the thickest part of the right lung and approximately 6 cm in the thickest part of the left lung. There are compression atelectasis in the accompanying lung parenchyma. The trachea is in the midline. The main bronchi are open. The bronchi leading to the lower lobes of both lungs are compressed secondary to atelectasis. The aerated lung component of both lungs is reduced. When the lung parenchymal window is evaluated, pulmonary nodules are observed in both lungs, the largest of which is approximately 17 mm in diameter in the apical part of the left lung upper lobe apicoposterior segment, and approximately 6 mm in diameter in the subpleural area in the anterior segment of the right lung. Some of these nodules could not be evaluated because they were superposed to the effusion. Linear atelectasis is observed in the aerated lung components in both lungs. There is a mosaic attenuation pattern in the ventilated components of both lungs. Artifacts related to internal and external drainage are observed in the upper abdomen images included in the examination. Liver metastases, which were observed in the previous examinations of the patient, could not be clearly identified in the current examination due to the artifact of the examination. Diffuse edema and increase in density consistent with inflammation are observed in subcutaneous fatty tissues. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Significant pleural effusion is observed in both lungs. Mosaic attenuation pattern is observed in both lungs. There are atelectasis in both lungs.
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train_12915_a_1.nii.gz
Not given.
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; Peripheral and subpleural weighted diffuse nodular ground glass densities are present in both lung parenchyma. Opacities compatible with the clip are observed in the anterior mediastinum. Millimetric nodular opacities are observed in both breasts. 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.
Findings consistent with bilateral Covid pneumonia.
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train_12915_b_1.nii.gz
Covid-19 pneumonia, control
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are extensive ground-glass areas and interlobular septal thickenings accompanying ground-glass areas in both lungs. No mass was detected in both lungs. No pleural or pericardial effusion was detected. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.
Not given.
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train_12916_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 is a mosaic attenuation pattern in both lungs. Occasionally, linear atelectasis was observed in both lungs. There is no mass or infiltrative lesion 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 pericardial effusion measuring approximately 12 mm in its thickest part. Pericardial thickening was not detected. There is no pleural effusion or thickening. There are atheromatous plaques in the aorta and coronary arteries. 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. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Periosteal reaction was not detected.
Mosaic attenuation pattern in both lungs. Atherosclerotic changes in the aorta and coronary arteries. Pericardial effusion.
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train_12917_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. Millimetric sized calcific atheroma plaques are observed in the aortic arch. 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 and hilar level. When examined in the lung parenchyma window; On the left, two pieces of approximately 6x2 mm and 4x2 mm are observed superposed on the interlobular fissure. There was no finding compatible with bilateral pleural effusion, pneumothorax or pneumonia. A small air cyst is observed in the superior segment of the lower lobe of the left lung. Diverticulum is observed at the level of the splenic flexure in the upper abdominal organs included in the sections. However, no sign of diverticulitis was detected. There is S-shaped scoliosis at the dorsal level. Degenerative changes are observed in the bone structure. There is trabecular coarsening compatible with hemangioma in L3 vertebra.
There was no finding compatible with pneumonia.
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train_12918_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
There are hypertrophic appearances in the thyroid parenchyma. 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; In the middle lobe of the right lung, subpleural minimally patchy ground glass densities are observed. There are mild bronchiectasis in the right lung lower lobe superior and extending to the upper lobes of both lungs. Findings can be seen in early Covid-19 viral pneumonia. Other atypical viral pneumonias are also in its differential diagnosis. Clinical laboratory correlation monitoring is recommended. Upper abdominal organs are included in the study partially and evaluated as suboptimal. The gallbladder is operated. There are hypertrophic osteophytic taperings in the anteriors of the end plates of the vertebral corpuscles. Loss of height and cementum material are observed in the L1 vertebral body. Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in the anteriors of the vertebral corpuscles and endplates are present.
Subpleural minimal patchy ground glass densities in the right lung middle lobe. Mild bronchiectasis in the right lung lower lobe superior and extending to the upper lobes of both lungs. Findings can be seen in early Covid-19 viral pneumonia. Other atypical viral pneumonias are also in its differential diagnosis. Clinical laboratory correlation monitoring is recommended. Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in the anteriors of the vertebral corpuscles and endplates. Loss of height and cementum material are observed in the L1 vertebral body. Findings consistent with thyroid parenchymal disease, clinical lab. blind. follow-up is recommended.
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train_12919_a_1.nii.gz
Pneumonia, hemoptysis, relapse from the left upper lobe in a CLL case?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. Calibration of other vascular structures of the mediastinum is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Multiple lymphadenopathy was observed in bilateral supraclavicular and axillary fossas, mediastinum and both hilar regions, mesentery, paraaortic, interaortocaval, paracaval areas, 50x30 mm in size with thick cortex, some with no hilum, some with nodular configuration, the largest in the right axilla. It is compatible with CLL specified in clinical preliminary diagnosis. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; In the right lung upper lobe anterior, middle lobe and lower lobe mediobasal segments, centriacinar nodular infiltrates accompanied by linear atelectasis and a budding tree view were observed. The described findings were evaluated in favor of bronchopneumonia. Tbc should be considered in the differential diagnosis. Thickening of the walls of the segmental bronchi was also observed. Reactive lymph nodes were observed in the retrocrural region adjacent to the mediobasal segment of the lower lobe of the right lung. Emphysematous changes were observed in both lungs. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion with distinguishable borders was detected in the lung parenchyma. Liver and spleen appear enlarged as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteodegenerative changes were observed in bone structures.
· Fusiform aneurysmatic dilatation in the ascending aorta, atherosclerotic wall calcifications in the thoracic aorta-coronary arteries. · Bilateral supraclavicular, axillary, mediastinal, intra-retroperitoneal lymphadenopathies. · Findings consistent with bronchopneumonia in the right lung; tbc was considered in the differential diagnosis. · Emphysematous changes in both lungs, millimetric nonspecific nodules. Fully appearance in the liver and spleen. · Degenerative changes in bone structure.
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train_12919_b_1.nii.gz
CLL, pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: There are lymphadenopathies in the neck, bilateral infraclavicular regions, both axillae and retropectoral regions, mediastinal and hilar regions, and abdomen within the sections. The largest of these lymphadenopathies were measured in the right axilla and 51x32 mm in size, 31x21 mm in the neighborhood of the right lobe of the thyroid gland, and 37x18 mm in the subcarinal region. Heart contour and size are normal. No pleural or pericardial effusion was detected. The anterior-posterior diameter of the ascending aorta is 41 mm and wider than normal. There are atheromatous plaques in the aorta and coronary arteries. No pathological wall thickness increase was observed 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. Minimal peribronchial thickening was observed in both lungs. There is consolidation, ground glass appearance and centriacinar nodules in the right lung, especially in the upper lobe anterior segment and lower lobe mediobasal segment. The described manifestations were evaluated in favor of pneumonic infiltration. Emphysematous changes are present in both lungs. No upper abdominal free fluid-collection was detected in the sections. As far as it can be observed within the limits of non-contrast CT, no discernible mass was detected in the upper abdominal organs within the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
CLL on follow-up, lymphadenopathies in the neck, infraclavicular regions, both axillae, retropectoral region, mediastinum and hilar region, and abdomen within sections. Findings evaluated in favor of pneumonic infiltration in the right lung.
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train_12920_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. 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 was observed in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa with pathological size and appearance. There is a heterogeneous hyperdense appearance of residual thymus tissue in the anterior mediastinum, and a cystic lesion with a smooth border measuring 17x14 mm is observed just to the right of the midline in the anterior mediastinum. The solid nodular component cannot be distinguished within the borders of unenhanced CT (thymic cyst?). When examined in the lung parenchyma window; No active infiltration or mass nodular lesion was detected in both lungs. Ventilation of both lungs is natural. In the upper abdominal sections, there are multiple millimetric hyperdense stones in the gallbladder lumen. Other upper abdominal organs within the image are normal. No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved.
The appearance of residual thymus tissue from the anterior mediastinum and a well-defined cystic lesion just to the right of the midline (thymic cyst?). It is recommended to be evaluated together with old-dated CT examinations, if any. Cholelithiasis.
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train_12921_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 is a 4.5 mm nonspecific nodule in the posterior segment of the left 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 4.5 mm in size in the posterior segment of the left lung upper lobe ?
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train_12922_a_1.nii.gz
Esophageal ca in follow-up, evaluation after radiotherapy.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In the thoracic esophagus, a mass characterized by pathological wall thickness increase is observed in the segment of approximately 7 cm from the carina level. In the supcarinal area, the lazione defined in the esophagus is adjacent to the right lateral, its short diameter is 14 mm in the current examination, 17 mm in the previous PET-CT examination, there is a punctate calcification focus in it, its short diameter in the paraaortic area is 8 mm in the current examination, in the vicinity of the left lateral esophagus, in the previous PET-CT examination There are lymph nodes measuring 10 mm in diameter and measuring 8 mm in diameter in the current examination and 9.5 mm in the previous PET-CT examination, adjacent to the stomach cardia section in the upper abdominal sections within the image. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, 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. When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. There are diffuse affective ectasia and minimal peribronchial thickness increases in both lung bronchial structures. A few millimetric nodules, some of them purcalcified non-specific, were observed in both lungs. The number and dimensions are stable. No newly developed pathology was detected. No pathology was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes.
No newly developed pathology was detected.
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train_12923_a_1.nii.gz
pneumonia
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; Millimetric non-specific nodules were observed in the 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. 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.
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train_12923_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; 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; Patchy consolidation-nodular areas are observed in the left lung lower lobe superior and upper lobe, and peripherally located in the right lung upper lobe anterior segment, around which ground glass dacites are observed, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Nonspecific parenchymal nodules with a diameter of 4.4 mm were observed in both lungs, the largest of which was in the middle lobe of the right lung. No mass lesion with distinguishable borders was detected in both lungs. In the upper abdominal organs included in the sections, the liver parenchyma density was diffusely decreased, consistent with hepatosteatosis. 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. A left-facing scoliosis was observed in the upper thoracic region.
High suspicious findings for Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory. Nonspecific parenchymal nodules in both lungs. Hepatosteatosis . Scoliosis with left-facing upper thoracic opening
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train_12924_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No occlusive pathology was detected in the trachea, lumen of both main bronchi. 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 was 40 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. The thoracic aorta is elongated and tortuous. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Heart size increased. 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; multilobar, multisegmental central-peripheral crazy paving pattern and patchy ground glass consolidations showing vascular enlargement were observed, and the appearance is compatible with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Linear atelectasis was observed in the right lung middle lobe, lower lobe superior segment, and both lung lower lobe basal segments. No mass lesion with distinguishable borders was detected in both lungs. As far as can be seen within the sections; A 16x12 mm nonspecific hypodense lesion area was observed in the left lobe lateral segment of the liver (cyst?). It could not be characterized in the non-contrast examination. A cortical cyst was observed in the upper pole of the right kidney. The right adrenal gland locus is normal, and no space-occupying lesion was detected. A 30x23 mm adenoma containing masroscopic fat was observed in the left adrenal gland. Degenerative changes were observed in the bone structures in the study area.
Fusiform aneurysmatic dilatation in the thoracic aorta, atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches and coronary arteries, cardiomegaly. Hiatal hernia. Findings consistent with Covid-19 pneumonia in the lung parenchyma, linear atelectasis. Millimetric nonspecific hypodense lesion (cyst?) in the lateral segment of the left lobe of the liver. Cortical cyst in the upper pole of the right kidney. Left adrenal adenoma. Degenerative changes in bone structures.
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train_12925_a_1.nii.gz
Covid 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 was not detected. Calibrations of mediastinal major vascular structures are natural. Calcified atherosclerotic plaques are present in LAD. In the lung parenchyma, atypical pneumonic infiltration areas are observed in the form of bilateral scattered ground-glass density, nodular parenchyma areas, inverted halo findings towards the lower lobes and nodular consolidation areas. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection. There is a decrease in liver parenchyma density consistent with advanced adiposity. No lytic-destructive lesions were detected in bone structures.
Areas of atypical-pneumonic infiltration in both lungs; radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection. Calcified atherosclerotic plaques in LAD. Severe fatty liver.
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train_12926_a_1.nii.gz
Cough?
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 mild calcific atheromatous plaques in the aorta. 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 ground glass densities in which more than 1 nodular patchy pattern is detected in vascular enlargements around which a halo sign is observed in both lungs. findings are compatible with covid-19 viral pneumonia in the first place. 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. Slight degenerative-osterophytic taperings in bone structures are observed, especially in vertebral corpus endplates.
Appearances consistent with Covid-19 viral pneumonia; Clinical laboratory correlation of findings and close follow-up are recommended for differential diagnosis of other infectious processes. Mild atherosclerosis. Mild hypertrophic-osteophytic-degenerative tapering of endplates.
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train_12927_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits.
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train_12928_a_1.nii.gz
Palpitations for 3-4 days
Before IVCM was given, axial plane sections were taken with MDCT and reconstructions were made at the workstation.
Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is a millimetric nodule in the middle lobe of the right lung. Both lung aerations are normal, and no mass or infiltrative lesion is detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. There are no lytic-destructive lesions in the bone structures within the sections.
Millimetric nodule in the right lung
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train_12929_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; Atelectatic changes are observed at the basal levels of both lung lower lobes. Diffuse miliary nodular ground glass densities are present in both lungs (small airway disease?, small vessel disease?). In the upper abdominal organs, including sections; hepatosteatosis is observed in the liver parenchyma. 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.
Atelectatic changes at basal levels in both lung lower lobes. Small airway disease in both lungs?, small vessel disease? compatible findings. Hepatosteatosis.
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train_12930_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. The lymph nodes described in the previous study in the mediastinum are measured as 12 mm in the short axis in the current study and do not show significant dimensional numerical difference. The described nodular metastatic lesions are present in numerical increase. In the current study, findings consistent with a small amount of effusion in both lungs are observed. Apart from those described, linear density increase and air bronchogram sign are observed in the lung parenchyma, especially in the left lung upper lobe, extending anteriorly to the paracardiac and subpleural areas. There is an azygos fissure. There is a new pericardial effusion in the current study. Upper abdominal organs are partially included in the study. There is an oval-shaped lesion (metastasis?) that was not observed in the previous study, showing a slightly exophytic location from the parenchyma with a size of 26 mm at the level of segment 3 in the left lobe of the liver entering the section area. A new space-occupying lesion of 27 mm in size is observed in the left adrenal gland. Right adrenal glands were normal and no space-occupying lesion was detected. New lymph nodes measuring up to 12 mm are observed in the immediate neighborhood of the abdominal aorta. A 15 mm lesion is observed in the left 6th rib, which causes expansion in the new bone structure. There is a diffuse density decrease in the bone structures in the examination area. Vertebral corpus heights are preserved.
Dimensional and numerical progression of nodular metastatic lesions observed in previous studies in both lung parenchyma is observed. An increase in density is observed in the upper lobe of the left lung, extending towards the anterobasal subpleural area. It was primarily evaluated in the direction of atelectasis and is in the differential diagnosis of consolidation. Clinical laboratory correlation and close follow-up are recommended for the onset of infiltration. 15 mm lesion causing expansion of new bone structure in the left 6. rib. Small amount of pericardial and bilateral pleural effusion . Lymph nodes with mediastinal pathological short axis measured up to 12 mm without significant dimensional difference . Liver in the left lobe, not observed in a recent previous study lesion . New space-occupying lesion in the left adrenal gland . New lymph nodes measuring up to 12 mm in close proximity to the abdominal aorta
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train_12931_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 observed: Trachea and both main bronchial lumens 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 evaluated in both lung parenchyma windows: no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
No sign of pneumonia was detected.
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train_12932_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Focal consolidation area in the right lung middle lobe medial segment and centriacinar nodular infiltrates-budding tree view appearance and ground glass densities in places were observed in its vicinity. The appearance is compatible with pneumonic infiltration. Focal ground-glass opacity with faint borders was observed in the left lung inferior lingular segment, adjacent to the major fissure. Appearance is nonspecific. Passive atelectatic changes were observed in the inferior lingular segment of the left lung. Reticulated density increases were observed in both lung apexes. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Pneumonic infiltration in the medial segment of the middle lobe of the right lung . Focal nodular ground-glass opacity with a faint border, adjacent to the major fissure in the left lung inferior lingular segment; it is nonspecific. Passive atelectatic change in left lung inferior lingular segment
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train_12933_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 are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 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_12934_a_1.nii.gz
Jeans fracture on the left?
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. Although the mediastinum cannot be optimally evaluated in non-contrast examination, mediastinal main vascular structures, heart contour and size are normal. Pericardial-pleural effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type 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; mosaic attenuation pattern is observed in both lungs Small airway disease-may be compatible with small vessel disease). Correlation with clinical and laboratory is recommended. In the middle and lower lobes of the right lung, cystic-tubular wide bronchiectatic changes extending from the central to the periphery are observed. There is a peribronchial budding tree view consistent with endobronchial spread of the infection, with increased peribronchial wall thickness and more prominent in the right lung lower lobe superior segment. There is minimal volume loss and structural distortion in the right lung lower lobe basal. Upper abdominal organs included in the sections are normal. The liver, spleen, pancreas, and both kidneys in the cross-sectional area appear normal. Accessory spleen with a diameter of 9 mm is observed at the level of the splenic hilus. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No fracture was detected in the bone structures in the study area. Vertebral corpus heights are preserved.
Mosaic attenuation pattern in both lungs (consistent with minor airway diseases). Large cystic-tubular bronchiectasis extending from the central to the periphery in the middle and lower lobe of the right lung, increased peribronchial wall thickness, and a more prominent budding tree view in the lower lobe superior segment. Findings are consistent with infection with endobronchial spread. Correlation with clinical and laboratory is recommended. Accessory spleen at the level of the spleen hilus.
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train_12935_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the 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 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; No active infiltrative or mass lesion was detected in both lung parenchyma. There are sequela parenchymal changes and minimal emphysematous changes in the apex of both lungs. In both lungs, diffuse mild ectasia and minimal peribronchial thickness increases are evident in the central bronchial structures. In the upper abdominal sections within the image; A diffuse decrease in liver parenchyma density secondary to hepatosteatosis is observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.
Sequela parenchymal changes and minimal emphysematous changes in the apex of both lungs. Diffuse mild ectasia and minimal peribronchial thickness increases that are prominent in the central bronchial structures in both lungs. Hepatosteatosis.
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train_12936_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 not contracted. 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. 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. Soft tissue density in a triangular fashion was observed in the anterior mediastinum. It is recommended to be evaluated together with contrast-enhanced MR examination. When examined in the lung parenchyma window; There are bud branch appearance and acinar opacities in the left lung upper lobe apico posterior segment. The outlook is atypical for Cvoid-19 pneumonia. Other bacterial infections can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. In the right lung lower lobe laterobasal segment, a subpleural 5.5 mm diameter nonspecific parenchymal nodule was observed. Bilateral pelvic effusion was not detected. In the upper abdominal sections in the study area; There is a hypodense lesion with a diameter of 9 mm in the pancreatic tail localization, which cannot be characterized in this examination. No lytic-destructive lesion was detected in bone structures.
There are atypical findings for Covid-19 pneumonia in the upper lobe of the left lung, and clinical and laboratory correlation is recommended. Soft tissue lesion in anterior mediastinum.
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train_12937_a_1.nii.gz
Cough.
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. Minimal bronchiectasis in the central parts of both lungs and peribronchial thickening in both lungs are observed. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. Minimal emphysematous changes were observed in both lungs. There is a nodule of approximately 6x6 mm in the peripheral area of the right lung lower lobe superior segment. Apart from this, millimetric nonspecific nodules were 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. 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 it 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.
Minimal bronchiectasis in the central parts of both lungs and peribronchial thickenings in both lungs. Nodules in both lungs. Atelectasis in both lungs.
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train_12938_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. The examination was considered suboptimal since no contrast agent was given. As far as can be seen; 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.
Thorax CT examination within normal limits
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train_12939_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic major vascular structures is natural. Heart contour size is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are stable lymph nodes in the right axillary region with a fatty hilus visible. There is prosthesis material in the left breast. No mass lesion was detected in the right breast locus, which draws a clear border at the examination borders. When examined in the lung parenchyma window; Interlobular septal thickening was observed in both lungs. Bilateral peribronchial thickenings were observed. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. In addition, there are stable parenchymal nodules with irregular borders in the middle lobe of the right lung, the largest measuring 4.5 mm in diameter, according to the previous examination. On the left, there is a mild pneumothorax, measuring 8 mm in its thickest part. There is a density of external drainage catheter at the level of the lower lobe of the left lung. There is an irregularly circumscribed metastatic lesion of 11 mm in diameter adjacent to the effusion in the superior segment of the left lung lower lobe. Multiple metastatic lesions are present in both lobes of the liver and in the caudate lobe in the upper abdominal sections within the study area. Multiple lymph nodes showing conglomeration were observed in the paraaortic and aortocaval area. According to the previous examination, stable sclerotic lesions were observed in the left half of the T1, T4 and T6 vertebral corpus. In addition, stable sclerotic lesions are present in T11 vertebrae and T12 vertebrae.
Metastatic lymphadenopathies in the neck, mediastinum, left axillary area and abdomen are stable. Millimeter-sized nonspecific parenchymal nodules in both lungs, as well as parenchymal nodules with irregular borders stable on previous examination in the right lung. A large area of atelectasis-consolidation in the lower lobe of the left lung and lingular segment has just emerged in the current examination. External drainage catheter extending into the left hemithorax. Mild pneumothorax on the left. Multiple metastases in the liver Sclerotic metastases in bone structure.
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train_12940_a_1.nii.gz
Metastatic leiomyoma sarcoma, 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 lumen. Calcified atheroma plaques were observed in the mediastinal main vascular structures. The heart is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus is in normal calibration. No pathological wall thickening was detected. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. Stable lymph nodes with a short diameter of 6mm were observed in the mediastinal prevascular area and paratracheal area. When examined in the lung parenchyma window; Consolidations including atelectasis and air bronchograms are observed in the lower lobe of the right lung. Stable parenchymal nodules were observed in both lungs. In the evaluation of the upper abdominal organs entering the imaging field; The mass, measuring 200x111mm, showing an increase in size in the right upper quadrant of the abdomen, reaches a size of approximately 131x70mm in the previous examination. Multiple metastases are present in the liver and the transverse colon is superposed to the anterior of the liver. 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.
Masses increasing in size in the abdomen, metastatic liver disease in a patient with a prediagnosis of metastatic leiomyosarcoma. Eventeration in the right diaphragm and atelectatic changes in consolidation in its vicinity (the mass described in this area in the previous examination is not visualized). Stable parenchymal nodules in both lungs.
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train_12941_a_1.nii.gz
Colon ca.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 43 mm and shows aneurysmatic dilatation. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. Trachea, both main bronchi are open and no occlusive pathology is detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a sliding type hiatal hernia at the lower end. In the mediastinum, lymph nodes with a fusiform configuration measuring less than 1 cm in short diameter were observed. In addition, no lymph nodes in pathological size and appearance were detected in both axillary regions and in the supraclavicular fossa. In the left 2-3 costolateral neighborhood, a 35x19 mm lipoma lesion was observed in the pleura. No active infiltration or mass lesion was detected in both lungs. There are sequela parenchymal changes in both lung lower lobes. No lytic or destructive lesions were observed in the bone structures in the study area. There are degenerative changes. Fracture in the posterolateral aspect of the left 10th rib. And there are sequela fracture appearances in the posterior of the 9, 8, 7, and 6th ribs.
Fusiform aneurysmatic dilatation in the ascending aorta, calcific atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. Sliding type mild hiatal hernia at the lower end of the esophagus. Lymph nodes in the mediastinum that are not pathological in size and appearance. Sequela parenchymal changes in both lung lower lobes. Left lesion compatible with pleural lipoma. Fracture in the posterolateral of the left 10.costa and sequel fractures in the posterior of the 9th, 8th, 7th and 6th ribs.
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train_12941_b_1.nii.gz
Hemoptysis.
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. Nonspecific milimetric lymph nodes located in the mediastinum and in the upper and lower paratracheal and paraaortic are stable. Diffuse calcific atherosclerotic plaques are observed in the coronary arteries. Heart size increased. The ascending aorta diameter slightly increased to 47 mm. Diffuse calcific atherosclerotic plaques are observed in the aortic arch and thoracic aorta. Calcific atherosclerotic plaques are observed in the abdominal aorta and its branches. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. When the lung parenchyma window is examined; A slight increase in pleural thickness is observed in the lower lobe pleura of both lungs. It is stable. The appearance of fat density in the intercostal space between the left 2nd and 3rd ribs is compatible with lipoma. Subsegmental linear atelectasis areas are observed in the lower lobes of both lungs. It is accompanied by aeration differences in the lung parenchyma. The extraction was performed at the midinspirium level. There are subsegmental linear atelectasis areas in both lung lower lobe basal segments. Parenchymal aeration differences are observed in both lungs, more prominently in the lower lobes. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodule or mass-occupying lesion was detected. In the upper abdominal sections included in the image, there are cysts reaching large sizes in both kidneys. The largest measured 7.5 cm on the left, and the largest 6.5 cm on the right. Fracture lines are observed in the left 7th, 9th and 10th ribs. It is also present in the previous examination. No lytic-destructive space-occupying lesion that can be distinguished by CT was detected in bone structures. An increase in thoracic kyphosis and degenerative changes in the vertebrae are observed.
Slight increase in heart size. Diffuse atherosclerotic plaques in the coronary arteries, slight fusiform diameter increase in the ascending aorta. Cysts of both kidneys. Ventilation differences in both lungs, linear atelectasis in basal segments, stable.
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train_12942_a_1.nii.gz
Cough, fever, phlegm.
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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0
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train_12943_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. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. A millimetric calcific atheroma plaque is observed at the level of the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. A millimetric calcific atheroma plaque is observed in the left coronary artery. When examined in the lung parenchyma window; A nonspecific nodule with a diameter of 3 mm is observed at the posterobasal level of the lower lobe of the right lung. Mild emphysematous appearance was observed in both lungs. There was no finding compatible with bilateral pleural effusion, pneumothorax or 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. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure.
Mild emphysematous appearance in both lungs. No finding compatible with pneumonia was detected.
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train_12944_a_1.nii.gz
Sore throat, weakness, malaise
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; Millimetric nodular centriacinar ground glass densities are observed in the lower lobe of the left lung (small airway disease? small vessel disease?). 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 nodular centriacinar ground glass densities in the lower lobe of the left lung (small airway disease? small vessel disease?), no gross finding to be evaluated in favor of the infectious process was found.
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train_12945_a_1.nii.gz
covid contact history available, requested from the workplace
Transverse sections of 3 mm thickness obtained without the application of IV contrast material were evaluated.
There are motion artifacts. 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; No suspicious nodule, mass or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures.
No 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_12946_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 observed: Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Stent materials were observed in the wall of the coronary artery. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a short axis less than 1 cm in mediastinal, upper-lower paratracheal, prevascular, and subcarinal localizations were observed. No lymph node was detected in pathological size and appearance. When examined in the lung parenchyma window; Pleural effusion and atelectatic changes extending in the fissure reaching 6.5 cm in the thickest part of the left lung were observed. There is mild pleural effusion in the right lung and atelectatic changes in the lower lobe. Patchy ground glass density increases were observed in both lungs. Appearance is nonspecific. It is not typical for Covid-19 pneumonia. Clinical and laboratory correlation is recommended. Millimetric sized calcifications were observed in the right dorsal costal pleura. There are atelectatic changes in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.
Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery and stent material in the coronary arteries . Widespread pleural effusion on the left and atelectatic changes in both lungs . Patchy ground-glass density increases in both lungs; the appearance is nonspecific. Clinical and laboratory correlation is recommended for infectious-non-infectious pathologies .Atelectatic changes in both lungs. Thoracic spondylosis, minimal right pleural effusion
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train_12947_a_1.nii.gz
Cough and decreased sense of smell, pneumonia?
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 are emphysematous changes in both lungs. Both lungs have nonspecific nodules measuring approximately 5 mm in diameter, the largest of which is in the lower lobe of the left lung. 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 atheroma plaques in the left coronary artery. 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. No enlarged lymph nodes in pathological dimensions were detected. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open.
Emphysematous changes in both lungs . Millimetric nodules in both lungs . Atherosclerotic changes in coronary arteries
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train_12948_a_1.nii.gz
Fever, viral pneumonia?
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 is observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. Liver parenchyma density decreased in line with advanced adiposity. No upper abdominal free fluid-collection was detected in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. The left kidney was not observed in the normal localization sections. The kidney may not be observed because it is located lower than normal. It is recommended to evaluate the patient together with his/her medical history and, if indicated, to be evaluated together with USG.
Advanced hepatic steatosis
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train_12949_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. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Bilateral hilar-axillary pathological dimensions and configuration of lymph nodes were not detected. When examined in the lung parenchyma window; trachea and both main bronchi are normal. In both lungs, there are focal small size but round appearance scattered ground-glass-style density increments in all areas. Coarse centriacinar nodules extending along the bronchial tree are observed in places. A 3 mm diameter nodule is observed in the left lung lower lobe laterobasal segment. There is focal consolidation in the inferior lingular segment. A 5 mm sized nodule superposed to the left interlobar fissure is observed. Bilateral pleural effusion pneumothorax was not detected. In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver. A 5 mm diameter nodule is observed in the middle part of the left kidney. There is an accessory spleen adjacent to the spleen. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structures in the study area.
Findings compatible with Covid-19 pneumonia. Other viral pathologies are included in the differential diagnosis. In addition, there are some findings suggesting bacterial superinfection in the case. It is recommended to be evaluated together with clinical and laboratory data.
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train_12950_a_1.nii.gz
Fever, viral pneumonia?
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. There are several 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 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 pathologically enlarged lymph nodes were observed. Liver parenchyma density decreased in line with fatty deposits. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open.
Several millimetric nonspecific nodules in both lungs . Hepatic steatosis
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train_12951_a_1.nii.gz
atypical chest pain
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Bilateral gynecomastia was observed. 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. Calcific atheroma plaques were observed in LAD. 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; Tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. No mass lesion-pneumonic infiltration was detected in the lung parenchyma. A 1 cm diameter adenoma was observed in the medial crus of the left adrenal gland. There are osteophytic taperings at the vertebral endplate corners. The neural foramina are open. Vertebral corpus heights are natural.
Bilateral gynecomastia Calcific atheroma plaques in LAD Tubular bronchiectasis.peribronchial thickening that becomes prominent in the center of both lungs Left adrenal adenoma
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