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again there are multiple metastatic lesions demonstrating mild increase in size and also larger pattern of vasogenic edema more evident on the left temporo-occipital region 4 12 also on the left frontal lobe involving the orbitary gyrus 4 10 the left cerebellar lesion also appears slightly larger and with similar patte... | mild enlargement of the previously demonstrated metastatic lesions larger pattern of vasogenic edema new area of abnormal enhancement noted on the left frontal lobe possibly consistent with a new metastatic lesion and areas of abnormal enhancement demonstrated in the right internal capsule and right caudate nucleus lik... | there is no evidence of acute intra or extraaxial hemorrhage no evidence of major vascular territorial infarction there is no hydrocephalus or shift of normally midline structures the basal cisterns appear patent there is near total opacification of the right maxillary sinus new compared to the previous study there is ... | 1 no evidence of acute intracranial hemorrhage or mass effect 2 sinus findings as above likely inflammatory in origin in view of the history of potential immunocompromised state an opportunistic infection cannot be excluded | opacification of the pulmonary arterial tree is somewhat limited due to poor venous access within this limitation the main and central pulmonary arteries appear well opacified without evidence of large pulmonary embolism small bilateral pleural effusions are seen with associated dependent atelectasis or consolidation a... | 1 limited assessment of the pulmonary vasculature due to poor iv access without evidence of central or large pulmonary embolism 2 heterogeneous renal enhancement correlate with urine culture to assess for pyelonephritis 3 g-j tube bulb within the anterior abdominal wall rectus abdominus muscle 4 small bilateral pleural... | there is atelectasis and scarring at the lung bases bilaterally there is a small hiatal hernia no pleural effusions are seen the noncontrast enhanced liver appears to be within normal limits without focal hepatic lesions identified and the gallbladder is unremarkable the adrenal glands pancreas and spleen are normal th... | thick-walled fluid filled collection in the deep pelvis on the right with obliteration of the adjacent obturator fat it is difficult to differentiate the collection from neobladder and the collection may in fact be part of the ileal loop alternatively and more worrisome this finding could represent interval development... | overall the extent of left thalamic intraparenchymal hemorrhage appears similar measuring up to 4 1 x 1 8 cm 2 19 and extending to the ventricles hemorrhage is seen within the left lateral ventricle predominantly within the frontal ___ as well as within the frontal ___ of the right lateral ventricle and third ventricle... | interval evolution of known left thalamic hemorrhage with slightly increased surrounding parenchymal edema similar appearance of hemorrhagic extension into the ventricle system with mild approximately 2 mm rightward shift of normally midline structures slight asymmetric enlargement of the left lateral ventricle appears... |
the current examination demonstrates increased signal in both thalamic region as well as in the perirolandic region on diffusion and flair images these findings are consistent with anoxic brain injury in addition there is subtle increased signal identified in the cerebellum with bilateral patchy areas of low signal on ... | 1 bilateral thalamic hyperintensities with low signal on adc indicative of ischemia high signal in the perirolandic region bilaterally the combination of changes are suggestive of hypoxic brain injury slow diffusion is seen bilaterally in the cerebellar hemispheres suspicious for infarcts no abnormal enhancement mucosa... | the ventricular system is not dilated there is prosthetic material in the region of the cribriform plate and planum sphenoidale there has been sphenoid and ethmoid disruption there is low attenuation about the midline in the white matter of the frontal lobes inferiorly there is a small area of hyperattenuation within t... | 1 no hydrocephalus 2 post surgical changes in inferior frontal lobes as described above 3 aneurysmal dilatation of mid portion of basilar artery | there is subarachnoid hemorrhage within the medial right frontal lobe and right parietotemporal lobe and within the right sylvian fissure a small amount of hyperdense material along the left parietotemporal region may also represent hemorrhage in the subarachnoid space there is no mass effect or midline shift ventricle... | bilateral right greater than left subarachnoid hemorrhage no herniation or significant mass effect | there is a low-density fluid collection along the left cerebral convexity most concentrated at the vertex there are several areas of high density within this collection as well as layering dependently consistent with acute on chronic subdural hematoma the maximum width of collection is 12mm there is effacement of the s... | 1 acute on chronic left subdural hematoma most concentrated at the vertex with mass effect upon the ipsilateral ventricle and effacement of the subjacent sulci 2 cerebral atrophy | normal cervical lordosis is maintained there is no fracture or dislocation vertebral body heights are maintained disc spaces are preserved portions of the known facial fractures are imaged again details are deferred to the facial bone ct dictated separately please note there is congenital nonunion of the posterior elem... | no traumatic injury to the cervical spine |
again noted is the large intraparenchymal hematoma in the right cerebral hemisphere in the frontoparietal and temporal lobes with mild mass effect on the adjacent body of the right lateral ventricle multiple flair hyperintense areas are noted in the white matter some of which likely represent sequelae of chronic small ... | 1 unchanged large right intraparenchymal hematoma in the right cerebral hemisphere with mild mass effect 2 no definite focus of restricted diffusion in the pons to suggest acute infarct however to correlate with clinical findings as dwi is less sensitive for brainstem infarctions | there has been interval placement of a shunt catheter which approaches through the right frontal lobe and the tip lies in the frontal ___ of the right lateral ventricle small amount of blood is seen along the catheter tract the ventricular size is stable again seen is right-sided parietal encephalomalacia with foci of ... | status post right frontal shunt catheter placement with the tip in the frontal ___ of the right lateral ventricle no hydrocephalus or mass effect | dense confluent consolidations extending from the hila bilaterally in a peribronchial distribution throughout the upper lobes right greater than left are consistent with findings on recent radiographs other scattered foci of predominantly small peribronchovascular opacities are distributed throughout the right middle a... | 1 diffusely dilated fluid-filled small bowel loops down to the rectus sheath tunnel may reflect postoperative ileus though stenosis at the level of the tunnel is another diagnostic consideration 2 apparent flattening of smv mesenteric branches is of unknown etiology but concerning in the setting of recent colectomy for... | soft tissue window images demonstrate no mediastinal fluid or pathologically enlarged mediastinal lymphadenopathy small bilateral pleural effusions are noted lung window images demonstrate prominent bibasilar atelectasis additionally within the right lower lung zone there is a focal opacity which corresponds to the are... | 1 no pulmonary embolism 2 prominent atelectasis at the lung bases bilaterally which was not seen previously 3 opacity within the right mid lung zone corresponds to the area of contusion seen previously and new adjacent atelectasis new opacities within the left mid lung zone may represent focal atelectasis or aspiration... | visualized lung bases are unremarkable absence of intravenous contrast limits evaluation of the abdominal parenchymal organs and vasculature the liver is unremarkable the gallbladder is surgically absent and surgical clips are seen in the gallbladder fossa the pancreas is atrophic several tiny punctate calcifications a... | status post right axillary-popliteal bypass procedure with expected postoperative change seen along the length of the bypass graft no ct evidence of hemorrhage |
there is a surgical defect in the right posterior frontal lobe and extending into the corpus callosum there is residual air in this location minimal enhancement is identified at the surgical site the appearance of these changes is stable since the previous study no new areas of abnormal signal or enhancement are identi... | stable appearance of the brain since the previous study of ___ no evidence of acute infarction | there is no evidence of acute intracranial hemorrhage edema mass mass effect or large vascular territorial infarction the ventricles and sulci are normal in configuration no acute fracture is seen a small mucous retention cyst is present within the right maxillary sinus there is mucosal thickening seen within the sphen... | 1 no acute intracranial process 2 mild sinus disease | the previously visualized right subdural collection has resolved there is relative prominence of the central csf spaces which is unchanged there is no shift of normal midline structures the ventricular size remains stable there are no major vascular territorial infarcts identified there is no intra- or extra-axial hemo... | 1 previous right subdural collection has resolved 2 prominence of the central csf spaces consistent with atrophy | since the previous study the patient has undergone resection of right temporal extra-axial mass there are blood products and postoperative changes in this region there is no significant surrounding restricted diffusion seen to indicate an acute infarct or significant brain trauma no definite residual nodular enhancemen... | status post resection of right temporal lobe extra-axial mass no residual nodular enhancement seen expected post-surgical changes are identified no mass effect or hydrocephalus | patient is status post bilateral mastectomy with bilateral breast implants identified there is no axillary or mediastinal lymphadenopathy identified multiple lung masses seen throughout both lungs are identified the largest at the right lung base measuring approximately 3 3 x 3 9 cm 3 61 and in the right upper lobe 3 3... | 1 no definite evidence of pulmonary emboli 2 extensive lung masses and nodules involving both lungs which appears to have increased when compared to prior exam some of these masses appear to encase the distal segmental pulmonary arteries 3 extensive ground-glass opacity and septal thickening this could represent lympha... |
the ventricles and extra-axial spaces are normal in size there is no evidence of midline shift mass effect or hydrocephalus there are no abnormalities seen on diffusion images or susceptibility images to indicate diffuse axonal injury no areas of brain contusion seen suprasellar and craniocervical regions are unremarka... | no significant abnormalities on mri of the brain without gadolinium | there is no evidence of pulmonary embolism or aortic dissection the heart is enlarged in size there are coronary artery calcifications no significant axillary lymph nodes there are multiple small mediastinal lymph nodes the largest mediastinal lymph node is precarinal and measures 10 mm the lymph nodes are not signific... | 1 there is no evidence of pulmonary embolism 2 the spleen was almost completely imaged there is no evidence of a rupture there is a more mottled appearance of the spleen which may indicate splenic infarcts area in the inferior aspect of the spleen has a more mass- like configuration it could represent a intrasplenic he... | there has been interval placement of an external ventricular drain from a right frontal approach the tip of the drain ends near the third ventricle minimal pneumocephalus and a focus of air within the frontal ___ of the right lateral ventricle are a normal post-procedual expected appearance as previously noted there is... | 1 expected post-procedural changes including mild pneumocephalus 2 no evidence of intraventricular hemorrhage 3 external ventricular drain from a right frontal approach with its tip near the third ventricle | there are no pulmonary artery filling defects to suggest pulmonary embolism additionally there are no secondary signs of embolism including no evidence of right-sided heart strain the heart and great vessels appear unremarkable and there is no pericardial or pleural effusion scattered mediastinal and hilar lymph nodes ... | 1 no pulmonary embolism 2 severe centrilobular and paraseptal emphysema no focal consolidation to suggest pneumonia 3 single focus of mucus impaction in the right upper lobe is of unclear etiology however follow-up ct in ___ months is recommended to evaluate for resolution | comparison is made to study dated ___ ___ large mass involving the right suprahilar and hilar regions is unchanged in size and extent this mass results in greater than 50% luminal compression of the svc but it remains patent there is associated encasement of the right upper lobe pulmonary artery with severe luminal nar... | 1 overall unchanged appearance of the right suprahilar and hilar mass which results in narrowing of the svc and right upper lobe pulmonary arterial branches there is associated obstruction of the anterior and apical right upper lobe segmental bronchi and interval development of right upper lobe collapse 2 pronounced na... |
the brain parenchyma has normal ___-white matter differentiation there is no evidence of acute infarction intracranial hemorrhage space-occupying lesion or mass effect also there are no signs of demyelination no abnormality is noted with regard to basal ganglia brainstem cerebellum and craniocervical junction the paren... | 1 small csf isointense discrete mass in the right posterior fossa likely representing a subarachnoid cyst no enhancing lesions in the brain 2 slightly lobulated focus of contour irregularity of left cavernous carotid segment-correlate with mra head without contrast 2 bilateral small retention cysts involving the maxill... | there is a fluid collection anterior to the left psoas muscle just lateral to the iliac vessel that measured 50 x 18mm this has fluid attenuation that probably represents a postop seroma the bladder is intact with no intraluminal filling defects there is fluid within the cul-de- sac in the dependent portions no oral co... | 1 large paraortic hematoma with active extravasation 2 a fluid collection anterior to the left psoas muscle probably representing a postop seroma 3 ascites 4 slight prominence of the gallbladder with pericholecystic fluid in this setting of ascites cholecystitis is difficult to adequately assess there is evidence of ch... | there is no pathologic axillary mediastinal or hilar lymphadenopathy there are no pleural effusions the heart and pericardium appear normal the lungs are clear the bronchi are patent to the segmental level an endotracheal tube is present which terminates at the level of the clavicles the vascular structures are normal ... | minimally displaced fracture of the left l1 transverse process otherwise unremarkable ct of the chest abdomen and pelvis | there is no evidence of acute intracranial hemorrhage or shift of the normally midline structures the ventricles are small which may be normal for this young patient there is no shift of the normally midline structures the ___-white matter differentiation appears preserved there is a rounded soft tissue density structu... | 1 no evidence of acute intracranial hemorrhage mri may be helpful to assess for diffuse axonal injury 2 opacification of the right mastoid air cells without a definite fracture visualized | bilateral deep brain stimulator leads course through the bifrontal lobes with tips in the thalami associated streak artifact obscures visualization however there is no gross evidence of acute hemorrhage edema mass effect or acute large vascular territorial infarct the ventricles and sulci are prominent consistent with ... | bilateral dbs leads partially obscure visualization however no acute intracranial process identified |
the cerebral sulci ventricles and extraaxial csf containing spaces are enlarged in keeping with age-related generalized volume loss there is no shift of the midline structures the brain parenchyma has normal ___-white matter differentiation multiple flair and t2 white matter foci are seen in the corona radiata perivent... | 1 t2 hypointense focus in the posterior aspect of the left thalamus with slowed diffusion and mild contrast enhancement most likely representing a subacute infarct with regard to enhancement a followup study should be scheduled in four to six weeks to definitely rule out underlying mass such as lymphoma 2 evidence of g... | there is a large area of intraparenchymal hemorrhage in the right parietal lobe that is unchanged in size from prior ct examination from ___ this large intraparenchymal hemorrhage demonstrates a fluid-fluid level and is heterogeneous in nature with dark areas on gradient echo sequences and bright internal areas on t2-w... | 1 evolving large right parietal intraparenchymal hematoma no evidence of extension of hemorrhage no evidence of associated mass | there is no evidence of acute intra- or extra-axial hemorrhage multiple foci of periventricular and subcortical white matter hypodensity are again noted and unchanged consistent with chronic small vessel disease there is no shift of normally midline structures ___ ___-cisterna magna a normal variant is again demonstrat... | stable appearance of the head compared to ___ with no evidence of acute intracranial hemorrhage | comparison is made to a chest x-ray from ___ there is a mild compression deformity of the t3 vertebral body without surrounding paraspinal hematoma which most likely is chronic there is depression of the superior endplate with a small schmorl's node at t6 which also appears chronic this spinal canal appears patent rese... | mild compression deformity of t3 and t6 which are likely old post-surgical changes of the left chest as described above | the skull base through t2 is visualized and there is normal alignment without evidence for fractures or dislocations the vertebral body and disc height is preserved there is no prevertebral soft tissue swelling mastoid air cells and visualized paranasal sinuses are clear interspinous distance is preserved lung apices a... | no fracture or dislocation |
"the study is compared with the most recent cect of ___ as well as previous examination of ___ and a series of studies dating to ___ the study is somewhat limited by persistent patient motion artifact as above as well as the extensive post-surgical changes status post extensive right frontotemporoparietal craniectomy a... | "study somewhat limited by difficulties with patient positioning and motion as well as the extensive post-surgical changes with abundant residual blood products 1 the right-sided extra-axial and scalp fluid collections demonstrate ""simple"" fluid with only thin and discontinuous rim enhancement more suggestive of post... | there are small bilateral pleural effusions right slightly greater than left there are bibasilar dependent atelectases there are no focal liver lesions there are clips in the gallbladder fossa there are extensive aortic calcifications the pancreas has a prominent duct the spleen both adrenals and both kidneys are norma... | no evidence of retroperitoneal hemorrhage | no prevertebral soft tissue abnormality is identified there is marked exaggeration of the normal cervical lordosis no fracture or malalignment is evident there is no gross evidence of an epidural hematoma there is however severe multilevel degenerative disc disease at c3-4 a disc and osteophyte complex causes moderate ... | 1 no acute fracture or malalignment 2 severe degenerative disc disease most severe at the levels of c3 through c5 which predisposes toward spinal cord injury with relatively minor trauma 3 right thyroid nodule | there is now slightly increased density along the tentorium cerebelli this appearance presumably is secondary to the administration of intravenous contrast on the prior day in the setting of renal failure as the visualized major tributaries of the circle of ___ are also slightly hyperdense no definite intracranial hemo... | increased density along the tentorium cerebelli presumably related to the prior day's intravenous contrast administration in the setting of renal failure no mass effect | there is no acute intracranial hemorrhage edema mass effect or major vascular territorial infarction there is no shift of normally midline structures ___-white matter differentiation is preserved unchanged right parietal encephalomalacia with mild ex vacuo dilatation of the occipital ___ of the right lateral ventricle ... | no acute intracranial process if clinical concern exists for acute infarct please note that mri is more sensitive |
the residual left parietal occipital mass measures 3 5 x 3 4 x 6 9 cm today si x ml x ap this shows moderate rim enhancement with subependymal enhancement extending anteriorly into the body of the left lateral ventricle the rim of susceptibility with foci of susceptibility within the residual mass and size are similar ... | 1 rim-enhancing mass in the left parietal occipital lobes with central restricted diffusion similar to prior the restricted diffusion within this mass is similar to the postoperative and preoperative examinations likely representing blood products and residual tumor superinfection of this cavity remains a possiblity th... | there has been interval resolution of the subdural hemorrhage noted layering along the tentorium and along the falx on the prior study there is no new area of subdural or intracranial hemorrhage there is no extra-axial fluid collection the ventricles sulci and cisterns remain enlarged there is no mass effect or midline... | 1 interval resolution of the subdural hemorrhage with no evidence of acute intracranial hemorrhage 2 organizing scalp hematoma overlying the right parietal bone | high-density material in the posterior fossa and within dural venous sinuses is increased compared to the prior study likely residual contrast from the preceding angiogram the configuration of the posterior fossa is unchanged with persistent cerebellar edema and evolving encephalomalacia small foci of hyperdense materi... | 1 increase in high-density material in the posterior fossa and dural venous sinuses following angiography likely related to the procedure and residual contrast rather than new hemorrhage 2 no other area of new intracranial hemorrhage 3 decreased conspicuity of subarachnoid hemorrhage 4 stable appearance of ventricles a... | there is no acute fracture or malalignment lumbar vertebral body heights are preserved with normal alignment a chronic right l3 transverse process fracture is noted the pre and paravertebral soft tissues are grossly normal there is multilevel degenerative change intervertebral disc narrowing is noted at the t12-l1 leve... | 1 no evidence for fracture or malalignment of lumbar spine 2 degenerative change with diffuse anterior bridging osteophytes spanning from l1 through l4 there are multiple discontinuities and disc osteophyte complexes but these appear well corticated and are likely chronic 3 diverticulosis without diverticulitis | there is again evidence of prior left posterior fossa craniotomy with post-surgical changes noted in the left cerebellar hemisphere an approximately 1 6 x 1 2 cm rim-enhancing centrally calcified lesion within the resection bed of the left cerebellum is of unclear etiology an unchanged approximately 4 4 x 3 0 cm extrac... | 1 4 x 3 cm suboccipital rim enhancing fluid collection in the left posterior fossa craniotomy does not appear to contain air and demonstrates no significant interval change 2 1 6 cm rim-enhancing partially calcified lesion in the left cerebellar hemisphere resection bed may represent chronic inflammatory changes status... |
diffusion images demonstrate no evidence of slow diffusion to indicate acute infarct there is severe dilatation of the lateral and third ventricles with a normal fourth ventricle the aqueducts appeared small in its lower portion there is hyperintense foci in the periventricular white matter there is no midline shift se... | severe hydrocephalus with small aqueduct indicative of aqueduct stenosis periventricular white matter hyperintensities could be indicative of small vessel disease no midline shift increased signal along the sulci in occipital lobe could be artifactual or due to increased protein in the csf no evidence of abnormal enhan... | no pathologic axillary mediastinal or hilar lymphadenopathy is seen the heart pericardium and great vessels are normal in appearance the patient is status post a right mastectomy and tram reconstruction surgical clips are seen in this region there is a nodular region of scar in the right axilla unchanged the lungs are ... | 1 no evidence of disease recurrence in the chest abdomen or pelvis 2 diffusely low attenuation liver consistent with fatty infiltration 3 stable osseous lesions as described | a foley catheter is present within the collapsed bladder the uterus is small and atrophied consistent with stated age focal wall thickening and mild inflammatory changes detected in the sigmoid colon in a region of diverticulosis concerning for diverticulitis a second probable focus of concentric wall thickening and mi... | 1 wall thickening and inflammatory stranding within the sigmoid colon in a region of diverticulosis suggesting the presence of mild diverticulitis please note an underlying neoplasm cannot be excluded given the apparent bowel wall thickening in both the sigmoid and rectum and colonoscopy is recommended once the acute s... | ct chest the lung apices are not included there is moderately severe emphysema a punctate hyperdensity within the left upper lobe 2 32 is most consistent with a calcified granuloma unchanged areas of calcification along the pleura of the left upper lobe are also unchanged no other pulmonary nodules are identified the a... | 1 unchanged focal type a dissection 2 unchanged appearance of incomplete thrombosis of the type b thoracic dissection the descending thoracic aorta measures up to 5 6 cm in diameter stable 3 stable size of the infrarenal abdominal aortic aneurysm measuring up to 3 5 cm in diameter the aorta is also dilated at the level... | no acute hemorrhage is seen on this examination there has been interval evolution of an infarct in the right mca territory involving the right insular cortex extending superiorly to the right frontal lobe in the region of the previously-identified diffusion abnormality on mri the dorsal penumbra identified on prior per... | 1 no acute hemorrhage 2 interval evolution of acute infarct in the right insula extending superiorly to the right frontal lobe in the same distribution as identified on prior diffusion-weighted mr imaging |
a shunt has been placed into the frontal ___ of the right lateral ventricle the temporal horns of the lateral ventricles are less dilated compared to the head ct of three hours prior overall the lateral ventricles third ventricle and cerebral aqueduct remain prominent and there is transependymal edema the fourth ventri... | 1 diffuse edema in the cerebellar and occipital white matter concerning for hypertensive encephalopathy clinical correlation recommended 2 small acute infarction in the left parietal subcortical white matter no evidence of acute infarction in the cerebellum 3 slight decrease in dilatation of the lateral ventricles pers... | the patient is status post sternotomy and aortic valve replacement coronary artery calcifications are noted a previously identified mediastinal hematoma has resolved there are small mediastinal lymph nodes less than 10 mm in shortest axis dimension which are not significantly changed the aortic arch is partly calcified... | 1 residual bibasilar opacities most suggestive of scarring likely a sequelae of prior pneumonia 2 similar tracheobronchomegaly and mild bronchiectasis the appearance again suggests mounier-___ syndrome 3 slightly increased size of hypodense lesion in the spleen continued follow up with either ct or ultrasound is recomm... | there is no evidence of fracture or alignment abnormality no prevertebral soft tissue swelling is seen there is no critical spinal canal stenosis or significant degenerative disease brain and torso are better evaluated on scans from the same day | no evidence of fracture or alignment abnormality | direct comparison is made to prior examination dated ___ the lung bases reveal minimal bibasilar atelectasis moderate ascites is identified throughout the peritoneal cavity likely reflecting the patient's known peritoneal dialysis the kidneys appear atrophic again bilateral nonobstructing renal calculi are identified h... | 1 4 mm mid left ureteral calculus without hydronephrosis 2 anterior compression deformity involving the t12 vertebral body as noted swana | the thyroid gland is unremarkable there is no axillary or mediastinal lymphadenopathy by ct size criteria a calcified lymph node is noted in the right hilum the heart and great vessels are unremarkable no pericardial effusions are present the airways are patent down to the subsegmental level the pulmonary arteries are ... | 1 no pulmonary embolism 2 severe emphysema with unchanged bronchiectasis right middle lobe opacities suggest superimposed atypical infectious process or aspiration |
again identified are postsurgical changes consistent with right hemicraniotomy and cranioplasty there is marked leftward shift of normally midline structures of approximately 1 3 cm of midline shift this is not significantly changed when compared to prior exam there is no evidence of acute hemorrhage or infarct there a... | 1 persistent leftward shift of normally midline structures by approximately 1 3 cm 2 no evidence of acute infarct or new hemorrhage findings were discussed with dr ___ ___ by telephone at 1 30 p m | there is no free fluid the rectum prostate and bladder are unremarkable there is an open left inguinal ring containing omental fat | 5 4 x 6 5 cm infrarenal abdominal aortic aneurysm extending to the aortic bifurcation both common iliac arteries are ectatic there is a single right renal artery the left renal artery is surgically absent from prior nephrectomy few too small to characterize hepatic lesions probably cysts | consolidation in the right lower lobe anterior to the lower thoracic spine has improved but not resolved since ___ other smaller more nodular regions of likely infection deep in the posterior sulcus of the right lower lobe have also improved though not cleared entirely there is a new band of atelectasis in the anterior... | 1 no pulmonary emboli or intrathoracic arterial abnormality 2 focal narrowing left subclavian and axillary arteries could be due to thrombus or stricture from indwelling catheter but there is no edema or venous collateralization to suggest that this is hemodynamically significant assessment of intracardiac thrombi woul... | there is no intracranial bleed specifically in the region of the basilar artery there is no hemorrhage identified there are subtle hypodensities bilaterally in the pons similar to the study of ___ there is no shift of normally midline structures no ventricular dilatation or asymmetry and no evidence and no fracture is ... | no acute intracranial bleed | the study is compared with an examination dated ___ the overall appearance is unchanged there is no intra- or extra-axial hemorrhage the midline structures are in the midline and the ventricles and cisterns are unchanged in size and in contour there is no evidence of cerebral edema and the ___-white matter differentiat... | 1 no acute intracranial injury and no significant change since the ___ study 2 chronic inflammatory changes in the paranasal sinuses |
again seen in the medulla of the spinal cord is a 8-mm lesion demonstrating low-signal intensity on t1-weighted images there is no definite enhancement again noted is minimal expansion of the right medulla at this level no other intraaxial lesions are identified the brain parenchyma is unchanged in appearance the ventr... | 8 mm lesion in the medulla is without significant enhancement given this finding and the findings on the mri head from earlier today and the subsequent cervical spine mr diagnostic considerations include a cavernoma that has bled although a metastatic lesion cannot be entirely excluded | there is an area of subacute hematoma seen within the left thalamic region with surrounding hemosiderin deposition there is indentation on the adjacent lateral ventricle identified there is moderate ventriculomegaly seen with mild prominence of temporal horns and prominence of sulci which likely secondary to brain atro... | no evidence of acute infarct chronic hematoma in the left thalamic region with measurement of approximately 2 cm chronic right cerebellar and occipital infarct previous left frontal craniotomy defect brain atrophy | patient is status post right occipital craniectomy with overlying metallic mesh material there is air and surgical packing material in the right posterior cranial fossa 2 10 there are multiple locules of air around the right hemisphere of the cerebellum 2 12 multiple locules of air are also seen in the region of the bi... | 1 status post right occipital craniectomy with overlying mesh material pneumocephalus as described 2 no evidence for hemorrhage midline shift or herniation | as before there is mediastinal and hilar lymphadenopathy the largest lymph node in the mediastinum is located in the pretracheal region and measures 1 3 x 1 8 cm there is a large left axillary lymph node measuring 1 7 x 1 6 cm overall appearance of the lymph nodes is unchanged since the prior study note is again made o... | 1 interval progression of intrathoracic metastatic disease right paramediastinal mass is associated with compression of the right upper lobe bronchus and associated atelectasis 2 evidence for lymphangitic spread of tumor involving the right upper lobe 3 stable appearance of right adrenal metastasis 4 stable appearance ... | again demonstrated in the axial coronal and sagittal planes are fracture lines through the left occipital condyle 401b 18 2 8 with minimal associated callus formation similar in appearance to prior exam in the coronal plane the occipital condyles articulate normally with the lateral masses of the c1 vertebral body and ... | 1 previously seen left occipital condyle fracture with minimal interval healing 2 mild degenerative changes in the cervical spine at c6-c7 and c7-t1 detailed above 3 hypoattenuated and partly calcified 1 4 x 1 1 cm left thyroid lobe nodule essentially stable consider further correlation with thyroid ultrasound 4 caroti... |
patient is status post right craniotomy and frontal lobe resection compared to the previous examination there is now less mass effect resulting from the resection cavity on the right frontal lobe hemorrhagic material still persists along the margins of the resection cavity 3 17 and on post-contrast imaging there remain... | 1 interval decreased compression upon the right lateral ventricle due to decreased mass effect from a right frontal surgical resection and decreased peri-lesional edema however there remains some enhancement along the margin of the resection cavity concerning for residual tumor although a component of this could be pos... | there is a large volume of pelvic ascites a double-j ureteral stent terminates within the bladder in appropriate position a foley balloon is present within a collapsed bladder a large volume of pelvic ascites is noted the uterus rectum and sigmoid colon are grossly unremarkable | extremely limited examination secondary to lack of intravenous and oral contrast and extensive intra-abdominal pelvic ascites 1 moderate bilateral pleural effusions with associated atelectasis 2 large volume of intra-abdominal and pelvic ascites 3 right-sided double-j ureteral stent with moderate associated hydronephro... | there is no evidence of intra- or extra-axial hemorrhage the ventricles cisterns and sulci are unremarkable without effacement there is no mass effect hydrocephalus or shift of the normally midline structures the ___-white matter differentiation appears preserved there is mild mucosal thickening in the ethmoid bilatera... | no evidence of intracranial hemorrhage or acute injury | there is no evidence of pulmonary embolism or aortic dissection extensive vascular calcifications including coronary artery calcifications are noted there is evidence of cabg there are pacemaker leads in the right atrium and right ventricle dense calcifications are noted in the region of the mitral valve there is no pe... | 1 no evidence of aortic dissection or pulmonary embolism 2 small left pleural effusion decreased since ___ left lower lobe atelectasis dfdkq | there is no axillary lymphadenopathy the patient is post median sternotomy and cabg there are coarse coronary artery calcifications there is calcification of the aortic and mitral valves there are no enlarged mediastinal lymph nodes the aorta is coarsely calcified evaluation of the lung parenchyma is complicated by sli... | 1 multiple rounded masses within both kidneys 2 left 1 right differential includes renal cell cancer and lymphoma given history of cml mri can further characterize further evaluation 2 1 cm lobulated splenic mass in the presence of known cml and the above seen renal masses this is nonspecific finding however statistica... |
there is no evidence of acute infarct seen on diffusion images there is no evidence of midline shift mass effect or hydrocephalus the ventricles and extra-axial spaces are normal in size without midline shift mass effect or hydrocephalus there are no territorial infarcts except for subtle periventricular hyperintensiti... | no evidence of acute infarct or enhancing brain lesions no other significant abnormalities on mri of the brain with and without gadolinium | ct angiography of the head demonstrates exuberant calcification and diffuse atherosclerotic disease involving the left distal vertebral artery in the v4 segment the basilar artery and the right distal vertebral artery appear patent in the anterior circulation mild irregularity of the vascular structures are seen in the... | 1 ct angiography of the neck demonstrate diffuse atherosclerotic disease involving the left common carotid artery in the neck with irregularity of the arterial margin bilateral widely patent and proximal internal carotid arteries are noted which could be related to previous surgery clinical correlation recommended no e... | there is a stable appearance of the loculated right subdural fluid collection extending from the right frontoparietal lobe along the superior aspect of the tentorium and under the right temporal lobe right frontoparietal and temporal sulcal effacement minimal leftward shift of the normally midline structures and slight... | stable appearance of the right subdural hematoma | there is no hemorrhage hydrocephalus shift of normally midline structures or evidence of major vascular territorial infarct the ___-white matter differentiation is preserved visualized paranasal sinuses and mastoid air cells remain normally aerated the visualized soft tissues and osseous structures are normal | no hemorrhage dfddp | the urinary bladder rectum distal ureters intrapelvic bowel loops are unremarkable there is no free air in the pelvis there is a small amount of free fluid in the pelvis | 1 acute dilatation of the stomach without obstructive mass there is a transition point between the second and third portions of the duodenum however this may be just functional and not mechanical evaluation with endoscopy after the compression of the stomach could be performed if this patient does not improve the sympt... |
again areas of encephalomalacia are redemonstrated in the left occipital lobe causing ex vacuo dilatation of the left occipital ventricular ___ there is persistent uniform hyperintense pattern along the left occipital lobe likely consistent with mineralization from prior chronic infarction unchanged small chronic infar... | sequelae of prior infarction identified in the left occipital lobe and right frontal lobe as described above no new areas of restricted diffusion are noted to indicate acute or subacute ischemic changes | the sharply marginated elliptical mass at the interface of the left supraaortic mediastinum and upper lobe is separate from both the upper lobe and nearly all the mediastinal structures by intact tissue planes only a very small region of the esophagus is inseparable from the medial margin of the mass 4 32 but at other ... | 1 large paramedian upper chest mass developed over a year in patient with asbestos-related pleural plaques differential diagnosis includes malignant mesothelioma poorly differentiated lung cancer especially large and small cell varieties and malignant teratoma and sarcoma 2 coronary atherosclerosis 3 moderate hiatus he... | there is bilateral atelectasis and small pleural effusions the liver spleen pancreas adrenal glands and left kidney are unremarkable there are two simple cysts within the upper pole of the right kidney the larger of which measures 2 1 cm there is a 5 mm punctate gallstone present without evidence of cholecystitis abdom... | 1 interval expansion of rectus sheath hematoma 2 bibasilar atelectasis and pleural effusions | the heart pericardium and great vessels are stable aortic calcifications are again identified there is no axillary mediastinal or hilar lymphadenopathy the lungs are clear without evidence of consolidations or nodules there are no pleural or pericardial effusions | 1 stable tiny segment viii hypodensity no focal liver lesions identified or evidence of metastatic disease 2 right hydrocele | since the prior study there has been resorption of a large portion of the left-sided pneumocephalus in the postoperative bed causing interval improvement in the mass effect midline shift and subfalcine herniation the remainder of the examination demonstrates no interval change with scattered subarachnoid and subdural h... | interval resorption of left-sided postoperative pneumocephalus causing some improvement in mass effect midline shift and subfalcine herniation no other short interval change |
status post right frontal craniotomy the study is somewhat limited due to motion artifacts there is mild decrease in the flair hyperintense focus in the right frontal region compared to ___ there is also some enhancement noted at the prior surgical site which appears to be smaller compared to the most recent study ther... | 1 mild decrease in the flair hyperintense area and enhancement in the right frontal region at the site of prior surgery 2 no change in the left insular lesion 3 no new lesions 4 left maxillary moderate mucosal thickening | the overall appearance is stable from the prior examination there has been interval reduction in degree of pneumocephalus there continues to be hyperdense material under the craniotomy site on the left there is no new hemorrhage there is stable minimal shift of midline structures and stable sulcal effacement there is a... | no significant change from prior study aside from minimal reduction in postoperative pneumocephalus no new hemorrhage or worsening mass effect | again identified is a drain entering through the right frontal lobe and terminating anterior to the lateral ventricles probable within the corpus callosum it appears unchanged in position there has been no significant interval change in the size of the ventricles there has also been no significant interval change in th... | 1 no significant interval change in the ct appearance of the brain with no change in subdural and subarachnoid hemorrhages 2 intracranial shunt remains unchanged in position with tip in the region of the anterior corpus callosum or anterior interhemispheric fissure | there is a new focus of intraparenchymal hemorrhage in the right temporal lobe posteriorly otherwise the left parietal intraparenchymal hematoma right frontal and temporal lobe subarachnoid hemorrhage and subdural hematoma and diffuse subarachnoid hemorrhage appear unchanged as do the bilateral subdural hematomas inclu... | 1 3 cm diameter new focus of intraparenchymal hemorrhage in the right temporal lobe posteriorly in an otherwise essentially unchanged head ct demonstrating subdural subarachnoid intraventricular and intraparenchymal and epidural hemorrhage | the rectum sigmoid colon bladder uterus and both adnexa are unremarkable no pelvic or inguinal lymphadenopathy is noted | interval decrease of mediastinal lymph nodes no other enlarged lymph nodes noted |
the study is slightly limited by motion artifact there are no areas of abnormal diffusion to indicate acute stroke susceptibility images demonstrate a focus of low signal in the right subcortical white matter corresponding to the lesion seen on the patient's recent ct study of ___ the post-contrast images demonstrate m... | 1 right parietal lobe lesion with susceptibility and questionable adjacent tiny area of enhancement corresponding to the lesion seen on the patient's prior ct study of ___ this likely represents a small focus of hemorrhage possibly with reactive enhancement 2 brain atrophy likely due to hiv disease | the pulmonary arteries are fully opacified with contrast throughout without evidence of pulmonary embolism scattered ground-glass opacities are noted bilaterally but predominantly in the left upper lobe these are nonspecific in nature but concerning for infectious or inflammatory changes with aspiration possible there ... | 1 no pulmonary embolism bilateral pleural effusions right greater than left with bibasilar atelectasis ground-glass opacities predominantly in the left upper lobe raise concern for infectious or inflammatory changes with aspiration possible 2 enhancing soft tissue mass in the anterior mediastinum which contains foci of... | again seen is a intrapelvic fluid collection with houndsfield units greater than that of water the size and density of this fluid collection has not significantly changed since the ___ study and likely represents blood products the distal ureters bladder sigmoid colon and rectum are unchanged in appearance | 1 largee abscess in right abdomen 2 stable pelvic fluid collection these results were discussed with dr ___ ___ at the time of interpretation | there is bowel wall thickening most severe at the cecum and extending into the terminal ileum and ascending colon a delayed scan through this area demonstrates contrast passage into the cecum with persistent thickening of the small bowel wall additionally at the interface of the bowel lumen and wall it is difficult to ... | 1 abnormal thickened bowel wall extending from the terminal ileum through the ascending colon which appears most severe in the cecum there is minor associated fat stranding and small air bubble adjacent to the mural wall it cannot be ascertained whether or not this represents mural gas considerations for the above appe... | the pulmonary arterial tree is minimally opacified with contrast due to technical factors with timing of the contrast bolus however there is no central or first-order arterial branch pulmonary embolus subsegmental thrombus is unlikely but filling in the distal branches is less optimal there is no acute aortic abnormali... | 1 thrombus at the confluence of the splenic and superior mesenteric veins extending into the smv and many of its tributaries findings concerning for ischemia of several loops of small bowel in the left lower quadrant likely secondary to venous infarct 2 thrombus at the origin of the left portal vein extending into both... |
artifacts obscure the right posterior temporal lobe in the posterior fossa on the diffusion images no acute infarct seen in the visualized portions of the brain extensive hyperintensities are visualized in both cerebellum and in the periventricular region with chronic lacunes in both thalami and increased signal in the... | 1 bilateral shunt catheters identified with slight decrease in ventricular size compared with ___ ct but remains slightly larger compared to the mri of ___ 2 no acute infarct seen or mass effect noted 3 extensive white matter hyperintensities in shunt catheters | there is no axillary hilar or mediastinal lymphadenopathy a nasogastric tube is noted tip within the stomach compared to the previous examination the pneumomediastinum has resolved there are some linear foci of gas within the hiatal hernia uncertain whether the gas is located between rugal folds or whether these may be... | 1 interval resolution of pneumomediastinum some residual linear foci of gas within the hiatal hernia may be either intraluminal or intramural 2 interval increase in size of bilateral pleural effusions now moderate in size slight interval increase in extent of bibasilar areas of consolidation 3 please see complete repor... | the study is limited by motion artifact there is no evidence of hemorrhage mass effect hydrocephalus shift of normally midline structures or infarction the density values of the brain parenchyma are within normal limits there is sphenoid ethmoid and maxillary sinus mucosal thickening nasogastric and endotracheal tubes ... | limited study with no abnormalities detected no evidence of hemorrhage or mass effect | there is no intra or extraaxial hemorrhage there is no shift of the normally midline structures no mass effect or major vascular territorial infarcts are seen low attenuation areas in a periventricular distribution are suggestive of chronic microvascular infarctions the csf spaces are prominent consistent with age spec... | no acute intracranial hemorrhage or edema | there are multiple enhancing lesions consistent with metastases the largest lesion in the right cerebellar hemisphere measures 2 7 cm transverse x 1 9 cm ap x 2 cm craniocaudad compared to 2 4 x 1 9 x 2 0 cm previously there is a slight increase in associated edema the lesion volume is 4 656 cm3 on the post-contrast im... | 1 slight interval enlargement of the metastases in the right cerebellar hemisphere 2 probable slight increase in size of pineal region mass 3 multiple smaller metastases appear stable dfdkq |
there are post-surgical changes noted in the right frontal region with areas of gliosis in the right frontal lobe with ex vacuo dilation of the frontal ___ of the right lateral ventricle in addition there are fluid signal intensity areas noted in the inferior frontal lobes likely related to cystic changes there are als... | 1 post-surgical changes with mild dural enhancement and a tiny extra-axial fluid collection in the right frontal and the parietal regions t1 hyperintense areas along with cystic areas are noted in the right inferior frontal lobe without definite enhancement to suggest of enhancing tumor these may represent part of the ... | the study is compared with the recent ___ complete enhanced mr examination of ___ as well as the ___ cranial cta of ___ again demonstrated is the relatively large well-defined and largely avidly enhancing extra-axial mass with broad dural base against the greater ___ of the right sphenoid bone this measures 3 9 ap x 3 ... | pre-operative enhanced examination redemonstrating the large likely meningioma abutting the greater ___ of the right sphenoid bone with associated mass effect upon and vasogenic edema within the subjacent frontal lobe and stable subfalcine and slight uncal herniation mass effect upon the adjacent vascular structures is... | the bladder is minimally distended with fluid and thus not well evaluated the rectum sigmoid colon and opacified loops of small bowel are unremarkable there is no evidence of obstruction calcified fibroids are noted within an atrophic uterus | 1 no evidence of new biliary obstruction new intrahepatic biliary air likely related to stent placement 2 continued resolution of known pancreatitis with decreased peripancreatic stranding peripancreatic fluid collections have decreased in size with the largest collection tracking inferiorly along gerota fascia into th... | the patient is status post right frontal craniotomy with expected postoperative changes including subcutaneous and intracranial locules of air and hemorrhage again seen is a right intraparenchymal hemorrhage with epicenter in the right basal ganglia measuring 7 5 x 3 9 cm similar to prior there is 6 mm of leftward midl... | expected postoperative changes status post craniotomy similar appearance to right intraparenchymal hemorrhage and leftward midline shift | the lung bases are clear without effusion consolidation or nodule heart size is normal there is no pericardial effusion the liver demonstrates a nodular contour consistent with cirrhosis without evidence of gross lesion or intrahepatic biliary dilation on this limited noncontrast enhanced examination a single 2 cm gall... | 1 decreased size and number of left renal stones there is no evidence of hydronephrosis obstructing stone or mass 2 stable post- surgical changes near the left uvj 3 stable nodular liver contour consistent with history of cirrhosis |
motion artifact limits evaluation of detail there are a few small areas of increased flair and t2 signal in the subcortical and periventricular white matter of both cerebral hemispheres these may be related to microvascular ischemia and infarction there is no associated enhancement no diffusion signal abnormality is ev... | no sign of an enhancing intracranial abnormality or infarction to suggest septic emboli from endocarditis dfdgf | abdomen atelectasis is seen at both lung bases there is trace pericardial effusion or thickening the non-contrast appearance of the liver gallbladder pancreas and adrenal glands is unremarkable the spleen is markedly enlarged measuring 20 cm in length numerous hypodensities are seen in both kidneys likely cysts though ... | 1 large intramuscular hematoma in the right buttock extending into the medial right thigh active bleeding cannot be excluded on this noncontrast ct 2 small right pelvic and presacral hematoma no large rp hematoma 3 splenomegaly - please correlate clinically 4 incompletely characterized renal cysts - us may be obtained ... | the study is compared with the most recent enhanced mr examination dated ___ as well as the previous study of ___ there are now a total of 12 nodular rim- or uniformly-enhancing lesions at the left hemispheric ___-white matter junction and in the posterior fossa four such lesions involve the cerebellum alone the majori... | significant interval increase in number size and conspicuity of at least a dozen enhancing and flair-hyperintense lesions superficially located in the supra- and infratentorial compartments many if not all of which may be leptomeningeal thus there is little associated edema or mass effect | there are faint right lower lobe centrilobular nodules which may be consistent with aspiration there are no other nodules consolidations or effusions in the lungs there are coronary artery stent there are no focal liver lesions seen however evaluation is limited without intravenous contrast within these limitations the... | 1 status post sigmoidectomy with diverting ileostomy 2 since prior study of ___ there has been interval development of a loculated fluid collection in the mid abdomen the collection abuts the ventral abdominal wall there is no evidence of enteric communication 3 faint right lower lobe centrilobular nodules which are co... | there is no evidence of hemorrhage edema mass mass effect or large vascular territorial infarction ventricles and sulci are prominent consistent with age-related atrophy there is moderate amount of periventricular and subcortical white matter hypodensities consistent with sequelae of chronic small vessel ischemic disea... | 1 no evidence of acute intracranial process 2 age-related atrophy 3 chronic small vessel ischemic disease |
on the flair sequence there are several areas of increased signal intensity in bilateral frontal parietal temporal and occipital white matter predominantly in the frontoparietal white matter there is also subtle increased signal in the adjacent cortex however there is no mass effect or enhancement in these lesions on t... | 1 multiple areas of flair hyperintensity in bilateral frontal parietal temporal and occipital white matter predominantly in the frontal and parietal lobes with some restricted diffusion no mass effect or enhancement this could most likely represent changes associated with reversible leukoencephalopathy or progressive m... | centered within the right cerebellum there is a 5 4 x 3 cm hyperdense hemorrhage with surrounding edema previously 2 8 x 3 cm this hemorrhage crosses the cerebellar vermis into the left cerebellar hemisphere hyperdense blood is seen within the fourth ventricle extending up into the third ventricle the lateral ventricle... | large parenchymal hemorrhage centered in the right cerebellar hemisphere with intraventricular extension mass effect and hydrocephalus as above increased since 2 hours prior these findings were discussed with dr ___ ___ by dr ___ ___ by telephone at 11 24 p m on ___ | there is no acute fracture or cervical spine dislocation the atlantoaxial atlanto-occipital and bilateral facet articulations are preserved the pre- and paravertebral soft tissues are unremarkable patient is s p remote c4 through c 6 wide laminectomy multilevel degenerative changes with marginal osteophyte formation an... | 1 no acute fracture or alignment abnormality of the cervical spine 2 s p c4 - c6 wide laminectomy however multilevel degenerative changes result in moderate canal stenosis and apparent ventral cord flattening at c5- c6 and c6-c7 please note limited sensitivity of ct towards evaluation of intrathecal detail | the lung bases demonstrate a left pleural effusion which is small in size unchanged from the prior study of ___ there is some atelectasis at the left base as well the liver spleen and kidneys are normal in appearance there is a large peripancreatic collection measuring 13 x 6 3 cm with a pigtail catheter present within... | 1 multiple loculated fluid collections in the abdomen which do not appear to be contiguous with one another as described above 2 fluid collections as described above there are no enhancing walls to this fluid collection 3 150 cc drained from the indwelling catheter | discoid atelectasis is present at the right lung base there are no pleural effusions the heart is normal in size without pericardial effusion note is made of a small sliding hiatal hernia | 1 marked increase in complex fluid within right abdomen with features concerning for superinfection if clinically indicated percutaneous aspiration could be performed to assess the nature of this fluid proteinaceous hemorrhagic or serous the differential includes ongoing duodenal microperforation peritonitis spontaneou... |
there are several foci of increased signal on diffusion images some of which appear to have low intensity on adc map but evaluation of the adc map is limited secondary to small size of the abnormality seen on diffusion images these lesions are seen in both occipital lobes and also in the left frontal and parietal regio... | multiple foci of signal abnormalities on diffusion images with occipital lobe with questionable low adc changes and could suggest acute infarcts some of these infarcts are likely subacute in nature seen in the left frontal and parietal region none of this foci demonstrate enhancement no mri signs of an abscess formatio... | there is a burst fracture with loss of height and with retropulsed ossific fragments resulting in protrusion within the spinal canal by 5mm 3 24 involving the l2 vertebral body in addition there is loss of height with superior endplate deformity involving the t12 and the l4 vertebral bodies these fractures appear simil... | 1 burst fracture involving the l2 vertebral body with posterior ossific fragments protruding through the central canal and impinging upon the thecal sac by approximately 5 mm posteriorly ct is not able to provide intrathecal detail comparable to mri and mri is recommended for further evaluation to exclude spinal cord i... | the bladder rectum prostate gland and sigmoid colon are unremarkable there is no free fluid free air or lymphadenopathy within the pelvis there are clips in the left inguinal region | 1 stable subcentimeter pulmonary nodules 2 no evidence of new metastatic disease | the urinary bladder has been removed a neobladder has been constructed which now contains gas as well as a small amount of particulate debris gas is noted within both renal collecting systems with atrophy of the left kidney noted the gas is likely related to reflux from the neobladder surgical clips are seen within the... | 1 post surgical changes status post right hemicolectomy without evidence of bowel obstruction 2 new free intraperitoneal fluid and stranding of the mesentery presumably related to surgery 3 gas and debris within the neobladder which contains a foley catheter correlation with urinalysis may be helpful to exclude an infe... | this study is slightly limited due to diffuse body edema an et tube which is in appropriate position there is an ng tube with the tip within the body of the stomach in good position the heart is within normal limits there is no evidence of pericardial effusions there are mild coronary artery calcifications the aorta is... | 1 bilateral pleural effusions of moderate size 2 patchy opacity in the right lower lobe is consistent with pneumonia 3 moderate amount of ascites mildly dilated gallbladder clinical correlation is recommended no definite abdominal abscess 3 findings consistent with emphysema |
the examination is limited secondary to motion artifact again seen is the heterogeneous 4 4 ap x 4 9 tv x 4 2 cc cm mass centered within the right temporal lobe with surrounding vasogenic edema exerting mass effect on the right lateral ventricle the degree of leftward subfalcine and uncal herniation is unchanged the ma... | 1 heterogeneous right temporal lobe mass with leftward subfalcine herniation and uncal herniation 2 small focus of increased flair signal within the left occipital lobe which is not completely evaluated repeat mri is recommended for further evaluation | there is no intracranial hemorrhage shift of normally midline structures or evidence of acute major vascular territorial infarct ventricular and sulcal caliber appear stable the surrounding osseous structures appear unremarkable without evidence for fracture a small mucus retention cyst is noted in the left maxillary s... | no intracranial hemorrhage or edema | there are multiple areas of atelectasis in both lungs including the right and left upper lung lobe 2a 12 there is bibasilar dependent atelectasis 2a 32 with small bilateral pleural effusion somewhat larger on the left and right side the airways are patent no pulmonary nodules or masses are present there are multiple la... | 1 no evidence for primary or metastatic disease in the chest 2 right para-cardiac lymph node increased since the prior study numerous calcified lymph nodes in the chest likely related to prior granulomatous infections such as histoplasmosis or alternatively sarcoidosis 3 liver masses incompletely evaluated two ptc drai... | there is no intracranial hemorrhage there is no mass effect or shift of normally midline structures the ventricles are not enlarged the sulci and cisterns demonstrate no evidence of effacement no abnormal fluid collections are identified the ___-white matter differentiation is preserved bone windows demonstrate opacifi... | 1 structurally normal brain without evidence of fluid collections 2 stable appearance of extensive sinus disease | again demonstrated is an intraventricular drain largely unchanged in position from ___ along the course of the drain there is a tiny punctate area of hemorrhage with a small amount of surrounding edema unchanged there is no significant change in the subarachnoid hemorrhage within the cerebral sulci in the right tempora... | 1 no significant change in the subarachnoid hemorrhage and dependent layering blood within the lateral ventricles 2 slight increase in size of the ventricular system from ___ |
the patient is now status post resection of the left posterior frontal mass post-surgical changes are present in this region there is no definite evidence of residual enhancement no other enhancing lesions are seen within the brain there is a moderate amount of residual edema in the surgical bed | no evidence for residual enhancement in the operative bed | a right temporal intraparenchymal hemorrhage is redemonstrated the main superior hyperdense focus measures 37 x 21 mm and an adjacent inferior hyperdense lesion measures 27 x 20 mm there is a mild amount of neighboring edema and mild local mass effect mild effacement of the occipital ___ of the lateral ventricle is pre... | 1 unchanged right temporal hemorrhage with neighboring edema and mild local mass effect 2 stable trace blood within the left parietal subarachnoid space and the left occipital ___ of the lateral ventricle | the 24 mm round well-circumscribed lesion in the left pons and middle cerebellar peduncle again causes some indentation on the left ventrolateral aspect of the fourth ventricle there is no midline shift there is again a fluid-fluid level the more superior portion showing t2 hyperintensity this may represent serum with ... | additional sequences raise the question of a serum blood level in this left middle cerebellar peduncle lesion although an acute hematoma is not completely consistent with the patient's symptoms in the setting of chronic hematoma more hemosiderin and surrounding ferritin would be expected but an occult associated avm is... | compared to the prior study from ___ there has been no change a rim-enhancing lesion is seen in the right centrum semiovale periventricular region a second area of enhancement is seen in the left frontoparietal region where postoperative changes are identified overall no significant change is seen in the appearances or... | preoperative study demonstrates rim-enhancing lesion with surrounding edema in the right periventricular region and centrum semiovale with postoperative changes and some enhancement in the left frontoparietal region | a multi-locular hypodense structure is noted within the pelvis 2 63 and meausures approximately 6 2 x 5 4 cm large amount of pelvic free fluid is noted | 1 large amount of intrabdominal pelvic ascites small right pleural effusion 2 hepatic cirrhosis multiple intrahepatic lesions not fully characterized on this non contrast enhanced study but which are highly concerning for metastases vs less likely multi-focal hepatocellular carcinoma given cirrhosis 3 multi-loculated h... |
there are numerous small foci of slow diffusion involving the cortex and white matter of the cerebral hemispheres the lentiform nuclei the right cerebellar peduncle and the cerebellum bilaterally these are consistent with acute infarctions since multiple bilateral vascular territories are involved the etiology is likel... | numerous small acute infarctions throughout the supratentorial and infratentorial brain in multiple vascular territories suggestive of central embolic etiology findings reported to dr ___ at 3 40 p m on ___ | since prior exam pleural effusions have nearly completely resolved with only a mild amount of residual pleural thickening at the bases there is a tiny 3 mm noncalcified pulmonary nodule in the periphery of the right middle lobe 2 5 unchanged coronary artery calcifications are unchanged multiple small lymph nodes in the... | 1 partial small-bowel obstruction with transition point at the site of previous ileostomy takedown in the right lower quadrant 2 slight increased size of infiltrative retroperitoneal mass which encases the right ureter and extends to involve the right psoas muscle right pelvic side wall and inguinal region and now exte... | the patient is status post left-sided craniotomy at the vertex post-surgical changes are noted in the overlying soft tissues flair hyperintense areas are noted in the left frontal lobe from edema gliosis reactive changes there is mild linear enhancement along the falx extending on to the left side of the frontal region... | 1 post-surgical changes with decreased but persistent small fluid collection linear enhancement of the adjacent falx and the dura over the convexity no obvious nodular enhancement to suggest obvious tumor 2 mild mucosal thickening fluid in the ethmoid air cells and left mastoid air cells to a mild extent | there is no intracranial hemorrhage there is no sign of mass mass effect edema or vascular territorial infarction ventricles and sulci are normal in size and configuration visualized osseous structures are normal mild mucosal thickening is seen in the maxillary sinuses bilaterally | no acute intracranial process | again seen is a large anterior pelvic hematoma on the arterial phase there is high-density material tracking in the right pelvis which demonstrates diffusion on the venous phase consistent with areterial extravasation of contrast into the hematoma the overall dimensions of the hematoma are slightly enlarged when compar... | 1 active arterial extravasation into the right pelvis into a large approximately 11 3 x 5 6 cm hematoma 2 pubic symphysis diastasis and slight widening of the left si joint 3 no evidence of traumatic injury to the liver or the spleen or other abdominal viscera 4 nonspecific periportal lymphadenopathy findings were imme... |
the patient is status post right suboccipital craniotomy with associated post- surgical changes including blood products slightly decreased when compared to the prior exam surgical mesh is seen covering the osseous defect there is stable predominantly linear enhancement surrounding the resection cavity site there is a ... | 1 stable focus of enhancement along the posterior superior aspect of the resection cavity site adjacent to the right transverse sinus most consistent with residual tumor 2 status post right suboccipital craniotomy with associated post- surgical changes | the visualized thyroid enhances homogenously an endotracheal tube is seen with its tip 4 2 cm from the carina an orogastric tube is seen with tip and sidehole projecting into the stomach a left internal jugular line tip is seen at the upper svc there is no axillary lymphadenopathy prominent but non-pathologically enlar... | 1 findings concerning for persistent bibasal pneumonia 2 small amount of free in the pelvis a non-specific finding | there is no acute intracranial hemorrhage edema mass effect or large acute territorial infarction the ventricles and sulci are normal in size and configuration hypodensities are seen in the putamina and external capsules bilaterally consistent with sequelae of chronic small vessel ischemic disease the orbits and parana... | 1 no acute intracranial process 2 sequelae of chronic small vessel ischemic disease | as on the study of ___ there is an unchanged irregular mass within the right cerebellar hemisphere at the site of the prior surgery there is thick marginal enhancement as before these findings are concerning for tumor recurrence as there is increased vasogenic edema as on the prior study no new lesions are noted there ... | no change from the examination of ___ pre- radiotherapy study with an enhancing irregular mass within the right cerebellar hemisphere at the site of prior treatment adjacent vasogenic edema is unchanged from the study from ___ | there is marked dilatation of the urinary bladder the transplanted kidney is present within the right hemipelvis the pelvic loops of bowel appear grossly normal | stable appearance of the left peripancreatic fluid no new fluid collections are identified in this limited non-contrast examination |
limited study due to motion artifact there are subtle dwi signal in the pons with no evidence of abnormal signal on adc likely artifaact there are no foci of slow diffusion to suggest acute ischemia no foci of susceptibility artifact to represent hemorrhage there is no abnormal enhancement there are numerous subcortica... | 1 no evidence of acute hemorrhage infarct or abnormal enhancement 2 bilateral mastoid and ethmoid fluid clinical correlation is recommended | again noted is a large prevertebral abscess anterior cervical spine extending from the c4 to c7 vertebrae there has been interval increase in the size of this abscess with almost complete erosion of the adjacent cervical vertebrae erosion is noted of prior placed surgical struts as well in the interval since the prior ... | 1 increase in size of prevertebral abscess at the level of the cricoid cartilage causing complete bone erosion of the adjacent cervical vertebrae extension into the spinal canal is not apparent but cannot be excluded an mri is recommended for further evaluation 2 left maxillary sinusitis these findings were communicate... | there is a right-sided chronic subdural hematoma with linear strands of slightly higher intermediate attenuation measuring approximately 18 mm in its widest diameter 401b 53 there is a leftward shift of midline structures of approximately 7 mm which is not significantly changed since the prior study the extent of the s... | large right-sided subdural hematoma with leftward shift of midline structures the intermediate attenuation is presumed evolving blood products and less likely represent any acute component no significant change since the previous study performed approximately five hours prior findings were posted to the ed dashboard sh... | the ventricular catheter is again seen traversing the left frontal lobe and terminating within the 3rd ventricle in the midline there is interval development of cerebral edema with narrowing of the basal cisternal spaces and sulci there is a small amount of air within the anterior ___ of the left lateral ventricle prob... | intervel development of edema consistent with clinical assessment no new hemorrhage no hydrocephalus findings were discussed with dr ___ of the trauma service at 8 30am on ___ | the lung bases demonstrate bilateral ground-glass opacities with pulmonary arterial engorgement concerning for fluid overload there is a moderate sized simple fluid pericardial effusion evaluation for cardiac compromise is limited due to lack of iv contrast although given findings of mild fluid overload there is a high... | 1 moderate pericardial effusion and signs of fluid overload concerning for heart failure recommend clinical correlation 2 pancreatic cysts better evaluated on recent mrcp 3 left kidney hypo- and hyperdense lesions similar in appearance 4 vascular calcifications 5 normal appendix 6 lucency within the sacrum stable and l... |
the study is moderately limited due to motion artifacts especially on the sagittal t1 and axial flair sequences on the axial flair sequence there are multiple hyperintense areas in the bilateral cerebral white matter subcortical and periventricular in location without significant change on the diffusion-weighted sequen... | 1 three tiny foci hyperintense on the diffusion-weighted sequence in the right parietal lobe white matter left posterior temporal and left parietal lobe without corresponding abnormality on the adc sequence which can represent acute infarcts normalized on the adc these are new since the prior study done on ___ given th... | the liver spleen and gallbladder are unremarkable the pancreas is prominent especially in the region of the pancreatic head there is a moderate amount of peripancreatic fat stranding there is a tiny pocket of air in the region of the ampulla of vater which may represent air within the lumen of the adjacent duodenum or ... | 1 extensive air space disease involving both lungs given the patient's ventilated status this may represent ards or overwhelming pneumonia correlation with the patient's clinical history and follow-up radiographs is recommended 2 peripancreatic inflammatory changes most pronounced in the region of the pancreatic head c... | there is no malalignment of the cervical spine there are extensive degenerative changes that are multilevel and chronic in appearance for example there is narrowing of the atlanto-occiptal interval with degenerative changes there is calcification of the anterior longitudinal ligament there is a fracture of the transver... | 1 left transverse process fracture of t1 no other acute fracture or malalignment of the cervical spine visualized 2 bilateral first rib fractures 3 left apical pneumothorax recommend comparison with chest ct torso from the same date to evaluate extension of pneumothorax extensive subcutaneous emphysema along the upper ... | the liver spleen stomach small bowel adrenal glands and left kidney appear unremarkable atrophic right kidney with mild rim-enhancing normal parenchyma within the upper pole is again noted prior vascular bypass including bifemoral bypass and bypass supplying the left renal artery are again noted and remain patent no fr... | 1 enlargement of known metastatic c7-t1 posterior soft tissue lesion increased size to single left axillary lymph node and increased mediastinal soft tissue surrounding the right bronchus intermedius are all worrisome for progression of disease the right axilla node is atypical for lung cancer and may warrant breast ev... | there is no intra- or extra-axial hemorrhage shift of normally midline structures mass effect or hydrocephalus the density values of the brain parenchyma are preserved no major vascular territorial infarct is identified the ventricles and sulci are normal in caliber and configuration the basal cisterns are not effaced ... | no evidence of intracranial hemorrhage mass effect or fracture findings were discussed with dr ___ ___ at 8 15 p m on ___ |
patient is status post resection of known lesions within the left parietal as well as the right parietal and temporal lobes there are post- surgical changes with foci of hemorrhage and air within the resection cavities and residual vasogenic edema post-operative pneumocephalus overlies the right frontal lobe within the... | 1 enhancement along the margins of the resection cavities in the left parietal and right temporal parietal lobes similar to the pre- operative mri studies while this may represent post- surgical enhancement unusual given the time course residual tumor cannot be excluded 2 nodular focus of enhancement within the right r... | there is no intracranial hemorrhage shift of midline structures or hydrocephalus ___-white matter differentiation is grossly preserved visualized paranasal sinuses are normally aerated | no evidence of acute intracranial process including no intracranial hemorrhage | there are again noted postoperative changes of a right frontal craniectomy there is a drain in the right subdural space unchanged when compared to prior study the size of the hemorrhage is also unchanged the mass effect over the right hemisphere is also unchanged | stable appearance of right subdural hematoma and postoperative changes | there are large bilateral pleural effusions and bibasilar atelectasis the patient is s p median sternotomy and a pacemaker is in place no nodules or masses are identified within the visualized portions of the lungs there is moderate intraperitoneal free air layering anteriorly adjacent to the right lobe of the liver an... | 1 moderate intraperitoneal free air a peg tube is in place in unchanged position since ___ free air is not uncommon in patients with peg tube in place 2 prominent stool within the entire colon and rectum no other small or large bowel abnormality seen 3 bilateral pleural effusions and bibasilar atelectasis 4 diffuse sub... | there is no pneumonia there is no pneumothorax there is a tiny linear opacification in the right mid lung 2 16 could be a tiny atelectasis there is a minimal pleural effusion at the right lung base there is no evidence of aortic dissection there is no pe there is a large pericardial effusion with contrast seen pooling ... | 1 no evidence of aortic dissection or pe 2 large pericardial effusion clinical assessment for tamponade is recommended results were discussed with dr ___ ___ on ___ at 9 00 p m |
there is partial interval resorption of the left parietal hematoma with short t1 effect on the flair sequences suggesting expected interval physiological evolution of blood products minimal interval resolution of flair signal changes surrounding the hematoma is demonstrated there are multiple patchy and confluent foci ... | interval partial resorption of the left parietal hematoma and stable ventricular dimension without evidence of new hemorrhage or infarction no evidence of a mass lesion | there has been slight interval decrease in the axillary adenopathy with largest short axis diameter in the right axilla now 11 mm compared to 20 on prior there has also been interval decrease in the hilar and mediastinal adenopathy for example a pretracheal node measured 10 mm on prior now measures 5 mm 2 21 there has ... | 1 marked decrease in disease burden with complete resolution of pleural effusions marked decrease in the axillary hilar and mediastinal adenopathy 2 marked decrease in the size of intraperitoneal nodal masses 3 no significant change in the bilateral proximal ureteral obstruction and hydronephrosis by the nodal mass | a ventricular catheter enters the right lateral ventricle from a right posterior approach in the interval there has been overall improvement in the extent of hydrocephalus although the third ventricle and occipital and temporal horns remain dilated a large right frontotemporal craniotomy defect is again noted previousl... | 1 interval decrease in size of previously evident right frontotemporal porencephalic cyst resulting increase in size of large intracranial defect there is now mild right-to-left shift 2 foci of relative ___ within the right temporal lobe parenchymal hemorrhage cannot be definitively excluded 3 interval improvement in e... | there is no intracranial mass lesion hydrocephalus shift of normally midline structures major vascular territorial infarct or intracranial hemorrhage the density values of the brain parenchyma are normal the ___-white matter differentiation is preserved the osseous and soft tissue structures are unremarkable the visual... | no acute intracranial process sesha | there is a comminuted fracture through the right iliac ___ with widening of the sacroiliac joint inferiorly this is minimally displaced in addition there are fractures of the inferior and superior pubic rami in the right side of the pelvis there are two large hematomas these have increased in size in the interval since... | 1 large right pelvic hematoma with active contrast extravasation most likely from the internal pudendal artery 2 comminuted fracture of the right iliac ___ with widening of the right sacroiliac joint fractures of the right inferior and superior pubic rami also noted 3 sigmoid diverticulosis 4 calcification of the aorta... |
as noted on the prior ct scan there is a small subdural hematoma on the left overlying the left occipital and left parietal lobes posteriorly the maximum thickness of the hematoma is approximately 5 mm in greatest diameter there is a scalp hematoma overlying the right parietal bone in addition there is mucosal thickeni... | findings consistent with small subdural collection on the left posteriorly as well as subarachnoid blood and small foci of parenchymal hemorrhage | "there is a ventricular drainage catheter present with the tip located in the region of the foramen of ___ the catheter enters through the left frontal lobe the right sided ventricular drain catheter has been removed there has been interval decrease in size of the ventricles the ventricles appear ""slit like"" there ha... | the ventricles appear very small possibly being slit like there is no evidence of a new acute hemorrhage the right frontal and cerebellar hemorrhages have evolved into low density lesions the right craniotomy defect is unchanged | the study is slightly limited by patient's motion most affecting the posterior fossa allowing for the limitation there is interval right temporo-occipital craniotomy at with expected surgical resection of the right temporal mass now seen with small amount of pneumocephalus and tiny amount of hemorrhage in the surgical ... | 1 expected postoperative appearance of right craniotomy with resection of the known right temporal lesion small amount of blood in the surgical site mild surrounding edema but without significant mass effect mild-to-moderate pneumocephalus in the right frontal convexity and the right middle cranial fossa 2 no shift of ... | the small and large bowel are normal there are vascular calcifications throughout the aorta there is no free intraperitoneal fluid there is enlargement of the prostate of 6 9 cm incidental note is made of a small skin lesion in the right anterior thigh that measured 14 x 12 mm there is a dense calcific densities within... | normal evlauation of the pancreas incidental note made of a soft tissue skin lesion in the right anterior thigh above the greater trochanter for which clinical correlation and visual inspection is recommended | the previously identified gas containing pleural collections on the right are not significantly changed in appearance both pigtail catheters appear to be appropriately positioned numerous low attenuation lesions are seen throughout the liver these appear to have increased in size and number from the prior study though ... | the examination is li ited since iv contrast could not be administered 1 apparent interval progression in the size and number of multiple hepatic lesions consistent with worsening metastatic disease 2 no significant change in the appearance of the gas containing pleural collections |
"within the ventral aspect of the left midbrain a minimally enhancing lesion meaures 1 6 x 1 1cm there is little surrounding edema while there is little overall enhancement of lesion there is a more avidly enhancing central ""nidus "" this lesion is located near the sylvian aqueduct however there is no mass effect or e... | new 1 6-cm lesion within the ventral midbrain located near the aqueduct very likely a metastasis and explaining the patient's symptoms though the patient may be at risk for developing obstructive hydrocephalus there is no evicence of such at this time | c1 through c7 are visualized there is preservation of the cervical lordosis without evidence of malalignment there is no acute fracture or prevertebral soft tissue swelling ct is not able to provide intrathecal detail comparable to mri there is multilevel degenerative change with endplate osteophyte formation and loss ... | 1 no acute fracture or malalignment 2 degenerative change as above most significant at c5 through c7 disc-osteophyte complex may predispose this patient to cord injury in the setting of trauma if there is concern for cord injury mri is recommended for further evaluation | the evaluation of this region is significantly impaired secondary to the prosthetic left hip there is free- fluid present in the pelvis the patient is status post colectomy there is no free-air seen the urinary bladder is collapsed and a catheter is visualized inside there is no significant inguinal or pelvic lymphaden... | 1 moderate amount of free-fluid in the abdomen and pelvis 2 moderate bilateral pleural effusions with atelectasis 3 unchanged appearance of gallstones without evidence of cholecystitis 4 splenic and renal cysts 5 left adrenal gland fullness which is unchanged | the patient is post median sternotomy there is atelectasis versus scarring in the lung bases left greater than right noncontrast views of the liver spleen and adrenal glands are normal there is atrophy of the pancreas there is extensive vascular calcification the bowel is nondilated and nonthickened | large inguinal hematoma tracking into the space of retzius anteriorly without iv contrast it is not possible to evaluate for active extravasation or pseudoaneurysm | the body and posterior portion of the corpus callosum are noted to be atrophic there is an absent anterior corpus callosum the upper lateral ventricles are noted to be parallel however the brain parenchymal signal appears normal for the age there is no evidence of hydrocephalus there are no areas of slow diffusion to i... | atrophic body and posterior corpus callosum with an absent anterior corpus callosum signal within the brain parenchyma is normal |
axial flair and t2-weighted sequences demonstrate area of hyperintensity involving the cortex and subcortical white matter seen within the left occipital lobe right posterior temporal right parietal as well as the frontal lobe convexities on both sides none of these demonstrate enhancement there are also no areas of co... | 1 multiple cortical and subcortical white matter changes as mentioned above which do not demonstrate any enhancement or restricted diffusion however an underlying vasculitic process is suspected with multiple infarcts resulting from this abnormality 2 extensive soft-tissue swelling on the left side of the face as menti... | there is no hemorrhage edema mass effect or ct evidence of acute large vascular territory infarction the ___ and white matter are normal in attenuation with differentiation preserved the ventricles sulci and cisterns are normal in size and configuration a small 8 5mm hypoattenuating focus in the left cerebellar hemisph... | no acute intracranial process including no hemorrhage small hypodense lesion in the left cerebellar hemisphere unchanged likely a chronic lacune | evaluation of the pelvis is markedly limited secondary to streak artifact from the right hip prosthesis and left hip screw pelvic fluid is demonstrated evaluation of the osseous structures demonstrates degenerative changes | 1 large ventral hernia containing loculated fluid and small bowel loops with resultant obstruction 2 cirrhotic liver with associated ascites varices periportal adenopathy and splenomegaly | the great vessels are normal in caliber there is no evidence of aortic injury the pulmonary arteries are normal the heart and pericardium are unremarkable there is no pericardial effusion the esophagus is normal the airways are patent to the subsegmental level there is no axillary mediastinal supraclavicular or hilar l... | no acute intrathoracic or intra-abdominal injury | high attenuation material is demonstrated within the sulci of the right frontal lobe left sylvian fissure and sulci of the right temporal lobe consistent with subarachnoid blood additionally a small amount of blood is demonstrated within the left quadrigeminal cistern and a tiny amount of blood is demonstrated layering... | 1 subarachnoid blood within the right frontal and bilateral temporal sulci and left quadrigeminal plate cistern 2 right frontal epidural hematoma with minimal adjacent mass effect no shift of midline structures 3 small amount of intraventricular blood 4 large left high frontal scalp hematoma |
comparison is made to a head mr from ___ as well as a head ct from ___ again seen is an enhancing mass involving the right frontal lobe with central area of apparent cavitation the mass measures approximately 2 7 x 2 7 x 3 1 cm in its traverse ap and craniocaudal dimensions this appears to have minimally increased in s... | large right frontal mass with surrounding edema again visualized the mass may have minimally increased in size compared to ___ | the bladder is collapsed around a foley catheter the prostate gland seminal vesicles rectum and sigmoid colon are unremarkable there is no free air or free fluid within the pelvis no pathologically enlarged pelvic or inguinal lymph nodes are seen | 1 moderate left pleural effusion with enhancement of the adjacent pleural raising concern for empyema small basilar consolidations may represent atelectasis aspiration or infection in the appropriate clinical setting 2 heterogeneous liver enhancement with numerous focal hypodensities some of which appear simple in natu... | the small focal enhancement in the left parasagittal occipital lobe now measures 9 x 7 x 3 mm image 9 89 and 118 58 compared to 15 x 8 x 8 mm previously in ___ there are no significant peri-lesional flair signal abnormalities to suggest parenchyma edema flair signal abnormalities in the right cerebellar hemisphere are ... | 1 mild interval decrease in size of enhancing lesion and surrounding edema at the known left parasagittal occipital metastasis 2 stable multifocal susceptibility artifacts stable right suboccipital post-craniotomy appearance 3 no new enhancing lesion to suggest new intracranial metastasis no acute ischemic changes | in comparison with the most recent mri examination the areas of abnormal enhancement in the right thalamus have been decreased however there are persistent areas of abnormal enhancement involving the splenium of the corpus callosum and right cerebellar hemisphere with extension into the right temporal lobe 16 12 persis... | in comparison with the most recent mri examination there has been mild decrease in the pattern of abnormal enhancement involving the right thalamic region however there are persistent areas with abnormal enhancement in the splenium of the corpus callosum and right cerebellar hemisphere with possible new areas of enhanc... | there is adequate opacification of the pulmonary arterial tree and there is no evidence of pulmonary embolism the main pulmonary artery is mildly enlarged measuring 3 1 cm suggesting an element of underlying pulmonary arterial hypertension the heart is also mildly enlarged though there is no pericardial effusion corona... | 1 no evidence of pulmonary embolus 2 slightly increased bilateral pleural effusions trace on the right and small on the left additionally heterogeneous ground-glass opacities superimposed on the patient's background moderare-severe emphysema suggest an element of pulmonary edema 3 near-complete left lower lobe collapse... |
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