surajkapoor/CT_csv huggingface dataset:
Findings: 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. Normal right kidney. Multiple parapelvic left kidney cyst. No hydronephrosis or nephrolithiasis. Normal urinary bladder. Normal appearance of the uterus and adnexa. No evidence of bowel obstruction. No focal bowel wall thickening. Normal appendix. No evidence of inflammatory changes in the abdomen or pelvis. Small hiatal hernia. Normal duodenal sweep. Normal caliber abdominal aorta. No lymphadenopathy in the abdomen or pelvis. No free fluid. No free air. Portal veins are patent. Multiple compression deformities of the lumbar and lower thoracic spine including moderate compression deformities of L2 and L5, and mild compression deformities of T11 and L4. No suspicious lytic or blastic osseous lesion.

Impression: 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 suggestive of hemorrhage/post-treatment changes, but no evidence of a large hematoma. 3. Trace abdominal ascites. 4. Intraluminal bladder mass measuring 1.5 cm, not substantially changed compared to the CT urogram dated 07/22/2022. Can consider cystoscopy if not already performed for further evaluation. 5. Cystic pancreatic head lesion, better evaluated on the MRI dated 11/28/2022.
Findings: 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 axillary lymphadenopathy. Bilateral gynecomastia. Peripheral and lower lobe predominant fibrotic changes of both lungs with honeycombing at the lung bases. No pleural effusion. No pneumothorax. Abdomen/Pelvis: Heterogenous mass centered in the right hemiliver, difficult to measure but measuring up to 15 cm in maximum length. There are some hyperattenuating areas, likely representing post treatment changes/areas of hemorrhage. Status post cholecystectomy. No biliary ductal dilatation. Trace pneumobilia, decreased from prior. Normal spleen and adrenal glands. Hypoattenuating lesion arising from the pancreatic head measuring up to 8.1 cm, and which is better evaluated on the comparison MRI. No main pancreatic ductal dilatation. No hydronephrosis or nephrolithiasis. Unchanged mild nonspecific perinephric stranding bilaterally. Intraluminal bladder lesion measuring 1.5 cm. No significant bladder wall thickening. Normal prostate. Colonic diverticulosis without diverticulitis the appendix is not identified but there is no inflammatory stranding in the right lower quadrant. No evidence of bowel obstruction. Normal stomach and duodenal sweep. Normal caliber abdominal aorta with severe atherosclerotic calcifications. Trace ascites. No free air. Note is suspicious lytic or blastic osseous lesion. Multilevel degenerative changes of the spine. Mild retrolisthesis of L2 on L3. Median sternotomy wires.

Impression: 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.
Findings: 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 posteriorly, unchanged. Imaged thyroid is normal. No focal consolidation. No suspicious pulmonary nodule. Interval decrease in a small right pleural effusion. No left pleural effusion. No pneumothorax. Abdomen/Pelvis: Normal liver. Cholelithiasis without cholecystitis. No biliary ductal dilatation. Normal spleen, pancreas and adrenal glands. Normal kidneys without hydronephrosis or nephrolithiasis. Normal urinary bladder. Normal uterus and adnexa. Trace free fluid in the pelvis, new from prior no lymphadenopathy in the abdomen or pelvis. Normal caliber abdominal aorta. Portal veins are patent. Colonic diverticulosis without diverticulitis. No evidence of bowel obstruction. Normal appendix. Interval increase in the size of soft tissue lytic lesions involving the right 4th anterolateral and anterior ribs. For example, the right 4th anterolateral rib lesion measures 3.8 x 1.8 cm previously measuring 2.9 x 1.2 cm (series 2, image 74). Additional osseous lesions involving the right anterior 5th, 6th, and 7th ribs and sternum. Grossly unchanged lytic L5 lesion with destruction of the posterior endplate.

Impression: 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.
Findings: 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 airways are patent. Abdomen/Pelvis: Small hiatal hernia containing fluid. Layering hyperdensities in the stomach, likely representing ingested material. Normal liver. Decompressed gallbladder. Normal spleen, pancreas, and adrenal glands. There is slightly decreased enhancement of the right kidney compared to the left. No hydronephrosis is seen. No evidence of pyelonephritis is seen. No hydronephrosis of left kidney. No nephrolithiasis of either kidney. Postsurgical changes of cystoprostatectomy and right lower quadrant ileal conduit formation. No evidence of bowel obstruction. No focal bowel wall thickening. Normal appendix. Normal caliber abdominal aorta. No free fluid. No free air. Interval decrease in size of a left para-aortic lymph node that measures 6 mm in short axis diameter, previously 7 mm (series 2, image 190). Interval decrease in size of a right pelvic sidewall lymph node that measures 3 mm in short axis diameter, previously 6 mm (series 2, image 285). No pathologically lymph nodes in the abdomen or pelvis. No suspicious osseous lesion.

Impression: Bilateral adrenal adenomas.
Findings: 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 adrenal adenoma as well. Imaged lung bases are clear. No pleural effusion. Normal heart size without pericardial effusion. Fluid attenuation lesion left hemiliver, consistent with a cyst. No other focal liver lesion is normal spleen, pancreas, kidneys. Small hiatal hernia. No dilated loops of bowel in the imaged abdomen. No lymphadenopathy in the imaged abdomen. No suspicious osseous lesion.

Impression: 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.
Findings: 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 pneumothorax. Abdomen/Pelvis: Normal liver, gallbladder, spleen, pancreas, and adrenal glands. 10 mm right kidney lower pole nonobstructive stone, unchanged from prior. Multiple other bilateral nonobstructive stones. No hydronephrosis. Normal urinary bladder. Normal appearance of the prostate. Partially imaged penile prosthesis. No evidence of bowel obstruction. No focal bowel wall thickening. Normal appendix. Small hiatal hernia. Normal duodenal sweep. Normal caliber abdominal aorta with dense atherosclerotic calcifications extend into the branch vasculature. No lymphadenopathy in the abdomen or pelvis. No free fluid. No free air. Multiple sclerotic osseous lesions involving multiple vertebral bodies throughout the spine and the pelvis, grossly similar in appearance to prior. The osseous metastatic disease is slightly more sclerotic appearance. Interval postsurgical changes of combined anterior and posterior instrumented fusion and posterior decompression of L2-L3. Unchanged grade 1 anterolisthesis of L4 on L5.

Impression: 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 follow-up.
Findings: 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, mediastinal, or internal mammary lymphadenopathy. Small bilateral pleural effusions, slightly increased from prior. Stable post radiation changes in the anterior right upper and middle lobes. Increased tree-in-bud nodularity in the peripheral left upper lobe (series 3, image 59). No pneumothorax. Abdomen/Pelvis: No substantial change in the appearance of extensive hepatic metastatic disease with confluent hypoattenuating lesions replacing the majority of the right hemiliver. Again seen is direct extrahepatic extension. Status post cholecystectomy. Stable mild intrahepatic biliary ductal dilatation, left greater than right. There is attenuation of the right portal vein, similar to prior. The left and main portal veins remain patent. Unchanged peripherally calcified splenic lesion, likely representing sequela of prior trauma. Normal pancreas. Nodular thickening of both adrenal glands, similar to prior. Left adrenal gland measures up to 1.7 cm, unchanged from prior. Normal kidneys. Urinary bladder is decompressed. Normal uterus. No suspicious adnexal mass. There is increased small volume ascites with increased loculated ascites between small bowel loops in the lower abdomen and pelvis. There is increased peritoneal thickening and omental nodularity without a discrete measurable lesion. No free air. Normal caliber abdominal aorta. No lymphadenopathy in the abdomen or pelvis. No suspicious lytic or blastic osseous lesion.

Impression: 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 collaterals. There are multiple dilated pelvic veins surrounding the uterus. The suprarenal inferior vena cava and hepatic veins are patent. 2. Multiple hyperdensities throughout the colon, some which are metallic density, which may represent medications or ingested material. Recommend correlation with patient's medication history or recent ingested materials.
Findings: 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. Additionally, there are multiple large paravertebral collaterals. There is reconstitution of both common femoral veins through collaterals. There are multiple dilated pelvic veins surrounding the uterus. Imaged lung bases are clear. No pleural effusion. Heart size is normal. Normal liver. Status post cholecystectomy. Normal spleen, pancreas, and adrenal glands. Normal kidneys. Normal urinary bladder. Excreted contrast in the ureters and urinary bladder. Increased enhancement of the uterus, likely due to venous congestion. 2.6 cm physiologic left ovarian cyst. Multiple hyperdensities are seen throughout the colon, some which are metallic. No evidence of bowel obstruction. Normal appendix. Normal stomach and duodenal sweep. Normal caliber abdominal aorta. No lymphadenopathy in the abdomen or pelvis. No free fluid. No free air. No suspicious osseous lesion.

Impression: Post-surgical changes overlie gastric bypass without acute findings in the abdomen or pelvis.
Findings: 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 glands. Normal kidneys. Partially decompressed urinary bladder. The uterus is absent. Postoperative changes of Roux-en-Y gastric bypass. No evidence of bowel obstruction. Normal caliber abdominal aorta. No free fluid. No free air. No evidence of a ventral hernia. Grade 1 spondylolytic spondylolisthesis of L5 on S1 secondary to bilateral L5 pars defects. No suspicious lytic or blastic osseous lesion.

Impression: 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 to a fluid and gas collection on the prior examination. Findings are compatible with a peritonitis and enteritis. 2. Bladder wall thickening without intraluminal gas, favored to be reactive with no direct evidence of fistulous communication.
Findings: 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. Normal spleen, pancreas, and adrenal glands. Small 6 mm enhancing exophytic lesion arising from the right kidney interpolar region (series 2, image 79). Nonobstructive multiple stones or conglomerate of stones in the left kidney interpolar region measuring up to 5 mm. No hydronephrosis. Normal urinary bladder. Multiple cystic lesions arising from the right adnexa, favored to represent multiple cysts versus a multiseptated cyst. The largest measures 4.2 cm, is intermediate attenuation, and has an enhancing wall and suspected mural nodule measuring 10 mm (series 2, image 191). There are two additional adjacent lesions, the largest of which is located more medially, measures 1.9 cm, and is simple fluid attenuation. There is a soft tissue attenuation lesion arising from the left ovary that measures 2.4 cm. Normal appearance of the uterus. Colonic diverticulosis without diverticulitis. No evidence of bowel obstruction. Normal appendix. Small hiatal hernia. Normal duodenal sweep. No lymphadenopathy in the abdomen or pelvis. Normal caliber but slightly tortuous aorta with atherosclerotic calcifications. No free fluid. No free air. Portal veins are patent. No suspicious lytic or blastic osseous lesion. Multilevel degenerative changes of the spine.

Impression: 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 anteriorly located collection. A preliminary report was given by the on-call radiologist on 01/06/2023, 12:02 AM.
Findings: 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 suture line of the J-pouch, favored to be extraluminal (series 2, image 180). There is marked wall thickening of loop of small bowel in the pelvis which was previously adjacent to a fluid and gas collection on the prior examination (series 2, image 167). There is peritoneal thickening and multiple mildly enlarged pelvic lymph nodes, likely reactive. There is bladder wall thickening with surrounding inflammatory stranding without intraluminal gas seen in the bladder. No evidence of bowel obstruction. Small amount of free fluid along the right paracolic gutter. Normal caliber abdominal aorta. Portal veins are patent. No suspicious osseous lesion.

Impression: 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.
Findings: 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 surrounding stranding. No radiodense obstructing stone is seen. No definite decreased enhancement of the left kidney or perinephric stranding. 2 mm nonobstructive stone in the left kidney lower pole. No hydronephrosis or inflammatory changes of the right kidney. Small right kidney simple cysts. Status post prostatectomy. There are two lenticular fluid collections in the extraperitoneal space surrounding the bladder, one anteriorly and one on the right. The anterior collection measures 5.1 x 2.4 cm and has mild peripheral enhancement. The right-sided collection measures 4.1 x 2.0 cm without any enhancement. No evidence of bowel obstruction. Normal appendix. Normal stomach and duodenal sweep. No free fluid. No free air. Normal caliber abdominal aorta. No lymphadenopathy in the abdomen or pelvis. No suspicious osseous lesion.

Impression: 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.
Findings: 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 of bowel obstruction. Partial sigmoid colon resection and reanastomosis. Normal appendix. Normal stomach and duodenal sweep. Post surgical changes of left lumbar hernia repair. No free fluid. No free air. Normal caliber abdominal aorta with mild metastatic calcifications. No lymphadenopathy in the abdomen or pelvis. Postsurgical changes of combined anterior and posterior instrumented fusion of L3-L5. Lumbar spine findings will be reported on dedicated CT of the lumbar spine. No suspicious lytic or blastic osseous lesion.

Impression: 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.
Findings: 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 cyst measuring 2.1 cm. Postsurgical changes of Roux-en-Y gastric bypass. Unchanged appearance of a paraesophageal hernia. No evidence of bowel obstruction. No focal bowel wall thickening or surrounding inflammatory stranding. No free fluid. No free air. Normal caliber abdominal aorta. No lymphadenopathy in the abdomen or pelvis. No suspicious osseous lesion.

Impression: 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 right hepatic ducts. 3. New mildly complex fluid collection in the pelvis with mild peripheral enhancement, septations, and the suggestion of dependent hyperattenuating material, compatible with layering blood products. Additionally, there is new heterogenous hyperenhancement of the uterus. Findings are favored to represent sequela from a ruptured hemorrhagic cyst. Recommend correlation with patient's menstrual history.
Findings: 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 enhancing subcutaneous nodules in the chest, unchanged in appearance compared to prior. The largest is located in left anterior chest wall measures 1.4 cm, unchanged from prior (series 2, image 17). Hepatic cyst in segment 4B. No other focal liver lesion. Calcified granulomas of the spleen. Small cyst at the inferior aspect of the spleen. Normal pancreas and adrenal glands. Kidneys enhance symmetrically without hydronephrosis or nephrolithiasis. Multiple bilateral simple renal cysts and too small to characterize hypoattenuating lesions, likely cysts as well. Prostatomegaly with mass effect on the urinary bladder. Colonic diverticulosis without diverticulitis. No evidence of bowel obstruction. Normal appendix. Normal stomach and duodenal sweep. Normal caliber abdominal aorta. No lymphadenopathy in the abdomen or pelvis. No free fluid. No free air. Portal veins are patent. Unchanged sclerotic lesion of the left posterior 7th rib measuring up to 1.7 cm in maximum length. Unchanged sclerotic lesion of the L1 vertebral body measuring up to 2.9 cm in length. Unchanged small sclerotic focus of the right manubrium. No new osseous lesion is seen.

Impression: 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 vein. 3. Stable small subcentimeter supraclavicular and mediastinal lymph nodes. No definite evidence of metastatic disease in the chest. The Critical results were discussed with Spann NP by Dr. Suraj Kapoor MD on 01/06/2023 at 11:37 AM.