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_5049_a_1.nii.gz
Joint and muscle pain, viral pneumonia?
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, aortopulmonary lymph nodes smaller than 1 cm in narrow diameter are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Minimal pleuroparenchymal sequelae densities are observed in both lung apex. No mass, nodule or infiltration was detected in both lungs. No pathology was detected in bilateral adrenal glands in the sections passing through the upper part of the abdomen. Hyperdense is observed in the localization that can fit the gallbladder partially entering the abdominal sections. Its localization in terms of cholelithiasis raises suspicion. No lytic-destructive lesion was detected in bone structures.
No mass, nodule or infiltration was detected in both lung parenchyma. Hyperdensity observed in the abdominal sections that partially enter the examination area, in a localization that may fit the gallbladder, raises suspicion in terms of calculus. If necessary, it can be examined with sonography.
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train_5050_a_1.nii.gz
pneumonia
Transverse sections with a thickness of 1.5 mm obtained without the application of IV contrast material were evaluated.
Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. There are millimetric non-specific or pure calcific nodules in the bilateral lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. The right humerus and right scapula contain islets of compact bone.
No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate.
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train_5051_a_1.nii.gz
drooping of the right eyelid
1.5 mm thick sections were taken in the axial plan without IVKM and reconstructions were made at the workstation.
The size of the thyroid gland has increased and the parenchyma is minimally heterogeneous. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are areas of subsegmental atelectasis in both lungs. A few nonspecific nodules with a short diameter of less than 3 mm are observed in both lungs. There are several nodules in both lungs, the largest of which is 4.5 mm in diameter, superposed on the minor fissure in the right lung (intrapulmonary lymph node?). No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; In the left adrenal gland corpus, there is a low-density hypodense lesion of 10x15 mm in which fat density is observed (adenoma?). No lytic-destructive lesions were observed in the bone structures within the sections.
Linear areas of atelectasis in both lungs. Several millimetric nonspecific nodules in both lungs. Several nodular lesions (intrapulmonary lymph node?) superposed over the fissure in both lungs. Low-density hypodense lesion (adenoma?) in the left adrenal gland corpus.
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train_5052_a_1.nii.gz
chronic cough
Transverse sections with a thickness of 1.5 mm obtained without the application of IV contrast material were evaluated.
Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung. There is fibroatelectasis in the lingula inferior on the left. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures.
No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate.
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train_5053_a_1.nii.gz
Not given.
Axial sections of 1.5 mm thickness were taken without contrast material and reconstructed at the workstation.
Trachea is both main bronchi and no obstructive pathology was detected. No pathological increase in wall thickness is observed in the esophagus. No lymph node was detected in the mediastinum and at both hilus levels in pathological size and appearance. Due to the lack of contrast in the examination, the mediastinal main vascular structures and the heart could not be evaluated optimally, and the calibration of the vascular structures, heart contour and size are natural. No pericardial and pleural effusion or increased thickness was detected. No mass or infiltrative lesion was detected in both lungs. Linear atelectatic changes with local sequelae are observed in both lung parenchyma. No pathology was detected in the abdominal sections within the image. No pathology is observed in the bone structures within the image.
Not given.
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train_5053_b_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. There is thymic tissue in the anterior mediastinum, which was also observed in the previous examination and in trigonal configuration, in which there are hypodense areas of fat density, which does not show a mass effect. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. A ground-glass nodule with a diameter of approximately 3. Pleural effusion-pneumothorax was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Again, there are faint hyperdense sclerotic lesions in the medulla in the anterolateral part of the 6th rib. Degenerative changes are observed in the bone structure.
Millimetric nodule formation in both lungs that did not differ significantly from previous examination. Again, there are faint hyperdense sclerotic lesions in the medulla in the anterolateral part of the 6th rib.
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train_5054_a_1.nii.gz
fever, cough, joint pain
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 emphysematous changes in both lungs. Widespread ground-glass appearances and microcystic areas accompanying ground-glass appearances are observed, more prominently in the lower lobes of both lungs. Findings are widely followed. Therefore, many pathologies can cause similar appearance. During the pandemic process, Covid-19 pneumonia comes to mind first. However, other viral pathogens and pneumocystis jiroveci can cause a similar appearance. There are millimetric nodules in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. 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 observed in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No fractures or lytic-destructive lesions were observed in the bone structures within the sections.
There are advanced emphysematous changes in both lungs. Diffuse ground glass appearances in both lungs and microcystic areas accompanying ground glass appearance.
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train_5055_a_1.nii.gz
not given
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. Atelectasis was observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment. There are millimetric nonspecific nodules in both lungs. The largest of the nodules described is observed in the anterior segment of the upper lobe of the right lung and measured approximately 4 mm in diameter. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Minimal emphysematous changes in both lungs. Millimetric nodules in both lungs
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train_5056_a_1.nii.gz
not specified
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. There are mild bronchial wall thickness increases in segmental bronchi in both lungs. No pneumonic infiltration or consolidation area was observed in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Slight bronchial wall thickness increase in segment bronchi
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train_5057_a_1.nii.gz
Not given.
1.5 mm slice thickness / non-contrast images were taken in the axial plane
In the thyroid gland, there are nodules that show hypertrophy, parenchymal heterogeneity and partially calcification in both lobes. It is recommended to be evaluated together with sonography. It causes mild compression of the trachea from both sides. CTO increased in favor of the heart. The pulmonary trunk is at the maximal physiological limit. Ascending aorta, descending aorta calibration is natural. The aortic arch calibration was measured as 31 mm. It is larger than normal. Calcific atheroma plaques are observed in the main branches of the aortic arch, ascending and descending aorta, and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Millimetric sized lymph nodes are observed in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calcifications are observed in the trachea and its main branches. In both pleural distances, a plastering style is observed on the right, a pleural effusion with a thickness of 14 mm on the left, and an atelectatic lung segment adjacent to it. There is a decrease in emphysematous density in both lungs. In the right lung, there is a 3 mm diameter subpleural nodule in the lateral subpleural area at the upper lobe anterior-posterior segment transition. A little more caudally, a partially calcific 5x3 mm nodule is observed. There are mild sequelae changes in the middle lobe. Sequelae changes are observed in the right lung at the posterobasal level. There are focal consolidation and sequela changes in the inferior lingular segment of the left lung. There is a partially calcified 9x6 mm nodule in the superior segment of the left lung lower lobe. Sequelae changes in the lower lobe superior and lingular segment and focal consolidation in the inferior lingular segment are observed. There was no finding in favor of bilateral pneumothorax or significant pneumonia. There is effusion in the perihepatic-perisplenic areas. Mesenteric planes are dirty. The left kidney was not included in the image area. There is lobulation in the parenchymal contours in the superior pole of the right kidney (sequelae of pyelonephritis?). 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. There is increased kyphosis in the thoracic region.
The appearance of several nonspecific nodules in both lungs, the largest of which is partially calcified in the superior segment of the left lung lower lobe. Placing style in the right lung, pleural effusion reaching 14 mm in thickness in the left lung and adjacent atelectatic lung segment. Sequelae changes and mild emphysema appearance in both lungs. Perisplenic and perihepatic areas, effusion in mesenteric planes, widespread contamination in fatty planes. Lobulation (sequelae changes?) in the contours of the superior pole of the right kidney that enters the examination area. Cardiomegaly. Increased size of the thyroid gland, heterogeneity in the parenchyma and nodule appearances; sonographic examination is recommended. Degenerative changes in bone structure, kyphotic angulation.
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train_5058_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. CTO is normal. The aortic arch calibration is 32, wider than normal. Other 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; Mild sequelae changes are observed at the apical level in both lungs. Also, diffuse ground-glass-like density increases in both lungs, which are more prominent at the base, and thickening of the interlobular septa in this localization are observed. Subpleural 2 mm nodules are observed in the subanterior segment of the right lung. There are parenchymal bands in the middle lobe. A 5x3 mm nodule is observed in the left lung lower lobe laterobasal segment. Bilateral pleural effusion or pneumothorax was not detected. In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver. There is a hypodense lesion of approximately 9 mm in diameter with exophytic appearance in the superior pole lateral of the left kidney (cortical cyst?). Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.
Findings consistent with Covid-19 pneumonia
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train_5059_a_1.nii.gz
Cough, radiopacity at right apex on X-ray
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Evaluation of mediastinal structures is suboptimal since no contrast material is given. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. Pleural thickness increase and pleuroparenchymal sequelae densities are observed in the upper lobe apical segment of both lungs. No suspicious nodule or mass-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures.
Sequela pleural thickness increase and sequela pleuroparenchymal density increases in both lung apexes
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train_5060_a_1.nii.gz
Shortness of breath
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. The trachea and both main bronchial air columns are open. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. In the lung parenchyma. No pneumonic infiltration or consolidation area is observed. No suspicious space-occupying nodular or mass lesion was detected in the parenchyma. No feature was observed in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Pneumonic infiltration was not observed.
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train_5061_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. There are several lymph nodes in the mediastinum with a short axis measuring 3 mm. When examined in the lung parenchyma window; In the lateral segment of the lower lobe of the left lung, a space-occupying lesion is observed on the pleura with a size of 29 mm, oval-shaped contours, slightly spiculated. Further investigation of the finding is recommended in terms of differential diagnosis of a carcinomatous process. Centralobular emphysematous changes are observed at both apical levels. In some ribs observed in the left hemithorax, calluses secondary to fracture are observed in the posterior. Upper abdominal organs included in the sections are normal. Changes in favor of steatosis are observed in the liver parenchyma. Bilateral adrenal glands are normal and no space-occupying lesion was detected. The gallbladder is operated. A small 13x8 mm lymph node is observed at the esophagogastric junction. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
There is an oval solid lesion in the lateral segment of the lower lobe of the left lung, with minimal spiculation in its contours measuring 28 mm. Further investigation is recommended in terms of clinical laboratory correlation and differential diagnosis of space-occupying lesion and carcinomatous process. Small 13x8 mm lymph node at the esophagogastric junction Hepatosteatosis. A few lymph nodes with a short axis measuring up to 3 mm in the mediastinum. Atherosclerosis. In some ribs observed in the left hemithorax, calluses secondary to fracture are observed in the posterior.
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train_5061_b_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. There are metallic suture materials belonging to sternotomy on the anterior thorax wall. 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. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The heart contour size is normal. Postop suture materials were observed in the pericardium anteriorly. There is a postoperative hemorrhagic effusion measuring 8 mm at its widest point in the anterior pericardial area. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; In the current examination, there is a free pleural effusion measuring 38 mm at its thickest point between the left pleural leaves and atelectatic changes in the adjacent lung parenchyma. The described effusion extends into the fissure. There are minimal atelectatic changes in the adjacent lung parenchyma. An air cyst with a diameter of 15 mm was observed in the posterobasal segment of the lower lobe of the left lung. Emphysematous changes are present in both lungs. In the middle lobe of the right lung, band-like sequela fibrotic density increases were observed. There are changes with old fracture sequelae at the level of the lower ribs of the left lung. In the upper abdominal sections in the study area; liver parenchyma density was diffusely decreased in line with the adiposity. The gallbladder was not observed (cholecystectomized?). Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
Stable soft tissue lesion in the basal segment of the lower lobe of the left lung. Pleural effusion extending to newly emerged fissure and mild atelectatic changes in adjacent lung parenchyma on current examination on the left. Hepatosteatosis. Cholecystectomy. Slight dilatation of the thoracic aorta. Mild effusion in the anterior pericardial area of a postoperative hemorrhagic nature. Changes with old fracture sequelae in left lower costal vertebrae.
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train_5062_a_1.nii.gz
Unspecified.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The left thyroid lobe is larger than normal. It extends into the intrathoracic cavity. 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 calcific nodule measuring 5 mm in size in series 2 ima 86 is observed in the posterior segment of the upper lobe of the right lung. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Findings consistent with thyroid parenchymal disease. Calcific nodule in the upper lobe of the right lung.
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train_5063_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 and no obstructive pathology is observed. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast. Calibration of the 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 detected in the thoracic esophagus. In both axillary regions and mediastinum, there are lymph nodes of fusiform configuration, the largest of which is at the subcarinal level, and the diameter is 9 mm. No lymph node was observed in pathological size and appearance. When examined in the lung parenchyma window; Active infiltration, no mass lesions were detected in both lungs. There are a few nonspecific nodules in millimeter sizes. Paraseptal emphysematous changes are observed at the apex of both lungs. Diffuse peribronchial thickness increases are observed in both lungs, and mucus plugs are present in the anterior segment of the right lung upper lobe. 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
There was no finding in favor of pneumonic infiltration in both lungs. There are paraseptal emphysematous changes in both lung apexes, bilateral peribronchial diffuse minimal thickness increases, and mucus plugs in the right upper lobe anterior segment of the right lung. Lymph nodes in the mediastinum and both axillary regions that are not pathological in size and appearance.
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train_5064_a_1.nii.gz
null
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Slight thickening of the pericardium is observed at the ventricular level. The aortic arch calibration was measured as 30 mm, slightly above normal. Pulmonary trunk calibration is natural. However, the infundibulum level is prominent. Calibration at this level is measured at 30 mm. Right pulmonary artery calibration and left pulmonary artery calibration are normal. A calcific atheroma plaque is observed at the level of the aortic arch. Multiple lymph nodes are observed in the prevascular area at the pretracheal level, in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum, and the largest one in the aorticopulmonary window is measured at 16x12 mm in the aorticopulmonary window. Partially calcific looking lymph nodes are also observed at the right hilar level, the largest measuring 22x13 mm in the vicinity of the pulmonary vein. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. The calibration of the trachea and main bronchi is normal and their lumens are clear. When examined in the lung parenchyma window; Paraseptal emphysema and bulla-blep formations are observed in the upper-middle zones of both lungs. The largest is observed in the right lung at the apical level and in dimensions of 32x30 mm. It is 19x22 mm in its old review. There is a significant increase in size. Density increases consistent with pleuroparenchymal sequelae are observed at the apical level in both lungs. Sequelae changes are observed in the middle lobe and at the level of the minor fissure. Especially around the intermediate bronchus, the mass lesion at the posterior level of the bronchus becomes prominent. In addition, another soft tissue lesion similar to the main lesion, which cannot be distinguished from sequelae changes, is observed at the level of the interlobar fissure more anteriorly and was not detected in the previous examination. Irregular thickenings and ground-glass-like density increases are observed in the interstitial parenchymal tissue in the lower lobe superior segment around the lesion. In the case with previous PCP pneumonia history, the appearance is nonspecific. However, peritumoral spread in this localization is also included in the differential diagnosis. This view has become evident in his previous study. There is a calcific nodule of approximately 4 mm in diameter in the left lung at the apical level, which was also observed in the previous examination. Fibroatelectatic density increases are observed in the lingular segment and in the upper lobe apicoposterior segment, adjacent to the interlobar fissure. In the upper abdominal organs included in the sections, a decrease in density consistent with hepatosteatosis is observed in the liver. Right adrenal glands were normal and no space-occupying lesion was detected. No significant mass was detected in the left adrenal site. It could not be observed in the left kidney lodge. Degenerative changes are observed in the bone structures in the study area. There is a compression fracture in the D8 vertebra, which causes about 50% loss of height. Prominence is observed in dorsal kyphosis.
In the lesion observed around the intermediate bronchus at the right central level, there is an increase in size in this mass, especially in the posterior part of the lesion. Again, soft tissue density, which does not give a clear contour with an appearance similar to the interlobar fissure superposed to the central level, was not detected in the previous examination. Sequelae changes in both lungs and paraseptal emphysema appearances in the upper-middle zones. Hepatosteatosis.
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train_5064_b_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 appearance of mucous secretion is observed in the tracheal lumen. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. The main pulmonary artery diameter was 30 mm and slightly increased. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; diffuse emphysematous changes in both lungs and bull formations in the apical are observed. Significant pleuroparenchymal sequelae increase in density on the left, structural distortion and volume loss in the left apical region are observed in both lungs. In the current examination of bilateral lung parenchyma, newly emerging bronchiectatic changes, peribronchial thickening, prominence of interlobular septa, subpleural lines and accompanying ground glass density increases are observed. Honeycomb appearances are observed in the lower lobe of the right lung. The appearance suggested interstitial lung disease. In the right hilar region, a soft tissue lesion in which millimetric calcifications are observed, continues along the bronchovascular sheath, extending towards the right lower lobe, whose borders cannot be clearly discerned. A free pleural effusion measuring 7 mm in its thickest part is observed between the pleural leaves on the right. On the left, minimal pleural effusion is observed in the current examination. In the upper abdominal sections included in the examination area; A diffuse-heterogeneous decrease in density is observed in the liver, consistent with hepatosteatosis. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes are observed in bone structures. Sequelae compression, which causes loss of height, is observed in the T8 vertebral body. Trabeculation increase due to osteopenia is observed in bone structures in the study area.
Appearance suggestive of pulmonary fibrosis in both lungs. Clinical evaluation is recommended in terms of changes secondary to possible treatment, which are newly revealed in the current examination. Diffuse emphysematous changes in both lungs. Hepatosteatosis. Partial compression sequelae in T8 vertebra. Mediastinal stable lymph nodes. Bilateral minimal pleural effusion.
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1
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1
train_5065_a_1.nii.gz
Weakness, malaise, cough and lower back pain.
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. 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 advanced 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.
Hepatic steatosis.
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0
0
0
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0
0
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0
0
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0
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0
train_5065_b_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 axilla, supraclavicular fossa and mediastinum in pathological size and appearance. Sliding type hiatal hernia is present. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. A focal calcific plaque is observed proximal to the LAD. No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. In upper abdominal sections; A decrease in liver parenchyma density is observed, consistent with advanced hepatosteatosis. No lytic-destructive lesions were detected in bone structures.
LAD focal atherosclerotic plaque. Advanced hepatosteatosis.
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1
1
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0
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0
0
0
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0
train_5065_c_1.nii.gz
Weakness, fatigue, back pain
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. Ground-glass appearances are observed in the peripheral and central parts of the upper and lower lobes of both lungs. There are interlobular septal thickenings and enlarged vascular structures in places within the ground glass appearance. In addition, linear density increases parallel to the pleura are observed in the peripheral areas. The described findings are the findings frequently observed in Covid-19 pneumonia. No mass was detected in both lungs. No pleural or pericardial effusion was detected.
Findings consistent with viral pneumonia in both lungs.
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1
train_5065_d_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
12.2020; In the case with known COVID 19 pneumonia; Density increases in the form of ground glass were observed in the peripheral and central parts of the upper and lower lobes of both lungs. No mass was detected in both lungs. No pleural or pericardial effusion was detected.
Not given.
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0
0
0
0
0
0
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0
0
1
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0
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0
0
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0
train_5065_e_1.nii.gz
Abdominal pain, shortness of breath
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm. The examination was performed biphasically in the arterial-portal phase.
Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Left perihilar millimetric calcific plaques are observed. Pleural effusion-thickening was not detected in both lungs. In the evaluation of both lung parenchyma; More prominent ground-glass densities are observed in the lower lobes of both lung parenchyma. There are scattered ground glass densities in both lungs. The craniocaudal size of the liver is 190 mm and its size has increased. Liver parenchyma density decreased in line with hepatosteatosis. In the left lobe medial segment, there is a minimal increase in density observed in the post-contrast sections that do not draw a mass contour. And it may belong to the fat-preserved parenchyma. In addition, heterogeneous parenchyma is observed in the left lobe lateral segment of the liver. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts, gallbladder are normal. Spleen contour size parenchyma density is normal. Pancreas contour size parenchyma density is normal. Both kidney size contour parenchyma density, pelviccalcial system are natural. A cortical cyst of 16 mm in diameter is observed in the upper pole of the left kidney. No renal solid mass was detected. The bilateral adrenal gland appears natural. Bladder filling is homogeneous. No obvious pathology was detected in the lumen. Prostate gland sizes are natural. Parenchyma is homogeneous. Periprostatic fatty tissues are clear. Seminal vesicles are natural. No lytic-destructive lesion was detected in the bones.
Obvious regression in the infiltrates and subpleural retractions observed in the previous examination at a 10-day interval in the known Covid-19 error, and faint persistence of ground glass densities in both lungs. The appearance of a suspicious lesion with a central slightly hypodense appearance in an area of approximately 3.5 cm in the lateral segment of the left lobe, primarily evaluated as secondary to fat-protected parenchyma. Control under optimum conditions is recommended.
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0
0
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1
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1
0
0
0
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1
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0
train_5066_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Esophageal calibration is natural. No lymph node was observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; There are parenchymal air trapping areas in the lower lobes of both lungs. It is secondary to small airway involvement. A few nonspecific low-density nodular lesions less than 5 mm in diameter and without volume effect were observed in both lungs. No pneumonic infiltration was detected in the lung parenchyma. No suspicious mass or nodular lesion was detected in the lung parenchyma. Pneumomic infiltration was not observed. No features were detected in the upper abdomen sections. There is a cystic density lesion with a diameter of 14 mm in the left kidney. No lytic-destructive lesions were detected in bone structures.
Air trapping areas in both lung lower lobe basal segments are secondary to small airway involvement. A few nonspecific nodular lesions with diameters less than 5 mm were observed in both lungs. Millimetric cyst in the left kidney.
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0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
train_5067_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. Variation of the right aberrant subclavian artery pressing the esophagus was 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; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. Segmentary tubular bronchiectasis was observed in both lungs. 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.
Variation of aberrant right subclavian artery compressing the esophagus Segmentary tubular bronchiectasis in both lungs No finding in favor of pneumonic infiltration-mass in the lung parenchyma.
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0
0
0
0
0
0
1
0
0
0
0
1
0
train_5068_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 size increased. Pericardial thickening-effusion was not detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. There are lymph nodes measuring 12 mm in the short axis of the largest in the mediastinal, upper-lower paratracheal, subcarinal, and bilateral hilar regions. When examined in the lung parenchyma window; Fibroatelectatic changes were observed in both lungs. Mild emphysematous changes were observed in both lungs. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass or infiltration was detected in both lung parenchyma. No pleural effusion was detected. In the upper abdominal sections in the study area; A 29x26 mm hypodense lesion was observed at the liver segment 2 level (cyst?). Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. 9 mm diameter calculus was observed in the gallbladder. Degenerative changes were observed in bone structures.
Atherosclerotic changes. Cardiomegaly. Mild emphysematous changes, fibroatelectasis changes in both lungs. Millimetrically sized nonspecific parenchymal nodules in both lungs. Hiatal hernia. Hypodense lesion (cyst?) in the liver. Cholelithiasis. Degenerative changes in bone structures.
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1
1
0
1
1
1
1
0
1
0
1
0
0
0
0
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0
train_5069_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
No sign of pneumonia was detected.
0
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0
0
0
0
0
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0
train_5070_a_1.nii.gz
bronchiectasis
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 mediastinal main vascular structures and heart were evaluated as suboptimal because the examination was unenhanced. No obvious pathology was detected. Thoracic esophagus is in normal calibration. No pathological wall thickening was detected. Lymph nodes with a short diameter of up to 6 mm were observed in the mediastinal prevascular area, aortopulmonary window and paratracheal area, and bilateral hilar region. When examined in the lung parenchyma window; Cystic bronchiectasis and peribronchial thickenings were observed in the left lung middle lobe medial segment, right lung lower lobe medial basal segment, and left lung lower lobe posterobasal and mediobasal segments. In the areas adjacent to the bronchiectasis, fibroatelectasis changes and bud branch appearances were observed in places. An irregularly circumscribed parenchymal nodule with a diameter of approximately 4 mm was observed in the posterior segment of the right lung upper lobe. Pleural effusion-thickening was not detected. Upper abdominal organs entering the imaging field 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. Focal cortical defect was observed in the middle zone of the right kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Cystic bronchiectasis, peribronchial thickenings, fibroatelectasis changes and bud branch appearances in the right lung middle lobe medial segment, both lower lobes medial basal and posterior basal segments. Irregularly circumscribed parenchymal nodule in the right lung upper lobe posterior (follow-up recommended).
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1
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train_5070_b_1.nii.gz
Not given.
The examination was carried out without contrast material with a section thickness of 1.5 mm.
CTO is normal. Calibration of mediastinal major vascular structures is natural. No pathological size and configuration lymph nodes were detected at mediastinal and both hilar levels. Thoracic esophagus calibration was normal and no pathological wall thickness increase was detected. In the evaluation of the parenchymal window of both lungs; both hemithorax are symmetrical. Trachea calibration is natural. An increase in bronchial calibration, consistent with bronchiectasis, is observed in the basal segments of the left lung at the central level in both lungs. Peribronchovascular sheathing and nucoid impaction appearances observed in the lower lobe of the left lung basally regressed in the current review. On the right, there is a nodular appearance of approximately 6.5 mm in diameter, superposed on the major interlobar fissure. According to the previous examination, the density of frosted glass is observed around it and it is slightly more pronounced. Mild sequelae changes are observed in the linguistic segment. Apart from this, no pleural effusion or pneumothorax was detected in both lungs. A nodule with a diameter of approximately 3 mm is observed in the superior segment of the left lung lower lobe and was not detected in his previous examination. In the sections passing through the upper abdomen, a properly circumscribed density of 8x7 mm, which gives negative HU density values, is observed in the upper pole of the right kidney. It was evaluated as compatible with angiomyolipoma. Degenerative changes are observed in the bone structure.
The case has appearances compatible with bronchiectasis. In the area of bronchiectasis observed in the anteromediobasal segment of the lower lobe of the left lung, the peribronchovascular sheathing and mild mucus impaction appearance observed in the previous examination regressed in the current examination. In the right lung middle lobe The honeycomb appearance observed is also present in the old examination. No significant difference was detected.
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train_5071_a_1.nii.gz
nausea, vomiting
Before IVKM was given, sections were taken in the axial plan and reconstruction was made at the workstation.
Bilateral pleural effusion is observed. The pleural effusion continues to the apex of the lung when the patient is in the supine position. The anterior-posterior diameter of the effusion was measured 50 mm on the right at its thickest point. There is no bilateral pleural thickening. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There are atelectasis in the upper and lower lobes of the left lung and the lower lobes of the right lung. No mass or infiltrative lesion was detected in both lungs. There are millimetric nonspecific nodules in both lungs. Minimal emphysematous changes are observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. Pericardial thickening was not detected. There are millimetric atheroma plaques in the coronary arteries. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open.
Bilateral pleural effusion. Atelectasis in both lungs. Emphysematous changes in both lungs. Minimal pericardial effusion. Atherosclerotic changes in the coronary arteries.
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train_5072_a_1.nii.gz
Liver failure.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
There is bilateral gynecomastia. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Evaluation of mediastinal structures is suboptimal due to lack of contrast agent. In the upper mediastinum, in the upper and lower paratracheal areas, there are nonspecific lymph nodes with increased numbers in the subcarinal area. The largest of these lymph nodes is in the subcarinal localization and its short diameter is 14 mm. One nonspecific lymph node with a short diameter of 8 mm was observed at level 4 localization in the right supraclavicular fossa. There is an effusion reaching 4.5 cm in diameter between the leaves of the left pleura. Trachea, both main bronchi, lobar and segmental bronchi, air passage open. In the lung parenchyma; In the anterior segment of the upper lobe of the right lung, the parenchyma area is observed in the peribronchial area with a low density of ground glass density. It can be distinguished from normal parenchyma as a slight change in density. The reason for the examination was not specified in the patient's clinical information. If there is a preliminary diagnosis of pneumonia, this appearance may belong to an early stage atypical pneumonia. It would be appropriate to go to the diagnosis in line with clinical information or control imaging. No space-occupying lesion was detected in the aerated lung parenchyma. In the upper abdominal sections, there is perihepatic in the abdomen, mild free fluid in the perisplenic area, edema or effusion-related contamination in the intra-abdominal fatty planes. A 4 mm diameter calculus was observed in the gallbladder lumen. Numerous venous vascular collaterals are seen in the paraesophageal area, spleen hilum and anterior abdominal wall. No lytic-destructive space-occupying lesion was detected in bone structures.
Left pleural effusion, intra-abdominal free fluid in a patient with liver failure. Slight increase in density in the parenchyma in the anterior segment of the right lung upper lobe. Differential diagnosis could not be made because it is a nonspecific and ambiguous finding and clinically not indicated. If pneumonia is suspected, it may be due to an early atypical pneumonic infiltration. Clinical correlation and/or control imaging is recommended. Mediastinal lymph nodes Intra-abdominal venous collaterals.
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train_5073_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; Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart size increased. Pericardial effusion was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Calcified lymph nodes were observed in the right hilum with a mediastinal and bilateral hilar short axis smaller than 7 mm. When examined in the lung parenchyma window; Patchy ground-glass density increases were observed in the lower lobes of both lungs. The outlook is not typical for COVID-19 pneumonia. However, it cannot be ruled out. Clinical laboratory correlation is recommended. A subpleural 4 mm nonspecific parenchymal nodule was observed in the right lung middle lobe lateral segment. Bilateral pleural effusion-thickening was not detected. In the upper abdominal sections entering the examination area, the gallbladder has a hydropic appearance. The wall thickness has increased. There are calculi in the lumen. It is recommended to be evaluated together with US. Diffuse degenerative changes were observed in bone structures.
Cardiomegaly, pericardial effusion. Calcific atherosclerotic changes in the wall of the coronary artery and coronary aorta. Mediastinal millimeter-sized lymph nodes. Millimetric-sized calcified nonspecific parenchymal nodules in the right lung. Patchy ground-glass density increases in the lower lobes of both lungs, the appearance is not typical for Covid-19 pneumonia. However, it cannot be excluded. Clinical and laboratory correlation is recommended. Hydropic appearance of the gallbladder, increase in wall thickness, intraluminal calculus, evaluation with US recommended.
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train_5074_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 ascending aorta is wider than normal with an anterior-posterior diameter of 44 mm. Calibration of other mediastinal 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 were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Linear fibrotic recessions were observed in the right lung middle lobe lateral segment and both lung lower lobe basal segments. Nonspecific parenchymal nodules with a diameter of 4.2 mm were observed in both lungs, the largest of which was in the left lung, lower lobe laterobasal segment of the left lung. Bronchiectatic changes were observed in both lungs, which became prominent in the center. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Fusiform aneurysmatic dilatation in the ascending aorta. Linear fibrotic recessions in both lungs, nonspecific parenchymal nodules, bronchiectatic changes evident in the central.
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train_5075_a_1.nii.gz
sore throat, weakness, malaise, headache, cough, loss of smell and taste
Transverse sections of 3 mm thickness obtained without the application of IV contrast material were evaluated.
Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances were observed in both lungs. Viral pneumonia? In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures.
Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances.
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train_5076_a_1.nii.gz
Not given.
Non-contrast images with a slice thickness of 1.5 mm were obtained in the axial plane. Clinic: Infection?, lung neuroendocrine tumor at follow-up
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There is stent material surrounding the esophagus along the esophagus tracing. Minimal soft tissue thickening is observed around the stent. Multiple LAPs were observed in the paratracheal, prevascular, subcarinal, and aortopulmonary window, the largest of which was 14x11 mm in the pretracheal area. When examined in the lung parenchyma window; Wide areas of pneumonic consolidation with air bronchograms, diffuse reticular density increases are observed, more commonly in the medial segments of the lower lobes of both lungs. There are scattered centriacinar nodular density increases on the ground of diffuse ground glass density in both lungs. The appearances were evaluated secondary to the infective process. In addition, a thick-walled cavitation area with a diameter of about 15 mm is observed in the lower lobe of the left lung. Uniform thickenings of the interlobular septa are observed on the ground glass background in both upper lobe posterior and lower lobe superiors of both lungs. Changes are newly developed in the current review and in the presence of clinical correlation, they were initially evaluated as secondary to the infective process. In addition, there are newly developed bilateral nodular densities (infective ?) on current examination, the largest of which is approximately 7 mm in diameter in the upper ob posterior of the right lung. Post-treatment control of the patient is recommended. Pleural effusion-thickening was not detected. The size of the liver entering the section area has increased and the parenchymal density is heterogeneous (mass lesion?). 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.
Diffuse areas of consolidation in both lungs, centriacinar nodular densities and interlobular septal thickenings on a ground glass background; appearances are newly developed and evaluated secondary to the infective process in the presence of clinical correlation. Newly developed cavitation in the superior left lung lower lobe . Newly developed multiple nodules in both lungs in current examination (infective ?) Follow-up is recommended after treatment . Esophageal stent . Hepatomegaly and large heterogeneous lesion in liver parenchyma . Stable LAPs in mediastinum
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1
train_5077_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 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. 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; Azygos lobe variation was observed in the upper 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.
Thorax CT examination within normal limits except for azygos lobe variation in the upper lobe of the right lung
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train_5077_b_1.nii.gz
Pneumonic infiltration?
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. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Findings within normal limits
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train_5078_a_1.nii.gz
Diarrhea, fever, postnasal drip, persistent cough, viral pneumonia?
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral consolidations and ground glass areas are observed in both lungs, especially in the lower lobes. Some of the described views are round in shape. These appearances were evaluated in favor of viral pneumonia. These findings are frequently encountered in Covid pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because no contrast material is given. As far as can be seen; Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal major vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. There are stones in the gallbladder about 1 cm in diameter. Vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open.
Findings consistent with viral pneumonia in both lungs
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train_5079_a_1.nii.gz
Not specified.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Thyroid gland sizes are natural. No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in both lung parenchyma. Slight aeration differences are observed in the parenchyma. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. In the anterior segment of the upper lobe of the right lung, an increase in pleural-based semisolid nodular density is observed. It measures 5 mm in diameter. It is nonspecific. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. In the left coracoclavicular ligament localization, new bone formations are observed in favor of pseudoarthrosis and myocytosis ossificans.
Millimetric nonspecific low-density nodular lesion in the right lung. Pneumonic infiltration was not detected in the lung parenchyma.
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train_5080_a_1.nii.gz
Nodule follow-up control
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
6 mm diameter metallic density of foreign body is observed between fatty planes in the anterior neighborhood of the tracheal cartilage. Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen of the trachea and both main bronchi. The diameter of the main pulmonary artery was 30 mm and was at the upper limit. Mediastinal main vascular structures, heart contour, size are normal. No dilatation was detected in the thoracic aorta. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs, especially in the right lung, and subpleural bulla formations are observed in the apical. Density increases and millimetric calcifications are observed in the bilateral upper lobes of the lung, and in the left upper lobe of the left lung, causing parenchymal distortion and volume loss with a diameter of 24 mm. The outlook was primarily evaluated in favor of sequelae change. Band-like sequela fibrotic density increases are observed in the left lung inferior lingular segment, right lung middle lobe and both lung lower lobe posterobasal segments. Mild bronchiectatic changes are observed in the bilateral center. A 7.7 mm diameter (6.4 mm diameter in the previous examination) pulmonary nodule is observed in the posterior segment of the right lung upper lobe. According to the previous examination, stable calcified pulmonary nodules with a diameter of 2.5 mm in the middle lobe of the right lung and 2 mm in diameter in the superior segment of the lower lobe are observed. In addition, a 3.5 mm diameter pulmonary nodule is observed in the inferior lingular segment of the left lung. In the left lung lower lobe laterobasal segment, multiple adjacent pulmonary nodules measuring 2 mm in diameter are observed in cluster style. In the right lung lower lobe superior segment, a 5.5 mm diameter pulmonary nodule with irregular borders observed in the subpleural neighborhood in the previous examination was not detected in the current examination. 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. Calcified atherosclerotic changes are observed in the wall of the abdominal aorta. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Metallic foreign body among soft tissues anterior to the tracheal cartilage is also observed in the previous examination. Areas that are primarily evaluated in favor of parenchymal fibrosis, causing distortion and volume loss in the apical region of both lungs. It is stable. Diffuse emphysematous changes and bulla formations in both lungs. Mediastinal millimetrically stable lymph nodes. If the right lung lower lobe superior segment is in the right lung lower lobe superior segment, the pulmonary nodule observed in the previous examination was not detected in the current examination. Mild bronchiectatic changes.
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train_5081_a_1.nii.gz
Not given.
1.5 mm cross-sectional non-contrast images were taken in the axial plane
Trachea, both main bronchi are open. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening is not detected. No pathology was detected in the upper abdominal sections included in the sections. No lytic or destructive lesions were detected in the bone structures included in the examination area.
Thoracic CT examination within normal limits
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train_5082_a_1.nii.gz
Cough, viral pneumonia?
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidation and ground glass areas are observed in the peripheral regions of both lungs. The described appearance was judged in favor of viral pneumonia. The findings described in Covid-19 pneumonia are frequently observed. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were 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 observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc spaces are preserved. The neural foramina are open.
Findings consistent with viral pneumonia in both lungs.
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train_5083_a_1.nii.gz
pneumonia?
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidations and ground-glass areas are observed in both lungs, more prominently in the lower lobes. Findings can also be observed in the central and peripheral parts of the lung. The described manifestations are not specific and differential diagnosis could not be made due to their prevalence. Many pathogens can cause a similar appearance. It is recommended to evaluate the patient together with clinical, physical examination and laboratory findings. 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. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter, some of which are calcific, in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. No fractures or lytic-destructive lesions were observed in the bone structures within the sections.
Extensive consolidation and ground-glass areas in both lungs judged primarily in favor of their infective pathology.
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train_5084_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. There is no obstructive pathology in the trachea and both main bronchi. Consolidations and ground glass areas accompanying the consolidations are observed in both lungs, being more prominent in the lower lobes and peripheral areas. Enlarged vascular structures are observed in the ground glass areas. These findings are frequently observed in Covid-19 pneumonia. In the appearances followed during the Covid-19 pandemic process, it was primarily considered in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. 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. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. The neural foramina are open.
Findings evaluated primarily in favor of viral pneumonia in both lungs.
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train_5084_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. . Thoracic aorta diameter is normal. Calibration of the ascending aorta is at the maximal physiological limit. The aortic arch calibration was measured as 30 mm, slightly above normal. Calibration of other major vascular structures is natural. No pathological size and configuration lymph nodes were detected in the mediastinum and hilar level. 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. Sequelae changes are observed in the right lung basal. There are sequelae changes to the lingular segment at the base of the left lung. There is a subpleural 6x4 mm nonspecific nodule at the posterobasal level. No bilateral pleural effusion or pneumothorax was detected. In the upper abdominal organs included in the sections, there is a decrease in density consistent with steatosis in the liver. The contour, size and parenchymal density of the spleen are normal. Nodular density compatible with the millimetric accessory spleen is observed in the anterior neighborhood of the spleen. The contour, size, parenchyma density of the pancreas is natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the surrounding soft tissue planes included in the sections, nodular densities of approximately 9x6 mm are observed both in the lower level outer part of the left breast aeorala. Degenerative changes are observed in the bone structures in the study area.
Not given.
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train_5085_a_1.nii.gz
Hepatocellular carcinoma (HCC) at follow-up, control after right lobe transplantation.
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. There are findings evaluated in favor of pleuroparenchymal sequela fibrotic changes in both lung apex. In addition, there are sometimes linear atelectasis in both lungs. Minimal emphysematous changes were observed in both lungs. There is a millimetric nonspecific nodule in the right lung. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed. The neural foramina are open.
Operated HCC at follow-up. Atheroma plaques in the aorta and coronary arteries. Hiatal hernia. Pleuroparenchymal sequela fibrotic changes in both lung apex. Emphysematous changes in both lungs.
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train_5086_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. 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; Sequela reticulonodular density increases were observed in the apex of both lungs. A linear fibroatelectasis sequela change was observed adjacent to the major fissure in the left lung inferior lingular segment. 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. Mild degenerative changes and left-facing scoliosis at the thoracic level were observed in the bone structures in the examination area.
Hiatal hernia . Linear sequela fibroatelectatic change adjacent to the major fissure in the left lung inferior lingular segment
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train_5087_a_1.nii.gz
Cough, sputum.
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 milimetric centriacinar nodules, some of which have the appearance of budding trees, with minimal peribronchial thickening, more prominent in the lower lobes of both lungs, and prominent in the lower lobe of the right lung. It is recommended that the patient be evaluated for airway disease. There are emphysematous changes in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Minimal peribronchial thickening in both lungs and occasional centriacinar nodules in both lungs, most prominently in the lower lobe of the right lung (recommended to be evaluated for distal airway disease). Atherosclerotic changes in the aorta.
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train_5088_a_1.nii.gz
covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric calcific sequela lymph nodes are observed in both lung hilum. Widespread patchy ground-glass opacities are observed in both lungs, involving all lung lobes, located subpleural, and the appearance is consistent with typical-probable Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Typical-probable Covid-19 pneumonia.
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train_5089_a_1.nii.gz
Shortness of breath, fatigue. CRP height. Covid-19?
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 cardiothoracic index increased in favor of the heart. There are findings compatible with the pace maker double chamber. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, there are several small lymph nodes with a short axis measuring up to 7 mm. In both hemithorax, a small amount of minimal pleural effusion on the left, minimal pleural effusion on the left, dependent atelectatic changes at basal levels in both lung lower lobes, an increase in density indistinguishable from atelectatic changes observed in air bronchogram signs within the right lung lower lobe at basal level are observed. Clinical laboratory correlation is recommended for the onset of an infectious process (lobar pneumonia?). There are interlobular septal thickenings in both lungs (considered secondary to cardiac stasis). There is a diffuse density decrease in bone structures, and hypertrophic osteophytic tapering is observed in the anterior end plates of the dorsal vertebral corpuscles.
Thickening of interlobular septa in both lungs secondary to cardiac stasis. Small amount of pleural effusion, more prominent on bilateral right. Atelectatic changes in the basal segments of the lower lobes of both lungs. An increase in density at the basal level of the lower lobe of the right lung, which can hardly be distinguished from atelectatic changes in which air bronchogram signs are also observed (Lobar pneumonia?). Clinical laboratory correlation is recommended for an infectious process. Small lymph nodes measuring up to 7 mm in short axis in the mediastinum. Cardiomegaly. Atherosclerosis. Decreased density in bone structures, osteopenic appearance.
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train_5089_b_1.nii.gz
Shortness of breath, fatigue, palpitations
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open and no obstructive pathology is observed. Because the mediastinal main vascular structures and heart examination were performed without IV contrast material, it was not evaluated optimally. The cardiothoracic ratio increased in favor of the heart. A pace maker is observed on the left anterior chest wall. There are calcified atheroma plaques in the aortic arch and coronary vascular structures. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, lymph nodes with a short diameter of less than 1 cm in fusiform configuration and without pathological size and appearance are observed. No lymph nodes were detected in pathological size and appearance in both axillary regions and in the supraclavicular fossa. A free pleural effusion measuring 55 mm in the deepest part on the right and 30 mm in the deepest part on the left is observed. Pericardial effusion was not observed. Changes secondary to atelectasis are observed in the basal segments of both lung lower lobes adjacent to the effusion. There are smooth interlobar septal thickness increases, more prominent in the lower lobes of both lungs. Cardiac pulmonary edema was evaluated as secondary. Band-like consolidation areas are observed in the left lung upper lobe inferior lingular segment and right lung middle lobe, and the findings may be secondary to atelectasis, and pneumonic infiltration cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings. No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. There is a drainage catheter extending into the gallbladder lumen. No lytic or destructive lesions were observed in the bone structures in the study area. There are degenerative changes.
Increase in heart dimensions, calcified atheroma plaques on the wall of mediastinal and coronary vascular structures . Bilateral pleural effusion . Smooth interlobular septal thickness increases, which are more clearly observed in the lower lobes of both lungs; evaluated as secondary to cardiac pulmonary edema. In the lower lobes of both lungs adjacent to the effusion, Band-like consolidation areas are observed in the left lung upper lobe inferior lingular segment and right lung middle lobe, and the findings were primarily evaluated in favor of areas of increased density secondary to atelectasis. However, pneumonic infiltration cannot be excluded. Evaluation with clinical and laboratory findings is recommended.
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train_5089_c_1.nii.gz
Heart failure, shortness of breath, nausea.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Pleural effusion is observed in the right pleural space, up to 10 cm at its deepest point, and up to 7 cm at its deepest point on the left. Density increase areas, which are evaluated primarily in favor of atelectasis, are observed in both lung parenchyma adjacent to the effusion, and pneumonic infiltration cannot be excluded at these levels. In addition, an area of increase in density consistent with nodular consolidation is observed in the anterior segment of the left lung upper lobe, approximately 13x12 mm in size, located in the peripheral subpleural. It is recommended to be evaluated together with clinical and laboratory findings in terms of pneumonic infiltration. No change was found in other findings.
Not given.
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train_5090_a_1.nii.gz
Weakness, fatigue. covid?
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Peripheral and peribronchial consolidations in ground glass density are observed in both lung parenchyma. In sections passing through the upper part of the west; There is a hypodense-looking lesion adjacent to the falciform ligament in the lateral segment of the left lobe of the liver. Bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was observed in bone structures.
Typical findings for Covid-19 pneumonia. Nonspecific hypodense lesion (cyst?) adjacent to the falciform ligament in the left lobe lateral segment of the liver.
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train_5091_a_1.nii.gz
Infection?, CRF follow-up case.
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 nodule in the right thyroid lobe that extends into the intrathoracic cavity. Mediastinal main vascular structures are normal. There is an increase in heart size. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There are atherosclerotic changes in the coronary arteries, aortic arch, and observable levels of the abdominal aorta. 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 is slight thickening of the interlobular septa. 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. Tapering is observed in the end plates of the vertebral corpus. Diffuse density reduction is observed in bone structures.
An increase in heart size is observed. Slight changes secondary to cardiac stasis. Nodule is observed in the right thyroid lobe, USG correlation is recommended. Atherosclerotic changes. Degenerative changes in bone structures.
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train_5092_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; In both lungs, nodular patchy ground-glass consolidations were observed in the right lung lower lobe basal segments, with a more widespread peripheral subpleural location, forming a crazy paving pattern, 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. Accessory spleen with 11 mm diameter was observed adjacent to the inferior splenic hilus. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Highly suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma are recommended to be evaluated together with clinical and laboratory.
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train_5093_a_1.nii.gz
covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. In lung parenchyma evaluation; There is a subpleural consolidation area in the posterobasal segment of the right lung lower lobe. Subpleural nodular ground glass opacity areas are observed in the right lung upper lobe and left axial upper lobe. Although the findings were not specific, they were evaluated suspiciously in favor of covid pneumonia. No features were detected in the upper abdomen sections. The gallbladder is operated. No lytic-destructive lesions were detected in bone structures.
Not given.
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train_5094_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In both supraclavicular fossas, no lymph node in pathological size and appearance was observed in the cross-section. A few short axes with a left retroclavicular location and two lymph nodes under 1 cm are also present in the previous examination and are stable. No lymph node in pathological size and appearance was observed in both axillae. Significant edema is observed in the right axilla and in the bilateral abdominal subcutaneous adipose tissue, which is prominent on the right within the section. There are wall calcifications in the aortic arch and thoracic aorta. Millimetric nonspecific lymph nodes located bilaterally in the mediastinum, upper paratracheal, lower paratracheal and subcarinal were also present in his previous examination and were stable. Calcified atheroma plaques are present in LAD. Pleural effusion reaching 4 cm in diameter between the right pleural leaves is a new finding. No metastatic lesion was detected in the lung parenchyma. Fissure edema is also observed in the right major fissure. There are kyphosis and degenerative changes in bone structures. Significant free fluid is also observed in the abdomen.
Except for right pleural effusion, right fissure edema and free fluid in the abdomen, no metastatic lesions were detected in the parenchyma.
0
1
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1
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1
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train_5095_a_1.nii.gz
Liver Tx receiver.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. The ascending aorta is ectatic (38 mm). Calcific atheroma plaques are observed in the aorta and coronary arteries. Other 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. There are millimetric lymph nodes with a short axis of 7 mm in the mediastinum. When examined in the lung parenchyma window; Emphysematous appearance and sequela fibrotic changes are observed in both lung parenchyma, more prominently in the upper lobes. There are bilateral millimetric nonspecific nodules. Centrally, the bronchi are slightly ectatic. In the upper abdominal sections, including the sections; transplanted liver is present and pneumobilia is observed anteriorly. No free fluid collection was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. It has a degenerative appearance in the vertebrae.
Emphysema, millimetric nonspecific nodules, sequela fibrotic changes in the lungs. Central level bronchiectasis. Aortic and coronary artery atherosclerosis. Pneumobilia
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0
1
0
1
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1
0
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train_5095_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 are open and no obstructive pathology is detected. Calibration of mediastinal vascular structures, heart contour and size are natural. Pericardial effusion was not detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph node was observed in pathological size and appearance in both axillary regions. No active infiltration or mass lesion was observed in both lungs. There are emphysematous changes. Diffuse mild ectasia and diffuse mild peribronchial thickness increase are observed in bronchial structures in both lungs. There are several millimeter-sized nonspecific nodules in both lungs. No lytic or destructive lesions were observed in the bone structures within the image. There are degenerative changes.
Emphysematous changes in both lungs, sequela parenchymal changes, diffuse mild ectasia in centrally prominent bronchial structures. Several millimetric nodules in both lungs. Calcified atheromatous plaques of the wall of the thoracic aorta, coronary vascular structures.
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1
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0
1
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1
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1
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1
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train_5096_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 is observed in the esophagus. There is a sliding type hiatal hernia at the lower end. Lymph nodes with a short diameter of 14 mm are observed in the mediastinum, the largest of which is at the precarinal level. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and CTO increased in favor of the heart. There are calcified atheromatous plaques on the wall of the vascular structures. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; no active infiltration or mass lesion is detected, there are sequelae changes and a few nonspecific nodules in millimetric sizes and more prominent emphysematous changes in the upper lobes. In the sections passing through the upper part of the abdomen, there is hepatosteatosis and a 13 mm diameter nodular lesion containing millimeter-sized fat densities in the right adrenal gland( fat-free adenoma?) No lytic or destructive lesions were detected in bone structures. There are degenerative changes.
CTO increased in favor of the heart. Calcified atheromatous plaques on the wall of vascular structures . Sequelae changes in the evaluation of both lung parenchyma and a few non-specific nodules in millimetric sizes and more prominent emphysematous changes in the upper lobes are observed . hepatosteatosis and high density in the right adrenal gland with 13 mm diameter there is nodular lesion containing fat densities (adenoma out of fat?) . No lytic or destructive lesion is detected in bone structures, there are degenerative changes.
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train_5096_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. Right upper-bilateral lower paratracheal, subcarinal, aortapulmonary, mediastinal lymph nodes with a narrow diameter reaching 13 mm and millimetric lymph nodes are observed. Muscles and plaques are observed in the walls of the coronary artery in the ascending arch and descending aorta. There is pericardial effusion in the form of a smear. 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 centriacinar-emphysematous areas are observed in the upper lobes of both lungs. Linear atelectasis is observed in the right lung middle lobe, lower lobe basal segments, left lung lingular segment and lower lobe basal segments. The craniocaudal size of the liver appears to be increased with the part under examination. The right lobe/left lobe ratio increased in favor of the left lobe. It is recommended to be evaluated for liver parenchymal disease. A nodular lesion of approximately 2.5 cm in diameter is observed in the right adrenal gland localization. HU values are 30. It cannot be characterized by CT examination. No lytic-destructive lesion was observed in bone structures.
Significant emphysematous areas in the upper lobes of both lungs. Linear atelectasis in the right lung middle lobe, left lung lingular segment, and lower lobe basal segments of both lungs. Nodular lesion in the right adrenal gland that cannot be characterized on this examination.
0
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1
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train_5097_a_1.nii.gz
AML, control.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
A catheter image extending from the right internal jugular vein to the distal superior venous cava was observed. Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Minimal effusion is observed in the pericardial space. 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; Pleural effusion measuring 28 mm on the right and 32 mm on the left is observed in both hemithorax. Peribronchial thickening and extensive areas of consolidation are observed in both lung lower lobe basal segments. There are interlobular septal thickenings and ground-glass nodular infiltrates in the upper lobe of the right lung. The findings were evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory. Apart from this, no masses with distinguishable borders were detected in both lungs. Liver and spleen sizes increased as can be seen on non-contrast sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Minimal pericardial-bilateral pleural effusion. Areas of peribronchovascular consolidation in the lower lobe basal segments of both lungs, interlobular septal thickenings in the upper lobe of the left lung, and ground-glass central acinar nodular infiltrates in the upper lobes of both lungs. The outlook was evaluated in favor of pneumonia. It is recommended to be evaluated together with clinical and laboratory. Hepatosplenomegaly.
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train_5097_b_1.nii.gz
AML, pancytopenia, focus of infection investigation
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
A central venous catheter placed in the right subclavian is followed and the catheter tip ends centrally. Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Although the evaluation of mediastinal structures is suboptimal since the examination is performed without contrast; Calibration of major vascular structures is normal. Heart size is normal. Regression is also observed in pleural effusions observed in both hemithorax, and there is a residual pleural effusion approximately 1 cm thick in the right hemithorax in the current examination. On the left, the pleural effusion was completely resorbed. Thoracic esophagus calibration is normal. No significant increase in wall thickness was detected. No lymph node was detected in mediastinal, hilar, axillary pathological size or appearance. When examined in the lung parenchyma window; In the previous examination, significant regression was observed in the peribronchovascular consolidation areas, especially in the basal segments of the lower lobes of both lungs, and in the current examination, thick band-like atelectasis areas were formed in these localizations. In addition, linear atelectasis areas were formed in the middle lobes of the right lung. There is regression in band-like atelectatic areas observed in the lingular segments of the left lung. No newly emerged infiltration or nodule formation was observed between the two examinations. Liver and spleen sizes increased in the upper abdominal organs included in the study area. The density of the bone structures in the examination area is normal. Thoracic scoliosis with left opening is observed and thoracic kyphosis is preserved.
Regression in pericardial and pleural effusions, minimal residual pleural effusion in the right hemithorax in actual examination . Significant regression in the areas of peribronchovascular condolidation observed in the basal segments of the lower lobes of both lungs, thick band-like atelectasis with sequelae in these areas. Newly formed areas of linear atelectasis in the middle lobe of the right lung . Hepatosplenomegaly
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train_5098_a_1.nii.gz
Sore throat, weakness, headache, cough, loss of smell and taste
Transverse sections of 3 mm thickness obtained without the application of IV contrast material were evaluated.
Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures.
No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate.
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0
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0
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0
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train_5099_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Thyroid gland sizes have increased, and some of them are calcified nodules. In the patient who underwent liver transplantation, there is an appearance of liver right lobe transplantation. 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; Subsegmental atelectasis is observed in the right lung lower lobe posterobasal segment and left lung lower lobe laterobasal segment. 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. 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 significant infitrative lesion was detected in the lung parenchyma.
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train_5100_a_1.nii.gz
Weakness, frequent urination, chest pain
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific 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 millimetric nonspecific nodules in both lungs
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train_5101_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: calibration of mediastinal major vascular structures is natural. Heart size increased. The stent material applied to the LAD was monitored. 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. Numerous lymph nodes were observed in the mediastinum, with short axis below 1 cm, some of which did not reach pathological dimensions, some with fatty hiluses. When examined in the lung parenchyma window; Bronchiectasis and peribronchial thickenings were observed in both lungs, which became prominent in the center. Centriacinar nodular infiltrates were observed in the peripheral subpleural areas in the posterior segment of the right lung upper lobe. The outlook is compatible with bronchopneumonia. It is recommended to be evaluated together with clinical and laboratory. Nonspecific ground glass densities were observed in both lungs. Sequelae linear atelectatic changes were observed in the left lung lower lobe anteromediobasal, inferior lingular and right lung middle lobe medial segments. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be observed in the non-contrast examination; liver contour and size were normal and periportal edema was observed. A hyperdense appearance was observed in the gallbladder lumen. It is recommended to be evaluated together with USG in terms of bile sludge. The spleen, both adrenal glands, and the pancreas are natural. A 56 mm diameter hypodense nodular lesion area was observed in the upper pole posterior of the left kidney (cyst?). Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Cardiomegaly, stent applied to LAD . Multiple lymph nodes with short axes in the mediastinum that do not reach pathological dimensions below 1 cm . Hiatal hernia . Tubular bronchiectasis prominent in the center of both lungs, peribronchial thickening, centriacinar nodules in the peripheral subpleural area in the posterior segment of the right lung upper lobe infiltrations; It is recommended to be evaluated together with clinical and laboratory in terms of bronchopneumonia. Linear fibroatelectasis sequelae changes in right lung middle lobe medial, left lung inferior lingular and left lung lower lobe anteromediobasal segment. Hyperdense appearance giving level in gallbladder lumen; It is recommended to be evaluated together with USG in terms of bile sludge. Periportal edema in the liver . Hypodense well-circumscribed exophytic nodular lesion (cyst?) in the upper pole of the left kidney in the upper pole
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train_5102_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. In lung parenchyma evaluation; An atypical infiltration area of ground glass density is observed in the lower lobe of the left lung. It is in a single focus. It has been evaluated as compatible with Covid pneumonia. There are sequelae pleuroparenchymal density increases in the apical segment of the upper lobes of both lungs. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. Left kidney is atrophic in upper abdominal sections. No lytic-destructive lesions were detected in bone structures.
Atypical pneumonic infiltration area in the lower lobe of the left lung was evaluated as compatible with Covid pneumonia.
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train_5102_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia. No significant changes were detected in other findings.
Not given.
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train_5103_a_1.nii.gz
Atypical pneumonia? Bronchiectasis?.
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; The size of the thyroid is increased in the right lobe, and the parenchyma of both thyroid lobes is heterogeneous. US control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. 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. Lymph nodes with a short axis smaller than 7 mm are observed in the upper-lower paratracheal subcarinal prevascular and aorticopulmonary window. No lymph node was detected in pathological size and appearance. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Siliding type hiatal hernia is observed. When examined in the lung parenchyma window; In the upper lobe of the right lung, acinar opacities extending to the fissure level and accompanying consolidation areas are observed. A similar appearance is also observed in the lower lobe of the right lung. In the anterobasal segment of the lower lobe of the left lung, atelectatic changes and adjacent acinar infiltrates are observed. The described findings were evaluated primarily in favor of the infectious process. Clinical and laboratory correlation is recommended. An air cyst of 1 cm in diameter is observed in the upper lobe of the right lung. Mild emphysematous changes are 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. Calcified atherosclerotic changes are observed in the wall of the abdominal aorta. Degenerative changes are observed in bone structures. No lytic-destructive lesion was detected.
Acinar infiltrates and areas of consolidation in both lungs. The appearance is primarily evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended. Hiatal hernia. Mediastinal millimetric lymph nodes. Mild emphysematous changes in both lungs, air cyst in the right lung. Calcified atherosclerotic changes in the abdominal aorta.
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train_5104_a_1.nii.gz
Headache, chills and shivering
Non-contrast images were taken with an axial slice thickness of 3 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 esophageal 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; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thorax CT within normal limits except for hiatal hernia.
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train_5105_a_1.nii.gz
Relapsed hodgkin lymphoma.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
After the previous examination, a right subclavian central venous catheter was placed in the patient and the catheter tip terminates in the right atrium. Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. As far as it can be evaluated; The sizes of lymph nodes observed in the previous examination in prevascular, pre-paraaortal, paratracheal, subcarinal and both hilar regions are observed to be stable. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; No evidence of active infiltration or nodule formation was observed in both lung parenchyma. There is regression in the linear atelectasis areas observed in the left lung lingular segments in the previous examination. Sliding type small hiatal hernia is observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the bone is examined in the window, shallow Schmorl nodules are observed in the thoracic vertebrae and there is no finding in favor of a lytic destructive lesion. In previous PET CT examinations, mild sclerotic changes are observed in the area showing FDG uptake in the posterior left half of the corpus sterni. Cortex integrity is preserved.
The largest of the described lymph nodes was localized in the preaortal area and measured 16 mm. No nodule formation or active infiltration finding was observed in the lung parenchyma. In previous examinations, mild sclerotic changes were observed in the area showing FDG uptake in the posterior left half of the corpus sterni, and no lytic destructive lesion was detected in other bone structures in the examination area.
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train_5105_b_1.nii.gz
Hodgkin lymphoma, follow-up
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Mediastinal structures were not evaluated optimally because no contrast material was given. As far as it can be seen; Heart contour, size is normal. Pericardial effusion-thickening was not observed. Sliding type hiatal hernia was detected at the lower end of the esophagus. Bilateral pleural effusion-thickening was not observed. Lymphadenopathy is observed in the superior mediastinum, adjacent to the left brachiocephalic vein, with a short diameter of 14 mm (16.5 mm in the previous examination). Apart from this, no pathologically enlarged lymph nodes were observed in the mediastinum and in the axillary regions of both hilums. When examined in the lung parenchyma window; In the middle lobe of the right lung and the inferior subsegment of the lingular segment of the left lung upper lobe, both lungs are in the basals, some are ground glass densities, centracinar nodular consolidations and ground glass densities are consistent with pneumonic infiltration. No mass was detected in both lungs. Upper abdominal organs included in the sections are normal. Liver, gallbladder, spleen, both adrenal glands are normal. A hypodense, well-circumscribed, water-dense lesion with a diameter of 4.7 mm was observed in the lower pole of the left kidney (cyst?). No intra-abdominal free fluid or pathological lymph nodes were detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Lymphadenopathy with slightly reduced dimensions in the superior mediastinum . Hiatal hernia . Left kidney lower pole, water-density, hypodense, well-circumscribed lesion (cyst?)
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train_5105_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 calibration is 30 mm. Both pulmonary artery calibrations are normal. Calibration of other major vascular structures in the mediastinum is natural. Slight heterogeneity is observed in the parenchyma of the left lobe of the thyroid gland. Lymph nodes at the prevascular level are observed in the upper-lower paratracheal area in the mediastinum, the largest of which is observed in the left upper paratracheal area and is approximately 17x14 mm in size. In his old review, the short axis was 12 mm. No significant difference was detected. There were no distinguishable prominent lymph nodes at both hilar levels. There is a catheter view along the superior vena cava. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level. Mild sequela changes are observed in the middle lobe. There are sequelae changes in the posterobasal segment of the lower lobe of the right lung. Mild sequelae changes are observed in the lingular segment of the left lung and the posterobasal segment of the lower lobe. Mild thickening of the peribronchial sheath is observed. In sections passing through the upper abdomen, it is normal in the non-contrast examination within the liver sections. The spleen has a lobulated contour and a heterogeneous slightly hyperdense nonspecific lesion of approximately 12x8 mm is observed in the middle at the level of its back. The left adrenal gland is normal. A nodular lesion of approximately 18x11 mm is observed in the right adrenal genus. Although it could not be evaluated clearly due to its superposition in the previous examination, no significant difference is considered. A cortical exophytic cyst is observed in the left kidney. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure.
Sequelae changes in both lungs . Nodular formation in the right adrenal genus that did not differ significantly according to the previous examination . The spleen is lobulated and heterogeneous slightly hyperdense nonspecific lesion in the middle at the level of the ridge. Nodular lesion in the right adrenal genus
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train_5105_d_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. A catheter appearance is observed in the superior vena cava. No pathological size and configuration lymph nodes were detected at both hilar levels. In the evaluation of both lungs in the parenchyma window, the calibration of the trachea and main bronchi is normal, and their lumens are clear. An increase in thickness is observed in the peribronchial sheath at the central level. There are sequelae changes at the apical level. Sequelae changes are observed in the lower lobe anterobasal segment and middle lobe level of the right lung, and there are sequelae changes in the lower lobe mediobasal and lateralobasal levels. A subpleural nodule with a diameter of 3 mm is observed in the posterior segment of the upper lobe of the right lung, and it is also observed in the previous examination. Sequelae changes are observed in the inferior lingular segment of the left lung. In the right lung, there is a pleural effusion reaching 20 mm on the right and 15 mm on the left in its thickest part, extending from the basal to the middle zone. The previous review was not detected. Density increases are observed in the middle lobe of the right lung, in the lower lobe laterobasal and mediobasal levels in the right lung, and in the lingular segment of the left lung, consistent with focal consolidative areas-sequelae changes. According to the old study, it is understood that they are newly developed from place to place. In both lungs, focal consolidative areas and density increases compatible with sequela changes are observed. In the sections passing through the upper abdomen, the spleen cannot be evaluated clearly because it is partially included in the image. However, it looks full. A nonspecific heterogeneous hyperdense lesion with a diameter of approximately 11 mm at the dorsal level in the spleen persists according to the previous examination. Hiatal hernia is observed.
Pleural effusion reaching 20 mm on the right and 15 mm on the left in the thickest part of both pleural distances, which was not observed in the previous examination. There are focal consolidative areas in both lungs and density increases consistent with sequelae changes. The spleen has a full appearance and the nodular heterogeneous hyperdense lesion on the spleen is persistent. Hiatal hernia.
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train_5105_e_1.nii.gz
Hodgkin lymphoma
Transverse sections with a thickness of 1.5 millimeters obtained without contrast material were evaluated.
Trachea and main bronchi are open. Apart from this, a few millimetric-sized lymph nodes in the right upper-lower paratracheal area are observed. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Branches with buds were observed in the upper lobe of the right lung and in the superior segment of the lower lobe of the left lung, and no significant difference was considered with the previous examination. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the anterior cortex of the middle part of the left kidney, a hypodense well-defined lesion with a diameter of 4.3 cm and an average density of 13 HU, which is considered as a cortical cyst, is observed. No lytic-destructive lesion was detected in bone structures.
Not given.
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train_5105_f_1.nii.gz
Hodgkin's disease, 2 days of fever, chills headache and nausea and weakness
Before IVCM was given, axial plane sections were taken with MDCT and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal emphysematous changes are observed in both lungs. There are minimal pleuroparenchymal sequelae changes in both lung apexes and atelectasis in the right lung middle lobe and left lung upper lobe lingular segment. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. It is understood that the budding tree appearances observed in the previous examination of the patient disappeared. 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 is a short lymph node measuring 10 mm in diameter in the anterior brachiocephalic vein at the mediastinal entrance. This lymph node can also be observed in the previous examination of the patient, and no difference was found in its dimensions and appearance. Apart from this, no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There is a hypodense lesion measuring approximately 4.5 cm in diameter in the left kidney. When evaluated together with the patient's previous examinations, it was learned that this appearance was a cyst. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were observed in the bone structures within the sections.
Hodgkin's disease on follow-up . One stable lymph node at the mediastinal entrance . Minimal emphysematous changes in both lungs . Pleuroparenchymal sequelae and atelectasis in both lungs . Millimetric nodules in both lungs
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train_5105_g_1.nii.gz
Allogeneic transplant, pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. 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. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Pneumonic infiltration was not observed. A 47 mm diameter cortical cyst was observed in the left kidney. No lytic-destructive lesions were detected in bone structures.
Non-contrast thoracic CT examination within normal limits. Cortical cyst in the left kidney.
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train_5106_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. In the left thyroid gland, there is a nodule appearance of approximately 4x5 cm extending into the thoracic inlet. It is recommended to be evaluated together with sonography. Right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the walls of the coronary artery in the aortic arch. 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; Band-shaped pleural striations, subsegmental atelectasis, which are more prominent in the right lung, and ground-glass densities that are more prominent in the left lung upper lobe and lingula are observed. It may be associated with subacute-chronic covid infection. No mass nodule was detected in both lungs. In the sections passing through the upper abdomen, hypodense lesions of approximately 14 mm in diameter on the right and 18 mm in diameter on the left are observed in the bilateral adrenal gland body parts (nonfunctional adenomas?). Hypodensities, 5.5 cm in size, are observed in the right kidney. In addition, there is a nodular lesion that may belong to a right renal cyst with dense contents smaller than 1 cm. Diffuse degenerative changes are observed in bone structures.
Band-shaped pleural striations, subsegmental atelectasis more prominent in the right lung, and ground-glass densities more prominent in the left lung upper lobe and lingula. It may be associated with subacute-chronic covid infection. It is recommended to be evaluated together with clinical laboratory and anamnesis.
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train_5106_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Both thyroid lobes are hypertrophic and the left side extends inferiorly to the thoracic cavity, and there is a nodule appearance close to 5 mm in diameter. USG-laboratory correlation is recommended. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the 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; There are mild pleural striations and subsegmental atelectasis in both lungs, more prominent on the right. Slight patchy ground glass densities are observed at the posterobasal level of the lower lobe of the right lung.) is recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Right renal hypodensities up to 52 mm in size are observed. It was evaluated in favor of cysts. In bilateral adrenal glands, there are findings evaluated in favor of adenoma measured up to 19 mm on the left and 13 mm on the right. There is a faint hyperdense appearance of 34 mm in the gallbladder. Suspicious stone? Mud? Diffuse degenerative changes are observed in bone structures entering the examination area.
There are the above-described findings in both lungs, which are more prominent in the previous examination, but slightly decreased in the current examination. It may be associated with subacute-chronic Covid infection. Clinical laboratory correlation and follow-up is recommended. Hypertrophy in both thyroid parenchyma, nodule with extension of left thyroid lobe inferior to the thoracic cavity. Clinical USG correlation is recommended. There is a faint hyperdense appearance of 34 mm in the gallbladder. Suspicious stone? Mud? Kilink lab. and USG cor. recommended. Adenomas in both adenoid glands. Cysts in the right kidney do not differ significantly. Degenerative changes are observed in bone structures.
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train_5107_a_1.nii.gz
Lung malignant neoplasm.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Arch aortic calibration is 30 mm. It is slightly wider than normal. Calibration of other major mediastinal vascular structures is natural. There are multiple lymph nodes in the left inferior neck of the neck in the central cervical lymph node group (level 6) with the largest dimension measuring approximately 38x30 mm in the axial plane, showing a slight increase in size in the current examination (approximately 10% in the long axis). There are lymph nodes in the mediastinum in the upper-lower paratracheal area. No significant size difference was detected. At the right hilar level, no pathologically sized and configured lymph node was detected. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Multiple lymph nodes are observed in the paraaortic interaortocaval areas, the largest of which is measured in the left pararenal area at the level of the renal hiluses, measuring approximately 27x22 mm. At the right adrenal level, both crustal thickening is observed and it is also present in the previous examination. Calcific atheroma plaques are observed in the abdominal aorta. Calcific pleural thickenings are observed in the left dorsal pleura and in the diaphragmatic pleura at the basal level. It is also available in the old review. When examined in the lung parenchyma window; There are emphysematous changes, more prominent in the upper zones, and sequelae at the apical levels. A lesion measuring approximately 31x25 mm in size with pleuroparenchymal extensions is observed in the anterior segment of the left lung upper lobe. Its dimensions were approximately 27x20 mm in the previous examination, and there is progression (31x25 mm in the current examination and 27x20 mm in the previous examination). A superposed nodule with a diameter of approximately 4 mm is observed on the major fissure on the right and is also present in the previous examination. The lesion, which partially contours in the left lung, but is primarily evaluated in favor of sequelae, is also observed in the previous examination. There are sequelae pleuroparenchymal density increases in the left lung inferior lingular segment. Pleuroparenchymal density increases are observed in the lower lobe segments, which is more prominent on the left, which is considered compatible with bilateral sequelae. It was also found in the previous review. In the lateral of the 6th rib on the left, there are increases in density (metastasis?) in the medullary bone structure, which was also observed in the previous examination. It was evaluated as compatible with metastasis. The cortex of the right scapula body at the junction of the corocoid process is slightly irregular. There is a compression fracture in the D8 vertebra, which is not seen in the old film, which causes a height loss of approximately 30-35%. There are degenerative changes in the bone structure and heterogeneity in the vertebral column. A slight retropulsion towards the spinal canal is observed at the level of compression fracture. MR examination is recommended if necessary.
no difference was detected. Emphysematous findings in the lung. Degenerative changes in bone structure and heterogeneity in parenchyma. Metastatic lesions at the level of the right scapula, which are evident according to the previous examination, and compression fracture in the newly developed D8 vertebra, retropulsion in the direction of the spinal canal (MR evaluation is recommended if necessary).
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train_5108_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 lymph nodes smaller than 1 cm are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index was slightly increased in favor of the heart. Slight thickening of the diaphragmatic pleura is observed on the left. No pleural effusion was detected in both hemithorax. In the evaluation of both lung parenchyma; Budding tree view adjacent to the pleuroparenchymal sequela in the right lung apex, similar appearance is also observed in the right lung lower lobe mediobasal segment. In addition, subsegmental atelectasis are observed in the right lung middle lobe, right lung superior and anterobasal segment, and left lung upper lobe anterior segment in the paramediastinal area. There is a thin-walled bullae formation with a diameter of 9 mm in the posterior segment of the right lung upper 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.
Budding tree view in the right lung apex and right lung mediobasal segment, as well as subsegmental atelectasis in the right lung middle lobe lower lobe superior and anterobasal segment, left lung upper lobe anterior segment, paramediastinal area, Viral pneumonia cannot be excluded, although not typical. Clinic-lab. correlation is recommended .
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train_5109_a_1.nii.gz
Sore throat, chills, shivering
With MD CT, 3 mm thick non-contrast sections were taken in the axial plane.
Trachea and main bronchi are open. Right upper-bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Focal ground glass densities are observed peripherally located in the right lung lower lobe laterobasal and posterobasal segment, left lung upper lobe apicoposterior segment, anterior segment middle lobe and lower lobe. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Suture materials are observed in stomach localization. No additional significant pathology was detected in the non-contrast CT examination. No obvious pathology was detected in bone structures.
Focal ground glass densities located peripherally in both lung parenchyma, Covid-19 pneumonia due to pandemic are commonly reported radiological imaging findings.
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train_5110_a_1.nii.gz
Respiratory Failure
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Although the mediastinum cannot be evaluated optimally in non-contrast examination; Tracheostomy tube was observed in the tracheal lumen. Trachea and lumen of both main bronchi are open. Trachea and mediastinum are deviated to the right. Thoracic aorta calibration is natural. The diameters of the pulmonary trunk and both main pulmonary arteries increased by 40 mm, 28 mm, and 27.5 mm, respectively. Heart contour, size is normal. There is minimal effusion in the pericardial space. Pericardial thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a nasogastric tube extending from the esophagus to the stomach. A large number of lymph nodes, prevascular, right upper, bilateral lower, precarinal, subcarinal, bilateral hilar, aortopulmonary, which did not reach pathological dimensions measuring 14x9.5 mm, were observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches, coronary arteries, and visceral branches of the abdominal aorta. When examined in the lung parenchyma window; Effusion reaching 2 cm in bilateral hemithorax was observed. In the apicoposterior segment of the upper lobe of the left lung, a smooth-demarcated soft tissue mass with an anterior-posterior x-transverse dimension of 3.9x5.8 cm, sitting on the pleura, and a spiculated contour that causes shrinkage in the peripheral calcified major fissure, is observed. Apart from this, multiple calcific nodules with a diameter of 18 mm were observed in the superior segment of the left lung upper and lower lobe and in all segments of the right lung, the largest of which was in the left lung lower lobe superior segment. There are volume loss, fibrotic recessions and structural distortion, and traction bronchiectasis in the vicinity of fibrotic recessions, more prominently in the apical segments of both lungs in the vicinity of calcific nodules. Findings may be compatible with TB granuloma, pneumoconiosis, or malignancy. Evaluation with previous examinations and histopathology is recommended, if any. Central tubular bronchiectasis was noted in both lungs. Passive atelectatic changes in the lung planes adjacent to the effusion in both lung lower lobe basal segments and diffuse fibrosis in the right lung lower lobe basal segments and secondary volume loss and structural distortion were noted. Pleuroparenchymal fibroatelectatic changes were observed in the upper, middle and lower lobes of the right lung, and in the superior and inferior lingular segments of the left lung. As far as can be seen in non-contrast sections; spleen is normal. No stones were observed in both kidneys within the sections. Both adrenal glands are normal. The pancreas is atrophic. Millimetric calculi were observed in the gallbladder lumen. The gallbladder wall thickness has increased and it has an edematous appearance (considered secondary to intra-abdominal fluid). A well-circumscribed loculated collection of approximately 64x74x60 mm was observed in the vicinity of the posterior segment of the right lobe of the liver, with indistinguishable borders from the liver and extending inferiorly along the subcapsular area. In case of clinical necessity, further examination with MRI is recommended. Free fluid in the form of plastering is observed in the abdomen. Widespread density increases and heterogeneous appearance compatible with edema were observed in the subcutaneous and mesenteric fatty tissues within the sections. In the sections, a slight loss of height in the T8 vertebra superior end plateau was observed, which is consistent with a compression fracture.
Increase in pulmonary trunk and pulmonary artery diameters, pericardial-pleural effusion . Soft tissue mass in the apicoposterior segment of the left lung upper lobe and calcified multiple nodules in both lungs; Findings may be compatible with TB granuloma, pneumoconiosis, or malignancy. Evaluation with previous examinations and histopathology is recommended, if any. Intense fibrotic retraction in both lungs, traction bronchiectasis, more prominent volume loss and structural distortion on the right . Cholelithiasis and diffuse wall thickness increase in the gallbladder (thought to be secondary to intra-abdominal fluid . The liver is in the posterior segment of the right lobe posterior segment, it is well-defined, continuing along the subcapsular area up to the inferior) lesion area; advanced examination with MRI is recommended . Free fluid in the abdomen . Diffuse edema in subcutaneous and mesenteric fatty planes within the sections . Mild compression fracture in T8 vertebra superior end plateau
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train_5111_a_1.nii.gz
Cough, fever, phlegm, chills, chills.
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. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. 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. In liver parenchyma density, there is a decrease in density compatible with advanced 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.
Hepatic steatosis.
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train_5112_a_1.nii.gz
covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Examination within normal limits
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train_5113_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal, and no significant pathological wall thickness increase was detected in the non-contrast examination limits. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral peribronchial thickenings were observed. A 4.5 mm diameter parenchymal nodule was observed in the posterobasal segment of the lower lobe of the right lung. In the upper abdominal sections in the study area, the liver parenchyma density was diffusely decreased in line with the adiposity. Calculus with a diameter of 8.2 mm was observed in the middle zone of the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Sequelae changes in both lungs, peribronchial thickening, parenchymal nodule in the right lung. Hepatosteatosis. Left nephrolithiasis.
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train_5114_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The anteroposterior diameter of the thorax has increased. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are several lymph nodes, upper, lower paratracheal, bilateral hilar, subcarinal, the largest 10x6 mm in size. When examined in the lung parenchyma window; Both lung parenchyma are emphysematous in appearance, characterized by bullae in places. There are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung. There are several calcified nodules in both lungs. There are several nodules smaller than 5 mm in both lungs. There is one nodule smaller than 5 mm in the left lung major fissure (lymph node?). There are subsegmental atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lower lung lobes. Pleural effusion-thickening was not detected. There is one coarse calcification in the right lobe of the liver entering the section area, and an oval-shaped, hypodense lesion 8 mm in diameter in the medial part of the left lobe (cyst?). There is a nodular, hypodense lesion (cyst?) located in the middle of the right kidney, cortical, 22 mm in diameter. There are local degenerative changes in the bones in the examination area.
Increased anterior-posterior diameter of the thorax. Upper, lower paratracheal, bilateral hilar, subcarinal, several lymph nodes, the largest of which is 10x6 mm. Both lung parenchyma are emphysematous in appearance, characterized by local bullae. Pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung. Several, calcified nodules in both lungs. A few, less than 5 mm, nodules in both lungs. One nodule (lymph node?) smaller than 5 mm in the left lung major fissure. Subsegmental atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lung lower lobes. One coarse calcification in the right lobe of the liver entering the cross-section area and an 8 mm diameter, oval-shaped, hypodense lesion (cyst?) in the medial part of the left lobe. ). Locally degenerative changes in the bones in the study area.
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train_5115_a_1.nii.gz
COVID 1.5 months ago
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. There are fibroatelectatic changes in the apical regions of both lungs and in the posterior segment of the lower lobe of the right lung. There is subsegmental atelectasis area accompanied by nonspecific ground glass areas in the lateral segment of the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. 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 or infiltrative lesion in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections.
Areas of atelectasis in both lungs.
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train_5116_a_1.nii.gz
Control due to COPD, mass in left breast and axilla.
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; Areas measuring up to 7 mm with spiculated contours containing calcifications are observed in the right lung lower lobe superior. Fibrotic sequelae were evaluated in favor of changes. There are pleural irregularities in the upper lobe of the left lung. It was evaluated in favor of changes secondary to postradiotherapy. There are calcific nodular sequelae changes in the apical level and subpleural area in the upper lobe of the left lung. There are bronchiectatic changes and calcific foci in the upper lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in bone structures. There are tapering in the end plates.
There are fibrotic sequelae changes, calcifications, and postradiotherapeutic changes at the apical level of the left lung upper lobe inferior lingula, and the right lung upper lobe apical level. Calcific nodules are observed. No significant difference was found in the described findings.
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train_5117_a_1.nii.gz
pneumonia?
Before IVKM was given, sections were taken in the axial plan and reconstruction was performed at the workstation.
Trachea and both main bronchi are normal. There is no obstructive pathology in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. There are emphysematous changes in both lungs. Ground glass areas observed in the right lung in the previous examination of the patient and evaluated in favor of hemorrhage are not observed in this examination. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. 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 pathologically enlarged lymph nodes were observed. No lytic-destructive lesions were detected in the bone structures within the sections.
Millimetric nonspecific nodules in both lungs. Minimal emphysematous changes in both lungs.
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train_5117_b_1.nii.gz
Nodules in both lungs.
Before IVCM was given, axial plane sections were taken with MDCT and reconstructions were made at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. 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. 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 upper abdominal free fluid-collection was observed in the sections. There are no enlarged lymph nodes in pathological dimensions. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open.
Millimetric stable nodules in both lungs.
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train_5117_c_1.nii.gz
Nodule tracking in the lung
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Minimal tubular bronchiectasis and peribronchial thickening were observed in the central parts of both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Millimetric stable nodules in both lungs . Minimal tubular bronchiectasis, peribronchial thickening in the central parts of both lungs
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train_5117_d_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; Minimal tubular bronchiectasis and peribronchial thickening were observed in the central parts of both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was observed in the parenchyma of the lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Stable nodules in both lungs Minimal tubular bronchiectasis, minimal peribronchial thickening in the central sections of both lungs
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train_5118_a_1.nii.gz
sore throat, fever
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The thyroid parenchyma is hypertrophic, more prominently on the left, and its extension into the intrathoracic cavity is observed. 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; Subpleural slightly patchy ground glass densities are observed in both lungs, especially in the right lung middle lobe basal segments. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, a change in favor of steatosis is observed in the liver parenchyma. Bone structures in the study area are natural. There are slight tapering in the end plates of the vertebral corpuscles, and osteopenic appearance in the bone structures.
Imaging features can also be seen in Covid-19 viral pneumonia. However, it is not specific. Clinical laboratory correlation monitoring is recommended for the onset of an infectious process. MNG.
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train_5119_a_1.nii.gz
Shortness of breath, high CRP.
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. As far as can be seen, the ascending aorta diameter is 42 mm and shows aneurysmatic dilatation. There are calcific atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. Heart contour and size are natural. Pericardial, pleural effusion was not detected. Calcified lymph nodes were observed in the right hilar, subcarinal, aorticopulmonary window localization. There is a soft tissue density lesion with calcifications measuring approximately 38x28 mm in the right paratracheal area with similar features to the described lymph nodes. Firstly, it was evaluated in favor of lymphadenopathy. Apart from the described lymphadenopathy, the superior vena cava cannot be clearly distinguished in places, and there are dilated tortiosity varicose venous structures in subcutaneous fatty planes in the anterior chest wall, which is considered secondary to this. The findings were evaluated in favor of superior vena cava syndrome. No pathological increase in wall thickness was observed in the thoracic esophagus. Trachea, both main bronchi are open and no occlusive pathology is detected. In the examination made in the lung parenchyma window; No active infiltration or mass lesion was observed in both lungs. In places, there are emphysematous changes due to sequela parenchymal changes. Several nonspecific nodules measuring 5x4 mm in size were observed in both lungs, the largest of which was in the posterobasal segment of the left lung lower lobe. No pathology was detected in the upper abdominal sections within the image. There are osteophyte degenerative changes in the bone structures within the image, which tend to merge in the vertebral corpus corners on the right anterolateral. No lytic or destructive lesion was detected.
Aneurysmatic dilatation in the ascending aorta Thoracic aorta, calcific atheroma plaques on the wall of coronary vascular structures Subcarinal, right hilar, aorticopulmonary window localization in the mediastinum, calcified lymph nodes with a short diameter less than 1 cm and lymphadenopathy in the right paratracheal area of a similar nature to these lymph nodes described. There are dilated torsional varicose structures in the anterior chest wall secondary to the superior vena cava compression of lymphadenopathy. The findings were evaluated as compatible with vena cava superior syndrome. Emphysematous changes in both lungs, parenchymal changes with sequelae, nonspecific nodules in millimeters. Degenerative changes in bone structure.
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train_5120_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 LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; There are sequelae pleuroparenchymal bands in the right lung middle lobe and left lung lingular segment, and a parenchymal nonspecific nodule measuring 3 mm in the right lung middle lobe medial segment. 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.
Sequelae of pleuroparenchymal bands in right lung middle lobe and left lung lingular segment and 3 mm parenchymal localized nonspecific nodule measured in right lung middle lobe medial segment
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train_5121_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The right hemidiaphragm is slightly elevated. There is an image of a possible port catheter with its distal end ending in the right atrium. Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Cardiothoracic index increased in favor of the heart (cardiomegaly). There is minimal pericardial effusion, which is 5 mm in its thickest part. There are images of possible operation materials at the level of the mitral valve. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are multiple lymph nodes in the upper, lower paratracheal, bilateral parasternal, aortopulmonary, anterior prevascular, subcarinal, and the largest 20x12 mm lymph nodes. When examined in the lung parenchyma window; In both lungs, there are areas of diffuse ground glass density, more prominent in the lower lobes, and consolidations with air bronchograms in places (infection? Clinical evaluation and radiological follow-up are recommended). There are areas of air trapping in both lungs. There is one calcified nodule in the lower lobe of the right lung. Pleural effusion-thickening was not detected. In sections passing through the upper part of the west; There is minimal-moderate free effusion with dense content in the abdomen. The liver contours are lobulated and there are heterogeneous hypodense areas with faint borders in the parenchyma (metastasis?). Spleen size is 148 mm, liver size is 165 mm and has increased. The bilateral adrenal gland is diffusely thick. There are LAPs on the left paraaortic, interaortocaval, the largest being 29x24 mm, showing conglomeration from place to place. There are degenerative changes in the bones in the examination area.
Right hemidiaphragm appears slightly elevated. Image of a possible port catheter with its distal end ending in the right atrium. Cardiothoracic index increased in favor of the heart (cardiomegaly), minimal pericardial effusion observed as 5 mm in its thickest part, images of possible operation materials at the level of the mitral valve. Upper, lower paratracheal, bilateral parasternal, aortopulmonary, anterior prevascular, subcarinal, larger 20x12 mm. multiple lymph nodes. Areas of diffuse ground glass density, more prominent in the lower lobes of both lungs, consolidations with air bronchograms in places (infection? Clinical evaluation and radiological follow-up is recommended). Areas of air trapping in both lungs. One calcified nodule in the lower lobe of the right lung. Free effusion with minimal to moderate content in the abdomen. Liver contours are lobulated and heterogeneous hypodense areas with faint borders (metastases?) in the parenchyma. Spleen size is 148 mm, liver size is 165 mm and increased. LAPs showing left paraaortic, interaortocaval, 29x24 mm in size, with conglomeration from place to place. Bilateral adrenal gland has a diffusely thick appearance. Locally degenerative changes in the bones in the study area.
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train_5122_a_1.nii.gz
Stomach ache
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
It was learned that the patient was under follow-up for metastatic pancreatic carcinoma. Calcific atheroma plaques are observed in the aorta and coronary arteries. 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. Pancreatic head section - right kidney lower section and duodenum 2-3. A mass lesion with the largest dimensions of 115x110 mm is observed. It is observed that the lesion invades the duodenum. Stomach and esophagus appear dilated secondary to duodenal obstruction. In the vicinity of the mass, multiple lymphadenopathies with a short axis of 18 mm are observed in the paraaortic, paracaval and aortacaval areas, and it is fatigued in favor of metastasis. The mass has almost completely invaded the right kidney. The visible renal pelvis is dilated. Linear atelectasis areas are observed in the right lung middle lobe segments. The gallbladder has a hydropic appearance. Cortical cyst is observed in the left kidney. Pulmonary nodules, which are thought to be compatible with multiple metastases in both lungs, are observed in the lung parenchyma, the largest of which is 19 mm in diameter, located in the anterior subpleural of the right lung upper lobe. There are bronchiectatic changes and sequela fibrotic band densities in the posterobasal sections of both lungs lower lobes. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic sclerotic lesion area, which may be compatible with significant metastasis, was detected in the bone structures included in the examination area. Vertebral corpus heights are preserved.
Metastatic pancreatic Ca on follow-up. Pulmonary nodule thought to be compatible with multiple metastases in the lung. Invasive soft tissue mass in the head of the pancreas that invades the right kidney and duodenum in the 2-3rd part and causes obstruction in the duodenum. Numerous metastatic LAPs are observed in the paraaortic, aortacaval and paracaval areas. Hydropic appearance of the gallbladder. Dilatation of the right renal collecting system. Cyst in the left kidney.
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