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_3679_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the posterobasal segment of the lower lobe of the right lung, there is a linear increase in density in the form of pleural thickening, band atelectasis. The lower lobe extends into the superior segment. There is an appearance compatible with band atelectasis or sequelae changes at the central level in the right lung lower lobe superior segment. Sequelae changes are observed in the upper lobe of the left lung. It extends into the lingular segment. Sequelae changes are also observed at the basal level. There was no sign of significant pneumonia, pleural effusion or pneumothorax. In the sections passing through the upper abdomen, there is prominence in the intrahepatic bile ducts in the liver. Two metallic-looking densities are observed at the level of the ampula vateri-in the duedonum. The choledochal appearance is dilated. Mild degenerative changes are observed in the bone structure entering the examination area.
No finding in favor of pneumonia. Dilatation of intrahepatic bile ducts, dilatation of common bile duct
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train_3680_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 detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Passive atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial and left lung inferior lingular segment. A fibroticatelectasis change was observed in the anterior segment of the upper lobe of the right lung, causing slight recession in the fissure. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen in the sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structure in the examination area.
Locally atherosclerotic wall calcifications in the aortic arch and coronary arteries. Pleuroparenchymal fibrotic sequelae changes in both lungs.
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1
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train_3681_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; pleuroparenchymal sequelae density increases were observed in both lungs apical. Crystalluria-microcalculus was observed in the middle zone of the right kidney in the upper abdominal sections that entered the study area. Fracture sequelae were observed in the posterior left third rib in bone structures.
Minimal sequelae changes in both lungs. Fracture sequela changes in the left third rib posterior.
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1
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train_3682_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; Sequelae changes were observed in both lungs apical. 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.
Sequelae changes in both lungs.
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train_3683_a_1.nii.gz
Lung ca, COPD?
Non-contrast sections were taken in the axial plane and reconstruction was performed at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology is observed in the trachea and both main bronchi. A honeycomb appearance is observed in the peripheral subpleural areas of the lower lobe of the right lung. A similar appearance is also present in a small area in the left lung lower lobe laterobasal segment. It may belong to interstitial lung disease or sequelae change. It is recommended to be evaluated together with previous examinations, if any. There are linear atelectasis in the left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. Minimal emphysematous changes are observed in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 50 mm and wider than normal. The diameters of the right and left pulmonary arteries are also larger than normal. There are millimetric lymph nodes in the mediastinum and hilar regions. There are no pathologically enlarged lymph nodes. 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. There are millimetric stones in the gallbladder. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of non-enhanced CT. There are no lytic-destructive lesions in the bone structures within the sections.
Honeycomb appearance in the lower lobes of both lungs, more prominent on the right . Millimetric nodules in both lungs . Minimal emphysematous changes in both lungs . Linear atelectasis in the lingular segment in the upper lobe of the left lung . Atheroslerotic changes in the aorta and coronary arteries . Increase in pulmonary artery diameters . Cholelithiasis
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train_3684_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is within normal limits. Pericardial effusion-thickening is present. Calibration of the aortic arch and other mediastinal major vascular structures are natural. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathological size and configuration lymph nodes are observed at the level that can be observed in the mediastinum. At the left hilar level, no pathologically sized and configured lymph nodes are observed. It was learned from previous examinations that he was being followed up due to lung Ca, in the paramediastinum area in the anterior segment of the right lung upper lobe, in the non-contrast examination, its dimensions, internal structure and neighborhood relations could not be clearly evaluated. It showed an increase in size of approximately 10% on the long axis. Heterogeneity is observed within the defined consolidated area, and millimetric densities belonging to a possible part of bronchial calcification are observed in places, and there is a more hypodense appearance in the center, which is considered to be compatible with necrotic areas, but it cannot be evaluated how much of it may be due to postobstructive atelectasis. The defined lesion extends to the supradiaphragmatic area and mild effusion is observed at this level. In the current examination, there are also consolidation areas at the levels extending from the central to the posterior in the upper lobe and an increase in the ground glass-like densities around it. In the patient, there is a pleural effusion with a thickness of 31 mm (15 mm in the previous examination) in the right lung and it extends to the apex. There is mild compressive atelectasis in the right lung adjacent to it. It is not clearly observed in his previous review. No significant pleural effusion was detected in the left lung. Both lungs show a decrease in density consistent with emphysema. Focal consolidation area is observed in the right lung upper lobe posterior segment paramediastinal area and is also present in the previous examination. In the middle lobe of the right lung, thickening and focal consolidation in the peribronchial scars are observed. At the apical level, thickening and focal consolidation are observed. Sequelae changes are observed in the left lung at the apical level. There is a baseline cystic bronchiectasis appearance in the left lung. In the sections passing through the upper abdomen, there is a faintly circumscribed hypodense lesion in the posterior segment of the right lobe of the liver. No significant difference was found in the rough evaluation. A solid mass lesion with milimetric calcifications with heterogeneous microstructure borders and indistinguishable from the vena cava is observed in the right adrenal. There is also a smaller nodular appearance in the left adrenal genus. Degenerative changes in the bone structure and heterogeneous internal lesions compatible with metastasis are observed. There is a pathological fracture in the T2 vertebra that causes about 80% loss of height. Anterior angulation is observed in the anterior vertebral column at this level.
As far as can be evaluated; In the upper lobe of the right lung, there is a stable-looking consolidated area in the paramediastinum area. It is not clear how much of the consolidated area is a mass lesion. There are also consolidated areas, including air bronchograms, in the upper lobe and lower lobe superior segments of the right lung. According to his previous review, there is mild progression. The appearance of cystic bronchiectasis at the mediobasal level of the lower lobe of the left lung. A roughly stable-appearing hypodense lesion in the liver. Probable metastatic mass lesion with heterogeneous internal structure in the right adrenal. Diffuse metastatic lesions in the bone structure and pathological fracture in the D2 vertebra that caused approximately 80% loss of height.
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train_3684_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; A mass lesion measuring 80x77 mm is observed at the level of the right lung hilum, extending to the middle and upper lobes, completely erasing the fatty planes between the anterior chest wall and the anterior chest wall, and in the pericardiac area, the borders of which cannot be distinguished from each other. Due to the infiltrative character of the lesion, it could not be clearly differentiated from the existing normal lung parenchyma. The size of the lesion described in the previous examination is 73x52 mm, and the area of consolidation in this area has increased in the current examination. Consolidation area is observed in the right lung lower lobe superior segment. In the right lung, effusion reaching 6 cm in thickness at its widest point and accompanying compression atelectasis is observed. In the previous examination of the patient, it was observed that the amount of effusion in this area was approximately 3 cm thick and increased. The liver lesion described in the previous examination is not included in the imaging field in the current examination. A mass lesion is observed in the right adrenal gland and there are coarse calcifications in it. In the previous examination of the patient, the thickness was measured as 37 mm in the widest part of this area. In the vertebrae included in the examination, sclerotic lesion areas that may be compatible with metastasis are observed, and there are similar appearances in the previous examination of the patient. There is an appearance compatible with compression fracture in the T2 vertebra and an increase in kyphosis in this area.
An increase in the amount of consolidation area extending to the anterior chest wall and percardiac area is observed in the perihilar area of the right lung.
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train_3684_c_1.nii.gz
Lung Ca.
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Pleural effusion is observed on the right. The right lung is completely atelectatic except for a small area in the upper lobe. Due to the absence of contrast material and the presence of atelectasis, the patient's primary mass limits cannot be clearly distinguished. Secretion and/or filling defects that may belong to the mass are observed in the right main bronchus and upper-middle and lower lobe bronchi. A hypodense area is observed at the medial level of the upper lobe of the right lung, which is more hypodense than the atelectatic lung parenchyma and whose borders cannot be distinguished from the heart and mediastinal structure. The described area was considered to be the primary mass of the patient. The longest diameter of this area was approximately 90 mm at its widest point (56 mm in the previous examination). The heart and mediastinal structures are observed to be displaced to the left. There is minimal pericardial effusion. The widths of the mediastinal main vascular structures are normal. A port chamber is observed in the subcutaneous adipose tissue in the right hemithorax. The port catheter terminates distal to the left brachiocephalic vein. Mediastinal and hilar regions cannot be evaluated clearly because contrast material is not given. However, as far as can be observed, no enlarged lymph node in pathological dimensions was detected. There is no pathological wall thickness increase in the esophagus within the sections. No pleural effusion was detected on the left. Trachea and left main bronchus are open. Occasionally, atelectasis is observed in the left lung. In addition, bronchiectasis and volume loss are observed in the lower lobe of the left lung, especially in the mediobasal segment. No mass or infiltrative lesion was detected in the left lung. In the left lung, there are nodules measuring approximately 9 mm in diameter, the largest of which is in the superior segment of the lower lobe. The described nodules were evaluated primarily in favor of metastasis in the presence of primary disease. These metastatic lesions were not observed in the patient's previous examination. A mass measuring 85 mm in its longest diameter at its widest point and evaluated primarily in favor of metastasis in the presence of primary disease was observed in the right adrenal lodge. Apart from the mass, no adrenal gland was detected. The mass borders cannot be distinguished from the posterior segment of the right lobe of the liver. There are hypodense lesions in segments 7 and 8 of the liver. Two of these lesions were absent in the previous examination of the patient and the lesion in segment 8 was enlarged. Therefore, these lesions were understood to be metastases. The largest of the described metastatic lesions are observed in segment 7 and segment 8, and their longest diameters were 45 mm and 26 mm, respectively. No upper abdominal free fluid was detected in the sections. Metastatic sclerotic bone lesions are observed in the bone structures within the sections. There is no significant difference in the described lesions. No soft tissue component was detected accompanying the lesions. Height loss is observed in the T2 vertebral corpus, especially in the anterior part. The height loss is almost complete in the anterior central part. There is an increase in kyphosis in this localization. There are newly emerging malignant pathologies in this examination. An increase in the size of previous lesions was also observed. The findings were evaluated in favor of progression if the patient was receiving cytotoxic chemotherapy.
Lung Ca, mass in the medial right lung upper lobe whose borders cannot be distinguished from the heart and mediastinal structures, almost complete atelectasis in the right lung, nodules evaluated in favor of metastases in the left lung, liver metastases, metastases in the right adrenal gland, pleural effusion, bone metastases in the right.
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train_3685_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. The esophagus is in normal calibration. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Inspection within normal limits
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train_3686_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. There are calcific atheromatous plaques in the coronary arteries and aorta. 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; Diffuse centrilobular emphysematous changes are observed in both lungs. Pleural effusion-thickening was not detected. Liver parenchyma has an appearance compatible with liver S. Esophageal varices are observed. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a decrease in density in the bone structures in the examination area, and there is a significant loss of height in the L1 vertebral body.
Emphysematous changes in both lung parenchyma. Appearances compatible with Liver S. Atherosclerotic changes. Esophageal varices. There is significant height loss in the L1 vertebral body.
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train_3687_a_1.nii.gz
Non-hodgkin lymphoma, COVID 19 positive.
Without IVKM, 1.5 mm thick sections were taken in the axial plan and reconstructions were made at the workstations.
Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. There are calcific atheroma plaques in the anterior descending coronary artery and aortic arch. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a diameter of 6 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the prevascular area, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is bilateral tubular bronchiectasis. There are more prominent emphysematous changes and bulla-bleb formations in the upper lobes of both lungs. There are accompanying interlobular septal thickness increases. There are diffuse ground-glass areas in both lungs, and peripherally weighted patch-like consolidation areas in the lower lobes accompanied by air bronchograms. Compatible with viral pneumonia (COVID 19 pneumonia). Sliding type hiatal hernia is observed at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Coarse calcification is observed in the left lobe of the liver. Within the sections, there is a lytic-destructive lesion in the right scapula, the borders of which cannot be clearly distinguished on non-contrast examination.
Diffuse ground-glass areas in both lungs, more prominent in the lower lobes, peripherally weighted patchy consolidations with air bronchograms; compatible with viral pneumonia. More prominent diffuse emphysematous changes in the upper lobes of both lungs, bulla-bleb formations, accompanying interlobular septal thickness increases, bilateral tubular bronlectasis. Mediastinal millimetric lymph nodes. Hiatal hernia. Calcific atheroma plaques in the aorta and anterior descending coronary artery. Lytic-destructive lesion in the right scapula.
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train_3688_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant 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. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thorax CT examination within normal limits
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train_3688_b_1.nii.gz
malaise, headache
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. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. 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 fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Findings within normal limits.
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train_3689_a_1.nii.gz
acute upper respiratory tract infection
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. The esophagus is in normal calibration. In the lung parenchyma, there is a nonspecific focal increase in fissure thickness in the major fissure of the left lung. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Focal nonspecific thickness increase in the left major fissure
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train_3690_a_1.nii.gz
not given
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The anterior-posterior diameter of the ascending aorta is 41 mm and is minimally wider than normal. Atheroma plaques are observed in the coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. There are bridging osteophytes at the vertebral corpus corners. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Millimetric nodules in both lungs. Minimal fusiform aneurysmatic dilation of the ascending aorta. Atherosclerotic changes in the coronary arteries. Thoracic spondylosis.
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train_3691_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. Effusion with an AP diameter of 23 mm is observed, which accumulates in the posterior inferior in the pericardial area. 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, several nodules are observed in both lungs, the largest of which reaches 3.5 mm in size on the right. In the upper abdominal organs, including sections; spleen size is 130 mm. 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.
Pericardial effusion. Millimetric nonspecific nodules in the lungs. Upper border spleen size.
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train_3692_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
There are breath artifacts in the study. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 42 mm. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild pleural irregularities are observed at the apical posterior level of the left lung upper lobe. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Cyst in the right lobe of the liver, 10 mm in size, in hypodense fluid attenuation? evaluated towards. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There is a diffuse density decrease in bone structures, and there are hypertrophic osteophytic taperings in the anteriors of the vertebral corpuscles and end plates. Degenerative height loss is observed in the TH8 vertebral body.
Osteopenic appearance, degenerative changes in bone structures and loss of height in the TH8 vertebral body, more prominently in the anterior.
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train_3693_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. Minimal emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a decrease in liver parenchyma density consistent with minimal adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Minimal emphysematous changes in both lungs . Minimal hepatic steatosis
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train_3694_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; Sequelae changes are observed at the apical level. A nodule with a diameter of 4 mm is observed in the laterobasal segment of the lower lobe of the left lung. There are sequela parenchymal linear density increases in the inferior lingular segment. No finding compatible with pneumonia was found. No infiltrative lesion was detected in both lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. 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_3695_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; Nodular ground glass densities are observed in the posterobasal segments of the lower lobes 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. There is an accessory spleen in the neighborhood of the spleen. 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 bilateral Covid pneumonia.
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train_3696_a_1.nii.gz
Control after liver right lobe transplantation
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. Minimal bronchiectasis, volume loss and structural distortion were observed in the anterior segment of the right lung upper lobe. There are localized linear atelectasis and minimal emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Bronchiectasis, structural distortion and volume loss in the upper lobe of the right lung. Minimal emphysematous changes in both lungs. Millimetric nodules in both lungs. Atherosclerotic changes in the aorta and coronary arteries.
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train_3697_a_1.nii.gz
covid control
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, in both axillary regions, and in the bilateral supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; In both lung parenchyma, multilobar, indistinct ground-glass density increases are observed, and viral pneumonias (Covid-19 pneumonia is considered) in the ethology of the findings. No mass lesions were detected in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image.
Findings consistent with viral pneumonia in both lungs.
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train_3698_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: Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. The diameter of the main pulmonary artery was 34 mm and it shows dilatation. The ascending aorta calibration was measured at 35 mm. It is minimally wider than normal. Calibration of other thoracic major vascular structures is natural. Heart size has increased (cardiomegaly). Pericardial thickening-effusion was not detected. There are changes in the stent material in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. Lymph nodes with a short axis smaller than 1 cm were observed in the prevascular upper-lower paratracheal area. Distinct ground-glass nonspecific density increments in the lower lobe basal segments of both lungs. It is recommended to be evaluated together with clinical-laboratory findings. Emphysematous changes were observed in both lungs. A millimetric air cyst was observed in the upper lobe of the right lung. There is an increase in band-like sequela fibrotic density in the lower lobe of the right lung. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was diffusely increased. It was evaluated in favor of hyperplasia rather than adenoma. No lytic-destructive lesion was detected in bone structures.
Cardiomegaly, dilatation of the pulmonary artery. Emphysematous changes in both lungs. Significant, faint, ground-glass nonspecific density increases in the lower lobe basal segments of both lungs. It is recommended to be evaluated together with clinical-laboratory findings. Millimetric air cyst in the right lung.
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train_3698_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. Pulmonary arteries are dilated. Other mediastinal main vascular structures are normal. Heart size slightly increased. Coronary stents are observed. There are changes in mitral and tricuspid valve surgery. Pericardial effusion-thickening was not observed. Sternotomy is available. 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; Newly developed pleural effusion and atelectasis in the lower lobes, with bilateral widest diameters of 48 mm in the network and 34 mm in the left, are observed. There is minimal emphysema in the upper lobes of the lung. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Sternotomy, valve operation changes, stents in coronary arteries, dilatation in pulmonary artery Bilateral pleural effusion and lower lobe atelectasis
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train_3699_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 evaluated in the parenchyma window of both lungs: Millimetric-sized nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
Millimetrically sized nonspecific parenchymal nodules in both lungs. No sign of pneumonia was detected.
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train_3700_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 normal. A millimetric calcific atheroma plaque is observed in the aortic arch. Lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, at the prevascular level and in the subcarinal area, with the largest measuring approximately 15x12 mm in the subcarinal area. No significant lymph nodes were detected at either hilar level. In the evaluation of both lungs in the parenchyma window; In the upper lobe of the right lung, the lower lobe in the superior segment, and in the left lung, with milder degrees, bud branch views are observed in the upper lobe, lingular segment and lower lobe superior segment (pneumonic infiltration?). It is recommended to be evaluated together with clinical and laboratory findings. There are diffusely faint but diffuse mosaic attenuation pattern-ground glass-like density increases in both lungs. The examination is sometimes suboptimal due to motion artifacts. There is a thickening of the peribronchovascular sheath in the lower lobe of the left lung, which is indistinguishable from motion artifacts. There is a mild consolidative appearance in the inferior lingular segment of the left lung. Bilateral pleural effusion was not observed. 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. Degenerative changes are observed in the bone structure. There is right-facing scoliosis in the dorsal region.
Widespread bud branch appearance in both lungs, mosaic attenuation pattern-ground glass density increases. It is recommended to evaluate for pneumonic infiltration together with clinical laboratory findings.
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train_3701_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. Pathology was not detected in the left mastectomy site. There is no lymph node in the left axilla in pathological size and appearance. No lymph node is observed in the mediastinum with a pathological appearance. Review 27. In the examination, there is a newly developed nodule with a size of 9.5 millimeters on the left lung upper lobe anterior segment pleural base. There is free fluid that is observed to have developed in the abdominal sections within the image.
Bilateral pleural effusion has increased significantly according to the previous examination there is a newly developed pleural-based nodule and newly developed intra-abdominal free fluid in the anterior segment of the left lung upper lobe. No significant changes were detected in the other findings described in the previous examination.
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train_3701_b_1.nii.gz
Metastatic breast Ca.
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. Left mastectomy. No lymph node was observed in the right axilla in pathological size and appearance. Nodularity is observed in the localization of axillary curettage in the left axilla. No lymph node was observed in the mediastinum in pathological size and appearance. Pericardial effusion was not detected. There is a pleural effusion reaching 8 cm in diameter between the right pleural leaves. Intra-abdominal fluid, which was observed in the previous examination, was not detected in the current examination. There is lobulation in the liver contour. There are pleural calcifications showing nodularity. It continues along the major fissure on the left. In the primary case, pleural and fissural nodular pattern was evaluated with high suspicion in favor of metastasis. Pneumonic infiltration was not observed in the lung parenchyma. A few millimetric nodules in the lung parenchyma are stable in size. Widespread bone metastases are observed.
Metastatic breast Ca, extensive bone metastases, pathological fractures in places. Right pleural effusion slightly increased. Multiple nodular lesions located in both lung pleura and fissures were primarily evaluated in favor of metastasis. Abdominal observed in the previous examination intramuscular fluid was not detected in the current examination. There is lobulation in the liver contour.
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train_3701_c_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Postoperative defective appearance was observed in the left breast. No lymph nodes in pathological size and appearance were detected in the supraclavicular fossa. Postoperative nodular density increases were observed in the left axilla. In the case with known primary, pleural fissure nodular pattern was evaluated as suspicious in favor of metastasis. 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. Pericardial effusion was not detected. On the left, stable minimal pleural effusion was observed according to the previous examination. When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. Atelectatic changes observed in the previous examination were observed in both lungs. Bilateral peribronchial thickenings were observed. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Stable thickening was observed in the bilateral adrenal gland. There are multiple metastases that cause extensive expansion in bone structures. It is also observed in the previous examination and no significant change is detected.
Metastatic breast Ca on follow-up. Atelectatic changes in both lungs. Stable thickening of the bilateral adrenal gland.
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train_3702_a_1.nii.gz
Not given.
Non-contrast patterns were obtained in the axial plane with a section thickness of 1.5 mm.
Irregularly circumscribed soft tissue densities are observed in bilateral retroaereolar areas, and it is recommended to be evaluated together with US in terms of gynecosmastia. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 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.
Irregularly circumscribed soft tissue densities in bilateral retroaereolar areas are recommended to be evaluated together with US in terms of gynecomastia. No finding in favor of infection was detected in the lung parenchyma.
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train_3703_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinum could not be evaluated optimally. 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 esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in the lung parenchyma. The aeration of both lung parenchyma was normal and no nodular or infiltrative lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Several millimetric nonspecific parenchymal nodules in both lungs
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train_3704_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. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 35 mm, and it is ectaic. Other vascular structures of the mediastinum are natural. Heart contour, size is 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; Minimal emphysema and millimetric parenchymal air cysts were observed in both lungs. Sequela fibrotic changes were observed in both lower lobes posterobasal of both lungs. As far as can be seen within the sections; gall bladder was not observed (operated). 30 mm diameter parapelvic located hypodense lesion (cyst?) in the left kidney. The spleen was not observed (operated). Postoperative changes were observed in the fatty planes in the operation lodge. An area of 20x18 mm thick-walled lesion with air in the central part was observed in the posterior of the stomach fundus (abscess?). An incision line was observed on the anterior abdominal wall. Osteodegenerative changes were observed in bone structures.
Ectasia in the ascending aorta. Stable millimetric parenchymal nodules, air cysts-emphysematous changes, sequela fibrotic changes in the lung parenchyma. Postop sequelae changes in cholecystectomized, splenectomized, operation site. Thick-walled lesion (abscess?) with air image in the central part of the stomach mundus posterior. Parapelvic cyst in the left kidney. Osteodegenerative changes in bone structures.
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train_3705_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The endotracheal tube ending approximately 6.2 cm proximal to the carina was observed. Free air images were observed between the paratracheal soft tissue planes on the right. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic 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 subpleural nodule was observed in the lateral segment of the right lung middle lobe. Linear atelectasis was observed in both lung lower lobe basal segments. Nonspecific density increases were observed in depandane in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. A hypodense nodular lesion with a diameter of 20 mm was observed in the upper pole posterolateral of the right kidney as far as can be observed in the sections (cyst?). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in bone structures.
Free air images on soft tissue planes in the right lateral trachea adjacent to the endotracheal tube. Millimetric nonspecific parenchymal nodule in the right lung middle lobe lateral segment. Linear atelectasis and depandant nonspecific density increases in both lung lower lobe basal segments. Hypodense lesion (cyst?) in the right kidney upper pole posterolateral. Mild degenerative changes in bone structures.
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train_3706_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. The examination of mediastinal structures was 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. Mixed 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; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
Hiatal hernia. Hepatosteatosis.
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train_3706_b_1.nii.gz
Not given.
Axial sections of 1.5 mm thickness were taken without contrast material and reconstructed at the workstation.
No pathological increase in wall thickness was observed in the thoracic esophagus. There is a mixed type hiatal hernia. Trachea, both main bronchi are open and no occlusive pathology is detected. Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. In the mediastinum, no lymph nodes in pathological size and appearance were observed in both axillary regions. In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is natural. No lytic-destructive lesion was detected in the bone structures within the image. In the upper abdominal sections within the image, there is no intra-abdominal solid mass, free fluid, loculated collection, pathological size and lymph node in appearance, as far as can be observed within the borders of non-contrast CT. Liver parenchyma density has a diffuse hypodense appearance secondary to hepatosteatosis.
Mixed hiatal hernia Hepatosteatosis.
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train_3707_a_1.nii.gz
Operated larynx ca.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. There is a nasogastric tube in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small lymph nodes that do not differ significantly in the paratracheal area are observed. No enlarged lymph nodes in prevascular or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In his current examination, which was also observed in the previous PET-CT in the superior left lung lower lobe, a faint, millimetric nodule detected in series 2 image 42 is observed. In the basal segment of the lower lobe of the left lung, more than one nodule in millimetric sizes and numbers that do not differ significantly is observed. Centrilobular paraseptal emphysematous changes are observed, mostly in the upper lobes of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Both adrenal glands are slightly thicker than normal. It does not differ significantly. There is a small hiatal hernia. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Atherosclerosis. More than one millimetric nodule in the lower lobe basal segment of both lungs, in the right middle lobe, without significant dimensional and structural differences. Emphysematous changes in both lungs.
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train_3708_a_1.nii.gz
low dose no contrast
Transverse sections of 3 mm thickness obtained without the application of IV contrast material were evaluated.
Examination is suboptimal because of motion artefacts. A venous catheter (port) was applied to the central. Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart is in natural appearance. Dilatation was observed in the descending thoracic aorta. There are calcific atheroma plaques in the main vascular structures. One Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Appearances of sequela fibrotic changes are observed in both lung apexes. Nodular density increases are observed in the right lung upper lobe posterior segment and both lung lower lobe superior segments. Clinical and laboratory evaluation will be appropriate. Due to intense motion artefacts in both lower lobe posterobasal segments of both lungs, a healthy interpretation cannot be made in terms of infiltration, except for cylindrical bronchiectasis. A re-examination may be considered. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Locally cortical atrophies were observed in both kidneys. No obvious pathology was detected in bone structures.
Dilatation of the descending thoracic aorta Atherosclerosis Nodular density increases defined in both lungs, increase in appearances on follow-up. Clinical and laboratory evaluation will be appropriate.
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train_3709_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Fibroatelectatic changes were observed in the middle lobe of the right lung. Bronchiectatic changes and bronchial thickening were observed in both lungs, which were mildly evident in the center. Focal ground glass density increases were observed in the right lung upper lobe anterior segment, lower lobe mediobasal segment, left lung lower lobe basal-anterobasal and right lung lower lobe laterobasal segment. The described appearance can be observed in Covid-19 pneumonia. However, it is not specific. Clinical and laboratory verification is recommended. Subsegmental atelectatic changes were observed in the right lung lower lobe laterobasal segment. No mass, nodule-infiltration was detected in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
Mild to mild emphysematous changes, mild bronchiectasis, and peribronchial thickenings in both lungs. Focal ground-glass density increases in the right lung upper lobe anterior segment, lower lobe mediobasal segment, left lung lower lobe basal-anterobasal, and right lung lower lobe laterobasal segment, describe The appearance can be observed in Covid-19 pneumonia. However, it is not specific. Clinical and laboratory verification is recommended. Fibroatelectatic change in the right lung
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train_3710_a_1.nii.gz
Burkitt's tumor
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be observed, the calibration of the vascular structures and the size of the heart contour are normal. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph node was detected in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration, mass or nodular lesion was detected in both lungs. In the upper abdomen sections within the image, a nodular thickness increase of 15x10 mm in the current examination and 12x9 mm in the previous PET-CT examination was observed in the corpus of the left adrenal gland. At the level of the portal hilus, there is a hypodense appearance evaluated in favor of the lymph node, whose size and appearance did not change in the comparative evaluation made with the previous PET-CT examination, which was measured as 13x9 mm in the current examination. No lytic or destructive lesions were detected in the bone structures in the study area.
No active infiltration, mass or nodular lesion was detected in both lungs. Upper abdominal sections within the image show nodular thickness increase with minimal size increase in the right adrenal gland corpus. A stable lymph node is observed at the level of the portal hilus.
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train_3710_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic 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; A focal air trapping area was observed in the mediobasal segment of the lower lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen within the sections; gall bladder was not observed (operated). A 12 mm diameter high-density nodular mass lesion was observed in the right adrenal gland corpus (fat-poor adenoma?). In case of clinical necessity, CT examination with the adrenal protocol is recommended. Minimal osteodegenerative changes were observed in bone structures.
Focal air trapping area in the right lung lower lobe mediobasal segment. There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma. Cholecystectomy. High-density nodular mass lesion in the right adrenal gland corpus (fat-poor adenoma; if clinically necessary, it is recommended to be examined with CT performed in accordance with the adrenal protocol). Minimal osteodegenerative changes in bone structures.
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train_3711_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Inspection within normal limits.
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train_3712_a_1.nii.gz
Not given.
In the axial plane, non-contrast IV images were taken with a slice thickness of 1.5 mm.
Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aortic arch and descending aorta. 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; Atelectatic changes secondary to position are observed in the left lung posterior, and small paraseptal emphysematous changes are observed in the posterobasal segment of the left lung lower lobe. A nasogastric tube is available. Upper abdominal organs are partially included in the study. A 5 mm hyperdense finding in the neck of the gallbladder was evaluated in the direction of gallstones. Calluses secondary to previous fractures are observed in the left ribs.
Paraseptal emphysematous change in the posterobasal part of the left lung and atelectasis secondary to mild position. Callusar secondary to old fractures in the ribs, mild scoliosis with aperture facing left. Atherosclerosis. Cholelithiasis.
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train_3712_b_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Suture materials secondary to surgery in the sternum are observed. Millimetric calcific atherosclerotic plaques are observed in the aortic arch and coronary arteries. The AP diameter of the ascending aorta was 4 cm, and the AP diameter of the descending aorta was 32 mm. It has an ectaic appearance. The cardiothoracic index is natural. Right upper-bilateral lower paratracheal prevascular aortapulmonary lymph nodes are observed in the mediastinum. No pathological LAP was detected in the mediastinum. In the evaluation of both lung parenchyma; There are pleuroparenchymal densities in the lower lobes of both lungs, which were not observed in the previous examination, and a mild accompanying budding tree view in the lower lobe basal segment of the left lung (Concomitant bronchiolitis?). In the previous review, the increase in intensity was mild, but became evident in the current review. In the sections passing through the upper part of the west; The gallbladder is distinctly distended. Calculus is observed in the sac. There is a PEG catheter in the stomach. Bilateral adrenal glands appear natural. No obvious pathology was detected in bone structures.
In the current examination, clinical and Lab evaluation is recommended for prominent distendue appearance and calculus in the gallbladder, and possible accompanying cholecystitis.
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train_3713_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
In the right lateral wall of the trachea, density increases that may belong to the secretion are observed. Apart from that, the trachea and main bronchi are open. Right upper-lower paratracheal, subcarinal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Calcific atherosclerotic plaques are observed in the aortic arch, ascending and descending aorta, and coronary arteries. The cardiothoracic index increased in favor of the heart. Pleural effusions reaching a thickness of 10 mm on the right and 12 mm on the left are observed in both hemithorax. In the evaluation of both lung parenchyma; Atelectasis is observed adjacent to the effusion in both lungs. There are more prominent peribronchial wall thickenings and alveolar interstitial density increases in the lower lobes of both lungs. In addition, there are ground glass appearances in the anterior and posterior segments of the upper lobe of the right lung. It was evaluated as compatible with the infective process. In addition, prominence in the secondary pulmonary lobules in both lungs was evaluated as secondary to venous congestion. Apart from these, in the middle lobe of the right lung (IMA: 89), 5.5 mm in diameter, 3 mm in diameter (IMA: 118), in the middle lobe 7 mm in diameter adjacent to the paramediastinal localization (IMA: 138), 4.5 mm in diameter in the lingular segment, subpleural, lower lobe superior Two nodules of 4.5 mm in diameter (IMA: 98, IMA: 84) and 8 mm in diameter (IMA: 80) are observed in the segment. Post-treatment control is recommended. Bilateral adrenal glands have a natural appearance in the sections passing through the upper part of the abdomen. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was observed in bone structures.
Bilateral pleural effusions . Cardiomegaly, prominence in secondary pulmonary lobules, secondary to venous stasis. Peribronchial wall thickening in the upper lobe of the right lung and in the lower lobes of both lungs, soft tissue densities that may be compatible with the alveolar interstitial infective process, and nodules in both lung parenchyma. The parenchymal findings, which may also be compatible with the described infection and venous stasis, have recently developed.
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train_3713_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Its imaging was evaluated by comparing it with the examination dated 23.2.2019. In the supraclavicular fossa, no lymph node was observed in the axilla in pathological size and appearance. Nonspecific lymph nodes with short axes less than 1 cm are observed in the mediastinum in the right upper paratracheal area and in the right lower paratracheal area. There are calcified atheroma plaques in the coronary arteries. Aortic valve calcification is observed. Heart sizes are natural. Pericardial effusion was not detected. There is a pleural effusion reaching a diameter of 4.3 cm between the leaves of the right pleura and 2.3 cm between the leaves of the left pleura. In the evaluation of lung parenchyma structures; Smooth interlobular and intralobular septal thickenings and parenchymal ground glass densities, which are more prominently observed in the upper lobes of both lungs, are observed, and prominent bilateral asymmetric involvement is observed on the right. When evaluated together with pleural effusion, the findings were evaluated as compatible with pulmonary edema. Nodular consolidations observed in the basal segments of the lower lobes of both lungs in the previous examination are regressed in the current examination and are not observed. Nodular consolidation area of 16 mm diameter is observed in the upper lobe of the right lung. There are 4-5 nodular lesions, the largest of which is 9 mm in diameter, in the lower lobe of the left lung. Exclusion of metastasis would be appropriate in the primary present case. Gross pathology draws attention in upper abdominal sections. No lytic-destructive lesions were detected in bone structures.
In the previous examination, the nodular consolidation areas in the lower lobe basal segments are regressed. Consolidation areas are occasionally observed in the upper lobes. It is recommended to be evaluated together with the clinic and laboratory in terms of infection process superposition. There are 4-5 nodular lesions in the left lung, the largest of which is 9 mm in diameter, which was also observed in the previous examination. Follow-up is recommended in the primary present case.
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train_3713_c_1.nii.gz
Basosquamous Cell CA (Ear tract) brain and lung met. Desaturated patient, PCP pneumonia? Aspiration?
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
The examination is suboptimal due to motion artifacts, as far as can be observed; Trachea and main bronchi are open. Right upper-lower paratracheal, subcarinal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Calcific atheroma plaques are observed in main vascular structures and coronary arteries. Aortic valve calcification was observed. A dilatation in favor of the left heart was observed in the cardiac cavities. Pulmonary arteries are dilated. Pleural effusion is observed in both hemithorax, reaching a thickness of 55 mm on the right and 35 mm on the left. Increased follow-up. In the evaluation of both lung parenchyma; Pacific atelectasis is observed adjacent to the effusion in both lungs. Interlobular septal thickening and acinar ground glass densities and local consolidations were observed in the middle and upper zones of both lungs. A 7 mm nodule is observed in the medial segment of the right lung middle lobe. It is stable in follow-up. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was observed in bone structures.
Bilateral pleural effusions Cardiomegaly, atherosclerosis, pulmonary arterial dilatation Interlobular septal thickening in lungs, acinar ground glass densities, consolidations, nodules
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train_3713_d_1.nii.gz
Basosquamous Cell CA (Ear tract) brain and lung met
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Right upper-lower paratracheal, subcarinal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Calcific atheroma plaques are observed in main vascular structures and coronary arteries. Aortic valve calcification was observed. A dilatation in favor of the left heart was observed in the cardiac cavities. Pulmonary arteries are dilated. Pleural effusion is observed in both hemithorax, reaching a thickness of 22 mm on the right and 11 mm on the left. Decreased follow-up. In the evaluation of both lung parenchyma; Pacific atelectasis is observed adjacent to the effusion in both lungs. Nodules with a diameter of 7 mm, 4.6 mm and 5.5 mm are observed in the middle lobe of the right lung, and 5.7 mm in diameter in the superior segment of the left lung lower lobe. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was observed in bone structures.
Bilateral pleural effusions (decreased in follow-up) Cardiomegaly, atherosclerosis, pulmonary arterial dilatation Interlobular septal thickening in lungs, acinar ground glass densities (decreased in follow-up) Consolidations in the posterior part of bilateral lower lobes (increased in follow-up) Bilateral nodules (stable)
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train_3714_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Massive pleural effusion reaching 5 cm was observed on the left. Passive atelectasis and air bronchograms are observed at the base of the left lung. Pneumonic infiltration? Minimal pleural effusion was observed on the right. A nodule with a diameter of 4 mm is observed in the medial segment of the right lung middle lobe. An effusion reaching 6 mm was observed in the thickest part of the pericardial distance, adjacent to the left ventricle. There are calcific atheromatous plaques in the anavascular structures and coronary arteries. A central venous catheter was applied. An 11 x 10 mm epiphrenic lymph node is observed on the right. Bilateral dendritic gynecomastia was observed. The gallbladder is operated. Left 5-6-7. Sclerotic lesions in the anterior parts of the ribs may belong to old fractures showing cal formation. On the left is the episternal ossicle. Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart is in natural appearance. No significant pathology was detected in the sections passing through the upper part of the abdomen.
Left massive pleural effusion Passive atelectasis and air bronchograms at the base of the left lung (Pneumonic infiltration?) Minimal pleural effusion on the right Nodule in the medial segment of the right lung middle lobe Pericardial effusion Atherosclerosis Epiphrenic lymph node Bilateral dendritic gynecomastia Left 5-6-7. old fractures in the anterior parts of the ribs?
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train_3715_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Operation materials are observed in the localization where the heart valves are located. Calcific atheroma plaques are observed in the aorta and coronary arteries. Heart size was slightly increased. Pericardial effusion was not observed. No pleural effusion was 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; Ground glass opacities are observed in both lungs, especially in the upper lobe of the left lung. The outlooks were primarily evaluated in favor of viral pneumonia. These appearances are also frequently observed findings in Covid-19 pneumonia. 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.
First of all, ground glass opacities that may be compatible with Covid-19 pneumonia. Increase in heart size.
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train_3715_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Suture materials of the operation are observed on the anterior chest wall. There is a catheter extending to the right atrium. Materials for heart valve operation are available. A drainage catheter is observed between the heart and the anterior chest wall. Air images extending to the anterior of the left lung parenchyma are observed between the heart and the anterior chest wall. It may be compatible with pneumothorax. A drainage tube extending to the lower lobe of the left lung is observed. Focal ground glass opacities are present in both lungs. These appearances may be significant for pneumonia. It is recommended to be evaluated together with clinical and examination findings. Consolidation areas containing air bronchograms are observed in the lower lobes of both lungs. Areas of consolidation in the right lung primarily suggest atelectasis. Although atelectasis is primarily considered in the consolidation areas of the left lung, pneumonia is also present in the differential diagnosis. Post-op air images are observed in the areas where the catheters are placed in the middle part of the abdomen.
Air images suspicious for pneumthorax in the left lung and a drainage tube placed in the left lung are observed. Appearances that may be compatible with pneumonic infiltration in both lungs Atelectasis in both lungs Other than that, air images and catheters in different localizations evaluated in favor of the post-op period
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train_3715_c_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea, both main bronchi are open. Heart valve replacement material is observed. 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; An appearance compatible with pneumomediastinum secondary to sternotomy is observed, and pneumothorax is observed in the left hemithorax. There are atelectatic changes in the left lung lower lobe and upper lobe inferior lingula. Air density was observed in the thorax and anterior abdominal wall. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Pneumothorax in the left hemithorax Findings consistent with pneumomediastinum. Heart valve replacement material is monitored. Skin-subcutaneous post-op changes secondary to sternotomy and air density in the anterior thoracic and abdominal wall. A small amount of effusion and air densities in the mediastinum posterior to the sternum. Atelectatic changes in the left lung lower lobe and upper lobe inferior lingula.
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train_3716_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Pericardial-pleural effusion was not detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes were observed in pathological size and appearance. In the evaluation made in the lung parenchyma window: There are areas of increased density consistent with subsegmental-linear atelectasis in the middle lobe of the right lung, and the inferior lingular segment of the left lung upper lobe. In the basal segments of the lower lobes of both lungs, density increases in millimeter-sized ground glass density with uncertain borders, which is considered primarily secondary to the dependent effect, were observed, but viral pneumonias cannot be excluded. It is recommended to evaluate and follow up with clinical and laboratory findings. No mass was detected in both lungs. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image.
Areas of increased density in the peripheral subpleural areas of the lower lobe basal segments of both lungs with indistinctly circumscribed ground glass density; Although the findings described may belong to the dependent effect, underlying viral pneumonias cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings. Areas of increased density consistent with subsegmental-linear atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe.
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train_3717_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 its lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. 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; Passive atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial and left lung upper lobe inferior lingular segment. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Liver parenchymal density is diffusely decreased, consistent with hepatosteatosis. Schmorl nodule impressions were observed in the lower cervical-upper thoracic end plates.
Hiatal hernia. Right lung middle lobe medial – paracardiac passive atelectatic changes in left lung upper lobe inferior lingular segment. Hepatosteatosis Schmorl nodule impressions on lower cervical-upper thoracic end plates.
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train_3718_a_1.nii.gz
Covid pneumonia?
Axial sections of 1.5 mm thickness were taken without contrast material and reconstructed at the workstation.
Mediastinal vascular structures and heart examination IV. it could not be evaluated optimally due to lack of contrast and as far as can be observed; Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Widespread calcified atheroma plaques are observed on the wall of coronary vascular structures. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. The left thyroid gland shows retrosternal extension and a 29x25 mm hypodense nodular lesion is observed in the lower pole. Evaluation with USG examination is recommended. In the mediastinum, there are lymph nodes with a short diameter of less than 1 cm, a fusiform configuration with a fatty hilus, and no pathological size and appearance. In addition, pathological size and appearance of lymph nodes are not observed in both axillary regions and in the supraclavicular fossa. In the examination made in the lung parenchyma window; Multilobar diffuse consolidation and ground glass density areas are observed in both lung parenchyma, more prominently in the lower lobes, and Covid-19 pneumonia is considered in the etiology of the findings. Evaluation with clinical and laboratory findings is recommended. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; Millimetric stones are observed in the lower pole of the left kidney. In the upper abdominal sections within the image, no solid mass, free fluid or loculated collection was detected as far as can be observed within the borders of uncontrasted CT. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. An increase is observed in thoracic kyphosis. There is left-facing scoliosis in the thoracic vertebral column. Osteophytic degenerative changes, which tend to merge at the vertebral corpus corners, are observed.
Calcified atheromatous plaques in the wall of coronary vascular structures. Findings consistent with viral pneumonia in both lungs. Thoracic spondylosis.
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train_3719_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. 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; patchy-nodular ground glass opacities were observed mostly in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Highly suspicious appearance in terms of Covid-19 pneumonia in both lung parenchyma; it is recommended to be evaluated together with clinical and laboratory.
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train_3720_a_1.nii.gz
Shortness of breath.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In both supraclavicular fossa and axilla, no lymph node was observed in pathological size and appearance. Heart size increased. Biventricular and left atrial diameter increase is observed. no pericardial effusion was detected. Calcified atheroma plaques are observed in LAD. Calibration of mediastinal major vascular structures is within normal limits. A pleural effusion is observed between both pleural leaves, reaching a diameter of 12 mm on the right and 16 mm on the left. In both lung parenchyma, predominantly centrally located areas of consolidation and ground glass densities, which are bilaterally symmetrically distributed, are observed. Radiological findings were evaluated in favor of pulmonary edema. A decrease in the thickness of the parenchyma of both kidneys and a large number of high-density (hemorrhagic) cysts in both kidneys are observed in the upper abdominal sections. There are wall calcifications in the aortic arch, thoracic and abdominal aorta. A rib fracture is observed in the right 9th rib. No lytic-destructive lesions were detected in bone structures. Significant degenerative changes are observed.
Increased heart size, increased biventricular and left atrial diameter. Calcified atheromatous plaques in coronary arteries. Bilateral pleural effusion. Findings consistent with pulmonary edema. Decreased thickness of both kidney parenchyma and multiple cysts, some of them high-density (hemorrhagic), in both kidneys.
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train_3721_a_1.nii.gz
Lung ca in follow-up, pneumonia?
Sections were taken without contrast medium and reconstructions were made at the workstation.
The patient's examination was evaluated together with other examinations dated 2022. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries. 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. There is minimal pericardial effusion. In addition, minimal pleural effusion was observed on the right. No pleural or pericardial thickening was detected. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. There is minimal wall thickness increase in the esophagus within the sections. The described appearance is non-specific. The fact that it is in the long segment suggests that it is a benign pathology. There is a sliding type hiatal hernia at the lower end of the esophagus. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are emphysematous changes in both lungs. Ground glass appearance, consolidations, structural distortion and volume loss, and minimal bronchiectasis were observed in the upper, middle and lower lobes of the right lung, especially in the central parts. The described appearance was not observed in the previous examination of the patient. It was learned that the patient received immunotherapy. The presence of unilateral findings excluded the diagnosis of immune pneumonitis. It was also learned that the patient received radiotherapy. When evaluated together with these findings, radiation recall pneumonitis of the findings described in the right lung was considered. It is recommended to evaluate the patient together with clinical, physical examination and laboratory findings. There are sometimes linear atelectasis in both lungs. There are millimetric nonspecific nodules in both lungs. The mass observed in the right pulmonary hilum in the previous examination of the patient cannot be differentiated from consolidation and vascular structures since contrast material was not given in this examination. There are stones in the gallbladder. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections.
· In the follow-up, findings evaluated in favor of lung ca, right pleural effusion, pericardial effusion, and radiation recall pneumonia primarily in the right lung. · Mediastinal and hilar millimetric lymph nodes. · Atherosclerotic changes in the aorta and coronary arteries, minimal fusiform aneurysmatic dilatation in the ascending aorta, minimal increase in long segment wall thickness in the esophagus.
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train_3722_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is within normal limits. Calibration of the main vascular structures in the mediastinum 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. 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. A ground-glass nodule with a diameter of 4 mm is observed at the posterobasal level of the lower lobe of the right lung. There was no finding compatible with pneumonia in both lungs, pleural effusion or pneumothorax. 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 in the examination area. Vertebral corpus heights are preserved
No finding compatible with pneumonia was detected. A ground-glass nodule with a diameter of 4 mm at the posterobasal level of the lower lobe of the right lung.
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train_3723_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In the middle lobe of the right lung, patchy light ground glass densities, which can hardly be distinguished from the subpleural parenchyma, are observed (early infectious process?). Clinical laboratory correlation monitoring is recommended. Mild paraseptal centrilobular emphysematous changes are observed at the apical levels of both lungs. Examination of the upper abdomen organs is partial and evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
There are findings evaluated in favor of the middle lobe of the right lung (early infectious processes?, viral pneumonia?). Clinical laboratory correlation monitoring is recommended.
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train_3724_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. The mediastinal main vascular structures and heart could not be evaluated optimally due to the lack of contrast, and the diameter of the pulmonary conus AP was measured as 35 mm, and it was wider than normal. No pericardial effusion or thickening was detected. 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. There is a pleural effusion in the deepest part of the right pleural area, which was measured as 62 mm in the current examination, and in the comparative evaluation made with the previous CT examination, a decrease in size and density was observed, and there was a pleural effusion with hyperdense areas in places. There are increases in density consistent with atelectasis in the adjacent lung parenchyma. No active infiltration or mass lesion was detected in the ventilated right lung parenchyma and left lung parenchyma. In the abdominal sections within the image, there is a lesion in the right adrenal gland with a stable size and appearance, which is primarily evaluated in favor of adenoma. No lytic-destructive lesion was observed in the bone structures within the image.
Pleural effusion in the right hemithorax, in which millimetric calcifications and hyperdense areas compatible with hemorrhage are observed in places and decrease in size and density in the comparative evaluation made with the previous CT examination, and areas of increased density in the adjacent lung parenchyma consistent with atelectasis . Low-density hypodense lesion compatible with adenoma in the right adrenal gland ; is stable.
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train_3725_a_1.nii.gz
COPD bronchiectasis.
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. A cardiac pacemaker catheter was placed. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Calcified atheroma plaques are present in LAD. Wall calcifications are observed in the aorta. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Pneumonic infiltration or consolidation area was detected in both lung parenchyma. Centriacinar emphysema areas are observed in the upper lobes of both lungs. Tubular bronchiectasis areas are observed in the lower lobe of the right lung. It is accompanied by parenchymal air trapping. Mild centriacinar nodules with faint borders and low densities are present. It was thought to develop on the basis of bronchiectasis and was evaluated in favor of acellular bronchiolitis. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No loculus or free fluid was observed in the abdomen. No lytic-destructive lesions were detected in bone structures.
Cardiac pacemaker catheter. Centriacinar emphysema in upper lobes of both lungs. Findings favoring tubular bronchiectasis and primarily acellular bronchiolitis in the lower lobe of the right lung, clinical correlation would be appropriate.
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train_3726_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques are observed in the mediastinal main vascular structures. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. The esophagogastric junction has an appearance compatible with a minimal sliding type hernia. In the mediastinal prevascular area, in the aortopulmonary window, in the paratracheal area, lymph nodes reaching 1 cm in short diameter, some of them in round configuration, showing calcification in places are observed. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. When examined in the lung parenchyma window; There are fibroatelectatic changes in bilateral lung basals. Ground-glass appearances accompanying fibroatelectatic changes in the left lung lingula superior inferior segment draw attention. In addition, there are peribronchial thickenings accompanying fibroatelectatic changes in the anterior basal segment of the lower lobe of the right lung. When the findings are evaluated together, it may be infective. Post-treatment control is recommended. Peripherally located nonspecific nodules were observed in both lungs, the largest of which was approximately 5 mm in diameter 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. Thoracic kyphosis has increased. Rotascoliotic changes are observed in the thoracic region.
Fibroatelectatic changes in the basals of both lungs and peribronchial thickenings accompanying fibroatelectatic changes on the left with a ground-glass appearance on the right, the findings may be infective. Control is recommended after treatment. Nonspecific parenchymal nodules in both lungs. Mediastinal lymph nodes. Rotascoliosis in the thoracic region.
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train_3727_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 linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. Minimal emphysematous changes are observed in both lungs. Both lungs have nodules measuring approximately 5 mm in diameter, the largest of which is in the upper lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. 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. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open.
Minimal emphysematous changes in both lungs. Atelectasis in both lungs. Millimetric nodules in both lungs. Atherosclerotic changes in the aorta and coronary arteries. Thoracic spondylosis.
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train_3728_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. The arcus aorta calibration is 30 mm, slightly above normal. Calibration of other major vascular structures is natural. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries in the inn aorta. 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. 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. 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 emphysematous findings in both lungs. Bull-blep formations are observed at the apical level. A nonspecific nodule with a diameter of 3 mm is observed in the middle lobe. A nodule of approximately 7x3 mm is observed in the right lung middle lobe, left lung upper lobe apicoposterior segment. There were no findings consistent with significant pleural effusion-pneumothorax or pneumonia in both lungs. In the upper abdominal organs, including sections; There is a nonspecific hypodense lesion with a diameter of 3 mm in the posterior segment of the right lobe of the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area.
No finding compatible with pneumonia. Findings consistent with emphysema in both lungs and bull-blep formations at the apical level. Bilateral millimetric few nonsepific nodules. Hypodense lesion in the liver.
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train_3729_a_1.nii.gz
Cough, sore throat, fever, malaise, viral pneumonia?
Sections were taken without contrast medium and reconstruction was performed at the workstation.
There are common motion artifacts as the patient does not remain still during the examination. Therefore, optimal evaluation could not be made, especially in terms of focal lesion. 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. In addition, there are appearances evaluated in favor of linear atelectasis and sequelae changes in both lungs. There are millimetric nodules in both lungs. A ground glass area is observed in the anterior segment of the left lung upper lobe. The appearance of the described ground glass area is not specific. Many pathologies can cause this appearance. The described appearance is not one of the typical findings in Covid-19 pneumonia. No mass was detected in both lungs. There is bilateral minimal pleural effusion. 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. Aberrant right subclavian artery is observed. There are milimetric lymph nodes and lymph nodes in mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were observed. No lytic-destructive lesions were detected in the bone structures within the sections.
Nonspecific ground-glass area in the upper lobe of the left lung . Bilateral minimal pleural effusion . Emphysematous changes in both lungs . Nodules in both lungs . Atelectasis-sequelae changes in both lungs
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train_3729_b_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. However, mild pericardial effusion is present. The previous review was not detected. The aortic arch is at the maximal physiological limit. Calibration of other major vascular structures is natural. In the superior vena cava, the appearance of a catheter extending towards the right atrial appendage is observed. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. 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. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Findings consistent with emphysema are observed in both lungs. Mild pleural effusion observed in the previous examination was not detected in the current examination. In the right lung upper lobe posterior segment caudal, and in the left lung lingular segment and partially in the upper lobe, a branch view with faint buds is observed. It is atypical for Covid pneumonia. In terms of bacterial and other viral pneumonias, evaluation together with clinical and laboratory findings is recommended. However, a ground-glass-like density increase observed in the upper lobe of the left lung in the previous examination was not detected in the current examination. Nodules, the largest of which is 6x4 mm, are observed in the upper lobe posterior segment of the right lung. The nodules identified according to his previous review slightly regressed. Sequela changes-parenchymal band appearances observed in the right lung lower lobe laterobasal segment and fissure level, and possible fluid-related appearance at the fissure level were not detected in the current examination. There are slight frosted glass-style density increments at this level. Sequelae changes are observed in the right lung lower lobe laterobasal segment. A 5x3 mm nodule is observed in the superior segment of the left lung lower lobe. It is also partially followed in his previous review. A 2 mm diameter nodule is observed in the lingular segment. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area.
Mild bilateral pleural effusion, which was also observed in the previous examination, was not detected in the current examination. Ground-glass-like density increase observed in the upper lobe of the left lung was not detected in the current examination. In the current examination, there is a mild pericardial effusion that was not observed in the previous examination. A faint, mildly graded branch with bud view is observed in both lungs. It is atypical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings in terms of bacterial and viral pneumonias. Millimetric-sized nonspecific nodules are observed in both lungs, and some slight reductions in size are observed.
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train_3730_a_1.nii.gz
Operated breast Ca , Covid?
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
No lymph node in pathological size and appearance was observed in the axilla, supraclavicular fossa. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node in pathological size and appearance was observed in the fossa in the mediastinum. Calcified atheroma plaques are present in LAD. Breast-conserving surgery was performed on the right breast. Subpleural septal thickening and pleuroparenchymal linear fibrotic recessions are observed in the right lung upper lobe anterior segment due to the chronic effects of RT. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. In the left lung upper lobe linguloinferior segment, nonspecific millimetric nodules with a diameter of 5.5 mm, adjacent to the fissure, and 5 mm in diameter, adjacent to the mediastinal pleura were observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Operated breast Ca, breast conserving surgery on the right . A few nonspecific millimetric nodules in the lung parenchyma . Pneumonic infiltration is not observed.
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train_3731_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Current review 10.02. It was evaluated by comparing it with external CT examinations dated 2020. Thyroid lobe dimensions have increased and hypodense nodules containing amorphous calcifications in both thyroid lobes on the left; It is recommended to be evaluated together with US. 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 diameters of the pulmonary trunk, right and left pulmonary arteries were measured as 32 mm, 28 mm and 20 mm, respectively. Pulmonary trunk and right pulmonary artery diameters increased. Heart sizes are in the upper limits. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mixed 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; Both lungs are emphysematous. Passive-linear atelectatic changes were observed in the left lung lingular and right lung middle lobe, and in the basal segments of the lower lobes of both lungs. Parenchymal nodules with a diameter of 5 mm (4.7 mm in the previous examination) in the lower lobe laterobasal segment on the left, and 6.3 mm in diameter, some with irregular borders, were observed in the middle lobe on the right, adjacent to the segmental bronchus, which showed a randomized distribution in both lungs. No active infiltration-consolidation was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Areas of hypodense nodular lesions were observed in both kidneys (cyst?). A 7 mm diameter hyperdense nodular lesion area was observed in the right kidney mid-section anterior (hemorrhagic cyst?). No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Ankylosis is present on the right side of the anterior aspect of the thoracic vertebra. Loss of disc height and degenerative vacuum phenomenon in the disc space were observed at the lower thoracic level. At the thoracic level, left-facing scoliosis was observed. No lytic-destructive lesion in favor of metastasis was observed in bone structures.
Thyromegaly, hypodense nodules with amorphous calcification on the left in both thyroid lobes; it is recommended to be evaluated together with US. Appearance compatible with tracheobronchopathia osteochondroplastica in the walls of the trachea and both main bronchi. . Increase in the diameter of the pulmonary trunk and right pulmonary artery, heart dimensions at the upper margins, thoracic aorta and calcific atheroma plaques in coronary arteries. increases in density . Millimetric hypodense lesions in both kidneys (cyst?) . Millimetric hyperdense nodular lesion (hemorrhagic cyst?) in the anterior midsection of the right kidney. Thoracic vertebrae right anterior bridged syndesmophytes-ankylosis
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train_3732_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 mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Pleuroparenchymal sequelae changes are observed in the upper lobe of the right lung. Thickening of the peribronchovascular sheath, more prominent in the mid-lower zones, is observed in both lungs. Consolidative parenchyma areas are observed in the basal segments in the middle lobe and lower lobe in the right lung, in the lingular segment in the left lung, and along the peribronchial sheath in the lower lobe. Gallbladder could not be observed in the lodge. Mild contamination is observed in the perinephric fatty planes at the level of the superior pole of the left kidney. Other upper abdominal organs included in the sections are normal. Minimal degenerative changes are observed in the bone structure.
Thickening of the peribronchovascular sheath and adjacent consolidative parenchyma areas in the middle and lower zones of both lungs.
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train_3732_b_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. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Consolidation areas with atelectatic changes are observed at basal levels of both lung lower lobes with airbronchogram sign. Clinical-laboratory correlation and follow-up are recommended for infectious processes. Pleural effusion-thickening was not detected. The gallbladder is operated. Upper abdominal organs are partially observed and evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Not given.
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train_3733_a_1.nii.gz
Unspecified
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. The cardiothoracic index increased in favor of the heart. Mediastinal main vascular structures 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; A millimetric subpleural nodule is observed in series 2 image 192 in the anterior segment of the lower lobe of the right lung. 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.
Millimetric subpleural nodule in the anterior lower lobe of the right lung.
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train_3734_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. 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; azygos fissure variation was observed in the upper lobe of the right lung. Multilobar, multisegmented central-peripheral nodular ground glass opacities were observed in both lungs. Subpleural striations and linear subsegmentary atelectatic changes were observed in the basal segments of the lower lobes of both lungs. The described findings are highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. There was no finding in favor of a mass 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. Accessory spleen with a diameter of 13 mm was observed in the anterior part of the spleen. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Hiatal hernia. High suspicious findings in terms of Covid-19 pneumonia in both lungs, it is recommended to be evaluated together with the clinic and laboratory.
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train_3735_a_1.nii.gz
Newly diagnosed lung cancer.
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 left lung is atelectatic except for a small portion in the upper lobe. In the left pulmonary hilus, a soft tissue mass surrounding the distal part of the left main bronchus and lower lobe bronchi and appearing to invade the mediastinal structures is observed. Although the described appearance cannot be clearly differentiated from atelectatic lung, it was first thought to be the patient's primary mass. In addition, there are lymphadenopathies in the mediastinum and hilar regions. The largest of these lymphadenopathies is observed in the paratracheal region and measures approximately 50x35 mm. Pleural effusion is observed on the left. There is no pleural effusion on the right. Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. A nodule extending to the mediastinum was observed in the left thyroid gland. No infiltrative lesion was detected in the right lung and the aerated left lung. However, diffuse emphysematous changes in both lungs and a honeycomb appearance were observed in the lower lobe of the right lung and in the lateral parts of the middle lobe, which was evaluated in favor of end-stage lung disease. There are millimetric nodules in both ventilated lungs. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. There are no lytic-destructive lesions in the bone structures within the sections.
Newly diagnosed lung ca, large mass in the left pulmonary hilum, mediastinal and hilar lymphadenopathies, nearly complete atelectasis in the left lung, pleural effusion on the left. Diffuse emphysematous changes in both lungs. Honeycomb appearance in the right lung. Millimetric nodules in both lungs.
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train_3735_b_1.nii.gz
Lung Ca.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
An effusion measuring 47 mm (63 mm in the previous examination) was observed in the thickest part of the left pleural space in which free air images were observed. In the left pulmonary hilus, a soft tissue mass is observed that surrounds the distal part of the left main bronchus and the lower lobe bronchi and invades the mediastinal structures. Although the described appearance could not be clearly differentiated from the atelectatic lung in the lower lobe of the left lung, it was first understood that the patient had a primary mass. In addition, there are lymphadenopathies in the mediastinum and hilar regions. The largest of these lymphadenopathies is observed in the paratracreal region and measures approximately 50x35 mm. A nodule containing large necrotic-cystic openings extending to the mediastinum was observed in the left thyroid gland. No infiltrative lesion was detected in the right lung and the aerated left lung. Diffuse emphysematous changes were observed in both lungs and a honeycomb appearance in both lungs, which was evaluated in favor of end-stage lung disease. Millimetric nodules were observed in both lungs. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mixed type hiatal hernia was observed in the lower end of the esophagus. 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.
Increased left lung expansion. Other findings are stable.
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train_3735_c_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. Pulmonary trunk caliber 30 mm wider than normal. The right pulmonary artery and left pulmonary artery are normal as far as can be observed. Calibration of other major mediastinal vascular structures is also natural. Pericardial effusion-thickening was not observed. In the left lobe of the thyroid gland, there is a stable-looking nodule with heterogeneous internal structure, measuring approximately 70x52 mm in size in the widest axial plane, extending to the level of the aortic arch towards the thoracic inlet. It causes mild compression and right displacement of the trachea. Multiple lymph nodes are observed in the mediastinum, the dimensions of which cannot be clearly evaluated in non-contrast examination. Its largest size is in the lower right paratracheal area. The arch cannot be clearly distinguished from the aorta and superior vena cava. However, according to his previous review, it was thought that there was a slight decrease in dimensions at this level. There is also a decrease in the size of lymph nodes observed at the prevascular level. The largest lymph nodes observed at this level are 17x8 mm in the current examination and 22x14 mm in the previous examination. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a hiatal hernia in the case. In the previous examination, the largest axial plane dimension was 90x53 mm, located on the left in the anterior mediastinum. In the previous examination, there is a fluid collection of 54x32 mm and a density of approximately 5 HU. According to the previous study, an increase in size is observed. In the case followed up due to lung tumor; At the left hilar level, there is a mass lesion extending towards the lower lobe, the dimensions of which cannot be clearly evaluated and cannot be distinguished from bronchovascular structures. However, it cannot be differentiated from possible post-obstructive atelectasis. There is a pleural effusion in the left lung, which also enters the interlobar fissure extending from the lower lobe to the superior and reaches approximately 21 mm in its thickest part. According to the minus review, it has decreased. However, in the current examination, there is a smear-like effusion in the right lung. It was not detected in the previous review. A catheter appearance is observed at the level of the left costophrenic sinus. There is diffuse emphysema in both lungs. Thickening and honeycomb appearance are observed in the interlobular septa, especially in the middle-lower zones. Findings are also available in the previous review. 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. Mild degenerative changes are observed in the bone structure.
In the case under follow-up due to lung tumour, the primary mass cannot be clearly evaluated in the non-contrast examination, but it is thought to be at the hilar level of the left lung. At this level, there is a lesion indistinguishable from post-obstructive atelectasis. Diffuse thickening and honeycomb appearances (interstitial fibrosis?) in the interlobular septa in the mid-lower zones of both lungs are not significantly different from the previous examination. Emphysematous findings in both lungs. Large nodule containing necrotic areas with stable heterogeneous internal structure according to previous examination of the thyroid gland in the left lobe.
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train_3736_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; Focal suspicious ground-glass appearance is observed in the left lung lower lobe superior segment, posterior subpleural area. It raises suspicion in terms of viral pneumonia. It is recommended that the patient be evaluated together with clinical and laboratory findings in terms of Covid-9 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Focal suspicious ground glass appearance in the posterior subpleural area in the left lung lower lobe superior segment creates suspicion for viral pneumonia. It is recommended that the patient be evaluated together with clinical and laboratory findings in terms of Covid-9 pneumonia.
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train_3737_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Right upper, bilateral lower paratracheal larger, narrow diameter of the right upper paratracheal 1 cm, mediastinal lymphadenomegaly is observed. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; More prominent peribronchial wall thickening, minimal ground glass densities and consolidations are observed in the lower lobes of both lungs. Similar appearance is also seen in the middle lobe of the right lung and the lingular segment of the left lung. Apart from this, minimal ground glass densities are observed in the peripheral lung parenchyma of both lungs. A mass-like nodular lesion with a size of 12x10 mm is observed in the superior segment of the right lung lower lobe. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures.
Peribronchial wall thickenings, minimal icy life densities and accompanying consolidations in the lower lobes of both lungs, right lung middle lobe and left lung lingular segment; It may make sense for Covid-19 pneumonia. A 12x10 mm mass-like nodule in the superior segment of the right lung lower lobe or nodular lesion that may belong to infective consolidation, infection control is recommended after treatment.
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train_3737_b_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. The aortic arch calibration was measured as 31 mm. It is larger than normal. Calibration of other mediastinal major vascular structures is natural. There is a suspicious nodule appearance that causes lobulation in the contour extending caudally in the left lobe of the thyroid gland. The AP size of both lobes is 25 mm on the right and 27 mm on the left. It is larger than normal. Sonographic examination is recommended. In the mediastinum, lymph nodes at the prevascular level are observed in the aorticopulmonary window in the upper-lower paratracheal area, and the largest is 13x5 mm in size in the upper paratracheal area. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Trachea calibration is natural. In bronchial calibrations, a slight calibration increase consistent with bronchiectasis is observed in all zones. There are diffuse and confluent ground-glass-like density increases in both lungs, more prominent in the mid-lower zones. It gains a consolidative character in the lower zones. It is seen that the consolidative areas in the subzones show progression. In the upper abdominal organs, including sections; There is a decrease in density consistent with steatosis in the liver. The gallbladder partially enters the image. A hyperdense lesion compatible with calculus is observed inside. Sonographic examination is recommended. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area.
Findings consistent with mild bronchiectasis. Ground-glass-like density increments, which were observed in a focal diffuse pattern in the previous examination, showed confluence and are more diffuse in the current examination. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Consolidative changes in both lungs, especially in the lower lobes, fibroatelectatic density increases became evident in the current examination. Thyroid gland sizes have increased. There is a nodule appearance that causes contour lobulation in the left lobe. Sonographic examination is recommended. Cholelithiasis. Sonographic examination is recommended.
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train_3738_a_1.nii.gz
headache, 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 esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the basal segment of the lower lobe of the right lung, patchy ground glass densities with a halo sign are observed around it. The findings were evaluated in favor of Covid-19 viral pneumonia. Clinical and 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Patchy ground glass densities with a halo sign around the right lung lower lobe basal segment. Findings were evaluated in favor of Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended.
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train_3739_a_1.nii.gz
pneumonia?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are hypodense lesions in both kidneys. These lesions could not be characterized as no contrast agent was given. However, when evaluated together with the previous examinations of the patient, it was understood that they were simple cysts. In addition, there is a hyperdense nodular appearance measuring 15 mm in diameter in the upper pole of the left kidney. In this appearance, there may be a cyst with hemorrhagic content. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Appearances that are understood to be cysts when evaluated together with previous examinations in both kidneys.
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train_3740_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. There is effusion in the subchorocoid bursa. There is a slight increase in the size of the thyroid gland and lobulation in its contours. Heart sizes are slightly increased. Left ventricular diameter increased. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in both lung parenchyma. In the lower lobe of the right lung, parenchymal atelectasis area is observed in the vicinity of osteophyte formations in the vertebrae. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. The gallbladder was not observed (operated). No lytic-destructive lesions were detected in bone structures. Thoracic kyphosis is increased. Osteophyte formations are observed in the right anterolateral corners of the vertebral corpus.
Increased left ventricular diameter. Effusion in the subchorocoid bursa. Pneumonia was not observed in lung parenchyma. Cholecystectomized
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train_3741_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, and lobar and segmental bronchi air passage are clear. No lymph nodes in pathological size and appearance are observed in the supraclavicular fossa, axilla, and mediastinum. Heart sizes and compartments are normal. Pericardial effusion was not detected. Calcified atherosclerotic plaque was observed in the proximal LAD. Calibrations of mediastinal major vascular structures are normal. A 17 mm diameter nodule was observed in the lower pole of the left thyroid lobe. The esophagus is in normal calibration. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No pleural effusion was detected. No features were detected in the upper abdomen sections. Calcified atherosclerotic plaque was observed in the proximal left renal artery. Arthrodesis was performed on the right shoulder joint. There is osteoporosis in bone structures. There is a height loss exceeding 50% in the L2 vertebral body. Retropulsion of the middle column towards the spinal canal is observed. It may belong to a compression or burst fracture. Cementum is placed on the T8 vertebra. There is extension of cementum to disc space. No lytic-destructive lesions were detected in bone structures.
Calcified atherosclerotic plaques in proximal LAD and left renal artery Osteoporosis in bone structures, unstable fracture in L2 vertebra, cement in T8 vertebra, arthrodesis in right shoulder
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train_3742_a_1.nii.gz
Cough.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Paraseptal-centriacinar emphysematous changes were observed in both upper lobe and lower lobe superior segments of both lungs. There is also panacinar emphysema at the apex of the right lung. Segmental-subsegmental peribronchial thickening and luminal narrowing were observed in both lungs. There is a mosaic attenuation pattern in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. Linear subsegmental atelectatic changes were observed in both lungs. Ground glass opacities were observed in both lung lower lobe basal segments and band atelectatic changes were observed in the right lung lower lobe basal. The described findings were evaluated in favor of sequela parenchymal changes. Millimetric diameter nonspecific parenchymal nodules were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Two accessory spleens with 8 and 20 mm diameters were observed in the upper pole and medial lower pole of the spleen, respectively. 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.
Emphysema in both lungs. Sequelae of atelectatic changes in both lungs. Mosaic attenuation pattern secondary to small air stenosis in both lungs. Millimetric nonspecific parenchymal nodules in both lungs.
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train_3743_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Calcific plaques are observed in the aorta and coronary arteries. 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; Minimal emphysematous changes are observed in both lungs. Sequela fibrotic densities are observed in the lower lobes of both lungs. No active infiltration, consolidation or space-occupying lesion was observed in the bilateral lungs. A few nonspecific pulmonary nodules with calcification in some sequelae are observed in both lungs, the largest of which is approximately 5 mm in diameter in the middle lobe of the right lung. There are several cortical cysts included in the examination, the largest of which is 6 cm in diameter in the right kidney. 6 mm diameter calculus is observed in the lower pole of the right kidney. Other upper abdominal organs in the study area have a natural appearance. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Sequelae changes in both lungs. Simple cysts in bilateral kidneys. Nephrolithiasis.
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train_3744_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear fibroatelectatic sequelae changes were observed in the left lung upper lobe lingular, right lung middle lobe medial and both lung lower lobe basal segments. Millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs 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.
Linear fibroatelectasis sequelae changes in both lungs . Millimetric nonspecific parenchymal nodules in both lungs
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train_3745_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures.
Findings within normal limits
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train_3746_a_1.nii.gz
Not given.
Images with or without IV contrast 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; Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. A few non-specific millimetric 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.
Several non-specific millimetric nodules are observed in both lungs.
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train_3747_a_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. There is minimal peribronchial thickening in both lungs. In the lower lobe of the right lung, there are centriacinar nodules, some of which have the appearance of budding trees. The described appearances can be observed in many pathologies. However, when evaluated together with its clinical knowledge, it was evaluated in favor of infective pathology. However, differential diagnosis could not be made. The findings described in Covid-19 pneumonia are not frequently observed findings. There are millimetric nonspecific nodules in both lungs. There are emphysematous changes in both lungs and pleuroparenchymal sequelae fibrotic changes in both lung apex. 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. There are diffuse 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 observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open.
Findings evaluated primarily in favor of infective pathology in the lower lobe of the right lung. Emphysematous changes in both lungs. Pleuroparenchymal sequelae changes in both lung apex. Millimetric nodules in both lungs. Atherosclerotic changes in the aorta and coronary arteries.
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train_3748_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 the aortic arch is at the maximal physiological limit. Calibration of other mediastinal major vascular structures is normal. A millimetric calcific atheroma plaque is observed at the level of the aortic arch. Thoracic esophagus calibration was normal and no significant pathological 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; Calibration of trachea and main bronchi is normal. Lumens are clear. Mild sequelae changes are observed at the apical level. Focal nonspecific ground-glass-like density increase is observed at the mediobasal level in the right lung. Sequelae pleuroparenchymal densities are observed in the left lung lower lobe laterobasal and lingular segment. There was no finding compatible with bilateral pleural effusion or pneumothorax. Mixed type hiatal hernia is observed in the upper abdominal organs included in the sections. Density increases are observed on the diaphragm at the hiatus level. In the medial segment of the left lobe of the liver, a nodular formation with a diameter of about 5 mm is observed with a well-circumscribed heterogeneous internal structure. Left adrenal lateral crus is observed as full. There is a pectus excavatus appearance in the bone structures in the study area. Degenerative changes are observed in the bone structure. There is a compression fracture accompanied by sclerosis, which causes approximately 10% loss of height in the D5 vertebra corpus superior end plateau.
Focal nonspecific ground-glass-like density increase at mediobasal level in the right lung, mild sequelae changes in both lungs Pectus excavatus, mixed type hiatal hernia
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train_3748_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
There is a pectus excavatus appearance. Mixed type hiatal hernia was observed in the distal esophagus. Mosaic density differences and linear fibrotic changes are observed in both lungs. The nonspecific ground glass density in the right lung lower lobe mediobasal segment is stable. A millimetric nonspecific stable nodule is observed in the anterobasal lower lobe of the right lung. Pleural effusion-thickening was not detected. Slight nodular thickening is present in the lateral leg of the left adrenal gland and is stable.
Pectus excavatus. Mixed hiatal hernia. Linear fibrotic changes and mosaic densities in both lungs, millimetric nonspecific stable nodule in the lower lobe of the right lung. Stable nodular thickening in the lateral leg of the left adrenal gland, no significant difference was found between the examinations.
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train_3749_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A subpleural nodule with a diameter of 4 mm is observed in the middle lobe of the right lung. There is a 3 mm diameter nodule in the dorsal subpleural area in the posterior segment of the right lung upper 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.
There was no finding compatible with pneumonia.
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train_3750_a_1.nii.gz
chronic cough. relapse ac ca
Transverse sections of 3 mm thickness obtained without the application of IV contrast material were evaluated.
Trachea and main bronchi are open. In the mediastinum, there are stable lymph nodes with a short axis up to 1 cm (subcarinal). The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. In the evaluation of both lung parenchyma; Cylindrical bronchiectasis and panobular and paraseptal emphysema appearances are observed in bilateral lungs. In the right hilum, a mass lesion that cannot be clearly differentiated from the consolidation in the surrounding upper lobe, has a blunt ending in the upper lobe bronchus, and whose borders cannot be clearly defined was observed. There is calcified pleural thickening in the right hemithorax, especially in the neighborhood of the upper lobe, causing restriction. There is nodular pleural thickening in the posterobasal segment of the right lower lobe. 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 changes were observed in bone structures.
Right lung malignant neoplasm on follow-up Mass in the right hilum, consolidation in the right upper lobe Stable lymph nodes in the mediastinum Cylindrical bronchiectasis and panobular and paraseptal emphysema appearances in the bilateral lungs Pleural thickening in the right hemithorax
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train_3751_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Millimetric sized calcified nodules are observed around the trachea and main bronchi. A few of the prevascular right upper-bilateral lower paratracheal aortopulmonary aortopulmonary lymphadenomegaly with a narrow diameter exceeding 1 cm and millimetric lymph nodes are observed. The AP diameter of the descending aorta is 3.3 cm and wider than normal. Atherosclerotic calcific plaques are observed in the ascending, arch, coronary arteries and descending aorta, abdominal aorta. The AP diameter at the infrarenal level of the abdominal aorta is 3.2 cm and is wider than normal. The cardiothoracic index increased in favor of the heart. There is a smear-like effusion in the right hemithorax. In the evaluation of both lung parenchyma; Pleuroparenchymal sequelae are observed in the apex of both lungs. In addition, there are more prominent centriacinar and panacinar emphysematous areas in the upper lobes of both lungs. Mild ground-glass appearances are observed in the right lung upper lobe anterior segment and middle lobe. In addition, there is prominence in the pulmonary lobules secondary to venous stasis in both lungs. An air cyst with a diameter of 10 mm is observed in the laterobasal segment of the lower lobe of the left lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the posterolateral cortex of the right kidney, an area of millimetric fat density, which may be compatible with angiomyolipoma, is observed. There are degenerative changes in bone structures. In the dorsal localization, there is a left-facing scoliotic angulation and an increase in dorsal kyphosis.
Ectasia of the descending and abdominal aorta. Cardiomegaly. Prominent centriacinar and panacinar emphysemato areas in the upper lobes of both lungs. Prominent pulmonary lobules secondary to prominent venous stasis in the lower lobes. Slight ground-glass appearances in the right lung upper lobe anterior segment, middle lobe.
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train_3751_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Heart sizes were significantly increased. Diameter increase is observed in all compartments. Most notably, there is an increase in left ventricular diameter. There is prominent valve calcification in the aortic valve. Calcified atheroma plaques are observed in the coronary arteries. There is a pleural effusion with a diameter of 2.5 cm between the right pleural leaves and 1 cm between the left pleural leaves. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Numerous mediastinal lymph nodes were observed, the largest of which was located in the paraaortic location, with a short axis measuring 15 mm. Evaluation of parenchyma is suboptimal because of respiratory artifact. Bronchial wall thickness increases are observed in segmental bronchi in both lungs. There are more prominent parenchymal ground glass density and septal prominence in the upper lobes. It was evaluated primarily in favor of pulmonary congestion. Mild fissure edema is observed in the left fissure. The findings are in favor of pulmonary congestion. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Significant increase in heart size, aortic valve calcification, calcified atheromatous plaques in coronary arteries . Bilateral pleural effusion . Increase in bronchial wall thickness in segmental bronchi . Increase in bilateral diffuse ground glass parenchyma density more prominent in the upper lobes of the lung and clearness in interlobular septa, findings are in favor of pulmonary congestion.
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train_3752_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. The aortic arch calibration is 32 mm, larger than normal. Calcific atheroma plaques are observed in the descending and ascending aorta of the aortic arch. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Millimetric lymph nodes are observed in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; In both lungs, there are ground-glass-like density increases that are slightly more prominent on the right and consolidating in the basals. In the lower lobe segments of the right lung, branches with buds accompanying the appearance are observed. Emphysematous changes are present in both lungs. Thickening of the bronchovascular sheath is observed in the perihilar area and lower lobe segments of the right lung. Hiatal hernia is observed in the case. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A large parapelvic cyst is observed in the middle part of the left kidney. Parenchymal calcifications that partially appear in the inferior pole of the right kidney are observed. Bilateral adrenal glands are normal. Degenerative changes are observed in the bone structures in the study area. Vertebral corpus heights are preserved.
Widespread ground-glass-like density increases in both lungs, which are more prominent on the right and consolidation at the right lung lobe posterobasal level. The appearance was evaluated as compatible with Covid pneumonia. However, superposed bacterial infection could not be excluded due to the appearance of a branch with buds in places. Evaluation together with clinical and laboratory findings. recommended. Hiatal hernia. Parapelvic cyst in the left kidney.
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train_3753_a_1.nii.gz
hemoptysis
Without IVKM, 1.5 mm thick sections were taken in the axial plan and reconstructions were made at the workstation.
Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral central minimal tubular bronchiectasis is observed. There are several nodules with a diameter of 3 mm in the subpleural area of the left lung, the largest of which is the lower lobe lateral segment. There are linear atelectasis areas in the left lung upper lobe lingular segment inferior subsegment, right lung middle lobe medial segment and lower lobe lateral segment. No mass or infiltrative lesion was detected in both lungs. Sliding type hiatal hernia is observed at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is a low-density hypodense lesion measuring 15x15 mm in the posterior segment of the right lobe of the liver. No lytic-destructive lesions were observed in the bone structures within the sections.
Minimal central bronchiectasis, a few millimetric nonspecific nodules in the left lung Linear atelectasis areas in both lungs Low-density hypodense lesion in the right lobe of the liver. US control is recommended in elective conditions. Hiatal hernia
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train_3754_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Pacemaker and catheters extending to both ventricles were observed on the anterior chest wall on the left. Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Millimetric nodular calcification was observed in the trachea and both main bronchial walls. It is compatible with tracheobronchopathic osteochondroplastica. Calcific atheroma plaques were observed in the thoracic aorta and its supraaortic branches. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. 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; Both lungs are diffuse emphysematous. Tubular and cylindrical bronchiectasis and peribronchial thickenings were noted in the anterior segment of the right lung upper lobe. In the upper lobe of the right lung posterior, right lung lower lobe anterobasal, right lung middle lobe medial segment, and left lung anteromediobasal segments, a budding tree view characterized by more prominent centriacinar nodular infiltrates in the upper lobe is observed. Findings were initially considered secondary to those infecting the small airways. Post-treatment control is recommended. Linear pleuroparenchymal fibrotic recessions were observed in the lower lobes of both lungs. Apart from this, no mass lesion was detected in both lung parenchyma. Liver, spleen, both adrenal glands and pancreas are normal as far as can be seen on non-contrast images. No stones were observed in both kidneys within the sections. A 22x15 mm hypodense nodular cortical lesion was observed in the upper pole posterolateral of the left kidney (cyst?). Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Pacemaker on the left anterior chest wall and catheters extending to both ventricles . Sliding hiatal hernia at the lower end of the esophagus . Diffuse emphysema in both lungs . Widespread centriacinar nodule characterized by budding tree view in the upper, middle, lower, and left lower lobe basal segments of the right lung infiltrations, findings were evaluated in favor of bronchopneumonia. Correlation with clinical and laboratory and post-treatment control are recommended. Tubular-cylindrical bronchiectasis in the anterior segment of the upper lobe of the right lung
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train_3755_a_1.nii.gz
for scanning
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea and main bronchi are open. In the mediastinum, several calcific lymph nodes, the largest of which is 20 x 14 mm, are observed in the right inferior paratracheal area. In addition, prevascular, aorticopulmonary, paratracheal, and subcarinal millimetric lymph nodes were observed in the mediastinum. The heart is in natural appearance. Calcific atheroma plaques are observed in main vascular structures and coronary arteries. Stents were observed in the coronary arteries. Sliding paraesophageal hiatus hernia was observed. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Appearances of paraseptal and centrilobular emphysema were observed in both lungs. Emphysema appearances are particularly prominent at the apex of the upper lobes. Bilateral peribronchovascular axial interstitial and interlobular septal thickening was observed. There are occasional cylindrical bronchiectasis. A calcific parenchymal nodule is observed with the right lung middle lobe lateral segment. Density increases suggesting transient atelectasis are observed in the dependent parts of both lungs. Mosaic attenuation is observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. There is an appearance of a 12 x 5 mm hyperdense stone in the gallbladder lumen. Degenerative osteophytes were observed in the corners of the corpus of six vertebrae.
Calcific lymph nodes in mediastinum, calcific parenchymal nodule with right lung middle lobe lateral segment; Rank complex? Atherosclerosis Sliding paraesophageal hiatus hernia Emphysema Bilateral peribronchovascular axial interstitial and interlobular septal thickening Bronchiectasis Mosaic attenuation Cholelithiasis Degenerative bone changes
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train_3756_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. In the evaluation of mediastinal main vascular structures, the pulmonary trunk was 29 mm and slightly larger than normal. The aortic arch calibration was measured as 30 mm and was larger than normal. Calibration of other major vascular structures is natural. Millimetric calcifications are observed in the ascending aorta in the aortic arch and at the level of the mitral valve. There are millimetric lymph nodes in the mediastinum that do not reach pathological dimensions. There are calcific lymph nodes on the right that do not reach pathological dimensions at both hilar levels. Nodular millimetric densities are observed proximal to the trachea, which may be compatible with mucus secretion projected into the lumen. A slight increase in calibration in the bronchial structures and thickening of the peribronchovascular sheath are observed at the central level. There are concomitant ground-glass-like density increases at the same levels and thickenings in the interstitial tissue, which also shows a central and sometimes peripheral distribution. It is recommended to be evaluated for interstitial lung disease. There are non-specific focal density increases in this ground, which may be compatible with pneumonic infiltration, with scattered centraacinar appearance in places. Evaluation with clinical and laboratory findings is recommended. When examined in the lung parenchyma window; In both lungs, there are pleural effusions reaching 6 cm on the right and 4.5 cm on the left, extending to the apex of the baselles, and atelectatic lung segments adjacent to it. In the sections passing through the upper abdomen, free air appearances are observed in the intrahepatic bile ducts, especially in the left lobe. In the spleen hilum, a nodular formation with a diameter of approximately 16 mm is observed in the spleen isodense appearance (Accessory spleen?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Periportal edema is observed. There are milimetric lymph nodes in the hepatic hilum. However, since the examination was not performed on the abdomen, the findings related to the abdomen could not be evaluated optimally. Degenerative changes are observed in the bone structures in the study area. In the anterior part of the left scapula corpus inferior, a benign nonspecific lesion with a sclerotic wall measuring approximately 12x5x5 mm is observed.
Thickening of the peribronchovascular sheath in both lungs, slight increase in bronchial calibration, thickenings in the central and peripheral interstitial tissue, and accompanying ground-glass-like density increases (Interstitial lung disease?). densities, appearance is nonspecific. It may be compatible with pneumonic infiltration. Clinical-laboratory correlation is recommended. Pleural effusion and adjacent atelectatic lung segments, more prominent on the right in both lungs . Air view of the biliary tract in sections passing through the upper abdomen. Degenerative changes in bone structure.
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train_3757_a_1.nii.gz
Metastatic breast ca.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Filling the left breast lodge; A malignant mass lesion invading the skin, subcutaneous fat planes and pectoral muscles, extending laterally to the left axilla medially by crossing the midline and extending to the right breast, and the fatty planes between the sternum and the sternocostal space, invading the mediastinum was observed. Nodular soft tissue-mass lesions were observed in the skin-subcutaneous fat planes in the right breast and were evaluated in favor of metastasis. There are bilateral interpectoral, retropectoral, bilateral internal mammary, prevascular, aorticopulmonary, right hilar, paraesophageal, paracardiac multiple lymphadenopathy in both axillae. The largest lymphadenopathies were 36x25 mm in the left axilla (27x20 mm target lesion 1 in the previous examination), and the largest in the right axilla was 20 mm in the short axis (15 mm target lesion 2 in the previous examination). Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Effusion reaching 6 mm thickness was observed in the pericardial space. It is also present in the patient's previous examination. No significant difference was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No pleural effusion was observed on the right. A small amount of free air is observed between the leaves of the pleura on the left. Passive atelectatic changes were observed in the right lung lower lobe basal area adjacent to the effusion. Interlobular septal thickenings were observed in both lungs. In both lungs, nodular lesions-consolidation areas, which tend to merge in the more widespread peribronchial area on the right, were observed. Consolidation areas are most prominently observed in the right lung upper lobe apical segment and lower lobe posterobasal segment. The described findings were also present in the previous examinations of the patient and they were thought to be metastases. As far as can be seen within the sections; liver parenchyma density was diffusely decreased, consistent with hepatosteatosis. An enhancing mass lesion with a diameter of 12 mm was observed in the right lobe (segment 6) of the liver. It is new in the current review and evaluated in favor of metastasis. The spleen, both adrenal glands, both kidneys and pancreas are normal. A percutaneous drainage catheter placed in the left subdiaphragmatic area was observed. There are bone metastases that have become sclerotic with treatment in the cervical-thoracic vertebrae within the sections. The disease was considered to have progressed due to the metastasis observed in the current examination in the liver.
Large mass filling the left breast lodge and invading the mediastinum and right breast, pectoral muscles, skin and mediastinum. Pericardial effusion; is stable. New pneumothorax on current examination left. Left pleural effusion; has decreased. Nodular lesions-consolidation areas showing a tendency to merge in the peribronchial area of both lungs were evaluated in favor of metastasis. Hepatosteatosis, newly emerged metastasis in liver segment 6 in the current examination
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