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Generate impression based on findings. | Metastatic follicular carcinoma of the thyroid (metastatic to the lungs) and invasive ductal carcinoma of the breast T1cN0M0. History of thyroid resection and chemotherapy. There is a heterogenously enhancing soft tissue mass within the inferior right thyroid resection bed, which extends inferiorly into the mediastinum... | 1. A mass within the inferior right thyroidectomy bed extending into the mediastinum is compatible with recurrent follicular thyroid cancer associated with metastatic disease in the adjacent bilateral cervical and partially-imaged mediastinal lymph nodes. 2. Right upper lobe cavitary lesions and a left upper lobe pulmo... |
Generate impression based on findings. | Reason: hemangioendothelioma of the lung. Compare to last CT \T\ measure 1) LUL lesion, 2) prevascular lymph node, 3) hepatic met History: post 3 cycles of chemo CHEST:LUNGS AND PLEURA: Numerous pulmonary nodules throughout the lungs, not significantly changed in size and number.Reference left upper lobe nodule (series... | Stable disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in two maternal aunts. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and dist... | New right breast mass. Spot compression imaging and ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 68-year-old female. Evaluate for pleural mesothelioma. CHEST:LUNGS AND PLEURA: Small left pleural effusion with underlying atelectasis/consolidation. Pleural thickening along the anterior aspect of the left upper lobe at the 12 o'clock position measures 6 mm in diameter (18; series 3). There is pleural thickening along... | 1. Multifocal left-sided pleural thickening, with measurements provided above, consistent with the known history of biopsy proven mesothelioma. Small left pleural effusion.2. 12-mm sub-solid nodule in the left upper lobe, which is suspicious for adenocarcinoma in situ or minimally invasive adenocarcinoma. There are mul... |
Generate impression based on findings. | The lowermost level containing definite ribs is presumed to be T12. With this numbering nomenclature, a rudimentary disc is present at S1/2.There is levorotoscoliosis with its apex centered at approximately L3. There are no fractures. The marrow signal is benign. The conus is normal in signal and morphology and termin... | 1.L1/2: There is a tiny left paracentral disc protrusion with prominent annular tear without associated significant mass effect or stenosis.2.L2/3: Mild disc bulge containing a posterior central annular fissure without stenoses.3.L3/4: Left foraminal/lateral broad-based disc extrusion which causes moderate to severe le... |
Generate impression based on findings. | 54-year-old with history of calcifications in the right upper outer breast. No current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern an... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Reason: myasthenia gravis, evaluate for possible thymectomy History: see above LUNGS AND PLEURA: Minimal dependent atelectasis.MEDIASTINUM AND HILA: The heart size is within normal limits, no significant pericardial effusion. No visible coronary artery calcifications.Right jugular catheter tip at the cavoatrial junctio... | Ill-defined anterior mediastinal soft tissue density, compatible with residual thymic tissue. |
Generate impression based on findings. | Bony lesion within left femur; assess for primary tumor CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No significant abnormality noted.PANCREAS:... | Interval increase in sclerosis and cortical disruption involving left intertrochanteric region of the proximal left femur; a malignant etiology cannot be excluded.Enlarged heterogeneous uterus with punctate calcifications suggestive for fibroids; would suggest correlation with ultrasound.Otherwise negative for intra-ab... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: eval for mediastinal mass History: eval for mediastinal mass LUNGS AND PLEURA: Small pulmonary and subpleural nodules compatible with intrapulmonary lymph nodes, unchanged.No suspicious nodules and no pleural effusions.MEDIASTINUM AND HILA: Diffusely enlarged thymus, not significantly changed from previous scan... | Enlarged thymic gland without evidence of a discrete mass or significant interval change. |
Generate impression based on findings. | Aneurysm. Evaluate for bleed. There is no evidence of intracranial hemorrhage. There is a thrombosing fusiform aneurysm of the tortuous mid to distal basilar artery with an internal flow diverter and mass effect upon the brainstem. There is a coil mass within the superior aspect of the basilar artery aneurysm. There ha... | 1. No evidence of acute intracranial hemorrhage, within the limits of metal streak artifact.2. Apparent interval increase in size of thrombosing fusiform basilar artery aneurysm that was treated with stent-coiling. Further evaluation with CTA or MRA may be considered.3. Chronic right occipital lobe, bilateral cerebella... |
Generate impression based on findings. | Increased work of breathing.VIEW: Chest and abdomen AP (two views) 1/2/15 at 1038 hrs Tracheostomy tube tip is below the thoracic inlet. Left upper extremity central line terminates at the left innominate vein. NG tube tip is at the stomach. Interval decrease in soft tissue edema.Cardiac silhouette size is normal. Inte... | Redevelopment of right upper lobe atelectasis and decreasing in the haziness and soft tissue edema in the interval.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Male 67 years old; Reason: evaluAte ivc filter History: ? ivc filter Nonobstructive bowel gas pattern. Multiple clips are project over the pelvis and along the midline and left upper abdomen. An IVC filter is not visualized. | An IVC filter is not visualized. |
Generate impression based on findings. | Metastatic lung carcinoma ABDOMEN:LUNG BASES: Stable bibasilar emphysematous findings and left lung base bullous diseaseLIVER, BILIARY TRACT: Segment 7 right lobe subcentimeter low attenuation focus stable.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | Stable negative examination; no evidence for acute, inflammatory, or metastatic process |
Generate impression based on findings. | Female 35 years old; Reason: infertility History: infertility Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with free spillage on both sides i... | Normal uterine cavity and patent fallopian tubes. |
Generate impression based on findings. | Male 19 years old Reason: 19yo M with history of HgbSS and new different abdominal pain, eval for free air, SBO, etc VIEW: Abdomen AP supine and upright (two views) 1/2/15 Cholecystectomy clips again noted. Mild amount of fecal accumulation with no evidence of obstruction or free air. No ascites. | Mild fecal accumulation, otherwise normal examination. |
Generate impression based on findings. | Reason: Dx breast Ca History: evaluate disease/check for metastatic disease CHEST:LUNGS AND PLEURA: No significant abnormality noted. No suspicious nodule/mass.MEDIASTINUM AND HILA: The heart size is within normal limits, no significant pericardial effusion. The main pulmonary artery is of normal caliber. Chest port ca... | 1. Enhancing nodules in the right breast and enlarged right axillary lymph nodes are compatible with known right breast cancer with axillary metastases.2. No suspicious nodules/masses in the lungs, visualized osseous structures, left axilla, or upper abdomen. |
Generate impression based on findings. | Evaluation for TAVR Artifacts from spinal fusion hardware at T12-L2 somewhat limit evaluation of the surrounding structures including portions of the aorta and right renal artery.ANGIOGRAM: Please see accompanying cardiac CT report for description of heart and thoracic aorta. There is fusiform aneurysmal dilatation of ... | Fusiform infrarenal abdominal aortic aneurysm measuring up to 5.5 cm with associated mural thrombus. Significant tortuosity of the bilateral common iliac arteries. Additional abdominal aortic measurements as above. Please see chest/cardiac CT from the same day for heart and thoracic aorta findings. |
Generate impression based on findings. | 26 year-old female with dyspnea, lymphadenopathy, and lung nodules in the right upper lobe, seen on previous CT. LUNGS AND PLEURA: Note is made of a cluster of multiple centrilobular nodules in the right upper lobe both anteriorly and medially with associated tree in bud opacity. No pleural effusion or pneumothorax. Nu... | Multiple clustered small nodules in the right upper lobe are suspicious for granulomatous infection, including TB, atypical mycobacterial or fungal etiologies, such as histoplasmosis. If there is a history of asthma, ABPA (allergic bronchopulmonary aspergillosis) could also be considered. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Nodular thickening along the right ma... | Interval increase in size of pulmonary nodules. Stable mediastinal and hilar lymphadenopathy. |
Generate impression based on findings. | 73-year-old female with history of fall and confusion. Evaluate for hemorrhage. No evidence of acute intracranial hemorrhage. There are scattered intracranial vascular calcifications. No midline shift or mass effect. The basal cisterns are unremarkable. Ventricular size is age-appropriate. The visualized paranasal sinu... | No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | 76 years old, Male, Reason: restaging cholangiocarinoma on chemotherapy CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are present. Previously noted cluster of right apical pulmonary nodules is no longer present and is likely of infectious or inflammatory etiology. No suspicious pulmonary nodules or masses.ME... | 1.Unchanged hepatic segment 5 mass compatible with patient's known cholangiocarcinoma with associated perfusion abnormalities and capsular retraction.2.Unchanged lymphadenopathy.3.Previously noted cluster of right apical pulmonary nodules is no longer visualized. |
Generate impression based on findings. | The patient submitted outside digital mammograms dated 4/24/2014 and 9/13/2013 from Advocate Christ Medical Center in Oak Lawn IL. Submitted outside studies were compared to the current mammogram dated 11/19/2014. The breast parenchyma is heterogeneously dense which may obscure small masses, unchanged in pattern and di... | Stable bilateral calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, annual bilateral screening mammogram is recommended. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Gallbladder carcinoma CHEST:LUNGS AND PLEURA: Stable micronodules.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Subcentimeter segment 7 lesion best seen on image 78 of series 3 has remained stable measuring 0.7 cm in diameter. Peripheral ... | New nodularity arising from the gallbladder wall associated with new retroperitoneal adenopathy worrisome for disease progression. |
Generate impression based on findings. | Omphalocele. Feeding intolerance.VIEW: Abdomen AP (one view) 1/2/15 1050 hrs. NG tube terminates in the stomach. Large omphalocele again noted. Nonspecific bowel distention, no evidence of obstruction or free air. No pneumatosis intestinalis or portal venous gas. No ascites. | Nonspecific bowel distention. |
Generate impression based on findings. | ORIFVIEWS: Right elbow AP/oblique/lateral (3 views) 1/2/15 A screw affixes the medial humeral epicondyle in anatomic alignment. No radiographic evidence of hardware complication. The fracture line is no longer visible, indicating healing. No joint effusion is evident. | Healed medial epicondylar fracture. |
Generate impression based on findings. | T4N0 right oral tongue squamous cell carcinoma, status post radiation, 2 cycles of IC with carbo/taxol, and 5/5 cycles of TFHx (completed 12/5/14). There are post-treatment findings in the oral cavity region. There has been interval decrease in size of the oral tongue mass that traverses the midline, which now measures... | 1. Post-treatment findings in the oral cavity region with interval decrease in size of the oral tongue mass that traverses the midline, which now measures approximately up to 40 mm. 2. No residual significant lymphadenopathy in the neck. |
Generate impression based on findings. | The patient submitted outside digital mammograms dated 4/24/2014 and 9/13/2013 from Advocate Christ Medical Center in Oak Lawn IL. Submitted outside studies were compared to the current mammogram dated 11/19/2014. The breast parenchyma is heterogeneously dense which may obscure small masses, unchanged in pattern and di... | Stable bilateral calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, annual bilateral screening mammogram is recommended. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 28 years old; Reason: infertility History: infertility Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine although arcuate appearing cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with fr... | Probable arcuate uterus with patent fallopian tubes. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses , unchanged in pattern and distribution. Stabl... | Stable bilateral masses and calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 52 years old; Reason: eval for PD stent passage. ERCP 12/24/14 History: na Nonobstructive bowel gas pattern. Moderate amount of stool in the abdomen. Biliary stent unchanged. The pancreatic duct stent is no longer visualized. Calcification within the right upper quadrant is unchanged. | The pancreatic duct stent is no longer visualized. |
Generate impression based on findings. | Metastatic breast carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant change in wide spread sclerotic metastatic disease.ABDOMEN:LIVER, BILIARY TRACT: Stable segment 0.2-cm low-attenuation focus.SPLEEN: No significant abnor... | Extensive sclerotic bony metastases again noted. No visceral or nodal metastatic process. |
Generate impression based on findings. | 14 year old with right breast lump. There is an area of skin abrasion with white pus coming out. Focused ultrasound is performed in the right breast. Detected is a cystic lesion measuring 16 x 5 mm within the skin at 4 o'clock position, with increased blood flow, consistent with infected sebaceous cyst. | Infected sebaceous cyst at 4 o'clock position in the right breast. Clinical correlation is recommended.Results and recommendations were discussed with the patient and her mother.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: ? worsening pneumothorax History: see above LUNGS AND PLEURA: Large left pneumothorax, markedly increased from previous, with underlying atelectasis and consolidation in the left lung, and a small left pleural effusion.Increase in patchy airspace opacity with underlying groundglass opacity in the right upper lo... | Increased left pneumothorax and bilateral pulmonary consolidation, compatible with infection. |
Generate impression based on findings. | 64-year-old male with GE junction esophageal cancer. Repeat PET imaging per CALGB 80803 requirements.RADIOPHARMACEUTICAL: 13.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 111 mg/dL. Today's CT portion grossly demonstrates chronic-appearing pansinusitis including inflammation of the the bilateral ethmoid ... | 1.Significant metabolic response to therapy with complete resolution of mediastinal and hilar activity. Significant reduction in distal esophageal lesion activity. The current distal esophageal activity could represent residual tumor metabolism or post-therapeutic inflammatory changes.2.No new or additional FDG-avid me... |
Generate impression based on findings. | Reason: retropharyngeal abscess. History: pain. Neck: There is diffuse prominence of the adenoids and tonsils with mild oropharyngeal airway narrowing. Otherwise, there is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. There are retropharyngeal carotid arteries, b... | 1. Nonspecific diffuse prominence of the adenoids and tonsils with mild oropharyngeal airway narrowing. This may be reactive in nature.2. Retropharyngeal carotid arteries, but no evidence of retropharyngeal abscess. |
Generate impression based on findings. | 79-year-old male on spironolactone presenting with left breast tenderness and firmness. Three standard views of both breasts along with repeat left MLO and left-sided spot compression CC and MLO views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, uncha... | Gynecomastia most likely secondary to the patient's spironolactone treatment. No suspicious features of malignancy. As long as the patient's exam remains stable, no additional imaging is required.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Mesothelioma CHEST:LUNGS AND PLEURA: There is right pleural hemithorax pleural thickening with plaques essentialy similar but with decreased calicifications, possibly representing interval surgical changes. Reference measurements are as follows:1. At the level of the aortic arch (ascending aorta) (image 36 series 3), r... | Scattered mesothelioma changes throughout the right hemithorax with grossly similar measurements given differences in technique. Particular attention was placed in the right chest and abdominal wall focus overlying the lateral right lower ribs. Reference measurements provided |
Generate impression based on findings. | Solitary pulmonary nodule left upper lobe.RADIOPHARMACEUTICAL: 14.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 121 mg/dL. Today's CT portion grossly demonstrates an approximately 11 mm left upper lobe pulmonary nodule, stable. Extensive bilateral groundglass pulmonary opacities are likely inflammatory. ... | 1.Multiple hypermetabolic abdominal findings most likely represent primary colon cancer at the cecum with an adjacent mesenteric lymph node metastasis and a large right inferior hepatic metastasis.2.Hypermetabolic solitary pulmonary left upper lobe nodule is very suspicious for additional malignancy. This could represe... |
Generate impression based on findings. | Metastatic lung cancer. LUNGS AND PLEURA: Micronodules and scar like opacities are present with mild emphysema.Right lower lobe subpleural opacity, suggestive of postinfectious scarring and organized pneumonia, unchanged (series 6 /65).Right middle lobe nodule (series 6/49) 3 x 5 mm, decreased from previous.Nonspecific... | Slightly improved reference measurements and no new sites of disease. |
Generate impression based on findings. | Interbody fusion The patient has undergone multilevel lower lumbar laminectomy. A spacer device is again seen between the L3 and L4 vertebral bodies, with faint bone graft material noted. I see no postoperative complications. Moderate degenerative disk disease affects L1/2. There is slight anterior wedging of the T12 a... | Postoperative changes with interbody spacer device L3/4 as described above. |
Generate impression based on findings. | Female 44 years old; Reason: infertility History: infertility Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with free spillage on both sides i... | Normal uterine cavity and patent fallopian tubes. |
Generate impression based on findings. | Pain. Fracture? I see no fracture or other specific findings to account for the patient's shoulder pain. Orthopedic fixation of the thoracic spine is incompletely imaged on this shoulder study. | No fracture evident. No specific findings to account for the patient's pain. |
Generate impression based on findings. | Female 63 years old; Reason: Pt w/ metastatic lung cancer s/p 5 cycles of carbo/paclitaxel, evaluate for progression. History: Pt w/ metastatic lung cancer s/p 5 cycles of carbo/paclitaxel, evaluate for progression. ABDOMEN:LUNGS BASES: Please refer to concomitant CT chest imaging from same day for additional findings.... | 1. Multiple enlarging subcutaneous soft tissue foci, suspicious for worsening neoplastic/metastatic disease.2. Please refer to concomitant CT chest exam from same day for additional findings. |
Generate impression based on findings. | Pain. Fracture? Three views of the right ankle are provided. I see no fracture or other specific findings to account for the patient's pain.Three views of the right foot are provided. I see no fracture or other specific findings to account for the patient's pain. | No fracture evident. No specific findings to account for the patient's pain. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy in 1989. Two standard digital views and tomosynthesis of both breasts as well as bilateral ML views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular d... | No mammographic evidence of malignancy. Mammography is most sensitive when evaluating for interval changes. If patient submits outside mammograms, comparison will be made. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATIO... |
Generate impression based on findings. | Swelling and tenderness. Trauma to left great and second toe. Rule out fracture. There is a nondisplaced fracture of the head of the proximal phalanx of the great toe, best seen on the oblique view. I cannot determine if this fracture extends to the interphalangeal joint. I see no fracture of the remaining toes. There ... | Nondisplaced fracture of the head of the proximal phalanx of the first toe. This was relayed to Dr. Yu at the time of dictation. |
Generate impression based on findings. | 46-year-old female with partially circumscribed subcentimeter mass in the left lower outer quadrant noted on screening mammogram. No family history of breast cancer. MAMMOGRAM: Mediolateral hand spot compression mediolateral and CC views views of the left breast were performed digitally and reviewed with the aid of R2 ... | Simple cyst in the left lower outer breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Ma... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Benign calcifications are present in the right lower inner quadrant. No suspicious mas... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Pain in neck with range of motion. Severe degenerative disk disease affects C4/5, C5/6, and C6/7. Mild to moderate degenerative disk disease affects C2/3. There are minimal anterolistheses of C2 and C3, and a mild retrolisthesis of C5. There is loss of the normal cervical lordosis. There is mild to moderate multilevel ... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 63 years old, Male, Reason: carcinoid tumor compare to last Ct \T\ measure 1) aortopulmonary node, 2) hepatic dome lesion, 3) right inguinal node and 4) L2 vertebral body lesion History: post 2 cycles of chemo CHEST:LUNGS AND PLEURA: Nonspecific foci of small groundglass attenuation in the right lung apex, measuring 8 ... | 1.Innumerable bilobar hepatic metastasis with reference lesion unchanged in size.2.Slight increase in size of the renal/perirenal soft tissue focus, concerning for metastasis although RCC cannot be excluded.3.Unchanged osseous metastatic disease. Please note nuclear medicine bone scan is better to evaluate osseous meta... |
Generate impression based on findings. | History of laryngeal squamous cell carcinoma (T4bN3), status post chemoradiation. There are extensive post-treatment findings in the neck, with diffuse pharyngeal mucosal space edema. There is increased heterogeneity and decreased bulk of the ill-defined supraglottic mass, which measures up to approximately 15 mm. Ther... | 1. Post-treatment findings in the neck with apparent increased necrosis and decreased bulk of the supraglottic mass.2. Interval decrease in size of the necrotic right level V lymphadenopathy. 3. Nonspecific subcentimeter left lung nodule. Please refer to the separate chest CT report for additional details.4. Multiple d... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast cyst aspiration in 2008. History of breast cancer in mother and maternal grandmother. Two standard digital views of both breasts and a cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is co... | No mammographic evidence of malignancy. If patient submits outside interval mammograms, comparison will be made. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty , unchanged in pattern and distribution. Prominent axillary fat pads are unchanged. Stable benign lymph node... | Stable prominent bilateral axillary fat pads. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Melanoma status post 4 cycles of chemotherapy. Evaluate treatment response.RADIOPHARMACEUTICAL: 13.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 111 mg/dL. Today's CT portion grossly demonstrates gyriform high with adjacent low density in the right posterior parietal region, similar to previous and sugge... | While several lesions have improved, overall there has been significant interval progression of hypermetabolic metastatic disease most notably involving pulmonary and osseous metastases with multiple other areas of progression as described above. |
Generate impression based on findings. | Fell on outstretched hand this morning. Edema, decreased range of motion, pain/tenderness (fourth and fifth digits/metacarpals). Concern for fracture. Mild osteoarthritis affects the distal interphalangeal joints; there are also tiny osteophytes at the second and third metacarpophalangeal joints. I see no definite frac... | Degenerative arthritic changes without fracture evident. |
Generate impression based on findings. | The patient submitted outside digital mammogram dated 1/31/2012 from Mercy Hospital and Medical Center. Submitted outside study was compared to the current mammogram dated 12/5/2014. Breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Two stable focal asymmetries ar... | Stable left breast focal asymmetries. No mammographic evidence for malignancy. As long as the patient's physical examination is unchanged, annual screening mammogram is recommended. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Recent traumatic fracture right hip. Evaluate for current status. Pain in the right hip. Components of a right hip hemiarthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. A fracture involving the proximal femur at the level of the lesser trochanter is slig... | Right hip hemiarthroplasty and healing proximal femur fracture as described above. |
Generate impression based on findings. | The patient submitted outside digital mammogram dated 1/31/2012 from Mercy Hospital and Medical Center. Submitted outside study was compared to the current mammogram dated 12/5/2014. Breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Two stable focal asymmetries ar... | Stable left breast focal asymmetries. No mammographic evidence for malignancy. As long as the patient's physical examination is unchanged, annual screening mammogram is recommended. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Postop day number 3 status post left total hip arthroplasty. Continued pain. Evaluate for fracture/dislocation. Components of a left total hip arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. I see no fracture or dislocation. Foci of soft tissue gas in ... | Total hip arthroplasty without fracture or dislocation. |
Generate impression based on findings. | Thyroid neoplasm. Head and neck cancer CHEST:LUNGS AND PLEURA: Marked interval improvement with decreased size and number of multiple bilateral pulmonary nodules. The reference left lower lobe lobulated nodular mass (image 66 series 4) currently measures 2.3 x 1.8 cm from a prior measurement of 2.7 x 2.2 cm.Biapical sc... | Interval considerable improvement with both decreased in reference measurements and suspected necrotic changes of multiple metastatic foci, largely lymphadenopathy observed in the mediastinum and metastatic nodules observed within both lungs. See reference measurements provided |
Generate impression based on findings. | Pain. Rule out fracture. There is perhaps mild soft tissue swelling along the dorsal aspect of the toe, but I see no underlying fracture or dislocation. Mild deformity of the base of the proximal phalanx may represent an old healed fracture, but this is equivocal. | Mild soft tissue swelling without acute fracture evident. |
Generate impression based on findings. | Swelling and pain. Rule out fracture. There is swelling of the soft tissues along the dorsum of the hand as well as at the PIP joint of the little finger. Best seen on the lateral view is a 1-2mm density along the volar aspect of the PIP joint of the middle finger that could conceivably represent a mildly displaced vol... | Soft tissue swelling. Tiny density along the volar aspect of the PIP joint of the middle finger could conceivably represent a minimally displaced volar plate avulsion fracture fragment, but I cannot tell if this is acute or chronic on the basis of this study. If further imaging evaluation is clinically warranted, dedic... |
Generate impression based on findings. | The patient submitted outside digital mammogram dated 5/18/2012 from John H. Stroger Hospital in Chicago IL. Submitted outside study was compared to the current mammogram dated 12/3/2014. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, ... | No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, annual screening mammogram is recommended. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Lingual cancer CHEST:LUNGS AND PLEURA: Two new focal referral pleural nodular densities in the left lung base along the dependent wall. For reference the more lateral focus measures and 10- millimeters (image 82 series 4) and this finding is associated with mild adjacent tree in bud deformities, concerning for possible... | Interval new left lower lobe dependent appearing nonspecific focal peripheral nodular opacities with tree in bud deformity. Overall appearance most consistent with aspiration or post infectious changes, however small nodular densities cannot be excluded. Serial imaging and comparison with scheduled imaging will be impo... |
Generate impression based on findings. | The patient submitted outside digital mammogram dated 5/18/2012 from John H. Stroger Hospital in Chicago IL. Submitted outside study was compared to the current mammogram dated 12/3/2014. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, ... | No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, annual screening mammogram is recommended. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Swelling, pain, fall. Unable to bear weight. Rule out fracture, dislocation. Three views of the left ankle are provided. There is mild soft tissue swelling but I see no fracture. There may be a small tibiotalar joint effusion, but this is equivocal. There is a screw fragment in the medial cuneiform.Four views of the le... | Mild soft tissue swelling, but no fracture or dislocation. |
Generate impression based on findings. | There are scattered foci of primarily subcortical white matter T2 hyperintensity without associated mass effect, or restricted diffusion. One involving left frontal subcortical white matter is associated with a punctate focus of susceptibility hypointensity. The ventricles and sulci are normal in size. The cerebellar ... | There are scattered foci of primarily subcortical white matter T2 hyperintensity without associated mass effect, or restricted diffusion. One involving left frontal subcortical white matter is associated with a punctate focus of susceptibility hypointensity. Given patient age these, are most likely secondary to small v... |
Generate impression based on findings. | Pain. No trauma. Diabetic patient with DKA. Evaluate for "osteo". The bones appear demineralized, suggesting osteopenia/osteoporosis. I see no radiographic evidence of osteomyelitis. Although these are nonweightbearing views, there is a hallux valgus deformity. Mild osteoarthritis affects the interphalangeal joints. Mo... | Degenerative arthritic changes and other findings as described above without radiographic evidence of osteomyelitis. |
Generate impression based on findings. | The patient submitted outside digital mammogram and bilateral breast ultrasound dated 10/5/2010 from St. James Hospital in Olympia Fields IL. Submitted outside studies were compared to the current mammogram dated 12/15/2014. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and... | No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, annual screening mammogram is recommended. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Osteoarthritis? Four views of the right knee are provided. There is narrowing of the medial tibiofemoral compartment and tricompartmental osteophytes indicating moderate osteoarthritis.Four views of the left knee are provided. There is narrowing of the medial tibiofemoral compartment and tricompartmental osteophytes in... | Osteoarthritis. |
Generate impression based on findings. | Lung cancer LUNGS AND PLEURA: Interval progression since prior study. The left upper lobe mass extending from the hilar region has increased in overall size and spiculation, currently measuring 5.0 x 3.8 cm (image 36 series 6), previously 4.2 x 2.4 cm. the mass remains adjacent and abutting the fissure with associated ... | Interval progression of extensive reference measurements provided above. Large left hilar mass with questionable new left upper lobe nodular metastatic disease and interval increasing lymphadenopathy in chest wall lesions. See detail provided |
Generate impression based on findings. | The patient submitted outside digital mammogram and bilateral breast ultrasound dated 10/5/2010 from St. James Hospital in Olympia Fields IL. Submitted outside studies were compared to the current mammogram dated 12/15/2014. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and... | No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, annual screening mammogram is recommended. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram |
Generate impression based on findings. | The patient submitted outside digital mammograms dated 10/3/2013, 9/20/2013 and 7/25/2012 from Mercy Hospital and Medical Center in Chicago, Illinois. Submitted outside studies were compared to the current mammogram dated 12/5/2014. Linear marker was placed on a scar overlying the right breast. Scattered fibroglandular... | No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, annual screening mammogram is recommended. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 24 years old Reason: 24yo female with Crohn's ileitis on coonoscopy. Now with RLQ pain. Evaluate extent of ileal inflammation History: RLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significan... | Acute on chronic changes secondary to Crohn's disease involving the proximal 25-cm of the distal ileum including the terminal ileum causing mild proximal small bowel dilatation. |
Generate impression based on findings. | The patient submitted outside digital mammograms dated 10/3/2013, 9/20/2013 and 7/25/2012 from Mercy Hospital and Medical Center in Chicago, Illinois. Submitted outside studies were compared to the current mammogram dated 12/5/2014. Linear marker was placed on a scar overlying the right breast. Scattered fibroglandular... | No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, annual screening mammogram is recommended. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | The patient submitted outside digital mammogram dated 9/4/2013 from Mount Sinai Hospital in Chicago, Illinois. Submitted outside study was compared to the current mammogram dated 12/12/2014. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable benign calci... | Stable bilateral calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, annual screening mammogram is recommended. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.A tiny, thin amount of fat is present within the filum.Disc desiccation is present throughout... | 1.A tiny, thin amount of fat is present within the filum.2.L1/2 through L4/5: Mild bilateral neural foraminal stenosis.3.L5/S1: Right paracentral disc protrusion which abuts and flattens the right S1 nerve sheath origin. There is also mild right neural foraminal stenosis. |
Generate impression based on findings. | Male 4 days old Reason: Is there evidence of NEC History: Mild distention, refusing feedsVIEW: Abdomen AP (one view) 1/2/15 Normal abdominal gas pattern. No evidence of obstruction or free air. No pneumatosis intestinalis or portal venous gas. No ascites. | Normal examination. |
Generate impression based on findings. | Cough LUNGS AND PLEURA: Motion degrades sensitivityInterval resolution in clearance of the scattered nodular and tree in bud deformity observed bilaterally but greater on the left 7/1/13. Small scattered micronodules without evidence of new or discrete suspicious nodules or masses. No effusions. Mild underlying emphyse... | No discrete new intrapulmonary abnormality and interval changes suggesting resolution or absence of repeated aspiration. Partially calcified lymph node suggest probable old granulomatous disease exposure, all unchanged and stable in appearance. See detail provided |
Generate impression based on findings. | History of hyperaldosteronism, evaluate for adrenal hyperplasia or adrenal tumor. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Several small low attenuation hepatic lesions too small to characterize, favor benign. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality ... | 1.Questionable subcentimeter nodule possibly arising from left adrenal gland which could represent a true adrenal lesion; too small to characterize.2.Probable large uterine fibroids. If there is clinical indication for further characterization, MR may be useful. |
Generate impression based on findings. | 49-year-old male with VF arrest and ICD with possible clot on the lead. Evaluate for pulmonary embolism. The comparison chest radiograph performed on 1/2/2015 demonstrates enlarged cardiomediastinal silhouette retrocardiac density suggestive of pleural effusion and/or consolidation.The ventilation images show a left lo... | Triple matched ventilation/perfusion defect in the left lower lobe which meets criteria for intermediate probability for pulmonary embolism. |
Generate impression based on findings. | The patient submitted outside digital mammogram dated 9/4/2013 from Mount Sinai Hospital in Chicago, Illinois. Submitted outside study was compared to the current mammogram dated 12/12/2014. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable benign calci... | Stable bilateral calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, annual screening mammogram is recommended. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram |
Generate impression based on findings. | Supraglottis Cancer, follow-up CHEST:LUNGS AND PLEURA: Two without change or new suspicious lesions. No effusions. Minimal scattered scarring without interpulmonary abnormality superimposed upon previous the described mild central lobular emphysemaMEDIASTINUM AND HILA: Tracheostomy tube unchanged and interval resolutio... | No acute abnormality or findings to suggest interval metastatic disease. |
Generate impression based on findings. | Progression of intracranial stenosis? New pulsatile tinnitus. There is paucity of flow-related enhancement throughout the intracranial right internal carotid artery, with reconstitution at the circle of Willis. There is also lack of flow-related enhancement throughout the bilateral intracranial vertebral arteries, with... | 1. Occlusions of the right internal carotid artery and bilateral vertebral arteries related to proximal occlusion appear to be unchanged since 2005, a high-grade stenosis of the basilar artery appears to be new since 2005.2. A wide-neck outpouching along the inferolateral aspect of the left cavernous carotid artery tha... |
Generate impression based on findings. | The patient submitted outside digital mammogram dated 3/7/2013 from St. Bernard Hospital in Chicago IL. Submitted outside study was compared to the current mammogram dated 12/5/2014. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable circumscribed mass i... | Stable right breast mass and asymmetry. No mammographic evidence for malignancy. If patient's physical examination is unremarkable, annual screening mammogram is recommended. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 53 years old; Reason: h/o Hodgkin please restage History: h/o Hodgkin lymphoma CHEST:LUNGS AND PLEURA: Visualized lung fields stable in appearance with scattered micronodules (majority appear calcified/sequela of prior granulomatous disease) and cystic changes. No pleural effusion.MEDIASTINUM AND HILA: Heart bor... | 1. Mild interval decrease in size of reference lymph nodes as above. |
Generate impression based on findings. | Reason: evaluate pulm nodule History: same LUNGS AND PLEURA: Markedly increased and bilateral pleural effusions with associated basilar atelectasis.Bilateral apical nodules with a component of cavitation on the right, have not significantly changed allowing for adjacent atelectasis secondary to increased pleural effusi... | Increased bilateral pleural effusions and new air space and groundglass opacity in the right upper lobe suggestive of infection or hemorrhage. Previously described apical nodules are partially obscured but not grossly changed, although further follow-up is recommended. The differential diagnosis includes infection, and... |
Generate impression based on findings. | The patient submitted outside digital mammogram dated 3/7/2013 from St. Bernard Hospital in Chicago IL. Submitted outside study was compared to the current mammogram dated 12/5/2014. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable circumscribed mass i... | Stable right breast mass and asymmetry. No mammographic evidence for malignancy. If patient's physical examination is unremarkable, annual screening mammogram is recommended. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. A stable benign intr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 64 year-old female with a history of lung nodule. LUNGS AND PLEURA: Note is made of bilateral pulmonary micronodules. No suspicious nodules or masses are identified. No pleural effusion or pneumothorax. Left apical scarring/atelectasis.MEDIASTINUM AND HILA: Vascular calcifications of the aorta and its branches. No visi... | 1. Bilateral pulmonary micronodules which are likely post infectious. No suspicious pulmonary nodules or masses are identified. The previously described pulmonary nodule seen on prior chest radiograph, in 2010, likely corresponds to costochondral calcification.2. Incompletely visualized punctate left renal calculus. |
Generate impression based on findings. | pT4N0 squamous cell carcinoma of the right lower alveolus status post treatment. Neck: There are post-operative findings related to partial right mandibulectomy with graft reconstruction, whereby a screw penetrates into the soft tissues deep to the medial margin of the fibular graft. There is interval appearance of an ... | 1. Interval appearance of an infiltrative mass within the right infratemporal fossa is compatible with tumor recurrence with perineural spread along the right trigeminal nerve into the cavernous sinus, Meckel cave, and prepontine cistern. MRI of this region may be useful for further characterization, if there are no co... |
Generate impression based on findings. | 2 y/o M with neuroblastoma, increased LDH, eval for disease CHEST:LUNGS AND PLEURA: Dependent subsegmental atelectasis. No focal pulmonary opacities or suspicious pulmonary nodules. No pleural effusions.MEDIASTINUM AND HILA: Normal sized heart or pericardial effusion. No mediastinal or hilar lymphadenopathy.CHEST WALL:... | Marked enlargement of the left adrenal mass, without vascular encasement. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Stable benign calcifications are prese... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Pain, stiffness. Synovitis. Rule out arthritis. Three views of the left hand are provided. The bones appear slightly demineralized. Mild osteoarthritis affects the interphalangeal joint of the thumb and the distal interphalangeal joint of the fifth finger, as well as the first carpometacarpal joint. I see no definite e... | Mild osteoarthritic changes of the hands and shoulders as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign bilateral breast biopsies. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. A linear marker was placed on a scar overlying the left breast. ... | No mammographic evidence of malignancy. Mammography is most sensitive when assessing for interval changes. If patient submits outside mammogram, comparison will be made. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION:... |
Generate impression based on findings. | Metastatic ovarian carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Left perihilar referenced lymph node no longer measurable.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Stable left hepatic cystSPLEEN: No significant abnormality noted.PANCREAS: No s... | Reference left perihilar lymph node no longer measurable. Stable portacaval reference lymph node. No new adenopathy or new metastatic focus. |
Generate impression based on findings. | 65-year-old male with relapsed refractory myeloma SKULL: A couple of subcentimeter lucencies near the midline may represent venous lakes, unchanged from the prior exam.CERVICAL SPINE: The lower cervical spine is not well seen due to overlying anatomy. The facets of C2/C3 appear fused. A lucency within the inferior arti... | Findings compatible with multiple myeloma as detailed above, appearing similar to the prior exam. |
Generate impression based on findings. | Female 9 months old Reason: Check position of DHT History: s/p DHTVIEW: Abdomen AP (one view) 1/2/15 Feeding tube terminates at the stomach fundus. Normal abdomen the gas pattern. No evidence of obstruction or free air. No ascites. | Feeding tube positioning as described. |
Generate impression based on findings. | 2-year-old male patient with neuroblastoma, increased LDH. Evaluate for an intracranial disease process. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The ... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
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