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_17155_b_1.nii.gz
Metastic lung Ca.
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
It is understood that the patient underwent left pneumonectomy. A post-pneumonectomy effusion measuring 30mm in the thickest part of the left hemithorax is observed. The heart and mediastinal structures are observed to be displaced to the left. Minimal pleural effusion is also observed on the right. It is understood that the pleural effusion on the right has just appeared. Trachea and right main bronchus are normal. There is no obstructive pathology in the trachea and right main bronchus. Widespread ground glass appearance, smooth interlobular septal thickening and minimal interstitial thickening are observed in the right lung, especially in the upper and lower lobes and peripheral subpleural areas. His previous examination had only patchy areas of ground glass. The views described are not specific. The appearances were thought to be compatible with infective pathology (viral ?). It was thought to be less likely secondary to treatments. There is thickening of the fissures adjacent to the middle lobe of the right lung. Emphysematous changes are observed in the right lung. No mass was detected in the right lung. 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. Calcific atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph node was detected. There is no pathological wall thickness increase in the esophagus within the sections. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. Millimetric hypodense lesion is observed in the lateral segment of the left lobe of the liver. The described lesion cannot be characterized because no contrast agent was given. There is nodular thickening of the left adrenal gland corpus. Lytic bone lesions are present in almost all bone structures within the sections. Lytic bone lesions are occasionally accompanied by soft tissue components. Soft tissue components, especially in the left scapula and 3rd, 4th, 5th. It is most prominently observed in lytic bone lesions in the thoracic vertebrae. It is observed that metastatic lesions observed in the 3rd, 4th and 5th thoracic vertebrae cause significant destruction in the vertebral bodies and adjacent ribs. The soft tissue component extends into the spinal canal especially at the level of the 4th vertebra and narrows the spinal canal. The spinal cord was pressed to the right with the described mass. In addition, a few newly formed millimetric lytic bone lesions were also detected.
Lung Ca, left pneumonectomy, bone metastases on follow-up, diffuse ground glass areas in the right lung, interlobular septal and interstitial thickenings (viral pneumonia? Treatment-related??) . Minimal pleural effusion and minimal pericardial effusion on the right, atherosclerotic changes in the aorta and coronary arteries.
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train_17156_a_1.nii.gz
Lung Ca, control
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Evaluation is suboptimal because the test is without contrast. 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 axillary pathological dimensions. When examined in the lung parenchyma window; A nodular mass lesion of approximately 24x23 mm is observed at the level adjacent to the major fissure in the superior left lung lower lobe. There is an effusion with the largest diameter of 82 mm in the left hemithorax and atelectasis in the lower lobe adjacent to the effusion. It is seen that the effusion is adjacent to the mass at the fissure level from the left lateral side. At this level, the borders of the mass cannot be clearly distinguished from effusion and atelectasis. The mass extends upward along the fissure. In addition, there are nodular lesions with a size of 10x14 mm and a layer-like thickening in the major fissure on the left. A 16 mm cavitary lesion is observed in the posterior left upper lobe adjacent to this thickening. In addition, a 6.5 mm pulmonary nodule was observed at the lateral subpleural level in the left upper lobe in these sections. A few nodules with a diameter of 6 mm were observed in the remaining parenchyma of both lungs, a few large ones in the right middle lobe lateral. There are thickenings of the pleura in the lower left hemithorax and in the lower sections of the diaphragmatic pleura. Two nodular lesions, the largest of which are 12x11 mm, are observed in the anterior epicardiac adipose tissue on the left. Mild nodular and layer-like thickenings are observed in the left upper lobe at the suprahilar level, reaching 9 mm in diameter in the paramediastinal pleura. In the upper abdominal sections, a stone density of 3 mm in size is seen in the right kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Lung Ca, control; primary mass adjacent to the major fissure anteriorly in the left lung lower lobe superior, metastatic lesions in the paramediastinal pleural layer at the level of the major fissure and at the suprahilar level, and nodular metastatic lesions. Left lung upper lobe lateral, subpleural level, cavitary lesion adjacent to nodule and fissure, which is considered as metastasis in the foreground. Millimetric nonspecific nodular in both lungs. Malignant pleural effusion on the left, layer-like thickening of the pleura, more prominent at the diaphragmatic level. Adjacent nodular lesions (metastasis?) in the diaphragmatic pleura in the left epicardiac adipose tissue. Right nephrolithiasis.
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train_17157_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; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 30 mm. Pulmonary artery diameters are normal. Heart sizes are slightly increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the supraaortic branches of the aortic arch and coronary arteries. 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; Pleuroparenchymal atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Thickening of the bronchovascular sheath in both lungs, nonspecific increases in density, and occasionally ground glass densities were observed. The outlook was evaluated in favor of cardiac stasis. A fibroatelectasis sequelae causing parenchymal distortion was observed in the posterior part of the right lung apical segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. In the upper abdominal organs included in the sections, hypodense nodular lesion areas of approximately 4 cm in diameter were observed in both lobes of the liver, the largest in the left lobe, and peripherally located subcapsular (cyst?). 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.
Fusiform aneurysmatic dilatation in the thoracic aorta, diffuse atherosclerotic wall calcification in the supraaortic branches of the aortic arch and coronary arteries, cardiomegaly . Findings consistent with cardiac stasis in the lung parenchyma, fibroatelectatic sequelae changes, . Pneumonia-nomass in the lung parenchyma, multiple findings in favor of both lobes of the liver were not detected. lesion (cyst?).
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train_17158_a_1.nii.gz
Shortness of breath
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thorax CT examination within normal limits
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train_17159_a_1.nii.gz
not given
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 pleuroparenchymal sequelae changes in both lung apexes. Dependent densities were observed in the posterior parts of the lower lobes of both lungs. A ground-glass appearance is observed in the posterior segment of the right lung upper lobe. The described appearance is non-specific. However, it was thought that it might be a pneumonic infiltration. It is recommended to evaluate the patient together with the physical examination findings. Occasionally, linear atelectasis is observed in both lungs. No mass was detected in both lungs. There are millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. Diffuse atheroma plaques are observed in the aorta and coronary arteries. There are surgical materials in the sternum. It is understood that the patient underwent coronary bypass surgery. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. No pathological wall thickness increase was detected in the esophagus within the sections. There is a nasogastric tube that ends in the stomach. No upper abdominal free fluid-collection was detected in the sections. There are no lytic-destructive lesions in the bone structures within the sections.
Ground glass appearance in the posterior segment of the right lung upper lobe (evaluation for pneumonic infiltration is recommended)
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train_17160_a_1.nii.gz
1 week ago cough, phlegm.
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. 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 or pathologically enlarged lymph nodes were observed 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. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Findings within normal limits.
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train_17161_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The right thyroid gland is observed in heterogeneous density. It is recommended to evaluate with USG examination. Trachea, both main bronchi are open and no obstructive pathology is 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; Calibration of vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes in pathological size and appearance were detected in the mediastinum and in both axillary regions. When examined in the lung parenchyma window; In both lungs, in the left upper lobe posterior, lower lobe posterobasal upper lobe posterior and anterior segments in the right, areas of increased density are observed in the ground glass density with indistinct borders. Viral pneumonias are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. There are sequela parenchymal changes in the right lung middle lobe medial segment, left lung upper lobe inferior lingular segment and both lung apexes. Diffuse mild ectasia and minimal peribronchial thickness increases are observed in bilateral bronchial structures that become prominent in the central. There are several nonspecific nodules in millimetric sizes in both lungs. Minimal emphysematous changes were observed in both lungs. No mass lesions were detected in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image.
Concordant findings in favor of viral pneumonia in both lungs. Locally sequela parenchymal changes in both lungs, minimal emphysematous changes and millimetric nonspecific nodules. The appearance of heterogeneous density in the right thyroid gland is recommended to be evaluated by USG.
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train_17162_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Calibration in the aortic arch is 34 mm and above normal. Calibration of other mediastinal major vascular structures is natural. Millimetric calcific atheroma plaques are observed at the level of the aortic arch. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Mild hiatal hernia is observed in the esophagus. 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. Scattered and diffused ground-glass-like density increments are present in both lungs. Density increases consistent with pleural parenchymal sequelae are observed in the middle lobe on the right. There is a 2 mm diameter nodule on the right posterobasal. Fine reticulonodularfocal density increases at posterobasal level in the right lung (sequelae changes?, infective processes?). There is a 2 mm diameter nonspecific nodule in the upper lobe anterior segment cudal of the left lung. Sequelae changes are observed in the lingular segment. Bilateral pleural effusion-pneumothorax was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the superior pole of the right kidney, a density compatible with a calculi with a diameter of approximately 2 mm is observed. It is observed that the mesenteric fatty planes from the diaphragmatic defect posteriorly in the left half of the abdomen slightly protrude into the thorax. Degenerative changes are observed in the bone structure entering the examination area. Fusion anomaly is observed in the posterior proximal of the 1st and 2nd ribs on the left.
Diffuse ground-glass-like density increases in both lungs (it is recommended to be evaluated together with the clinic and laboratory for covid pneumonia) Fine reticulonodular focal density increases at the posterobasal level in the right lung (sequelae changes?, infective processes?). Mild sequelae changes in both lungs Calibration increase in the aortic arch, atherosclerotic changes Millimetric nephrolithiasis in the right kidney Mild hiatal hernia, bochdalek hernia in the left diaphragm
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train_17162_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. There are minimal atherosclerotic changes in the aortic arch. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small hiatal hernia is observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the left lung upper lobe posterior subpleural and in the left lung lower lobe, subpleural slightly patchy ground glass densities are present, and in the left lung lower lobe there are cylindrical bronchiectasis accompanied by budding tree images. A millimetric stone is observed in the right kidney entering the cross-sectional area. Bochdalek hernia was observed in the left diaphragm. 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.
Clinical-laboratory correlation and follow-up are recommended. Right millimetric nephrolithiasis. Small hiatal hernia. Bochdalek hernia in the left diaphragm
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train_17163_a_1.nii.gz
COPD, cough and sweating
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The left thyroid lobe is prominent. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. Although the mediastinal cannot be evaluated optimally in the non-contrast examination; Calibration of mediastinal major vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not detected. In the short axis of the right upper bilateral lower supcarinal aorta, a large number of lymph nodes that did not reach pathological dimensions, measuring 9.5 mm, were observed. No lymph nodes in pathological size and appearance were observed in both axilla and supraclavicular level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; diffuse pleural parenchymal density increases in the apical segments of both lungs, in the posterior segment of the right lung upper lobe, and in the apicoposterior segment of the left lung, thickening of the posterior pleura and an increase in the thickness of the subpleural fat were observed (sequelae changes). Pleural parenchymal linear fibroatelectasis changes were observed in the left lung lower lobe superior segment, left lung superior lingular segment, and right lung middle lobe medial segment. Segmentary tubular bronchiectasis was observed in both lungs. Millimetric nonspecific parenchymal nodules were observed in the right lung middle lobe lateral segment and right lung lower lobe laterobasal segment. As far as can be observed in the non-contrast examination; No space-occupying lesion was detected in the liver that entered the cross-sectional area. The pancreas is natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No stones were observed in both kidneys within the sections. Accessory spleen reaching 13 mm in diameter was observed in the medial of the lower pole of the spleen. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Increase in left thyroid lobe dimensions and correlation with USG is recommended. Increases in pleural parenchymal density in both lung apical segments, right lung posterior, left lung apicoposterior segment, posterior pleura thickening and increase in subpelvral fat tissue (sequelae) . Left lung lower lobe superior segment , pleural parenchymal fibrotic density increases in right lung middle lobe medial segment, left lung lower lobe anterior mediobasal segment . Mimetric nonspecific pulmonary nodules in right lung middle lobe lateral segment, right lung lower lobe laterobasal segment . Both lungs segmental tubular bronchiectasis . Spleen lower pole medial accessory spleen
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train_17164_a_1.nii.gz
Cough, headache, weakness
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral ground glass densities are observed in both lungs in a patchy manner. The findings were initially evaluated in favor of Covid-19 viral pneumonia. There is an 8 mm calcific nodule in the lateral aspect of the upper lobe of the right lung, in series 2 image 73. 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. Calcific nodule in the upper lobe of the right lung, laterally.
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train_17165_a_1.nii.gz
diarrhea, nausea
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; 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. There are degenerative changes 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_17166_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. Multiple air cysts are observed in both lungs. No active infiltration was detected. 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. Irregularly circumscribed calcified area is observed in the upper lateral part of the right kidney. Its borders could not be distinguished from the liver. It is recommended that the patient be evaluated together with previous examinations. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Multiple air cysts in both lungs.
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train_17167_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric nodular ground glass densities are observed in the lower lobe of the left 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Findings compatible with Covid-19 viral pneumonia, clinical laboratory correlation and follow-up are recommended.
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train_17168_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. 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_17169_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thorax CT examination within normal limits.
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train_17170_a_1.nii.gz
Covid pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 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_17171_a_1.nii.gz
pneumonia?
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Soft tissue densities compatible with mucus are observed in the posterior and right lateral parts of the trachea. Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Millimetric sized calcific plaques are observed in the aortic arch. Cardiothoracic index slightly increased in favor of the heart. A few calcific plaques are observed in the walls of the coronary artery. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Peribronchial wall thickening, accompanying atelectasis and pleuroparenchymal densities are observed in the lower lobes of both lungs. No nodules were observed in both lungs. In the sections passing through the upper part of the abdomen, a 6 mm diameter calculus is observed in the right kidney, which does not cause ectasia. No lytic destructive lesion was detected in bone structures.
Peribronchial thickenings in the lower lobes of both lungs, pleuroparenchymal densities, more resorption suggest pneumonia.
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train_17172_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. There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum. When examined in the lung parenchyma window; Peripherally located subpleural consolidations and minimal ground glass densities are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. There are mild degenerative changes in the vertebrae.
Findings compatible with Covid pneumonia
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train_17172_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 within normal limits. The aortic arch calibration was measured as 30 mm, slightly above normal. Calibration of other mediastinal major vascular structures is normal. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. Scattered and faint focal ground-glass-like density increases are observed in both lungs. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes, including Covid. Mild sequelae changes are observed in the middle lobe on the right. Bilateral pleural effusion and pneumothorax were not detected. In the liver entering the cross-sectional area, a decrease in density consistent with mild steatosis is observed. At the level of the splenic flexure, diverticulum appearances are observed. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure.
· Scattered and faint focal ground-glass-like density increases are observed in both lungs. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes, including Covid. Mild sequelae changes in the right middle lobe. · Mild hiatal hernia. Mild hepatosteatosis. · Diverticulum appearances at the level of the splenic flexure.
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1
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train_17173_a_1.nii.gz
Not given.
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 is in natural appearance. The ascending aorta is dilated with a diameter of 4.7 cm. 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. 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. Degenerative osteophytes were observed in the vertebral corpus corners.
Viral pneumonia? Outlooks include classic or probable findings for COVID. Dilatation in the ascending aorta 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_17174_a_1.nii.gz
pneumonia
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. There is a right upper paratracheal, aortapulmonary millimetric lymph node. No pathologically sized LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; no mass nodule infiltration was detected in both lung parenchyma. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. The gallbladder is operated. There are metallic clips in the lodge. In the localization of the upper pole of the spleen, a millimetric-sized nodular structure compatible with the accessory spleen is observed. There is no lytic-destructive lesion in the bones.
No mass, nodule and infiltration were detected in both lung parenchyma.
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train_17175_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal, and no significant tumoral wall thickening was detected in the non-contrast examination margins. In the upper-lower paratracheal area, in the precarnal area, in the subcarinal, aorticopulmonary, prevascular area, in both hilar localizations, the largest of which is 28x20 mm in non-contrast examination borders in the subcarinal area, as far as they can be measured, mulitple lymph nodes are observed in some of the described lymph nodes. There are also lymph nodes in the bilateral axillary region, some of which are in round configuration and the largest measuring 14.5x12.8 mm in size. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. Millimeter-sized ground-glass nodules were observed in the upper lobes of both lungs. Peribronchial thickenings were observed, especially in the bilateral lower lobes of the lung. A small area of consolidation including air bronchograms in parahilar localization is observed in the medial segment of the right lung middle lobe. In addition, focal consolidation areas with ground-glass-like density increases were observed in the anterobasal segment of both lung lower lobes (CT halo sign). Possible fungal infection should be considered in the differential diagnosis. Branches with buds and acinar opacities are observed in the left lung inferior lingular segment and in the left lower lobes of both lungs prominently. The appearance may be compatible with the infectious process. Clinical and laboratory correlation and post-treatment control are recommended. Upper abdominal organs included in the sections are normal. In this examination, uncharacterized hypodense lesions were observed in the liver entering the cross-sectional area, with a diameter of 21 mm in the right lobe and 9 mm in the level of segment 4a. Millimetric parenchymal macrocalcification area was observed in the right lobe of the liver. A few calculi measuring 15 mm in diameter are observed in the gallbladder lumen (cholelithiasis). Lymphadenopathies measuring 25x18 mm in size were observed in the paraaortic area. Well-circumscribed sclerotic lesions were observed in the anterolateral of the 4th rib on the left and the 3rd rib on the right. No lytic - destructive lesion was detected.
Mediasinal , paratracheal , both hilar , both axillary , intraabdominal lymphadenopathies . Mild emphysematous changes in both lungs . Peripheral ground glass focal consolidation areas in the middle lobe of the right lung and the anterobasal segment of the lower lobe of both lungs ( CT halo sign ) Fungal infections should be considered in the differential diagnosis. Branches with buds and acinar opacities in the left lung lingular segment and lower lobes of both lungs. Sclerotic lesions in the anterolateral of the left 4th rib and right 3rd rib . Hypodense lesions in the liver that cannot be characterized in this examination . Cholelithiasis.
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train_17176_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Calibration of the aortic arch is at the maximal physiological limit. Calibration of vascular structures at other levels is natural. In the anterior mediastinum, thymic tissue with trigonal configuration, partially fatty involution, without mass effect is observed. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A nonspecific nodule with a diameter of 2 mm is observed in the middle lobe of the right lung. There are mild sequelae changes. A 2 mm diameter nodule is observed in the left lung upper lobe anterior segment subpleural area. No pleural effusion or pneumothorax was detected. In the sections passing through the upper abdomen, there are superposed calculus appearances in the gallbladder. Sonographic examination is recommended if necessary. In the middle part of the left kidney, a nodular density of approximately 11 mm in diameter extending posteriorly exophytic is observed (condensed cortical cyst?). Other upper abdominal organs included in the sections are normal. The surrounding soft tissue plans in the study area are natural. Mild degenerative changes are observed in the bone structure.
No finding compatible with pneumonia was detected. Cholelithiasis. Nodular density (condensed cortical cyst?) with a diameter of approximately 11 mm extending posteriorly exophyticly in the middle part of the left kidney.
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train_17177_a_1.nii.gz
Lung ca
In non-contrast examination; Sections were taken in the axial plan and reconstruction was made at the workstation.
Because the examination is performed without contrast, mediastinal structures cannot be evaluated optimally. As far as can be observed: Irregularly circumscribed solid mass extending towards the aorticopulmonary window and anterior mediastinum in the prevascular region and which is understood to be the primary mass of the patient is observed. The longest diameter of the mass was 94 mm at its widest point (series 2 section 130). Millimetric lymph nodes are observed in the prevascular, paratracheal, subcarinal and hilar regions. Heart contour and size are normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. No pathological increase in wall thickness was detected in the esophagus within the sections. There is minimal pleural effusion on the left. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Atelectasis is observed in the lower lobe of the left lung, especially in the superior segment. Emphysematous changes are observed in both lungs. In both lungs, there are nodules measuring approximately 11 mm in diameter, the largest of which is in the anterior part of the left lung upper lobe lingular segment inferior subsegment. No infiltrative lesion was detected in both lungs. A mass is observed in the right adrenal gland. When evaluated together with the primary disease, it is understood that there is metastasis. The longest diameter of the mass (series 2 cross section 352) was 66 mm. In addition, lesions were observed in the left adrenal gland corpus and lateral leg, and were again evaluated in favor of metastasis. A mass with the longest diameter of 80 mm is observed in the paravertebral area on the left at the level of approximately T11 and T12 vertebrae. The described appearance was evaluated in favor of metastasis. No upper abdominal free fluid-collection was detected in the sections. Except for the adrenal glands in the upper abdominal organs within the sections, no masses with distinguishable borders were detected in this examination. No lytic-destructive lesions were detected in the bone structures within the sections. Primary mass 1st target lesion observed in the prevascular region of the patient and 2nd target lesion observed in the right adrenal gland were selected. In addition, it is the third target lesion in the mass observed in the paravertebral area on the left. In the previous examinations of the patient, the sum of the target lesion diameters were 235 and 241, respectively, and 240 in this examination (2% growth). No significant difference was found in the number and size of the nodules observed in both lungs. There was no significant difference in mediastinal and hilar lymph nodes. There was no significant difference in the appearance of the lesions in the left adrenal gland. The findings were evaluated in favor of stable disease.
Central mass in the prevascular region, lung metastases, adrenal metastases, paravertebral mass on the left at the level of T11 and T12 vertebrae
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train_17178_a_1.nii.gz
Weakness, fatigue
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; Paraseptal, centriacinar emphysematous changes are observed in the upper lobes of both lungs, more prominently at the apical levels. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Mild scoliosis with left opening is observed in the dorsal vertebrae.
Paraseptal, centriacinar emphysematous changes, more prominent at the apical levels, in the upper lobes of both lungs
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train_17179_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 is in natural appearance. There are calcific atheromatous plaques in the main vascular structures. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. There are bilateral millimetric non-specific nodules. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Stones are observed in the gallbladder. Degenerative changes are observed 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. Atherosclerosis Cholelithiasis
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train_17180_a_1.nii.gz
chest pain
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. 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; Fibrotic sequelae changes are observed at the apical levels of both lungs. There are minimal atelectatic changes in the left lung inferior lingula. A few millimetric non-specific nodules are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Fibrotic sequelae changes in the apical levels of both lungs, minimal atelectatic changes in the left lung inferior lingula, a few millimetric non-specific nodules.
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train_17181_a_1.nii.gz
pneumonia?
Sections were taken in the axial plane without contrast 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. Consolidation in the central part of the upper lobe of the left lung and a ground glass area around it are observed. In addition, there are centriacinar nodular and ground glass areas, some of which have the appearance of budding trees, in both lung lower lobes. The described manifestations were evaluated primarily in favor of pneumonic infiltration. Evaluation with clinical and laboratory findings and appropriate post-treatment control are recommended. 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 enlarged lymph nodes in pathological size and appearance were observed in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. As far as it can be observed within the limits of unenhanced CT, no mass with distinguishable borders was detected in the upper abdominal organs within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open.
Consolidation in the central part of the right lung upper lobe and surrounding ground glass area, centriacinar nodular and ground glass areas in both lung lower lobes (findings were evaluated primarily in favor of pneumonic infiltration)
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train_17182_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 in pathological size and appearance was observed in the supraclavicular fossa and axilla. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. Esophageal calibration is natural. When examined in the lung parenchyma window; No pneumonic infiltrative involvement or consolidation area was observed. There are increases in pleuroparenchymal sequelae density in both upper lobe apical segments of both lungs. Focal pleural thickness increase is observed in the anterior segment of the right lung upper lobe. It is nonspecific. No nodular or mass-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Examination within normal limits.
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train_17183_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Pleuroparenchymal sequelae density increases were observed in both lungs apical. 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.
Sequelae changes in both lungs.
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train_17184_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
CTO is at the maximal physiological limit. The aortic arch is calibrated at 35 mm wider than normal. Calibration of other mediastinal major vascular structures is normal. There is a millimetric calcific atheroma plaque in the aortic arch. Mild pericardial effusion is observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; there is a mosaic attenuation pattern in both lungs (small vessel disease? small airway disease?). On this background, there are ground-glass-like density increases in the lower lobe segments of both lungs. Pleural effusion or pneumothorax is not observed. In the upper abdominal organs included in the sections, a decrease in density consistent with hepatosteatosis is observed in the liver. Mild degenerative changes are observed in the bone structures in the examination area.
Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). Ground-glass-like density increases in the lower lobe segments of both lungs . The findings described are not typical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings. Hepatosteatosis
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train_17185_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. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. A nonspecific parenchymal nodule with a diameter of 3 mm was observed in the anterobasal segment of the lower lobe of the right lung. 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.
Millimetric nonspecific parenchymal nodule in the right lung.
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train_17186_a_1.nii.gz
Trauma patient, fracture?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild dependent atelectasis changes were observed in both lower lobe posteriors of both lungs. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Mild dependent atelectatic changes at basal levels in both lower lobes of the lungs
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train_17187_a_1.nii.gz
Operated breast Ca, control of necrotizing LAP in mediastinum
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
There are skin retractions in the lower outer quadrant of the left breast and a deep-seated lesion with AP diameter of 41x12 mm in the central low-density, surrounded by fibrotic densities. It was evaluated as a chronic hematoma or a collection. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mediastinal examination is suboptimal due to lack of contrast. The lesion, which was approximately 24x19 mm posterior to the right main bronchus at the subcarinal level in the old PET-CT, was 17x13 mm in the current examination. When examined in the lung parenchyma window; Minimal emphysematous appearance is observed in both lungs. A milimetric calcific nodule at the hilar level in the upper lobe of the left lung, and a subpleural milimetric nonspecific nodule in the posterior of the right lower lobe are stable. 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 lesions were detected in bone structures. Degenerative changes are seen in the thoracic vertebrae.
Operated breast Ca Reduction in lymph node size at the infracarinal level. Nonspecific nodules in both lungs. Aortic and coronary artery atherosclerosis. Stable appearance in the lower outer quadrant of the left breast, which is thought to be a chronic collection or hematoma in the operation site.
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train_17188_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. In the anterior mediastinum, a faint ground-glass-like density increase is observed, which does not form a mass configuration. No lymph node that has reached the pathological size and configuration in the mediastinum was detected. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear. Mild sequelae changes are observed on both sides at the apical level. There is a nonspecific nodule of approximately 5x3 mm in size at the level of the minor fissure on the right. In the sections passing through the upper abdomen, there is a slight decrease in density consistent with hepatosteatosis in the liver. Density compatible with cholelithiasis is observed in the gallbladder. Both adrenal glands are normal. The spleen is natural. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure.
Mild sequelae changes at the apical level. Hepatosteatosis. Degenerative changes in bone structure. Cholelithiasis. Nonspecific ground glass density increase in anterior mediastinum.
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train_17189_a_1.nii.gz
Oepre breast Ca, fever chill
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. Left radical mastoidectomy was performed. A central venous catheter is observed. The heart size compartments appear natural. Pericardial effusion was not detected. Esophageal calibration was followed naturally. No space-occupying lesion was detected in the paracardiac fat pad. There is a stable pleural effusion measuring approximately 7 mm in diameter between the right pleural leaves. It is in favor of chronic pleural fluid. In the evaluation of the lung parenchyma, density increases are observed in the left lung lingulosuperior segment in favor of the sequelae of chronic radiation pneumonia in the radiotherapy locus. Widespread centracinar nodules and bronchopneumonic infiltration are observed in the upper lobe and lower lobe of the right lung. In the upper lobe of the right lung, a 7 mm diameter, nodular consolidated area with faint borders is observed. Post-treatment follow-up imaging would be appropriate. Slight increase in parenchymal density, parenchymal fibrosis and traction bronchiectasis are observed in the lower lobe basal segments, which are more prominent on the right in both lungs. Right lung lower lobe basal segment pleuroparenchymal linear density increases are consistent with linear atelectasis. These findings are also present in the previous examination and are stable. In the upper abdominal sections, there was a faintly circumscribed hypodense area adjacent to the portal vein in the liver in segment 4b localization, and there was no difference in the previous examination (focal adiposity?). No lytic-destructive lesion was detected in the bone structures.
Bronchopneumonic infiltration in the lower lobe and upper lobe of the right lung . Nodular condolidation area in the upper lobe of the right lung, post-treatment control is recommended.
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train_17189_b_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. Left radical mastoidectomy was performed. A central venous catheter is observed. The heart size compartments appear natural. Pericardial effusion was not detected. Esophageal calibration was followed naturally. No space-occupying lesion was detected in the paracardiac fat pad. There is a pleural effusion measuring approximately 7 mm in diameter, decreasing in size between the leaves of the right pleura. In the evaluation of the lung parenchyma, density increases are observed in the left lung lingulosuperior segment in favor of the sequelae of chronic radiation pneumonia in the radiotherapy locus. Widespread centracinar nodules and bronchopneumonic infiltration areas in the upper lobe and lower lobe of the right lung, which were observed in the previous examination, and a 7 mm diameter nodular consolidated area with a faint border in the upper lobe of the right lung were not detected in the current examination. Slight increase in parenchymal density, parenchymal fibrosis and traction bronchiectasis are observed in the lower lobe basal segments, which are more prominent on the right in both lungs. Right lung lower lobe basal segment pleuroparenchymal linear density increases are consistent with linear atelectasis. These findings are also present in the previous examination and are stable. In the upper abdominal sections, there was a faintly circumscribed hypodense area adjacent to the portal vein in the liver in segment 4b localization, and there was no difference in the previous examination (focal adiposity?). No lytic-destructive lesion was detected in the bone structures.
null
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train_17189_c_1.nii.gz
A patient with breast Ca follow-up.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. 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. It is compatible with an oval-shaped hypodense lymph node of 11 mm in the paratracheal and subcarinal area. No enlarged lymph nodes in prevascular, bilateral hilar-axillary pathological dimensions were detected. There are findings in the form of diffuse centriacinar nodules and budding tree view in the upper lobe of the right lung and in the lower lobe of both lungs, more prominently on the right. The described findings are also present in the previous examination, and in the current examination, they increase under the differential diagnosis of radiation pneumonia and bronchopneumonic infiltration. Pleural effusion, which is observed in a small amount in the right hemithorax, has slightly increased. An increase in the size of the liver and spleen is observed in the upper abdominal organs included in the sections. 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.
Paratracheal, subcarinal 10 mm lymph nodes in the mediastinum. Hepatosplenomegaly.
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train_17189_d_1.nii.gz
Covid-19 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. Consolidations and ground glass areas are observed in the lower lobe of both lungs and the middle lobe of the right lung, especially in the peribronchovascular area. The described findings were absent in the previous examination of the patient. These views are not specific. These findings can be observed in Covid-19 pneumonia. It is recommended that the patient be evaluated together with the laboratory findings. There are sometimes linear atelectasis in both lungs. Minimal pleural effusion and minimal pericardial effusion are observed on the right. No mass was detected in both lungs. There are lymph nodes in the mediastinum and hilar regions. The largest of the described lymph nodes are observed in the paratracheal region and their short diameter is 8 mm. However, it is observed that the dimensions increase minimally. The heart is minimally larger than normal. The widths of the mediastinal main vascular structures are normal. There is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. Implants are observed in both breasts. No mass with discernible borders was detected in this examination in both breasts. There are linear density increases in the subcutaneous adipose tissue between both breasts and in the medial of both breasts, which do not have clear boundaries and do not cause suspicion of a mass. The described appearances were evaluated primarily in favor of postoperative changes. There are no pathologically large lymph nodes in both axillae. No masses or collections with distinguishable borders in the upper abdomen, or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Consolidations, more prominent in the peribronchovascular area in both lungs, and ground-glass appearances in both lungs (described appearances can be observed in many pathologies. Viral pneumonias may also cause this appearance). Minimal pleural effusion and pericardial effusion. Mediastinal and hilar lymph nodes. Findings evaluated primarily in favor of postoperative changes in subcutaneous adipose tissue in both breasts and anterior chest wall.
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train_17189_e_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is within normal limits. Calibration of major vascular structures in the mediastinum is normal. A venous port is observed at the right pectoral level and its catheter terminates in the superior vena cava. Multiple lymph nodes are observed in the upper-lower paratracheal area in the upper mediastinum, in the perivascular level, in the aorticopulmonary window in the subcarinal area. The largest was measured in the right upper paratracheal area and measures approximately 17x10 mm. A size increase of approximately 20% was observed in the short axis. There was no significant increase in the number of lymph nodes. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed in the case. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. Mild pleural effusion is observed in the right pleural space and its thickness is approximately 10 mm at baseline. In the previous examination, it was 8 mm and slightly prominent. Pleuroparenchymal sequelae changes are observed in the right lung lower lobe segments. Also available in old review. Centrilobular nodules are commonly observed in the mid-lower zones of both lungs (bronchiolitis?, endobronchial disseminated infectious diseases?, subacute hypersensitivity pneumonitis?). However, in the case whose anamnesis was defined as pneumonia, the findings were evaluated to be compatible with pneumonic infection. It was not detected in the previous review. The spleen is larger than normal in the upper abdomen included in the sections. The surrounding soft tissue planes are normal. Nonspecific density increases are observed in the subcutaneous soft tissue planes in the left hemithorax. It does not give clear demarcation. There are appearances of thickening of the skin in these areas. Mild degenerative changes are observed in the bone structure.
· Faint and thin centrilobular nodules in both lungs (bronchiolitis?, endobronchial disseminated infectious diseases?, subacute hypersensitivity pneumonia?). However, in the case whose anamnesis was defined as pneumonia, the findings were evaluated to be compatible with pneumonic infection. It was not detected in the previous review. · There is a 20% increase in size of lymph nodes in the mediastinum, the largest in the short axis. · Splenomegaly.
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train_17189_f_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Effusion reaching a depth of 10 mm (12 mm in the previous examination) was observed in the right hemithorax. The smear-like effusion observed in the left hemithorax in the previous examination is completely resorbed in the current examination. However, in the current examination, diffuse ground-glass areas accompanied by interlobular-intralobar septal thickenings in both lungs are progressive. The described findings are nonspecific. It may be secondary to drug toxicity, infective or autoimmune pneumonias. It is recommended to be evaluated together with clinical and laboratory. Other findings are stable.
Not given.
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train_17190_a_1.nii.gz
covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. In the lung parenchyma, patchy ground-glass density areas located bilaterally, symmetrically, central and subpleural are observed. The finding is nonspecific. The differential diagnosis includes small airway disease such as asthma attack and presenting lung parenchymal involvement. Covid infection is included in the differential diagnosis. The presence of Covid infection could not be excluded. Ground glass areas may belong to infected parenchyma. It is recommended to evaluate these two in terms of differential diagnosis. A few nonspecific nodules with a diameter of 6 mm in the basal segment of the lower lobe of the right lung and millimeter in the upper lobe were observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Bilateral symmetrical parenchymal ground glass density and air trapping areas are observed in both lungs. In the differential diagnosis, pathologies involving small airway such as asthma attack are included. Parenchymal involvement of Covid infection is included in the differential diagnosis. Could not be ruled out. Clinical correlation is recommended.
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train_17190_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. 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 both lungs with peripheral and central localization in a patchy manner, and expansion in both the central and vascular structures. The findings were initially evaluated in favor of the infectious process. Clinical laboratory correlation monitoring 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.
Commonly reported imaging features in Covid-19 pneumonia are available, other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may produce a similar appearance.
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train_17190_c_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Right upper-bilateral lower paratracheal lymph nodes with millimetric size are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Common patchy ground glass densities in both lung parenchyma and interlobular septal thickenings that create crazy paving appearance are observed in these ground glass densities. It is observed that the frosted glass densities observed in previous examinations take a sharper form and lead to a crazy paving appearance. Organized pneumonia, Covid infection is primarily considered. No significant pathology was detected in bilateral adrenal glands in the sections passing through the upper part of the abdomen. No lytic-destructive lesion was detected in bone structures.
It was thought that interlobular septal thickenings that create crazy paving appearance in symmetrical ground glass and ground glass densities in both lungs, organized pneumonia, may be compatible with Covid-19 pneumonia.
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train_17191_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: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is 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; In both lungs, diffuse ground glass density increases were observed in the peripheral subpleural areas of the upper lobes, which became widespread in the lower lobes and basal segments. Crazy paving appearance attracts attention. The findings described may be compatible with Covid 19 pneumonia. Other viral pneumonias should be considered in the differential diagnosis. Correlation with clinical and laboratory 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. Degenerative changes are observed in bone structures.
Widespread ground-glass-like density increases in the peripheral subpleural areas and Crazy paving appearance in the upper lobes in the upper lobes, which are widespread in the lower lobes and basal segments in both lungs. The described findings may be compatible with Covid 19 pneumonia. Other viral pneumonias should be considered in the differential diagnosis. Correlation with clinical and laboratory. recommended.
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train_17192_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; There is a 4 mm subpleural nodule in series 202 image 88 in the superior right lung lower lobe. 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.
Subpleural nodule in the right lung lower lobe superior
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train_17193_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. Pulmonary trunk calibration is at the maximal physiological limit. The aortic arch calibration is 34 mm. It is wider than normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are lymph nodes in the mediastinum, upper-lower paratracheal area, prevascular level, aorticopulmonary window, subcarinal area, paraesophageal level, millimetrically mostly in calcified appearance and superposed on each other, the largest in the aorticopulmonary window and approximately 15x13 mm in size. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; There are scattered ground-glass-like density increments in both lungs that show confluence from place to place. In the case that was learned to be Covid positive, the findings are consistent with the anamnesis. In the right lung lower lobe superior segment, there is a suspicious bud branch appearance accompanying ground-glass-like density increases. It is recommended to be evaluated together with clinical and laboratory findings in terms of bacterial superinfection. In the sections passing through the upper abdomen, there is a decrease in density consistent with steatosis in the liver. An exophytic 28x21 mm cortical cyst is observed in the middle part of the left kidney. There is a nonspecific hypodense appearance in the posterior pole of the right kidney superior pole. It cannot be evaluated clearly because it is partially included in the image. In the superior pole of the right kidney, densities compatible with calculus are observed in millimetric dimensions, the largest of which is 2 mm in diameter. Degenerative changes are observed in the bone structure entering the examination area.
Ground-glass-style density increments that showed scattered confluence in both lungs, and the findings are consistent with the anamnesis in the case that was learned to be Covid positive. Bacterial superinfection in the superior segment of the lower lobe of the right lung? Clinical-laboratory correlation is recommended. Cardiomegaly, atherosclerotic changes Right nephrolithiasis Left renal cortical cyst Nonspecific hypodense appearance in the upper zone in the area partially visible in the right kidney, sonographic evaluation is recommended if necessary.
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train_17194_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO slightly increased in favor of the heart. Pulmonary trunk calibration is 30 mm. It is wider than normal. Both pulmonary artery calibrations and ascending aorta calibrations are normal. The descending aorta calibration is natural. Arch aortic calibration was measured as 35 mm. It is wider than normal. Calcific atheroma plaques are observed in the coronary arteries in the descending and ascending aorta in the aortic arch. Both hiluses are full. No detectable prominent lymph node was detected in the non-contrast examination. Multiple lymph nodes at the perivascular level are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum, the largest of which is measured in the aorticopulmonary window and measures approximately 19x11 mm. 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. Mild hiatal hernia is observed. In the middle and lower zones of both lungs, there are ground-glass-like density increments that are widespread and tend to coalesce. It has been consolidated in places. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. No pleural effusion was detected on both sides. A 7x5 mm nodule is observed in the upper lobe of the left lung, caudal to the apicoposterior segment. In the upper abdominal organs, including sections; There is a slight decrease in density consistent with hepatosteatosis. Both kidneys are natural. In the spleen hilum, nodular densities are observed, which are isodense with the spleen and compatible with the accessory spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in the bone structures in the study area. Appearance compatible with DISH is observed. Changes secondary to sternotomy are observed.
Diffuse ground-glass-like density increments with a tendency to coalesce in the mid-lower zones of both lungs. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Cardiomegaly. Slight increase in calibration in the pulmonary trunk and aortic arch. Hiatal hernia. Lymph nodes in the mediastinum, the largest at the aorticopulmonary window and measuring 19x11 mm. Diffuse degenerative changes in bone structure. Findings consistent with DISH.
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train_17195_a_1.nii.gz
Not given.
Non-contrast sections of 3 mm thickness were taken in the axial plane with MDCT.
Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Sequelae pleuroparenchymal bands are observed in the right lung middle lobe and left lung lingular segment. In both lung parenchyma, there are millimetric nonspecific nodules in the upper lobe posterior and middle lobe lateral segment on the right and in the lower lobe anteromedial segment on the left. Active infiltration or mass lesion was detected in both lung parenchyma. 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 millimetric nodules and sequelae of pleuroparenchymal bands in both lungs
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train_17196_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 main vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at either level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchus is natural. Lumens are clear. A 3.5 mm diameter nodule is observed in the dorsal subpleural area in the superior segment of the right lung lower lobe. There is a 3 mm diameter subpleural nodule laterally, and a calcific 2 mm diameter nodule slightly posteriorly. There is another nodule with a diameter of 2 mm still superiorly. There is focal thickening over the major fissure on the right. Bilateral paraseptal emphysema is observed at the apical level. No significant mass appearance or nodule formation was detected at other levels. Significant infiltration is not observed in both lungs. No hemothorax or pneumothorax was detected in either lung. Pleural effusion is not observed. In the anterior neighborhood of the spleen, nodules with a diameter of approximately 5 mm are observed, which is compatible with the accessory spleen. Both adrenals are natural. There is mild gynecomastia appearance on both sides. Degenerative changes are observed in the bone structure entering the examination area.
Mild paraseptal emphysema appearance at both apical levels . A few nonspecific millimetric nodules in the right lung . Degenerative changes in bone structure
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train_17196_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mild gynecomastia appearance is observed. CTO is normal. Calibration of mediastinal major vascular structures is natural. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. When examined in the lung parenchyma window; trachea, both main bronchi are open. Mild emphysema appearance is observed. There are two nodules with a diameter of 2 mm in the subpleural area in the superior segment of the lower lobe of the right lung. It looks stable. There is a 3 mm diameter subpleural stable nodule at the posterobasal level of the lower lobe. Again, several nodules with 2-3 mm diameter are observed at the laterobasal level. On the right, there is a stable nodule of approximately 6x3 mm in size, superposed to the major fissure. A stable nodule with a diameter of 4 mm is observed in the anterior segment of the left lung upper lobe. Sequelae changes are observed at the posterobasal level of the lower lobe in the left lung. There are sequelae changes in the linguistic segment. There were no findings consistent with significant pleural effusion, pneumonia or pneumothorax in both lungs. In the sections passing through the upper abdomen, a nodular formation, which is considered to be compatible with the spleen adjacent to the spleen and isodense millimetric-sized accessory spleen, is observed. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure.
No findings consistent with pneumonia were detected. A few stable millimetric nonspecific nodules in both lungs
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train_17197_a_1.nii.gz
Stomach ca, pneumonia?
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. Minimal pleural effusion was observed. Diffuse atheroma plaques are observed in the aorta and coronary arteries. The ascending aorta measures approximately 44 mm in anterior-posterior diameter and is wider than normal. The main pulmonary artery diameter was 32 mm and wider than normal. The port chamber was observed in the subcutaneous adipose tissue in the right hemithorax. The port catheter terminates at the superior distal portion of the vena cava. There are lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are emphysematous changes in both lungs. There are sometimes linear atelectasis in both lungs. There are a few millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. There is minimal free fluid in the perihepatic region. No enlarged lymph nodes in upper abdominal pathological dimensions were detected in the sections. Lytic-sclerotic bone lesions are observed in the bone structures within the sections and were evaluated in favor of metastases. No soft tissue component accompanying metastases was detected.
Gastric ca, bone metastases in follow-up. Atherosclerotic changes in the aorta and coronary arteries, increase in pulmonary artery diameters. Mediastinal and hilar lymph nodes. Bilateral minimal pleural effusion. Emphysematous changes in both lungs. Atelectasis in both lungs. Perihepatic free fluid.
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train_17197_b_1.nii.gz
Stomach ca, Covid positive, pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal vascular structures and heart were not evaluated optimally because contrast material could not be given. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 43 mm. The diameter of the main pulmonary artery was 36 mm, and the diameter of the right pulmonary artery was 32 mm, and it was wider than normal. Calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures. There is an increase in the cardiothoracic ratio in favor of the heart. Minimal pericardial effusion is observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. The port chamber is observed on the right anterior chest wall, and there is a catheter extending to the superior distal part of the vena cava. No lymph nodes in pathological size and appearance were observed in both axillary regions and supraclavicular fossae. There are lymph nodes in the mediastinum that are not pathological in size and appearance, which were also observed in the previous CT examination. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are emphysematous changes and local atelectasis in both lungs. A few millimeter-sized nonspecific stable nodules were observed in both lungs. There is minimal free fluid in the perihepatic region. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. Lytic-sclerotic bone lesions were observed in the bone structures within the image and were evaluated in favor of metastasis. No soft tissue component accompanying metastases was detected.
Stomach ca, bone metastases in follow-up Calcified atheroma plaques in the aorta and coronary arteries, increase in ascending aorta, pulmonary artery diameters Lymph nodes with stable pathological size and appearance in the mediastinum Increasing bilateral pleural effusion Minimal pericardial effusion Emphysematous changes in both lungs, localization local atelectasis and a few millimeter-sized nonspecific stable nodules Perihepatic free fluid
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train_17197_c_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. Mild prominence is observed in the pericardium. The aortic arch calibration is approximately 31 mm, wider than normal. The ascending aorta calibration is 41 mm wider than normal. Pulmonary trunk calibration was 29 mm slightly wider than normal, right pulmonary artery calibration was 26 mm slightly wider than normal, left pulmonary artery calibration was 25 mm. Millimetric calcific atheroma plaques are observed in the coronary arteries, aortic arch, and ascending aorta. There is a hypodense nodule appearance in the right lobe of the thyroid gland. It is recommended to be evaluated with USG if necessary. Lymph nodes are observed in almost all stations in the mediastinum, the largest of which is measured in the aorticopulmonary window and measures approximately 13x8 mm. No pathological size and configuration of lymph nodes were detected at both hilar levels. A venous port is observed at the right pectoral level. The catheter terminates at the level of the superior vena cava. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. Mild atelectatic lung segments are observed adjacent to it on the right. Nodules with diffuse irregular borders and largely consolidative appearance are observed in both lungs. It was not detected in the patient's previous CT. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. There is an increase in density consistent with consolidation in the middle lobe of the right lung, and it has become more pronounced according to the previous examination. Again, focal consolidation is observed in the anterobasal level adjacent to the fissure in the lower lobe of the right lung, and it was not detected in the previous examination. There are thickenings of the peribronchial sheath. In the sections passing through the upper abdomen, a decrease in density consistent with mild steatosis is observed in the liver. There is mild effusion at the prehepatic level. The spleen is full. Hiatal hernia is observed. There are thin reticular density increments in the peritoneal fatty planes in the study area. Surrounding soft tissue planes are normal. There is widespread heterogeneity and degenerative changes in bone structure compatible with metastasis.
The review was evaluated together with the old CT. Cardiomegaly, increased caliber of mediastinal main vascular structures, atherosclerotic changes. In the current review, it is recommended to evaluate diffuse focal densities with predominantly consolidative appearance, which were not observed in the previous review, together with clinical and laboratory findings in terms of Covid pneumonia. · Widespread heterogeneity and degenerative changes in bone structure compatible with metastasis · Prehepatic effusion, fuller appearance in the spleen. Mild hiatal hernia.
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train_17197_d_1.nii.gz
Stomach ca, pneumonia?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. There is pericardial effusion measuring 10 mm in its thickest part. Bilateral pleural effusion is also observed. The pleural effusion measured 65 mm at its thickest point. No pleural or pericardial thickening was detected. There are atheromatous plaques in the aorta and coronary arteries. The port chamber was observed in the subcutaneous adipose tissue in the right hemithorax. The port catheter terminates at the superior-right atrium junction of the vena cava. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 8 mm in short diameter. There is no pathological wall thickness increase 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. There is atelectasis adjacent to the effusion in both lung lower lobes. Especially the lower lobe of the left lung is largely atelectatic. A ground glass area is observed in the apical subsegment anterior of the left lung upper lobe apicoposterior segment. The described ground glass appearance is non-specific. This appearance is absent in the patient's previous examination. However, when the previous examinations of the patient were examined, it was learned that he was diagnosed with Covid-19 pneumonia. In this ground-glass appearance observed in this examination, when evaluated together with this finding, sequelae may change. There are localized linear atelectasis and minimal emphysematous changes in both aerated lungs. No mass was detected in both ventilated lungs. There are sclerotic and lytic bone lesions evaluated in favor of metastases in bone structures within the sections. Vertebral corpus heights within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are narrowed.
Gastric ca, bone metastases in follow-up. Pleural effusion and pericardial effusion. Atherosclerotic changes in the aorta and coronary arteries, minimal cardiomegaly. Atelectasis in both lungs. Minimal emphysematous changes in both lungs. Ground glass appearance in the upper lobe of the left lung, which is thought to be a sequelae when evaluated together with the patient's medical history.
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train_17198_a_1.nii.gz
Back pain
Before IVKM was given, sections were taken in the axial plan and reconstruction was performed at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was 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. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph nodes were observed. 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. Thoracic vertebral corpus heights, alignments and densities are normal. At the lower thoracic level, osteophytes are present in the vertebral bodies. Intervertebral disc distances are preserved. The neural foramina are open.
Minimal thoracic spondylosis
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train_17199_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. 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. Minimal scoliosis with left-facing opening is observed in the thoracic region in the bone structures entering the examination area.
Minimal scoliosis with left opening is observed.
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train_17200_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; A 21 mm diameter nodule was observed in both thyroid glands, the larger right thyroid gland. USG control is recommended. 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 wall of the thoracic aorta and coronary artery. 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. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In the peripheral subpleural area in both lung parenchyma, faint focal nodular ground glass density increases were observed. In the patient with a previous history of Covid-19 pneumonia, the findings may be compatible with the regression period of Covid-19 pneumonia. It is recommended to be evaluated together with previous CT examinations, if any. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the study area; gall bladder was not observed (cholecystectomized). Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Peripheral calcified nodular lesion 11 mm in diameter was observed in the left renal artery (saccular aneurysm?). It is recommended to be evaluated together with contrast examination. A hyperdense nodular lesion with a diameter of 4 mm is observed in the upper pole of the left kidney and cannot be characterized in this examination (hemorrhagic cyst?). A well-circumscribed hypodense lesion with a HU of 5 with a diameter of 16 mm was observed in the right adrenal gland (adenoma?). Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.
Not given.
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train_17201_a_1.nii.gz
Not given.
Non-contrast sections of 3 mm thickness were taken in the axial plane with MD CT.
A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. Right upper-lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; More prominent emphysemato areas are observed in the upper lobes of both lungs. Apart from this, no obvious pathology was detected in the parenchyma areas of both lungs. No significant pathology was detected in the sections passing through the upper part of the abdomen. No lytic-destructive lesion was detected in bone structures.
More prominent emphysematous areas in the upper lobes of both lungs
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train_17202_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. However, there is contamination in the soft tissue planes at the paratracheal level, which may be compatible with edema-inflammation. Millimetric sized lymph nodes are observed. Pathological size and configuration of lymph nodes are not observed at both hiatus levels. When examined in the lung parenchyma window; Peripheral, sclerotic millimetric non-specific hypodense lesion is observed in the left hemithorax, in the lateral part of the 7th rib on the left. Tracheal diverticulitis is present in the right posterolateral trachea. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the right lung, focal consolidative areas are observed in the middle lobe caudal to the upper lobe, and medial in the lower lobe superior segment. Suspected for Covid pneumonia. It is recommended to be evaluated together with clinical findings. However, in the case, branches with buds are observed in the left lung upper lobe apicoposterior segment, partially in the lingular segment, in the lower lobe superior segment, and partially in the basal part. It is recommended that the case be evaluated together with clinical and laboratory findings in terms of bacterial superposition. Dense pleuroparenchymal fibroatelectatic densities are observed in the middle lobe on the right, in the superior segment of the lower lobe at the posterobasal level, and in the lingular segment on the left at the posterobasal level. A thickening of the peribronchial sheath is observed at the posterobasal level of the left lung. Bilateral pleural effusion, pneumothorax were not detected. There is a decrease in density consistent with steatosis in the liver. Other upper abdominal organs are normal. 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.
Multiple focal consolidative areas with irregular borders in the right lung. Branches with buds in different segments of the left lung, fibroatelectatic changes. It is recommended that the case be evaluated together with clinical and laboratory findings in terms of viral pneumonias, including Covid, and bacterial superposition. Mild hepatosteatosis. There is contamination in the mediastinum at the paratracheal level, which may be compatible with edema-inflammation in fatty planes.
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train_17203_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; A millimetric calcific nodule was observed in the anterior lower lobe of the right lung. Apart from this, both lung parenchyma aeration 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. In the thoracic vertebrae, at the T11-12 level, the vertebral endplates in the anterior are slightly degenerated and osteophytes are observed.
Millimetric nonspecific nodule in the lower lobe of the right lung. Thoracic spondylosis.
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train_17204_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. There are wall calcifications in the aorta. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are several lymph nodes in the upper, lower paratracheal, aortopulmonary, subcarinal, right hilar, paraesophageal, the largest 15x5.5 mm in size. There is one LAP in the lower right paratracheal, 16x8.5 mm in size. When examined in the lung parenchyma window; The bilateral lung parenchyma is emphysematous. There are areas of ground glass density with subpleural localization in the posterior and lower lobes of the bilateral lung upper lobe. There is a 27x22 mm lesion in the apicoposterior segment of the upper lobe of the right lung, with irregular spiculated contours, with radial extensions to the surrounding pleuroparenchymal structures (tm ?). Histopathological examination is recommended. There is an oval-shaped nodule, 14.6x8.6 mm in size, located subpleural in the anterior upper lobe of the left lung. Right lung upper lobe anterior, subpleural localized, 19x3.5 mm in size, thickening is observed. There are subsegmental atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lower lung lobes. There are several nodules smaller than 5 mm in both lungs. There are several nodules smaller than 5 mm in both lung major fissures (lymph node?). No pleural effusion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Right adrenal gland lateral crus, left adrenal gland corpus and medial crus are observed in diffusely thick appearance. There are degenerative changes in the bones in the examination area.
Wall calcifications in the aorta. Upper, lower paratracheal, aortopulmonary, subcarinal, right hilar, paraesophageal, several lymph nodes, the largest of which is 15x5.5 mm in size. Right lower paratracheal, 16x8.5 mm, one LAP. Bilateral lung parenchyma emphysematous. Bilateral lung upper lobe posterior and lower lobes located subpleural, areas of ground glass density. In the apicoposterior segment of the right lung upper lobe, 27x22 mm lesion (tm?) with irregular spiculated contours, showing radial extensions to the surrounding pleuroparenchymal structures. Histopathological examination is recommended. Left lung upper lobe anterior, subpleural located, oval shaped nodule measuring 14.6x8.6 mm. Right lung upper lobe anterior, subpleural localized, 19x3.5 mm in size, thickening. Subsegmentary atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lung lower lobes. A few nodules smaller than 5 mm in both lungs. Several nodules (lymph nodes?), smaller than 5 mm, in both lung major fissures. Right adrenal gland lateral crus, left adrenal gland corpus and medial crus, diffusely thick. Locally degenerative changes in the bones in the study area.
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train_17205_a_1.nii.gz
Rales in the right middle zones, back pain for 1 year
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the coronary arteries and aortic arch. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There are degenerative changes consistent with advanced tendinosis in both glenohumeral joints. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peribronchial thickenings, more prominent at basal levels, are observed in the lower lobe of the left lung, and minimal ground glass density is observed at the level of the described thickenings. Clinical laboratory correlation is recommended for the onset of an infectious process (bronchiolitis?). The findings described in terms of Covid-19 pneumonia are atypical. No nodular lesions were detected in both lung parenchyma. In the upper abdominal organs included in the sections, both kidneys are atrophic. There is an increase in the size of the liver and spleen. Calcified atheroma plaques are observed in vascular structures. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Peribronchial sheathing in the bilateral and posterior segment of the left lung lower lobe, slight ground glass densities around the bronchial structures. Clinical laboratory correlation is recommended for the onset of an early infectious process (bronchiolitis?). The findings described in terms of Covid-19 pneumonia are atypical. Atherosclerosis . Vertebra degenerative height losses in their corpuscles, degenerative changes, schmourl nodules. Bilateral atrophic kidney
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train_17205_b_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. Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; thoracic aorta calibration is natural. The pulmonary trunk, right and left pulmonary artery diameters show dilatation with 32 mm, 26 mm and 26.5 mm, respectively. Heart size increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Diffuse hypertrophic degenerative changes were observed in the bilateral sternoclavicular joints. Effusion was observed in both hemithorax, reaching a diameter of 6.6 cm on the right and 5.2 cm on the left. When examined in the lung parenchyma window; Atelectatic changes were observed in the basal segments of the lower lobes of both lungs in the areas adjacent to the effusion. Linear atelectatic changes were observed in both lung lower lobe basal segments. Ground glass densities were observed in the right lung upper lobe posterior and left lung lower lobe apicoposterior segment, adjacent to the fissure. Findings are nonspecific. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. Diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches as far as can be observed in the sections. Bilateral CRF was observed. Diffuse free fluid was observed in the abdomen. Calculus images were observed in the gallbladder lumen. 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. Diffuse degenerative changes and osteosclerosis were observed in bone structures.
Appearance compatible with tracheobronchopathia osteochondroplastica . Increase in pulmonary artery diameters, cardiomegaly, calcific atheroma plaques in the thoracic aorta, supraaortic branches and coronary arteries . Bilateral pleural effusion, atelectatic changes in lung areas adjacent to the effusion . Linear atelectatic changes in both lung lower lobe basal segments Nonspecific ground glass opacities adjacent to fissure in upper lobe posterior and left lung lower lobe apicoposterior segments . Bilateral CRF . Cholelithiasis . Diffuse free fluid in the abdomen . Diffuse degenerative changes in bone structures and osteosclerosis compatible with renal osteodystrophy
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train_17206_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. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta. Calibration of other mediastinal major vascular structures is 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. Mild hiatal hernia is observed. There are no pathologically sized and configured lymph nodes at the mediastinal and both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. Coarse reticulonodular density increases are observed at the posterobasal-lateralobasal level of the lower lobe of the left lung. It is recommended to evaluate the case with clinical and laboratory findings, especially in terms of bacterial pneumonia. Pleuroparenchymal sequela changes are observed in the anterior segment of the left lung upper lobe. There are similar pleuroparenchymal densities in the lingular segment and laterobasal level. 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. 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.
Coarse reticulonodular density increases are observed at the posterobasal-lateralobasal level of the lower lobe of the left lung. It is recommended to evaluate the case with clinical and laboratory findings, especially in terms of bacterial pneumonia. Mild hiatal hernia
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train_17207_a_1.nii.gz
Fatigue, patient with AML.
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 for the study without contrast. 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. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A few fusiform lymph nodes with reactive appearance are observed in the mediastinal area, the largest of which is in the right paratracheal region with a short axis of 7 mm in diameter. When examined in the lung parenchyma window; Ventilation of both lungs is normal. In the right lung upper lobe apical-anterior segments, right lung middle lobe medial part, left lung upper lobe lingular segment, and lower lobe posterobasal parts of both lungs, centracinar style nodular appearances and ground glass opacities are observed in some places forming a budding tree view. The outlook is not specific for Covid-19 pneumonia. It was associated with the infective process. It is appropriate to evaluate the patient with clinical and laboratory findings. Minimal bronchiectasis and peribronchial thickness increases are observed in both lungs, more prominently in the lower lobe bronchi: 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.
Centracinar style nodules and ground glass opacities that form partly budding tree appearance in both lungs (control examination is recommended after treatment secondary to the infective process).
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train_17207_b_1.nii.gz
AML, fungal infection in the lung?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Emphysematous changes are present in both lungs. Minimal interlobular septal and interstitial thickening and a honeycomb appearance are observed in both lungs, especially in the peripheral areas, especially in the right lung. The described appearance can also be observed in the previous examination of the patient. These appearances were evaluated in favor of sequelae change and/or interstitial lung disease. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections.
Findings evaluated in favor of sequelae change and/or interstitial lung disease in both lungs. Atherosclerotic changes in the aorta and coronary arteries.
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train_17208_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: The diameter of the ascending aorta was 37 mm. Other mediastinal main vascular structures are normal. Calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of stent materials in the coronary artery were observed. Heart size increased. Pericardial minimal effusion was observed. 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; Emphysematous changes were observed in both lungs. Band-like fibroatelectasis changes were observed in the lower lobes of both lungs, the middle lobe of the right lung, and the inferior lingular segment of the left lung. Peripheral subpleural ground glass density increases were observed in both lungs. It cannot be differentiated from dependent density increases. Imaging features can be seen in Covid pneumonia. However, it is not specific. It can be seen in other infectious-noninfectious diseases. Clinical and laboratory correlation is recommended for differentiation. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Diffuse degenerative changes were observed in bone structures. Thoracic kyphosis was markedly increased. No lytic-destructive lesion was detected.
Cardiomegaly, minimal pericardial effusion . Calcified atherosclerotic changes in the thoracic aorta and coronary artery wall . Emphysematous changes in both lungs, peribronchial thickenings . Fibroatelectatic changes in both lungs . Density increases from peripheral subpleural ground-glass density increases were observed in the lower lobe posterobasal segment of both lungs. Imaging features can be seen in Covid pneumonia, but not specific. It can be seen in other infectious-noninfectious diseases. Clinical and laboratory correlation is recommended.
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train_17209_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In the left lung upper lobe posterior, there is a 49x51 mm central consolidation and a ground-glass nodular infiltrate. There are minimal bronchiectasis in the consolidation. 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.
Left lung upper lobe central consolidated nodular infiltration surrounded by ground glass and minimal bronchiectasis within the infiltration are primarily possible in terms of Covid pneumonia. Post-treatment follow-up examination is recommended for clinical laboratory correlation and differential diagnosis.
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train_17209_b_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal main vascular structures have not been optimally evaluated due to the absence of IV contrast in the cardiac examination, and the calibration of the mediastinal vascular structures and the heart contour size are normal as far as can be observed. Pericardial, pleural effusion was not detected. Trachea and both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. No active infiltration or mass lesion was detected in both lungs. In the upper abdomen sections within the image, no pathology was observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures in the study area.
null
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train_17210_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 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; Segmentary-subsegmentary tubular bronchiectasis was observed in both lungs. In both lungs, the most prominent emphysema areas were observed in the right lung lower lobe superior segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be observed in the examination performed without contrast, 164 mm was measured in the long axis of the liver and it increased. Parenchymal density decreased in line with hepatosteatosis. Spleen, pancreas, right adrenal gland are normal. A thickening and 2.5x1.5 cm adenoma was observed in the left adrenal gland. No stones were observed in both kidneys within the sections. Degenerative changes were observed in the bone structures in the study area.
Segmentary-subsegmental tubular bronchiectasis in both lungs . Emphysematous changes in both lungs . Hepatomegaly, hepatosteatosis . Thickening and adenoma in the left adrenal gland . Degenerative changes in bone structures
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train_17211_a_1.nii.gz
Weakness, dizziness.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Heart valve replacement material is available. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Atherosclerotic changes are present. Large hiatal hernia is observed. Most of the stomach was found in hernia. Anasarka available. Small lymph nodes are observed in the mediastinum. In both supraclavicular regions, more prominent on the left, there are more than one conglomerate lymph nodes extending posteriorly along the clavicle, measuring up to 35 mm in size, and measuring up to 42x25 mm at the level of the sternoclavicular junction on the left side. Clinical and laboratory correlation is recommended for lymphoproliferative disease. When examined in the lung parenchyma window; Patchy ground glass densities and consolidation areas are observed in the hilar region and subpleural located in the lower lobe of the left lung, at posterobasal levels and posterior to the superior segment in the lower lobe of the right lung, and in the middle lobe of the right lung. Consolidation areas are observed especially in the posterior and lateral segments and superior segment in the lower lobe of the right lung. The findings were initially evaluated in favor of the infectious process. Clinical-laboratory correlation and follow-up are recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse density reduction and degenerative changes are observed in bone structures.
There is a hiatal hernia. Heart valve replacement material. Atherosclerotic changes. Small lymph nodes in the mediastinum. Multiple conglomerate lymph nodes measuring up to 35 mm in size, measuring up to 42x25 mm at the level of the sternoclavicular junction on the left side, which also extend posteriorly along the clavicle, more prominently on the left in both supraclavicular regions; Clinical and laboratory correlation is recommended for lymphoproliferative disease. Diffuse density reduction, degenerative changes in bone structures.
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train_17211_b_1.nii.gz
B-cell lymphoma.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No occlusive pathology was observed in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. Calibration of other mediastinal vascular structures is natural. The heart is larger than normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Metallic surgical material secondary to valvuloplasty was observed in the aortic root. Within the sections, there is multiple lymphadenopathy, which tends to merge with each other in the left lower cervical vertex and left supraclavicular region. The largest lymphadenopathies were measured at 46x21 mm. Lymphadenopathy with dimensions of 18x12 mm was observed in the right supraclavicular region. Small lymph nodes of 16x8 mm in size were observed in the mediastinal and bilateral hilar right lower paratracheal region. Mixed type hiatal hernia was observed at the lower end of the esophagus, and most of the stomach was displaced towards the thorax. When examined in the lung parenchyma window; Pleural effusion measuring 22 mm in the deepest part on the right and 19 mm in the deepest part on the left was observed between the pleural leaves in both hemithorax. The areas of focal consolidation observed in the previous examination were found to be significantly regressed in the current examination. Band-linear atelectatic changes were observed in the posterior segments of the upper lobes of both lungs, the middle lobe of the right lung, and the basal segments of the lower lobes of both lungs. No mass lesion with distinguishable borders was detected in the lung parenchyma. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The spleen is full. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications are observed in the abdominal aorta. An ileocolic anastomosis line was observed in the right upper quadrant. Lymphadenopathies, the largest of which were 10x9 mm in size, were observed in the paraaortic area and the right retrocrural region within the sections. A Schmorl nodule, which also causes height loss, was observed in the T11 vertebra superior end plate. A mild trabecular appearance secondary to osteoporosis was observed in the thoracolumbar vertebrae within the sections.
Fusiform aneurysmatic dilatation in the ascending aorta, atherosclerotic wall calcifications in the thoracoabdominal aorta and coronary arteries Left inferior cervical, bilateral supraclavicular (more common on the left), right retrocrural and paraaortic lymphadenopathies; no significant difference was observed in their size. Mixed hiatal hernia. Atelectatic changes in both lungs. Splenomegaly.
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train_17212_a_1.nii.gz
Chest pain, heavy smoker
Before IVKM was given, sections were taken in the axial plan and reconstruction was performed at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening are observed in the central parts of both lungs. There are minimal emphysematous changes in both lungs. Minimal pleuroparenchymal sequelae changes are observed in both lung apex. A millimetric calcific nodule is observed in the lower lobe of the right lung. 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. No pleural or pericardial effusion was detected. The ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal. The diameters of the aortic arch and descending aorta are normal. Pulmonary artery diameters are normal. There are atheromatous plaques in the coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There is no pleural or pericardial effusion. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were observed. As far as it can be observed within the limits of unenhanced CT, there is no mass with distinguishable borders in the upper abdominal organs within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open.
Minimal emphysematous changes in both lungs . Millimetric calcific nodule in the right lung . Minimal fusiform aneurysmatic dilatation in the ascending aorta . Atherosclerotic changes in the coronary arteries
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train_17212_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 normal. Calibration of aortic arch in mediastinum is 33 mm. The ascending aorta calibration is 41 mm. It is observed wider than normal. Calibration of other major mediastinal vascular structures is natural. In the thyroid gland, hypoechoic nodules are observed in the parenchyma in both lobes. There are milimetric lymph nodes in the mediastinum. Calcific atheroma plaques are observed in the coronary arteries. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Calibration of the trachea and main bronchi is normal. Lumens are clear. There is a nodular appearance consistent with possible mucus impaction extending from the tracheal bifurcation level to the left main bronchus. However, similar nodular soft tissue appearances are observed in the distal part of the trachea in the old CT, and the same level of significant finding was not found in the current examination. Both hemithorax are symmetrical. There are mild sequelae changes bilaterally at the apical level. Emphysematous subtle changes are observed in the lower zones of both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the sections passing through the upper abdomen, a density compatible with 2 mm diameter calculus is observed in the middle part of the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Mild aneurysmatic dilatations, atherosclerotic changes in the ascending aorta in the arcus aorta . Mild emphysematous changes . Left nephrolithiasis
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train_17212_c_1.nii.gz
Chest pain, COPD.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 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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0
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0
0
0
0
0
0
0
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train_17213_a_1.nii.gz
covid?
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
No lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance. No lymph node in pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; In both lungs, atypical pneumonic infiltrates are observed in the upper lobes, more prominent and in the form of ground glass opacity accompanied by septal thickenings. Radiological findings were evaluated as compatible with covid pneumonia. There are many millimetric nonspecific nodules measuring 5 mm in diameter, based on the pleura, in the right lung lower lobe posterobasal segment, in the right lung middle lobe, and in the left lung lower and upper lobe, the largest of which is in the left lung upper lobe posterior segment. When the upper abdominal organs included in the sections were evaluated; gallbladder is operated. Siliding type mild hiatal hernia is present. No lytic-destructive lesion was detected in bone structures.
Areas of atypical pneumonic infiltration in both lungs. Radiological findings are consistent with Covid pneumonia. Nonspecific millimetric nodules in both lungs.
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1
train_17214_a_1.nii.gz
Covid pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A 4 mm nonspecific nodule is observed in the posterobasal segment 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
There was no finding in favor of pneumonic infiltration in both lung parenchyma, and a millimetric nonspecific nodule in the posterobasal segment of the lower lobe of the right lung.
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0
0
0
0
0
0
1
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0
train_17215_a_1.nii.gz
not specified
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. No pneumonic infiltration or consolidation area was observed in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Examination within normal limits.
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train_17216_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; 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. The gallbladder was not observed (operated). Mild degenerative changes were observed in the bone structure in the examination area.
There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma. Cholecystectomized Minimal degenerative changes in bone structure
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train_17217_a_1.nii.gz
resentment that started yesterday
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located round shaped ground glass areas are observed in both lungs. There is also minimal expansion of the vascular structures within the described ground glass areas. Although the described manifestations are not specific, they were primarily evaluated in favor of viral pneumonia. These findings can be observed in Covid-19 pneumonia. No mass 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 anterior-posterior diameter of the ascending aorta is 41 mm and wider than normal. The diameters of the aortic arch and descending aorta are normal. There are atheromatous plaques in the left anterior descending coronal artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Findings evaluated primarily in favor of viral pneumonia in both lungs.
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train_17218_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. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lungs. No pleural effusion was 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_17219_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; Millimetric nodules, some of which do not exceed 5 mm in size, were observed in bilateral lungs. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. The size of the spleen entering the cross-sectional area was 164 mm. 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.
Millimetric nonspecific nodules in the lungs. Splenomegaly.
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train_17220_a_1.nii.gz
Operated ovarian ca-febrile neutropenia, cough, sputum, CRP elevation
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Metallic sutures secondary to surgery were observed in the sternum. No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; 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; Patchy-nodular consolidation areas with ground glass halos around the peribronchovascular interstitium were observed in the superior segments of the right lung upper lobe and both lung lower lobes. It is a new finding in the current review. The identified findings were evaluated in favor of viral pneumonias, especially Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Compressive atelectasis were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. In the lower lobe basal segments of both lungs, more pronounced band-passive atelectatic changes were observed on the right. Minimal emphysema was observed in the upper lobes of both lungs. No mass lesion with distinguishable borders was detected in the lung parenchyma. Sequelae thickening was observed in the posterior costal pleura in both hemithoraces. Bilateral pleural effusion was not detected. As far as can be seen within the sections; Gall bladder and spleen were not observed secondary to the operation. The effusion observed in the perihepatic area and sac lodge in the spleen lodge in the previous examination is almost completely resorbed in the current examination. Secondary to omentectomy, colon and small intestine loops appear as adhesions to the anterior abdominal wall. Thickening was observed in both adrenal glands. It is stable. A cortical cyst of 3 cm in diameter was observed in the lower pole of the left kidney. A lobulated contoured collection of 39x15 mm was observed adjacent to the falciform ligament in the left lobe of the liver. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Operated ovarian ca, elevated CRP in the follow-up Consolidations evaluated in favor of viral pneumonias, especially Covid-19 pneumonia, in the right lung upper lobe and superior segments of both lung lower lobes; new to current review. Partially regressed atelectatic changes in both lungs Sequelae thickening of posterior costal pleura in both hemithorax; The pleural effusion observed in the previous examination is almost completely resorbed. Other findings are stable.
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train_17221_a_1.nii.gz
clouding of consciousness
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In the supraclavicular fossa, no lymph node was observed in the axilla in pathological size and appearance. There are nonspecific mediastinal lymph nodes located in the upper paratracheal, bilateral lower paratracheal and subcarinal lymph nodes. Heart size increased. Pericardial effusion was not detected. There are calcific atheroma plaques in the coronary arteries. No pathological increase in diameter and wall thickness was observed in the esophagus. There is a pleural effusion with a diameter of 4 cm on the right and 2 cm on the left between both pleural leaves. When examined in the lung parenchyma window; Bronchial wall thickness increases are observed in segment bronchi in both lungs. There are parenchymal attenuation differences. Shooting was done in expiration. Hyperdense areas were thought to belong to collapsed parenchyma areas. In case of clinical necessity, it will be appropriate to repeat the extraction in deep inspiration. No mass or nodular space-occupying lesion, infiltrative involvement or consolidation area was observed in the lung parenchyma. No loculated or free fluid was observed in the upper abdominal sections. There is a sliding type hiatal hernia. No lytic-destructive lesion was detected in bone structures. Osteoporosis is present. The appearance of previous rib fractures is observed.
Bilateral pleural effusion . There are areas of ground glass density in both lung parenchyma, and it was thought that it may belong to the collapsed parenchyma secondary to the expiration of the extraction. In case of clinical necessity, it will be appropriate to repeat the examination in deep inspiration. Increased heart size, bilateral pericardial effusion, calcified atheroma plaques in the coronary arteries
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train_17222_a_1.nii.gz
Renal urothelial carcinoma
Non-contrast sections were taken and reconstruction was performed at the workstation.
Pleural effusion is observed on the left. The pleural effusion is locally loculated and extends through the fissure. The effusion measured approximately 50 mm at its thickest point. No pleural effusion was detected on the right. Atelectasis is observed adjacent to the effusion in the lower lobe of the left lung. In addition, atelectasis are observed in the left lung upper lobe lingular segment and in the right lung upper, middle and lower lobes. Emphysematous changes are observed in both lungs. There are nodules in both lungs, the largest of which is in the upper lobe of the left lung and measuring approximately 6 mm in diameter. It was thought that the appearances described in the presence of primary disease might be metastasis. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material cannot be given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. There is no pericardial thickening. Diffuse atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. Lymphadenopathies are observed in the left supraclavicular and infraclavicular areas and in the prevascular region. The largest of the described lymphadenopathies is observed in the prevascular region and its short diameter is 20 mm. No pathologically enlarged lymph nodes were detected in the paratracheal, subcarinal and hilar regions. There are lymph nodes in the left axilla and retropectoral region, some of which are short in diameter exceeding 1 cm, but the hilum can be observed. There is no pathological wall thickness increase in the esophagus within the sections. There is minimal intra-abdominal free fluid. No intra-abdominal collection was detected within the sections. Numerous lymphadenopathies with indistinguishable borders are observed in the portal hilus and adjacent to the head of the pancreas, in the paraaortic, interaorthocaval and paracaval regions, and in the retrocaval region. Although no clear interpretation can be made about the size of lymphadenopathies since no contrast agent was given, the largest of them is observed in the paraaortic area at the level of the renal hilum and its short diameter is approximately 15 mm. There is a stent extending to the duodenum within the bile ducts. In addition, bilateral double J stents are observed. Pleural drainage catheter is seen on the right. On the left side, at the level of the upper pole of the left kidney, the appearance of the catheter is observed in the subcutaneous adipose tissue, and it was understood that the described appearance was a displaced nephrostomy catheter. Lytic bone lesion is observed in the right half of the T6 vertebra corpus and it was evaluated in favor of metastasis in the presence of primary disease. Apart from this, the appearance that can be evaluated in favor of metastasis in the bone structures within the sections was not detected in this examination.
Urothelial carcinoma of the right kidney, lymphadenopathies in the supra and infraclavicular regions and in the mediastinum and abdomen in the follow-up, lytic bone lesion evaluated in favor of metastasis in the T6 vertebral corpus, nodules in both lungs (metastases?), loculated pleural effusion on the left, . Minimal pericardial e Atherosclerotic changes in the aorta and coronary arteries .Some atelectasis in both lungs. Emphysematous changes in both lungs
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train_17223_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. 4The mediastinum could not be evaluated optimally in the examination performed without contrast. 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; Pleuroparachymal sequela fibroatelectatic changes were observed in the left lung upper lobe inferior lingular segment and left lung lower lobe laterobasal segment. Mass lesion with distinguishable borders - active infiltration 45 in both lungs was not detected. 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. Facing scoliosis was observed at the thoracic level. Partial congenital fusion defect is observed in the right 3 and 4 ribs. Vertebral corpus heights are preserved.
Pleuroparenchymal sequela fibroatelectatic changes in the left lung upper lobe inferior lingular and lower lobe laterobasal segments. No finding in favor of pneumonia-mass was detected in the lung parenchyma. Partial congenital fusion defect in the right 3 and 4 ribs.
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train_17224_a_1.nii.gz
covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node in pathological size and appearance was observed in the supraclavicular fossa, axilla and mediastinum. The heart size compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal main vascular structures were followed naturally. Esophageal calibration was followed naturally. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. There is a millimetric nodular focal fissure thickness increase in the fissure in the superior segment of the lower lobe of the left lung. No feature was detected in the sections passing through the upper abdomen. No lytic-destructive lesion was detected in the bone structures included in the study area.
Pneumonic infiltration was not observed in the lung parenchyma.
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train_17225_a_1.nii.gz
Cough, fever, phlegm
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 the central part of the upper lobe of the right lung, there is a slightly irregularly circumscribed nodule measuring approximately 14x17 mm, adjacent to the upper lobe bronchus. It is recommended that the patient be evaluated together with previous examinations and tissue diagnosis, if any. Apart from this, there are other millimetric nonspecific nodules in both lungs. There are emphysematous changes and occasional atelectasis in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. No pleural effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. Lymph nodes are observed in prevascular, paratracheal, subcarinal and both hilar regions. The largest of these lymph nodes is observed in the subcarinal area and its short diameter is 11 mm. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. In the bone structures within the sections, low density compatible with osteopenia is observed. In addition, sclerotic bone lesions are occasionally observed in the vertebral corpuscles. The appearance of these lesions is not specific.
Nodule with irregular borders in the central part of the upper lobe of the right lung Millimetric nodules in both lungs Atelectasis in both lungs Minimal pericardial effusion Atherosclerotic changes in the aorta and coronary arteries Mediastinal and hilar lymph nodes
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train_17226_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. Sequelae changes are observed in the inferior lingular segment of the left lung. There is hepatosteatosis in sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures.
Sequelae changes and hepatosteatosis in the inferior lingular segment of the left lung
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train_17227_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There are millimetric calcific atheroma plaques in the thoracic aorta. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No pathological lymph nodes were observed in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild mosaic pattern attenuations are observed in both lungs, especially in the lower lobe basal parts. In the upper lobe of the left lung, there are findings consistent with a 10 mm bulla in serial 2 image 112 and image 188. In the right lung middle lobe, series 2 image 190, series 2 image 206 in the perihilar area, and series 2 image 106 in the superior lateral area of the right lung upper lobe, several nodules up to 6 mm in size are observed. 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 included in the study partially and evaluated as suboptimal. Diffuse density reduction is observed in the bone structures in the examination area, and hypertrophic osteophytic taperings are observed in the anterior end plates of the dorsal vertebral corpuscles.
Mild mosaic pattern attenuation in both lungs, especially in the lower lobe basal segments, clinical laboratory correlation is recommended in terms of small airway disease. Series 2 images 190 in the perihilar area of the right lung middle lobe, series 2 images 206 in the right lung upper lobe, series 2 images in the superior lateral right lung upper lobe A few nodules measuring up to 6 mm in size in 106. A few small bullae in the upper lobe of the left lung.
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train_17228_a_1.nii.gz
Asthma, bronchiectasis ?, ABPA?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. 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 were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Segmentary-subsegmentary tubular bronchiectasis was observed in both lungs. Pleuraparenchymal sequelae density increases were observed in both lung apical segments. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Liver, spleen and pancreas are normal as far as can be seen on non-contrast images. No calculus was observed in both kidneys within the sections. Both adrenal glands are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Segmentary-subsegmental tubular bronchiectasis in both lungs.
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train_17229_a_1.nii.gz
covid
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymphadenopathy was detected in the mediastinal area in pathological size and appearance. There was no lymphadenopathy in pathological size and appearance in both axillae. Subcutaneous fatty tissues have a natural appearance. When examined in the lung parenchyma window; Linear atelectasis is observed in the lingular segment of the left lung. In the upper abdominal organs included in the sections, liver density decreased, consistent with hepatosteatosis. No mass was observed in either adrenal gland. No fractures, lytic or sclerotic lesions were detected in the bone structures included in the study area.
Linear atelectasis in the linguistic segment Hepatosteatosis
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train_17230_a_1.nii.gz
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 millimetric nonspecific nodules in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. 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. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Millimetric nodules in both lungs.
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train_17231_a_1.nii.gz
not given
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 nodules in both lungs. The largest of the described nodules are observed in the right lung lower lobe superior segment and are approximately 7x5 mm in size. 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.
Millimetric nodules in both lungs
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train_17232_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
A catheter extending from the right internal jugular vein to the right atrium was observed. The dimensions of the right thyroid lobe increased and multiple millimetric hypodense nodules were observed in the parenchyma. US control is recommended. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: the anterior posterior diameter of the ascending aorta was 38 mm, and it was observed wider than normal. Heart size increased. Minimal effusion was observed in the pericardial space. 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; A slightly more prominent smear-like effusion was observed on the right in the bilateral pleural space. Both lungs are emphysematous. In the upper lobe of the right lung, some irregular nodular consolidation areas were observed in the peripheral subpleural areas. The outlook is not typical for Covid-19 pneumonia. However, Covid-19 pneumonia and other viral pneumonias and atypical pneumonia agents were considered in the differential diagnosis due to the pandemic. It is recommended to be evaluated together with clinical and laboratory. Atelectatic changes were observed in right lung middle lobe medial, left lung inferior lingular 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; liver, spleen, right adrenal gland are normal. Diffuse thickening was observed in the left adrenal gland. Both kidneys are atrophic. Diffuse density increases consistent with edema and inflammation were observed in all subcutaneous and mesenteric fatty planes within the sections. A lipoma of approximately 45x15 mm was observed in the deep subcutaneous fatty tissue between the right 7th and 8th ribs in the right inframammary area. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Increase in right thyroid lobe size, hypodense nodules; US control is recommended. Aneurysmatic dilatation in the ascending aorta, cardiomegaly, smearing pericardial effusion . Hiatal hernia . Emphysematous changes in both lungs . Partially nodular consolidations with irregular borders in the upper lobe of the right lung; appearance Covid-19 pneumoniae. However, due to the pandemic, Covid-19 pneumonia, other viral pneumonias and atypical pneumonia agents were considered in the differential diagnosis. It is recommended to be evaluated together with the clinic and laboratory. Atelectatic changes in both lungs, bilateral smearing pleural effusion . Bilateral atrophic kidney . Left Diffuse hyperplasia of the adrenal gland . Lipoma on the anterior chest wall in the right inframammarian area
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train_17233_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. When examined in the lung parenchyma window; A subpleural 5 mm diameter nodule is observed in the left lung lower lobe laterobasal segment. No obvious pneumonia appearance was detected in both lungs. No pleural effusion or pneumothorax was observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
No finding compatible with pneumonia was detected.
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train_17234_a_1.nii.gz
A case with follow-up due to breast Ca. Known to have trachea and esophageal stenosis, respiratory failure.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
An infiltrative soft tissue mass is observed at the level of the auricle and posterior to the left temporalis muscle and in the posterior part of the left temporal bone on the scalp, extending under the skin along the left mastoid type to the paravertebral area, at the level 5 localization on the neck and at the left level 4, which is continuous in the paravertebral area, continuing up to the supraclavicular localization. It infiltrates the left parotid gland. It is accompanied by lymph nodes in level 2 localization on the left. There are pathological lymph nodes at level 5 and level 4 localization in the right cervical chain. Right supraclavicular and right axillary pathological lymph nodes are observed. Metastasis in the case with a primary? Histopathological diagnosis will be appropriate. The tracheal air column is clearly narrow at the level of the cricoid cartilage at the infraglottic level. The passage is markedly narrowed. An infiltrating soft tissue lesion in the neck exerts left lateral pressure on the trachea. The pharyngeal air column could not be selected due to the compression of the soft tissue lesion in places. The air column is open 4 cm proximal to the hull and the hull. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. In the evaluation of the lung parenchyma, there is an increase in bronchial wall thickness in segment bronchi. Aeration differences are observed in both lung parenchyma. There are areas of atelectasis secondary to segmental collapse in the lower lobe segments. A mass or nodular lesion in the lung parenchyma was not observed in this examination. The presence of millimetric masses in atelectasis parenchymal areas cannot be excluded. It is left hemidiaphragmatic paralysis and elevation. It is secondary to possible phrenic nerve compression of the mass lesion infiltrating the neck spaces on the left. No space-occupying lesions in lytic-sclerotic structure were detected in bone structures.
Right supraclavicular and axillary pathological lymph nodes. Infiltrative soft tissue mass infiltrating the left parotid gland, in the left auricle deep and posteriorly, in the inferior neighborhood of the left mastoid cells, in the left paravertebral space, in the visceral space. The larynx and distal pharynx constrict the air column. Left supraclavicular soft tissue mass. Pathological LAPs at left levels 2,3,4 and 5. The left diaphragm is elevated secondary to phrenic nerve paralysis. Atelectatic changes in the lung parenchyma
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train_17235_a_1.nii.gz
Unspecified. Esophageal reflux.
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are multiple small lymph nodes in the mediastinum with a short axis measuring up to 11 mm in the carina. When examined in the lung parenchyma window; There are effusions measuring up to 27 mm in thickness on the left and 17 mm in thickness on the right in both lungs. There are honeycomb appearances, clarification in interstitial signs and atelectatic changes, which are more prominent in the lower lobes of both lungs. Clinical laboratory correlation monitoring is recommended for the onset of interstitial fibrosis. A few millimetric nonspecific nodules are observed in both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. There is diffuse density reduction in bone structures. Hypertrophic osteophytic taperings and decreases in density are observed in the anteriors of the vertebral corpus endplates.
If there are findings compatible with interstitial fibrosis, it is recommended to compare with previous examinations. Multiple small lymph nodes in the mediastinum, especially more prominent in the carina. Bilateral effusions extending to minor fissures. Atherosclerotic changes Osteopenic appearance, degenerative changes in bone structures. Several millimetric nonspecific nodules in both lungs.
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