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_7181_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. 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; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. Nonspecific density increases were observed in both lungs dependent. Focal consolidation area is observed in the left lung lingular segment, and the appearance is nonspecific. Initially, it was thought to be compatible with sequelae, but due to the pandemic, ultra-early Covid-19 pneumonia should be considered in the differential diagnosis, albeit at low rates. It is recommended to be evaluated together with the clinic and laboratory. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper pole of both kidneys, 1 calculi image on the right and 2 images on the left were observed. A simple cortical cyst was observed in the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Reticulonodular sequelae increase in density at the apex of both lungs. Focal consolidation in the lingular segment of the left lung with areas of ground glass around it; the appearance is nonspecific. Although it was initially evaluated in favor of sequelae, due to the pandemic, early Covid-19 pneumonia was considered with a low probability. It is recommended to be evaluated together with clinical and laboratory. Bilateral nephrolithiasis.
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train_7182_a_1.nii.gz
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. There are emphysematous changes in both lungs, more prominent in the upper lobes. Occasional atelectasis was observed in both lungs. Both lungs have millimetric nonspecific nodules, some of which are calcific. 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 anterior-posterior diameter of the ascending aorta is 42 mm and is wider than normal. There are atheromatous plaques in the arrowa 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 are solid lesions measuring 25 mm in the thickest part on the left and 17 mm in the thickest part on the right in both adrenal gland corpuscles. There are areas of fat density among the described lesions and were primarily evaluated in favor of adenomas. No upper abdominal free fluid-collection was detected in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections.
Emphysematous changes in both lungs . Local atelectasis in both lungs . Millimetric nodules in both lungs . Atherosclerotic changes in aorta and coronary arteries . Adenomas in both adrenal glands
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train_7183_a_1.nii.gz
chronic cough
Non-contrast sections of 3 mm thickness were taken in the axial plane with MDCT.
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. 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. Accessory spleen was observed. No obvious pathology was detected in bone structures.
Thoracic CT examination within normal limits Note: No sign of infection was detected. However, it should be known that CT may be false negative in the first few days.
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train_7184_a_1.nii.gz
Operated thymoma
Without IVKM, 1.5 mm thick sections were taken in the axial plan and reconstructions were made at the workstation.
In the patient who was learned to have been operated for thymoma, metallic density and effusion in this localization are observed in the operation site in the anterior mediastinum. In the right thyroid lobe, a few nodules with a diameter of 13 mm, some of which are calcific, with exophytic extension in the inferior pole, are observed. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Millimetric calcific atheroma plaques are observed in the aorta. 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 interlobular septal thickness increases and areas of linear atelectasis secondary to radiotherapy in both upper lobe anterior segments of both lungs. Subsegmental atelectasis area is observed in the left lung upper lobe lingular segment. There is a mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). There are several nonspecific nodules in both lungs with a short diameter of less than 3 mm. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is a nodular increase in thickness reaching 1 cm in the left adrenal gland corpus and right adrenal gland medial crus. In the thoracic region, left-facing scoliosis is observed. There are bridging osteophytes at the corners of the thoracic vertebra corpus. No lytic-destructive lesion was observed in bone structures.
Operated thymoma, surgical metallic density in the anterior mediastinum, adjacent effusion Hypodense nodules in the right thyroid lobe during follow-up Interlobular septal thickness increases secondary to radiotherapy in the upper lobe of both lungs, areas of linear atelectasis Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease? disease?). Millimetric nonspecific nodules in both lungs Nodular thickness increases in both adrenal glands Left-facing scoliosis and minimal spondylosis in the thoracic region
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train_7185_a_1.nii.gz
Trauma
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
The thorax and the anterior abdominal wall have partially entered the study area. Trachea and main bronchi are open. Right upper-lower paratracheal, aortopulmonary, subcarinal 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; Pleuroparenchymal densities in both lung lower lobe basal segments and accompanying ground glass area on the left are observed. In addition, there is a focal ground glass area in the lingular segment of the left lung. Although there may be alveolar hemorrhage in the traumatized patient, concomitant viral pneumonia cannot be excluded. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No additional pathology was detected in the non-contrast CT examination. No lytic-destructive lesion was detected in bone structures. In the dorsal localization, scoliotic angulation is observed with the opening facing left.
Pleuroparenchymal densities in both lung lower lobe basal segments and accompanying ground glass area on the left, focal ground glass area in the left lung lingular segment. Alveolar hemorrhage may be present in the trauma patient, but accompanying viral pneumonia cannot be excluded.
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train_7186_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. There are calcific atheroma plaques in the aortic arch, coronary arteries, and descending aorta. Starting from the right lateral of the aortic arch and ascending aorta, extending superiorly and indistinguishable from the aortic aortic arch wall, a central hypodense-like soft tissue formation is observed. It cannot be evaluated clearly in non-contrast examination (centrally partially necrotic lymph nodes superposed on each other?, pathology originating from vascular wall?). Possible vascular pathologies could not be excluded in the non-contrast examination. Contrast imaging is recommended. In addition, a few millimetric lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Pericardial mild effusion is observed. It is also partially present in the old review. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. There is pleural effusion in both lungs extending from basal to apex, reaching 23 mm in the right and 15 mm in the left in its thickest part. There is a mild atelectatic lung segment adjacent to it. In the sections passing through the upper abdomen, there is a mild hepatosteatosis appearance in the liver. Multiple millimetric calculi are observed in the gallbladder. Pericholecystic mild effusion is observed. There is mild effusion in the perihepatic area. Sonographic examination is recommended. The spleen is slightly enlarged. Both adrenal glands are normal. A thickening is observed in the left peritoneal reflection at the level passing through the inferior poles of the kidney. He did not enter the field of view in his previous review. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure entering the examination area.
Cholelithiasis . Hepatosteatosis . Splenomegaly . Mild effusion in the pericholecystic area, minimal effusion in the perihepatic area; sonographic evaluation of the case is recommended. Thickening in the left peritoneal reflection at the level passing through the renal inferior poles ; did not enter the field of view in his previous review. In the upper mediastinum, adjacent to the aortic arch, nodular lesion with a centrally more hypodense appearance (lymph node?), which cannot be distinguished from the vascular structure in the uncontrasted examination, but it is recommended to evaluate the case with contrast in terms of possible vascular pathologies.
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train_7186_b_1.nii.gz
Pneumonia in a patient with extrapulmonary sarcoidosis?
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. Diffuse wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. Mediastinal and vascular structures 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 sizes are slightly increased. Pericardial effusion-thickening was not observed. Diffuse calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. Diffuse calcifications were observed in the mitral valve. Starting from the right lateral of the aortic arch and ascending aorta, it extends to the superior, and its borders cannot be distinguished from the aortic aortic wall, and a central hypodense-like soft tissue formation is observed. It cannot be evaluated clearly in non-contrast examination (centrally necrotic lymph nodes superposed on each other? Pathology originating from vascular or tracheal wall?). It has also been observed in the patient's previous examinations, and his appearance and dimensions are stable. In addition, lymph nodes with short axes not exceeding 1 cm in the mediastinum, which do not reach pathological dimensions, are observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Effusion is observed in the bilateral pleural space, extending to the apex in the lying position, reaching a thickness of 37 mm in the deepest part on the right and 36 mm in the deepest part on the left. When examined in the lung parenchyma window; diffuse consolidation areas in which air bronchograms are observed are observed in both lung lower lobes posterobasal-both lower lobe superior and basal segments. Diffuse ground glass densities were observed in the ventilated segments of both lungs. The appearance was initially evaluated in favor of infective processes. It is recommended to be evaluated together with clinical and laboratory. Stable nonspecific pulmonary nodules were observed in both lung parenchyma. Liver contours in the sections are irregular. Periportal edema is present. It is recommended to be evaluated together with the clinic and laboratory in terms of possible parenchymal disease. Both adrenal glands are normal. The pancreas is slightly atrophic. Diffuse degenerative changes are observed in the bone structures within the image.
Bilateral pleural effusion, large areas of consolidation in the superior and basal segments of both lungs, lower lobes, and ground glass densities in aerated lungs were initially evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with clinic and laboratory. a soft tissue lesion with a central more hypodense appearance, indistinguishable from the trachea (necrotic LAP? pathology of vascular-tracheal wall origin?). Mild irregularity and periportal edema in the liver contours within the sections; it is recommended to be evaluated together with the clinic and laboratory in terms of chronic parenchymal disease. Degenerative changes in bone structure.
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train_7187_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. Millimetric sized lymph nodes are observed in the mediastinum, the largest of which was measured in the right upper paratracheal area and measuring 15x8 mm. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are consolidated areas in both lungs that are widely located peripherally and show confluence. There are occasional frosted glass-style density increments. It has been evaluated as compatible with Covid-19 pneumonia. Clinical-laboratory verification is recommended. Bilateral pleural effusion, pneumothorax were not detected. Upper abdominal organs included in the sections are normal. A decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area. Nodular density compatible with accessory spleen is observed in the spleen hilum. 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.
There are consolidated areas in both lungs with diffuse peripheral localization and confluence. There are occasional frosted glass-style density increments. It has been evaluated as compatible with Covid-19 pneumonia. Clinical-laboratory verification is recommended. Hepatosteatosis.
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train_7187_b_1.nii.gz
Fever, sore throat. His wife is PCR positive.
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Right upper paratracheal, aortopulmonary millimetric lymph nodes are 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; Consolidations are observed in the lower lobe basal segments of both lungs and the lingula of the left lung, and ground glass densities in the apices of both lungs, and pleuroparenchymal bands on the pleural surface of the right lung upper lobe posterior segment are observed. It was evaluated in favor of Covid-19 pneumonia. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures.
Consolidations in both lung lower lobe basal segments and left lung lingula, and ground glass densities in both lung apices and pleuroparenchymal bands on the right lung upper lobe posterior segment on the pleural face. It was evaluated in favor of Covid-19 pneumonia.
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train_7187_c_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are millimetric lymph nodes in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Pleural effusion and pneumothorax were not detected in both lungs. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. In the spleen hilum, millimetric density, which is considered compatible with the accessory spleen, is observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Hepatosteatosis
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train_7188_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. Diffuse calcific atheroma plaques and fatty stents are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 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. Degenerative changes were observed in the bone structures in the study area. There are mild hypertrophic and osteophytic taperings in the vertebral corpus endplates.
Atherosclerosis. Degenerative changes in bone structures, mild hypertrophic, osteophytic tapering in the vertebral corpus end plates.
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train_7189_a_1.nii.gz
Palpitations and abdominal pain
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In the apical segment of the upper lobe of the right lung, there is a nodular density increase measuring 13x5 mm in the peripheral area. There are linear density increases and minimal structural distortion and minimal volume loss around the described density increase. Therefore, first of all, sequelae were evaluated in favor of change. It is recommended that the patient be evaluated and followed up with previous examinations, if any. There are findings evaluated in favor of pleuroparenchymal sequela fibrotic change in the right lung apex. In addition, linear atelectasis were observed in both lungs, more prominently in the lower lobes. There are emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or appearance compatible with pneumonic infiltrative was detected in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open.
Nodular density increase (sequelae change?) in the upper lobe of the right lung with linear density increases around it, minimal structural distortion, and minimal volume loss. Millimetric nonspecific nodules in both lungs. Pleuroparenchymal sequelae changes in the right lung apex. Linear atelectasis in both lungs. Emphysematous changes in both lungs.
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train_7189_b_1.nii.gz
dyspnea.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of mediastinal vascular structures, heart contour and size are normal as far as can be observed. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. There are sequela parenchymal changes in both lung parenchyma, more prominent on the right. Structural distortion adjacent to the right lung upper lobe apical segment, and a stable lesion measuring approximately 13x10 mm in size and evaluated in favor of sequela fibrotic nodular formation accompanied by volume loss were observed. No newly developed pathology was detected. There are minimal emphysematous changes in both lungs. No active infiltration or mass lesion was detected in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image.
Sequelae parenchymal changes in both lungs, more prominent on the right, and lesion in the apical segment of the upper lobe of the right lung, the size and appearance of which was stable in the previous CT examination of the patient, and the sequela was evaluated in favor of fibrotic nodular formation. Minimal emphysematous changes in both lungs.
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train_7190_a_1.nii.gz
Covid contact, fever and chest pain
Non-contrast sections of 3 mm thickness were taken in the axial plane with MD CT.
Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy ground glass densities are observed peripherally located in the paramediastinal area in the right lung lower lobe superior segment, in the lower lobe laterobasal and posterobasal segments, in the left lung lower lobe superior segment and in the lower lobe mediobasal segment. It is seen that the center of ground glass densities in the bilateral lower lobe has become more consolidated. Subpleural bands are observed in the basal segment of the lower lobe of the right lung. No significant pathology was detected in the non-contrast examination of the sections passing through the upper part of the abdomen. No lytic-destructive lesion was detected in bone structures.
Peripherally located ground glass densities and consolidations in the lower lobes of both lungs Commonly reported imaging findings of Covid 19 pneumonia
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train_7191_a_1.nii.gz
covid?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In the supraclavicular fossa, axilla, and mediastinum, no lymph node was observed in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pathological increase in diameter is observed in the esophagus. The size of the thyroid gland has increased. Its contour is slightly lobulated. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. There is a linear subsegmental atelectasis area in the left lung upper lobe lingula inferior segment. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. In the upper abdomen sections, an increase in liver parenchyma density consistent with grade 1 hepatosteatosis is observed. No lytic-destructive lesions were detected in bone structures.
No pneumonic infiltration detected. Hepatosteatosis.
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train_7192_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO slightly increased in favor of the heart. The left atrium is larger than normal. Calcification is observed at the level of the mitral valve. Dense calcific atheroma plaques are observed at the level of the aortic root, aortic arch, its main branches and coronary arteries. The thyroid gland is heterogeneous (thyroiditis?). If necessary, US examination is recommended. No pathological size and configuration of lymph nodes were detected at both hilar levels. In the aorticopulmonary window, there is another partially calcified lymph node, approximately 10x5 mm in size, which looks stable according to the previous examination. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. There is a decrease in emphysematous density in both lungs. Pleuroparenchymal sequelae changes are observed in both lungs. There are density increases in both lungs at the posterobasal level, which are primarily evaluated in favor of dependent vascular density. In the left lung, a linear increase in density is observed, which is consistent with band atelectasis, adjacent to the interlobar fissure. Bilateral pleural effusion, pneumothorax were not detected. Thickening of the peribronchial sheath is observed. In the sections passing through the upper abdomen, a mixed type hiatal hernia is observed in the case. Concentric-type wall thickening is present in the distal esophageal segments. Control is recommended. Left adrenal is full. It has a similar appearance in the old review. The spleen is larger than normal, and there are increases in density and heterogeneity in the parenchyma, which can be seen in the amorphous old examination whose borders cannot be clearly distinguished. Nodular densities are observed in the ridge of the spleen and adjacent to the hilus, which may be compatible with the ascissor spleen or lymph node. Approximately 75% loss of height is observed in the D8 vertebra. There is a 50% loss of height in the D11 vertebra, especially in the anterior. In general, degenerative changes are observed in the bone structure.
Emphysematous changes and sequelae in both lungs. Mixed hiatal hernia and concentric thickening of the distal esophageal wall thickness; control is recommended. Splenomegaly, heterogeneity in parenchyma. Degenerative changes in bone structure, height loss in D8 and D11 vertebrae.
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train_7193_a_1.nii.gz
Weakness, fatigue, back pain, burning sensation in the body
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located ground glass areas are observed in both lungs. The described ground glass areas are more prominent in the lower lung lobes and there is minimal expansion of the vascular structures within the ground glass areas. The described finding is a frequently observed finding in Covid-19 pneumonia and when evaluated together with the clinical findings of the patient, these manifestations were evaluated in favor of viral pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are bridging and osteofilts in the intervertebral disc spaces. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Findings consistent with viral pneumonia in both lungs
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train_7194_a_1.nii.gz
Weakness, fatigue
1.5 mm thick non-contrast sections were taken in the axial plane with MD CT.
Trachea and main bronchi are open. Right upper, bilateral lower paratracheal few millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Millimetric calcific plaques are observed in the ascending aorta. The cardiothoracic index was slightly increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Subsegmental atelectasis is observed in the left lung lingular segment and both lung lower lobes. In addition, there is amosaic attenuation in both lungs and lower lobes (small airway disease?, small vessel disease?). 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.
Mosaic attenuation in the lower lobes of both lungs (small airway disease?, small vessel disease?). No parenchymal finding in favor of Covid-19 pneumonia was observed.
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train_7195_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. Bilateral gynecomastia was observed. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In both lungs, patchy ground glass consolidations forming a crazy paving pattern were observed, accompanied by more diffuse, multilobar, multisegmentary, band-linear fibroatelectasis changes in the upper lobes, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. When the upper abdominal organs included in the sections were evaluated; liver parenchyma density decreased in line with hepatosteatosis. Other upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Highly suspicious findings in terms of Covid-19 pneumonia in which intense atelectatic changes are observed in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory. Hepatic steatosis.
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train_7196_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Fibrotic density increases with band-like sequelae were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Pleural thickening - effusion was not detected. Liver parenchyma density decreased slightly in the upper abdominal sections in the study area, consistent with adiposity. Calcified calcification with a diameter of 5 mm was observed in the posterior right lobe of the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected.
Sequelae changes in both lungs. No signs of pneumonia were detected. Degenerative changes in bone structure.
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train_7197_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. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, peripherally located ground-glass consolidations and accompanying linear atelectesis were observed, which were barely distinguishable on the left, more common crazy paving pattern and vascular enlargement on the right. The described findings were most prominently observed in the posterobasal segment of the right lung lower lobe and were considered in favor of Covid-19 pneumonia during the resolution period. No mass lesion with distinguishable borders was detected in both lungs. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Findings consistent with Covid-19 pneumonia in the resolution period in the lung parenchyma
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train_7198_a_1.nii.gz
Metastatic operated rectum Ca.
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; Pulmonary nodules, which were learned to have metastases in both lungs, were observed. Central-peripherally located crazy paving pattern showing confluence with each other and wide patchy consolidation areas showing vascular expansion were observed in both lungs. The defined areas of consolidation are accompanied by subpleural striations and interlobular septal thickenings in the lower lobes. The described findings are consistent with Covid-9 pneumonia. Other findings are stable.
Not given.
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train_7199_a_1.nii.gz
Right hilar fullness
Images with or without IV contrast were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific millimetric plaques are observed in the aorta. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric subpleural air cyst is observed in the upper lon anterior of the right lung. In both lungs, nodules reaching 3.5 mm in diameter were observed in the posterobasal right lower lobe. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. There is diffuse fat in the liver entering the cross-sectional area. Millimetric stone density was observed in the gallbladder. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Millimetric nonspecific nodules in both lungs. Hepatosteatosis. Cholelithiasis.
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train_7200_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; A 2 mm nonspecific nodule was observed adjacent to the major fissure in the posterior of the left lung upper lobe. In the upper abdominal organs, including sections; The width of the right kidney collecting system has increased and the AP diameter of the renal pelvis is 13 mm. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Millimetric nonspecific nodule in the left lung. Right hydronephrosis.
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train_7201_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs are partially included in the examination, and findings are defined in Upper and Lower Abdomen CT. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thorax CT examination within normal limits
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train_7202_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. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. On the right, linear density increases are observed in the middle lobe, consistent with mild sequelae changes. A subpleural 2 mm diameter nodule is observed in the posterobasal region of the lower lobe of the left lung. There are fibroatelectatic density increases in the lingular segment of the left lung. There was no significant pneumonia, pleural effusion or pneumothorax in the case. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure.
No finding compatible with pneumonia was detected. Mild sequelae changes in both lungs. Hiatal hernia.
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train_7203_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques were observed in the LAD and circumflex artery. 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; Fibroatelectasis sequelae causing volume loss accompanied by parenchymal air cysts were observed in the right lung middle lobe medial, left lung inferior lingular segment, and right lung middle lobe. Passive-linear atelectatic changes were observed in the basal segments of both lung lower lobes. Millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In both kidneys, hypodense nodular lesion areas with a diameter of 22 mm were observed on the left (cyst?). Mild degenerative changes were observed in the bone structures in the examination area. Vertebral corpus heights are preserved.
Calcific atheroma plaques in the LAD and circumflex artery . Fibrotaletatic sequelae in the right lung middle lobe medial and left lung inferior lingular segment, accompanied by parenchymal air cysts on the right, causing structural distortion and volume loss . Linear-passive atelectatic changes in both lower lobe basal segments of both lungs . Millimetric nonspecific parenchymal nodules in both lungs . Cortical hypodense nodular lesions (cyst?) in both kidneys. Mild degenerative changes in bone structures
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train_7204_a_1.nii.gz
Cough.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In the midline of the trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. No pericardial or pleural effusion was observed. There are calcific atheromatous plaques in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A few lymph nodes with short axes not exceeding 5 mm are observed in the mediastinal area. When examined in the lung parenchyma window; Linearatelectasis areas are observed in the lower lobe of the left lung. No mass was detected in both lungs. Millimetric sized nonspecific pulmonary nodules are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No fractures, lytic or destructive lesions were observed in the bones.
Calcific atheroma plaques in the aorta, coronary arteries. Linear atelectasis in the lower lobe of the left lung. Nonspecific millimetric pulmonary nodules in both lungs.
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train_7205_a_1.nii.gz
Fire
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a density measuring 19 mm in the apicoposterior of the left lung upper lobe, an air bronchogram sign, and a patchy ground glass density around it. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a finding consistent with a hemangioma in the TH 11 vertebral body. A slight decrease in density is observed in bone structures.
Imaging features can be seen in Covid 19 pneumonia, but are not specific and can be seen in other infectious-non-infectious diseases as well. Follow-up is recommended for better differential diagnosis after excluding lobar pneumonia infection. Finding compatible with hemangioma in TH 11 vertebral corpus. Slight decrease in density in bone structures.
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train_7206_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
As far as can be observed in the left axilla, the fat planes are heterogeneous. Trachea and main bronchi are open. Right inferior paratracheal lymph node of 18 x 13 mm and right superior paratracheal millimetric lymph nodes were observed. The heart and mediastinal vascular structures have a natural appearance. Minimal pericardial effusion was observed (8.5 mm at its thickest point, adjacent to the left ventricle). Pleuroparenchymal bands and minimal pleural thickening at the bases on both sides were considered. In the evaluation of both lung parenchyma; Reticulo nodular consolidations, ground glass appearance and centrilobular nodules were observed in both lungs. Pneumonic infiltration? Drug-induced reaction? Involvement of systemic disease? In sections passing through the upper part of the west; The gallbladder is operated, appearances of metallic sutures are observed in its lodge. No significant pathology was detected in bone structures with CT criteria.
Identified mediastinal lymph nodes Minimal pericardial effusion Pneumonic infiltration in both lungs? Drug-induced reaction? Involvement of systemic disease? with cholecystectomy
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train_7206_b_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. Right inferior paratracheal 12x8 mm lymph node and right superior paratracheal millimetric lymph nodes were observed. A decrease was observed in the number and size of lymph nodes in the follow-up. The heart and mediastinal vascular structures have a natural appearance. Minimal pericardial effusion was observed (4 mm at its thickest point, adjacent to the left ventricle). A decrease in follow-up was observed. Pleuroparenchymal bands and minimal pleural thickening at the bases on both sides were considered. In the evaluation of both lung parenchyma; Reticulonodular consolidations and centrilobular nodules identified in the previous examination of both lungs were not observed in the current examination. In the current examination, there is a faint, acinar pattern ground glass appearance in the right parahilar region. In the sections passing through the upper part of the west; The gallbladder is operated, appearances of metallic sutures are observed in its lodge. No significant pathology was detected in bone structures with CT criteria.
Mediastinal lymph nodes showing regression Blurred, acinar patterned ground-glass appearance in the right parahilar region With cholecystectomy
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train_7207_a_1.nii.gz
Shortness of breath.
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. Smooth interlobular septal and interstitial thickenings and a honeycomb appearance are observed in both lungs, especially in the lower lobes, especially in the peripheral subpleural areas. No mass was detected in both lungs. No infiltrative lesion was observed. Bilateral minimal pleural effusion is observed. On the right, it is observed that the effusion has entered the fissure. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries. no pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. No lytic-destructive lesions were observed in the bone structures within the sections.
Findings evaluated in favor of interstitial lung disease in both lungs. Bilateral minimal pleural effusion. Atherosclerotic changes in the aorta and coronary arteries. Mediastinal and hilar lymph nodes.
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train_7207_b_1.nii.gz
Eosinophilic pneumonia?
Before IVKM was given, sections were taken in the axial plan and reconstruction was made at the workstation.
Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. In both lungs, interlobular septal and interstitial thickenings and a honeycomb appearance are observed, more prominently in the lower lobes and peripheral subpleural areas. These appearances can also be observed in the previous examination of the patient, and improvement was observed in the findings in this examination. No mass or infiltrative lesion was detected in both lungs. No pleural or pericardial effusion or thickening was observed. There is no upper abdominal free fluid-collection within the sections. No pathologically enlarged lymph nodes were observed. There are lymph nodes in the mediastinum and hilar regions.
Not given.
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train_7208_a_1.nii.gz
infection
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
Appearances of benign coarse calcifications were observed in the bilateral breast. On the inner mid-axis of the left breast, just to the left of the midline, a solid mass of 4x1.7 cm in soft tissue density with one or two calcifications in soft tissue density was observed. Examination with mammography and breast ultrasonography will be appropriate. Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. Global enlargement of the cardiac cavities was observed. Calcific atheroma plaques were observed in the main vascular structures. Pulmonary arteries are dilated. At the lower end of the esophagus, there is an appearance of a sliding type wide hiatus hernia. Bilateral pleural effusion reaching 11 mm in thickness on the right and 7 mm in the left was observed. Widespread, patchy, confluent ground-glass density and consolidation-like infiltrates were observed in both lungs. In the sections passing through the upper part of the west; Both kidneys were atrophic. There is an appearance of perihepatic free peritoneal fluid. No obvious pathology was detected in bone structures.
A mass in the left breast, examination with mammography and breast ultrasonography will be appropriate. Cardiomegaly Atherosclerosis Sliding type large hiatus hernia at the lower end of the esophagus Bilateral pleural effusion Ground glass density and consolidation infiltrates in both lungs Bilateral renal atrophy Perihepatic free peritoneal fluid
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train_7208_b_1.nii.gz
Fungal infection?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Benign coarse calcifications were observed in the bilateral breast. In the inner-middle quadrant of the left breast, just to the left of the midline, a solid mass of soft tissue density, 4x1.7 cm in size, containing one or two well-defined calcifications in soft tissue density was observed. Trachea, both main bronchi are deviated to the right. No occlusive pathology was detected in the trachea and lumen of both main bronchi. In the examination performed without contrast, the mediastinum and optimal evaluation could not be made. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mixed type hiatal hernia was observed at the lower end of the esophagus. A slightly more prominent pleural effusion was observed on the left in the bilateral smear style. When examined in the lung parenchyma window; focal patchy ground-glass densities, diffuse fibroatelectasis sequelae, centriacinar nodules and budding tree view are present in both lungs. The appearance was evaluated as secondary to pneumonic infiltration. Perihepatic, perisplenic mild free fluid was observed as far as can be observed in non-contrast examinations. No space-occupying lesion was detected in the liver. Right-left and main portal vein are dilated. Contamination and diffuse density increases were observed in the mesentery and omentum. The spleen and pancreas are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Both kidneys are atrophic. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Stable mass lesion in the inner middle quadrant of the left breast. Cardiomegaly, calcified atheromatous plaques in the coronary arteries. Mixed hiatal hernia. Bilateral smear-like effusion, focal patchy ground glass densities in both lungs, fibroatelectasis sequelae, centriacinar nodules and budding tree view; the appearance was evaluated in favor of pneumonic infiltration. Increased intra-abdominal free fluid. Dilated appearance in right-left and main portal veins
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train_7208_c_1.nii.gz
Fungal infection?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Benign coarse calcifications were observed in the bilateral breast. In the inner-middle quadrant of the left breast, just to the left of the midline, a solid mass of 4x1.7 cm in soft tissue density containing one or two calcifications with well-defined soft tissue density was observed. Trachea, both main bronchi are deviated to the right. No occlusive pathology was detected in the trachea and lumen of both main bronchi. In the examination performed without contrast, the mediastinum and optimal evaluation could not be made. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mixed type hiatal hernia was observed at the lower end of the esophagus. A slightly more prominent pleural effusion was observed on the left in the bilateral smear style. When examined in the lung parenchyma window; focal patchy ground glass densities, diffuse fibroatelectasis sequelae, centriacinar nodules and budding tree view are present in both lungs. Perihepatic, perisplenic mild free fluid was observed as far as can be observed in non-contrast examinations. No space-occupying lesion was detected in the liver. Right-left and main portal vein are dilated. Contamination and diffuse density increases were observed in the mesentery and omentum. Bilateral atrophic kidneys are observed. The spleen and pancreas are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Both kidneys are atrophic. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Stable mass lesion in the inner middle quadrant of the left breast. Cardiomegaly, calcified atheromatous plaques in the coronary arteries. Mixed type hiatal hernia. Follow-up is recommended. Free fluid with slight regression in the abdomen. Dilated appearance in the right-left and main portal veins
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train_7209_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane with MDCT.
The tracheal cannula extends to the right lower lobe bronchus. Bilateral pleural effusion is observed and it was measured as 15 mm on the right at its deepest point. In both lungs, nodular consolidations are observed in areas of increased density in air bronchograms, consistent with diffuse consolidation in all segments, and pneumonic infiltration is considered in the etiology. Clinic and lab. evaluation is recommended.
Not given.
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train_7210_a_1.nii.gz
dyspnea, 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 esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thorax CT examination within normal limits.
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train_7211_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 was measured as 29 mm. It is at the upper limit of normal. In the evaluation of other mediastinal main vascular structures, the calibration of mediastinal main vascular structures is natural, although it cannot be evaluated precisely because it does not have contrast. Millimetric sized calcific atheroma plaques are observed in the aortic arch. No lymph node was detected in the mediastinum in pathological size and configuration. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. In the posterobasal segment of the lower lobe of the right lung, a 5.5 mm diameter nodule developed on the subpleural possible sequelae is observed. When the upper abdominal organs included in the sections were evaluated; A nodular formation is observed in the inferior of the spleen, which is approximately 15x13 mm in size, which is considered compatible with the accessory spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the dorsal region, left-facing scoliosis is observed. Degenerative changes are observed in the bone structures in the study area.
5.5 mm diameter nodule developed on subpleural possible sequelae in the posterobasal segment of the lower lobe of the right lung. Scoliosis with left-facing opening in the dorsal region. Degenerative changes in bone structures.
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train_7212_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 5 mm.
The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. In the sections passing through the upper abdomen, an incision scar was observed in the midline of the abdomen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Several millimetric nonspecific nodules in both lungs
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train_7213_a_1.nii.gz
rectum ca
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. Cystic lesions are present in the medial of the apical segment of the upper lobe of the right lung. The described appearances were evaluated in favor of paratracheal cysts. Density increases, minimal structural distortion and minimal volume loss are observed in the posterior segment of the right lung upper lobe, and sequelae are evaluated in favor of change. There are atelectasis in the left lung upper lobe lingular segment, right lung middle lobe and both lung lower lobes. There are minimal emphysematous changes in both lungs. A few millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. 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 wall thickness increase was observed in the esophagus within the sections. There is a nodular solid lesion measuring approximately 16 mm in diameter in the left adrenal gland corpus. There is also minimal thickening of the left adrenal gland medial and lateral leg. When evaluated with the previous examination, no difference was detected in the described appearances. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections.
Atheromatous plaques in the aorta and coronary arteries . Emphysematous changes in both lungs . Atelectasis in both lungs . Sequela changes in both lungs
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train_7214_a_1.nii.gz
AML
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. A port catheter extending from the right anterior chest wall to the superior inferior end of the vena cava is observed. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a nonspecific minimal ground glass density at the level of the inferior lingular segment of the left lung upper lobe. 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.
Nonspecific minimal ground glass density at the level of the inferior lingular segment of the left lung upper lobe
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train_7214_b_1.nii.gz
Neutropenic patient, fever etio
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is nodular density in image 239 of series 2, which was also observed in the previous examination dated 11. 08.2021, 1 in the left lung upper lobe inferior lingula. 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.
Atelectatic changes around the nodular density described in the left lung upper lobe inferior lingula and at the posterobasal level of the left lung lower lobe, no significant difference was found in the nodular ground glass density.
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train_7214_c_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. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures.
Inspection within normal limits
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train_7214_d_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; Subsegmental atelectasis is observed in the left lung upper lobe lingular segment. No active infiltration, consolidation or space-occupying lesion was detected in both lungs. Mosaic attenuation pattern is occasionally observed 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.
Atelectasis in the lingular segment of the left lung upper lobe.
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train_7214_e_1.nii.gz
AML, infection?
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear atelectasis in the right lung middle lobe and left lung upper lobe lingular segment and lower lobe. Apart from these, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural effusion was detected. There is minimal pericardial effusion. 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 wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Linear atelectasis in both lungs. Minimal pericardial effusion.
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train_7215_a_1.nii.gz
Pre-op evaluation
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Mediastinal major vascular structures are normal. Heart size increased. Calcified atheroma plaques are observed on the wall of the coronary vascular structures. Minimal pericardial effusion is observed and measured as 8 mm at its deepest point. Bilateral pleural effusion is observed. It measures 35 mm at its deepest point on the left and 20 mm at its deepest point on the right. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Although the examination could not be evaluated optimally because of the lack of IV contrast, no lymph nodes in pathological size and appearance were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa. 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. In bilateral bronchial structures, there is diffuse mild ectasia, which is more prominent in the central. Density increase areas compatible with atelectasis are observed in both lung lower lobe posterobasal segment and left lung upper lobe lingular segment. In the upper abdominal organs included in the sections, millimeter-sized hyperdense stones are observed in the middle zone of the right kidney. There is lobulation in both kidney contours. Bilateral renal pelvicalyceal system was evaluated as normal. Bone structures in the study area are natural. There are osteophytic degenerative changes that tend to merge anteriorly in the vertebral corpus corners.
Increase in heart dimensions, calcified atheroma plaques on the wall of coronary vascular structures, minimal pericardial and bilateral pleural effusion . Increase in density in both lower lobe posterobasal segment and left lung upper lobe lingular segment in accordance with atelectasis . More prominently observed in the center in both bilateral bronchial structures diffuse mild ectasia . Left nephrolithiasis . Degenerative changes in bone structures
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train_7216_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. Pleuroparenchymal sequelae density increases were observed in the right lung upper lobe posterior and left lung lower lobe posterobasal segment. Upper abdominal sections entering the examination area are natural. Accessory spleen is observed adjacent to the upper pole of the scalp. No lytic-destructive lesion was detected in bone structures. Mild scoliosis with left opening was observed in the thoracic vertebrae.
There was no sequelae change, no sign of pneumonia in both lungs.
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train_7217_a_1.nii.gz
Gunshot wound a few months ago
With MD CT, 1.5 mm thick sections were obtained for the thorax without contrast, and for the abdomen with oral and IV contrast, in the axial plane.
A triangular density is observed secondary to the thymic remnant in the anterior mediastinum. Trachea and main bronchi are open. There is a right upper-lower paratracheal millimetric lymph node. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. No pleural effusion-thickening was detected in the left hemithorax. T8. A piece of shrapnel and the fractures it causes are observed in the costa. T7. Fracture is observed on the costa. High-density fluid is observed in the pleura adjacent to the T7 and 8th ribs and extends to the fissure. Linear pleuroparenchymal sequelae are observed in the right lung lower lobe basal segments and middle lobe. In the thorax, adjacent to the 3rd rib, in the right axilla, adjacent to the right scapula, T7. In the right half of the vertebra, in the paraspinal muscles near the 8th rib, in the right thoracic lateral wall, T7. in the lateral part of the vertebra, T9. and 10. paraspinal and intercostal muscles localization, T12. Numerous shrapnel fragments are observed in the right half of the spinous process adjacent to the vertebrae and in the subcutaneous fatty tissue on the right and left at this level and in the muscle on the right. A large number of shrapnel fragments are observed in the abdominal lateral wall, between the muscle planes, in the dorsalomber localization on the right, in the subcutaneous fatty tissue, in the vicinity of the iliac wing, in the muscle, in the vicinity of the right femur proximal diaphysis anterior, in the vicinity of the greater trochanter. The craniocaudal size of the liver is normal. Its contour and size, parenchyma density are normal. Intraparenchymal shrapnel is observed in the right lobe of the liver, adjacent to the gallbladder. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts, gallbladder are normal. Spleen contour size parenchyma density is normal. Pancreas contour size parenchyma density is normal. The bilateral adrenal gland appears natural. Both kidney size contour parenchyma densities are normal. Millimetric calculus is observed in the middle calyceal system of the left kidney. No renal solid or cystic mass was detected. Bladder filling is of course homogeneous wall thickness. No obvious pathology was detected in the lumen. Prostate gland sizes are natural. Parenchyma is homogeneous. Periprostatic fatty tissues are clear. Seminal vesicles are natural. Pathological wall thickness is not observed in bowel loops. Bone structures entering the cross-sectional area are natural. Vertebral corpus heights are natural.
Fracture in the right 7th and 8th ribs and foreign bodies of shrapnel in the rib, as well as multiple shrapnel fragments in the right dorsalomber and upper thigh described in the report,. Intraparenchymal shrapnel in the liver. Right lung lower lobe superior and basal segment linear pleuroparenchymal sequelae, effusion/bleeding in the fissure adjacent to the right 7th and 8th ribs.
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train_7218_a_1.nii.gz
Tracheal stenosis?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. There was no finding in favor of obstructive pathology-tracheal stenosis in the lumen. Bilateral gynecomastia is 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; Fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Bilateral pleural effusion-thickening was not observed. When the upper abdominal organs included in the sections were evaluated; liver size increased, parenchyma density decreased in line with fat. Gallbladder, spleen, pancreas, bilateral adrenal glands and both kidneys are normal. A metallic foreign body with a diameter of 6 mm was observed between the muscle planes in the anterior chest wall on the left. Defective appearance of the skin on the anterior abdominal wall at the epigastric level, and many foreign bodies on the skin and under the skin were observed. A large number of shrapnel fragments are observed in the abdomen, in the inferior of the liver segment 3, and in the omentum, adjacent to the second continent of the duodenum. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Linear atelectatic changes in the middle lobe of the right lung and the inferior lingular segment of the left lung. Hepatomegaly, hepatosteatosis. Defective appearance of the skin at the epigstric level, multiple shrapnel fragments located intraperitoneally on the anterior abdominal wall, left anterior chest wall and inside the abdomen.
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train_7219_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and it is understood that aortic valve replacement was performed in the patient as far as can be observed. A pace maker is observed on the left anterior chest wall. The pacemaker catheter extends into the right ventricle. There are calcified atheroma plaques in the wall of the thoracic aorta. No pathological increase in thoracic esophagus wall thickness is observed, and there is a sliding type hiatal hernia at the lower end. Trachea, both main bronchi are open and no occlusive pathology is detected. Minimal pericardial and pleural effusion is observed. No lymph node is observed in the mediastinum and supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). In both lungs, increases in density were observed in alveolar ground glass density, accompanied by increases in interlobular septal thickness. Findings were primarily evaluated as secondary to cardiac pathology. In the upper abdominal sections within the image; 1 cm diameter calculus was observed in the lower pole of the left kidney. There are several hypodense fluid density nodular lesions (cysts) in the right kidney, the largest measuring 3 cm in diameter. No lytic-destructive lesion is observed in the bone structures within the image, and there are degenerative changes.
Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). Density increases in alveolar ground glass density accompanied by increases in interlobular septal thickness in both lungs; findings were primarily evaluated as secondary to cardiac pathology. Sliding type hiatal hernia at the lower end of the esophagus. Left nephrolithiasis and cortical lesions (cyst?) in hypodense fluid density in the right kidney. There are degenerative changes in bone structures.
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train_7220_a_1.nii.gz
Kidney recipient, COPD
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Minimal pericardial effusion was observed. No pleural effusion was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. 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 diffuse emphysematous changes in both lungs, more prominently in the right lung. There are areas of increased density in the right lung lower lobe mediobasal and posterobasal segments, and in the upper lobe anterior segment, consistent with structural distortion and sequelae of atelectasis accompanied by volume loss. In the current examination, nonspecific nodules with millimetric dimensions, which were defined in the previous CT examination, were observed in both lungs, and no change was detected in their number and size. As far as can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; Chronic changes were observed in both kidneys. No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes and an increase in vertebral corpus densities, which is considered secondary to renal osteodystrophy.
Emphysematous changes in both lungs, more prominent on the right, structural distortion in the right lung lower lobe mediobasal and posterobasal segment, upper lobe anterior segment, areas of density increase compatible with atelectasis accompanied by volume loss, stable nodules in millimeters in both lungs. Chronic atrophic changes in both kidneys. Degenerative changes in bone structures and findings consistent with renal osteodystrophy.
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train_7221_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. 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; Multilobar, multisegmental central-peripherally located crazy paving pattern and nodular ground glass consolidations showing signs of vascular expansion were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Linear subsegmental atelectatic changes were observed in the posterobasal segment of the left lung lower lobe. No mass lesion with distinguishable borders was detected in both lungs. In the upper abdominal organs, including sections; liver parenchyma density was slightly decreased, consistent with hepatosteatosis. Diverticula were observed in the splenic flexure and descending colon. Peridiverticular fatty planes are obvious. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal degenerative changes were observed in the bone structures in the examination area. There is mild dextroscoliosis at the thoracic level with the left opening.
Findings consistent with Covid-19 pneumonia in the lung parenchyma. Hepatic steatosis. Diverticulosis of the splenic flexure and descending colon. Mild degenerative changes in bone structure. Mild dextroscoliosis with left thoracic opening
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train_7222_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Bilateral gynecomastia was observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen: free air images were observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, centriacinar consolidation areas with ground glass and interlobular septal thickening, which are more common in the lower lobes, extending from the central to the periphery along the peribronchial area are observed. The findings described are consistent with pneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory. 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.
Bilateral gynecomastia. Pneumomediastinum. Hiatal hernia. Findings consistent with pneumonic infiltration in the bilateral lung parenchyma.
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train_7223_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 could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. 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, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. An increase in density was observed in the asymmetric soft tissue density of approximately 26x20 mm in the left breast outer quadrant. It is recommended to evaluate with USG examination. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. A few millimeter-sized nonspecific nodules were observed in both lungs. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image.
A few millimetric nonspecific nodules in both lungs. An increase in asymmetric soft tissue density in the left breast outer quadrant; It is recommended to evaluate with USG examination.
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train_7224_a_1.nii.gz
Snoring and dyspnea
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph node was observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There are minimal emphysematous changes at the apex. Some purcalcified nonspecific nodules were observed in both lungs. No pathology was detected in the upper abdominal sections within the image. At the level of the corpus sterni, hypodense lesions with smooth borders and soft tissue density, measuring 10 mm in diameter, were observed under the skin. It cannot be characterized in this examination. No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes.
No active infiltration or mass lesion was detected in both lung parenchyma, some of them were purely nonspecific nodules. There are minimal emphysematous changes in the apex of both lungs. At the level of the corpus sterni, two lesions of hypodense soft tissue density with smooth borders under the skin were observed, but they cannot be characterized in this examination. Degenerative changes in bone structure
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train_7225_a_1.nii.gz
fever, cough, wheezing
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
No lymph node in pathological size and appearance was observed in the axilla and supraclavicular fossa. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Oesophageal calibration is natural. There is a sliding type hiatal hernia. Trachea, both main bronchi are open. When examined in the lung parenchyma window; pneumonic infiltration was not detected. There is an irregularly shaped nodular lesion measuring 14 mm in long diameter in the posterior segment of the upper lobe of the right lung, with irregular borders and parenchymal extensions. Histopathological diagnosis would be appropriate. Pleural effusion-thickening was not detected. No features were detected in the upper abdominal organs included in the sections. No lytic-destructive lesion was detected in the bone structures included in the study area. Vertebral corpus heights are preserved.
Pneumonic infiltration is not detected in the lung parenchyma. Irregularly circumscribed nodular lesion in the upper lobe of the right lung, histopathological diagnosis will be appropriate. Sliding type hiatal hernia
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train_7226_a_1.nii.gz
Weakness, fatigue, back 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; There are ground-glass densities with a halo sign around it in a diffuse patchy style in both lungs. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a hemangiomatous appearance in the TH11 vertebral body. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
The findings of ground-glass densities with a diffuse patchy halo sign around both lungs were initially evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended.
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train_7227_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; Nonspecific ground glass density increases were observed in the right lung lower lobe superiorly and posteriorly in the peripheral subpleural area. The outlook can be seen in Covid-19 pneumonia. However, it is not specific. Clinical and laboratory correlation is recommended. Subsegmentary atelectatic changes were observed in the right lung. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.
Nonspecific ground glass density increases in the lower lobe of the right lung; the appearance can be observed in Covid-19 pneumonia. However, it is not specific. Clinical and laboratory correlation is recommended.
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train_7228_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mild calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. The volume of the right hemithorax is decreased. Mediastinal structures and heart deviate slightly to the right. The right lung is lower lobectomized. There are densities of peribronchial suture materials in the right hilar localization. There are stable pleural effusion areas according to the previous examination, measuring 2 cm in the thickest part of the right lung in the apical region and 18 mm in the thickest part in the lower hemithorax. In the current examination of the right hemithorax, extensive infiltration areas were observed in the newly emerged upper and middle lobes (clinical and laboratory correlation is recommended in terms of infectious process). Millimetric sized centriacinar nodules were observed in the upper lobe of the left lung. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. Some calcified nonspecific parenchymal nodules were observed in both lungs. The ground glass density increase observed in the previous examination in the lower lobe of the left lung is not detected in the current examination. Pericardial mild effusion was observed. No mass, nodule infiltration was detected in the upper abdominal sections in the examination area. Postoperative changes were observed in the ribs in the right hemithorax. No lytic-destructive lesion was detected in bone structures.
Synovial sarcoma at follow-up; Postoperative changes in both lungs. Stable pleural effusion on the right. Areas of infiltration in the right lung with a tendency to coalesce, newly revealed on current examination; infectious process, post-treatment control is recommended.
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train_7229_a_1.nii.gz
Lymphoma, pneumonia in follow-up?
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In the lower lobe of the left lung, there is a small area of consolidation in the anteromediobasal segment with minimal ground glass appearance and centriacinar nodules in this localization. The described appearance was evaluated in favor of pneumonic infiltration. Apart from this, there is no other appearance that can be evaluated in favor of pneumonia in both lungs. No mass was detected in both lungs. There are minimal emphysematous changes in both lungs. There are millimetric nodules in both lungs. The largest of these nodules is observed in the apical segment of the upper lobe of the right lung, and its longest diameter is approximately 5 mm. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. There are atheroma plaques in the right coronary artery. There is no pleural or pericardial effusion. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections.
Lymphoma on follow-up. Findings evaluated in favor of pneumonic infiltration in the lower lobe of the left lung. Stable millimetric nodules in both lungs. Mediastinal and hilar lymph nodes. Hiatal hernia.
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train_7230_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the heart contour and 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. No pathology was detected in the upper abdominal sections included in the sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits
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train_7231_a_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Gynecomastia soft tissue densities are observed in the bilateral retroareolar area. When examined in the lung parenchyma window; Millimeter-sized nodular ground-glass density increases were observed in the peripheral subpleural area of both lungs. The outlook includes possible manifestations of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. 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.
Peripheral subpleural minimal nodular ground-glass density increases in both lung parenchyma. The appearance includes possible early signs of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.
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train_7232_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 is at the maximal physiological limit. Calibration of other mediastinal vascular structures is natural. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal and their lumens are clear. Both hemithorax are symmetrical. There is a subpleural, nonspecific nodule with a diameter of 3 mm in the anterior segment of the right lung upper lobe. There is a nonspecific nodule with a diameter of 2 mm slightly more caudally. In the middle lobe, two subpleural nodules with a diameter of 3 mm are observed. There is a faint, ground-glass-like nodule of approximately 6 mm in size in the posterior segment of the right lung upper lobe. Sequelae changes are observed in the dorsal apicoposterior segment of the left lung. There is a subpleural 2 mm diameter nodule in the lingular segment on the left. A 2 mm diameter nodule is observed at the laterobasal level. There was no finding compatible with bilateral pleural effusion-pneumothorax or 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. In the posterior of the spleen, isodense with the spleen and nodular formation compatible with the accessory spleen are observed. Surrounding soft tissues are normal. In the case with multiple myeloma anamnesis; degenerative changes in bone structure are observed. However, there are hypodense areas in the vertebral column that cannot be clearly evaluated due to the coarsening of the millimetric trabecular structures. There are lesions in the left sternum in prominent rib structures, which are considered consistent with local hypodense bone involvement. The lesion in the lateral part of the 7th rib on the left has an expansile character, heterogeneous internal structure and multilobule lytic appearance.
In the case with multiple myeloma anamnesis; Several millimetric nonspecific nodule formations in both lungs (6 mm diameter ground-glass nodules are observed at the posterior segment level of the right lung upper lobe). Lytic lesions consistent with bone involvement. Accessory spleen.
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train_7232_b_1.nii.gz
Multiple myeloma in follow-up.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
The trachea is in the midline and both main bronchi are open. Mediastinal main vascular structures appear natural. Heart contour, size is normal. Thoracic aorta diameter is normal. No pleural effusion or thickening was observed. Pericardial effusion-thickness increase was not detected. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymphadenopathy was detected in the mediastinal area and in both axillae in pathological size and appearance. When examined in the lung parenchyma window; Minimal bronchiectasis is observed in the lower lobes of both lungs. No active infiltration-consolidation or space-occupying lesion was detected. Several nonspecific pulmonary nodules are observed in both lungs. Pulmonary nodules are stable when evaluated together with the patient's previous examination. Accessory spleen is observed in the upper abdominal sections that are examined. In the patient with multiple myeloma history, hypodense lytic lesions, especially more prominent in the sternum, were evaluated in favor of bone involvement. Expansile lytic lesion is observed in the lateral part of the 7th rib on the left. In this view, it was evaluated in favor of bone involvement of multiple myeloma.
Nonspecific stable pulmonary nodules in both lungs. Lytic appearances evaluated in favor of multiple myeloma are observed in the bones.
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train_7233_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. There is an intubation tube extending to the trachea. A catheter image is observed in the esophageal lumen. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the upper-lower paratracheal, subcarinal, prevascular localization, multiple lymph nodes with a size of 15x9 mm are observed in the bilateral hilar area. When examined in the lung parenchyma window; Diffuse interlobular septal thickening and ground-glass density increases are observed in both lungs. There are obvious common patchy consolidation areas and crazy paving appearance in the lower lobes. Bilateral pleural effusion and atelectatic changes in adjacent lung parenchyma are observed. In the upper abdominal sections entering the examination area, free fluid is observed in the perihepatic area. Stent material is observed in the liver parenchyma. Liver contours are irregular. It is recommended to be evaluated for chronic liver disease. Spleen size increased ( splenomegaly). Paraaortic, aortocaval and paracaval lymphadenopathies are observed. Degenerative changes are observed in bone structures. No lytic-destructive lesion was detected.
Thickening of the diffuse interlobular septa in both lung parenchyma, accompanied by intense increases in density in the form of ground glass, and prominent areas of widespread patchy consolidation (crazy paving appearance) in the lower lobes were observed. ARDS, diffuse bacterial pneumonia, acute interstitial pneumonia can be considered in the differential diagnosis. recommended. Mediastinal, bilateral hilar, and intra-abdominal lymphadenopathies. Bilateral pleural effusion and atelectatic changes. It is recommended to evaluate for liver parenchymal disease. Splenomegaly.
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train_7234_a_1.nii.gz
Cough and phlegm
Before IVCM was given, axial plane sections were taken with MDCT and reconstructions were made at the workstation.
Trachea and both main bronchi are open. There is no occlusive pathology of both main bronchi. Cystic bronchiectasis is observed in the superior segment of the left lung lower lobe. There is also minimal bronchiectasis in the central parts of both lungs. Emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Linear atelectasis is observed in the medial segment of the middle lobe of the right lung and the lower lobe of the left lung. A few millimetric nonspecific nodules were observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheroma plaques in the aorta and in the coronary artery. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. 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. There are no enlarged lymph nodes in pathological dimensions. A stone of approximately 1 cm in diameter was observed in the gallbladder. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open.
Cystic bronchiectasis in the superior segment of the left lung lower lobe, minimal bronchiectasis in the central parts of both lungs . Nodules in both lungs . Emphysematous changes in both lungs . Atelectasis in both lungs . Atheroschloratic changes in aorta and coronary arteries . Mediastinal and hilar lymph nodes . Hiatal hernia . Cholelithiasis . Thoracic spondylosis
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train_7235_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
In a patient with metastatic osteosarcoma anamnesis: CTO is within normal limits. A venous port is observed at the right pectoral level and its catheter terminates at the level of the pulmonary appendix. Calibration of mediastinal vascular structures is natural. Lymphadenopathy with a diameter of 17 mm is observed at the left hilar level. In the old review, it is approximately 10 mm in diameter. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Confluent lesions in the left supraclavicular area, which are evaluated as compatible with lymph node packs with irregular borders, are observed, and the largest dimension is 59x46 mm. In the evaluation of both lungs in the parenchymal window, the patient under follow-up due to osteosarcoma has significant destruction in the bone structure at the level of the 1st and 2nd ribs in the right hemithorax. There is a large mass lesion with lobulated contour, heterogeneous internal structure and millimetric-thin linear calcifications in it. In the non-contrast examination, although the neighborhood relations cannot be evaluated clearly, the superior vena cava and subclavian artery vein complex cannot be observed separately from the mass lesion. In addition, the superior vena cava cannot be distinguished. The lesion appears to invade the mediastinum. The described lesion extends through the paramediastinal space up to the supradiaphragmatic area. In addition, the lesion extends to the posterior segment at the level of the upper lobe and extends to the posterior segment up to the hilar level. Apart from the defined lesions, peripheral smear-like effusion and adjacent consolidative areas-mass lesions are observed in the lower lobe segments as well, and the mass lesion defined in the paramediastinal area has largely invaded the middle lobe, no significant difference was detected. There is a mass lesion in the paravertebral area at the anteromediobasal level in the left lung, invading the pleura, parenchyma and showing suspicious extension towards the neural foramen, but which cannot be clearly evaluated on non-contrast examination. It is also observed in previous studies. It is progressive. One or two hypodense lesions are observed in the liver left lobe medial segment (at subsegment 4A level) subsegment 4A level and approximately 12x10 mm in size in the section area, and they are 8x6 mm in size on the previous CT. Size increase is available. A nodular lesion of approximately 10x8 mm is observed at the level of the left adrenal genu. Pancreas head and neck level is normal. However, a large mass that expands the body and tail, and a large mass lesion with heterogeneous internal structure, hypodense areas and calcifications are observed. Other upper abdominal organs included in the sections are normal. Left adrenal gland locus is normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
· The examination of the case under follow-up due to osteosarcoma was evaluated together with previous CTs. · A large mass lesion in the right lung that centralizes the 1st and 2nd ribs and extends through the paramediastinal area to the supradiaphragmatic area, obliterating the lung aeration significantly. · Irregularly circumscribed consolidation areas located peripherally in the lower lobe segments of the right lung. The lesions described have progressed according to his previous examination. · Multiple metastatic lesions, more prominent on the right, are observed in both lungs and are progressive. · Supraclavicular lymph nodes-metastatic lesions. · Metastatic lesions in the liver that have progressed according to previous examinations. · Progressive mass lesion in the left adrenal gland, lymph node-metastatic lesions in the adjacent-paraaortic area. · A mass lesion extending towards the spleen hilum in the body and tail of the pancreas.
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train_7236_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs, including sections; spleen size increased (147 mm). Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Splenomegaly.
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train_7237_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. The pulmonary trunk and other major 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; There are findings consistent with emphysema in the lung. A subpleural 2 mm diameter nodule is observed in the posterior segment of the right lung upper lobe. There are faint and more centrally located ground-glass-like density increases in the left lung lower lobe anteromediobasal and upper lobe apicoposterior segment. Small air cysts are observed in the bronchial neighborhood in the apicoposterior segment. No pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Small and more centrally located ground-glass-like density increases in the left lung lower lobe anteromediobasal and upper lobe apicoposterior segment. Findings may be partially significant for Covid-19 pneumonia, but other viral pneumonias should be excluded in the differential diagnosis, and other infectious-non-infectious processes should also be considered.
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train_7238_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; In the lower lobe of the right lung, there is a lesion in series 2, image 150, 21x23 mm in size, 18x16 mm in size on the previous PET-CT, showing an increase in size. Again in the lower lobe of the left lung, series 2, image 149, there is a lesion measuring 12x11 mm at the basal level, 8x10 mm in the previous PET-CT, with a dimensional increase. Some of the other large-small lesions have an increase in millimeter size, and some have stable appearances. No significant numerical increase was detected. In the upper abdominal organs, including sections; liver parenchyma has a heterogeneous appearance. There are lesions that cannot be diagnosed with more than one progression-regression differential diagnosis. There is a metastatic appearance that leads to destruction in the right clavicle, adjacent to the acromioclavicular joint. There is an irregularity in the cortical structure in the lateral of the left 5th rib. No significant height loss was detected in the vertebral corpuscles.
Dimensional increases in large lesions in both lungs, especially in the lower lobe basal levels, stable appearance in some of the other large-small lesions, and millimetric size increases in some. Appearances of metastases and secondary destructive changes in bone structures at the levels described above. Lesions in the left lobe that almost completely cover the right lobe of the liver. Splenomegaly. Small lymph nodes are observed adjacent to the stomach fundus and upper anterior mediastinum.
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train_7239_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea has an appearance of an endotracheal tube. Changes related to sternotomy are observed. The heart size has increased. Valvuloplasty is observed in all valves. There are calcifications in the right ventricular wall. Pericardial minimal effusion is observed. Pleural effusion of 33 mm on the right and 17 mm on the left is 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; Thickening of interlobular septa is observed in both lung parenchyma. Peribronchial pleural parenchymal densities were observed in the bilateral lower lobes. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Perihepatic and perisplenic free fluid is present. There is an epigastric millimetric hernia. Obstruction was not observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Sternotomy Cardiomegaly, valve valvuloplasties Calcification in the right ventricular wall Bilateral pleural effusion Pleural parenchymal densities in the lower lobes of the lung (aspiration pneumonia ?). Bilateral pulmonary edema findings Free fluid in the abdomen
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train_7240_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Irregularly circumscribed soft tissue densities consistent with gynecomastia were observed in the bilateral retromammarian area. US control is recommended. 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 observed, 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 pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. Focal cystic areas accompanied by interlobular septal thickenings were observed in the posterior of the apex of both lungs, posterior to the right lung upper lobe and superior segment of the right lung lower lobe. Appearance is nonspecific. It may be compatible with paraseptal emphysematous changes or viral pneumonia in the resolution phase. It is recommended that the patient be evaluated together with previous examinations and clinical and laboratory examinations. Apart from this, no active infiltration was detected in a mass lesion with distinguishable borders in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Appearance compatible with gynecomastia in the bilateral retromammarian area; US Control is recommended. Paraseptal emphysematous changes in both lungs or appearance that may be compatible with viral pneumonia in the resolution period; It is recommended that the patient be evaluated together with previous examinations and clinical and laboratory tests.
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train_7241_a_1.nii.gz
Juvenile rheumatoid arthritis, mediastinal LAP?
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 and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the examination performed without contrast, the liver, spleen, both adrenal glands and pancreas are normal. No stones were observed in both kidneys. There are multiple loss of height in the cervicothoracic vertebrae, narrowing of the disc spaces, and irregularity and sclerosis in the end plateaus facing the discs. Calcifications (entosopathy) in the anterior longitudinal ligament and degenerative osteophyte formations in the anterior and posterior corners of the vertebral corpus were observed. The findings are compatible with juvenile rheumatoid arthritis, which is stated in the clinical preliminary diagnosis. Left-facing scoliosis was observed at the upper thoracic level.
Left-facing scoliosis at the upper thoracic level, diffuse entosopathies compatible with juvenile rheumatoid arthritis in cervicothoracic vertebrae, narrowing of disc spaces, and multi-segmental height losses in vertebral corpuscles.
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train_7242_a_1.nii.gz
Bronchiectasis?
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. 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 3 mm nonspecific nodule was observed adjacent to the major fissure in the lower lobe of the right lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Millimetric nonspecific nodule in the right lung
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train_7243_a_1.nii.gz
pneumonia, control
Transverse sections of 1.5 mm thickness obtained without IV contrast material were evaluated.
Bilateral nodular gynecomastia was 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. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. No enlarged lymph nodes in pathological dimensions were detected. No pathological increase in wall thickness was detected in the esophagus within the sections. Trachea and both main bronchi are normal. There is no obstructive pathology in the trachea and both main bronchi. There are millimetric synthacinar nodules in the posterior subsegment of the right lung upper lobe posterior segment and the left lung upper lobe apicoposterior segment. There is no significant difference in follow-up. A nodule with a diameter of 3 mm located close to the fissure in the left lung lower lobe superior segment, 5 mm in the medial segment of the right lung middle lobe, and a peripheral location of 4 mm in the right lung lower lobe superior segment was observed. There is no significant difference in follow-up. No upper abdominal free fluid-collection was detected in the sections. Degenerative osteophytes were observed in the vertebral plateaus.
Bilateral nodular gynecomastia Atherosclerosis Bilateral millimetric synthacinar nodules Bilateral parenchymal nodules Degenerative bone changes
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train_7244_a_1.nii.gz
Mass in the lung.
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. An irregularly circumscribed mass is observed in the anterior segment of the upper lobe of the right lung. The mass measured approximately 83x73 mm at its widest point. The mass was thought to have invaded the mediastinal pleura and superior vena cava. Apart from this, no mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. Emphysematous changes and locally linear atelectasis were observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 8 mm in short diameter. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
Malignant mass in the upper lobe of the right lung.
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train_7245_a_1.nii.gz
Not given.
Non-contrast sections of 3 mm thickness were taken in the axial plane.
Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Sequelae changes and focal bronchiectasis areas in the middle lobe of the right lung are noteworthy. A 3.5 mm diameter nonspecific parenchymal nodule was observed in the middle lobe of the right lung. Pleuroparenchymal sequelae density increases were observed in both lungs apical. No mass-infiltration was detected in both lung parenchyma. In the left lung inferior lingular segment, band-like sequela fibrotic density increases were observed. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.
Sequelae changes in both lungs, nonspecific parenchymal nodule in the right lung. Focal bronchiectasis in the right lung. No sign of pneumonia was detected.
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train_7245_b_1.nii.gz
Cough, weakness for 3-4 days
Sections were taken without contrast medium and reconstruction was performed at the workstation.
Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are increases in density, minimal structural distortion, and minimal volume loss, which are evaluated in favor of pleuroparenchymal sequelae changes in both lung apexes. Minimal bronchiectasis is observed in both lungs, especially in the central parts. There are sometimes linear atelectasis in both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrating 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 ascending aorta measures 44 mm in anterior-posterior diameter and is wider than normal. The diameters of the aortic arch and descending aorta are normal. The diameter of the main pulmonary artery was 28 mm and was at the upper limit of normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights and alignments are normal. There are bridging osteophytes in the vertebral corpus corners. The neural foramina are open.
Minimal bronchiectasis in the central parts of both lungs. Pleuroparenchymal sequelae changes in both lung apex. Atelectasis in both lungs. Millimetric nodules in both lungs. Minimal fusiform aneurysmatic dilation of the ascending aorta. Minimal thoracic spondylosis.
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train_7246_a_1.nii.gz
Cough
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific nodules are observed in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Several millimetric nonspecific nodules in both lungs.
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train_7247_a_1.nii.gz
Covid pneumonia?
Axial sections with a thickness of 1.5 mm were taken without contrast material and reconstructed at the workstation.
Trachea, both main bronchi are open and no occlusive pathology is detected. Mediastinal main 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 effusion or increased thickness was detected. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. No pathological increase in wall thickness is observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. In the examination made in the lung parenchyma window; Sequela parenchymal changes are observed in the apex of both lungs. In the anterior segment of the upper lobe of the right lung, a focal ground-glass area of approximately 15x13 mm is observed, and the appearance may belong to the early signs of viral pneumonia. Evaluation and follow-up along with clinical and laboratory findings are recommended. No mass lesions were detected in both lung parenchyma. A nonspecific 3 mm nodule is observed in the posterior segment of the right lung upper lobe. Both lung ventilation is natural. In the upper abdominal sections within the image, no solid mass was detected within the borders of non-contrast CT. A diffuse hypodense appearance secondary to hepatosteatosis is observed in liver parenchyma density. No intraabdominal free fluid or loculated collection was detected. No lytic-destructive lesion was observed in the bone structures within the image. Vertebral corpus heights are preserved.
Sequela parenchymal changes in the apex of both lungs, millimeter-sized nonspecific nodule in the posterior segment of the right lung upper lobe. A focal ground-glass density area located in the peripheral subpleural area of the right lung upper lobe anterior segment is observed, and the appearance may belong to the early period of viral pneumonia. Evaluation together with clinical and laboratory findings. and follow-up is recommended. Sliding type mild hiatal hernia at the lower end of the esophagus. Hepatosteatosis.
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train_7248_a_1.nii.gz
Chills, chills, fever.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.
Thoracic CT examination within normal limits
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train_7249_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Irregularly circumscribed soft tissue densities were observed in the retroareolar region (gynecomastia?). 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; Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A mosaic attenuation pattern was observed in both lung lower lobes basal, right lung middle lobe and left lung lingular segment (small airway disease? small vessel disease?). More extensive ground-glass areas were observed on the right in the lower lobes of both lungs. Interlobular septal thickening was observed in the basal segments of the lower lobes of both lungs. When evaluated together with ground glass densities, it was thought that the defined findings might be compatible with cardiac stasis. Millimetric nonspecific parenchymal nodules were observed in both lungs. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial, left lung lingular segment and both lung lower lobe basal segments. Sequelae thickening of the posterior costal pleura in both hemithorax and loculated effusion reaching a thickness of 19 mm in the thickest part of the right hemithorax were observed. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are natural as far as can be observed. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The left adrenal gland was normal and no space-occupying lesion was detected. A high-density lesion area of approximately 30x25 mm in size, which was thought to be associated with the right adrenal gland, was observed (fat-poor adenoma?). In case of clinical necessity, further examination with CT in accordance with the Adrenal protocol is recommended. At the thoracic level, osteophyte formations bridging with each other in the right anterolateral corner and dextroscoliosis with the opening facing left were observed.
Bilateral gynecomastia. Cardiomegaly, calcified atheroma plaques in the aortic arch. Hiatal hernia. Findings consistent with cardiac overload in the lung parenchyma. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). Millimetric nonspecific parenchymal nodules in both lungs, pleuroparenchymal fibroatelectasis sequelae changes. Bilateral posterior costal pleura sequela thickening, loculated effusion on the right. High-density nodular mass lesion thought to be associated with the adrenal gland in the right adrenal gland site (fat-poor adenoma?); In case of clinical necessity, further examination with CT in accordance with the adrenal protocol is recommended. Diffuse idiopathic bone hyperostosis at the thoracic level and left-facing scoliosis.
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train_7250_a_1.nii.gz
Not given.
The examination was carried out without contrast material with a section thickness of 1.5 mm.
CTO is normal. The aortic arch calibration was measured to be approximately 40 mm. It is wider than normal. Pulmonary conus calibration and both pulmonary artery calibrations are normal. Calibration of the aortic arch is natural. Lymph nodes are observed at the lower paratracheal prevascular aorticopulmonary window levels in the mediastinum, the largest of which is measured at the level of the aorticopulmonary window and measures approximately 16x7 mm. It measured 18x6.5 mm in its previous review. No significant difference was detected. No distinguishable lymph nodes from vascular structures were detected at both hilar levels. Thoracic esophagus calibration was normal and no pathological wall thickness increase was detected. Millimetric-sized calcific atheroma plaques are observed in the descending aorta at the level of the aortic arch. In the evaluation of the parenchymal window of both lungs; Calibration of trachea and main bronchus is natural. Lumens are clear. Linear density increases consistent with pleuroparenchymal sequelae are observed in the middle lobe of the right lung. Two ground glass nodules with a diameter of 4 mm in the anterior segment of the upper lobe of the right lung and a diameter of 4 mm in the anterior-posterior transition are observed. In the mediobasal segment of the lower lobe of the right lung , a lobulated contoured nodule with irregular borders measuring 19x9.5 mm in the previous examination is observed at the paravertebral level , measuring approximately 20x10 mm . Mosaic attenuation is observed in the mid-lower zones of both lungs, and it has become more pronounced according to the previous examination. A subpleural nodule with a diameter of 4 mm is observed in the posterior segment caudal of the right lung upper lobe. Again, another nodule with a diameter of 3 mm is observed slightly more caudally. A nodule with a diameter of 3 mm is observed in the medial and lateral transition of the middle lobe. Sequelae changes are observed in the inferior lingular segment of the left lung. No significant pathology was detected in the sections passing through the upper abdomen. Mild degenerative changes are observed in bone structures.
Nodule formations in the right lung, the majority of which were in the ground glass style, which did not differ significantly according to the previous examination. Mild grade in both lungs sequelae changes and mosaic attenuation pattern in the subzones, which is evident according to the previous examination.
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train_7250_b_1.nii.gz
Nodule in the lung, control.
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. There are emphysematous changes in both lungs. A nodule with irregular borders was observed in the peripheral-subpleural area in the mediobasal segment of the lower lobe of the right lung. The nodule measured 24x12mm at its widest point (series 2 cross section 256) (this nodule has a volume of approximately 4500m³ and a maximum area of 393ml²).5ml³ in the second examination). In addition, there are a few millimetric nonspecific nodules in both lungs. There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No lytic-destructive lesions were detected in the bone structures within the sections.
Irregularly circumscribed nodule in the lower lobe of the right lung that increases in size when evaluated together with previous examinations (evaluation with the patient's medical history and tissue diagnosis is recommended).
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train_7250_c_1.nii.gz
Not given.
The examination was carried out without contrast at a slice thickness of 1.5 mm.
CTO is within normal limits. The aortic arch calibration was measured as 26 mm. It is wider than normal. Calibration of the pulmonary trunk and other major vascular structures is normal. Millimetric sized calcific atheroma plaques are observed in the descending aorta in the aortic arch. No lymph node with pathological size and configuration was detected in the mediastinum. A few lymph nodes are observed in the prevascular area and in the subaorticopulmonary window, with the largest measuring approximately 15x7 mm in the aorticopulmonary window. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Sequelae changes are observed at the apical level. Density increases consistent with pleuroparenchymal sequelae are observed in the middle lobe of the right lung. A lobulated contoured nodule with partial air bronchogram is observed in the mediobasal segment in the mediobasal segment of the right lung lower lobe, and its axial plane dimensions were measured as 22x13. Pleuroparenchymal density increments, which are considered compatible with sequelae changes, are observed in the surrounding area and are also present in his previous examination. Sequelae changes are observed in the inferior lingular segment of the left lung. The size of the nodule observed at the mediobasal level in the right lung was measured as 18x9.7 mm in the previous CT examination. There was no significant pleural effusion or pneumothorax appearance 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. Degenerative changes are observed in the bone structure.
Several nodule formations in both lungs with old margins did not differ significantly.
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train_7250_d_1.nii.gz
Not given.
1.5 mm thick non-contrast sections were taken in the axial plane.
Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation. Calibration of other thoracic major vascular structures included in the examination is natural. Heart contour size is natural. A minimal effusion measuring 4.5 mm in its widest part was observed in the pericardial area. 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 both lungs are evaluated in the parenchyma window: A free pleural effusion measuring 12 mm in thickness is observed between the pleural leaves on the right. Prominent interlobular septa were observed in the lower lobes of both lungs, prominent on the right. A newly emerged parenchymal nodule was observed in the medial segment of the middle lobe of the right lung, 13 mm in diameter, located subpleural. Apart from this, 4-5 newly emerged parenchymal nodules were observed in the current examination, the larger one measuring 8 mm in diameter in the right lung lower lobe superior and posterobasal segment. In addition, there is a mass-configured soft tissue lesion in the lower lobe mediobasal segment of the right lung with a long axis of 22 mm in the previous examination and 39 mm in the current examination. Sequelae changes were observed in the left lung inferior lingular segment. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). In addition, a newly emerged soft tissue lesion (lymphadenopathy?) was observed in the current examination measuring 13x7 mm in the parasternal area at the level of the chondral junction of the right 4th rib. 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.
Multiple subpleural parenchymal nodules in the right lung increasing in size and number from previous examination. Distinction in the lower lobes of both lungs, prominent interlobular septa on the right, newly developed pleural effusion on the right. Right parasternal lymphadenopathy? ; has just emerged in the current review.
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train_7250_e_1.nii.gz
Lung ca
Sections were taken without contrast medium and reconstructions were made at the workstation.
The examination of the patient was evaluated together with the previous examinations. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis is observed in both lungs. There is an irregularly circumscribed nodule in the mediobasal segment of the lower lobe of the right lung. It was learned that the described nodule was the primary mass of the patient. The longest diameter of this nodule was approximately 22 mm at its widest point. The metastatic nodule, which was observed in the lower lobe of the right lung in the first examination of the patient and the target lesion was selected, was not observed in this examination. There is a 3 mm diameter nodule in the right lung lower lobe superior segment (series 2, section 100). In the first examination of the patient, it was understood that the metastatic nodules observed other than this had disappeared. There are also stable millimetric nonspecific nodules in both lungs. There is minimal interlobular septal thickening in the right lung, especially in the lower lobe. This view is not specific. However, it was thought to be due to cardiac pathology. There was no finding in favor of pneumonic infiltration in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. When the first examination of the patient was examined, it was understood that lymphadenopathy in the right pulmonary hilus-subcarinal region was the target lesion. The short diameter of this lymphadenopathy was 11 mm. In this examination, 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. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. The neural foramina are open.
Lung ca, nodule with irregular borders in the lower lobe of the right lung, millimetric nodule found to have metastasis in the superior segment of the lower lobe of the right lung, mediastinal and hilar lymph nodes in the follow-up. Minimal peribronchial thickening in both lungs. Stable, millimetric nonspecific nodules in both lungs. Nonspecific interlobular septal thickenings in the lower lobe of the right lung.
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train_7250_f_1.nii.gz
Lung ca.
Sections were taken without contrast medium and reconstructions were made at the workstation.
The patient's examination was evaluated together with the previous examinations. 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 parts of both lungs. There is a nodule with the longest diameter measuring 22 mm in the peripheral area in the medial of the superior segment of the lower lobe of the right lung. It was learned that the described nodule was the primary mass of the patient. There is a millimetric nodule in the superior segment of the lower lobe of the right lung. It was understood that the metastatic nodules observed in the first examination of the patient disappeared except for this nodule described. There are also millimetric nonspecific nodules in both lungs. No appearance compatible with pneumonic infiltration was detected in both lungs. There are minimal emphysematous changes in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta. Lymph nodes were observed in the mediastinum and hilar regions. Some of the described lymph nodes are calcific. In the first examination of the patient, the short diameter of the lymph node, which was observed in the right pulmonary hilus-subcarinal area and the target lesion was selected, was 11 mm. The lymph node, which was observed adjacent to the internal mammary vessel on the right in the first examination of the patient, was not observed in this examination. No pathological wall thickness increase was observed in the esophagus within the sections. No fractures or lytic-destructive lesions were observed in the bone structures within the sections.
Lung ca, nodule with irregular borders in the lower lobe of the right lung, millimetric nodule found to have metastasis in the superior segment of the lower lobe of the right lung, mediastinal and hilar lymph nodes in the follow-up.
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train_7250_g_1.nii.gz
Lung ca
Sections were taken without contrast medium and reconstructions were made at the workstation.
The patient's examination was evaluated together with the previous examinations. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is an irregularly circumscribed nodule medially in the lower lobe of the right lung, which appears to be the patient's primary mass. The described nodule measured approximately 12x22 mm at its widest point (series 2 section 163). There is a millimetric nodule in the right lung lower lobe superior segment (series 2, section 121). The described nodule can also be observed in the first examination of the patient and it has been found that its size has decreased minimally. Therefore, it was thought that metastasis may occur. Apart from the described nodule, it is understood that other nodules observed in the lower lobe of the right lung and evaluated in favor of metastases have disappeared. There are other millimetric nonspecific nodules in both lungs and no difference was found in their number and size. There are localized linear atelectasis and minimal emphysematous changes in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta. No pleural or pericardial effusion was detected. There are lymph nodes in the mediastinum and hilar regions. Some of the lymph nodes are calcific. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The lymph node, which was selected as the target lesion in the first examination of the patient, is observed in the subcarinal area-right pulmonary hilus, and its short diameter was measured 8 mm in its widest part (series 2 section 111). There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No metastatic mass was detected in the bone structures within the sections.
Lung ca, nodule with irregular borders in the lower lobe of the right lung, stable millimetric nodule in the superior segment of the right lung lower lobe Millimetric nonspecific nodules in both lungs Emphysematous changes and atelectasis in both lungs Mediastinal and hilar lymph nodes
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train_7250_h_1.nii.gz
Lung ca.
Sections were taken without contrast medium and reconstructions were made at the workstation.
The patient's examination was evaluated together with the previous examinations. 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. Atheroma plaques are observed in the aorta. There are lymph nodes in the mediastinum and hilar regions, some of which are calcific. No pathologically enlarged lymph nodes were observed. When the previous examinations of the patient were examined, it was understood that some of these lymph nodes were metastatic. It is understood that lymphadenopathy observed in the subcarinal area-right pulmonary hilum in the previous examinations of the patient was selected as the target lesion. In this examination, the short diameter of this lymph node was measured as 8 mm. There is no pathological wall thickness increase in the esophagus within the sections. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a nodular lesion measuring 21 mm in length at its widest point (series 2, section 120) in the medial of the superior segment of the right lung lower lobe. The described appearance was considered to be the patient's primary mass. There is a millimetric nodule in the superior segment of the lower lobe of the right lung. When the previous examinations of the patient were examined, it was learned that this appearance was metastasis. In addition, there are millimetric nonspecific nodules in both lungs. There is no difference in the number and size of these nodules. There are emphysematous changes and occasional atelectasis in both lungs. No appearance compatible with pneumonic infiltration was detected in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fracture or lytic-destructive lesion was detected in the bone structures within the sections.
On follow-up, lung ca, nodule with irregular borders in the right lung lower lobe superior segment, millimetric nodule in the right lung lower lobe superior segment. Mediastinal and hilar lymph nodes. Atherosclerotic changes in the aorta and coronary arteries. Emphysematous changes in both lungs.
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train_7250_i_1.nii.gz
Lung ca.
Sections were taken in the axial plane without contrast material and reconstruction was performed at the workstation.
The examination of the patient was evaluated together with the previous examinations. There is a nodular lesion, which is understood to be the primary mass of the patient, in the peripheral-subpleural area in the medial of the superior segment of the right lung lower lobe. The described nodular lesion measured approximately 21 mm in length at its widest point. Linear density increases and minimal structural distortion were observed in the vicinity of the described lesion. These appearances are also present in the patient's previous examination and no difference was found. There is a millimetric nodule in the superior segment of the lower lobe of the right lung. When the previous examinations of the patient were examined, it was understood that this nodule was a metastatic nodule. Apart from these, there are millimetric nonspecific nodules in both lungs. There was no difference in the appearance and number of these nodules. There are emphysematous changes and local atelectasis in both lungs. No 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. Atheroma plaques are observed in the aorta. The ascending aorta is wider than normal, with an anterior-posterior diameter of 38 mm. No pleural or pericardial effusion was detected. There are lymph nodes in the mediastinum and hilar regions, some of which are calcific. No pathologically enlarged lymph nodes were detected. The short diameter of the lymph node in the subcarinal-right pulmonary hilus, which was the target lesion in the previous examinations of the patient, was measured as 8 mm. No pathological wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.
On follow-up, lung ca, nodular lesion that was found to be the primary mass of the patient in the right lung lower lobe superior segment, stable millimetric nodule in the right lung lower lobe superior segment, mediastinal and hilar stable lymph nodes. Millimetric nonspecific nodules in both lungs. Emphysematous changes in both lungs. Atelectasis in both lungs. Atherosclerotic changes in the aorta and coronary arteries.
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train_7251_a_1.nii.gz
Cough, sore throat.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral ground glass densities are observed in both lungs in a patchy manner, more on the right. Clinical laboratory correlation and follow-up are recommended for Covid-19 viral 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. There is moderate thinning calcification in the right kidney cortical structure. 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.
Peripheral ground-glass densities in both lungs in a patchy fashion, more on the right; Clinical laboratory correlation and follow-up are recommended for Covid-19 viral pneumonia. There is moderate thinning calcification in the cortical structure of the right kidney.
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train_7252_a_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. The aortic arch calibration is 30 mm. It is wider than normal. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mild hiatal hernia is observed. There is thymic tissue in the anterior mediastinum with trigonal configuration and no mass effect. No pathologically sized and configured lymph nodes were detected in the mediastinum and at the hilar level. When examined in the lung parenchyma window; A calcific nonspecific nodule with a diameter of 2 mm is observed at the mediobasal level of the lower lobe of the right lung. Mild sequela changes are observed in the upper lobe posterior segment. A 3x2 mm nodule is observed in the left lung laterobasal segment. Sequelae changes are observed in the middle lobe. It was not found to be compatible with pneumonia in both lungs. No pleural effusion or pneumothorax was observed. In the upper abdominal organs included in the sections, nodular density compatible with the accessory spleen is observed with the spleen in the spleen hilum in isodense appearance. Mild degenerative changes are observed in the bone structure entering the examination area.
No finding compatible with pneumonia was detected
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train_7253_a_1.nii.gz
chest pain
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
Trachea, both main bronchi were evaluated as open. No occlusive pathology was detected in the trachea and both main bronchi. Since the examination was performed without IV contrast agent, mediastinal vascular structures and heart could not be evaluated optimally. Calibration of vascular structures, heart contour and size are natural. Pericardial, pleural effusion is not observed. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma. Millimetric nodules are observed in both lungs, and the largest is 5.5 mm in size in the left upper lobe lingular segment. Ventilation of both lungs is natural. In the upper abdominal sections within the image, the intra-abdominal parenchymal organs could not be evaluated optimally because the examination was performed without IV contrast material, and as far as can be observed, a diffuse hypodense appearance secondary to hepatosteatosis is observed in the liver parenchyma density. There is a hyperdense stone measuring 8 mm in size in the gallbladder lumen. Solid mass was not detected within the borders of CT without contrast. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.
There is no finding in favor of pneumonic infiltration in both lung parenchyma and there are nonspecific nodules in millimetric sizes. Hepatosteatosis . Cholelithiasis
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train_7254_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. There are several small lymph nodes in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; more peripherally located ground glass densities crazy paving patterns are observed in both lungs in a patchy manner. The findings were evaluated in favor of the infectious process. 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.
Covid-19 pneumonia has widely known imaging features. It may cause similar appearance in other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, connective tissue disease. Small calcification in spleen parenchyma. Small lymph nodes in the mediastinum.
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train_7255_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. Millimetric lymph nodes that do not reach the pathological size and configuration are observed in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed. When examined in the lung parenchyma window; There are ground-glass-like density increments in both lungs, which show widespread confluence and are partially consolidated. Ventilation is markedly decreased in both lungs. In places, thickenings are observed in the interlobular septa on this floor. Bilateral pleural effusion, pneumothorax were not detected. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs, including sections; A slight decrease in density, consistent with steatosis, is observed in the liver. The spleen is observed to be enlarged, and there is a centrally located, nonspecific hypodense lesion measuring 15x16 mm in the last sections in the examination area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. Mild degenerative changes are observed in the bone structure.
There are diffuse, partially consolidated, ground-glass-like density increases in the parenchyma that narrow the aeration significantly in both lungs. It is recommended to be evaluated together with clinical and laboratory findings in terms of pneumonic processes, including Covid. Hepatosteatosis. The spleen is engorged, and a centrally located, nonspecific hypodense lesion is observed in the last sections in the examination area.
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train_7256_a_1.nii.gz
Cough, sore throat, fever.
Before IVCM was given, axial plane sections were taken with MDCT and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. There are occasional linear atelectasis 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. 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. There is a sliding type minimal hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are open.
Emphysematous changes in both lungs. Locally linear atelectasis in both lungs. Atherosclerotic changes in the aorta and coronary arteries.
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train_7256_b_1.nii.gz
Not given.
Non-contrast images were taken in the axial plane with a section thickness of 1.5 mm.
CTO is normal. The aortic arch calibration is 33 mm. It is wider than normal. Calibration of other major vascular structures is natural. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. 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. When examined in the lung parenchyma window; A stable subpleural nodule of approximately 4 mm in diameter is observed in the superior segment of the lower lobe of the right lung. Pleuroparenchymal sequelae changes are observed in the lingular segment. There is a mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). No pneumonia, pleural effusion or pneumothorax was detected. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. A cortical cyst is observed in the middle part of the right kidney. An isodense lesion is observed in the exophytic parenchyma with a diameter of approximately 17 mm in the left kidney mid-section posterior. It cannot be characterized in this review. Further examination with MRI is recommended. Calcific density increases are observed in the rotator cuff muscles at the level of the right shoulder girdle. Degenerative changes are observed in the bone structure entering the examination area.
No finding compatible with pneumonia. Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). Mild hepatosteatosis . An isodense lesion in the exophytic parenchyma with a diameter of approximately 17 mm in the left kidney mid-section posterior, which cannot be characterized in this examination. Further examination with MRI is recommended.
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train_7257_a_1.nii.gz
Weakness, fatigue, cough for 3-4 days
Sections were taken without contrast medium and reconstructions were made at the workstation.
Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.
Millimetric nonspecific nodules in both lungs.
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