findings stringlengths 457 2k | impression stringlengths 27 792 |
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Imaged lung bases are clear.
No focal liver lesion. Normal gallbladder. No biliary ductal dilatation. Normal spleen, pancreas, and adrenal glands.
No hydronephrosis or nephrolithiasis. No perinephric or periureteric stranding. The bladder is decompressed.
No evidence of bowel obstruction. No bowel wall t... | No evidence of an acute process in the abdomen or pelvis. No CT correlate for the patient's symptoms. No nephrolithiasis. |
Mild bibasilar atelectasis. Unchanged 4 mm pulmonary nodule at the right lung base (series 3, image 24). Small amount of fluid in the distal esophagus. Normal heart size.
Normal liver, gallbladder, spleen, pancreas, adrenal glands, kidneys, urinary bladder. The uterus is absent. No suspicious adnexal mass.
N... | 1. No evidence of visceral traumatic injury in the abdomen or pelvis.
2. Known right-sided rib fractures are reported in more completely evaluated on same-day CT chest. |
The lung bases are clear. Heart size is normal without pericardial effusion.
Normal liver, gallbladder, spleen, pancreas, and adrenal glands.
Normal kidneys. No hydronephrosis or nephrolithiasis. Kidneys enhance symmetrically. No perinephric stranding. Urinary bladder is unremarkable. Uterus is present. No... | No evidence of an acute process in the abdomen or pelvis. No nephrolithiasis. No CT evidence of pyelonephritis. |
Imaged lung bases are clear.
Unchanged hepatic cysts with a punctate focus of calcification in the hepatic dome. No suspicious liver lesion. Normal gallbladder. No biliary ductal dilatation. Normal spleen, pancreas, and adrenal glands. Unchanged 1.5 cm calcified splenic artery aneurysm.
No hydronephrosis. B... | No CT correlate for the patient's symptoms. No acute findings in the abdomen or pelvis. |
Imaged lung bases are clear.
Normal appearance of the liver, gallbladder, spleen, pancreas, and right adrenal gland. The left adrenal gland appears slightly hypoplastic but this is unchanged. Normal kidneys without hydronephrosis or nephrolithiasis. Decompressed urinary bladder. Status post hysterectomy. No adn... | No evidence of an acute process in the abdomen or pelvis. No CT correlate for the patient's symptoms. |
Unchanged right basilar atelectasis or scarring.
Normal liver, bladder, spleen, pancreas, and adrenal glands. Bilateral renal cysts. No hydronephrosis or nephrolithiasis. No CT evidence of pyelonephritis. Normal urinary bladder. An intrauterine device in expected position. No adnexal mass.
No evidence of bo... | No acute findings in the abdomen or pelvis.
A preliminary report was given by the on-call radiologist, Dr. Weiner, 10/25/2023, 10:49 PM |
Imaged lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion.
No focal liver lesion. Status post cholecystectomy. Mild intra and extrahepatic biliary ductal dilatation, likely related to postcholecystectomy state, unchanged compared to prior. Normal spleen, pancreas, and adre... | 1. No acute process in the abdomen or pelvis. No nephrolithiasis or hydronephrosis.
2. Appendix measures at the upper limits of normal without any surrounding inflammatory changes or secondary signs of appendicitis.
A preliminary report was given by the radiologist on call on 04/20/2023 at 7:34 PM |
The imaged lung bases are clear. No pleural effusion. Heart size is normal without pericardial effusion.
Normal liver, gallbladder, spleen, pancreas, and adrenal glands. No biliary ductal dilatation.
Kidneys enhance symmetrically. No hydronephrosis or nephrolithiasis. Normal urinary bladder. Normal uterus a... | 1. Expected postoperative changes of Roux-en-Y gastric bypass. No evidence of bowel obstruction. No evidence of extraluminal leak.
2. Moderate amount of stool in the rectum. Otherwise, mild stool burden throughout the rest of the colon.
A preliminary report was given by the radiologist on call on 01/04/2023 ... |
Imaged lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion.
Unchanged cyst in the left hemiliver. No focal liver lesion on this noncontrast examination. Normal gallbladder. No biliary ductal dilatation. Normal spleen and pancreas. Unchanged 2.6 cm right adrenal gland lesi... | 1. 5 mm distal right ureter stone at the pelvic brim, unchanged in position compared to prior, with associated mild periureteric stranding and minimal right hydroureter, slightly improved from prior.
2. Multiple additional unchanged nonobstructing bilateral renal stones.
3. Unchanged right adrenal gland nodule... |
Bibasilar atelectasis. No pleural effusion processes. The imaged heart size is at the upper limits of normal. No pericardial effusion. Partially imaged pacemaker leads.
Multiple scattered hypoattenuating hepatic lesions, likely representing cysts, unchanged from prior. Normal gallbladder. No biliary ductal dil... | No definite acute process in the abdomen or pelvis. Several nondilated loops of small bowel with mild mucosal hyperenhancement and without bowel wall thickening, surrounding inflammatory changes, or evidence of obstruction or ischemia. Findings are nonspecific but could be seen with an enteritis.
The findings we... |
Imaged lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion. Normal liver and gallbladder. No biliary ductal dilatation. Normal spleen, pancreas, and adrenal glands.
Bilateral nephroureteral double-J stents in expected position. Moderate right and mild left hydroureteroneph... | 1. Findings suggestive of a partial small bowel obstruction at the small bowel anastomosis in the right lower quadrant with multiple mildly dilated loops of jejunum in the left hemiabdomen, mild dilation of the anastomosis, pseudo-feces proximal to the anastomosis, and decompressed terminal ileum distal to the anastom... |
Bibasilar atelectasis. No pleural effusion. Heart size is at the upper limits of normal. Trace pericardial effusion.
Mild intra and extrahepatic biliary ductal dilatation. Status post cholecystectomy. Normal spleen, pancreas, and adrenal glands.
Lobular appearance of both kidneys. Kidneys enhance symmetrica... | 1. No acute findings in the abdomen or pelvis. Small stool burden in the colon.
2. Postoperative changes of combined posterior and anterior fusion of L4-S1 with a small amount of ill-defined fluid in the subcutaneous tissues overlying the lumbar spine, compatible with small seromatous collections.
The above ... |
Contrast was not given for this examination as the patient's creatinine was 2.2, elevated from baseline.
The lung bases are clear. No pleural effusion. Heart size is normal without pericardial effusion.
Normal noncontrast appearance of the liver. Normal gallbladder, spleen, and pancreas. No biliary ductal dil... | 1. Interval postsurgical changes of resection of the right lower quadrant small bowel mass and small bowel re-anastomosis without evidence of recurrent or metastatic disease in the abdomen or pelvis.
2. Stable post surgical changes of right nephrectomy. |
Chest:
Left subclavian approach left chest wall port catheter tip terminating at the confluence of the brachiocephalic veins. Normal heart size. Moderate coronary calcifications. No pericardial effusion. No supraclavicular, axillary, or mediastinal lymphadenopathy.
Unchanged volume loss, architectural distorti... | Stable posttreatment changes in the right upper lobe without evidence of progressive disease in the chest, abdomen, and pelvis. |
Chest:
Normal heart size. No pericardial effusion. No supraclavicular, axillary, mediastinal lymphadenopathy. Imaged thyroid is normal.
Calcified granuloma in the right lower lobe. New dependent groundglass opacity in the right lower lobe, favored to represent atelectasis. Mild right basilar atelectasis. No ... | Stable posttreatment changes of the rectum with stable small subcentimeter mesorectal and retroperitoneal lymph nodes. No evidence of progressive disease. |
Chest:
Normal heart size. No pericardial effusion. No supraclavicular, axillary, or mediastinal lymphadenopathy. Imaged thyroid is normal. Normal caliber thoracic aorta and main pulmonary artery. Moderate coronary calcifications.
Stable consolidation and groundglass in the left upper lobe, compatible with st... | Stable posttreatment changes in the left upper lobe. No evidence of disease progression in the chest, abdomen, or pelvis. |
Heart size is normal. No pericardial effusion. Right internal jugular approach central venous catheter tip terminating at the superior cavoatrial junction. Mild coronary calcifications. Normal caliber thoracic aorta and main pulmonary artery. No supraclavicular, axillary, mediastinal lymphadenopathy.
Sequela of... | 1. Ill-defined pancreatic head mass with abutment without encasement of the main portal vein and without other vascular involvement.
2. Stable 8 mm short axis aortocaval lymph node, unchanged in size compared to 06/20/2022.
3. Periportal space widening without overt hepatic surface nodularity, suggestive of h... |
Imaged lung bases are clear. No pleural effusion. Imaged heart size is normal without pericardial effusion.
There is periportal space widening without overt surface nodularity. No focal liver lesion. Cholelithiasis without cholecystitis. No biliary ductal dilatation. Normal spleen, pancreas, and adrenal glands... | 1. No evidence of an acute process in the abdomen or pelvis. Specifically, normal appendix and no evidence of inflammatory changes in the abdomen or pelvis.
2. Cholelithiasis without cholecystitis.
3. Periportal space widening without overt hepatic surface nodularity, which is nonspecific but can be seen in t... |
Chest:
Normal heart size. Severe coronary artery calcifications. No pericardial effusion. Normal caliber thoracic aorta and main pulmonary artery. Several small subcentimeter mediastinal lymph nodes. Large calcified right paratracheal lymph node, in keeping with old granulomatous disease No supraclavicular or ax... | 1. Peripheral and lower lobe predominant fibrosis, progressed compared to 07/22/2022, and in a pattern compatible with idiopathic pulmonary fibrosis.
2. Large heterogenous right hemiliver mass with post-treatment changes, better evaluated on the MRI dated 11/28/2022. There are several small hyperattenuating areas... |
Chest:
Normal heart size. No pericardial effusion. Left internal jugular approach port catheter tip terminating in the superior cavoatrial junction. No supraclavicular, axillary, mediastinal, or internal mammary lymphadenopathy. Bilateral breast implants. The left breast implant has flipped with the valve facing... | 1. Increase in size of multiple right-sided rib soft tissue/lytic osseous lesions and associated soft tissue. Stable osseous metastatic disease elsewhere involving the spine and sternum.
2. Decreased small right pleural effusion.
2. No evidence of visceral metastatic disease in the abdomen or pelvis. |
Chest:
Right internal jugular approach port catheter tip terminating at the superior cavoatrial junction. Normal heart size. No pericardial effusion. Normal caliber thoracic aorta and main pulmonary artery. No lymphadenopathy in the chest.
Lungs are clear. No pleural effusion. No pneumothorax. Central airwa... | 1. Interval decrease in size in a para-aortic and a right pelvic sidewall lymph node.
2. Slightly decreased enhancement of the right kidney compared to the left. No evidence of hydronephrosis or pyelonephritis. |
Left adrenal gland nodule measuring 1.9 cm and demonstrates attenuation of approximately -10 Hounsfield units on noncontrast examination and relatively washout greater than 60%, consistent with an adrenal adenoma. Right adrenal gland nodule measuring 1.6 cm with similar imaging characteristics, consistent with an adre... | Bilateral adrenal adenomas. |
Chest:
Normal heart size. No pericardial effusion. Severe coronary artery calcifications. Coronary artery stents. No supraclavicular, axillary, or mediastinal lymphadenopathy.
No focal consolidation. No suspicious pulmonary nodules. Unchanged scarring at the right lung base. No pleural effusion. No pneumoth... | 1. No evidence of visceral metastatic disease in the chest, abdomen, or pelvis.
2. Grossly stable multifocal osseous metastatic disease involving the spine and pelvis. The osseous metastatic disease has a slightly more sclerotic appearance, which could be related to posttreatment changes. |
Chest:
Left chest wall internal jugular approach chest port catheter tip terminating at the superior cavoatrial junction. Normal heart size. No pericardial effusion. Normal caliber thoracic aorta and main pulmonary artery. Status post right mastectomy and right breast implant. No supraclavicular, axillary, media... | 1. Stable extensive hepatic metastatic disease with extrahepatic extension.
2. Increased peritoneal carcinomatosis and small volume ascites without discrete measurable lesion.
3. Increased tree-in-bud nodularity in the left upper lobe, favored to be infectious/inflammatory in etiology. Recommend attention on ... |
The infrarenal inferior vena cava, bilateral common iliac, bilateral external iliac veins are absent. The suprarenal and hepatic inferior vena cava and hepatic veins are patent. The lower extremities drains through multiple collaterals, the largest of which is a left gonadal vein which drains into the left renal vein... | 1. Absence of the infrarenal inferior vena cava, bilateral common iliac, and bilateral external iliac veins. Multiple collateral vessels drain the lower extremities, the largest of which is a large left gonadal vein which drains into the left renal vein. There is reconstitution of both common femoral vein through co... |
Imaged lung bases are clear. No pleural effusion. Heart size is normal without pericardial effusion.
Normal liver. Status post cholecystectomy. Mild intrahepatic biliary ductal dilatation, similar prior, likely related to postcholecystectomy state. Calcified granulomas the spleen. Normal pancreas and adrenal g... | Post-surgical changes overlie gastric bypass without acute findings in the abdomen or pelvis. |
Bilateral dependent groundglass opacities of the lung bases, likely representing atelectasis. No pleural effusion. Imaged heart size is at the upper limits of normal without pericardial effusion.
Multiple scattered hepatic cysts. No suspicious focal liver lesion. Normal gallbladder. No biliary ductal dilatation... | 1. Complex cystic lesion arising from the right adnexa that measures 4.2 cm, is intermediate attenuation, and has an enhancing wall and suspected mural nodule, concerning for a primary ovarian neoplasm. There are two other adjacent cystic lesions in the right adnexa, favored to represent multiple cysts versus a multi... |
Liver bases are clear. Normal heart size without pericardial effusion.
Normal liver, gallbladder, spleen, pancreas, and adrenal glands. Normal kidneys.
Postsurgical changes of total proctocolectomy with J-pouch. Free fluid and inflammatory stranding in the pelvis. Several small locules of gas adjacent to the ... | 1. Changes of total proctocolectomy with J-pouch with free fluid, inflammatory stranding, and peritoneal thickening in the pelvis, several small locules of extraluminal gas adjacent to the suture line of the J-pouch, and marked bowel wall thickening of a loop of small bowel in the pelvis, which was previously adjacent... |
Imaged lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion.
Normal liver, gallbladder, spleen, pancreas, and adrenal glands. No biliary ductal dilatation.
Mild left hydroureteronephrosis. Thickening and hyperenhancement of the left renal pelvis and left ureter with surrou... | 1. Left pyelitis and cystitis. Mild left hydroureteronephrosis without obstructing radiodense stone seen. 2 mm nonobstructive stone in the left kidney lower pole.
2. Status post prostatectomy with two lenticular fluid collections in the extraperitoneal pelvis. There is mild peripheral enhancement of the anterio... |
Imaged lung bases are clear. No pleural effusion. Normal heart size.
The liver, gallbladder. Possible granulomas of the spleen. Normal pancreas, and adrenal glands. Normal kidneys. No hydronephrosis or nephrolithiasis. Normal urinary bladder. Status post hysterectomy. No large adnexal mass.
No evidence o... | 1. No acute process in the abdomen or pelvis.
2. Please see dedicated CT of the lumbar spine for lumbar spine findings.
A preliminary report was given by the on-call radiologist on 01/06/2023, 12:29 AM.
A preliminary report was given by the on-call radiologist on 01/06/2023, 12:29 AM. |
Imaged lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion.
Normal liver. Status post cholecystectomy. No biliary ductal dilatation. Normal spleen, pancreas, and adrenal glands. Normal kidneys. Urinary bladder is decompressed. Normal uterus. Right adnexal physiologic cy... | No acute process in the abdomen or pelvis. Stable postsurgical changes of Roux-en-Y gastric bypass.
A preliminary report was given by the on-call radiologist on 01/06/2023, 12:33 AM. |
Lungs are clear. No pleural effusion. No pneumothorax. Normal heart size. No pericardial effusion. Normal caliber thoracic aorta and main pulmonary artery. No lymphadenopathy in the chest. Sutures in the subcarinal region along the medial right lower lobe may be from prior reported lung resection.
Multiple en... | Stable osseous metastatic lesions and subcutaneous nodules, which were shown to be somatostatin receptor positive on the PET/CT dated 10/17/2022. No evidence of progression of disease. |
Imaged lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion.
Post surgical changes of Roux-en-Y hepaticojejunostomy. Interval removal of a internal/external biliary drain. Mild dilation of the left and right hepatic duct, similar to prior. Pneumobilia. Changes of cholecyste... | 1. Interval removal of left upper quadrant pigtail drainage catheter with decrease in size of both the left lower quadrant and right lower quadrant intraperitoneal rim-enhancing fluid collections.
2. Interval removal of a internal/external biliary drainage catheter with unchanged mild dilatation of the left and ri... |
Chest:
Heart size is at the upper limits of normal. No pericardial effusion. Right internal jugular approach chest port catheter tip terminating at the superior cavoatrial junction. Several small supraclavicular and mediastinal lymph nodes, unchanged in size compared to prior. For example, a left supraclavicular ... | 1. Increased size and number of hepatic metastatic lesions and increased peritoneal carcinomatosis with increase in size of loculated fluid collections in the upper abdomen.
2. New nonocclusive thrombus in the main portal vein extending to the distal superior mesenteric vein. Unchanged occlusion of left portal ve... |
Chest:
Right internal jugular approach port catheter tip terminating at the superior cavoatrial junction. Normal heart size. No pericardial effusion. No subclavicular, axillary, mediastinal lymphadenopathy.
The lungs are clear. No pleural effusion. No pneumothorax. Central airways are patent.
Abdomen/Pelv... | 1. Mixed response of hepatic metastatic disease with increase in size of some lesions and decrease in size of others.
2. Increased peritoneal and omental disease. Of note, there has been increase in size of a peritoneal deposit at the inferior aspect of the right lower quadrant ileostomy.
3. No evidence of met... |
Evolving peripheral wedge-shaped consolidation in the right lower lobe, compatible with an evolving infarct. New small bilateral pleural effusions. Normal heart size. Moderate coronary artery calcifications. No pericardial effusion.
There is new extensive subcutaneous air tracking from the right lateral abdomina... | 1. New extensive subcutaneous air centered in the right suprapubic region and tracking inferiorly to the perineum and superiorly along the right lateral abdominal and chest wall with associated marked body wall edema, highly concerning for a necrotizing soft tissue infection. No discrete fluid collection.
2. Gast... |
Imaged lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion.
Interval placement of a plastic biliary stent with improved but persistent mild intra and extrahepatic biliary ductal dilatation. No focal liver lesion. Normal gallbladder. Calcified granulomas of the spleen, whi... | Interval placement of a plastic biliary stent with improved but persistent mild intra-extra hepatic biliary ductal dilatation. No discrete mass is seen in the periampullary region. No evidence of metastatic disease in the abdomen. |
Imaged lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion.
There is a right lower quadrant anterior abdominal wall hernia at the site of the previous ileostomy containing loops of bowel including the ileal anastomosis. There are multiple dilated loops of bowel proximal to th... | Right lower quadrant anterior abdominal wall hernia at the site of the previous ileostomy with multiple dilated loops of bowel proximal to the hernia sac and decompressed terminal ileum distal to the hernia sac with a stool containing colon. Findings are concerning for a partial small bowel obstruction. |
Mild bibasilar atelectasis. No pleural effusion. Normal heart size without pericardial effusion. Partially imaged pacemaker leads. Bilateral breast implants is unchanged small amount of fluid along the undersurface of the right breast implant.
Geographic hyperenhancement of hepatic segment 6 with associated bili... | 1. Distended Indiana pouch without evidence of surrounding inflammatory changes. Normally enhancing transplant kidney without hydronephrosis. No evidence of a subcutaneous or intra-abdominal abscess.
2. Geographic hyperenhancement of hepatic segment 6 with associated intrahepatic biliary ductal dilatation, in ke... |
Chest:
Interval resolution of the previously seen left upper lobe groundglass opacities. There are new groundglass opacities in the right lower lobe and left lower lobe. Mild bibasilar atelectasis. No pleural effusion. No pneumothorax.
Normal heart size without pericardial effusion. Multiple small mediastinal... | 1. Waxing and waning groundglass opacities in both lungs, most compatible with an atypical infectious process.
2. Unchanged multiple small mediastinal lymph nodes, which may be reactive in the setting of an infectious process or be secondary to the patient's chronic lymphocytic lymphoma. |
Lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion.
Normal liver, gallbladder. No biliary ductal dilatation. Calcified granulomas of the spleen, which is otherwise normal. Normal pancreas and adrenal glands. Left kidney interpolar region exophytic simple cyst. No hydrone... | 1. Short segment benign appearing stricture of the proximal sigmoid colon with fluid filled colon proximally and relatively decompressed distal sigmoid colon.
2. Multiple colonic diverticula, most pronounced in the sigmoid colon, without evidence of active inflammation to suggest acute diverticulitis. |
No focal consolidation of the lung bases. No pleural effusion. Normal heart size without pericardial effusion.
Normal liver, gallbladder. No biliary ductal dilatation. Calcified granulomas in the spleen, which is otherwise normal. Normal pancreas and adrenal glands. Normal kidneys. Decompressed urinary bladde... | Colonic diverticulosis without diverticulitis. |
Chest:
Right internal jugular chest port catheter terminating in the superior cavoatrial junction. Normal heart size. No mediastinal or axillary lymphadenopathy. Small subcentimeter left supraclavicular lymph nodes, unchanged in size compared to prior.
Mild bibasilar atelectasis. No suspicious pulmonary nodule... | 1. Increase in size in hepatic metastatic lesions with new left portal vein thrombus, which may be due to tumor thrombus.
2. Increased peritoneal carcinomatosis and increased in size in right iliac lymphadenopathy.
3. Small volume ascites, similar to slightly increased compared to prior. The size may be due t... |
Mild bibasilar atelectasis. No pleural effusion. Normal heart size.
Mild diffuse hepatic steatosis unchanged. Normal gallbladder. No biliary ductal dilatation. Normal spleen, pancreas, and adrenal glands.
Normal kidneys. Normal urinary bladder.
There is perforated sigmoid diverticulitis with an adjacent ... | 1. Perforated sigmoid diverticulitis with an adjacent 2.6 x 1.4 cm fluid and gas collection consistent with an abscess. The cecum and appendix appear tethered to the area of diverticulitis with surrounding inflammation. |
Small cyst in the inferior right liver. No other focal liver lesion. Normal gallbladder. No biliary ductal dilatation. Normal spleen, pancreas, and adrenal glands. Normal kidneys. Normal urinary bladder.
There is distortion of the mesentery in the midabdomen with findings concerning for a partial small bowel o... | 1. Findings concerning for a partial small bowel obstruction with distortion of the mesentery and multiple loops associated of pseudo feces containing small bowel in the midabdomen. There is may be due to an adhesion. Surgical consultation is recommended. There is a 2.5 cm collection containing air and pseudo-feces ... |
The lung bases are clear. No pleural effusion. Normal heart size. Normal noncontrast appearance of the liver. Normal gallbladder, spleen, pancreas, and adrenal glands.
There is a 4 mm stone either in the urinary bladder floor at the right ureterovesical junction. There is mild right hydronephrosis with strandin... | 1. 4 mm stone located either in the bladder at the right ureterovesical junction with mild right hydroureteronephrosis and mild stranding surrounding the right-sided ureter. This may represent findings of recent stone passage with inflammatory changes or an obstructing stone at the right ureterovesical junction. Addi... |
Mild left basilar atelectasis. No pleural effusion. Normal heart size without pericardial effusion.
Normal liver, gallbladder, spleen, pancreas, and adrenal glands. Multiple small cysts of both kidneys into small to characterize lesions bilaterally, likely cysts as well. No hydronephrosis. Kidneys enhance symme... | No acute process in the abdomen or pelvis. |
The lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion.
There is periportal edema. There is mild generalized peritoneal inflammation. There is small volume ascites in the pelvis as well as hepatorenal fossa. No biliary ductal dilatation. Normal gallbladder. Small amount ... | 1. Periportal edema and mild generalized peritoneal inflammation with small volume ascites in the pelvis as well as the hepatorenal fossa. Findings could be seen with a pelvic inflammatory disease or acute hepatitis. Can consider correlation with gynecologic exam.
2. Left corpus luteum cyst. No evidence of a tu... |
Chest:
Heart size is normal. No pericardial effusion. No supraclavicular, axillary, mediastinal, or internal mammary lymphadenopathy. The thyroid is normal.
Unchanged 4 mm right upper lobe nodule (series 3, image 73). Additional scattered sub-3 mm pulmonary nodules are unchanged in size as well. Sequela of ol... | Stable diffuse sclerotic osseous metastatic disease. No evidence of visceral metastatic disease in the chest, abdomen, or pelvis. |
There is pulmonary embolism in the right upper lobe pulmonary artery extending into segmental branches in the left upper lobe pulmonary artery extending into segmental branches. No definite CT evidence of right heart strain. Normal caliber thoracic aorta and main pulmonary artery. Right internal jugular approach che... | 1. Pulmonary embolism in the right upper lobe pulmonary artery extending into segmental branches and the left upper lobe pulmonary artery extending to the segmental branches. No CT evidence of right heart strain.
2. New moderate right pleural effusion with pleural nodularity, consistent with a malignant pleural e... |
Bronchiectasis and fibrosis of both lung bases, progressed compared to 2013. No pleural effusion. Normal heart size without pericardial effusion.
Normal liver, gallbladder, and spleen. No biliary ductal dilatation. Right adrenal gland lesion measuring 2.7 cm, unchanged in size compared to the MRI dated 2014 and ... | 1. Right lower quadrant parastomal hernia with a closed-loop bowel obstruction with hypoenhancement of several loops of bowel in the hernia sac, consistent with bowel ischemia.
2. Bronchiectasis and fibrosis of both lung bases, progressed compared to 2013 and which may represent a fibrotic nonspecific interstitial... |
Small bilateral pleural effusions, decreased from prior. Calcified granuloma at the right lung base. Imaged heart size is normal. No pericardial effusion.
Cirrhotic morphology of the liver. Unchanged scattered small hypoattenuating lesions of the liver, likely cysts. Cholelithiasis without cholecystitis. Porta... | 1. No evidence of active bleeding. The urinary bladder contains a small amount of fluid without evidence of intraluminal thrombus to suggest prior intraluminal hemorrhage.
2. Cirrhosis with sequela of portal hypertension with increased small to moderate volume ascites.
3. Unchanged infrarenal abdominal aor... |
Imaged lung bases are clear. No pleural effusion. Heart size is normal without pericardial effusion.
Normal liver, gallbladder, spleen, pancreas, and adrenal glands and kidneys. Normal urinary bladder. Normal uterus and both ovaries.
No evidence of bowel obstruction. Normal appendix. Postsurgical changes of... | Expected postsurgical changes of Roux-en-Y gastric bypass. No acute process in the abdomen or pelvis.
A preliminary report was given by the on-call radiologist on 01/09/2023, 9:00 PM. |
Minimal bibasilar atelectasis. No pleural effusion. Slight increase in size of a fluid density lesion in the right cardiophrenic angle, likely representing a pericardial cyst.
Focal fat along the falciform ligament. Status post cholecystectomy. Mild intra and extrahepatic biliary ductal dilatation, likely relate... | 1. Postsurgical changes of right ileocolic resection with increase in size in a multiloculated rim-enhancing fluid collection emanating from the surgical suture line in the right lower quadrant extending into the retroperitoneum, right quadratus lumborum, psoas, and transversus abdominis, suspicious for an anastomotic... |
The visualized lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion.
Diffuse hepatic steatosis. Status post cholecystectomy. Mild extrahepatic biliary ductal dilatation, likely due to postcholecystectomy state. Normal spleen, pancreas, and adrenal glands. Normal kidneys. N... | Peripherally enhancing fluid collection in the subcutaneous tissues of the left mons pubis that extends anteriorly and inferiorly to approximate the skin and with a sinus tract extending deep to the left paravaginal space, consistent with an abscess with surrounding cellulitis. |
Imaged lung bases are clear. No pleural effusion. Heart size is normal without pericardial effusion.
Normal liver, gallbladder, spleen, pancreas, and adrenal glands. Normal kidneys. Urinary bladder is decompressed. Normal appearance of the uterus and both ovaries.
No evidence of bowel obstruction. Normal ... | No acute process in the abdomen or pelvis. |
Partially imaged left thyroid mass measuring up to 5.0 cm with mass effect on the trachea, unchanged in size compared to prior. Several small subcentimeter mediastinal lymph nodes, similar in size to prior. No supraclavicular or axillary lymphadenopathy. Normal heart size. No pericardial effusion.
Lungs are clea... | 1. Stable mesenteric mass with stable multifocal small bowel enhancing lesions, in keeping with with metastatic neuroendocrine cancer.
2. Stable hypoattenuating liver lesions.
3. Stable sclerotic osseous lesions.
4. Stable hyperattenuating thyroid mass with mass effect on the trachea. |
Small bilateral pleural effusions and bibasilar atelectasis, new from prior. Imaged heart size is normal without pericardial effusion. Distal esophageal thickening, increased from prior.
Normal liver, gallbladder, spleen, pancreas, and adrenal glands. Normal kidneys. No hydronephrosis or nephrolithiasis. The le... | 1. Postsurgical changes of descending and sigmoid colectomy with direct colorectal anastomosis with multiple mildly dilated fluid-filled loops of small bowel without transition point, compatible with an ileus.
2. The left ureter abuts a small retroperitoneal fluid collection. No hydronephrosis. |
Chest:
Right internal jugular approach chest port catheter tip terminating at the superior cavoatrial junction. Normal heart size. Small moderate pericardial effusion, similar in size to prior. Left supraclavicular lymph node measuring 6 mm in short axis diameter, unchanged from prior. No axillary or mediastinal ... | 1. Increase in size in a multiloculated cystic pelvic mass, which may represent a metastatic lesion.
2. Increase in small volume ascites.
3. New subtle focus of hypoattenuation in hepatic segment 6, which may represent artifact but is indeterminate. Recommend attention on follow-up. Stable peripheral hepat... |
Chest:
Right breast nodule measuring 1.3 cm with central biopsy clip, likely corresponding to patient's breast cancer. There is right axillary lymphadenopathy. For example a right axillary lymph node measures 2.6 x 2.0 cm with a likely surgical clip at the center. No supraclavicular, left axillary, mediastinal, or... | 1. Right breast nodule, likely corresponding to the patient's biopsy-proven breast cancer.
2. Right axillary lymphadenopathy.
3. No evidence of metastatic disease in the abdomen or pelvis. |
Chest:
Mild cardiomegaly. No pericardial effusion. Unchanged 1.9 cm left thyroid nodule. 10 mm hyperattenuating nodule in the anterior mediastinum, unchanged from prior, likely representing residual thyroid nodule. No supraclavicular or axillary lymphadenopathy.
Small bilateral pleural effusions, increased in ... | 1. No evidence of progression of disease. Stable presumably treated sclerotic osseous metastases.
2. Small bilateral pleural effusions, increased from prior. |
Imaged lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion. Partially imaged likely central venous catheter terminating at the superior cavoatrial junction.
New 1.8 cm hypoenhancing hepatic lesion in segment 5. Pneumobilia. Metallic common bile duct stent in unchanged posit... | 1. Decrease in size of a hypoattenuating mass in the pancreatic head and uncinate process with vascular involvement as described above.
2. New 1.8 cm hypoattenuating lesion in hepatic segment 5, suspicious for a new metastatic lesion. |
Imaged lung bases are clear. No pleural effusion. Heart size is normal without pericardial effusion.
Normal liver, gallbladder, spleen, pancreas, and adrenal glands. Normal kidneys. Partially decompressed urinary bladder. Normal prostate.
There are postsurgical changes of right hemicolectomy. There is a mar... | Multiple dilated loops of small bowel without a discrete transition point. Given the associated markedly distended fluid-filled stomach and fluid in the rectum and sigmoid colon, findings are most compatible with a partial small bowel obstruction. |
Right internal jugular approach chest port catheter tip terminating in the superior cavoatrial junction. Normal heart size. No pericardial effusion. No lymphadenopathy in the chest.
Biapical pleural-parenchymal scarring. Stable 5 mm residual nodule in the right lower lobe, unchanged dating back to 11/02/2021. N... | 1. Stable disease with unchanged serosal and peritoneal deposits and unchanged nodularity of the vaginal cuff. No evidence of new metastatic disease.
2. New tree-in-bud nodularity in the right middle lobe, compatible with an atypical infectious process. |
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