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Generate impression based on findings. | Reason: eval for sacroiliitis, inflammatory back pain There is no evidence of fracture or malalignment. Tiny osteophyte along the right SI joint but no fluid or enhancement within the SI joint to indicate sacroiliitis. There is benign-appearing cortically based lesion in the proximal right femur, which is incompletely ... | Minimal osteoarthritis of the right SI joint, but no evidence of sacroiliitis. Other findings as above. |
Generate impression based on findings. | 49-year-old female patient with low back pain, L5-S1. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.There is a grade 1 retrolisthesis of L5 on S1 with severe degenerative disc diseas... | 1. Grade 1 retrolisthesis of L5 on S1 with severe degenerative disc disease and moderate to severe bilateral neural foraminal stenosis at this level. Other findings including multilevel annular fissures as described above.2. Nodularity of the partially imaged left adrenal gland. Dedicated imaging may be obtained as cli... |
Generate impression based on findings. | Left arm and left numbness. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a subcentimeter nonspecific focus of T2 hyperintensity in the left anterior insular subcortical white matter, which may represent a prominent perivascular space with CSF flow. The brain parenchyma and pituitary... | No evidence of acute intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on findings. | Reason: 81 yo female with hx of IPMN s/p distal pancreatectomy and splenectomy in 2010; please evaluate for any abnormalities and or recurrence History: IPMN. ABDOMEN:LIVER, BILIARY TRACT: Nonvisualization of the main portal vein with cavernous transformation, unchanged. No suspicious focal hepatic lesion.Status post c... | 1.Previously seen multiple cystic lesions in the distal pancreas along the pancreatectomy margin are no longer visualized. No new lesions.2.Stable portal vein thrombosis with cavernous transformation. |
Generate impression based on findings. | 48 year old female with vulvar cancer, chest pain, troponinemia without epicardial coronary artery disease on coronary angiogram, pericardial effusion referred for cardiac MRI for further evaluation. Left VentricleThe left ventricle is normal size and systolic function. The overall LV ejection fraction is 55%, the LV e... | 1. Findings as above correlating with acute pericarditis with trace pericardial effusion but evidence of constrictive physiology.2. The pre-contrast native myocardial T1 relaxation times are elevated (1160 ms) and there is mild high T2 signal likely representing mild myocardial edema. 3. The left ventricle is normal si... |
Generate impression based on findings. | 64 years, Female, brain lesion cord lesion. Per chart, patient has progressive left lower extremity weakness. BRAIN | 1. Brain MRI demonstrates no evidence of infarct, intracranial mass, or mass effect. There is evidence of mild chronic small vessel ischemic disease.2. No abnormal signal within the spinal cord. No significant stenosis in the cervical, thoracic, or lumbar spine. 3. Mild degenerative changes in the spine. There is mild ... |
Generate impression based on findings. | Female, 60 years old, with history of metastatic lung adenocarcinoma, surveillance scan. Two subcentimeter foci of enhancement seen previously within the right postcentral gyrus, and a third within the left superior frontal gyrus, are no longer evident. Mild associated T2 hyperintensity has also resolved in these locat... | 1.Interval resolution of subcentimeter lesions seen in the right post central gyrus and left superior frontal gyrus.2.No new intracranial lesions are evident. |
Generate impression based on findings. | Female, 27 years old, with new onset seizure. As on the prior examination, numerous small foci of susceptibility are evident predominantly within the corpus callosum, and to a lesser degree, in the periventricular white matter. Accounting for differences in image quality related to 3T technique on the present exam, the... | Redemonstrated are multiple small foci of microhemorrhage within the corpus callosum and, to a lesser degree, in the periventricular white matter. The nature of these findings is uncertain, but they are in any event chronic. No new or acute intracranial abnormalities are detected to account for the patient's symptoms. |
Generate impression based on findings. | Diagnosis: Neoplasm of uncertain behavior of brain, unspecified Unspecified convulsionsClinical question: residual pilocytic astrocytoma after a subtotal resection, No follow up since 2012, evaluate for changesSigns and Symptoms: tumor, follow up , yearly Since the prior exam and heterogeneously enhancing mass located ... | 1.Since prior exam, a posterior fossa neoplasm which is consistent with the patient's diagnosis of pilocytic astrocytoma and is centered at the right half of the pontomedullary junction has enlarged.2.Since the prior exam ventriculomegaly has mildly regressed. |
Generate impression based on findings. | Grade 2 olfactory esthesioneuroblastoma treated with recent radiation/chemo/surgery. Face: There are interval post-operative findings related to right medial maxillectomy and right anterior and posterior ethmoidectomy. There is moderate mucosal thickening in the right maxillary sinus, ethmoid, and frontal sinuses. Ther... | 1. Interval sinonasal surgery with a small area in the right superior anterior ethmoid surgical bed that has features that resemble the original tumor, which may therefore represent a small amount treated tumor versus cauterized tissue amidst moderate right sinonasal mucosal inflammation, but otherwise no evidence of g... |
Generate impression based on findings. | Pituitary cyst surveillance. There is no significant interval change in the nonenhancing low T1 and high T2 signal lesion centered in the left posterior pituitary that measures up to approximately 5 mm. The infundibulum and posterior pituitary bright spot is intact. There is no mass effect upon the optic apparatus. The... | No significant interval change in the cystic lesion centered in the left posterior pituitary that measures up to approximately 5 mm. |
Generate impression based on findings. | Reason: evaluate for labral tear History: anterior hip pain ACETABULAR LABRUM: Small anterior superior labral tear with associated paralabral cyst.ARTICULAR CARTILAGE AND BONE: No significant abnormality noted.SOFT TISSUES: No significant abnormality noted. ADDITIONAL | Small anterior superior labral tear with associated paralabral cyst. |
Generate impression based on findings. | Low back pain, radiculopathy Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: No s... | 1. Mild degenerative changes in the lumbar spine with minimal bilateral neural foraminal narrowing at L4-L5. Otherwise no significant spinal canal or neural foraminal stenosis at any level.2. Multilevel facet arthropathy, relatively worse at L4-L5 which may be contributing to patient's low back pain. |
Generate impression based on findings. | 33-year-old male. Abdominal pain in left upper quadrant modified with food and alcohol. Perform gadolinium and secretin to rule out pancreas disease. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic mass. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Normal signal intensity and morpholog... | Unremarkable MRCP of the pancreas. No evidence of acute or chronic pancreatitis. |
Generate impression based on findings. | 62-year-old male with weight loss, acute swelling, fluid testicles. PSA 4.9 (7/2/2016), 3.67 (1/12/2015). Biopsy 8/25/2016 Gleason 6. PELVIS:PROSTATE:Prostate Size: 5.2 x 5.8 x 2.9 cm.Peripheral Zone: There is diffuse T1 hyperintense signal throughout the peripheral zone consistent with hemorrhage. No dominant lesion i... | 1.Significantly limited examination due to diffuse hemorrhage throughout the peripheral zone. No dominant lesion is identified to suggest malignancy.2.Large left hydrocele. |
Generate impression based on findings. | 15-year-old female with injury after basketball game. Evaluate for injury. MENISCI: Branching high signal is present within in the posterior horn of the medial meniscus, which extends to both articular surfaces compatible with complex meniscal tear. The anterior horn of the medial meniscus as well as the anterior and p... | 1.Complete tear of the anterior cruciate ligament with associated marrow edema in the lateral femoral condyles.2.Complex tear of the posterior horn of the medial meniscus.3.Edema affecting the medial and lateral patellar retinaculum.4.Moderate/large joint effusion. |
Generate impression based on findings. | 16-year-old male with history of NF1. BONE MARROW: No significant abnormality noted.SOFT TISSUES: Plexiform neurofibroma extending from the bilateral lumbosacral spine through the left femur are again seen. JOINTS: No significant abnormality noted.ADDITIONAL | Extensive plexiform neurofibromas of the lumbosacral spine and left anteromedial femur, similar to prior. |
Generate impression based on findings. | 7-year-old male with history of tuberous sclerosis. Evaluate for renal angiomyolipoma. ABDOMEN:LIVER, BILIARY TRACT: The liver is within normal limits.SPLEEN: The spleen is normal in appearance.PANCREAS: The pancreas is normal in appearance.ADRENAL GLANDS: No significant adrenal abnormality.KIDNEYS, URETERS: No hydrone... | No angiomyolipomas or additional significant abnormality. |
Generate impression based on findings. | 56-year-old man with lower back pain. History of lumbar fusion at outside hospital in 2013. Again seen are posterior spinal fixation rods with bilateral pedicle screws in the L3, L4, L5 and S1 vertebral bodies. Hardware loosening, described on recent MRI and CT studies, is not appreciated radiographically. There is no ... | No evidence of lumbar spinal instability. |
Generate impression based on findings. | Female 59 years old Reason: chronic ACL tear, 6 months of left knee pain evaluate for meniscus tear, chondral injury History: left knee pain. MENISCI: There is a partial thickness radial tear of the posterior horn of the medial meniscus best seen on image 10 of series 4. There is additional intrasubstance signal within... | 1.Medial meniscal tear as described above.2.Partial-thickness cartilage degeneration as described above.3.Normal appearing ligaments. |
Generate impression based on findings. | Female 44 years old Reason: demoid tumor; colon cancer History: palpable RUQ mass ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormali... | 1. Postsurgical changes in the anterior abdominal wall.2.Enhancing residual masses in the anterior abdominal wall on both sides. |
Generate impression based on findings. | 23-year-old female with 10-cm pelvic mass on outside CT. Interpretation of outside exam requested. ABDOMEN:LUNG BASES: Single right lower lobe micronodular on image one of 89. No other abnormalities in the lung bases. Small hiatal hernia is noted.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Unremarkabl... | 1. 10-cm pelvic mass which has mass-effect on the rectum, bladder and adnexa. We favor a sarcoma with origin of this lesion likely the posterior wall of the vagina (this is better appreciated on the companion MRI). 2. Soft tissue density adjacent to the splenic hilum and gastric wall thickening as described above . Upp... |
Generate impression based on findings. | History of cervical cancer. PELVIS:UTERUS, ADNEXA: Mildly heterogeneous appearance of the uterus is noted. No significant endometrial cavity dilatation. Unremarkable adnexa.There is abnormal dilatation, heterogeneous intermediate T2-weighted signal and restricted diffusion at the level of the cervix compatible with pat... | Limited nonenhanced study re-demonstrates the cervical mass with suspected parametrial tumoral extension. The mass cannot be reliably compared to prior studies due to modality differences. The extent of signal abnormality is grossly similar to the PET/CT appearance. |
Generate impression based on findings. | Other symptoms and signs involving cognitive functions and awareness [R41.89], Reason for Study: ^Reason: eval for stroke, lesion History: facial droop, drooling, unrespsonsive x 10 minutes Brain MRINo evidence of acute ischemic or hemorrhagic lesion. No abnormal enhancement.Scattered multifocal bilateral periventricul... | 1. No evidence of acute ischemic or hemorrhagic lesion. No evidence of abnormal enhancement.2. Nonspecific small vessel ischemic disease.3. Atherosclerotic changes of intracranial arterial system without significant luminal stenosis. |
Generate impression based on findings. | 71 year old male with history of fall with neck pain. Please evaluate. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells ar... | 1. Stable destructive process at C5-C6; there are no findings to suggest acute or progressive process.2. No acute intracranial abnormality. |
Generate impression based on findings. | This exam was terminated prior to completion due to the patient reported chest pain and a rapid response being called. The MRA head was performed along with only the sagittal T1 and diffusion brain sequences.BRAIN: There are foci of restricted diffusion within the lateral thalami, larger on the right.MRA HEAD: The int... | 1.Very limited brain MRI demonstrating bilateral acute infarcts within the lateral thalami, larger on the right. Completion of the brain MRI is suggested. 2.No evidence of flow-limiting stenosis or aneurysm within the head. |
Generate impression based on findings. | Ms. Beal is a 48-year-old female with strong family history of breast cancer. Family history of breast cancer in her mother x4 times. Personal history of bilateral benign breast biopsies (left breast 2:00-fibroadenoma). She has no current breast related complaints. There is heterogeneous amount of fibroglandular tissue... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | MRI findings: Extensive areas of restricted diffusion in the bilateral medial temporal lobes, right more than the left occipital lobe, left more than the right cerebellum, midbrain and pons compatible with acute infarction. There is T2 hyperintensity and encephalomalacia in the left inferior cerebellum, left occipital... | 1. Extensive areas of acute infarction involving the bilateral medial temporal lobes, right more than the left occipital lobe, left more than the right cerebellum, midbrain and pons.2. Lack of flow in the vertebrobasilar circulation compatible with severe stenosis or occlusion.3. No significant vaso-occlusive disease i... |
Generate impression based on findings. | Reason: eval microfrx healing History: pain MENISCI: There is blunting and deformity of the posterior horn of the medial meniscus which likely represents a combination of postsurgical changes from prior partial meniscectomy, degeneration, and prior tearing, appearing similar to the prior study. No fluid-filled defect i... | 1. Blunting and deformity of the posterior horn of the medial meniscus, appearing similar to the prior study, likely representing a combination of postsurgical changes from prior partial meniscectomy, degeneration, and prior tearing. No new fluid-filled tear is identified.2. Slight interval progression of articular car... |
Generate impression based on findings. | Bilateral leg weakness, evaluate for cord compression. Please note because of discomfort, patient could not be positioned in the conventional manner within the scanner, and as a result image quality is significantly degraded. Examination in the cervical region is of very poor quality. The ventral epidural space in the ... | 1. Thickening of the ventral epidural tissues in the cervical spine is felt to most likely reflect ligamentous thickening and/or venous engorgement based on comparison with a recent prior CTA. An acute epidural process is considered less likely. Dedicated C-spine MRI imaging can be considered if the patient can be made... |
Generate impression based on findings. | This limited surgical planning exam redemonstrates a T2 hyperintense 17 x 18 mm lesion within the left pars opercularis. There are a few scattered unchanged punctate foci of T2 hyperintensity throughout the supratentorial white matter that are most compatible with mild chronic small vessel ischemic disease. | Pretreatment MRI redemonstrates an unchanged lesion within the left pars opercularis likely representing low-grade glial neoplasm. |
Generate impression based on findings. | Thoracic or lumbosacral neuritis or radiculitis, RLE pain. Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5... | No compromise to lumbar spinal canal or neural foramina. There are no significant degenerative changes in the lumbar spine. |
Generate impression based on findings. | 63 years Female (DOB:11/9/1952)Reason: Deduce etiology of chronic lumbar region back pain History: Chronic pain with ambulationPROVIDER/ATTENDING NAME: DIANE L. ALTKORN DIANE L. ALTKORN Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The conus medullaris on sagittal... | There are degenerative changes present in the lumbar spine mainly in the form of facet hypertrophy and to a lesser degree disc bulges worse at L4-5 and L5-S1. There is some mild encroachment of the nerve roots of the left lateral recess and right neural foramen at L4-5 related to the degenerative changes associated wit... |
Generate impression based on findings. | A 45 year old female with history of hypertension, breast cancer after chemotherapy (including doxorubicin) and radiotherapy. An echocardiography showed decreased left ventricular systolic function. Because of chest pain, the patient was referred to stress cardiac MRI for further evaluation.MEDICATIONS: clonazepam, lis... | 1. No perfusion defects/ "ischemia" present during hyperemia.2. No prior myocardial infarction. The entire myocardium is viable.3. Normal LV size and systolic function (LVEF 56%).4. Normal RV size and systolic function (RVEF 52%).I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with ... |
Generate impression based on findings. | 31 years, Male, with Dandy-Walker variant, hydrocephalus, pituitary tumor, and headaches. Question any change in the pituitary tumor or the ventricles.. The bilateral lateral ventricles and third ventricles are collapsed and not appreciably changed since CT dated 1/27/2016. Left parietal VP shunt catheter is in place w... | 1. Shunted ventricular system remains decompressed and unchanged since CT head dated 1/27/2016.2. Posterior fossa findings including a retrocerebellar arachnoid cyst with local mass effect remains unchanged dating back to 7/22/2009.3. Unchanged appearance of the pituitary gland without definite evidence of micro- or ma... |
Generate impression based on findings. | There is asymmetric volume loss within the left temporal lobe as well as less so throughout the entire left cerebral hemisphere. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a small focus of T2 hyperintensity within the left paramedian cerebellum which likely represents chronic isc... | Asymmetric volume loss of the left cerebral hemisphere most prominent in the left temporal lobe may be seen in the clinical setting of semantic dementia. |
Generate impression based on findings. | Newly diagnosed squamous cell carcinoma of the cervix presents for staging. PELVIS:UTERUS, ADNEXA: The uterus measures 8.8 x 4.4 cm in the sagittal plane. The endometrial cavity/canal is normal in signal intensity and thickness. The inner myometrium/junctional zone measures up to 9 mm with poorly defined margins but no... | No discrete cervical lesion is identified.Findings raising possibility of mild diffuse adenomyomatosis. |
Generate impression based on findings. | Clinical question: Rule out ischemic lesion. Signs and symptoms: Left hemiparesis. Nonenhanced brain MRI:No evidence of acute intracranial process and in particular no evidence of acute ischemic stroke.Ectopia of cerebellar tonsils of approximately 5 mm with subtle deformity of cerebellar tonsils.There are several punc... | 1.No evidence of acute intracranial process.2.Mild ectopia of cerebellar tonsils of approximately 5 mm with subtle deformity of cerebellar tonsils.3.Few scattered mostly bilateral frontal subcortical and periventricular foci of FLAIR hyperintensity are nonspecific however in proper clinical setting could represent chro... |
Generate impression based on findings. | Clinical question: History of pituitary adenoma status post resection. Signs and symptoms: Surveillance scan. Again seen is previously debulked, enhancing sellar mass consistent with known pituitary macroadenoma. Compared to 7/16/2014, there appears to be minimal interval increase in size, measuring approximately 37 x ... | 1. Compared to 7/16/2014, there is minimal interval increase in size of the sellar mass consistent with known pituitary macroadenoma as detailed above. There is no mass effect on the optic chiasm.2. Ventriculomegaly is again seen and stable to minimally improved compared to prior. |
Generate impression based on findings. | 30 year-old female with multifocal giant cell tumor. Now with right-sided chest wall pain. Evaluate for thoracic spine or rib lesions. Nonenhanced CT of thoracic spine:Axial 3-mm images of entire thoracic spine with zero degree angulation of the gantry were obtained. Sagittal and coronal 2-D reformatted images were obt... | Negative nonenhanced CT of thoracic spine. Follow-up with dedicated MRI of thoracic spine likely more helpful for detecting the cause of patient's right sided chest wall pain. |
Generate impression based on findings. | Female, 83 years old, with worsening back pain and gait abnormality, and right leg weakness. History of back surgery. Findings compatible with prior surgery are again seen at the L4-5 level where evidence of right-sided laminectomy and facetectomy is demonstrated.The lumbar lordosis is straightened similar to prior. A ... | 1.Postoperative findings compatible with right-sided laminectomy and facetectomy at L4-5.2.Progressive disc degeneration at L4-5 with further loss of disc height. The combination of disc degeneration and posterior element hypertrophy results in a mild to moderate generalized spinal canal narrowing asymmetric to the lef... |
Generate impression based on findings. | Hemangioma of intracranial structures [228.02], Reason for Study: ^Reason: 3T Scanner, CCM Protocol History: Abnormality noted on prior MRI; CCM vs. AVM, please evaluate and compare with priori images Brain MRIRe-demonstration of right cingulate gyrus anterior aspect signal void just above the level of caudate head. Th... | 1. Right cingulate gyrus cavernous malformation with associated developmental venous anomaly. Another developmental venous anomaly on the left frontal lobe and possible DVA on the right angular gyrus. No change since prior exam.2. Normal brain MRA. |
Generate impression based on findings. | Intractable headaches and vertigo, new onset. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no m... | 1. No evidence of acute intracranial hemorrhage, mass, or acute cerebral infarction.2. No evidence of inner ear or retrocochlear lesions.3. Apparent nonspecific small amount of fluid within the right mastoid air cells. |
Generate impression based on findings. | BRCA 1 mutation, needs screening MRI in comparison to prior exams. The patient is currently breast-feeding There is heterogeneous amount of fibroglandular tissue in both breasts.Marked patchy parenchymal enhancement is noted bilaterally consistent with lactational changes.No abnormal enhancement is seen in either breas... | Limited examination given the lactational changes in both breast. Within these limitations, no MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Compression of brain [G93.5] / Low back pain [M54.5], Reason for Study: ^Reason: Chiari malformation with back pain and headaches, follow up with CSF flow study History: Chiari malformation and back pain23 years Female (DOB:11/6/1993)Reason: chiChiarilformation with back pain and headaches, follow up with CSF flow stud... | 1. Unchanged Chiari 1 malformation since prior scan.2. No evidence of syringomyelia3. Unchanged bidirectional CSF flow across the foramen magnum both anterior and posterior aspect of upper cervical spine and cervicomedullary junction as well as foramen Magendie. |
Generate impression based on findings. | Altered mental status, multiple myeloma. The images are degraded by patient motion. There is a mass centred within the clivus with extension into the left cavernous sinus. There is no gross mass effect upon the pons. There is no evidence of intracranial hemorrhage or acute infarct. The brain parenchyma and pituitary gl... | 1. A lesion in the central skull base with extension into the left cavernous sinus is likely related to multiple myeloma, but assessment of the previously demonstrated epidural extension is limited by patient motion and the lack of intravenous contrast.2. No evidence of acute intracranial hemorrhage or acute infarct.3.... |
Generate impression based on findings. | 73-year-old male with left shoulder pain, evaluate for tendon injury ROTATOR CUFF: There is a fluid signal intensity within the distal supraspinatus tendon at its insertion on the greater tuberosity. This tear disrupts the bursal surface fibers, but appears to spare the articular surface fibers. There is 5 mm retractio... | Insertional bursal surface tear of the supraspinatus tendon, and other findings as described above. |
Generate impression based on findings. | This exam is degraded by motion artifact. There is mildly restricted diffusion within the peri-rolandic and occipital cortex bilaterally. There is no evidence of intracranial hemorrhage or mass. There are scattered mild foci of T2 hyperintensity within the supratentorial white matter without restricted diffusion. Ther... | 1.Mild bilateral perirolandic and occipital cortical acute ischemia compatible with hypoxic injury.2.Mild chronic small vessel ischemic disease. 3.Non-specific bilateral mastoid air cell fluid. |
Generate impression based on findings. | Male, 86 years old, with Bell's palsy, dysfunction of cranial nerves V1, V2, CN7 and CN6 on the right. Scattered foci of T2 hyperintensity are evident within the periventricular white matter and the pons. No evidence of restricted diffusion is seen. No parenchymal edema or mass effect is detected. On postcontrast image... | An abnormal soft tissue process is suspected within the upper aspect of the right cavernous sinus. This abnormality, although subtle, can be visualized on both pre- and postcontrast images and on diffusion-weighted images. The distal cisternal right trigeminal nerve enhances mildly which may be related to this process.... |
Generate impression based on findings. | Ms. King is a 39 year old female with personal history of BRCA2 mutation and strong family history of breast cancer including her mother (diagnosed at the age of 44) and maternal grandmother (diagnosed at the age of 63). There is scattered fibroglandular tissue in both breasts. Minimal parenchymal enhancement is noted ... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: N - Routine Mammogram. |
Generate impression based on findings. | Unspecified cerebral artery occlusion with cerebral infarctionDiagnosis: Other malaise and fatigueClinical question: r/o acute processSigns and Symptoms: weakness MRI of the brainThere is diffusion restriction along the right MCA territory predominantly involving patchy areas along the right inferior and middle frontal... | 1.Near complete occlusion of the right m1 segment of the MCA at the bifurcation and distal m1 segment with evidence for slow antegrade flow "outline sign" at the proximal right superior and inferior divisions.2.Acute cerebral infarction involving predominantly the right middle and inferior frontal gyri as well as the r... |
Generate impression based on findings. | 83 years Male (DOB:6/26/1932)Reason: cause of seizure History: seizurePROVIDER/ATTENDING NAME: DAVID A HARTER JOHN P KRESS There is a moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. There are a few punctate foci of signal hyper... | 1.Periventricular and subcortical white matter lesions of a moderate degree are nonspecific. At this age they are most likely vascular related. 2.Punctate lesions in the brainstem, thalami and external capsules are likely vascular related.3.There are microhemorrhages present. Underlying cause is not clear. The location... |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms: Confusion, seizures. Nonenhanced head CT:Images through posterior fossa are unremarkable and stable since prior study. Previously noted acute hematoma in the right occipital lobe is again identified in the definitive interval change in its density or measu... | Stable constellation of intracranial findings of right occipital lobe hematoma and its minimal surrounding vasogenic edema, mildly dilated supratentorial ventricular system and extensive small vessel disease. |
Generate impression based on findings. | 45-year-old male patient with history of osteomyelitis status post right second toe amputation.New wound, edema. Evaluate for osteomyelitis. There is soft tissue ulceration along the ball of the foot with extensive signal abnormality in the underlying subcutaneous soft tissues. Additionally, there is diffuse edema thro... | Soft tissue ulceration with multifocal osteomyelitis and other findings as described above.These findings were discussed with M. Jacobs via telephone at 0959 hrs. |
Generate impression based on findings. | 54-year-old female with reportedly newly diagnosed HCC, evaluate extent of disease/cirrhosis ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis. Mildly cirrhotic liver morphology.There is a lesion within the inferior aspect of segment 6 measuring 5.7 x 7.4 cm which is hyperintense on DWI and... | Outside exam read:1.Cirrhotic liver morphology with large segment 6 lesion. There is no definite hyperenhancement on arterial phase images (which would favor a hepatocellular carcinoma). Cholangiocarcinoma is favored given apparent progressive delayed enhancement within lesion, however remaining among differential cons... |
Generate impression based on findings. | 40-year-old male with complex renal cyst on MRA. Evaluate the renal cyst. ABDOMEN:LIVER, BILIARY TRACT: There is a segment 7 intermediate T2 signal lesion measuring approximately 2.2 x 2.5 cm with avid arterial enhancement which persists; this lesion most compatible with FNH.SPLEEN: No significant abnormality noted.PAN... | 1.Right renal exophytic lesion anteriorly suspicious for renal cell carcinoma. Differential considerations include papillary over chromophobe.2.There are 2 complex cysts on the right and one complex cyst on the left as detailed above. Attention on follow-up is recommended.3.Segment 7 hepatic FNH. |
Generate impression based on findings. | 44-year-old male with new onset seizure. Evaluate for stroke, edema. There is an area of hypodensity in the right frontal subcortical region that may represent edema or encephalomalacia. This could be related to old ischemic change. However, an MRI is recommended for further evaluation. The ventricles and sulci are mil... | Right frontal subcortical hypodensity may represent edema or encephalomalacia. This could be related to old ischemic change. However, an MRI is recommended for further evaluation. |
Generate impression based on findings. | Left knee pain, questioning iliotibial band syndrome or patellofemoral stress syndrome MENISCI: No significant abnormality noted.ARTICULAR CARTILAGE AND BONE: There is abnormal marrow edema within the patella with areas of near full-thickness to full-thickness articular cartilage loss particularly affecting the lateral... | Articular cartilage loss affecting the undersurface of the patella with areas of near full-thickness to full-thickness loss affecting the lateral patellar facet associated with likely reactive marrow edema within the patella. The remaining knee otherwise appears normal. |
Generate impression based on findings. | Right-sided cervical radiculopathy. Motion artifact degrades the exam quality despite several repeat sequences. Axial T2* sequences are nondiagnostic due to technical factors.The cervical vertebral bodies are appropriate in overall alignment and height. There is mild desiccation of the intervertebral discs, with mild-m... | Motion degraded exam. Moderate scattered spondylotic changes, with up to moderate-severe right greater than left neuroforaminal stenosis at C6-7 and C5-6, with focal right paracentral/foraminal disc protrusion at C6-7. |
Generate impression based on findings. | 46 or old female with multiple myeloma. Evaluate for bone lesions. SKULL: Two views of the skull show no discrete myelomatous lesions. Small lucencies are likely vascular in etiology.CERVICAL SPINE: Two views of the cervical spine show no discrete myelomatous lesions.THORACIC SPINE: Single view of the thoracic spine sh... | No discrete myelomatous lesions. |
Generate impression based on findings. | Memory loss. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is prominent hypointensity in the bilateral basal ganglia. There is mild scattered cerebral white matter T2 hyperintensity. There are also a few scattered punctate foci of intraparenchymal susceptibility effect. There is mild di... | 1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Mild scattered cerebral white matter T2 hyperintensity are nonspecific, but may represent chronic small vessel ischemic disease3. Prominent hypointensity in the bilateral basal ganglia may represent a neurodegenerative process versus age-related... |
Generate impression based on findings. | There is residual subcortical T2 hyperintensity within the occipital lobes bilaterally. There are a few punctate foci of susceptibility effect in the bilateral parietal and occipital lobes as well. There are also unchanged scattered punctate cerebral white matter T2 hyperintensities and a focal defect in the right asp... | 1. Residual stigmata of previous posterior reversible encephalopathy syndrome are unchanged.2. Mild probable chronic small vessel ischemic disease without evidence of acute infarction.3. Unchanged ventriculomegaly with what appears to be colpocephaly.I personally reviewed the Images and/or procedure with the Resident/F... |
Generate impression based on findings. | Clinical question: Evaluate for etiology of altered mental status (metastases, CVA). Signs and symptoms cord altered mental status No evidence of hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Extensive patchy periventricular and subcortical areas of low attenuation are nonspecific however likelihood o... | 1.Findings highly suspected off small vessel disease of indeterminate age.2.Limited value examination for dictation of metastatic disease due to lack of contrast. Follow-up with an MRI is recommended.3.Calvarium, paranasal sinuses and mastoid air cells are unremarkable. |
Generate impression based on findings. | 59 year old female with a prominent pancreatic duct and intrahepatic ductal dilation. Presents with epigastric pain, nausea and vomiting. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. No evidence of significant intra- or extra-hepatic biliary ductal dilation. No focal mass lesion identified within the live... | 1.Dilation of the main pancreatic duct with associated diminished response to secretin augmentation which may reflect chronic duct dysfunction. There is no focal obstructing masslesion identified, however, a benign stricture proximal to the confluence of the common trunk is not entirely excluded. Correlation with ERCP ... |
Generate impression based on findings. | The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There is a 1.0 x 1.1 cm T1 hypointense and T2 hyperintense focus within the body of the C2 vertebral body. There are minimal posterior disc-osteophyte complexes at multiple levels, but no significant spinal... | 1. Minimal degenerative changes of the cervical spine without significant spinal canal or neural foraminal stenosis. No spinal cord signal abnormality.2. A lesion in the C2 body is likely benign. However, further evaluation with radiograph or CT may be useful. I personally reviewed the Images and/or procedure with the ... |
Generate impression based on findings. | 76-year-old female with right shoulder pain and difficulty raising the right arm. Rule out rotator cuff injury. Patient motion artifact limits examination.ROTATOR CUFF: There is a full-thickness tear of the supraspinatus at the level of its insertion on the greater tuberosity with minimal retraction, measuring approxim... | 1. Full-thickness tear of the supraspinatus tendon and interstitial tearing of the infraspinatus as described above. Rotator cuff tendinosis as described above.2. Longitudinal split tear of the long head of the biceps tendon.3. Small glenohumeral joint effusion and other findings as described above. |
Generate impression based on findings. | Reason: chronic lateral patellar dislocation History: lateral patellar dislocation. Due to patient's body habitus, the high-resolution coil could not be used. An alternative coil was used resulting in slightly suboptimal images. MENISCI: Small foci of increased signal intensity within the root of the posterior horn of ... | Chronic lateral patellar dislocation with osteoarthritic changes and other findings as described above. |
Generate impression based on findings. | Clinical question: Rule out stroke. Signs and symptoms: Patient with hemoglobin SC, severe headache. Nonenhanced head CT:No detectable acute intracranial findings. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cortical sulci, ventricular system, CSF cisterns and gra... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Memory issues. Signs and symptoms: Memory issues. Pre-and post-enhanced brain MRI:No diffusion weighted abnormalities.Examination demonstrate small foci of flair hyperintensity in the periventricular and to a lesser degree subcortical white matter of bilateral cerebral hemispheres, bilateral basal ga... | 1.No diffusion weighted abnormalities and no acute ischemic stroke. 2.Findings suggestive of mild chronic nonhemorrhagic small vessel ischemic strokes as detailed.3.No detectable abnormal enhancement.4.Small right orbital lamina papyracea chronic blowout fracture. |
Generate impression based on findings. | Neoplasm of unspecified behavior of brain [D49.6], Reason for Study: ^Reason: pre op to use for navigation History: planning left suboccipital craniotomy for resection of cerebellar tumor The purpose of this imaging scan is preoperative localization using STEALTH protocol.Multiple fiducial markers attached on the scalp... | 51.5 mm(RL) x 39.4 mm(AP) x 33 mm(CC) sized left side posterior fossa likely extra axial mass with mass effects. |
Generate impression based on findings. | Brain MRI:Lobular abnormality is noted centered within the clivus extending into the adjacent sphenoid sinuses (right greater than left). There are also several foci of signal abnormality throughout the calvarium.There are a few scattered foci of T2 hyperintensity within the white matter without restricted diffusion o... | 1.Minimal chronic small vessel ischemic disease. No acute ischemia.2.There is widespread myeloma involvement throughout the spine with vertebral body compression deformities at multiple levels throughout each segment, including possible epidural extension at the T4/5 as well as L2/3 levels.There appears to be moderate ... |
Generate impression based on findings. | 22 years, Female, hx of MS here w leg weakness, blurred vision, R hand tremor, eval for PMS vs MS vs acute process Again seen are multiple T2/FLAIR hyperintense lesions in the periventricular and subcortical white matter throughout the bilateral cerebral hemispheres with morphology and distribution consistent with know... | 1. |
Generate impression based on findings. | Clinical question: Evaluate for hydrocephalus. Signs and symptoms: Gait instability. Non-enhanced CT of brain:Examination demonstrate a highly suspected loculated mass in the left cerebellum with extensive surrounding vasogenic edema. There is significant mass-effect on the fourth ventricle with near complete collapse ... | 1.Mass with extensive surrounding vasogenic edema in the left cerebellum with significant associated mass effect and upward transtentorial herniation.2.Supratentorial hydrocephalus.3.Dedicated MRI examination with enhancement is recommended.4.The above findings were relayed to Dr.Thomas Kelley from neurosurgery departm... |
Generate impression based on findings. | Increasing forearm mass Note that a marker was placed along the volar aspect of the midforearm in the region of the patient's mass. Again seen is an irregularly-marginated mass within the underlying subcutaneous fat of the volar forearm that contacts the underlying deep peripheral fascia of the anterior compartment mus... | Increasing size of left forearm mass. |
Generate impression based on findings. | Headache. There is no evidence of acute intracranial hemorrhage, mass-effect, or shift. No abnormal extra-axial fluid collections are identified. The ventricles and cortical sulci are within normal limits. There is an abnormal soft tissue lesion identified intraconally with the left orbit measuring approximately 1.5 cm... | No evidence of acute hemorrhage or shift. Intraconal mass lesion involving left orbit. This was also identified on prior MR imaging from March 16, 2009. |
Generate impression based on findings. | 67-year-old male with history of fall. MENISCI: There is a 12-mm ossicle within the posterior horn of the medial meniscus near its root ("meniscal ossicle") which likely reflects the sequela of an old meniscal root tear, as the root attachment itself is not visualized. There is also globular signal abnormality within t... | 1.No evidence of ligamentous tear.2.Meniscal degeneration with no evidence of acute meniscal tear; however there is a large ossicle present within the posterior horn of the medial meniscus likely representing a chronic avulsion/root tear.3.Osteoarthritis most severely affecting the patellofemoral joint.4.Moderate-sized... |
Generate impression based on findings. | 69-year-old female for follow-up of thyroid nodules. Prior right thyroid lobectomy and parathyroidectomy. RIGHT LOBE MEASUREMENTS: Post thyroidectomyLEFT LOBE MEASUREMENTS: 4.2 x 1.9 x 1.5 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: No massesLEFT LOBE: 2 masses are again noted in the left lobe of the thyroid. A lower pol... | No mass in the right thyroid bed.No significant change in size of left thyroid masses, one of which clearly contains comet tail artifact. |
Generate impression based on findings. | Reason: RIGHT HIP PAIN, PLEASE EVALUATE FOR LABRAL TEAR, PLEASE INJECT WITH KENALOG 40MG AT TIME OF MRI ARTHROGRAM History: right hip pain ACETABULAR LABRUM: There is a tear extending through the anterior superior labrum extending from the 1 to 2 o'clock position. Heterogeneity of signal of the posterior labrum suggest... | 1. Tear of the anterior superior labrum with additional degeneration/degenerative tearing of the posterior labrum.2. Mild edema between the lesser trochanter and ischium, bilaterally, may reflect ischiofemoral impingement, but the clinical significance of this is uncertain.3. Mild peritrochanteric edema of questionable... |
Generate impression based on findings. | Brain MRI:There are a few scattered punctate foci of T2 hyperintensity within bifrontal subcortical white matter, without restricted diffusion, susceptibility abnormality, or enhancement. The ventricles and sulci are normal in size; incidental note is made of a cavum septum pellucid et vergae. The cerebellar tonsils a... | 1.There are a few scattered punctate foci of T2 hyperintensity within bifrontal subcortical white matter, without restricted diffusion, susceptibility abnormality, or enhancement. These are nonspecific in appearance, and the differential diagnosis would most likely include small vessel disease, migraine sequelae, or re... |
Generate impression based on findings. | Female, 34 years old, with one episode of right lower extremity numbness, and now with right T6-T10 numbness, urinary incontinence, and new headaches. Brain:A 6 mm enhancing lesion is evident along the roof of the right lateral ventricular body without significant mass effect. No additional enhancing lesions are seen. ... | Multiple white matter lesions are identified in the brain involving the periventricular regions bilaterally and the pons. One lesion, along the roof of the right lateral ventricle, demonstrates enhancement, while the remainder do not.Also noted is a nonenhancing T2 hyperintense lesion within the right lateral spinal co... |
Generate impression based on findings. | 57-year-old female with right shoulder pain. ROTATOR CUFF: There is mild heterogeneity of the supraspinatus suggesting mild tendinosis, but we see no fluid-filled tear. The supraspinatus muscle and tendon appear intact. The infraspinatus muscle and tendon appear intact. The subscapularis and teres minor muscles and ten... | 1. Mild tendinosis of the supraspinatus tendon without evidence of a rotator cuff tear.2. Mild osteoarthritis of the acromioclavicular joint.3. Degenerative tearing of the glenoid labrum. |
Generate impression based on findings. | Brain:Again seen are extensive postsurgical changes involving the calvarium including left and posterior calvarial cranioplasty as well as a suboccipital craniectomy and cranioplasty, better seen on prior CT. Again seen is a right posterior approach shunt catheter which courses within the right lateral ventricle and t... | 1. Compared to MRI brain dated 2/3/2014 there is no significant change in appearance of the posterior fossa with evidence of prior Chiari decompression, fourth ventricular stent, as well as effaced CSF spaces and diminished flow dorsally at the foramen magnum.2. No significant change in size of the ventricular system w... |
Generate impression based on findings. | 25 year-old woman with history of knee pain status post motor vehicle accident. MENISCI: The medial and lateral menisci are intact.ARTICULAR CARTILAGE AND BONE: There is a small focus of bone marrow edema affecting the lateral condyle of the femur, however there is no acute fracture. The articular cartilage of the knee... | Bone contusion of the left lateral condyle. |
Generate impression based on findings. | History of abdominal pain and biliary dilatation on recent CT. ABDOMEN:LIVER, BILIARY TRACT: Demonstrated again is intrahepatic and extrahepatic biliary ductal dilatation with the common bile duct measuring up to 1.4 cm. This is similar to the recent 1/5/2015 CT of the abdomen and 10/9/2015 CT of the chest. It appears ... | Intrahepatic and extrahepatic biliary ductal dilatation to the level of the ampulla without associated pancreatic ductal dilatation, similar to CT from 10/09/2015. No filling defect, mass lesion or evidence of stricture. This may represent progressive changes from postcholecystectomy state. |
Generate impression based on findings. | Reason: hx atypical meningioma. Eval for growth History: none- surveillance Postoperative changes are again seen from previous right parietal craniotomy with paramedian craniectomy with subsequent cranioplasty.There is a small focus of diffusion restriction and intrinsic T1 hyperintensity anterior to the left paramedia... | 1.Findings concerning for slight progression of tumor at the site of prior tumor resection in the high parietal regions, although slight decreased size and confluence of enhancement of the more superior posterior heterogeneous nodule.2.Stable pattern of edema the parietal lobes with evidence of cystic encephalomalacia ... |
Generate impression based on findings. | Known osteochondral defect MENISCI: The medial meniscus is unremarkable. The lateral meniscus however demonstrates fraying of the inner edge with more discrete loss involving the apical aspect involving the posterior horn. Specifically extension is observed to the inferior articular surface. Both menisci are well ancho... | Large medial femoral condylar osteochondral defect and minimal apical lateral meniscal tear extending into the posterior horn. |
Generate impression based on findings. | No findings to suggest a seizure focus are appreciated. No evidence of cortical dysplasia, heterotopic gray matter, or loss of gray-white differentiation. There is no evidence of mass or acute infarct. There are no areas of abnormal parenchymal signal. The hippocampal formations are symmetric; normal in size and signa... | 1. No evidence for mass or structural abnormality to suggest seizure focus.2. Borderline low-lying cerebellar tonsils without clear evidence of Chiari 1. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Clinical question: 63-year-old male with GBM. Off all treatments. Previously was on Avastin. Signs and symptoms: GBM. Pre and postcontrast enhanced brain MRI:Diffusion weighted images demonstrate a punctate focus of restricted diffusion in the subcortical white matter of the right superior temporal gyrus posteriorly (d... | 1.Punctate focus of restricted diffusion in the right superior temporal sinus posteriorly.2.Stable post operative and treatment changes of right posterior temporal lobe tumor without evidence of tumor recurrence as detailed. |
Generate impression based on findings. | Other musculoskeletal symptoms referable to limbs(729.89) [729.89], Reason for Study: ^Reason: new right frontal mass History: LLE weakness There are irregular margin heterogeneously enhancing intra-axial masses one on the right middle frontal gyrus with the surrounding edema and another lesion on the right post centra... | Multifocal irregular margined mixed enhancing masses with surrounding edema, differential diagnosis include multifocal primary intraaxial high grade glial tumor. Metastatic tumors are also one of differential diagnosis. |
Generate impression based on findings. | Bladder CA status post radical cystectomy. Evaluate for metastatic disease. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted in the liver. Cholelithiasis without cholecystitis. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality no... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 64-year-old male with left knee pain. Evaluate medial meniscus. MENISCI: The lateral meniscus appears intact. There is increased signal abnormality and deformity of the posterior horn of the medial meniscus consistent with degenerative tearing. ARTICULAR CARTILAGE AND BONE: There is thinning of the articular cartilage ... | Degenerative arthritic changes most pronounced along the medial tibiofemoral compartment with associated degenerative tearing of the posterior horn of the medial meniscus and articular cartilage degeneration, as described above. |
Generate impression based on findings. | History of peak 53 mutation. Presents for cancer screening. SOFT TISSUES OF THE NECK: No significant abnormality noted.CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant ab... | Incompletely characterized lesions involving the distal right femoral diaphysis likely representing a benign etiology such as non-ossifying fibroma. Further evaluation with radiographs and dedicated imaging is recommended to exclude a less likely diagnosis of sarcoma. These findings and recommendations were discussed w... |
Generate impression based on findings. | Dizziness and giddiness The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a mild degree of periventricular and subcortical punct... | 1.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 2.There is no evidence for acute ischemic cerebral infarction. |
Generate impression based on findings. | Right shoulder pain not responsive to physical therapy. ROTATOR CUFF: The rotator cuff muscles and tendons are intact.SUPRASPINATUS OUTLET: The acromioclavicular joint is normal in appearance. No fluid is noted within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment i... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are bilateral digital mammographic images (7/17/14), right digital mammographic images (7/24/14), left digital mammographic images (5/22/15), ultrasound images of right breast (7/24/14), ultrasound images of left breast (5/22/15), breast MRI (6/19/15) p... | No mammographic, sonographic or MRI evidence of malignancy.BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 92 year-old female. Follow-up ICH. Intraparenchymal hemorrhage is present in the right frontal pole. Edema is present throughout the right cerebral hemisphere with effacement of the cortical sulci which is most pronounced in the frontal pole. Accounting for differences in technique, these findings appear grossly unchan... | 1. Right frontal lobe parenchymal hemorrhage with associated cerebral edema, mass effect, and midline shift. Accounting for differences in technique, these findings appears grossly unchanged from the MRI dated 4/21/2009.2. Maxillary fracture as detailed above. If this injury has not been previously evaluated, consider ... |
Generate impression based on findings. | 60 year old with metastatic breast cancer. Now with new stroke seen on MRI. Signs and symptoms: new stroke stroke seen on brain MRI. CTA of intracranial circulation:65 cc of omni-350 is administered for this study.3-D reformatted images of this study were obtained utilizing a independent workstation. These images were ... | 1.CTA of intracranial circulation demonstrates no detectable abnormality of bilateral internal carotid arteries, middle and anterior cerebral arteries and their branches. There are prominent bilateral posterior communicating arteries. There is small caliber of bilateral vertebral arteries and basilar artery in a unifor... |
Generate impression based on findings. | History of hepatitis C cirrhosis presents for HCC screening. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic fibrotic liver morphology. No focal suspicious lesion, biliary ductal dilatation or vascular abnormality.Normally distended gallbladder.SPLEEN: Splenomegaly measuring 19.9 cm in the craniocaudal dimension.PANCREAS: No s... | Cirrhosis without a suspicious lesion. Gastroesophageal varices and splenomegaly. |
Generate impression based on findings. | Ms. Discipio is a 67-year-old female with known left breast cancer. Recent MRI demonstrated an indeterminate enhancing mass in the right upper inner breast. She presents today for MR directed ultrasound of this finding. A targeted right ultrasound was performed for the MRI/mammographic area of concern. In the right bre... | Multiple small cysts in the right upper inner breast, corresponding to the MRI area of concern. No sonographic evidence of malignancy. No additional imaging workup is necessary for the right breast. All results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical ... |
Generate impression based on findings. | Syrinx of cervical and thoracic spine with adhesions. LP shunt. Worsening symptoms. Evaluate for changes. Examination is motion degraded. Again seen are are extensive postsurgical changes of suboccipital craniectomy and multiple cervical and thoracic laminectomies. Again seen is kyphotic attenuation of the cervical spi... | 1. Note patient could not tolerate the full requested studies and only cervical spine MRI could be obtained. There is mild decrease in size of the cervical syrinx compared to 6/12/2014. Thoracic syrinx is partially imaged and not adequately assessed.2. Significant volume loss involving the cervical and thoracic cord as... |
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