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values | has_impression bool 1
class | has_findings bool 1
class | has_history bool 2
classes | has_comparison bool 2
classes | has_procedure bool 2
classes | num_sections_found int64 2 5 | missing_sections stringclasses 8
values | extraction_notes stringclasses 8
values | __index_level_0__ int64 1 292k |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
246,669 | 986,877 | 27,729 | [**2178-10-8**] 1:53 PM
CHEST PORT. LINE PLACEMENT; -77 BY DIFFERENT PHYSICIAN [**Name Initial (PRE) 5**] # [**Clip Number (Radiology) 5478**]
Reason: ET tube placement
Admitting Diagnosis: NEPHROLITHIASIS
______________________________________________________________________________
[**Hospital 2**] MEDI... | 987 | Check placement of ET tube and central catheter. | null | ET tube placement
______________________________________________________________________________
FINAL REPORT | In comparison with earlier films of this date, there has been
placement of an endotracheal tube that lies at the lower clavicular level,
about 5 cm above the carina. Right internal jugular catheter extends to the
mid portion of the superior vena cava at the level of the carina. | A little change in the appearance of the heart and lungs. | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 125,904 |
105,773 | 840,628 | 9,016 | [**2180-10-16**] 8:38 AM
CAROT/CEREB [**Hospital1 **] Clip # [**Clip Number (Radiology) 28959**]
Reason: STROKE
Admitting Diagnosis: STROKE
Contrast: OPTIRAY Amt: 200
********************************* CPT Codes ********************************
* [**Numeric Ident... | 5,308 | null | null | null | Injection of the right common carotid artery revealed mild changes
of carotid atherosclerosis at the bifurcation and a tortuous anatomy. The
intracranial circulation revealed a right internal carotid artery perfusing
both anterior cerebral artery territory via a patent anterior communicating
artery. Injection of ... | Attempted unsuccessful recanalization of the thrombosed left
middle cerebral artery using both a contralateral and ipsilateral approach
with a microcatheter and thrombolytic therapy. | IMPRESSION | true | true | false | false | false | 2 | ['history', 'comparison', 'procedure'] | No History section found; No Comparison section found; No Technique/Procedure section found | 54,227 |
77,803 | 837,004 | 13,373 | [**2198-8-21**] 3:59 PM
ERCP S&I ([**Numeric Identifier 285**]) Clip # [**Clip Number (Radiology) 4527**]
Reason: R/O Anastomotic stricture
Admitting Diagnosis: S/P LIVER TRANSPLANT WITH SVT
______________________________________________________________________________... | 1,290 | null | null | R/O Anastomotic stricture
______________________________________________________________________________
FINAL REPORT
INDICATION: Orthotopic liver transplant with T2 cholangiogram showing
anastomotic stricture.
VIEWS: Only four (4) fluoroscopic spot images from ERCP are present, ... | The fluoroscopic spot images demonstrate a short smooth stricture
of the distal common bile duct with proximal dilatation of the biliary tree.
The submitted ERCP report images demonstrate placement of a stent across the
anastomic stricture. The visualized pancreatic duct appeared unremarkable.
No filling defects w... | The submitted ERCP report images demonstrate placement of a stent across the
anastomic stricture. The visualized pancreatic duct appeared unremarkable. No filling defects were identified. | FALLBACK_LAST_SENTENCES | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 38,885 |
459,419 | 1,174,968 | 54,826 | [**2178-1-6**] 3:46 PM
MR HEAD W & W/O CONTRAST Clip # [**Clip Number (Radiology) 20684**]
Reason: Please provide [**Hospital1 **]-dimensional measurements for all lesions a
Contrast: MAGNEVIST Amt: 20
__________________________________________________________________________... | 2,276 | null | None. | Please provide [**Hospital1 **]-dimensional measurements for all lesions and record on
oncology table and assess for metastatic disease status prior to HD IL2
No contraindications for IV contrast
______________________________________________________________________________
FINAL RE... | There are a few small scattered FLAIR hyperintense foci in the frontal and the
parietal lobe subcortical white matter without associated negative
susceptibility or decreased diffusion. These do not demonstrate enhancement.
On the post-contrast images, there is no focus of abnormal enhancement noted
in the brain pa... | 1. No focal areas of abnormal enhancement in the brain parenchyma or the
meninges to suggest osseous metastatic lesions. Nonspecific FLAIR
hyperintense foci likely relate to small vessel ischemic changes. To
correlate for risk factors. Mild degenerative changes in the cervical spine
and mild mucosal thickening ... | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 247,243 |
51,960 | 788,268 | 24,748 | [**2187-4-14**] 4:36 PM
FEMORAL VASCULAR US LEFT Clip # [**Clip Number (Radiology) 88419**]
Reason: L. GROIN BRUIT, R/O PSEUDO
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
74 year old man with recent cardi... | 973 | null | null | pseudoaneurysm
______________________________________________________________________________
FINAL REPORT
INDICATION: Recent cardiac catheterization with left leg hematoma.
LEFT LOWER EXTREMITY VASCULAR | The left common femoral artery and
vein were interrogated. There is normal color flow and wave form of both the
artery and vein. There is normal augmentation of the common femoral vein. No
vascular abnormalities were demonstrated. | Normal appearance of common femoral artery and vein. No
pseudoaneurysm. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 25,011 |
362,395 | 1,099,421 | 21,202 | [**2145-9-8**] 11:01 AM
LIVER OR GALLBLADDER US (SINGLE ORGAN) PORT Clip # [**Clip Number (Radiology) 16524**]
Reason: evaluate for gallbladder pathology
Admitting Diagnosis: SEPSIS
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION... | 1,386 | null | null | evaluate for gallbladder pathology
______________________________________________________________________________
FINAL REPORT
INDICATION: 55-year-old man with elevated alk phos. Previous bone marrow
transplant. Evaluate for gallbladder pathology. | A 12-mm diameter area of intermediate echogenicity at the lumen of
the gallbladder neck is consistent with findings on previous ultrasound scan
[**2145-2-9**], and most likely represents a gallbladder polyp. No calculi are
seen within the gallbladder. The gallbladder wall is otherwise not
significantly thickened.... | 1. Polyp at neck of gallbladder (1.2cm), which was also seen on prior
ultrasound scan [**2145-2-9**]. This has not changed significantly since prior
ultrasound scan, but followup imaging is advised. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 187,227 |
32,559 | 769,248 | 8,566 | [**2124-10-25**] 11:39 AM
[**Last Name (un) 264**] DUP EXTEXT BIL (MAP/DVT) Clip # [**Clip Number (Radiology) 71784**]
Reason: PE ASSESS FOR BILATERAL LEG DVT
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
48 ye... | 897 | null | null | r/o bilateral leg PE
______________________________________________________________________________
FINAL REPORT
INDICATION: Pulmonary symptoms consistent with pulmonary embolism.
BILATERAL LOWER EXTREMITY VENOUS DOPPLER | There is normal
compressibility, flow and augmentation of the bilateral common femoral,
superficial femoral, saphenous and popliteal veins. | No evidence of DVT bilaterally. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 14,522 |
93,193 | 833,509 | 6,365 | [**2200-7-4**] 12:40 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 30812**]
Reason: r/o ptx after line change
Admitting Diagnosis: PANCREATIC PSEUDOCYST
______________________________________________________________________________
[**Hospital 4**] MEDICAL CON... | 1,582 | null | [**2200-6-15**].
AP UPRIGHT AP VIEW | r/o ptx after line change
______________________________________________________________________________
FINAL REPORT
INDICATION: Tracheostomy, with respiratory distress and low oxygen
saturations. Evaluate for pneumothorax after line change. | Patient s/p median sternotomy and CABG. Tracheostomy
tube is seen in appropriate position. Left subclavian central venous catheter
is seen with tip in appropriate location within the proximal superior vena
cava. Low lung volumes are present bilaterally. There is continued bilateral
perihilar haziness and vascular e... | 1) Persistent left basilar collapse/consolidation with small bilateral pleural
effusions.
2) Slight interval improvement in moderate congestive heart failure.
3) No definite pneumothorax identified. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 47,522 |
440,857 | 1,188,102 | 13,837 | [**2163-6-15**] 5:19 PM
CTA AORTA/BIFEM/ILIAC RUNOFF W/W&WO C AND RECONS Clip # [**Clip Number (Radiology) 31197**]
Reason: Evaluation of LE vasculature prior to potential angioplasty
Admitting Diagnosis: CELLULITIS
Contrast: OPTIRAY Amt: 100
________________________________________________________... | 6,736 | End-stage renal disease with peripheral vascular disease and
necrosis along the first and second right lower extremity digits. Evaluation
of vascular disease requested. | None. | Evaluation of LE vasculature prior to potential angioplasty and stenting for
ischemic 1st and 2nd RLE digits. Per vascular, please obtain images from
infra-renally level
No contraindications for IV contrast
______________________________________________________________________________
WET READ: KKgc WED [**2163-... | Mild basilar atelectasis is noted. There are no pleural effusions.
A small portion of the dome of the liver is excluded. The heart is mildly
enlarged with extensive vascular calcifications. The left ventricle may be
mildly dilated.
(Over)
[**2163-6-15... | (Over)
[**2163-6-15**] 5:19 PM
CTA AORTA/BIFEM/ILIAC RUNOFF W/W&WO C AND RECONS Clip # [**Clip Number (Radiology) 31197**]
Reason: Evaluation of LE vasculature prior to potential angioplasty
Admitting Diagnosis: CELLULITIS
Contrast: OPTIRAY Amt: 100
_______________________________________________... | IMPRESSION | true | true | true | true | true | 5 | [] | OK | 235,115 |
63,330 | 808,109 | 18,988 | [**2177-10-24**] 1:37 PM
MRA CHEST W&W/O CONTRAST; -59 DISTINCT PROCEDURAL SERVICE Clip # [**Clip Number (Radiology) 106951**]
MRA ABDOMEN W&W/O CONTRAST; -59 DISTINCT PROCEDURAL SERVICE
MRA PELVIS W&W/O CONTRAST; -59 DISTINCT PROCEDURAL SERVICE
MR DOUBLE DOSE CONTRAST
Reason: patient with known aneurysm, po... | 3,921 | Back pain in a patient with an aortic aneurysm seen on outside CTA of
the chest abdomen and pelvis. | null | patient with known aneurysm, possible dissectionEVAL FROM NECK TO ILIACS from
dissection
______________________________________________________________________________
FINAL REPORT | There is a descending thoracic aortic aneurysm which extends into the abdomen.
Its largest dimensions are 7.7 x 5.5 cm which occurs near the level of the
diaphragm. The transverse aortic arch measures 4.4 cm and is aneurysmal.
No ascending aortic aneurysm.
There are multiple levels of penetrating ulcers as well as... | Thoracoabdominal aortic aneurysm with maximal diameter of 7.7 x
5.5 cm without evidence of aortic dissection or extension of the aneurysm
proximal to the takeoff of the left subclavian artery.
2. Extensive iliofemoral atherosclerotic disease as described.
KEYWORD: AORTA | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 31,180 |
489,012 | 1,238,241 | 92,063 | [**2126-5-22**] 2:36 PM
[**Numeric Identifier 64915**] INJ PARAVERT F JNT C/T 1 LEV; [**Numeric Identifier 64916**] INJ PARAVERT F JNT C/T 2 LEVClip # [**Numeric Identifier 64917**] INJ PARAVERT F JNT C/T 3 LEV
Reason: 85 year old woman with T-pain
Contrast: ISOVUE Amt: 5
__________________________________________... | 3,502 | Denies interval change in health. Has thoracic pain and wants injections for
this. Denies fevers or recent illness, blood thinners, new allergies. Will not
be driving today.
Physical | null | 85 year old woman with T-pain
______________________________________________________________________________
FINAL REPORT
THE SPINE CENTER AT [**Hospital1 **]
Procedure Note
Medial Branch Nerve Diagnostic Block
T7, T8, T9 bony levels
BILATERAL
Interval | None; skin normal post-procedure
Narrative: The patient was placed in the prone position on a fluoroscopy
table, and sterile prep was performed. The patient was monitored throughout
(Over)
[**2126-5-22**] 2:36 PM
[**Numeric Identifier 64915**] INJ PARAV... | Plan:
S/P Medial Branch Nerve Diagnostic Block
T7, T8, T9 bony levels
BILATERAL
At discharge she had uncertain relief; will consider alternate block next
encounter; see clinic note. All universal protocol elements and radiology procedure policies were
followed, as confirmed by the radiology tech. [**First Name11... | FALLBACK_LAST_SENTENCES | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 267,732 |
358,613 | 1,095,912 | 74,869 | [**2150-9-8**] 10:35 AM
CHEST PORT. LINE PLACEMENT; -77 BY DIFFERENT PHYSICIAN [**Name Initial (PRE) 7**] # [**Clip Number (Radiology) 67418**]
Reason: 40 cm Picc placed in left brachial vein, need Picc tip place
Admitting Diagnosis: ? SEROTONIN SYNDROME
___________________________________________________... | 1,324 | null | null | 40 cm Picc placed in left brachial vein, need Picc tip placement
______________________________________________________________________________
FINAL REPORT | Since the previous study earlier the same date, the new PICC line tip is just
below the cavoatrial junction. ET tube is below the thoracic inlet and 2 cm
above the carina. Right central venous line tip is in the right atrium. It
is satisfactory.
Left lower lobe atelectasis is unchanged, left perihilar and infra... | Worsening left perihilar and infrahilar consolidation.
Satisfactory position of the new left PICC line is at the cavoatrial junction. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 184,788 |
109,185 | 843,434 | 13,325 | [**2108-11-9**] 9:57 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 29405**]
Reason: ET tube placement
Admitting Diagnosis: SEPSIS
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
67 year... | 1,561 | null | Supine AP portable chest x ray of [**2108-11-8**]. | ET tube placement
______________________________________________________________________________
FINAL REPORT
INDICATION: 67 y/o man with CLL, transaminitis, new fever. Evaluation for ETT
placement. | The ETT, NG tube, and right IJ central venous catheter remain in
unchanged positions. Cardiac and mediastinal contours are stable. There is
persistent left lower lobe atelectasis or consolidation. Nodular opacities are
again seen in the left mid lung zone with no clear change, allowing for
differences in technique.... | No significant interval change. Again noted is an area of left
lower lobe atelectasis or consolidation with an adjacent pleural effusion.
Also, unchanged lung nodules are seen in the left lateral lung zone. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 56,159 |
361,363 | 1,097,301 | 60,624 | [**2138-9-25**] 7:33 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 78134**]
Reason: / ptx after CT removal
Admitting Diagnosis: CONGESTIVE HEART FAILURE;S/P CARDIAC INTERVENTION
______________________________________________________________________________
[**... | 898 | CABG with chest tube removal, to evaluate for pneumothorax. | null | / ptx after CT removal
______________________________________________________________________________
FINAL REPORT | In comparison with the study of [**9-23**], the left chest tube has been
removed and there is no evidence of pneumothorax. All the other monitoring
and support devices have been removed. Mild atelectatic changes are again
seen at the left base. | FINDINGS: In comparison with the study of [**9-23**], the left chest tube has been
removed and there is no evidence of pneumothorax. All the other monitoring
and support devices have been removed. Mild atelectatic changes are again
seen at the left base. | FALLBACK_LAST_SENTENCES | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 186,591 |
147,188 | 894,400 | 3,888 | [**2150-2-8**] 9:12 AM
ABDOMEN U.S. (COMPLETE STUDY); DUPLEX DOPP ABD/PEL Clip # [**Clip Number (Radiology) 69045**]
Reason: with dopplers to r/o portal thrombus
Admitting Diagnosis: VARICEAL BLEED
______________________________________________________________________________
[**Hospital 2**] MEDICAL ... | 1,603 | null | null | with dopplers to r/o portal thrombus
______________________________________________________________________________
FINAL REPORT
INDICATION: 41-year-old man with alcoholic cirrhosis. Rising LFTs. | The liver is diffusely echogenic and small in size, with a large
amount of ascites. The gallbladder is seen with sludge, however, there is no
intrahepatic biliary ductal dilatation. The right kidney measures 13.9 cm.
The left kidney measures 13.2 cm. The spleen is enlarged at 16.7 cm.
DOPPLER EVALUATION: Inter... | 1. Reversal of normal portal flow. No evidence of portal thrombus.
2. Echogenic, small shrunken liver, with ascites. Focal liver lesions in
this echogenic liver cannot be excluded on the basis of this study.
Findings were discussed with Dr. [**Last Name (STitle) 18**] by telephone at time of interpretation. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 76,078 |
111,393 | 843,016 | 19,216 | [**2182-10-21**] 1:37 PM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 60313**]
Reason: assess for effusion or CHF
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
52 year old woman with sob
R... | 990 | null | null | assess for effusion or CHF
______________________________________________________________________________
FINAL REPORT
INDICATION: 52-year-old with shortness of breath.
PORTABLE UPRIGHT FRONTAL RADIOGRAPH. Comparison was made to study performed 2
hours prior. | There has been interval development of mild interstitial edema with septal
lines and upper zone redistribution of the pulmonary vasculature. There are
no focal consolidations. There is no pneumothorax. No other changes compared
to the prior study. | Interval development of increasing interstitial edema. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 57,481 |
373,934 | 1,109,790 | 86,831 | [**2130-12-24**] 11:24 AM
LIVER OR GALLBLADDER US (SINGLE ORGAN) Clip # [**Clip Number (Radiology) 103969**]
Reason: RUQ U/S and mark for possible paracentesis please, for r/o c
Admitting Diagnosis: SHORTNESS OF BREATH;WEAKNESS
_______________________________________________________________... | 2,040 | 58-year-old man with esophageal cancer, now in remission, also known
history of hepatitis C. Assess for abdominal ascites and mark for possible
site for paracentesis. Also rule out for acute cholecystitis.
LIMITED FOUR-QUADRANT | null | RUQ U/S and mark for possible paracentesis please, for r/o cholecystits
______________________________________________________________________________
WET READ: ENYa SUN [**2130-12-24**] 12:35 PM
Limited 4 Quadrant U/S. Deepest pocket of ascites marked at RLQ.
_____________________________________________________... | There is moderate ascites throughout all
four quadrants. Limited evaluation of the liver demonstrates a diffusely
echogenic liver without definite focal lesion, compatible with the history of
hepatitis C. The gallbladder is non-distended. There is normal hepatopetal
portal venous flow. The spleen measures 14.0 ... | 1. Diffusely echogenic liver compatible with the hepatitis C history.
Non-distended gallbladder makes acute cholecystitis unlikely.
2. Moderate ascites in all four quadrants, with the deepest pocket marked in
the right lower quadrant. | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 193,594 |
275,545 | 1,031,947 | 13,373 | [**2202-8-25**] 10:52 PM
ERCP BILIARY&PANCREAS BY GI UNIT Clip # [**Clip Number (Radiology) 6031**]
Reason: Please review ERCP films
Admitting Diagnosis: CHOLEDOCHOLITHIASIS
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDIT... | 974 | null | [**2202-7-20**] and CT from [**2202-5-18**]. | Please review ERCP films
______________________________________________________________________________
FINAL REPORT
ERCP
INDICATION: 53-year-old man with pancreatic duct stent removal. | Four fluoroscopic images are submitted after ERCP performed by
gastroenterology. They show a pancreatic duct stent which was subsequently
removed. | Removal of plastic pancreatic duct stent. For further details,
see the gastroenterology report on the same date. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 141,947 |
407,108 | 1,141,606 | 99,213 | [**2132-8-9**] 1:25 PM
TRAUMA #3 (PORT CHEST ONLY) Clip # [**Clip Number (Radiology) 91617**]
Reason: TRAUMA
______________________________________________________________________________
WET READ: IPf SAT [**2132-8-9**] 1:36 PM
NG tube too high, tip at the GE junction, should ... | 1,857 | Trauma. | No prior. | Portable chest radiograph, single view. | Overlying trauma board gives suboptimal evaluation of the chest.
There is an overlying tubular structure at the right mediastinum, which gives
suboptimal evaluation of the right upper chest. In the visualized portion of
the lungs, there is no focal lung consolidation or evidence of contusion. No
pleural effusion.... | 1. Suboptimal evaluation of the chest due to overlapping trauma board and
tubular structure overlying the right mediastinum; small right pneumothorax
seen on subsequent CT not well appreciated on the current study. Mildly
displaced posterior right 8th and 9th rib fractures.
2. High riding nasogastric tube, tip a... | IMPRESSION | true | true | true | true | true | 5 | [] | OK | 213,545 |
229,942 | 993,747 | 32,788 | [**2128-2-6**] 7:17 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 55578**]
Reason: r/o inf
Admitting Diagnosis: TACCHYCARDIA/BRADYCARDIA;ATRIAL FLUTTER\A-FLUTTER ABLATION;BV PACER
______________________________________________________________________________
[... | 761 | Sternal dehiscence. | null | r/o inf
______________________________________________________________________________
FINAL REPORT | In comparison with the most recent study on [**2-5**], there has been
placement of a nasogastric tube that extends to the stomach. Remainder of the
study is unchanged. | [**2128-2-6**] 7:17 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 55578**]
Reason: r/o inf
Admitting Diagnosis: TACCHYCARDIA/BRADYCARDIA;ATRIAL FLUTTER\A-FLUTTER ABLATION;BV PACER
______________________________________________________________________________
[... | FALLBACK_LAST_SENTENCES | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 117,202 |
255,235 | 1,004,448 | 27,365 | [**2185-3-3**] 4:47 PM
CHEST (PA & LAT) Clip # [**Clip Number (Radiology) 66757**]
Reason: eval for PNA, CM, Pulm edema
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
65 year old man with chest pain,... | 1,191 | 65-year-old man with chest pain, now resolved. | null | eval for PNA, CM, Pulm edema
______________________________________________________________________________
FINAL REPORT
TWO VIEWS OF THE CHEST [**2185-3-3**] | Bedside AP and lateral views labeled "upright" are compared with
recent single view dated [**2185-2-25**]. In the interval, the findings of CHF have
largely resolved, with small pleural effusions, layering posteriorly. The
lung volumes remain relatively low with retrocardiac atelectasis. No focal
consolidation i... | Significant interval improvement in findings of CHF with residual
bilateral pleural effusions and subsegmental atelectasis. | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 130,650 |
199,046 | 945,529 | 16,549 | [**2113-2-2**] 10:18 AM
CT CHEST W&W/O C Clip # [**0-0-**]
Reason: evaluate for infiltrates, assess for sternal fluid collectio
Admitting Diagnosis: PNEUMONIA
Contrast: OPTIRAY Amt: 75
______________________________________________________________________________
[*... | 3,400 | null | null | evaluate for infiltrates, assess for sternal fluid collection - ?abscess vs.
seroma vs. fat pad
CONTRAINDICATIONS for IV CONTRAST:
CrCl 34 ml/min
______________________________________________________________________________
FINAL REPORT
INDICATION: 63-year-old woman status post... | The patient is status post CABG and there is has been resection of
the sternum for osteomyelitis. At the level of the superior sternal notch,
there is a 4.0 x 3.5 x 5 cm (transverse, AP, and craniocaudal dimensions,
respectively), fluid collection which has enlarged from the reference scan
from an outside hospital.... | 1. 4 x 3.5 x 5 cm fluid collection with slightly hyperenhancing rim at the
level of the superior sternal notch, status post sternal debridement for
osteomyelitis. This fluid collection could represent a postsurgical seroma,
but superinfection cannot be excluded.
... | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 101,286 |
356,654 | 1,101,252 | 76,732 | [**2185-8-30**] 12:29 PM
CHEST (PORTABLE AP); FOLLOW-UP,REQUEST BY RAD. Clip # [**Clip Number (Radiology) 7501**]
Reason: evaluate for mediastinal air and pneumothorax
Admitting Diagnosis: BRANCHIAL STENOSIS
______________________________________________________________________________
[**Hospital... | 1,541 | null | null | evaluate for mediastinal air and pneumothorax
______________________________________________________________________________
FINAL REPORT
TYPE OF | AP single view of the chest has been obtained with patient in
sitting semi-upright position and analysis is performed in direct comparison
with the next preceding similar study of [**2185-8-18**]. Comparison
demonstrates that the previously described stent located in the intermediate
bronchus of the right side has... | Stent removal, but otherwise stable chest findings. No evidence
of pneumothorax or pneumomediastinum following bronchoscopic procedure. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 183,563 |
332,260 | 1,081,331 | 54,265 | [**2194-7-5**] 8:31 AM
ERCP BILIARY ONLY BY GI UNIT Clip # [**Clip Number (Radiology) 57539**]
Reason: Please review ERCP images done [**7-5**]
Admitting Diagnosis: CHOLANGITIS
______________________________________________________________________________
[**Hospital 4**] MEDICAL... | 1,806 | null | None available. | Please review ERCP images done [**7-5**]
______________________________________________________________________________
FINAL REPORT
INDICATION: 84-year-old female with fever, jaundice, and gallstones,
consistent with acute cholangitis. | Eight spot fluoroscopic images from ERCP procedure, performed
without a radiologist present, are submitted for review. Scout images are
unremarkable. Subsequent images demonstrate introduction of an endoscope
within the duodenum, and cannulation of and contrast injection into the common
bile duct. There are innu... | 1. Innumerable filling defects within the common duct, consistent with
stones. There is moderate duct dilatation.
2. Placement of common bile duct stent, with numerous residual retained
common duct stones present at the termination of procedure.
Please refer to the GI procedure note in the online medical recor... | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 170,407 |
506,652 | 1,209,404 | 92,895 | [**2155-10-1**] 7:02 PM
CT HEAD W/O CONTRAST Clip # [**Clip Number (Radiology) 41962**]
Reason: ? ICH
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
61 year old man with syncope on coumadin, ? head strik... | 1,484 | null | None. | ? ICH
No contraindications for IV contrast
______________________________________________________________________________
WET READ: NATg WED [**2155-10-1**] 7:36 PM
neg acute
______________________________________________________________________________
FINAL REPORT
CLINICAL INFO... | There is no acute intracranial hemorrhage, extra-axial collection,
or mass effect. The ventricles and sulci are mildly prominent, compatible
with age appropriate atrophy, but are normal in configuration. [**Doctor Last Name **]
matter/white matter differentiation is preserved throughout. The orbits are
normal in... | No acute intracranial process. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 280,178 |
224,338 | 951,253 | 20,169 | [**2193-4-13**] 6:07 AM
ABDOMEN U.S. (COMPLETE STUDY); -59 DISTINCT PROCEDURAL SERVICE Clip # [**Clip Number (Radiology) 78446**]
DUPLEX DOPP ABD/PEL
Reason: mark for possible tap; also eval patency of vessels
______________________________________________________________________________
[**Hospital 2**] MEDICAL ... | 2,070 | null | [**2193-4-10**].
ABDOMINAL | mark for possible tap; also eval patency of vessels
______________________________________________________________________________
WET READ: JWK SAT [**2193-4-13**] 9:32 AM
Patent TIPS with increased velocities. Clinical correlation is requested
Nodular liver with moderate amount of ascites
____________________... | The liver is shrunken and nodular consistent with
cirrhosis. The gallbladder is unremarkable without evidence of stones. The
right kidney measures 10.1 cm. The left kidney measures 9.4 cm. There are no
stones or hydronephrosis bilaterally. The spleen is unremarkable. The
visualized portions of the aorta are o... | 1. Patent TIPS with wall-to-wall flow. Mildly elevated velocities. Clinical
correlation is requested.
2. Cirrhotic liver with moderate amount of ascites. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 114,558 |
81,978 | 818,236 | 19,847 | [**2123-2-28**] 1:23 PM
CHEST (PA & LAT) Clip # [**Clip Number (Radiology) 51409**]
Reason: cough
______________________________________________________________________________
[**Hospital 3**] MEDICAL CONDITION:
68 year old man with myeloma s/p bone marrow transplan... | 1,402 | null | No images available, the report from [**2123-1-26**].
CHEST, PA AND LATERAL: | cough
______________________________________________________________________________
FINAL REPORT
CLINICAL INDICATION: Multiple myeloma, s/p bone marrow transplants, new fever. | There are bilateral pleural effusions, which were not mentioned on
the previous study and are most likely new in nature. There is reactive
atelectasis/consolidation with bilateral lower lobes. The cardiac,
mediastinal and hilar contours are unremarkable. The patient is s/p median
sternotomy with numerous surgic... | Bilateral pleural effusions with reactive atelectasis. No focal
opacities identified. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 40,940 |
350,604 | 1,085,582 | 82,211 | [**2143-8-1**] 11:07 AM
CHEST (PORTABLE AP); -77 BY DIFFERENT PHYSICIAN [**Name Initial (PRE) 7**] # [**Clip Number (Radiology) 68442**]
Reason: evaluate for location of HD
Admitting Diagnosis: PNEUMONIA
______________________________________________________________________________
[**Hospital 2**]... | 831 | HD line not flushing. | null | evaluate for location of HD
______________________________________________________________________________
FINAL REPORT | In comparison with the earlier study of this date, there is no
change radiographically in the position of the hemodialysis catheter. Lower
lung volumes and extensive bilateral pulmonary opacifications persist. | [**2143-8-1**] 11:07 AM
CHEST (PORTABLE AP); -77 BY DIFFERENT PHYSICIAN [**Name Initial (PRE) 7**] # [**Clip Number (Radiology) 68442**]
Reason: evaluate for location of HD
Admitting Diagnosis: PNEUMONIA
______________________________________________________________________________
[**Hospital 2**]... | FALLBACK_LAST_SENTENCES | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 180,062 |
520,338 | 1,260,208 | 64,666 | [**2118-1-26**] 5:13 PM
CT CHEST W/CONTRAST; CT ABD & PELVIS W & W/O CONTRAST, ADDL SECTIONSClip # [**Telephone/Fax (1) 58879**]
Reason: staging
Admitting Diagnosis: WEAKNESS
Contrast: OMNIPAQUE Amt: 130
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDI... | 3,453 | Known lung adenocarcinoma, now with concern for brain metastases,
staging exam. | For CT chest [**2117-12-30**], PET-CT [**2117-5-12**]. | staging
No contraindications for IV contrast
______________________________________________________________________________
WET READ: MJMgb WED [**2118-1-26**] 9:43 PM
No acute findings. Please see final report regarding restaging.
______________________________________________________________________________
... | There is marked kyphosis of the cervical spine. No lower cervical adenopathy.
There is rightward deviation of the trachea likely due to volume loss on the
right. The patient is status post right lung pneumonectomy with rightward
mediastinal shift. Fluid is noted in the right hemithorax, unchanged from
compariso... | 1. Postsurgical changes in the lungs with stable nodularity in the left upper
lobe.
2. The left lung ground-glass opacities described previously are not as
apparent on today's exam. | IMPRESSION | true | true | true | true | true | 5 | [] | OK | 290,198 |
217,133 | 956,556 | 10,187 | [**2142-5-17**] 9:08 AM
TIB/FIB (AP & LAT) LEFT; TIB/FIB (AP & LAT) RIGHT Clip # [**Clip Number (Radiology) 106408**]
Reason: S/P BILATERAL TIB/FIB FX
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
39 year old man with increased... | 2,120 | null | null | s/p l tib/fib fx
______________________________________________________________________________
FINAL REPORT
INDICATION: Followup tibia and fibular fractures. | Total of eight radiographs comprising four views of the left tibia
and fibula, and four views of the right tibia and fibula were reviewed and
compared to multiple prior radiographs dating back to [**2141-12-5**].
RIGHT TIBIA AND FIBULA: Again seen at the lateral aspect of the proximal
tibia is a plate with multip... | Unchanged appearance of ORIF bilateral tibia and fibular
fractures. No evidence of hardware loosening. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 110,834 |
229,494 | 990,364 | 30,869 | [**2123-11-22**] 2:30 PM
CT HEAD W/O CONTRAST; -77 BY DIFFERENT PHYSICIAN [**Name Initial (PRE) 7**] # [**Clip Number (Radiology) 42453**]
Reason: exam this am was limited due to artifacts
Admitting Diagnosis: SUBDURAL HEMATOMA;SUBARACHNOID HEMORRHAGE
_________________________________________________... | 1,881 | null | [**11-21**] and [**2123-11-22**]. | exam this am was limited due to artifacts
No contraindications for IV contrast
______________________________________________________________________________
FINAL REPORT
INDICATION: Status post fall, on Coumadin, with known subdural hematoma;
query interval change. | Previously seen scalp eletrodes have been removed. The patient is
status post left frontal, parietal, and temporal bone craniotomy and
evacuation of left convexity subdural hematoma. A small amount of extra-axial
blood is seen along the left cerebral hemisphere, adjacent to the falx and
layering on the tentorium. ... | Status post craniotomy and evacuation of left subdural hematoma,
similar to prior CT but with reduced pneumocephalus. No new hemorrhage
identified. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 116,954 |
439,358 | 1,200,985 | 99,408 | [**2116-9-7**] 3:14 PM
CHEST (PORTABLE AP); -59 DISTINCT PROCEDURAL SERVICE Clip # [**Clip Number (Radiology) 12458**]
Reason: rule out pneumothorax.
Admitting Diagnosis: SOB
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
53 year old ... | 1,440 | null | Multiple chest radiographs, the latest from [**2116-9-7**] at 9 a.m.
ONE VIEW OF THE | rule out pneumothorax.
______________________________________________________________________________
FINAL REPORT
INDICATION: 53-year-old woman with left-sided pleural effusion status post
thoracentesis. Rule out pneumothorax. | The lungs show bilateral lower lobe opacities consistent with atelectasis.
Left effusion has decreased in size after thoracentesis. Persistent small
right effusion. The cardiac silhouette and hilar contours are normal. The
mediastinal silhouette shows a gastric pullthrough, medially, unchanged. No
pneumothorax is... | No pneumothorax. The left effusion has decreased follwoing thoracentesis.
These findings were communicated to [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 11375**] MD via telephone at 16:54
on [**2116-9-7**]. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 234,112 |
470,324 | 1,204,593 | 51,856 | [**2163-9-16**] 8:44 PM
CHEST (PA & LAT) Clip # [**Clip Number (Radiology) 95458**]
Reason: worsening of PNA
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
56 year old man with known atypical PNA and... | 1,246 | null | [**2163-9-11**]. | worsening of PNA
______________________________________________________________________________
FINAL REPORT | Frontal and lateral views of the chest are obtained. In the
interval since the prior study, there is slight increase in interstitial
markings in the left mid to lower lung which may relate to patient's atypical
pneumonia or other inflammatory process. No pleural effusion or pneumothorax
is seen. The cardiac and ... | More conspicuous increased interstitial markings in the left mid
to lower lung may relate to patient's atypical pneumonia or other inflammatory
process. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 254,687 |
208,904 | 967,534 | 9,356 | [**2113-6-23**] 4:48 PM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 72671**]
Reason: recent run of asystole, please eval for new changes
Admitting Diagnosis: END STAGE LIVER DISEASE
______________________________________________________________________________
... | 1,603 | null | [**2113-6-21**]. | recent run of asystole, please eval for new changes
______________________________________________________________________________
FINAL REPORT
STUDY: Single portable AP chest radiograph.
INDICATION: Status post liver transplant and run of asystole. Evaluate for
new changes. | The patient remains intubated, the ETT tube in satisfactory
position. Nasogastric tube and right internal jugular vascular sheath remain
in stable position. There is overall slight decrease in lung volumes when
compared to previous study, with increased vascular prominence and bilateral
hilar opacity consistent w... | 1. Development of mild pulmonary edema.
2. Unchanged appearance of lines and tubes.
3. Continued obscuration of the left hemidiaphragm consistent with
atelectasis and probable effusion, although a consolidative process cannot be
entirely excluded. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 106,445 |
509,075 | 1,251,912 | 48,222 | [**2167-10-3**] 8:09 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 59604**]
Reason: ? infiltrate
Admitting Diagnosis: BOWEL OBSTRUCTION
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
51 year... | 1,115 | Postoperative with desaturation. | null | ? infiltrate
______________________________________________________________________________
FINAL REPORT | In comparison with the study of [**9-30**], there are continued low lung
volumes. Nasogastric tube has been removed and right PICC line extends to the
mid portion of the SVC.
There is increased opacification at the right base with poor definition of the
heart border. Although this could represent crowding of ves... | There is increased opacification at the right base with poor definition of the
heart border. Although this could represent crowding of vessels, in the
appropriate clinical setting, supervening pneumonia would have to be seriously
considered. Some atelectatic changes are seen in the retrocardiac region at
the left b... | FALLBACK_LAST_SENTENCES | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 281,967 |
397,469 | 1,131,925 | 44,245 | [**2199-3-17**] 1:16 PM
CTA HEAD W&W/O C & RECONS; CTA NECK W&W/OC & RECONS Clip # [**Clip Number (Radiology) 84987**]
CT BRAIN PERFUSION
Reason: eval for acute process
Contrast: OPTIRAY Amt: 110
______________________________________________________________________________
[**Hospital 4**] MEDICAL C... | 5,007 | 55-year-old female with questionable CVA and history of ischemic
CVAs with hemorrhagic conversion after TPA in the past, now on Coumadin;
evaluation for acute process. | MR head [**2198-12-9**] and CT head [**2198-12-8**]. | eval for acute process
No contraindications for IV contrast
______________________________________________________________________________
WET READ: PXDb SUN [**2199-3-17**] 2:20 PM
No acute intracranial process. Encephalomalacia from Right frontal and left
parietal old infarcts. No vascular thrombosis, aneurysm... | NE | 1. No evidence of acute territorial infarction or hemorrhage.
2. Stable appearance of old infarctions in the right frontal lobe and left
frontoparietal lobes with expected markedly diminished perfusion.
3. No evidence of occlusion, flow-limiting stenosis, aneurysm greater than 2
mm, or arteriovenous malformation... | IMPRESSION | true | true | true | true | true | 5 | [] | OK | 207,612 |
51,182 | 788,948 | 10,250 | [**2163-5-21**] 3:16 PM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 89638**]
Reason: assess CHF
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
[**Age over 90 **] year old woman with O2 requir... | 853 | null | null | assess CHF
______________________________________________________________________________
FINAL REPORT
INDICATION: Oxygenation.
PORTABLE | Heart is enlarged. There is no overt evidence of failure. The
lungs are clear. Positioning makes it difficult to exclude an infiltrate at
the left base. A calcified mitral annulus does, however, overlie the left
lower lobe. | No appreciable change in the chest since [**2163-5-15**]. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 24,555 |
122,444 | 864,404 | 11,618 | [**2161-4-23**] 3:29 PM
CAROTID SERIES COMPLETE PORT Clip # [**Clip Number (Radiology) 48736**]
Reason: PREOP CABG
Admitting Diagnosis: CORONARY ARTERY DISEASE;CONGESTIVE HEART FAILURE
______________________________________________________________________________
... | 1,051 | 65-year-old female for preoperative evaluation for CABG. | null | null | Duplex evaluation of bilateral extracranial internal carotid arteries and
vertebral arteries was performed. No prior comparison. Peak velocities on the
right are 102, 70, 163 cm per second in the right ICA, CCA and ECA
respectively, corresponding to ICA to CCA ratio of 1.45. Similar velocities
on the left are 109... | Less than 40% stenosis bilateral internal carotid and extracranial internal
carotid arteries. | IMPRESSION | true | true | true | false | false | 3 | ['comparison', 'procedure'] | No Comparison section found; No Technique/Procedure section found | 63,749 |
511,690 | 1,255,765 | 70,989 | [**2109-9-9**] 8:09 AM
MR PELVIS W&W/O CONTRAST Clip # [**Clip Number (Radiology) 42869**]
Reason: assess right adnexa lesion on recent pelvic us
Contrast: GADAVIST Amt: 19
______________________________________________________________________________
[**Hospital 2**] MEDICA... | 3,354 | null | Pelvic ultrasound [**2109-8-26**]. | assess right adnexa lesion on recent pelvic us
No contraindications for IV contrast
______________________________________________________________________________
FINAL REPORT | There is a large mass obstructing the right fallopian tube measuring up to 3
cm in transverse dimension and extending approximately 7.3 cm from the
infundibular portion through the ampullary portion of the right fallopian
tube. The mass is primarily isointense relative to the uterine myometrium on
[**Name (NI) **]... | (Over)
[**2109-9-9**] 8:09 AM
MR PELVIS W&W/O CONTRAST Clip # [**Clip Number (Radiology) 42869**]
Reason: assess right adnexa lesion on recent pelvic us
Contrast: GADAVIST Amt: 19
______________________________________________________________________________
... | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 283,921 |
489,431 | 1,234,592 | 86,692 | [**2161-3-18**] 8:55 AM
CHEST (PA & LAT) Clip # [**Clip Number (Radiology) 66628**]
Reason: Is the pacemaker lead positioned appropriately?
Admitting Diagnosis: TACHYCARDIA
______________________________________________________________________________
[**Hospital 2**]... | 1,235 | null | [**2161-3-13**]. | Is the pacemaker lead positioned appropriately?
______________________________________________________________________________
FINAL REPORT
INDICATION: History of tachybrady syndrome and a new single-chamber pacer
placement. | The left-sided pacemakerlead terminates in the right ventricle.
There is no break in the wire. There is no pneumothorax. Moderate
cardiomegaly is unchanged. There is no focal consolidation, pulmonary
vascular congestion, or pleural effusion. Mild basilar atelectasis is
unchanged. | Pacemaker lead terminates in the right ventricle.
MJMgb | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 268,035 |
378,784 | 1,124,271 | 73,565 | [**2199-1-18**] 9:45 AM
UNILAT UP EXT VEINS US LEFT Clip # [**Clip Number (Radiology) 11832**]
Reason: PAIN AND SWELLING ASSESS FOR DVT OR JOINT INFLAMMATION
Admitting Diagnosis: SEPSIS
______________________________________________________________________________
[**Hospital 4*... | 1,122 | null | null | Please assess for DVT or joint inflammation.
______________________________________________________________________________
FINAL REPORT
LEFT UPPER EXTREMITY ULTRASOUND [**2199-1-18**]
INDICATION: Left shoulder pain and erythema, on antibiotics for bacteremia.
?DVT. | Grayscale, color and pulse wave Doppler son[**Name (NI) 250**] were performed on
the left internal jugular, subclavian, axillary, brachial, basilic and
cephalic veins. Normal flow, waveforms, compressibility and augmentation were
demonstrated. No intraluminal thrombus was identified. | No evidence of left upper extremity DVT. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 196,466 |
148,668 | 886,611 | 26,271 | [**2164-11-7**] 10:52 AM
CAROTID SERIES COMPLETE Clip # [**Clip Number (Radiology) 9511**]
Reason: LEFT HEMISPHERIC CVA
Admitting Diagnosis: STROKE;TELEMETRY
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
... | 1,487 | null | null | any carotid stenosis?
______________________________________________________________________________
FINAL REPORT
Carotid series complete.
REASON: Stroke. | Duplex evaluation was performed of both carotid and vertebral
arteries. Moderate plaque was identified.
On the right, peak systolic velocities are 135, 156, 121 in the ICA, CCA, ECA
respectively. The ICA to CCA ratio is 0.9. This is consistent with a 40-59%
stenosis.
On the left, peak systolic velocities are ... | Moderate plaque with a right 40-59% and a left less than 40%
internal carotid artery stenosis. Of note, both carotid arteries show plaque
that extends more proximally into the common carotid artery. In addition,
there is ultrasound finding of a subclavian steal on the left. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 76,728 |
45,371 | 783,027 | 10,476 | [**2193-4-2**] 2:50 AM
BABYGRAM (CHEST ONLY) Clip # [**Clip Number (Radiology) 84160**]
Reason: S/P INTUBATION
______________________________________________________________________________
FINAL REPORT
INDICATIONS:
CHEST: Cardiomediastin... | 522 | null | null | null | Cardiomediastinal silhouette is normal. The lungs are clear.
Endotracheal tube is 2 cm above carina. There is a line to the right of the
spine at the level of T9 that probably represents a venous line in the IVC. | The lungs are clear. Endotracheal tube is 2 cm above carina. There is a line to the right of the
spine at the level of T9 that probably represents a venous line in the IVC. | FALLBACK_LAST_SENTENCES | true | true | false | false | false | 2 | ['history', 'comparison', 'procedure'] | No History section found; No Comparison section found; No Technique/Procedure section found | 21,289 |
297,104 | 1,052,109 | 80,805 | [**2189-1-22**] 7:33 PM
CHEST (PA & LAT) Clip # [**Clip Number (Radiology) 51917**]
Reason: contusion? rib fx?
Admitting Diagnosis: PNEUMONIA
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
67 year o... | 1,168 | Consolidation with history of fall. | null | contusion? rib fx?
______________________________________________________________________________
WET READ: [**First Name9 (NamePattern2) 11851**] [**Doctor First Name 141**] [**2189-1-22**] 8:54 PM
Left moderate pleural effusion, and right upper lobe consolidation similar in
appearance. Left lower lobe atelectas... | In comparison with study of [**1-20**], the moderate left pleural
effusion persists. Right upper lobe consolidation is similar in appearance to
the previous study. Left basilar atelectasis is unchanged. | FINDINGS: In comparison with study of [**1-20**], the moderate left pleural
effusion persists. Right upper lobe consolidation is similar in appearance to
the previous study. Left basilar atelectasis is unchanged. | FALLBACK_LAST_SENTENCES | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 153,120 |
407,194 | 1,142,301 | 86,024 | [**2151-5-26**] 6:44 PM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 91521**]
Reason: evaluate for acute process
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
71 year old woman with IPH
REASO... | 1,017 | Intraparenchymal hemorrhage, question acute process in the
chest. | None.
CLINICAL | evaluate for acute process
______________________________________________________________________________
FINAL REPORT
CHEST RADIOGRAPH PERFORMED ON [**2151-5-26**]. | AP portable supine chest radiograph is obtained. The lungs are
clear though low lung volumes somewhat limit evaluation. No large pleural
effusion or pneumothorax is seen. Heart size appears upper limits of normal,
though suboptimally assessed on supine AP film. Bony structures appear
grossly intact. | Grossly unremarkable. | IMPRESSION | true | true | true | true | true | 5 | [] | OK | 213,592 |
47,100 | 786,852 | 22,908 | [**2111-3-19**] 1:43 AM
CHEST (PRE-OP PA & LAT) Clip # [**Clip Number (Radiology) 68756**]
Reason: CORONARY ARTERY DISEASE\CATH
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
44 year old man with 3VD
REASO... | 968 | 3 vessel disease, preop. | null | pre op CABG
______________________________________________________________________________
FINAL REPORT | The heart and mediastinum are normal in size. The aorta is unfolded.
The pulmonary vessels are within normal limits. There are no consolidations,
pleural effusions or pneumothoraces. The lung volumes are decreased
bilaterally likely related to poor inspiratory effort. The bones are
unremarkable. | No evidence of heart failure or pneumonia. | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 22,204 |
61,247 | 802,879 | 1,109 | [**2103-9-25**] 12:04 PM
MR HEAD W/O CONTRAST; MR-ANGIO HEAD Clip # [**Clip Number (Radiology) 102308**]
Reason: head w/ contrast, diffusion, MRA for stroke protocol, please
Admitting Diagnosis: STROKE;TELEMETRY
____________________________________________________________________________... | 2,196 | null | null | head w/ contrast, diffusion, MRA for stroke protocol, please page neurology
with any questions
______________________________________________________________________________
FINAL REPORT
INDICATION: Left hemiparesis. | There is loss of signal beginning at the mid-portion of the right
M1 artery, without distal flow. The remainder of the arteries of the circle
of [**Location (un) **] and vertebral basilar system remain patent. There is no evidence of
aneuryms or arterial venous malformation. | Large right MCA distribution infarction, subacute. Additionally,
a focus of infarction involving the left frontal lobe, presumably represents a
sequelae from embolus.
MRA: Two and three dimensional time-of-flight imaging with multiplanar
reconstructions are performed. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 30,076 |
272,228 | 995,027 | 30,472 | [**2190-2-21**] 8:43 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 32764**]
Reason: r/o inf, eff
Admitting Diagnosis: CORONARY ARTERY DISEASE\CORONARY ARTERY BYPASS GRAFT WITH MVR AND TVR/SDA
_____________________________________________________________________... | 836 | null | null | r/o inf, eff
______________________________________________________________________________
FINAL REPORT
Status post CABG, now confused. | Heart and mediastinum appear normal following CABG. The lung fields are
clear. There is no pneumothorax. No evidence of pneumonia is present. | No failure. No pneumonia. No pneumothorax. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 140,259 |
515,410 | 1,254,059 | 54,077 | [**2192-8-15**] 3:50 PM
CT ABD & PELVIS WITH CONTRAST Clip # [**Clip Number (Radiology) 39843**]
Reason: r/o IVC obstruction and mechanical ureteral/urethral obstruc
Admitting Diagnosis: LOWER EXTREMITY EDEMA;STAGE 4 CANCER
__________________________________________________________... | 7,117 | 73-year-old male with metastatic colon cancer who presents with
urinary obstruction and scrotal edema as well as bilateral lower extremity
edema, rule IVC obstruction or mechanical obstruction. | [**2192-7-23**], and as far back as [**2191-6-19**]. | r/o IVC obstruction and mechanical ureteral/urethral obstruction.
No contraindications for IV contrast
______________________________________________________________________________
WET READ: NATg WED [**2192-8-15**] 6:29 PM
1. Confluent aortocaval lymphadenopathy which appears to obliterate the
infrarenal IVC.... | LUNG BASES: There is bibasilar atelectasis, without pleural or pericardial
effusion. A central venous catheter tip terminates at the cavoatrial
junction. A small left ventricular papillary muscle calcification is
incidentally noted. Paraortic lymphadenopathy is increased in size compared
with prior, now measuri... | The distended and incompletely opacified left common iliac,
external iliac, common femoral, and superficial femoral veins that were
reported as concerning for thrombus on the initial interpretation could also
represent dilated unopacified veins secondary to severe compression of the
left common iliac vein near its ... | IMPRESSION | true | true | true | true | true | 5 | [] | OK | 286,646 |
82,826 | 819,613 | 22,801 | [**2179-3-13**] 10:29 AM
CT CHEST W/CONTRAST; CT ABDOMEN W/CONTRAST Clip # [**Clip Number (Radiology) 10006**]
CT PELVIS W/CONTRAST
Reason: evaluate pna
Admitting Diagnosis: THROMBOTIC THROMBOCYTOPENIC PUPURA
Field of view: 40
__________________________________________________________________... | 4,200 | null | Outside comparisons are not available. | evaluate pna
No contraindications for IV contrast
______________________________________________________________________________
FINAL REPORT
INDICATION: Thrombocytopenia. Pneumonia and adrenal mass by outside hospital
CT. | An endotracheal tube and a nasogastric tube are present. There is no
axillary, hilar or mediastinal lymph adenopathy. Small flecks of calcium are
seen within the aortic arch. There is calcification within the LAD. There is
consolidation within the right lower lobe with an associated small pleural
effusion. Pat... | 1. Pneumonia.
2. Coronary artery calcifications and trace pericardial effusion.
3. Fatty liver.
4. Cholelithiasis without acute cholecystitis.
5. Tiny nonobstructing right lower pole renal stone.
6. Large mass probably arising from the right adrenal gland with features
consistent with hemorrhage. Thickenin... | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 41,441 |
224,954 | 949,585 | 21,799 | [**2137-3-26**] 9:48 PM
CHEST (PORTABLE AP); -59 DISTINCT PROCEDURAL SERVICE Clip # [**Clip Number (Radiology) 82615**]
Reason: eval for pneumonia
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
64 year old woman with hypoxia, fever, co... | 890 | null | [**2133-1-24**].
UPRIGHT AP | eval for pneumonia
______________________________________________________________________________
FINAL REPORT
INDICATION: Hypoxia, fever and cough. Evaluate for pneumonia. | Patient is rotated toward the right. Cardiac and
mediastinal contours are unchanged. There is mild congestive failure and
increased density in the left lower lung field raising the possibility of
pneumonia. There is a small left pleural effusion. No pneumothorax. | There is mild congestive failure and
increased density in the left lower lung field raising the possibility of
pneumonia. There is a small left pleural effusion. No pneumothorax. | FALLBACK_LAST_SENTENCES | true | true | false | true | true | 4 | ['history'] | No History section found | 114,858 |
484,775 | 1,248,597 | 72,999 | [**2194-6-19**] 9:39 AM
CHEST PORT. LINE PLACEMENT Clip # [**Clip Number (Radiology) 5783**]
Reason: PICC line placement
Admitting Diagnosis: CHEST PAIN
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
77 year ... | 1,173 | null | [**2194-6-19**]. | PICC line placement
______________________________________________________________________________
FINAL REPORT
INDICATION: 77-year-old man with PE/MRSA bacteremia/epidural abscess with new
PICC line placement, evaluate position. | ET tube is 5 cm above the carina. There is interval placement of a
left PICC line with the tip terminating in the lower SVC. opacification at
both bases likely represents a combination of small pleural effusions and
atelectasis. No other significant changes compared to the prior study. | Interval placement of a left PICC line with the tip terminating in the lower
SVC. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 264,564 |
280,962 | 1,018,159 | 19,569 | [**2184-6-30**] 2:57 PM
CT CHEST W/O CONTRAST Clip # [**0-0-**]
Reason: Pls eval for interval change in ground glass opacities, effu
Field of view: 40
______________________________________________________________________________
FINAL ADDEN... | 4,141 | null | [**2184-5-26**] and [**2184-4-26**] chest CTs.
INDICATION: AML. History of cryptogenic organizing pneumonia. | Pls eval for interval change in ground glass opacities, effusions, evidence of
infection
No contraindications for IV contrast
______________________________________________________________________________
FINAL REPORT
CT CHEST. | There has overall been interval improvement in widespread areas of
ground-glass opacification in both lungs, with residual opacities remaining,
most pronounced in the mid and lower lung with residual areas of ground-glass
attenuation and reticulation. Many of these areas correspond to more dense
areas of ground gl... | In the second to the last paragraph in the body of the report, the
word "note" should be changed to "no". The corrected sentence should state
"No substantial changes are seen in the upper abdomen compared to the recent
CT."
[**2184-6-30**] 2:57 PM
CT CHEST W/O CONTRAST ... | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 144,888 |
39,453 | 778,610 | 11,611 | PERSANTINE MIBI Clip # [**Clip Number (Radiology) 26808**]
Reason: CAD.
______________________________________________________________________________
FINAL REPORT
HISTORY: Eighty-one year old man with history of polycythemia and MI in... | 2,139 | Eighty-one year old man with history of polycythemia and MI in
[**2161-11-6**] and [**2162-1-6**].
SUMMARY OF EXERCISE DATA FROM THE REPORT OF THE EXERCISE LAB:
Persantine was infused intravenously for approximately 4 minutes at a dose of
approximately 0.142 mg/kg/min.
No pain symptoms or ST segment changes were ... | null | null | One to three minutes after the cessation of infusion,
MIBI was administered IV.
Image Protocol: Gated SPECT.
Resting perfusion images were obtained with thallium.
Tracer was injected 15 minutes prior to obtaining the resting images.
Stress images show moderate lateral and inferior wall areas of decreased tracer
... | Partially reversible lateral wall perfusion defect. Reversible
inferior wall perfusion defect of left ventricle.
/nkg
[**First Name8 (NamePattern2) 33**] [**Known lastname **], M.D.
[**Initials (NamePattern4) **] [**Last Name (NamePattern4) 35**] [**Last Name (NamePattern1) 36**], M.D. Ap... | IMPRESSION | true | true | true | false | false | 3 | ['comparison', 'procedure'] | No Comparison section found; No Technique/Procedure section found | 18,105 |
359,874 | 1,095,994 | 89,002 | [**2135-8-30**] 3:58 PM
CT HEAD W/O CONTRAST Clip # [**Clip Number (Radiology) 64310**]
Reason: 41 yo s/p EVD and coiling acomm
Admitting Diagnosis: SUBARACHNOID HEMORRHAGE
______________________________________________________________________________
[**Hospital 2**] MED... | 2,482 | null | Head CTA performed at 12:09 p.m. on [**2135-8-30**], prior to
the intervention. | 41 yo s/p EVD and coiling acomm
No contraindications for IV contrast
______________________________________________________________________________
FINAL REPORT
INDICATION: Subarachnoid hemorrhage, status post endovascular coiling of
anterior communicating artery aneurysm and statu... | There is a new coil pack in the anterior aspect of the suprasellar
cistern, with associated artifact slightly limiting evaluation at this level.
Extensive subarachnoid hemorrhage is again seen, with the greatest density of
blood in the anterior interhemispheric fissure, and also extensive blood
burden in the sylvia... | 1. Unchanged extensive subarachnoid and intraventricular hemorrhage.
2. Status post ventriculostomy with questionable minimal decreased size of
the temporal horns of the lateral ventricles. Otherwise, no significant
change in hydrocephalus.
... | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 185,599 |
482,274 | 1,186,066 | 48,539 | [**2115-3-11**] 10:58 PM
L-SPINE (AP & LAT) Clip # [**Clip Number (Radiology) 8665**]
Reason: Evidence of fracture?
Admitting Diagnosis: POST ARREST
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
36 y... | 1,531 | null | null | Evidence of fracture?
______________________________________________________________________________
FINAL REPORT
LUMBAR SPINE [**2115-3-11**]
CLINICAL INFORMATION: Evidence of fracture, seizure, fall, low back pain. | Three views of the lumbar spine demonstrate mild narrowing of the left
femoroacetabular joint. There is mild scoliosis of the thoracolumbar spine.
The ventricular lead of a pacemaker is identified. No fracture of L2 through
L5 is identified. However, there is a compression fracture of L1, with
compression of the... | Compression fracture of L1 with anterior wedge deformity, likely an acute
finding. No other fractures identified. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 262,844 |
91,907 | 831,376 | 16,533 | [**2188-5-30**] 6:28 AM
CT C-SPINE W/CONTRAST; CT RECONSTRUCTION Clip # [**Clip Number (Radiology) 19441**]
Reason: eval injury
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
38 year old man with found down
REASON FOR THIS... | 1,140 | null | null | eval injury
No contraindications for IV contrast
______________________________________________________________________________
FINAL REPORT
INDICATIONS: Found down, possible cervical spine injury. | Today's study is normal. There is no evidence of fracture or
subluxation. Soft tissue contrast resolution is limited in the absence of
intrathecal contrast. However, no intraspinal soft tissue abnormalities are
detected.
An endotracheal tube and nasogastric tube are in place. | Normal study. No evidence of fracture or subluxation. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 46,846 |
190,185 | 937,139 | 15,178 | [**2139-11-25**] 8:00 PM
MR L SPINE W/O CONTRAST Clip # [**Clip Number (Radiology) 82089**]
Reason: right leg pain, occasional wekaness, previous pelvis fractur
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
... | 1,693 | null | null | right leg pain, occasional wekaness, previous pelvis fracture
______________________________________________________________________________
FINAL REPORT
MRI OF THE LUMBAR SPINE WITHOUT CONTRAST.
INDICATION: 23-year-old woman with right leg pain. Weakness. Previous
pelvic fractu... | There is maintenance of the normal lumbar spine lordosis without
listhesis. Vertebral body heights are maintained. Intervertebral disc spaces
are preserved. Normal disc signal is seen at every level. The conus
terminates at T12-L1. No intrinsic cord signal abnormality is seen. No
abnormal edema is noted in th... | Minimal degenerative changes of lower lumbar spine without evidence of central
canal stenosis or neural foraminal narrowing. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 96,749 |
404,574 | 1,150,924 | 77,383 | [**2147-9-9**] 11:00 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 82214**]
Reason: Placement of dobhoff
Admitting Diagnosis: ANEMIA
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
45 year ol... | 972 | For Dobbhoff placement. | null | Placement of dobhoff
______________________________________________________________________________
FINAL REPORT | In comparison with study of [**9-5**], the tip of the Dobbhoff tube has
been pulled back to the body of the stomach. There is increased opacification
at the left base with some substantial clearing at the right base. This is
consistent with pneumonia and associated pleural effusion.
Upper lung zones are clear an... | There is increased opacification
at the left base with some substantial clearing at the right base. This is
consistent with pneumonia and associated pleural effusion. Upper lung zones are clear and there is no evidence of pulmonary vascular
congestion. | FALLBACK_LAST_SENTENCES | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 212,070 |
158,246 | 897,748 | 3,184 | [**2162-1-15**] 4:40 PM
CHEST (PORTABLE AP); -77 BY DIFFERENT PHYSICIAN [**Name Initial (PRE) 73**] # [**Clip Number (Radiology) 83181**]
Reason: evaluate L lung re-expansion s/p 800cc [**Female First Name (un) **]
Admitting Diagnosis: CHEAT PAIN
_____________________________________________________... | 1,587 | 43-year-old man with esophageal stricture S/P esophagoscopy and
dilatation with SOB. Evaluate left lung re-expansion.
Comparison is made to prior study dated [**2162-1-15**] at 8:03 a.m. | null | evaluate L lung re-expansion s/p 800cc [**Female First Name (un) **]
______________________________________________________________________________
FINAL REPORT
POSTERIOR CHEST PORTABLE SINGLE AP VIEW | There has been interval decrease in the dilatation of the thoracic
stomach/esophagus. There is unchanged dilatation of a loop of small bowel
within the thoracic cavity with diameter of 5.6 cm.
There has been decrease in the left basal volume loss. The right lung is
clear
Unchanged appearance of the small bowel... | 1. Interval decrease in the dilatation of the thoracic stomach/esophagus.
2. Interval decrease in the left pleural effusion and associated left
retrocardiac atelectasis.
3. Unchanged dilatation of air-filled loops of small bowel in the abdominal
cavity. | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 81,054 |
27,428 | 767,048 | 23,286 | [**2141-7-27**] 1:11 PM
CT HEAD W/ & W/O CONTRAST; CT 100CC NON IONIC CONTRAST Clip # [**Clip Number (Radiology) 65847**]
Reason: 26 week GA infant now DOL 24 with E. Coli bacteremia and can
Contrast: OPTIRAY Amt: 2 CC
______________________________________________________________________________
[**Hosp... | 1,840 | null | null | 26 week GA infant now DOL 24 with E. Coli bacteremia and candidal urinary tract
infection. Ultrasound of brain shows ventricular septations, irregular
ventricular walls consistent with ventriculitis, hypoechoic lesion in right
cerebellum, and ventriculomegaly of all ventricles.
Please assess the nature of the ... | There is a right cerebellar hemorrhage and some low density in the
cerebellar hemisphere consistent with edema and displacement of the fourth
ventricle. The fourth ventricle is somewhat enlarged, suggesting entrapment.
Following administration of contrast, there is some contrast enhancement
adjacent to the cerebell... | Right cerebellar hemorrhage. See above discussion regarding the
appearance of the ventricular system. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 12,048 |
408,107 | 1,145,452 | 88,632 | [**2136-8-29**] 3:45 PM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 84390**]
Reason: please confirm placement of NGTube
Admitting Diagnosis: ANEMIA;RENAL FAILURE;ASCITES
______________________________________________________________________________
[**Hospital ... | 1,030 | null | Comparison is made to prior radiograph from [**2136-8-28**]. | please confirm placement of NGTube
______________________________________________________________________________
FINAL REPORT
INDICATION: Evaluation of NG tube placement. | There is no NG tube identified. Otherwise, the cardiomediastinal
silhouette, the lung fields, and the pleural surfaces remain unchanged in
comparison to prior film. These findings were communicated to the patient's
primary medical team. | No NG tube present. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 214,161 |
478,201 | 1,220,579 | 71,125 | [**2101-11-8**] 10:50 AM
CHEST (PRE-OP PA & LAT) Clip # [**Clip Number (Radiology) 107872**]
Reason: KNEE REPLACEMENTS TOTAL RIGHT. RIGHT KNEE OSTEOARTHRITIS
______________________________________________________________________________
FINAL R... | 674 | 65-year-old male with right knee osteoarthritis, in need of
preoperative radiograph.
STUDY: PA and lateral chest radiograph. | None. | null | The cardiomediastinal and hilar contours are normal. The lungs are
clear. There is no pleural effusion or pneumothorax. | No acute cardiopulmonary process. | IMPRESSION | true | true | true | true | false | 4 | ['procedure'] | No Technique/Procedure section found | 260,171 |
104,938 | 839,903 | 21,011 | [**2116-9-7**] 8:20 PM
CT HEAD W/O CONTRAST Clip # [**Clip Number (Radiology) 83906**]
Reason: . Evaluate for hemorrhagic complication.
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
61 year old man wit... | 1,435 | null | None. | . Evaluate for hemorrhagic complication.
No contraindications for IV contrast
______________________________________________________________________________
FINAL REPORT
INDICATION: Right MCA stroke. Intra-arterial thrombolysis. Worsening
headache. Evaluate for intracranial hem... | The exam is limited by considerable motion artifact. Hyperdensity
in the right basal ganglia is consistent with acute hemorrhage. No other
areas of hemorrhage are detected. There is no significant associated mass
effect. The ventricles remain symmetric, and the cisterns are patent. The
left cerebral hemisphere is... | Motion limited study. Right basal ganglia hyperdensity consistent
with acute hemorrhage without significant associated mass effect. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 53,751 |
32,973 | 773,740 | 10,924 | [**2159-10-20**] 11:03 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 76694**]
Reason: s/p diuresis thoracentesis. Evaluate for change in effusion
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:... | 1,299 | S/P diuresis and thoracentesis, evaluate for change in effusion and
pulmonary congestion.
REFERENCE | null | s/p diuresis thoracentesis. Evaluate for change in effusion and pulm
congestion
______________________________________________________________________________
FINAL REPORT | The cardiac silhouette continues to be enlarged. There has been
interval decrease in the vascular congestion and interstitial infiltrates.
There continues to be a hazy increased opacity in the right lateral lung that
could still represent an infiltrate but continued follow up is recommended.
Small pleural effusions... | Overall improvement in vascular congestion, however, there
continues to be a right lateral lung infiltrate. | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 14,701 |
186,075 | 925,933 | 1,923 | [**2118-7-27**] 7:47 AM
PICC LINE PLACMENT SCH Clip # [**Clip Number (Radiology) 45768**]
Reason: picc placement
Admitting Diagnosis: PNEUMONIA
********************************* CPT Codes ********************************
* [**Numeric Identifier 253**] PICC W/O [**Numeric Id... | 2,776 | null | null | picc placement
______________________________________________________________________________
FINAL REPORT
INDICATION: 80-year-old female with infected hip requiring IV antibiotics.
RADIOLOGISTS: Dr. [**Last Name (STitle) 29845**] and Dr. [**Last Name (STitle) 29638**]. The atten... | The patient was brought to the Radiology Suite and placed
supine on the angiography table. Following a preprocedure timeout including
the patient's name, and two patient identifiers, the left arm was sterilely
prepped and draped. Ultrasound was used to identify the left brachial vein,
which was patent and compres... | Successful placement of a 37 cm 5 French double lumen PICC by way
of the left brachial vein with the tip in the distal SVC. The line is ready
for use. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 94,644 |
321,675 | 1,076,522 | 53,285 | [**2158-4-9**] 4:31 PM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 61812**]
Reason: eval chest tube placement, PTX
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
60 year old man with lung [**H... | 2,250 | Patient is a 60-year-old man with lung cancer, transferred
from outside hospital status post right chest tube placement for spontaneous
pneumothorax. | null | eval chest tube placement, PTX
______________________________________________________________________________
FINAL REPORT
CHEST RADIOGRAPH PERFORMED ON [**2158-4-9**]
Comparison is made with outside hospital chest CT performed at approximately
12:30 p.m. today as well as chest rad... | Single AP upright portable chest radiograph is obtained. A chest
tube is seen with its tip in the right lung apex. Subcutaneous emphysema is
noted along the chest tube insertion site and in the right lateral chest wall.
There is no evidence of pneumothorax on the current exam. Please note, prior
chest radiograph... | 1. No residual pneumothorax status post chest tube insertion.
2. Large cavitary mass in the right lower lobe, better assessed on prior
outside hospital CT.
3. Persistent right lung base atelectasis.
Findings were discussed with Dr. [**First Name8 (NamePattern2) 8851**] [**Last Name (NamePattern1) 8576**] at t... | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 165,032 |
374,546 | 1,109,040 | 56,890 | [**2113-12-5**] 3:56 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 37695**]
Reason: please eval for interval change or infectious process
Admitting Diagnosis: CHRONIC IMMUNE DEMYELINATING POLYNEUROPATHY
__________________________________________________________... | 1,196 | null | null | please eval for interval change or infectious process
______________________________________________________________________________
FINAL REPORT | In comparison to the previous chest radiograph, new perihilar
haziness with upper lobe vascular congestion is consistent with mild pulmonary
edema. Heart size is top normal and widening of the mediastinum is due to
lipomatosis. Left lower lobe atelectasis unchanged since CT [**2113-12-3**]. | Interval development of mild pulmonary edema, early followup
chest radiograph following treatment is recommended. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 193,947 |
344,799 | 1,100,144 | 60,893 | [**2125-11-5**] 8:20 AM
PORTAL VENOGRAPHY Clip # [**Clip Number (Radiology) 45497**]
Reason: Please do portal venogram to eval for narrowing in the proxi
Contrast: OPTIRAY Amt: 110
********************************* CPT Codes ********************************
* [**Numer... | 6,333 | 63-year-old female status post orthotopic liver transplant
on [**2125-9-13**], underwent recent workup for elevated liver function tests
demonstrating portal venous anastomotic stenosis on CTA. Request for
transhepatic portal venogram pressure measurements and possible balloon
dilatation and/or stent.
OPERATORS:... | null | Please do portal venogram to eval for narrowing in the proximal main portal
vein. Pt is s/p liver transplant. With Dr [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **].
______________________________________________________________________________
FINAL REPORT
PORT... | After the risks, benefits and alternatives of the
procedure as well as conscious sedation were explained to the patient,
informed consent was obtained. The patient was placed supine on the
intervention table and the right upper abdomen was prepped and draped in the
usual sterile fashion. A preprocedure timeout wa... | Transhepatic portal venogram demonstrating hepatopetal portal
flow and focal stenosis at the portal venous anastomosis. Successful stenting
of the portal vein with a 10 mm x 4 cm stent with good angiographic results.
Hepatic parenchymal tract between the portal vein access and capsule embolized
with Gelfoam pledge... | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 176,689 |
226,024 | 951,274 | 1,699 | [**2170-3-3**] 9:55 AM
CHEST (PRE-OP PA & LAT) Clip # [**Clip Number (Radiology) 80912**]
Reason: LIVER FAILURE
Admitting Diagnosis: LIVER FAILURE
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
68 year old... | 1,042 | null | null | preop cxr
______________________________________________________________________________
FINAL REPORT
INDICATIONS: Hepatitis C cirrhosis. Pre-operative chest radiograph prior to
liver transplant.
PA AND LATERAL | Comparison is made to chest radiographs from [**9-26**], [**2169**]. Cardiac size is within normal limits. There is no CHF or
consolidation. There is minor left lower lobe atelectasis. There is no
pleural effusion. Osseous structures are unchanged in appearance, again
demonstrating increased thoracic kyphosis. | No acute cardiopulmonary abnormality. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 115,343 |
242,567 | 994,365 | 29,058 | [**2192-1-17**] 3:50 PM
CT CHEST W/CONTRAST Clip # [**Clip Number (Radiology) 43060**]
Reason: evaluate for interval change
Contrast: OPTIRAY Amt:
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
43 ye... | 2,327 | null | CT chest of [**2191-12-28**]. | evaluate for interval change
No contraindications for IV contrast
______________________________________________________________________________
FINAL REPORT
INDICATION: 43-year-old with HIV, nonproductive cough, and dyspnea, prior
studies demonstrating worsening centrilobular nodu... | There has been significant improvement in the previously seen
diffuse centrilobular nodules. Specifically, the centrilobular nodules in the
right upper and middle lobes have improved, the nodules in the lower lobe have
nearly resolved, and the centrilobular nodules in the lingula appear
essentially unchanged. Ther... | 1) Significant improvement in diffuse centrilobular nodules, likely due to
resolving infectious bronchiolitis
2) Moderate paraseptal and centrilobular emphysema. 2.6-cm dominant bulla in
left upper lobe.
3) Mild enlargement of the main pulmonary artery, suggestive of pulmonary
arterial hypertension.
4) Stable sm... | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 123,584 |
298,827 | 1,052,479 | 11,643 | [**2192-1-1**] 12:37 PM
CHEST (PA & LAT) Clip # [**Clip Number (Radiology) 27528**]
Reason: effusion, infiltrate?
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
64 year old woman with altered mental ... | 1,405 | null | CXR [**2191-12-26**] and CT chest [**2191-12-27**].
UPRIGHT AND LATERAL | effusion, infiltrate?
______________________________________________________________________________
FINAL REPORT
INDICATION: 64-year-old female with altered mental status and spiculated lung
mass. Evaluate for effusion or infiltrates. | Hyperinflation of the lungs and flattening of the
diaphragms is again consistent with known emphysema. The heart size is
unchanged, with a tortuous thoracic aorta demonstrating atherosclerotic
calcifications. A previously noted right PIC catheter has been removed. No
definite new lung consolidation is identified... | 1. No evidence of acute cardiopulmonary process.
2. Known right upper lobe spiculated nodule not well identified on the
current study. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 153,905 |
14,635 | 754,564 | 4,001 | [**2123-3-24**] 8:22 AM
CAROTID SERIES COMPLETE Clip # [**Clip Number (Radiology) 40863**]
Reason: 89 year old woman with mulitple vascular risk factors and li
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
... | 1,376 | Left MCA distribution, TIA. | null | 89 year old woman with mulitple vascular risk factors and likely left MCA TIA.
______________________________________________________________________________
FINAL REPORT | There is diffuse plaque involving the common carotid artery on the
right and extending into the ICA and ECA. The peak systolic velocities are
241, 94 and 197 cm/second for the ICA, CCA and ECA respectively. The ICA to
CCA ratio is 2.6. The findings indicate a 60-69% right ICA stenosis.
On the left, there is mod... | Bilateral calcified plaque, that on the right associated with a
60-69% ICA stenosis, that on the left associated with a 70-79% ICA stenosis. | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 5,983 |
518,300 | 1,232,253 | 79,031 | [**2164-2-18**] 2:13 PM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 50557**]
Reason: line tip position
Admitting Diagnosis: AORTIC STANOSIS\AORTIC VALVE REPLACEMENT /SDA
______________________________________________________________________________
[**Hospital ... | 1,485 | null | [**2164-2-17**]. | line tip position
______________________________________________________________________________
FINAL REPORT
CHEST RADIOGRAPH
INDICATION: Right line change. | As compared to the previous radiograph, the patient has been
extubated and the nasogastric tube has been removed. Also, the Swan-Ganz
catheter has been changed and replaced by a right internal jugular vein
catheter.
The lung volumes have decreased. There is a newly appeared bilateral pleural
effusion, right mor... | A millimetric pneumothorax is now also seen on the right. The referring physician, [**Last Name (NamePattern4) **]. [**Last Name (STitle) 2674**], was paged for notification at 2:56 p.m.,
[**2164-2-18**], and the findings were subsequently discussed on the telephone. | FALLBACK_LAST_SENTENCES | true | true | false | true | true | 4 | ['history'] | No History section found | 288,778 |
401,646 | 1,134,415 | 62,945 | [**2118-6-15**] 1:35 PM
TIPS Clip # [**Clip Number (Radiology) 86566**]
Reason: please retry to place TIPS
Admitting Diagnosis: ETOH WITHDRAWAL;CIRRHOSIS
Contrast: VISAPAQUE Amt: 260
********************************* CPT Codes ****************************... | 11,962 | 49-year-old male with ETOH cirrhosis and massive upper GI
bleed from esophageal varices. Patient is post failed attempt at TIPS and
presents with rebleeding. | TIPS procedure from [**2118-6-14**].
OPERATORS: The procedure was performed by Drs. [**First Name8 (NamePattern2) 234**] [**Last Name (NamePattern1) 896**] (fellow) and
[**First Name8 (NamePattern2) 732**] [**Last Name (NamePattern1) 155**]. Dr. [**Last Name (STitle) 155**], the attending interventional radiologis... | please retry to place TIPS
______________________________________________________________________________
FINAL REPORT
CLINICAL | After the risks and benefits of the procedure were
explained to the [**Hospital 353**] healthcare proxy, informed consent was obtained.
The patient was brought to the angiography suite, and his indwelling right
neck trauma catheter and right flank were prepped and draped in usual sterile
fashion. A preprocedural t... | 1. Successful TIPS from the right hepatic vein into the right portal vein
with placement of a 10 mm x 10 cm (8 cm covered/2 cm uncovered) stent.
(Over)
[**2118-6-15**] 1:35 PM
TIPS Clip # [**Clip... | IMPRESSION | true | true | true | true | true | 5 | [] | OK | 210,165 |
391,144 | 1,149,202 | 59,415 | [**2149-9-8**] 10:08 PM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 51699**]
Reason: Please evaluate NG tube placement. Also evaluate lung fields
Admitting Diagnosis: LIVER DISEASE;ENCEPHALOPATHY
__________________________________________________________________... | 1,071 | Alcoholic cirrhosis and altered mental status, for NG tube
placement. | null | Please evaluate NG tube placement. Also evaluate lung fields for acute process.
______________________________________________________________________________
FINAL REPORT | In comparison with the study of [**8-19**], there is little overall
change in the cardiac silhouette. The pulmonary vessels appear mildly
prominent and there may be minimal atelectatic changes at the bases.
There has been interval placement of a nasogastric tube that extends at least
to the body of the stomach. | FINDINGS: In comparison with the study of [**8-19**], there is little overall
change in the cardiac silhouette. The pulmonary vessels appear mildly
prominent and there may be minimal atelectatic changes at the bases. There has been interval placement of a nasogastric tube that extends at least
to the body of the st... | FALLBACK_LAST_SENTENCES | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 203,797 |
320,119 | 1,075,958 | 30,349 | [**2110-4-10**] 12:10 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 49940**]
Reason: pneumonia, pleural effusion
Admitting Diagnosis: BOWEL OBSTRUCTION
______________________________________________________________________________
[**Hospital 2**] MEDICAL COND... | 1,388 | null | [**2110-4-7**]. | pneumonia, pleural effusion
______________________________________________________________________________
FINAL REPORT
CHEST RADIOGRAPH
INDICATION: Pneumonia, pleural effusion. | Due to patient position, the right hemithorax is less transparent
than on the left. On today's radiograph, there is a subtle increase in
vascular diameter and mild blunting of both costophrenic sinuses, presumably
due to small pleural effusions. In combination with slightly increasing size
of the cardiac diameter... | In addition, the right lung base has increased in density, so
that developing pneumonia cannot be excluded. A repeat radiograph should be
performed within six to eight hours. The responsible nurse [**First Name8 (NamePattern2) **] [**First Name4 (NamePattern1) 732**] [**Last Name (NamePattern1) **] was notified by te... | FALLBACK_LAST_SENTENCES | true | true | false | true | true | 4 | ['history'] | No History section found | 164,255 |
303,053 | 1,038,375 | 15,041 | [**2177-10-28**] 10:01 AM
CHEST (PRE-OP PA & LAT) Clip # [**Clip Number (Radiology) 30261**]
Reason: pt with pelvic mass, scheduled for tahbso on [**Numeric Identifier 30262**]
______________________________________________________________________________
[**Hospital 4**] MED... | 750 | Preoperative. | null | pt with pelvic mass, scheduled for tahbso on [**Numeric Identifier 30262**]
______________________________________________________________________________
FINAL REPORT | No evidence of acute cardiopulmonary disease. Minimal atelectatic
changes at the bases. | [**2177-10-28**] 10:01 AM
CHEST (PRE-OP PA & LAT) Clip # [**Clip Number (Radiology) 30261**]
Reason: pt with pelvic mass, scheduled for tahbso on [**Numeric Identifier 30262**]
______________________________________________________________________________
[**Hospital 4**] MED... | FALLBACK_LAST_SENTENCES | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 155,996 |
111,621 | 842,422 | 2,197 | [**2164-9-18**] 2:59 PM
IVC GRAM/FILTER Clip # [**Clip Number (Radiology) 28680**]
Reason: please place IVC filter, please if able to do today
Admitting Diagnosis: SUBARACHNOID HEMORRHAGE
Contrast: OPTIRAY Amt: 20
********************************* CPT Codes ********... | 3,364 | 43 year old male with subarachnoid hemorrhage, long term
immobilization, needs IVC filter.
PROCEDURE/ | null | please place IVC filter, please if able to do today
______________________________________________________________________________
FINAL REPORT | The procedure was performed by Dr. [**First Name8 (NamePattern2) 1874**] [**Name (STitle) 1875**] and Dr.
[**First Name4 (NamePattern1) 923**] [**Last Name (NamePattern1) 924**], with Dr. [**Last Name (STitle) 924**], attending radiologist, present and
supervising.
After obtaining informed consent from the family o... | Successful placement of a temporary Optease IVC filter in infrarenal location.
Normal anatomy of IVC.
(Over)
[**2164-9-18**] 2:59 PM
IVC GRAM/FILTER Clip # [**Clip Number (Radiology) 28680**]
Reason: pleas... | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 57,606 |
70,774 | 811,365 | 7,223 | [**2152-11-23**] 7:32 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 3645**]
Reason: interval change
Admitting Diagnosis: RUPTURED AAA
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
... | 1,347 | null | null | interval change
______________________________________________________________________________
FINAL REPORT
INDICATION: S/P aortic aneurysm repair, hypoxemia. Assess for change.
PORTABLE AP VIEW OF | Please note that this is a re-dictation of an exam
initially performed on [**2152-11-23**]. Allowing for differences in technique and
position, there has been no significant change since the exam of [**2152-11-17**]. The
left sided central venous catheter, ETT and NG tube are unchanged in position.
The heart size a... | Allowing for differences in patient positioning, no significant
change since the exam of [**2152-11-17**]. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 34,958 |
231,791 | 990,250 | 29,682 | [**2116-12-13**] 8:43 PM
CHEST (PRE-OP PA & LAT) Clip # [**Clip Number (Radiology) 50437**]
Reason: HYPERPARATHYROIDISM
Admitting Diagnosis: HYPERPARATHYROIDISM
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:... | 1,215 | Preop for parathyroid adenoma removal. | Multiple priors, the most recent dated [**2116-10-26**]. | preop
______________________________________________________________________________
FINAL REPORT
PREOPERATIVE PA AND LATERAL CHEST X-RAY, [**2116-12-13**] AT 20:50 HOURS. | Lung volumes are mildly diminished. There is an indwelling large
bore dual-lumen dialysis catheter now from a left internal jugular approach
where previously it was from a right internal jugular approach. There is no
consolidation or edema. The mediastinum is unremarkable. The cardiac
silhouette is borderline e... | No acute pulmonary process. | IMPRESSION | true | true | true | true | true | 5 | [] | OK | 118,172 |
311,914 | 1,047,316 | 45,589 | [**2172-11-13**] 4:09 PM
CHEST (PORTABLE AP); -77 BY DIFFERENT PHYSICIAN [**Name Initial (PRE) 7**] # [**Clip Number (Radiology) 26103**]
Reason: Position of Dobhoff and check S/P bronch
Admitting Diagnosis: THYMOMA/SDA
______________________________________________________________________________
... | 1,223 | null | Chest radiograph earlier the same date. | Position of Dobhoff and check S/P bronch
______________________________________________________________________________
PROVISIONAL FINDINGS IMPRESSION (PFI): PMB FRI [**2172-11-13**] 8:16 PM
Indwelling device is in standard position. Small biapical pneumothoraces.
________________________________________________... | New Dobbhoff tube terminates within the stomach. Other indwelling
devices are in standard position. Small biapical pneumothoraces are present,
with the right newly appreciated and the left in retrospect unchanged.
Cardiomediastinal contours are unchanged. Left lower lobe atelectasis and
left effusion slightly im... | Small biapical pneumothoraces are present,
with the right newly appreciated and the left in retrospect unchanged. Cardiomediastinal contours are unchanged. Left lower lobe atelectasis and
left effusion slightly improved. | FALLBACK_LAST_SENTENCES | true | true | false | true | true | 4 | ['history'] | No History section found | 160,216 |
141,325 | 849,023 | 26,300 | LUNG SCAN Clip # [**Clip Number (Radiology) 101671**]
Reason: PLEUIITIC R SIDED CP, DM, EKG CHANGES, EVALUATE FOR PE.
______________________________________________________________________________
FINAL REPORT
HISTORY: Pleuritic ... | 1,370 | Pleuritic right sided chest pain, diabetes, EKG changes.
DECISION: Ventilation and perfusion images were obtained. | null | null | Ventilation images obtained with Tc-[**Age over 90 26**]m aerosol in 8 views demonstrate a
postero-basilar left lower lobe ventilation defect. Tracer activity is also
seen along the esophagus.
Perfusion images in the same 8 views show matching postero-basilar left lower
lobe subsegmental perfusion abnormalities.
... | Low likelihood of pulmonary embolism.
/nkg
[**Last Name (NamePattern5) 29**], M.D. Approved: TUE [**2192-1-10**] 11:32 AM
West [**Medical Record Number 101125**]
RADLINE [**Telephone/Fax (1) 31**]; A radiology consult service... | IMPRESSION | true | true | true | false | false | 3 | ['comparison', 'procedure'] | No Comparison section found; No Technique/Procedure section found | 73,431 |
148,459 | 886,190 | 19,606 | [**2116-10-4**] 5:05 PM
MRA ABDOMEN W&W/O CONTRAST; MR CONTRAST GADOLIN Clip # [**Clip Number (Radiology) 99674**]
Reason: Assess vessles for patency
Admitting Diagnosis: CHOLECYSTITIS
Contrast: MAGNEVIST Amt: 40
______________________________________________________________________________
[**Ho... | 3,168 | 47-year-old woman with thickening of entire colon and
elevated creatinine, assess the vessels for patency. | MRA of the abdomen dated [**2116-4-19**]. | Assess vessles for patency
______________________________________________________________________________
FINAL REPORT
MRA OF THE ABDOMEN WITH AND WITHOUT CONTRAST DATED [**2116-10-4**].
CLINICAL | Study is somewhat limited due to patient's body habitus. The
surface coil was not able to be used.
Evaluation of the mesenteric vessels shows a normal-appearing celiac axis, SMA
and [**Female First Name (un) **]. The aorta is normal in caliber, without evidence for atheromatous
disease. There are single normal ... | 1. Widely patent celiac axis, SMA and [**Female First Name (un) **]. Patent SMV.
2. Limited evaluation of the colon shows wall thickening within the cecum
and ascending colon. Prior CT scan from [**Hospital 539**] Hospital shows evidence for
(Over)
... | IMPRESSION | true | true | true | true | true | 5 | [] | OK | 76,634 |
351,183 | 1,085,204 | 46,041 | [**2160-6-3**] 7:34 AM
CHEST (PORTABLE AP); -59 DISTINCT PROCEDURAL SERVICE Clip # [**Clip Number (Radiology) 78914**]
Reason: eval for PNA
Admitting Diagnosis: ISCHEMIC CARDIOMYOPATHY
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
60... | 989 | Cardiogenic shock with persistent increase in white blood count. | null | eval for PNA
______________________________________________________________________________
FINAL REPORT | In comparison with the study of [**5-31**], there is little overall
change in the appearance of the heart and lungs. The opacification in the
medial upper portion of the left upper lung persists. The tip of the
nasogastric tube cannot be evaluated since the bottom of the image is at the
diaphragmatic level.
Rig... | The opacification in the
medial upper portion of the left upper lung persists. The tip of the
nasogastric tube cannot be evaluated since the bottom of the image is at the
diaphragmatic level. Right lung is clear. | FALLBACK_LAST_SENTENCES | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 180,398 |
493,785 | 1,228,198 | 49,555 | [**2168-3-10**] 8:23 AM
CT CHEST W/O CONTRAST Clip # [**Clip Number (Radiology) 32900**]
Reason: Please assess for changes, possible placement of endobronchi
Admitting Diagnosis: VOCAL CORD DISFUNCTION
________________________________________________________________________... | 3,435 | null | [**2168-2-22**], [**2168-2-3**], [**2168-1-9**]. | Please assess for changes, possible placement of endobronchial valve.
No contraindications for IV contrast
______________________________________________________________________________
FINAL REPORT
INDICATION: Patient with COPD and persistent pneumothorax. Assess for
interval cha... | CT OF THE | 1. Multicystic abnormality in the left lung apex, likely pneumatoceles, not
(Over)
[**2168-3-10**] 8:23 AM
CT CHEST W/O CONTRAST Clip # [**Clip Number (Radiology) 32900**]
Reason: Please assess for changes, possi... | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 271,078 |
248,578 | 988,799 | 29,950 | [**2190-12-31**] 1:58 AM
MR HEAD W & W/O CONTRAST Clip # [**Clip Number (Radiology) 74737**]
Reason: r/o mass, bleed, amyloid
Admitting Diagnosis: STROKE;TELEMETRY;TRANSIENT ISCHEMIC ATTACK
Contrast: MAGNEVIST Amt: 12
_________________________________________________________... | 3,651 | 82-year-old female with left frontal intracranial hemorrhage, rule
out mass, bleed, angiopathy. | CT head [**2190-12-30**]. | r/o mass, bleed, amyloid
No contraindications for IV contrast
______________________________________________________________________________
WET READ: DJD FRI [**2190-12-31**] 4:03 AM
8.3cm x 4.3cm L frontal hemmhorage. Causes focal frontal transfalcine shift to
R ~4mm and impression on the L frontal [**Doctor L... | There is a 8.3 cm x 4.7-cm left frontal intraparenchymal
hemorrhage. This demonstrates predominantly isointense signal on T1-weighted
images and hypointense signal on T2/FLAIR images, consistent with
predominantly acute hemorrhage products. Within this intraparenchymal
hemorrhage, there is a smaller foci of hyper... | 8.3 x 4.7 cm left frontal intraparenchymal hemorrhage,
predominantly acute in nature, with mass effect on the lateral ventricle and 4
mm right shift of midline. Small subdural extension is seen as well overlying
(Over)
[**2190-12-31**] 1:58 AM
MR HEAD W... | IMPRESSION | true | true | true | true | true | 5 | [] | OK | 127,043 |
499,478 | 1,238,312 | 69,219 | [**2167-4-16**] 7:38 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 114278**]
Reason: Evaluate for improvement in pulmonary edema and for monitori
Admitting Diagnosis: WIDE COMPLEX TACHYCARDIA
_____________________________________________________________________... | 1,751 | null | [**2167-4-14**]. | Evaluate for improvement in pulmonary edema and for monitoring of CVL
______________________________________________________________________________
FINAL REPORT
STUDY: Chest radiograph.
INDICATION: Multiple recent V-fib arrests, extensive hypoxia. For
evaluation. | Heart size is likely increased, notwithstanding the portable AP projection.
A left-sided central line is identified, likely in the cavoatrial junction,
not significantly changed from before. No pneumothorax.
There are patchy changes, much more pronounced than on the prior study,
projected over the right chest, w... | The salient finding appears to be development of some nodular opacities, with
appearances suggestive of rib fractures along the right chest wall. There is
background pulmonary edema. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 275,034 |
115,611 | 859,183 | 9,893 | [**2183-4-15**] 5:15 PM
PORTABLE ABDOMEN Clip # [**Clip Number (Radiology) 42367**]
Reason: assess for obstruction(please do upright film)
Admitting Diagnosis: RULE-OUT MYOCARDIAL INFARCTION;TELEMETRY
____________________________________________________________________... | 1,411 | null | null | assess for obstruction(please do upright film)
______________________________________________________________________________
FINAL REPORT
INDICATION: 77-year-old female status post right ventricular infarct, now
with positive bowel sounds and distention. Evaluate for obstruction.
... | The exam is suboptimal secondary to patient positioning.
Only the upper abdomen is included within the imaged plane. Gas is seen
extending throughout multiple loops of small and large bowel. The transverse
colon measures upper limits of normal at 4.8. There is no acute evidence of
obstruction, with no air-fluid ... | Suboptimal study. Transverse colon measures upper limits of
normal with no air-fluid levels to indicate acute obstruction. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 59,976 |
39,860 | 777,878 | 5,969 | [**2116-12-27**] 3:03 AM
CT HEAD W/O CONTRAST Clip # [**Clip Number (Radiology) 77881**]
Reason: assess the intracranial hemorrhage
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
80 year old woman with t... | 1,830 | null | null | assess the intracranial hemorrhage
No contraindications for IV contrast
______________________________________________________________________________
FINAL REPORT
INDICATION: Thalamic hemorrhage assess. | There is a 3 cm x 2.5 cm hemorrhage within the right thalamus with surrounding
hypodensity indicating edema with slight shift of the normally midline
structures to the left with extension as interventricular hemorrhage within
the right lateral ventricle, left lateral ventricle and fourth ventricle.
There is promine... | 1. There is a large right thalamic hemorrhage with slight shift of
the normally midline structures to the left. There is interventricular
extension. There is dilatation of the ventricles consistent with non-
communicating hydrocephalus.
2. Probable chronic right cerebellar infarction.
These findings were directl... | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 18,312 |
9,259 | 748,723 | 24,322 | [**2158-1-3**] 4:54 PM
CT HEAD W/O CONTRAST Clip # [**Clip Number (Radiology) 39576**]
Reason: ERvaluate for hydrocephalous.Fluctuating level of consciousn
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
... | 1,631 | Inattentive and confused. Intraventricular bleed in lateral
ventricles found on CT scan at [**Hospital6 **]. | [**2157-12-31**] | ERvaluate for hydrocephalous.Fluctuating level of consciousness
______________________________________________________________________________
FINAL REPORT | Again noted is high attenuation material in the occipital horns of
both lateral ventricles representing hemorrhage. This appearance is unchanged
in the interval since prior exam. The ventricles remain somewhat prominent
relative to cerebral sulci, and are unchanged in the interval. No parenchymal
hemorrhage is se... | Bilateral intraventricular hemorrhage, left greater than right
with prominence of ventricles relative to the cerebral sulci- ? early
commmunicating hydrocephalus. No significant change since prior study. See
previous report for detailed description. | IMPRESSION | true | true | true | true | true | 5 | [] | OK | 3,615 |
324,791 | 1,068,413 | 19,590 | [**2130-4-26**] 12:22 PM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 67564**]
Reason: infiltrate?
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
78 year old man with sob
REASON FOR THIS EXAMI... | 973 | 78-year-old male with shortness of breath, to assess for a
cardiopulmonary process. | null | infiltrate?
______________________________________________________________________________
FINAL REPORT | There is persistent cardiomegaly with prominence of the pulmonary vasculature
and upper lobe diversion. There is no acute focal consolidation. | Overall findings are consistent with mild-to-moderate CHF. Please ensure
followup to clearance. | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 166,669 |
324,297 | 1,067,636 | 30,911 | [**2124-3-24**] 9:55 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 63280**]
Reason: assess for pulmonary edema
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
[**Age over 90 **] year old man w... | 1,207 | null | [**2124-3-8**].
SINGLE UPRIGHT AP VIEW OF THE | assess for pulmonary edema
______________________________________________________________________________
FINAL REPORT
INDICATION: [**Age over 90 **]-year-old male with shortness of breath and history of
congestive heart failure. Assess for pulmonary edema | There has been interval increase in
bilateral pleural effusions and vascular engorgement. There is stable
cardiomegaly. These findings are consistent with congestive heart failure.
Underlying infectious process cannot be excluded. The aorta is tortuous as
before. No pneumothorax is seen. | Findings consistent with congestive heart failure with increased
bilateral pleural effusions compared to prior study. Underlying infection
cannot be excluded. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 166,417 |
387,911 | 1,107,788 | 73,463 | [**2200-12-14**] 4:38 PM
CHEST (PRE-OP PA & LAT) Clip # [**Clip Number (Radiology) 94982**]
Reason: CHOLELITHIASIS
Admitting Diagnosis: CHOLELITHIASIS
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
84 year... | 1,031 | 84-year-old man who is preop laparoscopic cholecystectomy. | null | Pre-op CXR.
______________________________________________________________________________
FINAL REPORT
STUDY: Preop AP and lateral chest radiograph, [**2200-12-14**]. | Median sternotomy wires are seen. There is coarsening of the
bronchovascular markings which is stable. There is no focal consolidation.
There is some atelectasis at the left base. The PICC line has been removed in
the interim. No pneumothoraces are seen. Aortic valve replacement is seen. | No signs for acute cardiopulmonary process. | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 201,809 |
14,531 | 754,308 | 19,755 | [**2113-2-10**] 8:14 PM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 55446**]
Reason: Please evaluate ETT tube placement
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
65 year old woman with me... | 1,872 | null | null | Please evaluate ETT tube placement
______________________________________________________________________________
FINAL REPORT
INDICATION: ET tube placement.
PORTABLE | Comparison to earlier film from 11:30 A.M. same day.
There is a new ET tube in place, with tip in satisfactory position,
approximately 2 cm above the carina. There is a peripherally inserted central
venous catheter which has its tip in the region of the SVC. There is a new NG
tube whose tip is not included on thi... | 1) New ET tube in satisfactory position.
2) NG tube tip below hemidiaphragm.
3) PICC tip in SVC.
4) Low lung volumes.
5) Likely subsegmental atelectasis right mid chest.
6) Minimal patchy increased density in left retrocardiac area; early/limited
parenchymal infiltrate cannot be excluded. Follow up films are reco... | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 5,935 |
37,954 | 774,857 | 5,806 | [**2156-1-5**] 8:27 AM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 72997**]
Reason: R/O RADIOLOGIC SIGNS OF PNEUMO, WIDENED MEDIASTINUMPT S/P AS
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
... | 1,244 | null | [**2156-1-2**]. | R/O RADIOLOGIC SIGNS OF PNEUMO, WIDENED MEDIASTINUMPT S/P ASYSTOLIC EVENT & CPR
______________________________________________________________________________
FINAL REPORT
INDICATION: Asystolic event with CPR. Question pneumothorax. | The extreme left base is excluded from the image. The ET tube is
in proper position and NG tube courses in the direction of the stomach. There
is slight left ventricular enlargement and the mediastinum is slightly
widened, but these are probably positional. Diaphragms are elevated
bilaterally. There is slight u... | Appropriate ET tube placement. No pneumothorax. | IMPRESSION | true | true | false | true | true | 4 | ['history'] | No History section found | 17,269 |
38,003 | 773,869 | 10,704 | [**2144-12-21**] 1:15 PM
CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 69882**]
Reason: r/o free air
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
57M trauma pt with sepsis
REASON FOR THIS EXA... | 1,428 | null | null | r/o free air
______________________________________________________________________________
FINAL REPORT
INDICATION: Trauma and left lung collapse.
AP | Tracheostomy tube lies 4 cm from the carina. The feeding tube loops
on itself, terminating in the upper esophagus; a subsequent CXR from the same
day shows that this has been removed. Lung volumes are low and the right lung
is grossly clear. In comparison to the prior study of [**2144-12-17**] at 2:29 pm,
there is... | Increasing atelectasis of left lung, with shift of heart and
mediastinum to this side. Feeding tube looped in esophagus. Study is
inadequate to evaluate for free air. Unchanged multiple left-sided rib
fractures. | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 17,301 |
315,032 | 1,051,252 | 8,258 | [**2116-11-30**] 10:49 AM
ESOPHAGUS Clip # [**Clip Number (Radiology) 23950**]
Reason: eval diverticulum and pharnygoceles
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:
75 year old woman with... | 2,023 | Zenkers diverticulum on previous video swallow. | null | eval diverticulum and pharnygoceles
______________________________________________________________________________
FINAL REPORT | Under rapid imaging, the pharynx was assessed during oral barium
swallow in the lateral and frontal position. This was significant for a
wide-necked Zenker's diverticulum approximately the size of one cervical
vertebral body. The diverticulum failed to empty completely despite repeated
attempts at swallow. There... | 1) Wide neck Zenker's diverticulum and small bilateral pharyngoceles.
2) Hold up of oral barium tablet in the Zenker's diverticulum where
subsequently it passes with repeated swallows. | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 161,821 |
48,532 | 785,908 | 5,969 | [**2117-3-27**] 9:33 AM
CT HEAD W/O CONTRAST Clip # [**Clip Number (Radiology) 77818**]
Reason: ?bleed/hydrocephalus
______________________________________________________________________________
[**Hospital 4**] MEDICAL CONDITION:
67 yo woman, R putaminal haemorrhage, w... | 2,097 | null | null | ?bleed/hydrocephalus
No contraindications for IV contrast
______________________________________________________________________________
FINAL REPORT (REVISED)
INDICATION: 68 y/o female with history of right putamen hemorrhage and
worsening obtundation. Evaluate for hemorrhage, hy... | There is no intra axial or extra axial hemorrhage. The ventricles
and sulci are unchanged in size with no evidence of hydrocephalus. There is an
area of low attenuation in the region of the right thalamus which is
consistent with the patient's history of prior right thalamus hemorrhage.
There is no evidence of intr... | 1) No evidence of intra axial or extra axial hemorrhage or hydrocephalus.
2) Area of low attenuation in the region of right thalamus consistent with
resolution of right sided thalamus hematoma. Low attenuation within the
periventricular white matter consistent with chronic microvascular infarct.
3) Fluid level with... | IMPRESSION | true | true | false | false | true | 3 | ['history', 'comparison'] | No History section found; No Comparison section found | 22,968 |
16,594 | 757,076 | 20,582 | [**2123-4-13**] 11:43 AM
CHEST (SINGLE VIEW) PORT Clip # [**Clip Number (Radiology) 113790**]
Reason: R basilic picc line placement for IV abx at rehab/home. Plea
______________________________________________________________________________
[**Hospital 2**] MEDICAL CONDITION:... | 1,401 | Right-sided PICC line placement. Assess position.
SINGLE VIEW OF THE | null | R basilic picc line placement for IV abx at rehab/home. Please page [**Numeric Identifier 901**] with
wet read ASAP. Thank you.
______________________________________________________________________________
FINAL REPORT | Comparison is made to previous exam of one day
earlier. There has been interval placement of a right-sided PICC, with the
tip overlying the cavoatrial junction. The tip of a left-sided central venous
catheter is unchanged in position. The cardiac silhouette and
mediastinal/hilar contours are stable. There has be... | 1. Tip of right-sided PICC overlying the cavoatrial junction. No
pneumothorax.
2. Slight interval resolution of multiple right-sided patchy lung opacities. | IMPRESSION | true | true | true | false | true | 4 | ['comparison'] | No Comparison section found | 6,918 |
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