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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previuos measurements History: none CHEST:LUNGS AND PLEURA: Apical scarring. No new pulmonary nodules.MEDIASTINUM AND HILA: Scattered small subcentimeter lymph nodes are unchanged. Calcified thyroid nodule unchanged. Status post CABG. severe coronary calcification.CHEST WALL: Status ... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: adenoid cystic ca eval for mets History: adenoid cystic ca eval for mets LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules are present, one which is calcified. No suspicious pulmonary nodule or masses seen. No consolidation or pleural effusion.MEDIASTINUM AND HILA: Nonspecific thyroid hypodensities... | No evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | There are unchanged posttreatment findings related to right tonsillectomy and right neck dissection with no mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. Right distal internal jugular venous thrombosis is again seen superior to the site of right MediPort ... | Stable posttreatment findings with no locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Female 63 years old Reason: protuberance at right clavicular head, lipoma vs. cyst vs. mass History: none Focused ultrasound performed over the right sternoclavicular joint. There is soft tissue in the sternoclavicular junction with mild capsular hypertrophy. There is no fluid collection, soft tissue mass or cyst. The ... | 1. Osteoarthritis of the right sternoclavicular joint. No fluid collection, cyst or soft tissue mass.2. Incidental note is made of multiple thyroid nodules which are incompletely evaluated on this study. A left thyroid nodule is suspicious for a follicular neoplasm. Dedicated thyroid ultrasound should be considered for... |
Generate impression based on findings. | 4-year-old male with cough and coarse breath sounds.VIEW: Chest AP (one view) 2/8/2015 1041 Right upper extremity central venous catheter tip at IVC/right atrial junction. Endotracheal tube has been removed. Gastrostomy tube balloon is partially visualized. Normal cardiothymic silhouette. New right lower lobe airspace ... | 1.New right lower lobe airspace opacity, for which differential considerations include atelectasis or infection.2.Right upper extremity central venous catheter tip at junction of right atrium and IVC. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is extremely dense, limiting the sensitivity of mammography and increasing the importance of physical examination, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSD - Screening Mammogram. |
Generate impression based on findings. | Reason: mets lung cancer, s/p resection and chemo. Pls c/w previous study and evalaute dx status. History: lung ca CHEST:LUNGS AND PLEURA: Extensive posttreatment changes in the left hemithorax from left lower lobectomy and XRT.Stable appearance of the left upper lobe and scarring. Small left pleural effusion stable.Em... | Stable reference measurements as above. |
Generate impression based on findings. | Reason: pt quad and recent ddimer + but left AMA after suboptimal study History: chest pain, SOB PULMONARY ARTERIES: No evidence of pulmonary embolism to the segmental level.LUNGS AND PLEURA: 4-mm nodular density along the minor fissure (series 7, image 99) is likely a pulmonary lymph node. No other abnormal pulmonary ... | No evidence of pulmonary embolism. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | One day old male with increasing respiratory distress and O2 requirement.VIEW: Chest and abdomen AP (two views) 2/8/2015 1328 Chest: Endotracheal tube tip between the thoracic inlet and carina. Upper normal cardiothymic silhouette. Minimal diffuse lung haziness. No focal pulmonary opacity, pleural effusion, or pneumoth... | 1.Endotracheal tube tip between thoracic inlet and carina.2.UVC tip at junction of superior vena cava and right atrium. |
Generate impression based on findings. | 86-year-old female with left shoulder pain, fall in 2013 with chronic pain, known osteoarthritis. Degenerative changes are noted about the sternoclavicular joints without acute dislocation or fracture. The partially visualized right lung consolidation, right apical chest tube and loculated air in the right apical pleur... | No evidence of fracture or dislocation. The right lung consolidation, right apical chest tube and loculated air in the right apical pleural space are better appreciated on the recent chest CT. |
Generate impression based on findings. | 70-year-old female with history of fall. Evaluate for intracranial hemorrhage. There is mild confluent periventricular white matter hypoattenuation compatible with age indeterminate ischemic small vessel disease. There is no evidence of intracranial hemorrhage. No midline shift or mass effect. The basal cisterns are pa... | 1.No evidence of acute intracranial hemorrhage.2.Mild age-indeterminate small vessel ischemic disease. |
Generate impression based on findings. | Seven week old male with micrognathia There is micrognathia, mandibular hypoplasia, with shallow bilateral temporomandibular joint glenoid fossae.There is generalized calvarial flattening on the left involving left parietal, temporal, and occipital regions. There is no sutural overlap. Intracranial contents are unremar... | 1.There is micrognathia, mandibular hypoplasia, with shallow bilateral temporomandibular joint glenoid fossae.2.There is generalized calvarial flattening on the left involving left parietal, temporal, and occipital regions. 3.Fluid is present within bilateral mastoid air cells and middle ear cavities. |
Generate impression based on findings. | 59-year-old male with an abrasion and pain status post fall with concomitant right ankle fracture. Two views of the right knee show no evidence of a fracture or dislocation. There is mild osteophyte formation indicating osteoarthritis. There is chondrocalcinosis within the lateral aspect of the knee joint. Surgical cli... | Osteoarthritis and chondrocalcinosis but no evidence of fracture or dislocation. |
Generate impression based on findings. | 59-year-old male with a right distal fibular fracture. Evaluate for medial widening. Limited evaluation with only a single view. There is an oblique fracture of the distal fibula with slight displacement and extension of the fracture into the joint. There is associated soft tissue swelling. A small avulsion fracture is... | Limited evaluation with only a single view. Oblique fracture of the distal fibula with slight displacement and extension of the fracture into the joint. Small avulsion fracture of the distal medial malleolus. No evidence of widening of the tibiotalar joint. |
Generate impression based on findings. | Reason: severe asthma, r/o bronchiectasis History: cough LUNGS AND PLEURA: Diffuse moderate bronchial wall thickening which is nonspecific but can be seen in asthma. There are also areas of mucus plugging. Moderate left upper lobe scarring with areas of very mild bronchiectasis and bronchial wall thickening. Patchy mul... | Diffuse moderate bronchial wall thickening which is nonspecific but can be seen in asthma. There are also areas of mucus plugging. Moderate left upper lobe scarring with areas of very mild bronchiectasis and bronchial wall thickening. Patchy multifocal air trapping on expiratory phase imaging. |
Generate impression based on findings. | 79-year-old female with a skin ulcer. Rule out osteomyelitis. Two radiographic views of the right foot show diffuse soft tissue swelling about the foot and ankle with indistinctness to the cortical margin along the dorsal aspect of the foot which is highly suspicious for osteomyelitis. There is suggestion of a shallow ... | Findings suspicious for osteomyelitis of the dorsum of the foot. This can be evaluated with a three phase bone scan or MRI if there is a need for further characterization. Stress fractures with callus formation about the second and third metatarsal diaphyses. |
Generate impression based on findings. | 42 year-old female with history of sinus pain. There is mild mucosal thickening of bilateral maxillary sinuses with air/fluid levels and obstruction of the infundibula bilaterally. Additionally, there is mild scattered mucosal thickening of the ethmoid air cells. The frontoethmoidal recesses are obstructed bilaterally.... | Mild paranasal sinus mucosal thickening and other findings as above. |
Generate impression based on findings. | Injury.VIEWS: Left elbow AP/lateral (two views) 02/09/15 Cast has been removed. Periosteal reaction encircles the proximal ulna. Periosteal reaction is noted along the posterior aspect of the distal humerus. Alignment is anatomic. | Healing fractures of distal humerus and proximal ulna. |
Generate impression based on findings. | 57 year old with history of multiple lumpectomies in the past, including most recently in January 2013. Three standard views of both breasts and left spot magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchange... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 67 years old; Reason: metastatic appendiceal colon cancer / adenocarcinoma, status post debulking History: abd discomfort ABDOMEN:LUNG BASES: Trace pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL... | 1.Peritoneal thickening and nodularity suspicious for early metastatic disease, without discrete measurable disease. |
Generate impression based on findings. | 15 year old female with patellofemoral instability. MENISCI: No significant abnormality noted.ARTICULAR CARTILAGE AND BONE: The medial facet of the trochlea and trochlear groove appear flattened, consistent with dysplasia. Again seen is chondromalacia of the patellofemoral compartment which is better characterized on t... | 1.Findings compatible with trochlear dysplasia. 2.Patellofemoral chondromalacia which is better characterized on the recent previous MRI. |
Generate impression based on findings. | Male 77 years old Reason: Please assess for recurrence of metastatic melanoma History: None CHEST:LUNGS AND PLEURA: Biapical fibrosis, unchanged.Left lower lobe micronodules again seen measuring 5 mm, previously 4 mm (series 6, image 85).Other scattered micronodules, unchanged.No pleural effusion.MEDIASTINUM AND HILA: ... | No evidence of residual or recurrent disease. No significant interval change. |
Generate impression based on findings. | Reason: h/o HNC, post surgical baseline History: none CHEST:LUNGS AND PLEURA: Patchy upper lobe opacities, right greater than left, are new from the prior study and likely represents areas of aspiration/infection. The findings are not typical of metastases though continued follow up is recommended. No pleural effusion ... | Patchy upper lobe opacities, right greater than left, are new from the prior study and likely represents areas of aspiration/infection. The findings are not typical of metastases though continued follow up is recommended. |
Generate impression based on findings. | Male; 59 years old. Reason: h/o CHF, CKD, p/w epigastric pain please evaluate for stones. LIVER: There is mild hepatomegaly. The liver measures 17.8 cm in length with coarsened echotexture. No focal hepatic lesions are identified. The main portal vein demonstrates normal directional flow, peak velocity measures 20 cm/s... | Mild hepatomegaly. No cholelithiasis or evidence of acute cholecystitis. |
Generate impression based on findings. | Pain to anteromedial knee. Slammed door into knee one day prior. Minimal osteoarthritis. No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | Pain Limited examination with one frontal view provided.No fracture or malalignment evident. | Limited study with no abnormality evident. |
Generate impression based on findings. | 64-year-old male patient status post subtotal colectomy in 2006 for complicated diverticulitis with abscess formation presents with history of recent right lower quadrant abdominal pain. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 30 minutes. Fluoroscopic evaluation showed ... | 1.Postsurgical changes from subtotal colectomy without evidence of anastomotic stricture.2.Findings compatible with nonobstructive adhesions of the small bowel, most notably in the left hemiabdomen. |
Generate impression based on findings. | Reason: pt with MRI shows signal in T2 and T12 inconclusive for hemangioma. Eval chest and vertebral bodies for masses History: chronic low back pain LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Visualized thoracic spine is essentially normal with... | Visualized thoracic spine is essentially normal with no evidence of hemangioma. There is very minimal degenerative disc disease. MR is more sensitive for evaluation of spinal pathology. |
Generate impression based on findings. | Fracture.VIEWS: Right wrist PA/lateral (two views) 02/09/15 Cast has been removed.Periosteal reaction is noted along the posterior aspect of the radius. Sclerosis is seen at the buckling fracture. Alignment is anatomic. | Continued healing of fracture of distal radius. |
Generate impression based on findings. | PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement. GLANDS: The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. ORAL... | No evidence of active disease in the neck. No significant interval change compared with prior studies. |
Generate impression based on findings. | 76-year-old female with stage IV melanoma. There are innumerable enhancing, partially-enhancing and nonenhancing cutaneous and subcutaneous soft tissue lesions extending throughout the left lower extremity. Additionally, there are cutaneous and subcutaneous lesions in the visualized lower abdomen and pelvis. Reference ... | Metastatic melanoma extensively seen throughout the left lower extremity without significant change in reference measurements, as described above. |
Generate impression based on findings. | Pain and swelling of the fourth finger and knuckle areaVIEWS: Left hand AP, lateral and oblique 2/9/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Reason: pulmonary opacities, history of smoking History: none LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular emphysema is present with right apical lung scarring. The right apical lung scarring correlates with the nodular opacities seen on chest radiograph. There is also a small area of nodular scarrin... | 1.Multiple pulmonary opacities, some of which likely represent scarring. A 1.4-cm nodule in the right lung base is also likely related to scarring or may represent an intrapulmonary lymphnode, however comparison to prior studies is recommended. If prior studies are not available, follow-up CT is recommended in 3 months... |
Generate impression based on findings. | Reason: Patient w/ h/o HIV, here with chronic cough, want to evaluate lung parenchyma History: cough, SOB LUNGS AND PLEURA: Mosaic attenuation is seen predominantly in the lower lobes, likely secondary to air trapping. Diffuse bronchiolar wall thickening is also present. Scattered ground glass opacities are seen in the... | 1. Upper lobe predominant ground glass opacities, diffuse bronchiolar wall thickening, mosaic attenuation, and centrilobular nodules and tree in bud likely representing bronchiolitis. An infectious bronchiolitis is favored though in an HIV patient follicular bronchiolitis can also occur. Hypersensitivity pneumonitis or... |
Generate impression based on findings. | FractureVIEWS: Left ankle AP/lateral/oblique (3 views) 02/09/15 A cast has been applied. Alignment appears anatomic. Probable fracture of fibula is again seen. | Interval cast application. |
Generate impression based on findings. | 56-year-old with history of bilateral benign biopsies. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Reason: eval for infiltrate, effusion, consolidation History: t-MDS s/p HSCT presenting with fever, LLL atelectasis v effusion on CXR LUNGS AND PLEURA: Scattered pulmonary micronodules, some calcified without new abnormal pulmonary nodules or masses. Decreased prominence of scattered areas of ground glass opacity thoug... | New bilateral pleural effusions may be due to volume overload. |
Generate impression based on findings. | Lower abdominal pain, evaluate for diverticulitis or abscess. ABDOMEN:LUNG BASES: Sternotomy changes are partially visualized. Mild basilar scarring/dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAND... | 1.Pancolitis likely due to infectious or inflammatory etiology, further evaluation recommended. Associated focal inflammation within the pelvis without discrete drainable abscess. Appendix not visualized. |
Generate impression based on findings. | Reason: recurrence of larynx atypical carcinoid s/p resection History: evaluate for distant disease CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified, are unchanged from the prior study. No suspicious pulmonary nodule or mass is seen. No consolidation or pleural effusion.MEDIASTINUM ... | No evidence of metastatic disease. |
Generate impression based on findings. | History of metastatic prostate cancer, evaluate disease response. CHEST:LUNGS AND PLEURA: Scattered benign-appearing micronodules appear similar to prior. No suspicious nodules or masses.MEDIASTINUM AND HILA: Reference left supraclavicular lymph node (series 3, image 12) measures 1.6 x 1.1 cm, 1.2 x 1.0 cm previously. ... | 1.Overall mixed response of lymphadenopathy. Interval increase in size of left supraclavicular lymph node. Abdominal and pelvic lymph nodes stable to slightly decreased in size. Reference measurements as above.2.Interval progression of osseous metastases in the spine. Please see bone scan from same day for additional d... |
Generate impression based on findings. | Cancer of the right great toe. Sentinel node location.RADIOPHARMACEUTICAL: The right foot was prepared in a sterile manner. A total of 0.526 mCi Tc-99m filtered sulfur colloid was injected into two locations at the base of the right great toe. A focus of increased activity is noted in the right inguinal region represen... | Sentinel node identified in the right inguinal region. |
Generate impression based on findings. | 69 year old with history of right breast cancer status post mastectomy and lymph node dissection. Three standard views of the left breast with repeat left MLO and CC views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 49-year-old with history of right breast DCIS status post mastectomy. Two standard and 2 implant displaced views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Redemonstrated are postsurgical changes including paired pedicle screws at L4, L5, and S1. A disc spacer has been placed at L5/S1, there has been L4 and L5 laminectomy, and posterior bone grafting is again noted.There are no fractures. The marrow signal is benign. The conus is normal in signal and morphology and termi... | 1.L2/3: There is a new right paracentral disc protrusion as well as worsening of diffuse annular disc bulge. Posterior epidural fat is slightly more prominent. Slightly worsening bilateral facet hypertrophy is now mild to moderate. There is now moderate central, moderate left lateral recess, severe right lateral recess... |
Generate impression based on findings. | Fall. History of multiple myeloma. No fracture or malalignment. Marked degenerative disk disease in the lower lumbar spine. Mild osteoarthritis of the sacroiliac and hip joints. Evaluation of the upper pelvis is limited by overlying bowel gas and stool. Small lucencies in the obturator rings and proximal femurs are non... | No fracture or malalignment. |
Generate impression based on findings. | 71-year-old with history of left breast cancer status post mastectomy. Three standard views of the right breast and a laterally exaggerated CC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distributi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: lung cancer s/p chemorads History: none CHEST:LUNGS AND PLEURA: Right lower lobe mass has decreased in size and now appears spiculated and measures 3.4 x 2.6 cm (image 62, series 7), previously 5.1 x 4.6 cm. Scarring is seen in the right lung base. No new pulmonary nodules are identified. Mild to moderate upper... | Decrease in size of right lower lobe mass. Decrease in mediastinal and right hilar lymphadenopathy. |
Generate impression based on findings. | Male 65 years old Reason: colon cancer restaging History: colon cancer CHEST:LUNGS AND PLEURA: Soft tissue ground-glass nodule in the right upper lobe is unchanged.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVE... | 1.Recurrent colon cancer near the surgical anastomosis causing small bowel dilatation proximally.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: h/o pharyngeal space tumor with area of malignant transformation History: r/o lung mets LUNGS AND PLEURA: Scattered pulmonary micronodules, some calcified, unchanged from the prior exam. No new abnormal pulmonary nodules or masses. No focal airspace consolidation. No pleural effusions.MEDIASTINUM AND HILA: The ... | No evidence of metastatic disease. |
Generate impression based on findings. | Ms. McKnight is a 44 year old female with known right breast cancer. Recent MRI demonstrated multiple additional enhancing lesions, the medial one of which was palpated by Dr. Chhablani. In addition, Dr. Chhablani palpated a right axillary lymph node. The targets for today's biopsy will be:- ultrasound-guided biopsy of... | Successful ultrasound-guided core biopsies of:- right index cancer for research purposes- right satellite lesion- right axillary lymph node Pathology is pending at this time.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Pain Fracture through the mid to distal tibial diaphysis with minimal lateral displacement of the distal fracture fragment. Non-displaced oblique fracture through the distal fibular diaphysis. Ankle joint effusion noted. | Tibial and fibular fractures, as above. |
Generate impression based on findings. | Reason: s/p lung resection History: s/p lung resection, no symptoms CHEST:LUNGS AND PLEURA: Postsurgical volume loss and paramediastinal radiation fibrosis in the right lung appear similar to the prior study. Debris is seen within the right mainstem bronchus. Mild paraseptal emphysema is present. MEDIASTINUM AND HILA: ... | 1.No evidence of recurrent or metastatic disease.2.Debris is seen within the right mainstem bronchus. |
Generate impression based on findings. | Myeloma SKULL: No significant abnormality noted. No myelomatous deposits evident.CERVICAL SPINE: Extensive degenerative chagnes throughout the cervical spine, with relative sparing of T2/3. No myelomatous deposits evident.THORACIC SPINE: Mild compression deformities of the T7 and T12 vertebral bodies. No myelomatous de... | 1. Lucencies in the left humerus with endosteal scalloping likely represent myelomatous deposits. 2. Bilateral diffusely mottled appearance of the distal clavicles, right humerus, and bilateral radii and ulnas without definite discrete lesions are non-specific and may represent demineralization. 3. Extensive degenerati... |
Generate impression based on findings. | Reason: Small cell lung cancer please compare to prior exam per recist criteria. History: Small Cell Lung Cancer LUNGS AND PLEURA: Right upper lobe reference nodule measures 20 x 13 mm on image 33/177 (19 x 11 previously). Adjacent pleural based nodule is stable to marginally increase. Reticulonodular interstitial thic... | Marginally increased reference measurements. New small right pleural effusion. |
Generate impression based on findings. | Reason: h/o lung ca/brain mets, s/p Chemo, compare to 7/12/14 and 12/17/14 images to assess evidence of recurrent/progressive disease History: none CHEST:LUNGS AND PLEURA: Previously referenced left upper lobe nodule now measures 11 mm (image 46, series 5), previously 9 mm. Scattered pulmonary micronodules are unchange... | 1.Increase in size of left upper lobe nodule now measuring 11 mm. This previously measured 4 mm on the prior study dated 7/12/2014. 2.No change in right hilar mass.3.Mild left hilar lymphadenopathy. |
Generate impression based on findings. | Reason: Metastatic breast cancer on systemic therapy. Evaluate for treatment response and extent of disease. History: Primary right breast mass intact. Bone mets. CHEST:LUNGS AND PLEURA: New scattered patchy ground glass opacities more prominent the bases, may represent infectious/inflammatory process, including aspira... | 1. New scattered patchy ground glass/nodular pulmonary opacities may represent infectious/inflammatory process, including aspiration. 2. Additional findings, including a right breast mass, prominent cardiophrenic lymph node, and pleural nodularity are stable from the prior exam. |
Generate impression based on findings. | 30-year-old female patient with history of malrotation and abdominal pain. The scout film showed a nonspecific bowel gas pattern without any evidence of obstruction or ileus. Barium flowed freely from the rectum to the cecum. There is no evidence of obstructing or constricting lesions. The colonic mucosa is normal in a... | No anatomic explanation for patient's symptoms. |
Generate impression based on findings. | 62-year-old male with lower back pain and relapse of IgA myeloma with history of T-spine compression. SKULL: Nonspecific lucencies are noted about the skull without definite findings to indicate multiple myeloma.CERVICAL SPINE: Degenerative changes especially at C5-6 and C6-7 but no myelomatous lesions are noted. A wel... | 1.Finding suspicious for a myelomatous lesion within the right femur and nonspecific lucent areas within the skull.2.Collapsed T11 vertebral body with kyphoplasty material and posterior fixation from T10 to T12. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 56-year-old male status post ORIF. Three views of the right hand show a side plate and screws affixing a fracture of the first metacarpal which is in near-anatomic alignment and without evidence of complication or loosening. There is evidence of healing. | Status post side plate and screw fixation of a first metacarpal fracture without evidence of complication. |
Generate impression based on findings. | Reason: mets lung cancer. On tx for BRAF mutation now. Pls c/w previous study to evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Nodular bronchial and interstitial opacity consistent with lymphangitic tumor spread, though decreased.Dominant mass in the right lower lobe significantly decreased to 18 mm on... | Interval decrease in reference measurements. |
Generate impression based on findings. | 55-year-old male with pain. Three views of the right wrist show a comminuted fracture of the distal radial metadiaphysis suspicious for extension to the articular surface. In the proper clinical setting, this may represent an old deformity with a new superimposed fracture. There is mild subluxation of the radiocarpal j... | Comminuted fracture of the distal radial metadiaphysis with probable extension to the articular surface. This may represent an old deformity with a new superimposed fracture. Mild subluxation of the radiocarpal joint. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | HEAD: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are scattered bilateral maxillary sinus mucous retention cysts. The skull and extracranial soft tissues are unremarkable... | No acute traumatic injury to the brain or cervical spine. |
Generate impression based on findings. | Reason: Please assess for metastatic disease History: Large renal mass LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Anteriorly displaced comminuted fracture of the medial clavicle with extensive lucency involving the clavicular head, cannot exclud... | No evidence of pulmonary metastases. Anteriorly displaced comminuted fracture of the medial clavicle with extensive lucency involving the clavicular head, cannot exclude pathologic fracture. Compression fracture of L1 only partially visualized.Large left renal mass and abdominal aortic aneurysm only partially visualize... |
Generate impression based on findings. | Ms. Echevarria is a 61 year old female with a personal history of left breast mastectomy in 2004 for cancer followed by chemoradiation, along with right breast reconstruction in 2012. Family history of breast cancer in two maternal cousins. No current breast related complaints. Three standard views of the right breast ... | Bilateral benign calcifications and benign-morphology masses in the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Be... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Pain Intramedullary rod and screw fixation of a prior distal radius fracture, with fracture line no longer evident. Ulnar styloid fracture non-union. Mild to moderate radiocarpal joint osteoarthritis, unchanged. No acute fracture or malalignment. | No acute fracture or malalignment |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of reduction surgery in 02/2012. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. Both breasts appears significant smaller than previous, due to redu... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 77 years, Male. Reason: h/o prostate cancer s/p cystoprostatectomy, ileal conduit and ileostomy presents with SBO History: abdominal pain A drain tip projects over the right lower quadrant, presumably within a stoma. Surgical sutures, staples, and beads are noted throughout the lower abdomen. Degenerative changes affec... | Ileus type bowel gas pattern. |
Generate impression based on findings. | Reason: h/o tonsil ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are stable and presumably post inflammatory. No new pulmonary nodules.MEDIASTINUM AND HILA: Minimal ectasia of the ascending aorta unchanged.CHEST WALL: Right chest port tip in SVC. Minimal... | No evidence of metastatic disease. Interval decrease in biliary and pancreatic ductal dilatation. |
Generate impression based on findings. | Male 20 months old with history of multicystic dysplastic kidney status post right nephrectomy, now with dark colored urine. Follow-up scan status post right nephrectomy. KIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- SFU Grade* Right: Not visualized Left: 0 Length**... | The left kidney is normal. Status post right nephrectomy.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and parenchymal thinn... |
Generate impression based on findings. | Hand injury. No fracture or malalignment. Non-specific juxta-articular osteopenia. No osseous erosions or joint space abnormality evident. Ulnar minus variant noted. | No fracture or malalignment. |
Generate impression based on findings. | 5th MC fracture. Again seen is the fracture through the neck of the fifth metacarpal. The volar angulation of the distal fracture fragment appears unchanged compared to the most recent prior study. | Unchanged fifth metacarpal fracture. |
Generate impression based on findings. | 55 years, Male. Reason: Confirm dobhoff placement History: Pt pulled at Dobbhoff Nonobstructive bowel gas pattern. The lung bases are within normal limits. Note that the pelvis is excluded from the field-of-view. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 13 years old Reason: fracture History: fractureVIEWS: Right wrist AP and lateral 2/9/15 (two views) Cast material obscures fine bone details. Periosteal reaction of the distal radius and ulna is again noted. Alignment is anatomic. | Healing fractures, in anatomic alignment. |
Generate impression based on findings. | Female 61 years old Reason: 61 F with metastatic colon cancer s/p right lower lobectomy, please evaluate for any evidence of disease. History: none CHEST:LUNGS AND PLEURA: Acute pulmonary embolism in the right lower lobar pulmonary artery at the arterial stump. Pulmonary artery is enlarged measuring up to 40 mm suggest... | 1.Acute right lower lobar pulmonary embolism with evidence of pulmonary arterial hypertension. 2.No definite evidence of recurrent or residual disease. 3.Interval postsurgical changes from right lower lobectomy.Emergent findings were discussed by telephone with Dr. Manish Sharma, pager 3837, at 11:30 am on 2/9/2015. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Thumb pain Chronic post traumatic changes at the thumb IP joint. Severe degenerative changes at the basilar joint. No acute fracture or malalignment. | Degenerative and post-traumatic changes, as above. |
Generate impression based on findings. | Male 56 years old; Reason: Patient with HCC off of therapy. Please evaluate disease status History: na ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhotic morphology of the liver is again noted with post ablative defect in the right hepatic dome appearing similar to the prior study. Sub... | 1.No change in arterial enhancing segment 2 liver lesion. While there is no definite washout, continued attention to this area on subsequent exams is recommended. 2.Cirrhotic liver status post ablation and embolization without new suspicious liver lesion. Sequela of portal hypertension. |
Generate impression based on findings. | Right knee pain Mild osteoarthritis of the right knee. No fracture or malalignment. No joint effusion evident.Mild osteoarthritis of the left knee as seen on frontal views. | Mild bilateral knee osteoarthritis. |
Generate impression based on findings. | Female 40 years old; Reason: Hodgkin's Disease History: s/p 2 cycles of chemotherapy CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Extensive mediastinal lymphadenopathy. Anterior mediastinal soft tissue mass measures 7.6 x 4.1 cm (image 41/... | 1.Mediastinal soft tissue mass. This has decreased in size from prior. |
Generate impression based on findings. | Fracture The non-displaced proximal clavicular fracture is unchanged. Irregular lucency at the fracture site is suggestive of a pathological fracture. | Unchanged proximal clavicular fracture |
Generate impression based on findings. | Shortness of breath, post-pulmonary embolism. Question of improvement. The comparison chest radiograph performed on 2/9/15 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show a uniform distribution of activity on single-breath and wash-in images. There is mild Xe-133 retention during... | Multiple perfusion defects compatible with pulmonary emboli without significant interval change since the 11/25/2014 examination; acute emboli cannot be excluded on the background changes of chronic pulmonary emboli. |
Generate impression based on findings. | Check fracture healing, fourth metatarsal neck Mild continued interval healing without evidence of significant change in alignment. Minimal impaction and angulation persist. Moderate degenerative changes of the midfoot also observed, most pronounced involving the cuneiform navicular articulations. | Mild healing of the fourth metacarpal neck fracture |
Generate impression based on findings. | Dorsal foot pain, following trauma. Moderate osteoarthritic changes of the first MTP with hallux valgus deformity and bunion. No superimposed acute process, specifically no fracture or malalignment. Soft tissues are unremarkable other than a questionable small ankle effusion | Moderate degenerative changes |
Generate impression based on findings. | Pain.VIEWS: Left foot standing AP/lateral (two views) 02/09/15 Hindfoot valgus is present. No fracture is seen. | Hindfoot valgus. |
Generate impression based on findings. | Pain. Flat foot.VIEWS: Right foot standing AP/lateral (2 views) 02/09/15 Pes planovalgus continues. No fracture is seen. | Pes planovalgus, unchanged. |
Generate impression based on findings. | One day old male born prematurely with respiratory distress.VIEW: Chest and abdomen AP (two views) 2/9/2015 0559 Chest: Endotracheal tube tip at level of carina. Feeding tube tip in gastric body with sidehole past GE junction. Normal cardiothymic silhouette. Diffuse bilateral lung haziness again noted. No pleural effus... | 1.Diffuse bilateral lung haziness likely representing surfactant deficiency. 2.Paucity of visualized bowel gas with interval improvement in portal venous gas s/p UVC placement. |
Generate impression based on findings. | Tibial plateau fracture, follow-up Interval demonstration of mild lateral tibial plateau changes, compatible with a horizontal fracture plane extending through to the lateral tibial spine. Alignment preserved. Superimposed mild osteoarthritic changes | Nondisplaced right lateral tibial plateau fracture, subacute. |
Generate impression based on findings. | History of bladder cancer s/p cystectomy with ileal conduit, surveillance imaging. ABDOMEN:LUNG BASES: Right lower lobe pulmonary nodule (series 6, image 6) measures 5 mm, unchanged compared to 2011 exam. No new suspicious pulmonary nodules.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant ab... | 1.Right renal lesion unchanged in size but suspicious for small renal cell carcinoma.2.No specific evidence of metastatic disease. 3.Stable appearance of bilateral collecting systems, with stable mild to moderate hydronephrosis, worse on left which may be related to left ureteral narrowing/scarring. |
Generate impression based on findings. | Pain No radiographic abnormalities observed. Alignment appears normal, however a lateral projection was augmented with-assisted positioning, this may have corrected and mild flexion abnormality involving the DIP articulation. | Normal |
Generate impression based on findings. | Check prosthesis IM tibial rod appears unchanged that evidence of complication. Partial continued healing of the distal diaphyseal comminuted fracture with increasing callus formation and decreased fracture plane visualization | Continued healing of the distal tibial fracture |
Generate impression based on findings. | Pain and anterior tibia Incompletely visualized right total knee arthroplasty without gross complication. The lower leg however demonstrates no discrete focal acute abnormality, specifically no evidence of a distinct cortical abnormality however a mild periosteal reaction is observed in the mid right tibial diaphysis w... | Nonspecific minimal periosteal reaction, possibly related to vascular changes, however serial imaging and/or comparison with prior imaging if available would increase sensitivity |
Generate impression based on findings. | Check for disk disease. Pain Minimal osteoarthritic changes with osteophytes and minimal lower facet sclerosis. Preservation of vertebral body heights, disk spaces and alignment other than minimal narrowing of the L5-S1 disk space. Posterior elements appear intact and the SI joints are unremarkable | Minimal osteoarthritis |
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