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_5701_b_1.nii.gz
Lung ca, immune pneumonitis?
Sections were taken without contrast medium and reconstructions were made at the workstation.
A mass is observed in the medial of the apical segment of the left lung upper lobe. The longest diameter of the mass was 55 mm at its widest point. It is understood that the described mass is the primary mass of the patient. However, in this examination, it is understood that cavitation has occurred in the mass. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. No significant pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary artery. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. When the previous examination of the patient was examined, it was understood that some of these were metastatic lymph nodes. The largest of the described lymph nodes is observed in the subcarinal region and its short diameter is 15 mm. No pathological wall thickness increase was observed in the esophagus within the sections. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In both lungs, interlobular septal and interstitial thickenings, ground glass appearances and microcystic areas were observed, more prominently in the lower lobes and peripheral regions. The described appearance is non-specific. However, immune pneumonitis indicated in the clinical preliminary diagnosis may cause a similar appearance. No upper abdominal free fluid-collection was detected in the sections. has. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
In the follow-up, lung ca, mass in the right lung upper lobe, mediastinal and hilar lymph nodes, nodular lesion in the right adrenal gland corpus Interlobular septal and interstitial thickenings, ground glass appearances and microcystic areas in both lungs (This appearance may be compatible with immune pneumonitis).
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train_5702_a_1.nii.gz
: Fatigue, follow-up CT of the patient with known bronchial lung malignant neoplasm
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
Movement and breathing artifacts are present in the study. No significant dimensional and structural differences were detected in the lymph nodes measuring up to 18 mm more than once in the right upper and lower paratracheal, left lower paratracheal, aorticopulmonary, subcarinal and left hilar areas. The size of the conglomerated space-occupying mass lesion surrounding the right lung central intermediate bronchus, middle lobe and lower lobe bronchi was measured as 78x30 mm in the longest axis of the axial sections in the current study. In the current study, an intrabronchial new enlargement of 14 mm in size (mucus? extension of the mass described above?) is observed in the right main bronchus, which is difficult to distinguish secondary to motion artifacts. clinical correlation is recommended. The lymph node with metabolic involvement in the left supraclavicular region, which was observed in the previous PET CT, is measured as 3 mm in the current study, and there is a significant decrease in its dimensions. There are fibrotic recessions and atelectatic changes at the apical level of the upper lobe of the right lung. Upper abdominal organs are partially included in the study and there are findings consistent with grade 2 hydronephrosis in both kidneys. In fluid attenuation in the upper pole of the right kidney, an oval-shaped hypodense finding of 27 mm in size was evaluated in the direction of cyst. There are thickenings in the medial legs of the adrenal gland. Thickening of the bilateral adrenal glands was evaluated as suboptimal within the examination limits (metastasis?). Multiple sclerotic-lytic bone lesions are observed that do not show significant differences in bone structures. No destruction was found.
There is a slight decrease in the size of the mass lesion with intrabronchial extension, which surrounds the right main bronchial middle lobe and lower lobe bronchi, defined in the left lung central. The lymph node with metabolic involvement observed in the previous Pet CT in the left supraclavicular region is measured as 3 mm in the current study, and there is a significant decrease in its size. In the current study, a new filling defect of 14 mm is observed in the right main bronchial structure. It was evaluated in the direction of intrabronchial extension of the mass. Clinical correlation is recommended. No significant dimensional difference was detected in the mediastinal and left supraclavicular lymph nodes. There are fibrotic recessions and atelectasis at the apical levels of both lungs. Grade 2-3 hydronephrosis in both kidneys . Multiple metastatic lesions without significant difference in bone structures
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train_5703_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 esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the right lung middle lobe lateral segment and right lung lower lobe posterobasal segment, ground glass opacities are observed that can hardly be distinguished. It is recommended that the patient be evaluated together with clinical and laboratory findings in terms of 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.
Difficult ground glass opacities in the right lung middle lobe lateral segment and right lung lower lobe posterobasal segment; It is recommended to evaluate the patient with clinical and laboratory findings in terms of Covid-19 pneumonia.
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train_5704_a_1.nii.gz
Cough, fever, phlegm.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
A triangular density is observed secondary to the thymic remnant in the anterior mediastinum. 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; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures.
Pneumonic imaging findings of both lungs are not observed. Clinical and laboratory investigations are recommended as they may be negative in the early period.
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train_5705_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. 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. Calibration of the trachea and main bronchi is normal and their lumens are clear. The thoracic esophagus calibration is normal and no significant tumoral wall thickening was detected. Mild sequelae changes are observed at the apical level of both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Mild sequelae changes at the apical level of both lungs
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train_5706_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric non-specific nodules are observed in both lungs. Parenchymal aeration is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
A few millimetric non-specific nodules in both lungs.
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train_5707_a_1.nii.gz
Dyspnea, food aspiration? Shortness of breath.
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Crycentric calcific atheroma plaques are observed in the aortic arch and descending aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, there are small lymph nodes with a short axis measuring up to 4 mm. When examined in the lung parenchyma window; In the middle lobe of the right lung, patchy light ground glass densities are observed. Suspicious early viral pneumonia with atypical appearance in terms of viral pneumonia? Aspiration pneumonia? Clinical laboratory correlation monitoring is recommended. Mild emphysematous changes are observed in both lungs. The gallbladder is partially included in the study, and a few millimetric hyperdense findings were evaluated in the direction of stones. Significant hypertrophic osteophytic taperings are observed in the end plates of the vertebral corpuscles and cause mild atelectatic changes in the adjacent right lung.
Slight patchy ground-glass densities in the middle lobe of the right lung. Early viral pneumonia? Secondary to aspiration? Clinical laboratory correlation and follow-up recommended. Osteopenic appearance in bone structures. Degenerative changes. Cholelithiasis. Aneurysmal dilatation measuring 35 mm at the level of the celiac artery. Atherosclerosis.
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train_5708_a_1.nii.gz
Covid PCR positivity.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa, axilla, and mediastinum in pathological size and appearance. Calcified atherosclerotic plaques are present in LAD. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Heart dimensions and compartments appear natural. In lung parenchyma evaluation; In the upper and lower lobes of both lungs, subpleural localized atypical pneumonic infiltration areas of ground glass density in a few foci and areas of nodular consolidation were observed in places. Radiological findings are compatible with parenchymal involvement of Covid infection. Mild parenchymal involvement is observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Areas of atypical pneumonic infection in the lung parenchyma. Radiological findings are compatible with Covid pneumonia. There is mild parenchymal involvement.
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train_5709_a_1.nii.gz
tickling cough
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. 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, patchy ground glass densities are observed mostly at the lower lobe basal levels and posteriorly. Findings can be seen in Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended. 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.
Patchy ground glass densities in the lower lobe basal levels and posterior in both lungs, findings can be seen in Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended.
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train_5710_a_1.nii.gz
Hoarse sounds in the lung, rhonchi
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In the supraclavicular fossa, no lymph node in pathological size and appearance was observed in the axilla section. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Focal calcific atherosclerotic plaque is observed in LAD. There is an increase in bronchial wall thickness in the trachea and around both main bronchi. Mild inflammatory density increases are observed in the paratracheal adipose tissue. Millimetric sized nonspecific nodules are observed in the mediastinum. No lymph node was detected in pathological size and appearance. Bronchial wall thickness increases are observed in lobar and segmental bronchi in both lungs. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was detected. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures.
Thickness increases in trachea and both main bronchial walls, mild inflammatory density increases in paratracheal and peribronchial fatty planes and mediastinal millimetric lymph nodes (reactive?), bronchial wall thickness increases in lobar and segmental bronchi in both lungs; It was evaluated primarily in favor of tracheitis and bronchitis. Clinical correlation is recommended. Focal calcific atherosclerotic plaque in LAD.
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train_5711_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is minimal emphysematous appearance in both lungs. Nodular peribronchial ground glass densities were observed in the left lung lingula and left lower lobe anterior. Subpleural air cysts are seen in the posterior right lower lobe. In the upper abdominal sections, millimetric stones were observed in the gallbladder. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Minimal emphysema in both lungs. Ground-glass infiltrates in the upper lobe and lower lobe of the left lung (consistent with viral pneumonia).
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train_5712_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected. There are sequelae changes in the right lung middle lobe medial segment and left lung inferior lingular segment and a few millimetric nodules in nonspecific dimensions. 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.
In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are sequelae changes and a few millimeter-sized nonspecific nodules.
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train_5713_a_1.nii.gz
Joint pain, dry cough, fever.
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 sometimes linear atelectasis in both lungs. Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The described manifestations were evaluated primarily in favor of viral pneumonia. The distributions and appearances of the described lesions are in the same way that is frequently observed in Covid-19 pneumonia. There is no mass 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. In the upper abdominal organs within the sections, there are millimetric stones in the gallbladder as far as can be observed within the borders of non-enhanced CT. There are hypodense lesions in the left kidney that cannot be characterized because contrast agent is not given. It is recommended that the patient be evaluated together with previous examinations, if any. 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 consistent with viral pneumonia in both lungs.
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train_5714_a_1.nii.gz
Feeling fever, malaise, mild sore throat, viral pneumonia?
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. 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. 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_5715_a_1.nii.gz
Palpitation.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart sizes are slightly increased. Findings of previous coronary by-pass surgery are observed. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No space-occupying lesion was detected in the paracardiac fat pad. In lung parenchyma evaluation; Pneumonic infiltration or consolidation area is not observed in both lungs. Linear atelectasis areas are present in both lungs. Increased aeration is observed in both lung parenchyma. No suspicious nodular or mass-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.
Increased aeration and linear atelectasis in both lungs. Findings of previous coronary by-pass surgery.
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train_5716_a_1.nii.gz
Cough.
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 paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Atherosclerotic calcific plaque is observed in the aortic arch. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In both lung parenchyma, more prominent peripheral patchy ground glass densities-consolidations are observed in the lower lobes. There is crazy paving formed by interlobular septal thickenings in frosted glass densities. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic destructive lesion was observed in the bones.
More pronounced peripheral patchy ground-glass densities-consolidations in the lower lobes of both lungs; Findings consistent with Covid-19 pneumonia.
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train_5717_a_1.nii.gz
hemoptysis
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Bilateral gynecomastia was observed. Trachea was in the midline of both main bronchi and no occlusive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. A minimal sliding type hiatal hernia was observed in the distal esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Prevascular, right upper paratracheal, bilateral lower paratracheal, subcarinal lymph nodes that did not reach pathological dimensions below 1 cm were observed. When examined in the lung parenchyma window; Two 4.3 mm parenchymal and 5.2 mm subpleural nodules were observed in the anterior segment of the right lung upper lobe. Passive atelectatic changes were observed in the left lung inferior lingular segment and right lung middle lobe medial. Pleural effusion-thickening was not detected. As far as can be seen in the non-contrast sections, the density of the liver parenchyma has decreased significantly, consistent with fatty deposits. The size of the gallbladder is normal and its contents are intensely monitored. Correlation with USG is recommended for bile sludge. The spleen and pancreas are natural. Millimetric calculus was observed in the upper pole of the right kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures within the sections.
Two pleural-parenchymal nonspecific nodules in the anterior segment of the upper lobe of the right lung . Moderate to severe hepatosteatosis . Increase in gallbladder density; correlation with USG for sludge is recommended . Right nephrolithiasis . Thoracolumbar degenerative changes
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train_5718_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: the ascending aorta is wider than normal with an anterior-posterior diameter of 36mm. Calibration of other vascular structures of the mediastinum is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The right hemidiaphragm is elevated. Band atelectatic changes were observed in the right lung middle lobe and left lung lower lobe basal segment. Passive atelectatic changes were observed in the inferior lingular segment of the left lung and the basal segments of the lower lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen in the sections, the liver was measured as 167 mm in the long axis and it is above normal. The parenchymal density is diffusely decreased secondary to hepatosteatosis. The gallbladder, both kidneys, spleen, and pancreas are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No intra-abdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Hiatal hernia. Elevation in right hemidiaphragm, band-passive atelectatic changes in both lungs. Hepatomegaly, hepatosteatosis.
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train_5719_a_1.nii.gz
Operated renal cell carcinoma (RCC) at follow-up
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening are observed in the central part of both lungs. There are findings evaluated in favor of pleuroparenchymal sequelae change in both lung apex. There are also minimal emphysematous changes in both lungs. There are several millimetric nonspecific nodules in the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Diffuse atheroma plaques are observed in the aorta and coronary arteries. Coronary arteries have stents. No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the right half of the T10 vertebra corpus, a cystic lesion adjacent to the costovertebral joint and sclerosis was observed around it. The described appearance was not detected in the previous examination of the patient. It was primarily thought that this appearance might be degenerative. No lytic-destructive lesions were detected in the bone structures within the sections.
Minimal emphysematous changes in both lungs Minimal bronchiectasis and peribronchial thickening in both lungs Pleuroparenchymal sequelae changes in both lung apexes Millimetric nodules in the right lung Atheromatous plaques in the aorta and coronary arteries Appearance thought to be primarily degenerative in T10 vertebrae
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train_5719_b_1.nii.gz
Operated RCC
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening were observed in the central part of both lungs. There are minimal pleuroparenchymal sequelae changes in both lung apex. Minimal emphysematous changes were observed in both lungs. There are several millimetric nonspecific nodules in the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No appearance that can be evaluated in favor of metastasis was detected in the bone structures within the sections.
Atherosclerotic changes in the aorta and coronary arteries Minimal bronchiectasis and minimal peribronchial thickening in both lungs Minimal pleuroparenchymal sequelae changes in both lungs. Minimal emphysematous changes in both lungs Millimetric nodules in the right lung
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train_5719_c_1.nii.gz
Operated renal cell carcinoma (RCC) on follow-up.
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is minimal bronchiectasis and minimal peribronchial thickening in both lungs, especially in the central part. There is a nodule measuring 3 mm in diameter in the apical subsegment of the left lung upper lobe apicoposterior segment (series 2-section 76). This nodule was not observed in the patient's previous examination. However, it cannot be characterized because it is too small. It is recommended to follow. Apart from this, there are several millimetric nonspecific nodules in the right lung. There is no mass or appearance compatible with pneumonic infiltration 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 and coronary arteries. Stents were observed in the coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. There are no lytic-destructive lesions in the bone structures within the sections.
Operated RCC at follow-up. Atheroma plaques in the aorta and coronary arteries. A millimetric nonspecific nodule in the upper lobe of the left lung, which is evident in this examination. Several millimetric nonspecific nodules in the right lung.
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train_5720_a_1.nii.gz
not given
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Pleuroparenchymal sequelae changes are observed in both lung apex. There are several 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. Calcific atheroma plaque is observed in the aorta. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. 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.
Pleuroparenchymal sequelae changes in both lung apexes . Millimetric nodules in both lungs . Millimetric atheroma plaque in the aortic arch
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train_5721_a_1.nii.gz
Cough, chest pain when breathing, viral pneumonia?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are calcific lymph nodes in the mediastinum and hilar regions. There are no enlarged lymph nodes in pathological dimensions. No pathological increase in wall thickness was detected 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.
Several millimetric nonspecific nodules in both lungs
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train_5722_a_1.nii.gz
not given
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 left main bronchus. There are filling defects evaluated in favor of secretion in the distal part of the right main bronchus and in the upper and lower lobe bronchi. Peribronchial thickening is observed in the middle lobe and lower lobe of the right lung. There are centriacinar nodules, some of which have the appearance of budding trees, in the lower lobe and middle lobe of the right lung. In addition, ground glass areas are observed in the peripheral subpleural area in the left lung upper lobe apicoposterior segment and in the basal segments of the lower lobe. When the findings were evaluated together, they were evaluated primarily in favor of infective pathology. It is recommended to be evaluated together with clinical and laboratory findings. Less likely sequelae changes were considered in the differential diagnosis. Diffuse emphysema is observed in both lungs, and there are air cysts and bulla-bleb formations in both lungs. Density increases and volume loss and structural distortion are observed in favor of pleuroparenchymal sequelae changes in both lung apexes, more prominently on the right. In addition, there are occasional atelectasis and pleuroparenchymal sequelae changes in both lungs, again more prominently on the right. Right lung middle lobe lower lobe volume decreased. No mass was detected in both lungs. There are millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. The anterior posterior diameter of the ascending aorta is 48 mm and wider than normal. The aortic arch is elongated. The diameter of the descending aorta is normal. Pulmonary artery diameters were minimally enlarged. There is a stent view on the aortic valve. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph node was detected. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph node was 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. Pleural effusion is observed on the right. The pleural effusion measured 20 mm at its widest point. No pleural effusion was detected on the left. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. There are osteophytes in the vertebral corpus corners. No lytic-destructive lesions were detected in the bone structures within the sections.
Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, fusiform aneurysmatic dilatation in the ascending aorta, stent in the aortic valve, increase in pulmonary artery diameters . Mediastinal and hilar lymph nodes . Pleural effusion . Findings evaluated primarily in favor of infective pathology in both lungs . Diffuse emphysema in both lungs and pleuroparenchymal sequelae changes . Millimetric nodules in both lungs . Thoracic spondylosis
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train_5723_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; subpleural focal nonspecific ground glass density was observed in the posterobasal segment of the lower lobe of the right lung. The outlook can be seen in Covid-19 pneumonia. However, it is not specific. Dependent is mostly evaluated in favor of density increases. Clinic-lab correlation is recommended. In the upper abdominal sections included in the examination area, liver parenchyma density was diffusely decreased in line with adiposity. No lytic-destructive lesion was detected in bone structures.
Not given.
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train_5724_a_1.nii.gz
pneumonia?.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Stable lymph nodes, the largest of which reached 5.5 mm in diameter, were observed in the submental area entering the imaging area. Tracheostomy cannula was observed in the patient. An increase in intraluminal fluid content was observed at the cannula level (mucoid impaction?). Apart from that, the trachea and both main bronchi are open. No occlusive pathology was detected in the lumen and calcifications were observed in the tracheal cartilages. Calcified atheroma plaques were observed in the mediastinal main vascular structures, the plaques were segmental in the coronary arteries, and the diameter of the ascending aorta was 41 mm at this stage. It is dilated. The heart is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A sliding type hiatal hernia was observed at the esophagogastric junction. Stable lymph nodes with a short diameter of 6mm were observed in the mediastinal prevascular area, in the aortopulmonary window, in the pre- and paratracheal areas. When examined in the lung parenchyma window; pleural effusion in the left lung has been replaced by pleural thickening and the pleural effusion has resolved. Mosaic attenuation pattern was observed in both lungs. There are minimal bronchiectatic changes, peribronchial thickenings and fibroatelectatic changes in the bases of both lungs. There is an air cyst in the posterobasal segment of the lower lobe of the right lung. In the left lung basal, atelectatic changes are accompanied by minimal ground-glass appearance. Nonspecific parenchymal nodules were observed in both lungs, the largest of which was 3 mm in diameter in the lateral basal segment of the lower lobe of the left lung. In the evaluation of the upper abdominal organs in the image area, stones were observed in the gallbladder lumen. There are calcified atheroma plaques in the intra-abdominal main vascular structures. Thoracic kyphosis has increased. Osteophyte formations were observed in the corners of the thoracic vertebra corpus.
Submental and mediastinal stable lymph nodes. Mucoid impaction at the tracheostomy level in a patient with tracheostomy?. Mosaic attenuation pattern in both lungs, fibroatelectatic changes in the basals, and pleural thickening in the left lung basal and adjacent ground glass appearance (findings are stable). Stable nonspecific parenchymal nodules in both lungs. Vertebral spondylosis. Cholelithiasis.
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train_5725_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is within normal limits. The aortic arch calibration is 31 mm. Calibration of other major vascular structures is natural. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch and ascending descending aorta. A calcific nodule is observed in the right lobe of the thyroid gland. The parenchyma is heterogeneous. If necessary, USG examination is recommended. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. In the evaluation of both lungs in the parenchyma window; Calcifications are present in the trachea and main bronchi. Calibrations of the trachea and main bronchi are normal. Density is observed in the lumen, which may be compatible with mucus impaction on the right lateral wall in the proximal part of the trachea. Peribronchial thickenings are observed. There is a decrease in density consistent with mild emphysema in both lungs. Nodules with a diameter of 3 mm in the posterior segment of the right lung upper lobe and 3 mm in diameter in the anterior segment are observed. Densities compatible with pleuroparenchymal sequelae are observed at the posterobasal level of the lower lobe of the right lung. A 2 mm diameter calcific nodule is observed in the posterior segment of the right lung upper lobe. Focal consolidation and pleuroparenchymal density increases are observed at the posterobasal level of the lower lobe of the left lung. A subpleural 5 mm diameter nodule is observed at the laterobasal level. Linear calcification is observed in the capsule on the back of the spleen entering the examination area. There is lobulation in the contours of the right kidney. Slightly hypodense areas that cannot be distinguished from artifact are observed in places. It is recommended to evaluate with USG. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. Degenerative changes are observed in the bone structure. Sequelae fracture appearances are observed in the costae at the lower hemithorax on both sides. Height losses are observed in D7 and D10 vertebrae. Mild retropulsion-dorsal osteophytes are observed in the D10 vertebra at a rate of approximately 50% and 75%, respectively.
· Hypodense-calcific nodules in the right lobe of the thyroid gland, USG examination is recommended if necessary. · Density reduction consistent with mild emphysema. Mild sequelae changes in both lungs and formation of a few millimetric nodules. · Consolidation in the subpleural space at the posterobasal level of the left lung. · Lobulation in the contours of the right kidney, hypodense areas that cannot be clearly evaluated due to artifact in the parenchyma. US examination is recommended. · Hiatal hernia. · Degenerative changes in bone structure · Sequelae fracture appearances on the ribs at the lower hemithorax on both sides. · Height loss in D7 and D10 vertebrae (approximately 50% and 75%, respectively), mild retropulsion-dorsal osteophyte is observed in D10 vertebrae.
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train_5726_a_1.nii.gz
chest 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. There are emphysematous changes in both lungs. Linear atelectasis was observed in both lungs, more prominently in the lower lobes. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are diffuse atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Emphysematous changes in both lungs . Atelectasis in both lungs . Atherosclerotic changes in the aorta and coronary arteries
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train_5727_a_1.nii.gz
Covid-19 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. In both lungs, especially in the upper lobes, there are ground glass appearances, interlobular septal thickening in places, and cystic areas within ground glass areas. The views described are nonspecific. Although these findings can be observed in many pathologies, infections due to opportunistic pathogens are primarily considered in the differential diagnosis (viral pneumonia? pneumocystis jirovecii pneumonia?). However, differential diagnosis cannot be made due to the prevalence of the findings. Although there may be similar appearances in Covid-19 pneumonia, subpleural areas are frequently involved in Covid-19 pneumonia. In this examination, it is observed that the subpleural area is preserved in places. This finding moves away from Covid-19 pneumonia. However, the diagnosis of Covid-19 pneumonia has not been completely excluded. It is recommended to evaluate the patient together with laboratory findings. When the patient encounters the previous examination, there is no difference in the findings. No pleural or pericardial effusion was detected.
Not given.
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train_5727_b_1.nii.gz
Not given.
Transverse sections of 1.5 mm thickness obtained without IV contrast material were evaluated.
Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart is in natural appearance. Calcific atheroma plaques were observed in the main vascular structures. Esophagus is within normal limits. There is minimal pleural effusion in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, crazy paving appearances and consolidations were observed in both lungs. In the affected areas, there are cylindrical bronchiectasis and vascular enlargements, subpleural bands and structural distortions, paraseptal emphysema appearances and air cysts. Clinical and laboratory evaluation is recommended. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. There are degenerative changes in bone structures.
Viral pneumonia? Outlooks include classic or probable findings for COVID. Fibrosis in the lungs 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_5728_a_1.nii.gz
Not given.
Non-contrast sections of 3 mm thickness were taken in the axial plane.
Trachea and lumen of both main bronchi are open. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Heart sizes are slightly increased. 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; Patchy ground glass density increases are observed in the peripheral subpleural area in both lungs and in the perihilar area on the right. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Millimetric calculus was observed in the left kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.
Ground-glass density increases in both lungs. The appearance may be compatible with Covid-19 pneumonia. Since other viral pneumonias are in the differential diagnosis, it is recommended to be evaluated together with clinical and laboratory data.
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train_5729_a_1.nii.gz
Covid pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric sequelae calcific nodules were observed in both lungs. Pleural effusion-thickening was not detected. A hypodense well-defined nodular lesion was observed in segment 7 of the liver (lipoma?). Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No fractures, lytic or sclerotic lesions were observed in the bones.
Liver lipoma?.
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train_5730_a_1.nii.gz
Pneumothorax?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are nodules in both lungs, the larger of which is in the lower lobe, measuring approximately 10 mm in diameter. Ground glass appearances are observed around some of the nodules. The views described are not specific. Many pathologies can cause these appearances. There was no appearance that could be evaluated in favor of a mass or pneumonic infiltration 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.
Nodules in both lungs, some with areas of ground glass around them.
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train_5731_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 esophagus calibration was normal and no significant tumoral wall thickening was detected. Several nonspecific lymph nodes were observed in the mediastinal area, the largest of which was at the aortopulmonary level, with a short axis of 7 mm in diameter. When examined in the lung parenchyma window; No active infiltration, consolidation or space-occupying lesion was detected in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Inspection within normal limits. No signs of active infection were detected.
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train_5732_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO increased in favor of the heart. Cardiac pacemaker is observed at the left pectoral level, and its catheters are observed at the right atrium and right ventricular epicardium level. The aortic arch calibration is 33 mm. It is wider than normal. Right pulmonary artery calibration is 29 mm and wider than normal. Pulmonary trunk calibration is natural. Left pulmonary artery calibration is within the maximal physiological limit. Calcific atheroma plaques are observed in the ascending aorta, aortic arch, descending aorta, and coronary arteries. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, at the subcarinal level, the largest of which is in the subcarinal area, measuring approximately 19x12 mm. No pathological size and configuration of lymph nodes were detected at both hilar levels. There is a multiple millimetric nodular appearance that may be compatible with the lymph node around the right pulmonary artery. When examined in the lung parenchyma window; In both lungs, there is pleural effusion reaching 40 mm on the right and 25 mm on the left in its thickest part. Prominence in interlobular septa and fluid appearance at the level of fissures are observed. There is a mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). A calcific nodule with a diameter of 4 mm is observed in the middle lobe of the right lung. There is a parenchymal band at the posterobasal level of the lower lobe of the right lung. Branch bud landscapes and accompanying ground-glass-like density increments are observed in the lower lobe of both lungs. There are thickenings of the peribronchial sheath. Again, bud branch views are observed in the perihilar area in the right lung, in the middle lobe, in the left lung at the perihilar level in the upper lobe, and in the lower lobe superior segment at laterobasal and posterobasal levels. In the sections passing through the upper abdomen, there is a mild hepatosteatosis appearance in the liver. Both adrenals are natural. Both kidneys are slightly atrophic. There is a hypodense lesion of approximately 15 mm in diameter in the posterolateral aspect of the right kidney (cortical cyst?). Degenerative changes are observed in the bone structure entering the examination area.
Findings compatible with cardiac stasis . In this background, bud branch views are observed in both lungs, and evaluation together with clinical and laboratory findings in terms of infective processes is recommended. No typical findings for Covid pneumonia have been identified. Bilateral pleural effusion . Hypodense lesion (cortical cyst?) in the posterolateral right kidney. Degenerative changes in bone structure
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train_5733_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 margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Ground-glass-like density increases and focal consolidations were observed in the lower lobes of both lungs, which were widespread and tended to coalesce. The appearance was evaluated in accordance with the imaging features frequently reported in Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. In the upper abdominal sections in the study area, the liver parenchyma density was decreased, which is compatible with the adiposity. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
There are imaging features frequently reported in Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.
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train_5734_a_1.nii.gz
Cough
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. 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 increase in wall thickness was detected in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. There are no lytic-destructive lesions in the bone structures within the sections.
Findings within normal limits
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train_5734_b_1.nii.gz
Cough weakness, malaise.
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_5735_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: A catheter image extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed. No occlusive pathology was observed in the trachea and lumen of both main bronchi. 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. Millimetric calcific atheroma plaques were observed in the coronary arteries and at the level of the aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Subcentimetric nonspecific parenchymal nodules were observed in both lungs as far as they can be observed secondary to movement artifacts. Apart from that, both lung parenchyma aeration is normal and no mass or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Liver, gallbladder, spleen, pancreas, both adrenal glands, both kidneys are normal, as can be seen on non-contrast images. No free fluid was detected in the abdomen. At the thoracic level, left-facing rotoscoliosis was observed. Schmorl nodule and secondary loss of height were observed in the T7 vertebral body.
Sliding hiatal hernia at the lower end of the esophagus . Millimetric nonspecific nodules in both lungs . Rotoscoliosis with left-facing opening at the thoracic level, height loss secondary to a schmorl nodule in the T7 vertebra corpus
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train_5736_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Millimetric sized nonspecific parenchymal nodules were observed in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.
No sign of pneumonia was detected. Several millimetric nonspecific parenchymal nodules in both lungs.
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train_5737_a_1.nii.gz
Sore throat, weakness, malaise
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Esophageal calibration was followed naturally. 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. A focal calcified nodule was observed in the right lung lower lobe laterobasal segment. No features were detected in the upper abdomen sections. No lytic-destructive lesion was detected in the bone structures included in the study area.
Examination within normal limits.
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train_5738_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; The diameter of the main pulmonary artery was 30 mm and showed minimal dilatation. Calibration of other mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In both lungs, ground glass density increases were observed in the peripheral subpleural area and the peribronchovascular area, which tended to coalesce from place to place. The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia. Clinical and laboratory correlation is recommended. 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. The spleen was not observed, and a few soft tissue lesions measuring 19 mm in diameter were observed in the spleen lodge (splenosis?). There is metallic suture material belonging to sternotomy on the anterior thorax wall. Left-facing scoliosis was observed in the thoracic vertebrae.
Minimal dilatation of the pulmonary artery. There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Clinical and laboratory correlation is recommended. The spleen was not observed, and a few soft tissue lesions, the largest of which was 19 mm in diameter, were observed in the spleen lodge (splenosis?). Mild scoliosis with left-facing opening in the thoracic vertebrae.
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train_5739_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. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph nodes reaching pathological dimensions were detected in the supraclavicular region and bilateral axillary region. In the mediastinal prevascular area, in the aortopulmonary window, in the paratracheal area, in the bilateral hilar region, oval-shaped lymph nodes with a short diameter reaching 5 mm are observed. When examined in the lung parenchyma window; Minimal bronchiectasis and peribronchial thickening are observed in bilateral perihilar areas. A parenchymal nodule with a diameter of approximately 4 mm is observed within the vascular structures in the right perihilar area 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.
Minimal bronchiectasis and peribronchial thickening in the bilateral perihilar area. Parenchymal nodule in the perihilar area of the right lung. Lymph nodes that do not reach mediastinal pathological size.
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train_5740_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nodule measuring 5 mm in size is observed in series 2 image 80, located in the subpleural area, in close proximity to the 5th vertebral corpus in the superior right lung lower lobe. Follow-up is recommended. 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.
A nodule measuring 5 mm in size in series 2 image 80, located in the subpleural area, in close proximity to the 5th vertebral corpus in the superior right lung lower lobe, follow-up is recommended.
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train_5741_a_1.nii.gz
Covid-19 pneumonia?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. 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 moderate 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_5742_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 paratracheal and subcarinal narrow lymphadenomegaly reaching 1 cm in diameter is observed. The AP diameter of the ascending aorta is 4.3 cm and is above normal. There are 1-2 millimetric calcific atherosclerotic plaques in the aortic arch. Nodular appearances that may belong to varicose veins in paraesophageal localization draw attention. The review is without contrast. Optimum distinction cannot be made. The cardiothoracic index is natural. Pleural effusion measuring 17 mm is observed in the thickest part of the left hemithorax. In the evaluation of both lung parenchyma; Minimal ground glass appearances are observed in the upper lobe of the right lung, the middle lobe and lower lobes, the lingular segment of the left lung and the lower lobe. It is nonspecific. In the sections passing through the upper abdomen, the ratio of the left lobe to the right lobe of the liver increased in favor of the left lobe. Liver parenchyma contours are lobulated. It was evaluated as compatible with chronic liver parenchymal disease. Acid is observed in the abdomen. No lytic-destructive lesion was observed in bone structures. There are degenerative changes in the vertebrae.
Nonspecific ground-glass appearances in both lungs. Mediastinal lymphadenomegaly. Left pleural effusion. Increase in liver right lobe-left lobe ratio in favor of left lobe and lobulations in parenchyma (Chronic liver disease?). Intra-abdominal effusion, paraesophageal localization, nodular structures that may belong to esophageal varices, and a clear distinction cannot be made in non-contrast examination. Ascites in the abdomen.
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train_5743_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. Calibration of mediastinal major vascular structures is natural. Pericardial effusion-thickening was not observed. Normal calibration of the esophagus is observed. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area, suspicious nodular or mass-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures included in the study area.
Examination within normal limits
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train_5744_a_1.nii.gz
Cough for 3 days, fever, phlegm, chills, shivering, chest pain, Covid 19 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. There is no obstructive pathology in the trachea and both main bronchi. Peripheral and centrally located ground glass areas are observed in both lungs. The described ground glass areas are more prominent in the lower lobe of the lung and in the peripheral regions. Some of the frosted glass areas are round shaped and some are wedge shaped. There are enlarged vascular structures within the ground glass area. When evaluated together with the patient's clinical knowledge, the described manifestations were primarily evaluated in favor of viral pneumonia (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. In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of non-enhanced CT. 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 consistent with viral pneumonia in both lungs.
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train_5745_a_1.nii.gz
dyspnea.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Calcified atheroma plaques were observed on the wall of the aortic arch and coronary vascular structures. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a sliding type hiatal hernia at the lower end. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; There are sequela parenchymal changes in the apices of both lungs, the left lung upper lobe, the inferior lingular segment, and the right lung middle lobe. No active infiltration or mass lesion was detected in both lungs. A few millimeter-sized nonspecific nodules were observed in both lungs. There are minimal emphysematous changes in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes.
Calcified atheroma plaques in the wall of the aortic arch, coronary vascular structures. Locally sequela parenchymal changes in both lungs, a few millimetric nonspecific nodules and minimal emphysematous changes. Sliding type hiatal hernia at the lower end of the esophagus.
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train_5746_a_1.nii.gz
pneumonia?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis is observed in both lungs, especially in the central part. Bronchiectasis is most prominent in the upper lobe lingular segment of the left lung. In both lungs, bronchiectasis is accompanied by budding tree appearances. These findings are also more prominent in the left lung upper lobe lingular segment. The distributions and appearances of the described findings are not specific. It is recommended that the patient be evaluated for an infective pathology. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Minimal bronchiectasis in both lungs, extensive budding tree appearances in both lungs
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train_5747_a_1.nii.gz
Diarrhea starting today, sore throat, abdominal pain, nausea, vomiting.
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. 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. In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are millimetric osteophytes at the vertebral corpus corners. Intervertebral disc distances are minimally narrowed in places. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Minimal thoracic spondylosis.
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train_5748_a_1.nii.gz
Covid pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the mediastinum, axilla, and in the supraclavicular fossa within the cross-section in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. When examined in the lung parenchyma window; There are centralobular nodular infiltrates in the laterobasal segment of the lower lobe of the right lung, favoring bronchopneumonic infiltration. Radiological findings are not characteristic for Covid pneumonia, but their presence cannot be excluded in pandemic conditions, and atypical bacterial infections should be included in the differential diagnosis. In the lung parenchyma, no suspicious mass or nodular space-occupying lesion in favor of malignancy is observed. No features were detected in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures.
Bronchopneumonic infiltration in the right lung lower lobe laterobasal segment, the finding is a rare involvement pattern in Covid pneumonia. However, Covid pneumonia could not be ruled out in pandemic conditions. Typical-atypical bacterial agents should definitely be included in the differential diagnosis in the treatment of the patient.
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train_5749_a_1.nii.gz
covid?
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
Heart dimensions and compartments appear natural. Calibrations of mediastinal major vascular structures are natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. An area of atelectasis is observed in the anterior segment of the right lung upper lobe. Image resolution of the parenchyma is low due to motion artifact. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. In the upper abdominal sections, a lower-shoe kidney is observed. There is a 12 mm diameter calculi image in the upper pole calyx of the right kidney. No lytic-destructive lesions were detected in bone structures.
No pneumonic infiltration was observed. Lower-shoe kidney, right nephrolithiasis
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train_5750_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. Aortic and coronary artery atherosclerosis is observed. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the mediastinum and in both hilar regions, multiple lymph nodes up to 12 mm in the short axis of the larger ones are observed. When examined in the lung parenchyma window; There are effusions and atelectasis in both hemithorax. Bronchiectasis in the lungs, thickening of the bronchial wall are seen. Peribronchial ground glass densities are observed especially in the lower lobe and consolidations in the left lower lobe. Emphysematous changes in both lungs and sequelae changes are seen especially in the right upper lobe apex. In the right upper lobe posterior, there is an irregular limited soft tissue density, including calcifications adjacent to the major fissure, and at this level, consolidation and mass differentiation cannot be made clearly. There is an air cyst in the lower lobe on the right, reaching 39 mm in diameter superiorly. 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. Calcific plaques were observed in the aorta and its branches in the upper abdominal sections. Bone structures in the study area are degenerative.
Aortic and coronary artery atherosclerosis. Mediastinal lymph nodes. Diffuse emphysema, bronchial wall thickening, bronchiectasis, sequelae changes, bilateral pleural effusion and atelectasis in both lungs. Nodular consolidation and ground glass densities in the left lower lobe, and soft tissue densities in the right upper lobe posterior adjacent to the major fissure, in which consolidation and mass cannot be differentiated; findings were evaluated primarily in favor of the infectious process, and follow-up examination is recommended after treatment.
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train_5750_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. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. 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; There is a mass soft tissue density in the right lung upper lobe posterior, which includes millimetric calcifications adjacent to the major fissure, with spiculated contours, and measured up to 36x28 mm in the widest part in irregularly limited axial sections, and up to 74 mm in the craniocaudal axis, which cannot be clearly distinguished due to the infectious processes around it in the previous examination. . Close follow-up of the described finding is recommended in case of doubt, further investigation and histopathological examination. There are bullae and cylindrical bronchiectasis, emphysematous changes in both lungs, more prominently on the right. A few millimetric calcific nodules are observed. There are fibrotic sequelae changes in the upper lobe of the right lung. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Right-facing scoliosis is observed in the thoracic vertebrae. Diffuse degenerative changes in bone structures are present with tapering in the end plates.
Atherosclerotic changes. Small mediastinal lymph nodes. Diffuse emphysema in both lungs, bronchial wall thickening, bronchiectasis, sequelae changes, bilateral mild atelectasis. Nodular consolidations and ground glass densities observed in the previous examination cannot be distinguished in the current examination. Soft tissue density, which cannot be distinguished from mass and consolidation in the previous examination, in the vicinity of the major fissure in the posterior upper lobe of the right lung, is observed as a mass lesion in the current examination, and further examination histopathological examination is recommended for better differential diagnosis in case of doubt.
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train_5751_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. 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. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Findings within normal limits.
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train_5751_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. In the anterior mediastinum, there is thymic tissue in trigonal configuration, which does not show any mass effect. No lymph node with pathological size and configuration was detected in the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Mild sequelae changes are observed at the apical level. There is a stable nodule with a diameter of 2 mm at the level of the minor fissure. No infiltrative lesion was detected in both lung parenchyma. Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
There was no finding compatible with pneumonia.
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train_5751_c_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. There is soft tissue density in the anterior mediastinum, which may belong to the remnant thymus tissue with an angular configuration that does not show a mass effect. Other mediastinal major 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 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 both lungs apical. No mass-nodule or infiltration 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. No lytic-destructive lesions were detected in bone structures.
No sign of pneumonia was detected.
0
0
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0
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0
1
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0
train_5751_d_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; In the anterior mediastinum, there is soft tissue density of remnant thymic tissue with triangular configuration and no mass effect. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in both lungs. No millimetric nonspecific parenchymal nodule was observed in the posterior segment of the right lung upper lobe. No mass-infiltration was detected in both lung parenchyma. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
No sign of pneumonia was detected.
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train_5751_e_1.nii.gz
Cough.
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. There is minimal bronchiectasis in the central part of both lungs. A millimetric nodule was observed in the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. 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. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. There is a stone with a diameter of 2 mm in the middle part of the right kidney. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Minimal bronchiectasis in the central parts of both lungs. Millimetric nodule in the right lung. Right nephrolithiasis.
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train_5752_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Soft tissue density of the remnant thymus tissue was observed in the anterior mediastinum. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A few lymph nodes with a short axis smaller than 7 mm were observed in the mediastinal upper-lower paratracheal, prevascular area. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Two millimetrically sized nonspecific parenchymal nodules are observed in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
Millimetrically sized nonspecific parenchymal nodules in both lungs. No sign of pneumonia was detected.
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train_5753_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; 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; Wide patchy ground glass consolidations with irregular borders forming a multilobar- multisegmental crazy paving pattern are observed in both lungs and are accompanied by widespread linear subsegmental atelectatic changes. The findings described are consistent with Covid-19 pneumonia. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). As far as can be seen within the sections; upper abdominal organs are normal. Spleen size increased. 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.
Hiatal hernia. Findings consistent with Covid-19 pneumonia in the lung parenchyma. Mosaic attenuation pattern in the lung parenchyma (small airway disease? small vessel disease?). Splenomegaly.
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train_5754_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 occlusive pathology is detected. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are 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. No lymph nodes in pathological size and appearance were detected in both axillary regions, supraclavicular fossa and mediastinum. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are sequela parenchymal changes in the bilateral apex. A 7x6 mm semisolid nodule was observed in the posterobasal segment of the lower lobe of the left lung. The appearance may be of early viral pneumonia. It is recommended to evaluate and follow up with clinical and laboratory findings. No pathology was detected in the upper abdominal sections within the image. No lytic or destructive lesions were observed in the bone structures within the image.
Millimetric sized semisolid nodule in the posterobasal segment of the lower lobe of the left lung; it may belong to early viral pneumonia. It is recommended to evaluate and follow up with clinical and laboratory findings.
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train_5755_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation. There are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 34 mm and showed slight dilation. 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; Perilobular septal thickening and honeycomb lung appearance were observed in both lungs. There are bronchiectasis in both lungs, lower lobe mediobasal segment, right lung middle lobe and left lung lingular segment. No mass-infiltration was detected in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There are partial compressions that cause approximately 70-75% loss of height in T7 vertebrae and 45-50% in L2 vertebrae. No new appearance of infiltration was detected in the current examination.
Not given.
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train_5756_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; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen in the sections, a 5 mm diameter calculus was observed in the middle part of the right kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits except for right nephrolithiasis
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train_5757_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. Conical configuration of thymic tissue is observed in the anterior mediastinum. It does not create a mass effect. Calibration of mediastinal major vascular structures is natural. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; trachea and both main bronchi are open. A calcific nodule with a diameter of 2 mm is observed in the middle lobe on the right. A 2 mm diameter nodule is observed in the anterior segment of the left lung upper lobe. There is a 2 mm diameter nodule in the apicoposterior segment. There was no finding compatible with pneumonia in both lungs. Pleural effusion-pneumothorax was not 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. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
There was no finding compatible with pneumonia.
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train_5757_b_1.nii.gz
Cough, weakness, complaint has been present since 3-4 days
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.
There was no finding compatible with pneumonia.
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train_5758_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. Peripheral nodular consolidation areas are observed in the posterobasal, lateral segment and middle lobe of the right lung lower lobe. (viral pneumonia?). It is recommended to be tested for Covid-19. Diffuse air trapping was observed in the basal segments of the lower lobe of the left lung. A few nodules, some of them calcified, were observed in both lungs with a diameter of approximately 2 - 3 mm. There is diffuse air trapping in the basal segments of the lower lobe of the left lung. 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.
It is recommended to be tested for Covid-19. Left lung lower lobe diffuse air trapping in the basal segments and nodules of approximately 2 - 3 mm in diameter in both lungs, some of which are calcified and evaluated in favor of several sequelae.
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train_5759_a_1.nii.gz
Tuberculosis?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. There is no pericardial effusion or thickening. 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 pleural effusion was observed. Calcified pleural plaques were observed in both hemithorax. These plaques measured 9 mm at the right costal pleura at their thickest point. No occlusive pathology was detected in the trachea and both main bronchi. Bronchiectasis and minimal peribronchial thickening were observed in both lungs, most prominently in the upper lobe of the right lung. In addition, bronchiectasis is accompanied by structural distortion, loss of volume and soft tissue density in the upper lobe of the right lung. There are emphysematous changes in both lungs. In addition, millimetric nodules, most of which are calcific, were observed in both lungs. In the left lung upper lobe lingular segment inferior subsegment, a nodule-nodular consolidation measuring approximately 10 mm in diameter and a ground glass appearance was observed around it. In the differential diagnosis, primarily an infective pathology was considered. It is recommended that the patient be evaluated and followed up with laboratory findings. No mass was detected in both lungs. No upper abdominal free fluid-collection was observed in the sections. There are no lytic-destructive lesions in the bone structures within the sections.
Findings evaluated in favor of bronchiectasis, minimal peribronchial thickening and sequelae changes in both lungs, mostly calcific nodules in both lungs. Emphysematous changes in both lungs. The appearance in the left lung upper lobe lingular segment, which is evaluated primarily in favor of infective pathology. Calcified pleural plaques in both hemithorax. Atheroma plaques in the aorta and coronary arteries.
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train_5760_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. Calibration of mediastinal major vascular structures is generally normal. However, the aortic arch calibration is 32 mm, slightly above normal. Heart contour, size is 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 lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; A peripheral 2 mm diameter nonspecific nodule is observed in the posterior segment of the right lung upper lobe. A mosaic attenuation pattern is observed at basal levels in both lungs (small vessel disease? small airway disease?). In the sections passing through the upper abdomen, there is a decrease in density consistent with mild hepatosteatosis in the liver. The gallbladder is natural, both surrenal. There is nodular formation in the anterior neighborhood of the spleen, which may be compatible with an accessory spleen with a diameter of approximately 15 mm. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure.
Mosaic attenuation pattern at basal levels in both lungs (small vessel disease? small airway disease?). Hepatosteatosis
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train_5761_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The ascending aorta is wider than normal with an anterior posterior diameter of 36 mm. Calibration of other mediastinal vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the supraaortic branches of the thoracic aorta and in the coronary arteries. 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. Calcified lymph nodes were observed in the mediastinum and in both hiluses, with short axes below 1 cm, which did not reach pathological dimensions. When examined in the lung parenchyma window; Nodular wall calcifications consistent with tracheobronchopathy osteochondroplastica were observed in the segmental bronchial walls of both lungs. Luminal narrowing, peribronchial thickening, and mucus secretions from place to place in the lumen were observed in the segmental and subsegmental bronchi of the lower lobes of both lungs. The described appearance was evaluated in favor of chronic bronchitis and a secondarily developed mosaic attenuation pattern. There are centriacinar nodules in the lower lobe basal segments of both lungs, peribronchial and peripheral subpleural areas, and it is recommended to evaluate it together with clinical and laboratory in terms of bronchopneumonia. In the right lung upper lobe anterior segment, nonspecific ground glass density was observed in the paramediastinal area. Linear atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segments. Nonspecific parenchymal nodules with a diameter of 7.5 mm were observed in both lungs, the largest of which was in the mediobasal subsegment of the left lung lower lobe anteromediobasal segment. No mass lesion with discernible 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. The gallbladder was not observed (operated). Atherosclerotic wall calcifications were observed in the abdominal aorta. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Degenerative changes were observed in bone structures. Mild scoliosis with left opening was observed at the thoracic level. Vertebral coprus heights are preserved.
Fusiform ectasia in the ascending aorta, cardiomegaly, calcific atheroma plaques in the thoracic aorta, supraaortic branches and coronary arteries . Hiatal hernia . Appearance compatible with bronchopneumonia in the lower lobe basal segments of both lungs; it is recommended to be evaluated together with clinical and laboratory. mosaic attenuation pattern secondary to bronchial disease . Nonspecific parenchymal nodules in both lungs, if any, it is recommended to be evaluated and followed up together with previous examinations. Atelectatic changes in both lungs . Degenerative changes in bone structure, scoliosis with left opening at the thoracic level
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train_5761_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. Multiple calcifications were observed in both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Calibration of other thoracic major vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. The diameter of the ascending aorta is 37 mm and shows dilatation. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Multiple lymph nodes were observed in the mediastinal upper-lower paratracheal and subcarinal area, the axis of which was 1 cm. When examined in the lung parenchyma window; Focal ground glass density increases were observed in the anterior segment of the right lung upper lobe. In addition, peripheral subpleural focal ground glass density increases were observed in the middle lobe of the right lung, the inferior lingular segment of the left lung, and the lower lobes of both lungs. The outlook can be traced in Covid-19 pneumonia. However, it is not specific. Clinical-laboratory correlation is recommended. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung. There are peribronchial thickenings in both lungs and bronchiectatic changes in the lower lobes. A parenchymal nodule with a diameter of 6.3 mm was observed in the posterobasal segment of the lower lobe of the left lung. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the study area; gall bladder was not observed. 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. No lytic-destructive lesion was detected in bone structures.
Mild fusiform dilatation of the ascending aorta, atherosclerotic changes, mediastinal lymph nodes. Sequelae changes in both lungs. Focal ground-glass density increase in both lung parenchyma; The outlook can be traced in Covid-19 pneumonia. However, it is not specific. Clinical-laboratory correlation is recommended. Bilateral peribronchial thickenings. Non-specific parenchymal nodule in left lung. Bronchiectatic changes in the lower lobes of both lungs. Cholecystectomy.
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train_5762_a_1.nii.gz
Dry cough, weakness, fatigue, back pain.
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is a millimetric calcific nodule in the lower lobe of the right lung. In addition, several noncalcified nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. 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.
Nonspecific nodules in both lungs.
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train_5763_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. Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. 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 in the non-contrast examination limits. Mixed type hiatal hernia was observed. Multiple millimetric lymph nodes were observed in the mediastinal upper-lower paratracheal, subcarinal, precarinal and aorticopulmonary windows. When examined in the lung parenchyma window; Tubular bronchiectasis areas were observed in both lungs. Subsegmental atelectasis areas were observed in the middle lobe of the right lung. An air cyst with a diameter of 13 mm was observed in the lower lobe of the right lung. 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.
Mediastinal millimetric lymph nodes . Calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery . Mixed type hiatal hernia . Areas of subsegmental atelectasis in the right lung . Bronchiectatic changes and peribronchial thickenings in both lungs.
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train_5764_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures.
Findings within normal limits
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train_5765_a_1.nii.gz
Liver failure
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a millimetric calcific nodule in the posterior segment of the right lung upper lobe. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No 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. Liver contours are irregular. The liver has a left lobe hypertrophic appearance. Hypodense areas associated with the biliary tract were observed in the liver. When the patient was evaluated with his previous examinations, it was understood that the described appearances were cystic bile duct enlargements. The thyroid gland has a multinodular appearance. Vertebral corpus heights, alignments and densities are normal within the sections. Intervertebral disc distances are preserved. The neural foramina are open.
CT findings consistent with chronic liver parenchymal disease. Calcific nodule in the right lung. Multinodular goiter.
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train_5766_a_1.nii.gz
Cholangiocarcinoma, pleural effusion in follow-up?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
On the right, the port chamber on the anterior surface of the pectoral muscle on the anterior chest wall, and the image of the catheter extending from the chamber to the superior-right atrium junction of the vena cava are observed. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Millimetric atheroma plaques are observed in the aorta and left coronary artery. An effusion reaching approximately 8 cm in its thickest part (anteroposterior) extending from apex to basal was observed in the right pleural space. A diffuse consolidation area with air bronchograms was observed in the superior and basal segments of the right lung lower lobe adjacent to the effusion. In addition, atelectatic changes were observed in the basal and inferior lingular segments of the left lung, and in the lateral segment of the right lung middle lobe. Uniform interlobular septal thickenings were observed in the interlobular septa in the middle lobe and upper lobe of the right lung. No mass lesion-active infiltration with distinguishable borders was observed in both lungs. As far as can be seen in the non-contrast sections, an infiltrative malignant mass lesion filling the right lobe of the liver and extending to the left lobe and an internal biliary drainage catheter were observed. Diffuse reticulonodular density increases in the peritoneum, thickenings in the peritoneal reflection, and diffuse nodular density increases in the omentum were observed. It is compatible with peritoneal carcinomatosis. The right adrenal gland is normal. Diffuse hyperplasia was observed in the left adrenal gland lateral leg. A hernia sac with omental adipose tissue was observed on the anterior abdominal wall. Degenerative changes are observed in the bone structures in the study area.
Image of the port chamber on the anterior chest wall on the right and the catheter extending into the inferior vena cava. Right massive pleural effusion, large consolidation area in the lower lobe of the right lung. Peripheral smooth interlobular septal thickenings in the upper and middle lobes of the right lung and passive atelectatic changes in both lungs. Infiltrative malignant mass lesion filling the right lobe of the liver, internal biliary drainage catheter inserted in the intrahepatic biliary tract. Peritoneal carcinomatosis. Umbilical hernia.
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train_5767_a_1.nii.gz
Chest, back pain, Covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are millimetric nonspecific nodules in the basal segments of the lower lobes of both lungs, and mild atelectatic changes in the inferior lingula of the left lung upper lobe. Liver parenchyma density in the upper abdominal organs included in the sections changes in favor of steatosis. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
A few nonspecific millimetric nodules in both lungs . Mild atelectasis in the left lung upper lobe inferior lingula . Hepatosteatosis
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train_5767_b_1.nii.gz
Chest and back pain and sweating
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. Ground glass areas are more prominent in the lower lobes and peripheral areas, and many are round in shape. These findings are frequently observed in Covid-19 pneumonia, and these manifestations were evaluated in favor of Covid-19 pneumonia during the pandemic process. 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 liver parenchyma, there is a decrease in density consistent with moderate to moderate 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.
Findings consistent with viral pneumonia in both lungs Hepatic steatosis
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train_5768_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 atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. Apart from these, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Cortical scar is observed in the upper pole of the left kidney. 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.
Atelectasis in both lungs . Cortical scar in upper pole of left kidney
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train_5769_a_1.nii.gz
Cough
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. No lymph node was observed in the axilla in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of the main mediastinal vascular structures are normal. Calcified atheroma plaques are observed in the coronal arteries. Reactive mediastinal lymph nodes located in the upper paratracheal, bilateral lower paratracheal and subcarinal lymph nodes are observed. When examined in the lung parenchyma window; Bilateral asymmetrical diffuse, predominantly ground-glass density nodular infiltration areas are observed in both lungs. Consolidation areas are also present in the lower lobes. It is accompanied by septal thickening. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection. . In upper abdominal sections; There is a symmetrical increase in thickness in the left adrenal gland corpus. There is a decrease in liver parenchymal density consistent with moderate hepatosteatosis and a slight increase in liver size. No lytic-destructive lesions were detected in bone structures.
Areas of diffuse atypical pneumonic infiltration in both lungs, Radiological findings were evaluated in accordance with the involvement of the lung parenchyma of Covid infection. Reactive mediastinal lymph nodes . Calcified atheromatous plaques in the coronary arteries . Increase in liver size and moderate hepatosteatosis
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train_5770_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A few small lymph nodes measuring 4 mm in short axis are observed in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse, rather patchy, ground-glass densities in both lungs, mild vascular expansion and bronchiectasis at the described levels are observed. The findings were evaluated in favor of Covid-19 viral pneumonia. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes and decrease in density in the bone structures in the study area. Hypertrophic osteophytic tapering and bridging tendencies are observed in the anterior end plates of the vertebral corpuscles.
There are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease may cause a similar appearance. Degenerative changes in bone structures
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train_5771_a_1.nii.gz
Sore throat, nausea, headache.
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. 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_5772_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Focal ground glass opacities are observed in the posterobasal segment of the lower lobe of the right lung and the lateral segment of the middle lobe of the right lung. The outlook is consistent with viral pneumonia. These findings are frequently observed in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Typical-probable Covid-19 pneumonia.
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train_5773_a_1.nii.gz
Shortness of breath
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits
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train_5774_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. Sequelae fibrotic changes are observed in the upper lobes of both lungs, and there are mosaic density differences in the lower lobes. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Mosaic density differences in both lungs, sequela fibrotic changes in the upper lobes.
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train_5775_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 esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Millimetric calculus is observed in the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thorax CT examination within normal limits.
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train_5776_a_1.nii.gz
COVID.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Evaluation of mediastinal lymph node and vascular structures is suboptimal due to lack of contrast agent. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. The diameters of the main mediastinal vascular structures are of normal width. No lymph node was observed in the mediastinum with pathological size and appearance, which can be distinguished from vascular structures by non-contrast CT. The air passages of the trachea, both main bronchi, lobar and segmental bronchi 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. No suspicious nodular or mass-occupying lesion was observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures.
Inspection within normal limits.
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train_5777_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are fibrotic densities in the upper lobes of both lungs. There are subpleural fibrotic densities accompanying bronchiectasis in both lower lobes, more prominent on the left. No obvious pneumonic infiltration was observed. Findings may be compatible with pneumonia sequelae. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Fibrotic densities in both lungs, minimal bronchiectasis in the lower lobes, mosaic density differences, subpleural reticular densities (sequelae of pneumonia?).
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train_5778_a_1.nii.gz
Not given.
Non-contrast sections of 3 mm thickness were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild atelectatic changes are observed in the left lung upper lobe inferior lingula. It is atypical for viral pneumonia. Upper abdominal organs were partially included in the study. No lytic-destructive lesion was detected in bone structures.
Not given.
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train_5779_a_1.nii.gz
Not given.
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. Diffuse calcified atheroma plaques are observed in the ascending aorta, aortic arch and thoracic aorta. LAD has stent. Pericardial effusion in the form of mild rubbing is observed. No lymph node was detected in the mediastinum in pathological size and appearance. There is a pleural effusion with a diameter of 5 cm between the leaves of the left pleura and 1.5 cm between the leaves of the right pleura. Atelectasis areas are observed in the left lung upper lobe linguloinferior segment and lower lobe laterobasal and anterobasal segments. No pneumonic infiltration was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. A pure calcified millimetric benign pulmonary nodule is observed in the posterobasal segment of the lower lobe of the right lung. In the upper abdomen sections, common free fluid was observed in the abdomen. No lytic-destructive lesions were detected in bone structures.
Bilateral pleural effusion . Diffuse intra-abdominal free fluid. Findings consistent with coronary artery disease
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train_5780_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
The aortic arch calibration is 34 mm. It is wider than normal. Calibration of other major vascular structures is natural. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; A 5x3 mm nodule is observed in the middle lobe of the right lung and there are sequelae changes at this level. There is a 3x2 mm nodule superposed on the interlobar fissure on the right. There is a 5x3 mm nodule in the superior segment of the lower lobe. Densities compatible with pleuroparenchymal sequelae are observed in the lingular segment of the left lung. There are 4 mm diameter nodules and parenchymal sequelae changes in the posterobasal segment of the lower lobe. A superposed 4 mm diameter nodule is observed on the left interlobar fissure. There was no finding compatible with pneumonia in the case. Pleural effusion or pneumothorax is not observed. In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver. Mild degenerative changes are observed in the bone structure entering the examination area.
No finding compatible with pneumonia was observed.
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train_5781_a_1.nii.gz
Chest pain, atherosclerotic heart disease
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 dimensions are reduced. Its contours are lobulated, its parenchyma density is heterogeneous. It favors chronic thyroidopathy. There are calcified atheroma plaques in the coronary arteries. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. Esophageal calibration was followed naturally. There is a slight sliding type hiatal hernia. In lung parenchyma evaluation; No suspicious space-occupying mass or nodular-like space-occupying lesion was detected in both lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Calcified atheroma plaques in the coronary arteries, findings in favor of chronic thyroidopathy.
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train_5781_b_1.nii.gz
Preop evaluation, Covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Heterogeneity and nodular appearance are observed in the thyroid gland parenchyma density. Sizes are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. There are calcified atheroma plaques in the coronary arteries. Calibration of mediastinal major vascular structures is natural. There are wall calcifications in the abdominal aorta and thoracic aorta. The esophagus is observed in normal calibration. No increase in diameter was detected. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections. There is axis rotation anomaly in the right kidney. Contour, size, localization, parenchyma thickness of both kidneys are normal. No renal solid or cystic mass was detected. Hyperdense foci that may belong to biliary sludge or calculus are observed in the gallbladder lumen. No lytic-destructive lesions were detected in bone structures.
Calcified atheroma plaques in the coronary arteries, pneumonic infiltration in the lung parenchyma were not detected. Cholelithiasis.
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train_5782_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 heart is slightly larger than normal. Widespread calcific atheroma plaques and appearances that may be compatible with a stent are observed in the 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; Bronchial wall thickening is observed in both lungs, starting from the central and extending especially to the lower lobes. Pleuroparenchymal peribronchial linear density increases are observed in the right upper lobe posterior and right lower lobe posterior, and minimal pleural effusion is observed on the right. There is also minimal peribronchial consolidation at the posterobasal level of the lower lobe on the right. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in the vertebrae. PULMONARY CT ANGIOGRAPHY Clinical information: Technique: With MDCT, 1 mm thick sections were taken in the axial plane after IVCM. Results: The lobar segmental and subsegmental branches of the main pulmonary artery and both pulmonary arteries were open, and there was no finding in favor of pulmonary embolism. The heart is slightly larger than normal. Widespread calcific atheroma plaques and appearances that may be compatible with a stent are observed in the coronary arteries. No mediastinal or hilar pathologically enlarged lymph nodes were detected. Bronchial wall thickening is observed in both lungs, starting from the central and extending especially to the lower lobes. Pleuroparenchymal peribronchial linear density increases are observed in the right upper lobe posterior and right lower lobe posterior, and minimal pleural effusion is observed on the right. There is also minimal peribronchial consolidation at the posterobasal level of the lower lobe on the right.
Coronary artery and aortic atherosclerosis, appearance compatible with stent in the coronary arteries, . Central thickening of the bronchial walls, peribronchial infiltrates, minimal pleural effusion on the right and minimal consolidation in the lower lobe. The findings are not specific to Covid pneumonia. Primarily, non-Covid pathologies are considered (findings due to cardiac failure?).
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train_5783_a_1.nii.gz
Nodule in the lung in a patient with lymphoma treatment.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. . Although the mediastinum could not be evaluated optimally in the non-contrast examination, the diameter of the ascending aorta was measured as 42 mm and it shows aneurysmatic dilatation. The diameter of the pulmonary trunk and both pulmonary arteries increased. Heart sizes are normal. Pericardial effusion-thickening was not detected. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed in the distal esophagus. On the anterior of the right pectoral muscle, a 16x7 mm oval-shaped solid mass lesion is observed under the skin adjacent to the muscle (lymph node?). No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Both lungs are emphysematous. Segmentary-subsegmental tubular bronchiectasis and peribronchial wall thickness increases are observed in both lungs. At the junction of the posterior and anterior-posterior segments of the right lung upper lobe, subpleural-parenchymal micronodules with a diameter of 7 mm were observed in the lateral segment of the middle lobe. Fibroatelectatic sequelae changes were observed in the left lung superior lingular segment in the middle lobe of the right lung. Peribronchial millimetric centriacinar nodular infiltrates are observed in the upper lobe of the left lung and in the mediobasal part of the right lung middle lobe, and in the basal part of the right lung middle lobe. Correlation with clinical and laboratory is recommended. Liver sizes have increased as far as can be observed in the sections. An accessory spleen with a diameter of approximately 1 cm is observed anteriorly in the superior part of the spleen hilus. No calculus was detected in both kidneys within the sections. Hypodense lesion areas compatible with cysts are observed in both kidneys. At the thoracic level, left-facing rotascoliosis was observed and thoracic kyphosis increased. Vertebral corpus heights are natural.
Pulmonary micronodules in the right lung. Peribronchial millimetric micronodules and budding tree view in the right lung upper lobe posterobasal, lower lobe mediobasal and middle lobe basal sections of the right lung, peribronchial wall thickness increases, appearance may be compatible with infection. Correlation with clinical and laboratory is recommended. Segmentary-subsegmental bronchiectasis in both lungs. Hepatomegaly.
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train_5784_a_1.nii.gz
Breast ca. Control.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. Calibration of mediastinal major vascular structures is natural. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The right breast was not observed secondary to the operation. No lesion with clear borders was detected in the operation site. Both thyroid gland sizes have increased and parenchyma density is heterogeneous. US control is recommended. When examined in the lung parenchyma window; Semisolid nodules of 5 mm and 4 mm in diameter were observed in the posterior segment of the right lung upper lobe. It was also observed in the previous examination and no significant change was detected. In addition, stable nonspecific parenchymal nodules were observed in both lung parenchyma according to the previous examination. Pleuroparenchymal linear density increases were observed in the upper lobe of the right lung and were evaluated in favor of a change secondary to post-treatment. No significant change was detected from previous review. Bilateral peribronchial thickenings are observed. Variational azygos lobe and fissure were observed in the upper lobe of the right lung. Upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area.
Operated right breast on follow-up. Stable semi-solid nodules in the posterior segment of the right lung upper lobe. Stable nonspecific parenchymal nodules of millimeter size in both lungs. Post-treatment sequelae changes in the upper lobe of the right lung. Nodular Goiter. US control is recommended. Atherosclerosis. Degenerative changes in bone structure.
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train_5785_a_1.nii.gz
pneumonia?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. 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.
Findings within normal limits
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train_5786_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO increased in favor of the heart. Cardiac pace marker is observed at the left pectoral level, and the catheter extends from the left subclavian vein to the superior vena cava and from there to the right heart. One of the catheters terminates at the level of the right atrial appendage and the other at the level of the right ventricle. The aortic arch calibration is 36 mm. It is wider than normal. Pulmonary trunk calibration is 30 mm and wider than normal. Right pulmonary artery calibration is 26 mm, left pulmonary artery calibration is 26 mm. It is within the maximal physiological limits. Calibration of other major vascular structures is natural. Calcific atheroma plaques are observed in the left coronary artery at the level of the aortic arch. Millimetric lymph nodes are observed in the mediastinum, the largest of which is in the right lower paratracheal area and its short axis is measured as 10 mm. Others are smaller in size. No pathological size and configuration of lymph nodes were detected at both hilar levels. In the case, prominent hiatal hernia is observed. When examined in the lung parenchyma window; There is a decrease in emphysematous density in both lungs. Examination is suboptimal due to intense motion artifact. There are bulla-bleb formations at the right apical level. Sequelae changes are observed in the middle lobe on the right. Pleuroparenchymal sequelae changes are observed in the inferior lingular segment on the left. From the right hilar level, it is seen that the bronchovascular structures extend in an arc towards the diaphragm. It cannot be optimally evaluated in motion artifacts and non-contrast imaging. It may be consistent with thickening and fibroatelectatic changes in the peribronchial sheath. However, Schmittel syndrome cannot be ruled out definitively. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs, including sections; A density compatible with calculus is observed in the gallbladder. Sonographic examination is recommended. There is an appearance compatible with ectasia-parapelvic cyst in the collecting system of the left kidney. Sonographic examination is recommended. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. Degenerative changes are observed in the bone structure. Slight loss of height is observed in the anterior D10 vertebra corpus. Slight loss of height is observed in the anterior of the D12 vertebra corpus.
Findings consistent with emphysema and mild sequelae changes in both lungs. No finding compatible with pneumonia was detected. From the right hilar level, it is seen that the bronchovascular structures extend in an arc towards the diaphragm. It cannot be optimally evaluated in motion artifacts and non-contrast imaging. It may be consistent with thickening and fibroatelectatic changes in the peribronchial sheath. However, Scimitar syndrome cannot be ruled out definitively. Cardiomegaly, increased calibration of mediastinal main vascular structures. Hiatal hernia. Cholelithiasis. Appearance compatible with ectasia-parapelvic cyst in the collecting system of the left kidney. Degenerative changes in bone structure.
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train_5786_b_1.nii.gz
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Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In the case, cannula appearance is observed in the trachea. CTO slightly increased in favor of the heart. A cardiac pacemaker is observed at the left pectoral level, and its catheter terminates at the level of the right artium and right ventricle. Calcific atheroma plaques are observed in the left coronary arteries. Multiple lymph nodes are observed in the mediastinum, the largest of which was measured in the right lower paratracheal area and measuring 22x12 mm. No lymph node with pathological size and configuration was detected at the left hilar level. Lymph node evaluation cannot be performed due to soft tissue density at the left hilus level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed. In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. In both lungs, there is a pleural effusion reaching 43 mm on the right and 18 mm on the left in its widest part, extending from the basal to the upper lobe. Widespread ground-glass-like density increases in both lungs and budding tree appearance are observed, more prominently in the basals. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes. Density reductions consistent with emphysema and bulla-blep formations at the apical level are observed in the case. There are thickenings in the interlobular septa. No significant difference was found in other findings. Upper abdominal organs included in the sections are normal. There is a decrease in density consistent with mild steatosis in the liver. Hypodense appearances consistent with parapelvic cyst or pelvicalyceal ectasia are observed in the left kidney. There is also a cortical cyst in the middle section. The parenchyma thickness is thinned from place to place. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.
Cardiomegaly, thickening of interlobular septa, bilateral pleural effusion not observed in previous examination, ground-glass-like density increases; It is recommended to evaluate the case for cardiac stasis. In addition, scattered bud branches are observed in both lungs, and it is recommended to be evaluated together with clinical-laboratory findings in terms of infective processes.
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