surajkapoor/CT_csv huggingface dataset:
Findings: 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 fluid in the hepatorenal fossa. Normal spleen, pancreas, and adrenal glands. Right kidney simple cyst and too small to characterize hypoattenuating lesions of both kidneys, likely cysts as well. Punctate nonobstructive stone in the left kidney interpolar region. No hydronephrosis. Normal urinary bladder. Left corpus luteum cyst. Normal appearance of the uterus. Small amount of simple attenuation free fluid dependently in the pelvis. Normal right ovary. No evidence of bowel obstruction. Normal appendix. Possible small hiatal hernia. Normal caliber abdominal aorta. Portal, splenic, superior mesenteric veins are patent. No lymphadenopathy in the abdomen or pelvis. No free air. No suspicious osseous lesion. No acute fracture seen.

Impression: 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 aortic aneurysm status post stent graft repair without evidence of endoleak.
Findings: 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 old granulomatous disease in the right hilum and right lung. No pneumonic consolidation. No pleural effusion. No pneumothorax. Abdomen/Pelvis: Diffuse hepatic steatosis. The gallbladder is absent. Normal spleen, adrenal glands, and pancreas. Unchanged surgical clip adjacent to the spleen and small splenule. 5 mm nonobstructing stone at the right ureteropelvic junction, which may have been previously located in the right renal pelvis on the prior examination. No hydronephrosis. Left kidney lower pole simple cyst. Urinary bladder is fully decompressed. Uterus is absent. No large adnexal mass. No evidence of bowel obstruction. Postsurgical changes of partial gastrectomy. No free fluid. No free air. No lymphadenopathy in the abdomen or pelvis. Normal caliber abdominal aorta. Portal veins are patent. Unchanged diffuse sclerosis of the axial and proximal appendicular skeleton.

Impression: 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.
Findings: 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 chest port catheter tip terminating at the superior cavoatrial junction. Heterogenous enhancing mediastinal prevascular lymph node measuring 1.2 cm in short axis diameter, similar in size to prior (series 2, image 146). No supraclavicular or axillary lymphadenopathy. Right superficial breast mass with overlying skin thickening that measures up to 2.1 cm, similar to slightly increased in size compared to 12/16/2022. Interval placement of left-sided Pleurx catheter Small left pleural effusion with left pleural nodularity slightly decreased in size from prior. No pleural nodularity is increased in size, for example a pleural nodule measures 2.7 x 1.5 cm on series 2, image 106). New moderate right-sided pleural effusion with pleural nodularity such as a 7 mm pleural nodule on series 2, image 65). Cyst in the left hemiliver. Left kidney simple cysts and too small to characterize hypoattenuating lesions. Splenic artery calcifications. No suspicious osseous lesion. Exaggerated kyphosis of the thoracolumbar spine. Diffuse skeletal idiopathic skeletal hyperostosis of the thoracic spine.

Impression: 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 leak or fistula. 2. No significant change in size of a a ventral abdominal wall collection without peripheral enhancement.
Findings: 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 with signal characteristics consistent with an adrenal adenoma on the MRI. Normal left adrenal gland. Kidneys enhance symmetrically without hydronephrosis or nephrolithiasis. Partially decompressed urinary bladder. Postsurgical changes of abdominoperineal resection. There is a right lower quadrant parastomal hernia with a closed loop bowel obstruction. There is evidence of bowel ischemia with hypoenhancement of multiple loops of bowel in the hernia sac. There is pseudo feces in multiple loops of bowel proximal to and in the hernia sac. The loops of bowel distal to the hernia sac are decompressed. Small volume ascites in the pelvis, which may be reactive. No lymphadenopathy in the abdomen or pelvis. No free air. Normal caliber abdominal aorta. Portal veins are patent. No suspicious osseous lesion.

Impression: 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.
Findings: 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. Portal veins are patent. Paraesophageal varices. Splenorenal collaterals. Small-to-moderate volume ascites, increased from prior. Normal pancreas and adrenal glands. Mild atrophy of both kidneys, unchanged. Scattered bilateral simple renal cysts and 2 cm hypoattenuating lesions, likely cysts as well. No hydronephrosis. Urinary bladder is fluid-filled containing with indwelling Foley catheter. No evidence of intraluminal thrombus in the bladder. No evidence of active bleeding is seen. Mild prostatomegaly. Prior suprapubic catheter tract is present. No evidence of bowel obstruction. Mild colonic wall thickening, which may be related to portal colopathy. Infrarenal abdominal aortic aneurysm with aortobiiliac stent graft measuring up to 5.6 cm in coronal dimensions, unchanged in size from prior. No evidence of endoleak is seen. No free air. Small subcentimeter inguinal lymph nodes bilaterally, unchanged. Multiple compression deformities throughout the imaged spine with an unchanged fracture cleft of L1 and vertebroplasty changes of L3 and L4.

Impression: No acute process in the abdomen or pelvis.
Findings: 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 Roux-en-Y gastric bypass. The gastrojejunal and jejunojejunal anastomoses appear widely patent with oral contrast seen extending to the mid jejunum. Trace free fluid in the pelvis, likely physiologic. Common abdominal aorta. Portal veins are patent. No lymphadenopathy in the abdomen and pelvis. No suspicious osseous lesion. No acute fracture seen.

Impression: 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.
Findings: 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 related to postcholecystectomy state. Unchanged small hypoattenuating lesion in the inferior spleen, likely benign. Calcified granulomas of the spleen. Normal pancreas, normal adrenal glands. Multiple bilateral renal cysts. No hydronephrosis. Normal urinary bladder. Normal uterus and adnexa. There are postsurgical changes of ileocolic resection with the anastomosis between the neoterminal ileum in the transverse colon seen in the right right lower quadrant. Emanating from the surgical suture line at the anastomosis, there is a multiloculated rim-enhancing fluid collection which extends into the retroperitoneum, right quadratus lumborum, right psoas, right transversus abdominis and right latissimus dorsi. There is a ventral abdominal wall simple fluid collection without peripheral enhancement that measures 13 x 4 cm, unchanged in size from prior. No evidence of bowel obstruction. Moderate hiatal hernia. Surgical sutures of the duodenum, unchanged. Normal caliber abdominal aorta. No lymphadenopathy in the abdomen or pelvis. No free air. No suspicious osseous lesion.

Impression: 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.
Findings: 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. Normal urinary bladder. Status post hysterectomy. Right adnexal cyst. No evidence of bowel obstruction. The appendix is not identified but there is no stranding in the right lower quadrant. Normal terminal ileum. There is a peripherally enhancing fluid collection in the subcutaneous tissues of the left mons pubis that measures 3.0 x 9.6 cm and extends anteriorly and inferiorly to approximately the scan with a sinus tract extending deep to the left perivaginal space. There is surrounding inflammatory stranding. There is involvement of the left rectus abdominis. No free fluid. There is no free air. No lymphadenopathy in the abdomen or pelvis. Normal caliber abdominal aorta. Portal veins are patent. No suspicious osseous lesion.

Impression: 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 hepatic segment 6 metastatic lesion. 4. Stable distal esophageal and gastroesophageal circumferential thickening, in keeping with known gastroesophageal junction adenocarcinoma. 5. Stable left supraclavicular lymph node. 6. Stable small to moderate pericardial effusion. 7. Resolution of previously seen small bilateral pleural effusions.
Findings: 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 appendix. Normal stomach and duodenal sweep. No free fluid. No free air. Normal caliber abdominal aorta. Portal veins are patent. No lymphadenopathy in the abdomen or pelvis. No suspicious osseous lesion.

Impression: 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.
Findings: 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 clear with no suspicious pulmonary nodule. No focal consolidation. No pleural effusion. No pneumothorax. Central airways are patent. Multiple hypoattenuating liver lesions, unchanged in size from prior. For example a segment 7 lesion measures 11 mm in diameter, unchanged from prior (series 5, image 100). Additional other subcentimeter liver lesions are unchanged in size. Normal gallbladder. Unchanged subcentimeter hypoattenuating lesions of the spleen. Normal pancreas and adrenal glands. Normal kidneys. Normal urinary bladder. Calcified fibroid uterus. Normal left adnexa. The right adnexa is not well seen. No evidence of bowel obstruction. Normal appendix. No change in size of a 2.1 cm calcified and spiculated mesenteric mass. No significant change in multiple enhancing foci in the small bowel both on the arterial and portal venous phases, such as a 8mm focus on series 5 image 212 and a 1.8 cm focus on series 5 image, 173). No free fluid. No free air. Bowel caliber abdominal aorta. Portal veins are patent. Unchanged sclerotic lesions of the right iliac bone, right 10th posterior rib, left T10 pedicle/posterior vertebral body. No new lytic or blastic osseous lesion is seen.

Impression: 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.
Findings: 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 left ureter abuts a small retroperitoneal fluid collection that measures approximately 2 x 1.5 cm (series 2, image 112) and is difficult to follow further distally. Normal uterus. No large adnexal mass. Postsurgical changes of descending and sigmoid colectomy with direct colorectal anastomosis. There are multiple mildly dilated fluid-filled loops of small bowel without discrete transition point, compatible with an ileus. Small volume free intraperitoneal air, compatible with recent intra-abdominal surgical procedure. Mild left retroperitoneal and mesenteric ill-defined fluid and stranding. No discrete intra-abdominal fluid collection. Midline surgical skin staples. Persistent left peritoneal thickening and hyperenhancement, likely representing residual peritonitis from prior inflammation from the complicated diverticulitis. Portal, superior mesenteric, and splenic veins are patent. Normal caliber abdominal aorta. No pathologically enlarged lymph nodes in the abdomen or pelvis. No suspicious osseous lesion.

Impression: 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.