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_6697_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Thyroid gland sizes increased. It is recommended to be evaluated together with US. Trachea, both main bronchi are open. Mediastinal structures cannot be evaluated optimally in the examination performed without contrast agent administration. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mixed type hiatal hernia was observed in 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; Peripheral crayz paving patterned ground-glass opacities were observed in both lungs, more commonly in the right lung, and the appearance is compatible with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Pleuroparenchymal fibrotic density increases were observed in the left lung inferior lingular segment. Millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A calculi image with a diameter of 12.5 mm was observed in the gallbladder lumen. Diverticulum was observed in the descending colon. Peridiverticular fatty planes are obvious. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thyromegaly; it is recommended to be evaluated together with US. Sliding hiatal hernia . Findings consistent with Covid-19 pneumonia in the lung parenchyma . Millimetric nonspecific parenchymal nodules in both lungs. Pleuroparenchymal fibrotic density increases in left lung inferior lingular segment . Cholelithiasis . Diverticulosis coli.
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train_6697_b_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
An increase in the size of both thyroid glands was observed. Boundary nodules were not observed within the borders of CT. It is recommended to be evaluated together with USG examination. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open and no occlusive pathology is detected. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a mixed type hiatal hernia at the lower end. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. A few millimeter-sized non-specific stable nodules were observed in both lungs. In the upper abdominal sections within the image; There is calculus measuring 12 mm in diameter in the gallbladder lumen. Diverticular lesions were observed in the descending colon. No lytic or destructive lesions were detected in the bone structures within the image.
Several millimetrically sized non-specific stable parenchymal nodules in both lungs. Mixed type hiatal hernia at the lower end of the esophagus. Increase in the size of both thyroid glands. Cholelithiasis. Diverticulosis coli.
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train_6698_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. The aortic arch calibration is 35 mm. It is wider than normal. Calibration of other major vascular structures in the mediastinum is natural. Millimetric sized calcific atheroma plaques are observed at the aortic root level in the aortic arch. In the thyroid gland, both lobes are hypertrophied. If necessary, it is recommended to be examined with US. Millimetric sized lymph nodes are observed in the mediastinum. No pathological size and configuration lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. A low-density nodule of 4x2 mm is observed in the anterior-apicoposterior segment transition of the left lung upper lobe. There are focal consolidation and sequela changes in the inferior lingular segment. A slight thickening is observed in the peribronchial sheath at the level of the lower lobe of the left lung. There was no finding compatible with bilateral pleural effusion, pneumothorax or pneumonia. In the upper abdominal organs, including sections; There is a decrease in density consistent with steatosis in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area.
No finding compatible with pneumonia was detected. Mild sequelae changes in the left lung. Increased size of the thyroid gland and slight heterogeneity in the parenchyma. If necessary, US examination is recommended. Hepatosteatosis. Mild hiatal hernia.
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train_6699_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 are scattered ground glass density increases in both lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Findings consistent with bilateral Covid pneumonia.
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train_6700_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. Apart from this, no mass lesion with defined borders-active infiltration was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thorax CT examination within normal limits except for pleuroparenchymal fibroatelectasis sequelae changes in the right lung middle lobe and left lung upper lobe inferior lingular segment.
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train_6700_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are sequelae fibrotic changes in the right lung middle lobe and left lingular segment. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Sequela fibrotic changes in the right lung middle lobe and left lingular segment.
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train_6701_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No significant hilar lymph node was detected in the uncontrast-free examination at both hilar levels. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. No significant pathology was observed in the non-contrast sections passing through the upper abdomen. However, lobulation was observed in the contour of the left kidney superior pole medial. It may be compatible with variation. Bone structures are natural.
thorax CT examination at the margins
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train_6702_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 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. Accessory spleen with 11 mm diameter was observed in the lower pole anteromedial of the spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thorax CT examination within normal limits.
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train_6703_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Density compatible with 3 mm diameter calculi is observed in the middle part of the right 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.
No finding compatible with pneumonia. Right nephrolithiasis
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train_6704_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; Patchy ground-glass densities, which are more prominent especially in the left lung and lower lobe, are observed. the outlook favors viral pneumonia. In pandemic conditions, it is primarily in favor 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.
Viral pneumonia; In pandemic conditions, it is primarily in favor of Covid-19 pneumonia.
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train_6705_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are several small lymph nodes in the mediastinum. When examined in the lung parenchyma window; Diffuse patchy ground glass densities are observed in both lungs. The findings were evaluated in terms of viral pneumonia (covid-19). Clinical and laboratory correlation monitoring is recommended. Upper abdominal organs are included in the study partially, and liver parenchyma density has changed in the direction of steatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Diffuse patchy ground-glass densities are observed in both lungs. The findings were evaluated for viral pneumonia (covid-19). Clinical and laboratory correlation follow-up is recommended.
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train_6706_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The left lobe of the thyroid gland is slightly prominent. CTO is normal. When the calibration of the mediastinal main vascular structures is evaluated, the aortic arch is 29 mm. It is at the maximal physiological limit. Calibration of other vascular structures is natural. Millimetric-sized calcific atheroma plaques are observed in the left coronary artery. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. When examined in the lung parenchyma window; azygos fissure variation is observed on the right. At the posterobasal level of the lower lobe of the right lung, there is a branch view with faint buds. Suspicious in terms of infective processes. Evaluation with clinical and laboratory findings is recommended. No significant pneumonia, pleural effusion or pneumothorax was detected at other levels. In the upper abdominal organs included in the sections, there is a decrease in density consistent with hepatosteatosis in the liver. Right adrenal is normal. Nodular thickening is observed in the left adrenal genus. In the middle part of the left kidney, hypodense nodular formation is observed, which may be compatible with a cortical cyst of approximately 13 mm in diameter. 1-2 diverticula are observed in the transverse colon. However, no sign of diverticulitis was detected. Density compatible with 2 mm diameter calculi is observed in the inferior pole of the left kidney. Degenerative changes are observed in the bone structure entering the examination area.
The appearance of the branch with faint buds at the posterobasal level of the right lung lower lobe is suspicious for infective processes. Evaluation with clinical and laboratory findings is recommended. Mild hepatosteatosis . Cortical cyst and millimetric nephrolithiasis in the left kidney . Nodular thickening in the left adrenal genus . 1-2 in the transverse colon diverticulum, but no sign of diverticulitis was detected.
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train_6706_b_1.nii.gz
Behcet, Covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is in normal calibration. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Inspection within normal limits
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train_6707_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Linear subsegmental atelectatic changes were observed in the lingular segment of the left lung upper lobe. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. Upper abdominal organs are natural. No lytic-destructive lesion was detected in bone structures.
Thorax CT examination within normal limits except for subsegmentary atelectasis in the left lung upper lobe lingular segment
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train_6708_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, axilla and mediastinum in pathological size and appearance. The heart size compartments appear natural. Pericardial effusion was not detected. When examined in the lung parenchyma window; An air cyst is observed in the superior segment of the lower lobe of the right lung. No pneumonic infiltration was detected in the lung parenchyma. No mass or nodular space-occupying lesion was detected in the lung parenchyma. 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_6709_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
A hypodense nodule with a diameter of 9 mm was observed in the right thyroid gland. Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of both main bronchi and segmental bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The ascending aorta is ectatic with an anterior-posterior diameter of 38 mm. The diameters of the pulmonary trunk and both pulmonary arteries have increased. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches, abdominal aorta and coronary arteries. In the mediastinum, lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sequelae thickening was observed in the posterior costal pleura in the left hemithorax. When examined in the lung parenchyma window; Peribronchial thickening and luminal narrowing are present in segmental-subsegmental bronchi in both lungs. Mosaic attenuation pattern is observed in both lungs. Mosaic attenuation has been found to be secondary to small airway disease. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the upper and middle lobes of the right lung, the lingular segment of the left lung, and the basal segments of the lower lobes of both lungs. Atelectasis changes caused volume loss in the right lung middle lobe. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration 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. Left-facing scoliosis was observed at the torcal level. There are extensive osteodegenerative changes in bone structures.
Millimetrically sized hypodense nodule in the right thyroid lobe Appearance compatible with tracheobronchopathia osteochondroplastica in both main bronchi and segmental bronchi Physuform ectasia in the ascending aorta, increased pulmonary artery diameters, cardiomegaly, diffuse atherosclerotic wall calcifications in the thoracoabdominal aorta and coronary arteries. Sequela thickening of posterior costal pleura in left hemithorax. Pleuroparenchymal fibroatelectasis sequelae that also cause volume loss in the right lung middle lobe. Mosaic attenuation pattern secondary to small airway disease in both lungs. Left-facing scoliosis at the thoracic level, diffuse osteodegenerative changes in bone structures.
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train_6710_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. The AP diameter of the ascending aorta is 4 cm, the AP diameter of the descending aorta is 3 cm, and it is wider than normal. Diffuse atherosclerotic plaques are observed in the subclavian artery, aortic arch, coronary arteries in the descending and ascending aorta. Metallic sutures secondary to bypass surgery are observed in the sternum. There are millimetric-sized calcifications at the apex of the left ventricle and the appearance of a stable aneurysm of approximately 10 mm in diameter. The cardiothoracic index is increased in favor of the heart. Right upper paratracheal narrow diameter of 14mm, lymphadenomegaly and a few calcified lymph nodes, which can also be distinguished in the previous examination, are observed and are stable. Pleural effusion and thickening were not detected in both hemithorax. In the evaluation of both lung parenchyma; Pleuroparenchymal sequelae densities are observed in the upper lobes of both lungs. The middle lobe of the right lung has a total atelectasis appearance. Since this examination is devoid of contrast, it is not possible to distinguish a mass in it, but the previous examination has contrast. In the non-contrast examination, a prominent mass lesion is not distinguished. Atelectasis lung parenchyma appearance is stable. Apart from this, there are budding tree appearances and peribronchial infiltrations observed in the previous examination in the superior and basal segments of the right lung lower lobe. Primarily, bronchiolitis was evaluated as an infective process. Mild ground-glass appearances are observed in the peripheral lung tissue in the left lung lingular segment, and ground-glass appearances were more prominent in the previous examination and regressed in the current examination. More pronounced mosaic perfusion is observed in the lower lobes of both lungs. In the sections passing through the upper part of the abdomen, bilateral adrenal glands appear natural, no additional pathology is distinguished. No obvious pathology was detected in bone structures.
More pronounced mosaic perfusion in the lower lobes of both lungs. Stable nodules in both lungs.
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train_6711_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Calibration of trachea, both main bronchi is normal. Mediastinal main vascular structures, heart contour, size are normal. There is an appearance compatible with the mediastinum of pneumonia in the mediastinal segments starting from the aortic arch level and extending to the right hilum along the ascending aorta and the right contour of the heart. 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; no finding compatible with pneumonia was detected in both lungs. Pleural effusion pneumothorax was not observed. A mild mosaic attenuation pattern was observed in the lower lobe segments of both lungs (small airway disease? small vessel disease?). Upper abdominal organs included in the sections are normal. Hepatosteatosis is present in the liver entering the cross-sectional area. An area protected from fat is observed in the vicinity of the gallbladder. There is an accessory spleen adjacent to the spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.
No findings consistent with pneumonia were detected. Pneumomediastinum . Mild mosaic attenuation pattern in the lower lobe segments of both lungs (small airway disease?, small vessel disease?). Hepatosteatosis
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train_6712_a_1.nii.gz
Sudden onset of chest pain
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. 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; Ventilation of both lung parenchyma is normal. Pleural effusion-thickening was not detected. Variational azygos fissure and azygos lobe are observed. A sequela calcific nodule is observed adjacent to the minor fissure 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Sequelae of calcific pulmonary nodule.
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train_6713_a_1.nii.gz
A case followed up due to metastatic pancreatic Ca
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In the section, no lymph node was observed in pathological size and appearance in both supraclavicular fossae. No lymph node was observed in pathological size and appearance in both axillae. Heart size increased. Dilatation in the left atrium and left ventricle is more pronounced. No difference was detected. More prominent calcified atheroma plaques are observed in the LAD and circumflex LAD. There are wall calcifications in the aortic arch and thoracic aorta. There is pleural effusion reaching 7 cm between the left pleural leaves and 2 cm between the right pleural leaves. Mild pericardial effusion is observed in the form of smearing. Its diameter was measured as 6 mm, adjacent to the left atrium at its most prominent location. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the case with a known primary malignancy (history of pancreatic Ca), two in the posterior segment of the left lung upper lobe, one subpleural located in the same segment, one millimetric-sized one in the left lung upper lobe lingula superior segment, one in the apical segment of the right lung upper lobe, two in the upper lobe apical segment of the right lung, and one in the upper lobe of the left lung. There are two subpleural localized lesions in the posterior segment of the lobe and metastatic mass lesions located in the pleura in the upper lobe anterior segment. The largest size is the lesion sitting on the pleura in the anterior segment of the right lung upper lobe, measuring 11 mm in size. In the current examination, no significant difference was found in the dimensions of metastatic lesions in both lungs. The lesion in the left lung lingula superior segment shows cavitation on current examination. There was no significant difference in their dimensions. No new lesion was observed. Except for metastatic lesions, the mosaic attenuation pattern accompanying the increase in bronchial wall thickness in segment bronchi in the lung parenchyma was thought to develop secondary to small airway involvement. In the evaluation of the upper abdominal sections entering the image area, free fluid is evident in the abdomen. Contamination is observed in all mesenteric fatty planes. Omental thickness increased and nodular thickness increases in the omentum were thought to be related to omental metastases. It shows nodular configuration especially in the left upper quadrant and there are increases in reticular density. It is recommended to evaluate with clinical findings in terms of peritonitis carcinomatosis and omental metastasis. There is a soft tissue lesion in the tail of the pancreas with an irregular margin of expansion. A hypodense appearance is observed in the spleen, which may belong to infarction. There is a hypodense lesion in favor of metastatic involvement in the liver segment 2 localization. Air images in the intrahepatic biliary tract are secondary to the stent material applied to the common bile duct. Periportal edema is observed. The pancreatic body is atrophic. The head part is expanded. Numerous millimetrically sized retroperitoneal lymph nodes are observed in the preaortic and left aortic areas. There is a parapelvic cyst in the left kidney. There are many calculi and distension in the gallbladder lumen. There are degenerative changes in bone structures.
Increase in heart dimensions, left ventricular left atrium diameter, calcified atheroma plaques in coronary arteries, bilateral pleural effusion, mild smear-like pericardial effusion . Findings related to primary malignancy in the abdomen are described in detail in the report.
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train_6714_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 thoracic main vascular structures is natural. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta. Heart contour size is natural. Pericardial minimal effusion was observed. Pericardial thickening 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; Interlobular septal thickening in the peripheral subpleural area and accompanying ground glass density increases were observed in the lower lobes of both lungs. The appearance is suggestive of viral pneumonia in the first place. Clinical laboratory correlation is recommended. Bilateral bronchiectatic changes were observed. There are atelectatic changes and changes in the lower lobe of the left lung. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There are postoperative changes in the stomach. No lytic-destructive lesion was detected in bone structures.
Significant peripheral subpleural interlobular septal thickening in the lower lobes of both lungs and accompanying ground-glass density increases; the appearance suggests viral pneumonia in the first place. Clinical and laboratory correlation is recommended.
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train_6715_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
A hypodense nodular lesion with a diameter of 12 mm is observed in the right thyroid gland. USG verification is recommended. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequela fibroatelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. A millimetric nonspecific pulmonary nodule was observed in the posterior segment of the right lung upper lobe. Sequela thickening in the posterior costal pleura and minimal sequelae ground glass densities in the parenchyma were observed adjacent to the posterior segment of the upper lobe of the right lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen in the sections, a defect in the pancreatic body localization and post-op surgical suture materials in its vicinity were observed. A nodular lesion of approximately 25x12 mm in which macroscopic fat is observed is observed in the lateral crus of the left adrenal gland. It was evaluated in favor of adenoma. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
· Hypodense nodular lesion in the right thyroid gland; USG verification is recommended. · Sequelae changes in right lung middle lobe medial, left lung upper lobe inferior lingular and right lung upper lobe posterior segment. · Millimetric nonspecific pulmonary nodule in the posterior segment of the right lung upper lobe. · Defective area in the pancreatic body part and postoperative suture materials in its vicinity. · Adenoma in the lateral crus of the left adrenal gland.
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train_6716_a_1.nii.gz
chest pain in back
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Both thyroid lobes appear hypertrophied. Clinical lab in terms of parenchymal disease. blind. follow-up is recommended. 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.
Both thyroid lobes have a hypertrophic appearance. Clinical lab in terms of parenchymal disease. blind. follow-up is recommended. Thoracic CT examination within normal limits
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train_6717_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
In the upper outer quadrant of the right breast, density increases - soft tissue densities, which may belong to the operation site and cause shrinkage in the skin, were observed. There are densities of postoperative suture materials at this level. In addition, there are increases in density in the right axillary region, which is thought to be due to the postoperative change in the first plan where structural distortion is observed. Control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; There is significant regression in the dimensions of the irregularly-circumscribed nodular lesion in the lower lobe of the right lung, which measured approximately 21x17 mm in the previous examination. No newly emerging nodules, masses or infiltrations were detected in the current examination. Nonspecific parenchymal nodules with a diameter of 3 mm in the posterobasal segment of the left lung lower lobe and 3.5 mm in diameter in the middle lobe of the right lung were observed. Bilateral pleural effusion – no thickening was detected. Subsegmental atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Upper abdominal sections in the study area; A hypodense lesion with a fat density of 5 mm in diameter was observed at the liver segment 4A level. It was also observed in the previous examination and no significant size change was detected (hepatic lipoma?). No lytic-destructive lesion was detected in bone structures.
In the follow-up, ca of the operated breast, areas of structural distortion in the upper outer quadrant of the right breast, evaluated primarily in favor of postoperative changes, and postoperative changes in the right axillary region. A lesion with millimetric fat density in the liver (hepatic lipoma?).
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train_6718_a_1.nii.gz
left flank pain
Without IVKM, 1.5 mm thick sections were taken in the axial plan and reconstructions were made at the workstations.
Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are several lymph nodes, some of which are calcific, with a short diameter of 5 mm in the mediastinum and hilar regions, and no enlarged lymph nodes in pathological size and appearance were detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral minimal central bronchiectasis is observed. Several nonspecific nodules are observed in both lungs, the largest of which is 3 mm in diameter in the lateral segment of the right lung upper lobe, accompanied by pleural retraction from place to place. Linear atelectasis areas are observed in the left lung upper lobe lingular segment, lower lobe medial segment and right lung middle lobe medial segment. No mass or infiltrative lesion was detected in both lungs. Sliding type minimal hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. An accessory spleen with a diameter of 8 mm is observed in the anterior neighborhood of the spleen. No lytic-destructive lesions were detected in the bone structures within the sections.
Several millimetric nonspecific nodules in both lungs. Linear areas of atelectasis in both lungs. Minimal central bronchiectasis. Mediastinal millimetric lymph nodes. Minimal hiatal hernia.
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train_6719_a_1.nii.gz
Covid-19?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A faintly circumscribed ground-glass opacity is observed in the paravertebral mediobasal area in the superior segment of the lower lobe of the right lung. Bronchiectatic changes in the lower lobe bronchi of both lungs and traction bronchiectasis and staggered fibrotic band formations, which are more prominent in the lower lobe of the left lung, are observed. Several pulmonary nodules are observed in both lungs, the largest of which is 5 mm in diameter in the posterobasal segment of the lower lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Ground-glass opacities in the mediobasal area of the lower lobe of the right lung. It may be compatible with typical-probable Covid-19 pneumonia. It is appropriate to evaluate the patient together with clinical and laboratory findings. Bronchialectatic changes in the lower lobe bronchi in both lungs and more prominent in the left lung lower lobe bronchiectatic changes and sequelae fibrotic densities in both lungs . Pulmonary nodules described in both lungs.
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train_6720_a_1.nii.gz
Operated stomach Ca, pneumonia in follow-up?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
It was understood that total gastrectomy and esophagojejunostomy operations were performed. Soft tissue density is observed in the distal of the anastomosis and proximal mucosa of the jejunoma. It caused dilatation and increase in diameter in the proximal esophagus. Esophageal dilatation is also present in previous examinations. No lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance. Calcified atherosclerotic plaques in the aorta and calcified plaques in the coronary arteries are observed. Pericardial effusion was not detected. There is an effusion reaching 3 mm in diameter between the leaves of the right pleura and adjacent to the upper lobe. Soft tissue density is observed in the right lung hilum, causing thrust in the right middle lobe middle lobe bronchus and obstructing the medial segment and lower lobe bronchus. This soft tissue lesion is accompanied by pneumonic consolidation. And it caused expansion and volume increase in the lower lobe of the right lung. Parenchymal changes around soft tissue density were evaluated in favor of pneumonia. However, the presence of a hilar mass causing bronchial obstruction is considered and should be excluded. In the previous examination, the areas of pneumonic consolidation observed in the posterior segments of the upper lobes of both lungs were healed. Total parenchymal atelectasis is observed in the basal segment of the left lung lower lobe basal segments. The upper lobe is ventilated. There is an area of subsegmental atelectasis in the upper lobe lingula inferior segment. Bilateral upper paratracheal, lower paratracheal and aorticopulmonary localized mediastinal lymph nodes in the mediastinum were also present in the previous examination and no significant difference was detected. A loculated effusion is observed under the right hemidiaphragm, causing a medial deviation of the liver. Due to the fact that it was a thorax CT examination, the effusion could not be evaluated in the abdominal sections until the distal. It is suspicious in favor of the presence of loculated, subcapsular effusion, since no free fluid is detected in other localizations within the section other than this effusion area. The right hemidiaphragm is elevated due to subdiaphragmatic high-pressure fluid collection. Grade 3 hydronephrosis is stable in the left kidney. There is osteoporosis in the bone structures. Mild height loss is observed in T11 vertebra due to insufficiency fracture.
Operated stomach Ca. Obstruction in the esophagus caused an increase in diameter. There is a lesion in the right lung hilum that obstructs the right lower lobe bronchus and narrows the lumen of the middle lobe bronchus. It is highly suspicious in favor of the presence of a mass, it should be excluded. There is postobstructive pneumonic infiltration in the lower lobe of the right lung adjacent to it. Loculated effusion in the right subdiaphragmatic area; caused elevation of the right hemidiaphragm. Grade 3 hydronephrosis in the left kidney. Osteoporosis in bone structures and height loss in T11 vertebra due to osteoporosis. Calcific plaques in coronary arteries. Stable mediastinal lymph nodes.
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train_6721_a_1.nii.gz
pneumonia?
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are emphysematous changes in both lungs. There are appearances evaluated in favor of linear atelectasis and-or pleuroparenchymal sequela fibrotic changes in the right lung middle lobe and left lung upper lobe lingular segment and both lung lower lobes. There is an air cyst in the upper lobe of the right lung. There are microcystic appearances and interlobular septal and interstitial thickenings in the lower lobes of both lungs, especially in the basal segments, especially in the peripheral areas. The described manifestations were primarily thought to be compatible with sequelae changes or interstitial lung disease. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter. No pathological increase in wall thickness was detected in the esophagus within the sections. Intra-abdominal free fluid-collection or pathologically enlarged lymph nodes were not observed in the sections. Vertebral corpus heights and alignments within the sections are normal. There are hypertrophic osteophytes in the vertebral corpus corners. Intervertebral disc distances are significantly narrowed and there is sclerosis in the adjacent endplates. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Atherosclerotic changes in the aorta and coronary arteries. Mediastinal and hilar lymph nodes. Emphysematous changes in both lungs. Sequelae changes and atelectasis in both lungs. Sequelae changes in both lung lower lobes or appearances that may be compatible with interstitial lung disease. Thoracic spondylosis.
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train_6721_b_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. Peripheral and centrally located ground-glass appearances, microcystic appearances and interlobular septal thickenings are observed in the upper and lower lobes of both lungs. During the pandemic process, it was thought that the findings might be compatible with Covid-19 pneumonia.
Not given.
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train_6722_a_1.nii.gz
pneumonia?
Axial sections with a thickness of 1.5 mm were taken without contrast material and reconstructed at the workstation.
Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph nodes were detected in the mediastinum and in both axillary pathological dimensions and appearance. In the examination made in the lung parenchyma window; In both lungs, multilobar mostly peripherally located ground glass and areas of density increase compatible with consolidation are observed, and viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. There are paraseptal emphysematous changes in the apex of both lungs. No mass lesions were detected in both lungs. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. Free fluid, loculated collection is not observed. No lytic or destructive lesions were observed in the bone structures within the image. Thoracic kyphosis has increased. There are occasional osteophytic degenerative changes in the vertebral corpus corners.
Findings consistent with viral pneumonia in both lungs. Paraseptal emphysematous changes in the apex of both lungs. Degenerative changes in bone structures.
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train_6723_a_1.nii.gz
Wheezing breathing.
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is minimal bronchiectasis in the central part of both lungs. There are minimal emphysematous changes in both lungs. There are several millimetric nonspecific nodules in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Minimal emphysematous changes in both lungs. Millimetric nonspecific nodules in both lungs. Millimetric atheroma plaques in the aorta.
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train_6724_a_1.nii.gz
Bilateral pleural effusion, control.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A smear-like effusion was observed in the pericardial space. 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. Pleural effusion was observed in both hemithorax, measuring 12 mm in the deepest part on the right and 11 mm in the deepest part on the left. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Linear fibroatelectasis sequelae were observed in left lung middle lobe medial, left lung upper lobe inferior lingular and basal segments. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; In the lateral segment of the left lobe of the liver, a subcapsular nonspecific hypodense lesion area of 7.5 mm in diameter was observed (cyst?). Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Placing pericardial effusion. Bilateral pleural effusion. Mosaic attenuation pattern in the lung parenchyma (small airway disease? small vessel disease?). Linear fibroatelectasis sequelae changes in both lungs. Nonspecific hypodense lesion (cyst?) located subcapsular in the left lobe of the liver.
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train_6725_a_1.nii.gz
Cough, fever, phlegm
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. A 1 cm diameter hypodense nodule is observed in the right lobe of the thyroid gland. In the mediastinum, triangular soft tissue density, which can be evaluated as secondary to thymic remnant, is observed. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, no significant pathology was observed in the bilateral adrenal lobes. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures.
1 cm diameter hypodense nodule in the right lobe of the thyroid gland. Triangular soft tissue density in the mediastinum, which can be considered secondary to the thymic remnant.
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train_6726_a_1.nii.gz
pneumonia?
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal peribronchial thickening in both lungs. There are emphysematous changes in both lungs, more prominent in the upper lobe of the right lung. There are atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. Pleuroparenchymal sequelae changes were observed in the right lung apex. There are millimetric nodules in both lungs. There was no finding 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. Atheroma plaques are observed in the aorta and coronary arteries. 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. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Vertebral corpus heights and alignments within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are narrowed.
Emphysematous changes in both lungs. Millimetric nodules in both lungs. Atelectasis in both lungs. Pleuroparenchymal sequelae changes in the upper lobe of the right lung. Atherosclerotic changes in the aorta and coronary arteries.
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train_6727_a_1.nii.gz
cough
Transverse sections of 3 mm thickness obtained without the application of IV contrast material were evaluated.
It is suboptimal due to motion artifacts. Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In both lungs, faint, diffuse ground-glass densities were observed in the posterior parts of the lower lobes. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures.
Viral pneumonia? Appearances are not classic for COVID. Clinical and laboratory evaluation is recommended. 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_6728_a_1.nii.gz
Cough and itchy throat
Before IVKM was given, sections were taken in the axial plan and reconstruction was performed at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and there is no mass or infiltrative lesion in both lungs. The budding tree appearances and ground glass areas observed in the upper lobe of the right lung in the previous examination of the patient were not observed in this examination. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. There are pathological millimetric lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. No pathologically enlarged lymph node was observed. There is a hypodense lesion in the peripheral subcapsular area in the posterior segment (segment 7) of the right lobe of the liver. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open.
Several millimetric nonspecific nodules in both lungs. Mediastinal and hilar stable lymph nodes. Stable hypodense lesion in the right lobe of the liver that cannot be characterized on this examination.
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train_6729_a_1.nii.gz
Cerebral Ca patient in follow-up, blurred consciousness
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The evaluation of mediastinal structures, vascular structures and solid organs is suboptimal because the examination is non-contrast. The nasogastric tube ending in the stomach is observed in the esophagus. Trachea is minimally deviated to the right. Both main bronchi are open. The diameters of the mediastinal main vascular structures are normal at the margins of the unenhanced examination. Heart contour, size is normal. Pericardial effusion reaching 7 mm in its thickest part is observed in the pericardial area. There is a superposed sten view on the heart. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with short axes not exceeding 5 mm are observed in the mediastinal region, in the upper-lower paratracheal area, at the aortopulmonary level, at the precardiac fat pad and subcarinal area, and at the level of both lung hilum. Lymphadenopathy in pathological size and appearance was not observed in both axillae and bilateral retropectoral regions. When examined in the lung parenchyma window; Pleural effusion reaching 6.5 cm on the right and 7 cm on the left in both hemithoraxes and atetasia in the accompanying lung segments are observed. Apart from this, pleural effusions are also observed in the left lung in some places. Interlobular and interlobular septal thickness increases are observed in the lung parenchyma adjacent to the compressed lung segments. There are minimal peribronchial wall thickness increases. Interlobar and interlobular septal thickness increases are observed in the right lung upper lobe apicoposterior segment and middle lobe lateral segment. No mass was observed in both lungs within the limits of the study. Effusion is observed in the fissures in both lungs. No pathological appearance was detected in the upper abdomen images included in the examination. Spleen sizes were increased in the upper abdomen images included in the examination. Minimal thickness increase is observed in the left adrenal gland. In the paraaortic, paracaval area, there are several lymph nodes with short axes not exceeding 6 mm. Minimal degenerative changes are observed in the bone structures entering the examination area. No fracture, lytic-sclerotic lesion was detected.
Significant pleural effusion in bilateral lungs Minimal pericardial effusion Compression atelectasis in the lung segments accompanying the effusion and effusion in fissures with interlobar and interlobular septal thickness increases evaluated primarily in favor of edema
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train_6730_a_1.nii.gz
Smell, lack of taste
Non-contrast sections of 3 mm thickness were taken in the axial plane with MD CT.
Nodular density, which may belong to mucus, is observed on the left lateral wall of the trachea. Apart from that, the trachea and main bronchi are open. Right upper-bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; 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 lesions were detected in bone structures. .
CT imaging findings of pneumonia were not observed. It may be negative in the early period. Clinical and laboratory examination is recommended. Nodular density that may belong to mucus in the left lateral wall of the trachea
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train_6731_a_1.nii.gz
Unspecified fever.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
A pace maker is observed on the left anterior chest wall. It has a catheter extending to the right ventricle. Calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; the right pulmonary artery caliber is 28 mm wider than normal. There is an increase in the size of the heart. Pericardial, pleural effusion is not detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. Sliding type hiatal hernia was observed at the lower end of the esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; Multilobar, indistinct ground glass and areas of increase in density consistent with consolidation were observed in both lungs. Covid-19 pneumonia is considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. No mass lesions were detected in both lungs. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; There are cortical, hypodense, fluid density lesions in the middle zone and upper pole of the left kidney. First of all, it was thought that it may belong to a simple cyst. No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes.
Findings consistent with viral pneumonia in both lungs. Increase in right pulmonary artery calibration and heart size. Calcified plaques of atheroma in the wall of the thoracic aorta and coronary vascular structures. Sliding type hiatal hernia at the lower end of the esophagus. Cortical located, hypodense fluid density lesions (cyst?) in the middle zone and upper pole of the right kidney. Degenerative changes in bone structures.
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train_6732_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm. Clinic : Gastric Ca
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. In the current examination, lymphadenopathies with an increase in size and number were observed in the mediastinal prevascular area, aortopulmonary window, paratracheal area and bilateral hilar region, with a short diameter reaching 15 mm in diameter. In the previous examination, its short diameter reaches 8.5 mm. The port chamber is observed in the right hemithorax and the port catheter terminates in the superior vena cava. There was no lymph node that reached pathological size in the bilateral axillary region. No lymph node reaching pathological size was detected in the bilateral supraclavicular region. When examined in the lung parenchyma window; In the upper and middle zones of both lungs, frosted glass appearances containing intense air bronchograms, peribronchial thickenings, bud-tree appearances, interobular septal prominence were observed, especially in the upper and middle zones. In the patient with gastric ca diagnosis, the appearances were primarily evaluated as lymphangitic spread. However, infection could not be ruled out. There are milimetric parenchymal nodules in miliary pattern in both lungs. Some of the nodules show calcifications. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Multiple hypodense lesions were observed in the liver entering the cross-sectional area, and gastric greater curvature wall thickening was observed. However, it did not enter the field of view clearly. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Multiple sclerotic lesions are present in the bone structures within the study area. In addition, a lesion causing hypodense vertebral collapse was observed in the T3 vertebral body. (metastasis?). Similarly, multiple mass nodule lesions are present in several hypodense sternum as well as in other vertebrae.
In a patient with a prediagnosis of Gastric Ca; . Ground glass appearances, interlobular septal clarifications, bud branch appearances in both lungs in the current examination (the appearance was primarily considered as lymphangitic spread and infection could not be excluded) . Parenchymal nodules in miliary pattern in both lungs. lymphadenopathies. Hypodense lesions (metastases) in the liver. Metastatic bone disease.
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train_6733_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. 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. Thoracic aorta diameter 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 is observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticular fibrotic density increases were observed in both lung apexes. 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.
Hiatal hernia. Increases in fibrotic reticular density at the apex of both lungs.
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train_6734_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. There are small tracheal diverticulum appearances on the right posterolateral at the level of the thoracic inlet. When examined in the lung parenchyma window; A nodule with a diameter of 3 mm is observed in the dorsal subpleural area in the superior segment of the right lung lower lobe. A 2 mm diameter nodule is observed in the anterior segment of the left lung upper lobe. There was no finding compatible with bilateral pleural effusion, pneumothorax, pneumonia. A peripelvic cyst of approximately 44x34 mm is observed in the upper abdominal organs, including the sections, in the middle part of the left kidney. Mild degenerative changes are observed in the bone structure entering the examination area.
No findings compatible with pneumonia were detected. 1-2 nonspecific millimetric nodules . Cyst in the left kidney
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train_6735_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
There are changes related to sternotomy. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. There is an appearance of stent graft at the level of the aortic root. Coronary stents are observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse peribronchial ground-glass densities, diffuse thickening of interlobular septa, and thickening of the bronchial wall are observed in both lung parenchyma, predominantly in the lower lobe and posterior. Findings were primarily evaluated as pulmonary edema. In the bilateral hemithorax, pleural effusions reaching a diameter of 13 mm on the right and 6 mm on the left are followed at their widest point. 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. Corner osteophytes tending to merge anteriorly are seen in the thoracic vertebrae (DISH).
Changes of sternotomy. Aortic and coronary artery atherosclerosis. Aortic root stent graft appearance, coronary stents. Pulmonary edema changes and pleural effusions in both lungs. Thoracic spondylosis.
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train_6736_a_1.nii.gz
pneumonia?
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There are occasional atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. There are minimal emphysematous changes in both lungs. Bilateral minimal pleural effusion, more prominent on the right, was observed. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. Mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. No lytic-destructive lesions were detected in the bone structures within the sections.
Bilateral minimal pleural effusion, occasional atelectasis in both lungs . Emphysematous changes in both lungs
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train_6737_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. Several nonspecific pulmonary nodules with a diameter of 4 mm were observed in both lungs, the largest of which was at the junction of the anterobasal-laterobasal segment of the lower lobe of the right lung. No mass lesion-active infiltration was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
· Several millimetric nonspecific pulmonary nodules in both lungs. · Reticulonodular sequelae of fibrotic density increases in both lung apexes. · There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma.
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train_6738_a_1.nii.gz
Burning sensation in the body, fatigue, back pain, weakness
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal peribronchial thickening in both lungs. A mosaic attenuation pattern is observed in both lungs (small airway disease?small vessel disease?). There is a millimetric nonspecific nodule in the left lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. 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 peribronchial thickening in both lungs. Mosaic attenuation pattern in both lungs . Millimetric nodule in left lung.
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train_6738_b_1.nii.gz
pneumonia?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a millimetric nonspecific nodule in the upper lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is an appearance evaluated in favor of thymic residue in the anterior mediastinum. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Millimetric nonspecific nodule in the left lung.
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train_6739_a_1.nii.gz
Throat ache
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits
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train_6740_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, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. When examined in the lung parenchyma window; There are nodular consolidation in the right lung upper lobe anterior segment, subpleural infiltration areas in the posterior and lower lobe superior segment segment, and subpleural ground glass nodule in the left lung upper lobe posterior segment. Radiological findings were primarily evaluated with high suspicion in favor of parenchymal involvement findings of Covid-19. No suspicious space-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
There are several foci of nodular consolidation and parenchymal infiltration areas in the form of ground glass nodules in both lungs. Radiological findings were considered highly suspicious in favor of parenchymal involvement of Covid-19.
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train_6741_a_1.nii.gz
war injury
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 diffuse emphysematous changes in both lungs, most prominent in the upper lobe of the right lung. Millimetric nonspecific nodules were observed in both lungs. Occasionally, linear atelectasis was observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Minimal height loss is observed in the T3 vertebra superior end plate. Other vertebral body heights are normal within the sections. Vertebral alignments are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. T3 and T4 vertebral posterior elements have surgically defective appearances.
Diffuse emphysematous changes in both lungs Atelectasis in both lungs Millimetric nodules in both lungs
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train_6742_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
A hypodense nodular lesion with a diameter of 7 mm was observed in the right lobe of the thyroid. US control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. 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. Lymph nodes with a calcified short axis smaller than 5 mm were observed in mediastinal, upper-lower paratracheal, subcarinal and left hilar localizations. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes and air cysts were observed in the upper lobe of the left lung. There are subsegmental atelectatic changes in both lungs. Bronchiectatic changes were observed in both lungs. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections within the examination area, a 14 mm diameter hypodense lesion was observed at the level of segment 3 in the lateral segment of the left lobe of the liver (cyst?). Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.
Mediastinal, millimetrically sized, some calcified lymph nodes. Emphysematous changes in both lungs, bronchiectatic changes, air cysts in the left lung. Hypodense lesion (cyst?) in the left lobe of the liver.
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train_6743_a_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild pleuroparenchymal sequelae changes are observed at the posterobasal level in both lungs. No pleural effusion, pneumonia or pneumothorax was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal degenerative changes are observed in the bone structures entering the examination area.
No significant pathology was detected in thorax CT examination.
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train_6744_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Subcentimetric effusion was observed in the pericardial space. 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. As far as can be observed secondary to motion artifacts; Irregularly circumscribed millimetric nodules were observed in the anterior upper lobe of the right lung and the apicoposterior segment of the upper lobe of the left lung. It is recommended to evaluate and follow-up together with previous examinations, if any. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder was not observed. Surgical suture materials were observed in the operation site. The common bile duct shows minimal dilation (secondary to cholecystectomy). No intraabdominal 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.
Subcentimetric effusion in the pericardial space . Irregularly circumscribed millimetric nodules in the anterior upper lobe of the right lung and apicoposterior segment of the upper lobe of the left lung. It is recommended to evaluate and follow-up together with previous examinations, if any. Cholecystectomy and minimal dilatation of the common bile duct secondary to it
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train_6745_a_1.nii.gz
Chronic cough.
Before IVKM was given, sections were taken in the axial plan and reconstruction was performed at the workstation.
Trachea and both main bronchi are normal. There is no obstructive pathology in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. No mass or infiltrative lesion was detected in both lungs. There is a nodule measuring approximately 5 mm in diameter in the inferior subsegment of the lingular segment in the upper lobe of the left lung. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. 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. There is no upper abdominal free fluid-collection within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramen is open.
Minimal bronchiectasis in the central parts of both lungs. Millimetric nodule in the upper lobe of the left lung.
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train_6746_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; Ground-glass opacities are observed in both lungs that form widespread patchy consolidation from place to place. The outlook is primarily in favor of viral pneumonia. Findings are also 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.
Appearance evaluated primarily in favor of viral pneumonia. These findings are frequently observed in Covid-19 pneumonia.
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train_6746_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In the control examination of the patient who had diffuse infiltrates compatible with viral pneumonia in both lung parenchyma, there were minimal reductions in ground glass infiltrates in the lower lobes of both lungs, but no significant difference was found apart from this. No newly developed pathology was observed. Apart from this, the examination is within normal limits.
Not given.
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train_6747_a_1.nii.gz
Not given.
1.5 mm thick non-contrast / IV contrasted 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. On the right, the image of the catheter extending to the superior vena cava is seen. There are lymph nodes measuring 20x10 mm in the upper-lower paratracheal, prevascular, subcarinal localization, the largest in the subcarinal area. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calibration of mediastinal major vascular structures is natural as far as can be observed. Heart contour size is natural. Calcific atherosclerotic changes are observed in the wall of the coronary artery. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. When examined in the lung parenchyma window; Widespread smooth interlobular septal thickenings are observed in the lower lobes of both lungs. Peribronchial thickenings are observed (secondary to cardiac pathology?). Between the bilateral pleural leaves, a slight free pleural effusion is observed, measuring 7 mm in the thickest part on the right and 5 mm on the left. Pleuroparenchymal sequelae density increases are observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Subsgementary atelectasis area is remarkable in the lower lobe of the left lung. Upper abdominal sections entering the examination area are natural. A 26 mm diameter calculus is observed in the gallbladder lumen. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Thoracic kyphosis slightly increased. Tapering and osteophytic changes are observed in the corners of the thoracic vertebra corpus. No lytic-destructive lesion was detected in the bone structures in the study area.
Bilateral mild free pleural effusion. It just appeared in the current review. Diffuse, uniform interlobular septal thickenings in both lung parenchyma (secondary to cardiac pathology?). Sequelae changes and areas of subsegmental atelectasis in both lungs. Calcified atherosclerotic changes in the wall of the coronary artery. Cholelithiasis.
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train_6748_a_1.nii.gz
Pancreatic ca, previous Covid-19 pneumonia.
Sections were taken without contrast medium and reconstructions were made at the workstation.
Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is bilateral pleural effusion, more prominent on the right. The pleural effusion measured 30 mm at its thickest point. There is consolidation adjacent to the effusion in the lower lobe of the right lung. There is also a loss of volume in the described localization. The outlook was primarily evaluated in favor of passive atelectasis. In addition, peripheral and centrally located ground glass appearances are observed in both lungs. Ground-glass appearances are sometimes accompanied by linear density increases parallel to the pleura. The described appearances were thought to be consistent with resolving Covid-19 pneumonia and/or sequelae change. There are millimetric nonspecific nodules in both lungs. No mass was detected in both lungs. Details of the upper abdomen were described in the patient's Abdomen MRI. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Bilateral pleural effusion, more prominent on the right. Atelectasis in the lower lobe of the right lung. Appearance that may be compatible with resolving Covid-19 pneumonia and/or sequelae change in both lungs.
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train_6749_a_1.nii.gz
Acute upper respiratory tract infection.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
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 natural. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is natural. Mosaic attenuation pattern is observed in both lower lobes of both lungs, which is more prominent on the left (small airway disease? small vessel disease?). There are areas of increased density consistent with linear atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. Pleural effusion-thickening was not detected. In the upper abdominal sections within the image; Suture material secondary to the operation is observed in the gallbladder lodge. No lymph node was detected in pathological size and appearance. No free fluid-loculated collection was observed. No mass lesion was detected in the peritoneum or omentum. No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved.
No active infiltration or mass lesion is observed in both lungs, and there is a mosaic attenuation pattern in the lower lobes of both lungs, which is more prominent on the left.
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train_6750_a_1.nii.gz
Opacities in the right lung.
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. Minimal bronchiectasis is observed in both lungs. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. There is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment. 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. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the limits of non-enhanced CT. . No fractures or lytic-destructive lesions were observed in the bone structures within the sections.
Minimal bronchiectasis in both lungs. Several millimetric nonspecific nodules in both lungs.
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train_6751_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. The aortic valve is calcified. Lymph nodes that did not reach the pathological dimensions, measuring 6.6 mm in the short axis of the right upper paratracheal region, were observed in the mediastinum and hilar region. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. An occlusive hiatal hernia was observed at the lower end of the esophagus. When examined in the lung parenchyma window; A slightly thick-walled pleural effusion measuring 29 mm in the deepest part of the left hemithorax was observed. Atelectasis, volume loss and structural distortion were observed in the basal left lung lower lobe adjacent to the effusion. Linear atelectasis was also observed in the upper lobe of the left lung. Segmental-subsegmental peribronchial thickening and mosaic attenuation pattern were observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. Passive atelectatic changes were observed in the medial segment of the right lung middle lobe and the inferior lingular segment of the left lung upper lobe. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thickening was observed in both adrenal glands. Calcific atheroma plaques were observed in the abdominal aorta. No intra-abdominal free fluid-loculated collection was observed. Spur formations bridging with each other were observed in the right anterolateral corners of the thoracic vertebrae. Vertebral corpus heights are preserved.
Cardiomegaly, atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries, aortic valve calcification. Hiatal hernia. Thick-walled pleural effusion on the left, atelectasis causing volume loss and structural distortion in the left lung Mosaic attenuation pattern secondary to small airway stenosis in both lungs. Millimetric nonspecific parenchymal nodules in both lungs. Diffuse thickening of both adrenal glands.
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train_6751_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Suture materials secondary to surgery were observed in the sternum. On the anterior surface of the sternum, there is a skin defect on the anterior wall of the thorax and there is a drainage catheter placed at this level. At the posterior surface of the sternum and the interface of the pericardium (anteroposteriorxtransversxcraniocaudal) a collection of 18.5x40x51 mm in which air images were observed was observed. Free air image was also observed in the mediastinum. The described findings were evaluated in favor of early post-op changes. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the calibration of the mediastinal main vascular structures is natural. Heart size increased. A smear-like effusion was observed in the pericardial space. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. Surgical suture materials secondary to valvuloplasty were observed in the aortic valve. 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. Lymph nodes reaching pathological dimensions, measuring 9 mm in the short axis of the right upper paratracheal region, were observed in the mediastinum and hilar regions. When examined in the lung parenchyma window; A slightly thick-walled pleural effusion measuring 33 mm in the deepest part of the left hemithorax was observed. Atelectasis causing volume loss and structural distortion was observed in the basal left lung lower lobe adjacent to the effusion. Linear subsegmental atelectatic changes were observed in each lung. Segmental-subsegmental peribronchial thickening and mosaic attenuation pattern were observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. Passive atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma. Diffuse thickening was observed in both adrenal glands in the upper abdominal organs included in the sections. Calcific atheroma plaques were observed in the abdominal aorta. Spur formations bridging with each other were observed in the right anterolateral corners of the thoracic vertebrae. Vertebral corpus heights are preserved.
A collection of suture materials secondary to surgery in the sternum, a skin defect in the anterior and a drainage catheter placed in the defect, air images in the posterior and pericardial interface of the sternum. Pericardial effusion, aortic valvuloplasty. Hiatal hernia. Left thick-walled pleural effusion, left lung volume loss and atelectasis causing structural distortion. Mosaic attenuation pattern secondary to small airway stenosis in both lungs. Millimetric nonspecific parenchymal nodules in both lungs. Diffuse thickening of both adrenal glands.
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train_6752_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The right breast was not observed secondary to the operation. No solid or cystic mass with discernible borders was detected in the right breast lodge and left breast. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. No pathological increase in wall thickness was observed in the thoracic esophagus. Sliding type hiatal hernia was observed at the lower end. Calibration of mediastinal main vascular structures, heart contour and size are natural. Pericardial effusion-thickening was not detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the right axillary region, an increase in nodular thickness was observed in the soft tissue density, measured approximately 4.5 mm in diameter, on the skin anterior to the pectoral muscle. It was evaluated in favor of sequelae in the first plan. However, follow-up is recommended. Sequelae changes were observed in the parenchyma in the area adjacent to the operation site in the anterior upper lobe of the right lung. It has been evaluated depending on the treatments. Sequela parenchymal changes were observed in both lungs. Nodules with ground-glass halos and accompanying ground-glass densities were observed in the periphery of both lungs. It was primarily evaluated as secondary to opportunistic infections (viral?). It is recommended to be evaluated together with clinical and laboratory findings.
Clinical and laboratory evaluation is recommended. Other findings are stable.
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train_6752_b_1.nii.gz
Operated breast Ca in follow-up
Without IVKM, 1.5 mm thick sections were taken in the axial plan and reconstructions were made at the workstation.
The right breast was not observed (operated). There are postoperative changes in the operating lodge. No discernible mass was detected in the left breast. No lymphadenopathy was detected in both supraclavicular areas, axilla, retropectoral area and adjacent to internal mammarian vascular structures. The thyroid gland parenchyma has a heterogeneous appearance. The port chamber is observed on the left anterior chest wall, and the catheter tip ends in the superior vena cava. Heart contour and size are normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are centracinar nodular density increases in the upper lobes of both lungs and a patchy consolidative area in the apicoposterior segment of the left lung upper lobe. The findings were primarily evaluated in favor of opportunistic infection. There is a mosaic attenuation pattern in both lungs (postinfectious?). In the right lung upper lobe anterior segment, lower lobe posterior segment and left lung lower lobe medial segment, there are subsegmental atelectasis areas in which air bronchograms are observed. No discernible mass was detected in both lungs. Sliding type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There is a hypodense lesion with a diameter of 5 mm in liver segment 3. It is stable. Hyperdense stones in staghorn style are observed in both kidneys. It is stable. In the thoracic region, left-facing scoliosis is observed. Thoracic kyphosis is increased. Osteophytes are observed in the corners of the thoracic vertebra corpus. There is an appearance compatible with myositis ossificans at the level of bilateral rotator cuff tendons. No lytic-destructive lesion was observed in bone structures.
Breast Ca at follow-up, right mastectomy Minimal centracinar nodular density increases in upper lobes of both lungs, patchy consolidation area in left upper lobe; prevalence and dimensions show significant regression. The outlook was primarily evaluated in favor of opportunistic infections. Mosaic attenuation pattern in both lungs (postinfectious?) Subsegmental atelectasis areas in both lungs Millimetric hypodense lesion in left lobe of liver; is stable. Bilateral nephrolithiasis Heterogeneous appearance in thyroid gland parenchyma Thoracic spondylosis
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train_6753_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
No sign of pneumonia was detected.
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train_6754_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: the ascending aorta is wider than normal with an anterior-posterior diameter of 39 mm. 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. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Focal suspicious nodular ground glass opacity is observed in the mediobasal subsegment of the left lung lower lobe anteromediobasal segment, and it is suspicious for ultra-early Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory. Pleuroparenchymal sequela fibrotic atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Accessory spleen with a diameter of 9 mm was observed in the anterior neighborhood of the spleen as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Small umbilical hernia was observed. Diffuse degenerative changes in bone structures and marked narrowing of lower thoracic-upper lumbar intervertebral discs were observed.
Fusiform ectasia in the ascending aorta. Focal suspicious nodular ground-glass opacity in the mediobasal subsegment of the left lung lower lobe anteromediobasal segment; suspicious for ultra-early Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory. Pleuroparenchymal fibroatelectatic changes in the right lung middle lobe medial, left lung upper lobe inferior lingular segment. Millimetric nonspecific parenchymal nodules in both lungs. Diffuse degenerative changes in bone structures, significant narrowing of lower thoracic-upper lumbar intervertebral discs. Small umbilical hernia.
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train_6755_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. No pericardial effusion or thickening was detected. The thoracic esophagus is in normal calibration. No pathological wall thickening was detected. Stable oval reactive lymph nodes with a short diameter of up to 6 mm were observed in the mediastinal, prevascular and paratracheal areas. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. When examined in the lung parenchyma window; The ground-glass appearance in the superior segment of the right lung lower lobe in the previous examination disappeared in the current examination. However, in the current examination, reticular consolidations including air bronchograms and centracinar nodular density increases were observed in the posterobasal and medial basal segments of the right lung lower lobe. The appearance was primarily evaluated as pneumonic. A stable 1.5 mm diameter parenchymal nodule was observed in the anterior segment of the left lung upper lobe. No bilateral pleural effusion or thickening was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Reticular consolidations and centracinar nodular density increments (pneumonia) in the lower lobe of the right lung with air bronchograms in the medial basal and posterobasal segment.
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train_6756_a_1.nii.gz
Weakness, chills, chills, fever, headache, nausea, vomiting
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. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Findings within normal limits.
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train_6757_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. Heart size increased. 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; more common and consolidated form in the lower lobes of both lungs, crazy paving pattern was formed in the upper lobes; butterfly-like consolidations were observed. The parenchyma is partially ventilated in the upper lobes. The appearance of the case, which was learned to have Covid-19 pneumonia, was evaluated in favor of ARDS. The spleen is larger than normal in the upper abdominal organs as can be seen in the sections. Other upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A well-circumscribed sclerotic focus of 1 cm in diameter was observed in the left half of the T1 vertebra corpus. Other bone structures in the study area are natural. Vertebral corpus heights are preserved.
· Findings compatible with ARDS in the case learned to have Covid-19 pneumonia · Splenomegaly. Well-defined benign-looking sclerotic focus in the left half of the T1 vertebra corpus.
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train_6758_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Mediastinal structures were evaluated as suboptimal since the examination was not contracted. As far as can be seen; A few millimeter-sized hypodense nodular lesions are observed in the left thyroid lobe. US control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. The mediastinum and heart deviate slightly to the right. 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; right lung upper lobe volume decreased. There are pleural parenchymal sequelae density increases in the upper lobe of the right lung. No mass infiltration was detected in both lung parenchyma. Several nonspecific parenchymal nodules were observed in the upper lobe of the right lung, the larger of which was 3 mm in diameter and the larger one was calcified. In the left lung lower lobe laterobasal segment, there are contour irregularities in the pleura and increase in pleural parenchymal sequelae density. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
Sequelae changes in both lungs. Right deviation in mediastinal structures and heart. A few nonspecific parenchymal nodules in the right lung, the larger one being calcified.
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train_6759_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aorta and coronary arteries. Views of coronary stents are available. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia was observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic density differences, sequelae changes, bronchiectasis and subpleural reticular densities are seen in both lung parenchyma. There are nonspecific nodules reaching 4.5 mm in diameter, the largest of which is located in the right lower lobe laterobasal segment in both lungs. Pleural effusion-thickening was not detected. In the upper abdominal sections, the right kidney only enters the upper pole section, the calyx is dilated and contrast leveling is seen. A lipoma of 11 mm in size was observed in the lateral leg of the left adrenal gland. Other upper abdominal organs included in the sections are normal. Vertebrae have a degenerative appearance.
Aortic and coronary artery atherosclerosis, coronary stents. Mosaic densities in both lungs, sequela fibrotic changes, minimal bronchiectasis (sequelae of previous pneumonia?, small airway disease?). Millimetric nonspecific nodules in both lungs. Caliectasia and contrast material leveling in the upper pole of the right kidney. Left adrenal lipoma.
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train_6760_a_1.nii.gz
Weakness, chills, chills, fever, ligament pain and nausea, viral pneumonia?
Sections were taken and reconstructions were made at the workstation before contrast material was administered.
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. Liver parenchyma density decreased in line with fatty deposits. 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_6761_a_1.nii.gz
chest pain
Non-contrast images were taken in the axial plane with a section thickness of 3 mm.
No lymph node in pathological size and appearance was observed in the supraclavicular fossa, axilla and mediastinum. No pneumonic infiltration or consolidation area was observed in the lung parenchyma. No mass or nodular suspicious space-occupying lesion was detected in the lung parenchyma. No space-occupying lesions were detected in both adrenal glands in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures.
Thoracic CT examination within normal limits
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train_6762_a_1.nii.gz
possible covid
Transverse sections of 3 mm thickness obtained without the application of IV contrast material were evaluated.
Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. There are degenerative changes in bone structures.
No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate.
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train_6763_a_1.nii.gz
Operated bladder ca. Mass in the upper lobe of the right lung.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Evaluation of solid organs and vascular structures and mediastinal structures is suboptimal due to the lack of contrast of the examination. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. The ascending aorta diameter was 37 mm. The diameter of the main pulmonary artery was 38, the diameter of the right pulmonary artery was 27, the diameter of the left pulmonary artery was 27 mm, and it had a slightly increased appearance. A large number of masses evaluated in favor of lymphadenopathy are observed in the mediastinum. These masses are observed in the upper and lower paratracheal region at the aortopulmonary level and in the right lung hilum. Due to the lack of contrast in the examination, the described masses could not be clearly differentiated from vascular structures. However, the described manifestations were evaluated as pathological lymphadenopathies, the largest of which was observed in the right paratracheal area and their dimensions were measured as 20x34 mm. The trachea is in the midline. Both main bronchi are open. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A mass with irregular lobulated contours is observed in the apical segment of the upper lobe of the right lung. The mass dimensions were measured as 43x36 mm. There are bands extending from the mass to the pleura. In addition, there is a 5 mm diameter pulmonary nodule located subpleural in the anterior segment of the right lung upper lobe. A calcified pulmonary nodule, which is interpreted in favor of sequelae change, is also observed in the posterobasal segment of the lower lobe of the right lung. Emphysematous changes are observed in both lungs. There are interlobar and interlobular septal thickness increases. A mosaic lung pattern is observed in both lungs (small airway-small vessel disease?). There are linear fibrotic densities in both lungs. A well-circumscribed nodular lesion with dimensions of 16x16 mm extending into the skin and subcutaneous fatty tissue is observed in the manbrium sterni localization on the left. No lymphadenopathy was detected in both axillae in pathological size and appearance. Lymphadenopathy in pathological size and appearance was not observed in the retropectoral regions. There was no mass in the breast tissue and no mass thickness increase in the skin within the limits of CT. Paravertebral soft tissues have a natural appearance. Diffuse degenerative changes are observed in the bones. No lytic or sclerotic lesion, which may be compatible with the fracture, was observed. In the upper abdomen images included in the examination, a stent is observed in the aorta. There are increases in thickness in both adrenal glands.
Mass in the upper lobe of the right lung. Lymphadenopathies in pathological size and appearance in the mediastinum. A well-circumscribed nodular lesion on the left anterior chest wall. Pulmonary nodules in the right lung upper lobe anterior segment subpleural area and right lung lower lobe posterobasal segment. Calcific atheroma plaques in the aorta and coronary arteries. Increases in interlobar, interlobular septal thickness in both lungs, which may be compatible with interstitial lung disease. Sequelae of fibrotic densities in both lungs. Nodular thickness increases in both adrenal glands that cannot be characterized within the limits of the examination.
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train_6764_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; trachea, both main bronchi are open. Sequelae changes are observed at the apical level. In the middle lobe of the right lung, in the lingular segment of the left lung, and in the lower lobe segments, peripheral and round-looking ground-glass-like density increases are observed. Pleural effusion, pneumothorax were 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. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
The findings suggest Covid-19 pneumonia in the first place. Viral pneumonias are included in the differential diagnosis. Correlation with clinical and laboratory findings is recommended.
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train_6764_b_1.nii.gz
Weakness, fatigue and back pain
Axial sections with a thickness of 1.5 mm were taken without contrast material and reconstructed at the workstation.
In the current examination, no newly developed active infiltration or mass lesion was detected in both lungs. Sequelae pleuroparenchymal changes are observed in the apex of both lungs. Ventilation of both lungs is natural. Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes in pathological size and appearance are observed in the fossae in both axillary regions. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No lytic-destructive lesion was observed in the bone structures within the image.
No new developed active infiltration or mass lesion was detected.
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train_6765_a_1.nii.gz
Cough, fatigue.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Patchy ground-glass densities are observed, more prominently at the posterobasal levels of the lower lobes of both lungs. The findings were evaluated primarily in favor of Covid 19 viral pneumonia due to the current pandemic. A few millimetric nonspecific, mostly subpleural nodules are observed in the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse density reduction of bone structures and hypertrophic-ostephoitic tapering in the vertebral corpus end plates are observed.
There are imaging features commonly reported in Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance. Clinical and laboratory correlation is recommended. Several nonspecific subpleural millimetric nodules in both lungs. Diffuse degenerative changes in bone structures.
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train_6766_a_1.nii.gz
pneumonia?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. 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 left lung upper lobe inferior lingular segment, right lung middle lobe medial segment and both lung lower posterobasal segments. No active infiltration or mass lesion was detected in both lungs. A few millimeter-sized nonspecific nodules are observed in both lungs. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.
No active infiltration or mass lesion was detected in both lungs. There are occasional sequela parenchymal changes and nonspecific nodules in millimeters in both lungs.
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train_6767_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Sequelae reticular density increases were observed in the apex of both lungs. No mass lesion-active infiltration was detected in both lungs. As far as can be seen, included in the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits except for sequela reticular density increases in both lung apexes.
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train_6768_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-lower paratracheal, aortapulmonary, prevascular millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Ground glass densities and consolidations with reverse halo sign are observed in all segments of both lungs, dominant in the peripheral lung tissue, some in ground glass density, some more consolidated and located in the lower lobe. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures.
Commonly reported imaging findings of Covid 19 pneumonia due to pandemic in both lungs.
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train_6769_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. Minimal calcified atherosclerotic changes were observed in the coronary artery wall. 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; Multiple nodular ground-glass density increases were observed in the peripheral subpleural area in the upper lobes of both lungs, the lower lobe of the left lung, and the middle lobe of the right lung. Bilateral pleural effusion-thickening was not detected. Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with adiposity. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.
Multiple nodular ground-glass density increases were observed in the peripheral subpleural area in the upper lobes of both lungs, the lower lobe of the left lung, and the middle lobe of the right lung. Viral pneumonia? Clinical-lab correlation is recommended for Covid-19 pneumonia.
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train_6770_a_1.nii.gz
Metastatic lung Ca in follow-up
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and left main bronchus are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus is in normal calibration. No pathological wall thickening was detected. Lymphadenopathies were observed in the mediastinal prevascular area, paratracheal area, aorta pulmonary window, carinal region and subcarinal region, the largest of which was 22x19 mm in size. They have increased in size. In the previous examination, the size of the same lymph node was measured as 17x10 mm. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. Pleural effusion reaching 2.5 cm in thickness on the right and compression atelectasis in the adjacent lung were observed. It appeared in the current review. When examined in the lung parenchyma window; Peribronchial thickening around the right main bronchus was observed as a primary mass extending around the upper lobe middle and lower lobe bronchi. It was measured 15 mm in the previous examination and is stable. The cavitary lesion in the right lung apical segment measured approximately 25x19 mm. It is stable. Interlobular septal prominences suggesting lymphangitic spread are noted in both lungs, more prominently in the upper lobe and middle lobe of the right lung. A 3 cm thick loculated pericardial effusion was observed. It is stable. Expanded appearance and heterogeneity in the lower pole of the left kidney, deterioration in corticomedullary separation is stable. Reticular streaks consistent with inflammation were observed in the perirenal adipose tissue. Multiple stable lymphadenopathies were observed in the abdomen in the paraaortic, paracaval area, and celiac trunk. The largest measured 50x50 mm. It is stable. In an evaluation of bone structures: there are osteodegenerative changes in the bones and there is osteoporosis in the vertebrae. Some height loss was observed in the thoracic vertebrae.
Stable mass in the perihilar area of the right lung. Stable cavitary lesion at the apex of the right lung. Pleural effusion revealed on current examination in the right lung. Stable reticular striations in the right lung suggestive of lymphangitic spread. Pericardial effusion. Increased size in mediastinal lymphadenopathies. Intraabdominal stable lymphadenopathies. Lines in the perianal fat tissue in the left kidney, expansile appearance in the lower pole and deterioration in corticomedullary separation.
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train_6771_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 considered suboptimal when 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; Ground glass density increases were observed in the subpleural consolidation area and adjacent to it in the basal segments of the left lung lower lobe. The outlook is not typical for those with Covid-19 pneumonia. However, it cannot be ruled out. Other viral infectious-non-infectious pathologies can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. No mass was detected in both lung parenchyma. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. Millimetric calculus was observed in the middle zone of the left kidney. . No lytic-destructive lesion was detected in bone structures.
Ground-glass density increases in the subpleural consolidation area and its vicinity in the basal segments of the left lung lower lobe. The appearance is not typical for Covid-19 pneumonia. However, it cannot be excluded. Other viral infectious-non-infectious pathologies can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Left nephrolithiasis . hepatosteatosis
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train_6772_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass, infiltration was detected in both lung parenchyma. No pleural effusion was detected. A subpleural 3 mm nonspecific parenchymal nodule was observed in the posterior segment of the right lung upper lobe. 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.
Nonspecific parenchymal nodule in the upper lobe of the right lung. There was no finding in favor of pneumonia.
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train_6773_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Thyroid gland sizes are natural. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. There is a sliding type hiatal hernia. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. There is a 7.5 mm diameter nodular lesion in the right lung lower lobe superior segment. It will be convenient to follow. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.
Pneumonic infiltration is not observed in the lung parenchyma . Nodule in the right lung lower lobe superior segment, size follow-up will be appropriate. Sliding hiatal hernia
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train_6774_a_1.nii.gz
Not given.
Non-contrast sections of 1.5 mm thickness were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Right upper-lower 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. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; According to the previous examination, ground glass densities with a newly developed nonspecific appearance are observed in the apicoposterior segment of the left lung upper lobe and in the lower lobes of both lungs. Mosaic attenuation is present in the lower lobes of both lungs. Nonspecific nodules smaller than 5 mm are observed in both lungs. In the sections passing through the upper part of the abdomen, the size of the left kidney appears smaller than the right. Nephrostomy catheter is seen on the left. Right renal hydronephrosis partially entering the examination area is observed and there is a catheter in the renal pelvis (cervix Ca case). No lytic-destructive lesion was detected in bone structures.
Mosaic attenuation in the lower lobes of both lungs (small airway disease? small vessel disease?). Newly developed nonspecific ground-glass densities in both lungs; It is not typical for Covid-19 pneumonia. Atypical pneumonias and viral pneumonias are in the differential diagnosis.
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train_6775_a_1.nii.gz
Examination before stem cell transplant
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
A port catheter extending from the right anterior chest wall to the junction of the superior vena cava and right atrium is observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, normal size. There are caliphic atheromatous plaques on the aortic walls. 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; Minimal emphysematous changes are observed in both lungs. In the posterobasal and mediobasal areas of the lower lobe of the right lung, atelectasis areas with bronchiectasis and sequela fibrotic densities are observed. There are also areas of linear subsegmental atelectasis in the posterobasal section of the left lung lower lobe. Upper abdominal organs included in sections; A mass lesion with a diameter of approximately 60 mm is observed in the right adrenal lobe (mean density 40). In terms of lesion characterization, evaluation with previous examinations and, if necessary, MRI examination is appropriate. There is minimal irregularity in the contours of both kidneys. A hypodense appearance, which is evaluated in favor of a cyst, is observed in the left kidney included in the examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Appearances evaluated in favor of sequelae changes in both lungs Areas of subsegmental linear atelectasis in both lungs Mass appearance in the right adrenal locus (it is recommended to evaluate the patient with old tests and further examination if necessary.) Irregularity in the contours of both kidneys Compatible with cyst in the left kidney possible view
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train_6775_b_1.nii.gz
Infection?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Small hypodense findings are observed in both thyroid parenchyma. It was evaluated in favor of nodules. 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, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs, mostly in the upper lobes. The atelectasis in the form of a thick band observed at the posterobasal level of the lower lobe of the right lung showed regression in the current examination. However, in the current study, there are bilateral atelectasis at these levels. There is also atelectatic change in the left lung upper lobe inferior lingula. Upper abdominal organs included in the sections are partially included in the examination and there are thickenings in both adrenal glands. In the right adrenal lodge, there is a partial space-occupying finding measured up to 48 mm in axial sections. The described finding measures up to 60 mm in the previous examination and shows a dimensional reduction. There are irregularities in the contours of both kidneys. There is an appearance that may be compatible with a partial cyst in the left kidney. Degenerative changes are observed in the bone structures in the study area. Vertebral corpus heights are preserved.
There is a decrease in the amount of atelectasis in the form of thick bands observed in previous examinations in both lungs, and it continues with bronchiectasis changes in the current examination. It was initially evaluated in favor of chronic sequelae changes, and clinical-laboratory correlation is recommended for the differential diagnosis of an infectious process. Lymph nodes with a diameter of 10 mm showing increased size in the right paratracheal area. A lesion with partial dimensional reduction in the right adrenal lodge. Thickening of both adrenal glands. There is an irregularity in both kidneys and an appearance that may be compatible with a partial cyst in the left kidney. MNG?. USG correlation is recommended. Degenerative changes in bone structures.
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train_6775_c_1.nii.gz
pneumonia?
Non-contrast images with a section thickness of 1.5 mm were obtained in the axial plane.
A port catheter extending from the right anterior chest wall to the right atrium is observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aortic walls. The size of the nodular lesion adjacent to the aortic arch is stable when evaluated together with previous examinations. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinal area, no lymph nodes were detected in pathological size and appearance in both axillary areas. When examined in the lung parenchyma window; Linear atelectasis areas in the form of thick bands are observed in both lungs, especially in the lower lobes and basal segments. There are minimal bronchiectatic changes in the lower lobe bronchi of both lungs. A mass lesion is observed in the right adrenal gland included in the examination. When evaluated together with the previous examinations of the patient, the dimensions of the described lesion decreased. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thick band-like linear atelectasis areas are observed in both lungs. The dimensions of the mass lesion observed in the right adrenal gland have decreased. A simple cyst is observed in the left kidney. The size of the nodular lesion adjacent to the aortic arch on the left is stable. No appearance in favor of active infiltration was detected.
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train_6775_d_1.nii.gz
Covid PCR positive, immunosuppressed patient
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. Calcific atheroma plaques were observed in the wall of the aortic arch. The size of the nodular lesion adjacent to the aortic arch is stable since it was evaluated together with previous examinations. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal emphysematous changes were observed in both lungs. Bronchiectasis and accompanying pleuroparenchymal fibroatelectasis sequelae changes were observed in both lung lower lobe basal segments. Sequelae atelectasis is present in the inferior lingular segment of the left lung upper lobe. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. A mass lesion is observed in the right adrenal gland. There is nodular thickening in the left adrenal gland. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Mass lesion in the right adrenal gland; is stable. Nodular thickening of the left adrenal gland; is stable.
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train_6775_e_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A few lymph nodes with a short axis of 7 mm were observed in the mediastinum. When examined in the lung parenchyma window; Diffuse subpleural weighted ground glass densities are present in both lung parenchyma. In the upper abdominal sections included in the examination, there is a nodular lesion in the right adrenal gland and it partially enters the section. Nodular lesions in the left adrenal gland partially enter the section, and mildly suspicious increase in millimetric size is observed, especially in the lesion at the genu level. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Newly developed infiltrates compatible with viral pneumonia in both lungs Mediastinal millimetric lymph nodes Nodular lesion in the right adrenal gland, nodular lesion with suspicious increase in size in the left adrenal gland, optimal evaluation cannot be made because the adrenal glands partially enter the section.
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train_6776_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Endotracheal tube was observed. Trachea, both main bronchi are open. Calcific plaques are present in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Effusions reaching approximately 30 mm in diameter in the bilateral hemithorax and prominent atelectasis in the lower lobes are observed. There are consolidation and ground glass densities adjacent to atelectasis. Lower lobe aeration was markedly reduced. Centrilobular emphysematous appearance and diffuse thickening of the bronchial wall are observed in the remaining lung parenchyma. There are minimal air densities in vascular structures. It may be secondary to interference. 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 NG probe extending into the stomach is seen. Diffuse osteophytes with a tendency to merge anteriorly and scoliosis with left-facing scoliosis are observed in the thoracic vertebrae. Chronic fractures, some of which are fused, are observed on the 7th, 8th, 9th, and 10th ribs on the right.
Endotracheal tube. Consolidation and ground-glass densities in the lower lobes, emphysematous appearance in both lungs, diffuse thickening of the bronchial wall. Thoracic spondylosis. Chronic rib fractures on the right.
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train_6777_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. Active infiltration or mass lesion is not detected in both lung parenchyma. There are sequelae changes on the left and nonspecific nodules in millimeter sizes in both lungs. 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.
Active infiltration or mass lesion is not detected in both lung parenchyma. There are sequelae changes on the left and nonspecific nodules in millimeter sizes in both lungs.
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train_6778_a_1.nii.gz
metastatic colon ca
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: No lymph nodes in pathological size and appearance were detected in the mediastinum and hilar region. A port chamber was observed under the skin in the right hemithorax. The port catheter terminates in the superior distal portion of the vena cava. Trachea and both main bronchi are open. No obstructive pathology was detected in the trachea and both main bronchi. Linear atelectatic changes are observed in both lungs. Minimal emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Upper abdominal organs cannot be evaluated optimally because no contrast material is given. As far as can be observed: Metastasectomy sites are observed in the liver. There is slight irregularity in liver contours. Minimal hypertrophy was observed in the left lobe. It is recommended that the patient be evaluated for liver parenchymal disease. Apart from this, no upper abdominal free fluid-collection or lymph node in pathological size and appearance was detected in the sections. There are no lytic-destructive lesions in the bone structures within the sections.
Linear atelectasis in both lungs. Emphysematous changes in both lungs. Metastasectomy sites in the liver. Minimal hypertrophy and irregularity in the contour in the left lobe of the liver (It is recommended that the patient be evaluated for liver parenchymal disease.)
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train_6778_b_1.nii.gz
Colon Ca, liver met.
1.5 mm thick non-contrast sections were taken in the axial plane.
Port chamber and catheter image extending superiorly to the vena cava were observed on the right anterior chest wall. 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; Atelectasis changes were observed in both lungs. Minimal emphysematous changes were observed in both lungs. No infiltration was detected in both lung parenchyma. Since no contraceptive material was given, the upper abdominal structures were evaluated as subopathic. As far as can be observed, metastasectomy sites are observed in the liver. The left lobe of the liver is slightly hypertrophied. It is recommended to be evaluated for liver parenchymal disease. No intraabdominal free-loculated fluid was detected. No lytic-destructive lesion was detected in bone structures.
Atelectatic changes in both lungs. Emphysematous changes in both lungs. Liver metastasectomy sites. Minimal hypertrophy and irregularity in the contours of the liver in the left lobe are recommended to be evaluated in terms of liver parenchymal disease.
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train_6779_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 mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. A 20x10.7mm lymph node reaching pathological dimensions was observed at the level of the aorticopulmonary window. No lymph nodes in pathological size and appearance were observed in other parts of the mediastinum and hilar sections. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. The left hemidiaphragm is elevated. When examined in the lung parenchyma window; Peribronchial thickenings, accompanying focal consolidation areas and nodular ground glass opacities were observed in all segments of the left lung. In addition, concomitant linear atelectasis were observed in the posterobasal segment of the lower lobe of the right lung and in the left lung. The described findings are consistent with pneumonic infiltration. Covid 19 pneumonia and other viral pneumonia agents were considered due to the pandemic due to nodular ground glass opacities in the upper lobe. No distinguishable lesion was detected in both lungs. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis. Gallbladder, spleen and pancreas are normal. The right adrenal gland was normal and no space-occupying lesion was detected. Thickening was observed in the left adrenal gland. A hypodense nodular lesion area of 18 mm in diameter is observed in the middle pole of the left kidney (cyst?). No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Lytic expansile mass lesions with soft tissue component were observed in the anterior parts of the right and left first rib. Lytic bone lesions causing height loss were observed in T12 and L2 vertebral bodies. It was evaluated in favor of metastasis.
Pathologically sized lymph node at the level of the aorticopulmonary window. Peribronchial thickenings in all segments of the left lung, accompanying areas of focal consolidation, and nodular ground-glass opacities; the described findings are consistent with pneumonic infiltration. Covid 19 pneumonia and other viral pneumonia agents were considered due to the pandemic due to nodular ground glass opacities in the upper lobe. Peribronchial thickening in both lungs, atelectasis accompanied by pneumonic infiltration. Hepatosteatosis. Thickening of the left adrenal gland. Hypodense nodular lesion (cyst?) in the middle pole of the left kidney. Lytic expansile mass lesion with soft tissue components in the anterior parts of the right 1st and left 2nd rib. Lytic bone lesions causing height loss in T12 and L2 vertebral bodies were evaluated in favor of metastasis.
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train_6779_b_1.nii.gz
Multiple myeloma.
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. The lung parenchyma could not be evaluated optimally in terms of focal lesion, as the patient did not breathe properly during the examination. Emphysematous changes are observed in both lungs. There are linear atelectasis in both lungs, more prominent on the left. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Lytic bone lesions are observed in the vertebral corpuscles within the sections. The described appearance is consistent with the multiple myeloma diagnosis stated in the clinical preliminary diagnosis. In addition, height loss and vertebral sclerosis are observed in the T12 vertebral body, most prominently in the central part.
Multiple myeloma on follow-up, bone lesions consistent with multiple myeloma on vertebrae within sections. Emphysematous changes in both lungs. Atelectasis in both lungs. Millimetric nodules in both lungs.
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train_6779_c_1.nii.gz
Multiple myeloma in follow-up, 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. Since the patient does not breathe properly during the examination, the lung parenchyma cannot be evaluated optimally, especially in terms of focal lesion. Minimal emphysematous changes and locally linear atelectasis were observed in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Lytic bone lesions are observed in the vertebrae within the sections. In addition, sclerosis was observed in T12 vertebrae and visible parts of L2 vertebrae. There is height loss in the T12 vertebra. The height loss is almost complete in the central section. The described findings were also present in the previous examinations of the patient and no difference was found in the appearances.
Multiple myeloma on follow-up, bone lesions consistent with multiple myeloma in the vertebrae Emphysematous changes in both lungs Atelectasis in both lungs Millimetric nodules in both lungs Minimal atherosclerotic changes in the aorta and coronary arteries
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train_6779_d_1.nii.gz
Multiple myeloma in follow-up.
1.5 mm thick non-contrast sections were taken in the axial plane.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Minimal calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. 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; Bilateral peribronchial thickenings were observed. Minimal emphysematous changes and locally linear atelectasis are observed in both lungs. Millimetric sized non-specific parenchymal nodules were observed in both lungs. In the upper abdominal sections in the study area; A hypodense lesion with a diameter of 2 cm was observed in the middle zone of the left kidney. There are lytic bone lesions in the vertebrae within the sections. Areas of sclerosis causing height loss were observed in T12 and L2 vertebrae. Lytic lesions were observed at multiple levels on the ribs. Soft tissue structuring was observed between the right 1-2. However, focal soft tissue structures in the form of increased thickness in the pleura were observed at the level of 3-5th ribs on the right and 9-11 dorsal ribs on the left, and the long axis was measured approximately 6 cm on the right and 7 cm on the left. It has just emerged.
Multiple myeloma at follow-up; Bone lesions consistent with multiple myeloma involvement in the vertebrae. Emphysematous changes in both lungs. Atelectasis, peribronchial thickenings in both lungs, millimetric nodules in both lungs. Atherosclerotic changes in the aorta and coronary arteries. Sclerosis and loss of height in T12 and L2 vertebrae. Focal soft tissue structures in the form of increased thickness in the pleura in each lung have recently emerged.
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