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Generate impression based on findings. | Left knee pain Mild tricompartmental osteoarthritic similar 2012. Changes are mildly greater than medial compartment with narrowing, sclerosis and small osteophytes. Small punctate calcifications observed in subcutaneous soft tissues of the left patella, presuming old and posttraumatic | Mild tricompartmental osteoarthritis |
Generate impression based on findings. | Pain Mild scattered osteoarthritic changes large involving the radiocarpal joint and first MCP. Questionable diffuse juxta articular osteoporosis without evidence of distinct superimposed inflammatory arthritic changes. Soft tissues are unremarkable. | Mild osteoarthritic changes with nonspecific questionable juxta-articular osteoporosis |
Generate impression based on findings. | 82-year-old female with altered mental status as well as right-sided facial droop, history of right MCA distribution stroke Encephalomalacia with adjacent gliosis and right lateral ventricular ex-vacuo dilatation is consistent with interval evolution of the patient's right MCA distribution stroke identified in 2010.Sma... | 1.Encephalomalacia with adjacent gliosis and right lateral ventricular ex-vacuo dilatation is consistent with interval evolution of the patient's right MCA distribution stroke identified in 2010.2.Advanced small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MR... |
Generate impression based on findings. | 64 with history of left lumpectomy for breast cancer in 2012. Three standard views of both breasts and lumpectomy magnification views 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 distribution. No new dom... | 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. | Total hip arthroplasty Hip and pelvis: Interval removal of surgical drain. Underlying left total hip arthroplasties otherwise intact without evidence of complication or change other than minimal heterotopic bone adjacent to the superior acetabular rim. | Left total hip arthroplasty with minimal heterotopic bone formation |
Generate impression based on findings. | Reason: lung nodule History: follow up LUNGS AND PLEURA: Status post right lower lobectomy with postsurgical change.Scattered stable micronodules.Right lower lobe nodule (image 165 series 5) measures 4 mm present measuring 5 mm.Mild/moderate upper lobe predominant centrilobular emphysema.No pleural effusions.MEDIASTINU... | 1.Stable small 4-mm right lower lobe nodule. No new pulmonary nodules identified.2.Mild/moderate upper lobe predominant centrilobular emphysema.3.Stable small left adrenal nodule incompletely characterized. |
Generate impression based on findings. | Male 42 years old; Reason: 42M with metastatic rectal cancer to liver s/p neoadj chemoRT, right hepatectomy (12/26/14). please eval for any new lesions prior to surgery for to resect the primary tumor History: eval for further mets prior to resection of primary tumor CHEST:LUNGS AND PLEURA: No dominant lung lesion. The... | 1.Status post right hepatic resection; no evident metastatic disease. |
Generate impression based on findings. | There is an incompletely imaged heterogeneously enhancing anterior mediastinal mass, which measures 37 mm in thickness compared to 80 mm previously. There is a left supraclavicular lymph node measuring up to 6 mm in short axis, previously measuring up to 10 mm in short axis. The thyroid and major salivary glands are u... | Interval decrease in size of the left supraclavicular and upper mediastinal lymphadenopathy, indicating response to therapy. |
Generate impression based on findings. | Male 75 years old; Reason: metastatic prostate cancer post chemotherapy. eval for progression History: metastatic prostate cancer to bones, pulm nodules CHEST:LUNGS AND PLEURA: Reference right upper lobe pulmonary micronodule measures 3 mm on image 45 series 5, without change.MEDIASTINUM AND HILA: Coronary calcificatio... | 1.Sclerotic osseous metastatic disease; no new sites of disease. |
Generate impression based on findings. | Reason: Asthma SOB History: SOB, asthma, possible infiltrate LUNGS AND PLEURA: Peribronchial thickening with septal nodularity and diffuse groundglass opacities predominantly in a bronchovascular and centrilobular distribution.Bronchial wall thickening.Subpleural microcystic changes in the right upper lobe.No focal are... | Septal and peribronchial thickening/nodularity with diffuse ground groundglass and nodular opacities in a centrilobular and bronchovascular distribution. Suspect this may all represent sarcoidosis. Additional etiologies in the differential diagnosis would include atypical endobronchial infections including MAI. |
Generate impression based on findings. | There are post-treatment findings with persistent diffuse pharyngeal mucosal space, retropharyngeal space, and parapharyngeal space edema. There is interval increase in size of a heterogeneous left level 2 lymph nodes that measure up to 16 mm in short axis, previously 12 mm in short axis. There is also an adjacent ill... | 1. Interval disease progression in left neck, including lymphadenopathy with suggestion of extracapsular extension and perhaps tumor recurrence along the lateral aspect of the left soft palate treatment bed.2. Extensive dental disease. |
Generate impression based on findings. | Opacification is found throughout the paranasal sinuses, excluding the frontal sinuses. This includes frothy material within bilateral sphenoid sinuses and posterior ethmoid air cells as well as and a small air-fluid level the left maxillary sinus. Bilateral ostiomeatal units, sphenoethmoidal recesses, and frontoethmo... | Acute on chronic sinusitis as described in detail above. |
Generate impression based on findings. | There is a interval placement of a left posterior frontal burr hole. There is interval development of a large intraparenchymal hemorrhage in the left frontoparietal region that measures up to approximately 40 mm with a small amount of associated subarachnoid hemorrahge. There is local mass effect on the left lateral v... | 1. Post-surgical findings related to left parietal lobe mass biopsy with extensive new intraparenchymal hemorrhage and a small amount of subarachnoid hemorrahge in the left frontoparietal region with rightward midline shift measuring 5 mm.2. New left frontotemporal convexity subdural hematoma measuring 5 mm in width. 3... |
Generate impression based on findings. | 70 years old Female. Reason: history of breast cancer 20 years ago s/p radiation now with new nodule removed and diagnosed with invasive ductal breast caner. This exam is for staging and treatment options. RADIOPHARMACEUTICAL: 14.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 113 mg/dL. Today's CT portion... | 1.A large low-attenuation lesion in the right axilla with peripheral increased metabolic activity, which can be due to post surgical change or residual tumor.2.Multiple nonspecific normal sized lymph nodes with mild FDG uptake in the neck.3.No other evidence of FDG avid tumor.4.Minimal FDG uptake in the sphenoid sinus ... |
Generate impression based on findings. | Female 77 years old; Reason: STAGE III RECTAL CANCER COMPLETED THERAPY JULY 2013. EVALUATE FOR INTERVAL CHANGE History: RECTAL CANCER CHEST:LUNGS AND PLEURA: Nodular thickening adjacent to pleural surface in the right upper lobe is nonspecific. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA:... | 1.Status post left lower abdominal colostomy following rectal resection without specific evidence for metastatic disease. |
Generate impression based on findings. | Patient fell on tailbone today. Tenderness.VIEWS: Lumbar spine AP/lateral/lumbosacral junction lateral (3 views), sacrum AP, coccyx AP (two views) 02/09/15 Vertebral body heights and disk spaces are maintained. No fracture is identified. The sacrum and coccyx are normal in appearance. | Normal examination. |
Generate impression based on findings. | Female 4 years old Reason: PICC placement History: abdominal painVIEW: Chest AP (one view) 2/9/15 at 1233 hrs. Central line tip is at the RA/RV junction. The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette size is top normal. Left retrocardiac streaky opacities, likely atelectasis or pneumonia.... | Central line positioning as described.Left retrocardiac opacity. Atelectasis or pneumonia are considerations. |
Generate impression based on findings. | Malignant melanoma stage IIB. Nonspecific pulmonary nodules unless scan. CHEST:LUNGS AND PLEURA: Interval enlargement of multiple pulmonary nodules indicating these likely represent metastases. Index nodule measures 9-mm in diameter (image 69; series 5), larger compared to prior when it measured 5 mm. MEDIASTINUM AND H... | Enlarging pulmonary nodules compatible with metastases. PWRNP |
Generate impression based on findings. | Male 75 years old; Reason: history of metastatic prostate cancer- S/P 3 cycles treatment evaluate for response History: history of metastatic prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Reference subcarinal lymph node measures 1.6 x 0.8 cm (image 41/series 3) previously... | 1.Stable measurements of the reference mediastinal lymph nodes.2.Osseous metastatic disease better evaluated on the accompanying bone scan. |
Generate impression based on findings. | T2N2b soft palate squamous cell carcinoma, treated via resection, chemotherapy, and radiation. There are post-treatment findings in the neck, including mucosal edema in the oropharyngeal region. There is interval decrease in size of multiple bilateral cervical lymph nodes, with formation of dystrophic calcifications. F... | Interval decrease in size of the treated cervical lymphadenopathy and no convincing evidence of measurable mass in the oropharynx. |
Generate impression based on findings. | History urothelial carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETRO... | Interval decrease in size of soft tissue focus at the proximal end of the ileal conduit; otherwise stable examination. |
Generate impression based on findings. | Reason: pt with a history of urothealial cancer, please assess for disease progression History: urothelial cancer LUNGS AND PLEURA: Mild nonspecific bronchial wall thickening. No evidence of pulmonary metastases. Scattered punctate micronodules are stable and presumably benign.MEDIASTINUM AND HILA: Hiatal hernia. Moder... | New heterogeneous predominantly sclerotic lesion in T7 vertebral body is suspicious for metastatic disease. |
Generate impression based on findings. | Global headache. Evaluate for mass and chronic subdural hemorrhage. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a subcentimeter left ethmoid sinus osteoma. The imaged paran... | No evidence of acute intracranial hemorrhage or mass effect.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Metastatic renal cell carcinoma CHEST:LUNGS AND PLEURA: No significant change in numerous bilateral pulmonary metastatic nodules. Reference right upper lobe nodule best seen on image 48 of series 5 measures 1.4 x 1.5 cm. Reference left lower lobe nodule best seen on image 39 of series 5 measures 1.8 x 1.7 cm.Slight inc... | No significant change in extensive widespread metastatic disease |
Generate impression based on findings. | 40 years old Female. Reason: s/p 2 cycles of chemotherapy. History: Hodgkin's Disease. This study was performed for restaging.RADIOPHARMACEUTICAL: 11.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 99 mg/dL. Today's CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT repo... | 1.No definite evidence of FDG avid tumor. 2.Anterior mediastinal mass with mild FDG uptake, significantly decreased as compared with prior study and consistent with post-therapy change.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | Pain L-spine: No radiographic abnormalityPelvis and hip: No radiographic abnormalityShoulder and humerus: Minimal shoulder osteoarthritis with minimal sclerosis and small insignificant osteophytes. The humerus demonstrate a side plate affixing an old healed deformity the proximal diaphysis representing a remote healed ... | Right humerus ORIF without complication. Minimal shoulder osteoarthritis without additional abnormality |
Generate impression based on findings. | Reason: h/o HNC tonsil, h/o CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Stable right peri-fissural opacity probably an intrapulmonary lymph node, without evidence of pulmonary or pleural metastases. Emphysema.MEDIASTINUM AND HILA: No significant abnormality noted. Borderline right h... | No evidence of metastases |
Generate impression based on findings. | Female 84 years old; Reason: fluid collection, sepsis source History: septic shock ABDOMEN:LUNG BASES: Small bilateral pleural effusions and bi-basilar atelectasis.LIVER, BILIARY TRACT: Liver is mostly hypoattenuating. There is very heterogeneous perfusion of the liver. Differential considerations include fatty infiltr... | 1.Abnormal CT scan with findings most suggestive of a hypoperfusion or shock syndrome with colonic ischemia involving the cecum and ascending colon, hepatic infarction causing the elevations in liver enzymes and splenic infarction.2.Findings highly suspicious for small bowel ischemia as there is very poor enhancement o... |
Generate impression based on findings. | Male, 67 years old, with intracranial hemorrhage. Since the prior examination, hyperdense blood product within or along the right thalamus has nearly completely resolved. There remains at this location some parenchymal edema and mass effect with partial effacement of the body of the right lateral ventricle, similar to ... | Continued interval resolution of parenchymal and intraventricular blood product with no new intracranial abnormality. |
Generate impression based on findings. | Check for metacarpal fracture Comminuted fracture of the second metacarpal head without significant displacement. No definite fracture planes extending to the articular surface. Overlying soft tissue swelling. Remaining digits unremarkable.Ulnar plus variant | Second metacarpal head fracture, see detail provided |
Generate impression based on findings. | Abdominal pain. Left flank pain. Rule out nephrolithiasis. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 2-cm probable simple cysts in the left lobe.SPLEEN: No significant abnormality notedPANCREAS: No significa... | No definite findings to explain left flank pain. No evidence of renal calculi or hydronephrosis. Both kidneys are irregular in contour with nodules isodense to renal parenchyma. The multiplicity of these suggest that they represent proteinaceous cysts but all are indeterminate on unenhanced CT scan; correlation with pr... |
Generate impression based on findings. | Chronic sinusitis and anosmia and history of Klebsiella sinusitis. There are nonspecific linear opacities in the medial portions of the maxillary sinuses. The paranasal sinuses are otheriwe clear. The right frontal sinus is hypoplastic. The nasal cavity, including the olfactory recesses, is also clear. The middle turbi... | No evidence of acute sinusitis or sinonasal mass lesions. A brain MRI with anosmia protocol may be useful for further evaluation, if clinically indicated. |
Generate impression based on findings. | Pain. Fracture, sprain, tendon damage? I see no fracture, soft tissue abnormality, or other specific findings to account for the patient's pain. An elongated sclerotic focus within the distal fibula is again noted, perhaps representing a benign bone island or healed fibrous cortical defect. | No fracture or other findings to account for the patient's pain. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Calcified granulomas. Other scattered punctate micronodules are also unchanged. No evidence of pulmonary metastases.MEDIASTINUM AND HILA: Scattered small subcentimeter lymph nodes are unchanged. Punctate foci of air in the p... | No evidence of metastases |
Generate impression based on findings. | 39 years old male. Reason: evaluate extent of disease/staging. History: newly diagnosed follicular lymphoma of left preauricular space. RADIOPHARMACEUTICAL: 13.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 96 mg/dL. Today's CT portion grossly demonstrates mucosal thickening of the right maxillary sinus a... | 1.Hypermetabolic lymph nodes in the left face and left axilla, consistent with the patient's diagnosis of lymphoma.2.Nonspecific bilateral parotid mild FDG uptake. |
Generate impression based on findings. | Male, 77 years old.RFO trigger: Multiple surgical teams Suspected RFO location: abdomen Name of suspected RFO: none, counts correctAttending Surgeon name/pager: Shalhav/9889 Body Mass Index (BMI): 23.06 Extensive linear artifacts are present from overlying cloth material. Left upper quadrant suture material is noted. E... | No unexpected radiopaque foreign objects. These findings were discussed by telephone with Dr. Shalhav, the attending surgeon, on 2/9/2015 at 1:40 p.m. |
Generate impression based on findings. | Status post debridement of left distal femur/knee for osteomyelitis. Evaluate for interval change. There is mixed lucency and sclerosis within the distal femoral metaphysis compatible with the stated history of treated osteomyelitis. The previously seen antibiotic coated cement beads are no longer visible. Periosteal r... | Evolving changes of treated osteomyelitis as described above; I see no definite complications, but if further imaging evaluation is clinically warranted, MRI may be considered.. |
Generate impression based on findings. | Reason: mets lung cancer, pericardium mets and clot. s/p 2 cycles of chemo. pls c/w previous study and evalaute tx response. History: lung ca CHEST:LUNGS AND PLEURA: Right lower lobe mass measures 84 x 59 mm on image 63/110, not significant changed. There is invasion into the left atrium. Surrounding consolidation has ... | 1. Pulmonary mass and nodules grossly stable.2. Intrathoracic lymphadenopathy decreased.3. Nonspecific left adrenal nodule unchanged. |
Generate impression based on findings. | Hip arthroplasty Pelvis: Interval placement of bilateral total hip arthroplasties without evidence of interval complication other than very minimal punctate heterotopic bone adjacent to the left greater trochanter. The remainder of the pelvis is otherwise unremarkableHip: Femoral stem component is otherwise intact with... | Bilateral total hip arthroplasties without apparent complication |
Generate impression based on findings. | Reason: r/o bleed History: HA The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is iden... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. 2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | Treated rectal carcinoma with diffuse metastases CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Right thyroid low-attenuation focus.CHEST WALL: Right posterior T8 mixed sclerotic and lytic destructive rib lesion with associated soft tissue component. This lesion was recently biopsied and ... | Right posterior T8 rib metastasis associated with lytic lesions involving multiple vertebral bodies also worrisome for metastatic foci. Trace free fluid within the pelvis of unknown clinical significance. Right thyroid nodule; correlation with ultrasound would be helpful if further characterization desired. |
Generate impression based on findings. | Pain and swelling. No relayed history of injury Foot: Mild to moderate osteoarthritic changes with a bunion involving the first MTP with more minimal changes scattered distally. Alignment maintained and more minimal changes observed in the mid foot and talonavicular articulations. Small Achilles heel spurs. Note is mad... | Scattered mild to moderate degenerative changes and possible stress reaction of the second and third metatarsals. Please correlate with patient's site of symptoms |
Generate impression based on findings. | 51 years old Male. Reason: Please compare to prior PET scan. History: GE Junction esophageal cancer. Please perform PET/CT exam per CALGB 80803 requirements. This study was performed for restaging. RADIOPHARMACEUTICAL: 13.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 100 mg/dL. Today's CT portion grossly... | 1.Stable gastroesophageal junction hypermetabolic tumor.2.Interval resolution of hypermetabolic lymph node in the gastrohepatic ligament.3.New mild to moderate hypermetabolic lymph nodes in both sides neck, which are nonspecific. |
Generate impression based on findings. | Swelling and pain. Fracture? I see no fracture, malalignment, or joint effusion. I see no specific findings to account for the patient's pain. | No fracture or other findings to account for patient's pain are evident. |
Generate impression based on findings. | IM rod check Unchanged left femoral IM rod without evidence of new complications. Proximal diaphyseal lucency with endosteal scalloping appears similar to prior study. This latter lesion again suggest suspected breast metastatic lesion. Soft tissues unremarkable | IM rod unchanged |
Generate impression based on findings. | Ms. Jones is a 73 year old female with a personal history of left cyst aspiration in May 2011. No current breast related complaints. Three standard views of both breasts and one left spot compression view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fi... | Bilateral stable focal asymmetries. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended as the patient has been recalled from screening multiple times. Results and recommendation were discussed with the patient.BIRADS: 2 - B... |
Generate impression based on findings. | Male 74 years old; Reason: recent worsening of HTN and acute kidney injury w/ patient taking ACE-I and ARB together; eval for renal dx and renal artery stenosis History: AKI, HTN ULTRASOUND KIDNEYSRIGHT KIDNEY: The right kidney measures 11 cm. The cortex is echogenic. No shadowing calculi or hydronephrosis is present..... | 1.No Doppler evidence of renal artery stenosis.2.Echogenic renal cortices compatible with medical renal disease. |
Generate impression based on findings. | Tenderness wrist with swelling. Fell Mild diffuse degenerative changes of the radiocarpal joint with more marked degenerative changes involving the base of the first digit. Diffuse demineralization limits sensitivity, however within this limit, no discrete acute focal abnormality is observed. Specifically no fracture o... | Scattered mild to moderate degenerative most pronounced involving the base of the thumb. See above |
Generate impression based on findings. | Reason: evaluate ILD History: cough soboe fibrosis LUNGS AND PLEURA: Peripheral basilar predominant reticular opacities and fibrosis is present with traction bronchiectasis in the lower lobes. No ground glass opacities or definite honeycombing is identified. Status post wedge resections of the right upper, middle, and ... | Peripheral basilar predominant fibrosis is compatible with a somewhat atypical UIP pattern which may related to collagen vascular disease or idiopathic. Chronic hypersensitivity pneumonitis and drug reaction are alternative diagnoses. |
Generate impression based on findings. | Reason: eval for aspiration PNA vs PE vs other acute pathology History: cough, hemoptysis PULMONARY ARTERIES: A filling defect within the left lower lobe basilar pulmonary artery (series 6 comment 175) extends into the segmental branches, compatible with acute pulmonary embolism. A peripheral filling defect more proxim... | 1. Acute pulmonary embolism in the left lower lobar arterial branch, without associated right heart strain.2. Patchy consolidation throughout the right lung, most compatible with pneumonia, with likely reactive right hilar and subcarinal lymphadenopathy. Pulmonary hemorrhage or infarct could have a similar appearance a... |
Generate impression based on findings. | Bone pain. Metastatic prostate cancer, assess for progression. There are numerous new areas of increased uptake throughout the axial and appendicular skeleton including the skull, spine, bilateral ribs, bilateral humeri, pelvis, and bilateral femurs. The previously identified lesions are also more confluent and promine... | Numerous new and worsening existing osseous lesions compatible with increased osseous metastatic disease. |
Generate impression based on findings. | Female, 65 years old.Status post abdominal surgery with multiple surgical teams. Suture material projects over the left upper quadrant and right mid abdomen. Cholecystectomy staples again noted over the right upper quadrant. An enteric tube projects over the right lower quadrant. There are numerous skin staples in the ... | No unexpected radiopaque foreign objects.Findings discussed with Dr. Alverdy via telephone at 1:50 PM by Dr. S. McCann on 2/9/2015. |
Generate impression based on findings. | There are post-surgical findings related to partial ethmoidectomy, sphenoidectomy and left maxillary antrostomy. The middle and inferior turbinates have been surgically removed bilaterally. The right ethmoid sinus remains completely opacified with high attenuation material, mainly in the right posterior ethmoid air ce... | 1. Persistent chronic fungal rhinosinusitis. 2. Polyostotic craniofacial fibrous dysplasia. 3. Tooth #16 is carious. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: evaluate ILD History: cough soboe LUNGS AND PLEURA: Bilateral lower lobe predominant linear interstitial abnormality with traction bronchiectasis and areas of honeycombing. No evidence of significant groundglass opacity. Minimal patchy air trapping on expiratory phase imaging. There are scattered calcified gran... | 1. Pulmonary fibrosis in pattern consistent with UIP.2. Small sub-pleural subcentimeter nodular opacity in the left upper lobe posteriorly likely scarring though continued follow up is recommended to exclude growth/malignancy.3. Other findings as above. |
Generate impression based on findings. | Ms. Mora is a 59 year old female with a personal history of right breast mastectomy in 2004 for IDC followed by chemotherapy along with left breast reconstruction. No current breast related complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast p... | Stable focal asymmetry in the left breast. 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 - Diagno... |
Generate impression based on findings. | 63 years old female with esophageal carcinoma. This study was performed for initial staging.RADIOPHARMACEUTICAL: 13.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 104 mg/dL. Today's CT portion grossly demonstrates wall thickening of the gastroesophageal junction. A cystic lesion is seen in the right kidne... | 1.Hypermetabolic tumor in the gastroesophageal junction, consistent with patient's diagnosis of esophageal cancer.2.Two foci of increased FDG uptake in the anterior portion of the pelvis and right internal obturator muscle, suspicious for metastasis. However, informatory change may have a similar FDG uptake. 3.A focus ... |
Generate impression based on findings. | Metastatic prostate cancer post chemotherapy. Evaluate for progression. There is redemonstration of multiple areas of increased uptake within the ribs, spine, pelvis, and proximal femurs. Some lesions exhibit mildly increased radiotracer uptake compared to the most recent exam, particularly a lesion within the right fi... | No significant interval change in number of multiple osseous metastatic lesions given differences in positioning and technique. |
Generate impression based on findings. | Asymptomatic female with dense breasts presents for whole breast ultrasound for dense breast screening. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. There are some artifacts, which somewhat limits the study. There are several small cysts in both brea... | No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Female 72 years old Reason: bladder cancer- History: bladder cancer ABDOMEN:LUNG BASES: Bilateral basilar atelectasis. No pleural effusion. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality n... | No evidence of recurrent bladder cancer or metastasis. |
Generate impression based on findings. | 30 years, Female. Reason: rule out constipation History: abdominal pain There is a mildly greater than average stool burden in the ascending and proximal transverse colon with a less than average to burden in the descending and sigmoid colon. Nonobstructive bowel gas pattern with suture material noted in the right lowe... | Mildly greater than average stool burden in the ascending and proximal transverse colon. |
Generate impression based on findings. | 50 year-old female with delayed gastric emptying, history of gastric polyps, with abdominal pain, nausea and vomiting-evaluate for gastric outlet obstruction Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, no spontaneous or p... | 1.Mild motor abnormality of the esophagus as described above.2.Otherwise, normal examination of the esophagus, stomach, and duodenum. |
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. Stable benign intramammary lymph node... | 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. | Female; 19 years old. Reason: Acute on CKD. History: Renal transplant, acute on CKD. RENAL TRANSPLANT: The transplanted kidney measures 10.9 cm in length. Mild hydronephrosis is redemonstrated. The corticomedullary differentiation is normal.LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: No significant abnormality ... | 1.Mild hydronephrosis of the transplant kidney.2.Patent renal vasculature. |
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. | Ms. Matthews is a 61 year old female with a personal history of left breast mastectomy approximately 25 years ago. No current breast related complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandula... | Mass in the medial right breast. An attempt to obtain patient's prior mammograms should be made in order to confirm stability of this finding. A release form was signed by the patient at time of appointment and will be faxed to Rush Hospital. If the prior studies cannot be submitted, then further evaluation with ultras... |
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. | 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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 50 year old with history of benign left breast biopsy in 2004. 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 microc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Tomosynthesis may be of benefit. Automated screening whole breast ultrasound can also be considered based on the patient's breast density. Results and recommendati... |
Generate impression based on findings. | 11-month-old female with history of aspiration on previous OPM. Assess for aspiration, ability to handle PO liquids, solids and oral secretions.EXAMINATION: Oropharyngeal motility study 2/9/2015 Beth Harrison, speech and language therapist, supervised the examination.1 minute and 47 seconds of fluoroscopy was used.Ther... | Oral and pharyngeal deficits with no aspiration.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | 19 years, Female. Reason: rlq pain associated with constipation History: right lower quadrant pain and tenderness Amorphous stool throughout the entire colon. No evidence of obstruction. The lung bases are clear. | Above average stool burden. |
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. Mild architectural distortion is present in lower inner quadrant in the left... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.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. 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. | Ms. Kolimja is a 46 year old female presenting for a short-term follow-up for an asymmetry over the right pectoralis muscle. Personal history of benign right breast biopsy in 01/2014. Three standard views of both breasts with one right spot compression view were performed digitally and reviewed with the aid of R2 CAD 9... | Benign morphology mass in the posterior right breast, likely representing a cyst. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 1 year to confirm stability of these findings. Results and recommendation were discusse... |
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. No suspicious masses, microcalcifica... | 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. | 84 years, Male. Reason: rule out SBO History: rule out SBO Nasogastric tube side port at the GE junction with tip in the proximal stomach.Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | Nonobstructive bowel gas pattern. NG tube side port at the GE junction, recommend advancement.Findings relayed to Dr. Gera at 1502 on 2/9/15. |
Generate impression based on findings. | History metastatic breast cancer, evaluate disease status. CHEST:LUNGS AND PLEURA: Moderate emphysema. Micronodule along the right major fissure (series 4, image 45) stable since 2009. No suspicious nodules or masses.MEDIASTINUM AND HILA: Moderate atherosclerotic calcifications of the coronary arteries. Moderate athero... | 1.No specific evidence of new metastatic or recurrent disease.2.Stable sclerosis within several thoracolumbar vertebral bodies, unchanged from 2009 examination and likely degenerative. |
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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | History of metastatic prostate cancer. There is redemonstration of increased uptake within the thoracolumbar spine, sacrum and pelvis. Degenerative disease related increased uptake is seen within the cervical spine, sternoclavicular joints, shoulders, and knees. | No significant change in osseous metastases. |
Generate impression based on findings. | 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. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Pain. Patient states her finger was slammed in a door today. Pain and swelling throughout the entire middle finger. Soft tissue swelling is present in the middle finger, particularly about the PIP joint. We see no fracture or malalignment. | Soft tissue swelling without fracture. |
Generate impression based on findings. | 35 years, Female. Reason: 35yo female with abdominal pain and constipation. Assess stool burden History: abdominal pain and constipation Average stool burden in the colon. Nonobstructive bowel gas pattern. | Average stool burden without evidence of obstruction. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (1/21/15, 1/22/15), ultrasound images of left breast (1/22/15), images from ultrasound guided biopsy and postprocedural left digital mammographic images (1/22/15) performed at Kenosha Medical Center. For comparison, digit... | Biopsy proven left breast cancer.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Prostate cancer. Findings limited due to motion. There is increased uptake within the bilateral ribs, thoracolumbar spine, and pelvis.There is asymmetric prominence of the right renal pelvis and faint uptake of tracer of the left kidney. | 1. Multifocal osseous metastatic disease.2. Asymmetric prominence of the right renal pelvis may be related to some degree of obstruction; dedicated imaging may be considered if clinically warranted. |
Generate impression based on findings. | Female 54 years old; Reason: Met breast cancer needs re-evaluation and compare to prior scans. Measurements when applicable. Patient currently on clinical trial. History: Met breast cancer needs re-evaluation and compare to prior scans. Measurements when applicable. CHEST:LUNGS AND PLEURA: Stable subpleural fibrotic ch... | 1.Near stable size measurements of the reference lesions.2.Osseous metastatic disease. |
Generate impression based on findings. | Female 54 years old; Reason: s/p reduction and application of long leg splint. Evaluation of osseous detail is limited by overlying cast material.Again seen is an oblique fracture of the tibial diaphysis reduced to near anatomic alignment. The fracture fragments of the oblique spiral fracture of the distal fibula remai... | Distal tibia and fibula fractures, as above. |
Generate impression based on findings. | Right ear granuloma. Right: There is nonspecific soft tissue along the anterior aspect of the tympanic membrane, which measures up to 5 mm. There is no convincing evidence of associated bony erosion and the middle ear and mastoid air cells are otherwise clear. The ossicular chain is intact. The inner ear structures are... | 1. Nonspecific subcentimeter soft tissue along the anterior aspect of the right tympanic membrane is compatible with a granuloma. The middle ear cavity, including the attic, is otherwise clear.2. Findings suggestive of acute sinusitis. |
Generate impression based on findings. | Elevated PVR. Question of VQ mismatch. The comparison chest radiograph performed on 2/8/2015 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 no abnormal Xe-133 retention during the wash-out phase. Th... | Intermediate probability for pulmonary embolus. |
Generate impression based on findings. | Reason: Eval for sarcoidosis History: cough LUNGS AND PLEURA: Scattered punctate < 4-mm pulmonary nodules. No specific evidence of sarcoidosis.MEDIASTINUM AND HILA: Scattered small subcentimeter nodes, none are pathologic by size criteria.CHEST WALL: Scattered small subcentimeter axillary nodes.UPPER ABDOMEN: Absence o... | No specific evidence of sarcoidosis. Scattered nonspecific punctate <4-mm nodules which are too small to characterize. In a high risk patient, one year CT follow-up is recommended. In low risk patients, since these are likely postinflammatory, no specific imaging follow up is typically required. |
Generate impression based on findings. | 6 year old male, fell on his right knee yesterday in trampoline, now with swelling and pain. Rule out fracture.VIEWS: Right Knee AP, Oblique, Lateral, skyline (4 views) There is no evidence of joint effusion. There is no evidence of fracture. | Normal examination. |
Generate impression based on findings. | 70 years, Female. Reason: abd pain, r/o ileus History: epigastric pain, reflux. Recent constipation Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. Lung bases are clear. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | History of 6-month weight loss and nausea/vomiting, evaluate celiac artery and SMA. CT Angiography: Severe atherosclerotic disease affects the abdominal aorta and its branches with severe narrowing at the origin of the celiac axis. The proximal SMA is thrombosed with re-constitution of the distal SMA. There is severe n... | 1.Pericecal abscess measuring up to 4 cm has slightly increased in size and may be secondary to perforated appendix or ischemic colitis.2.Thrombosed proximal SMA with reconstitution distally. Severe stenosis at the origins of the celiac artery, right renal artery, and IMA.3.Heterogenous spleen secondary to poor perfusi... |
Generate impression based on findings. | There is hypoattenuation with mild local mass effect in the left insula, left middle and inferior frontal gyri consistent with acute infarct. There is no acute intracranial hemorrhage, or midline shift. The ventricles and basal cisterns are prominent consistent with age-related volume loss. The imaged paranasal sinuse... | Acute nonhemorrhagic left distal MCA territory infarction.Findings were discussed with Dr. Ben Weber from the ED via telephone at 2:45 p.m. on 2/9/2015. |
Generate impression based on findings. | Female 64 years old Reason: drains in correct location History: abdominal fluid collections ABDOMEN:LUNG BASES: Large bilateral pleural effusions with overlying compressive atelectasis.LIVER, BILIARY TRACT: Mild scattered upper abdominal ascites is present. Linear hypo-densities in the left hepatic lobe are unchanged a... | 1.Interval improvement in dominant abscesses within the epigastric region, left upper quadrant and right lower quadrant following placement of percutaneous drainage catheters. 2.Persistent large pleural effusions. |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage. The grey-white matter differentiation appears to be intact. There is diffuse cerebral volume loss. There is a corpus callosum lipoma with possible dysgenesis of of the corpus callosum. There is no midline shift or herniation. The mastoid air cells are clear. There... | 1. No acute intracranial hemorrhage.2. Diffuse cerebral volume loss. 3. Corpus callosum lipoma. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 24-year-old male with pain. Evaluate for fracture or sprain. Three views of the right ankle show no evidence of an acute fracture or dislocation. The ankle mortise joint is intact. | No evidence of an acute fracture or dislocation. |
Generate impression based on findings. | 63-year-old male with a history of 3rd metacarpal fracture, please evaluate for base of 5th metacarpal fracture. Three views of the right hand again show a comminuted fracture of the mid diaphysis of the third metacarpal with foreshortening, posterior displacement, and volar angulation of the distal fracture fragment a... | Third metacarpal diaphyseal fracture appearing similar to the prior exam. No evidence of an additional fracture. |
Generate impression based on findings. | 59-year-old male with acute injury (fall), history of left hip arthritis. Able to bear weight. Two views of left hip shows severe joint space narrowing and subchondral sclerosis with osteophyte formation indicating severe osteoarthritis which has progressed since the prior exam. No evidence of a fracture or dislocation... | Severe osteoarthritis of the left hip which has progressed since the prior exam. No evidence of fracture or dislocation. |
Generate impression based on findings. | There is small focal mild to moderate decreased activity of the anterior most portion of the bilateral anterior frontal lobes. This raises the question of hypoperfusion from Lyme disease, though given symmetry, may be artifactual and are of unclear clinical significance. The remaining portions of the brain have symmet... | Small focal hypoperfusion of the bilateral anterior frontal lobes which may be related to artifact given the symmetry, but conceivably could represent small true perfusion defects such as can be seen with Lyme disease. |
Generate impression based on findings. | 80 year-old female with hand pain. Evaluate for bone abnormality. Three views of the left hand show diffuse osteopenia and degenerative changes about the DIP and PIP joints as well marked degenerative change at the first CMC. No evidence of acute fracture or dislocation. Drooping osteophytes are noted about the metacar... | Osteoarthritis most severe at the first CMC joints bilaterally and findings suggestive of a CPPD arthropathy. |
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