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Generate impression based on findings. | Occipital head pain No evidence of acute ischemic or hemorrhagic lesion on this scan.Focal low attenuation on the left basal ganglia suggesting prior lacunar infarction is again seen, no change since prior exam.Small lipoma on the right suboccipital soft tissue is re-demonstrated, no change since prior exam.The ventric... | No evidence of acute ischemic or hemorrhagic lesion on this scan.No change of left basal ganglia lacune since prior exam. |
Generate impression based on findings. | 79 years, Male, Reason: Assess renal lesion (prior study was with contrast only; we would like a without contrast image to compare) History: right renal lesion. History of lung cancer ABDOMEN:LUNG BASES: Right lower lobe cavitary mass with peribronchial and pleural extension is unchanged in size measuring 5.8 x 3.3 cm ... | 1.Right lower pole lesion stable in size from the prior study but significantly increased from the study of 9/17/2014. Within the bulk of the lesion, no enhancement is evident, however there is borderline enhancement along the periphery and superior aspect of the lesion. A neoplasm is favored, likely a necrotic metasta... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Bilateral benign morphology masses are present, the majority of which ... | Bilateral involuting cysts. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and bilateral additional MLO views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Benign coarse calcifications in the... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 82-year-old female with left upper quadrant and left back pain, nausea, and decreased appetite. ABDOMEN:LUNG BASES: Previously seen left basilar consolidation has resolved. There is an 8mm left lower lobe solid pulmonary nodule (series 4, image 30) which has slightly increased in size from prior. Cardiomegaly. Prosthet... | 1.New left renal infarcts involving approximately 50% of the renal parenchyma likely from cardioembolic source.2.8mm left lower lobe pulmonary nodule for which continued follow-up is recommended.3.Diverticulosis without complicated diverticulitis. Possible mild ileus pattern without evidence of high-grade bowel obstruc... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in paternal aunt. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Scattered be... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repo... |
Generate impression based on findings. | 56 years, Male. Reason: 56 year old s/p ileostomy with abdominal pain and nausea. R/o obstruction History: NA Nonobstructive bowel gas pattern. Numerous surgical staples and suture material project over the abdomen. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Osteopenia both prematurity. No phosphate level.VIEWS: Last knee and wrist AP 2/9/15 at 2047 hrs. (Two views) Periosteal reaction of the distal femur proximal tibia and ulna is likely physiologic. Mild cupping and fraying of the distal metaphyses of the ulna is concerning for rickets. | Likely physiologic periosteal reaction of the distal ulna and femur as well as proximal tibia.Possible rickets. |
Generate impression based on findings. | 7-year-old male with pain after slammed finger in doorVIEWS: Right thumb, PA, lateral (3 views, ) 2/9/15 22:38 Alignment is anatomic. Mild soft tissue swelling about the IP joint without fracture. | Soft tissue swelling without fracture or dislocation. |
Generate impression based on findings. | Pain.VIEWS: Right wrist PA/lateral/oblique (3 views) 02/09/15 A joint effusion is present; the pronator quadratus fat pad is displaced. A 3 mm bone fragment is displaced from the lateral articular surface of the radius. Displacement is by approximately 3 mm. No other fracture is seen. | Radial articular fracture. |
Generate impression based on findings. | XR PORT ABDOMEN SINGLE VIEW AP, 2/9/2015 7:26 PM 84 years, Male. Reason: confirm NG tube placement after 3 cm advancement History: pls see above Nasogastric tube side port is projected over the proximal gastric body with tip projected over the distal gastric body. Heavy splenic artery calcification.Nonobstructive bowel... | Nasogastric tube side port projected over the proximal gastric body with tip projected over the distal gastric body. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 17 years, Female. Reason: please evaluate stool burden History: chronic abdominal pain and hx of constipation Nonobstructive bowel gas pattern. Desiccated stool noted in the sigmoid colon and rectum. | Desiccated stool in the sigmoid colon and rectum. |
Generate impression based on findings. | 67-year-old male. Severe SOB. Evaluate for PE. PULMONARY ARTERIES: No evidence of embolism. Main pulmonary artery diameter is 39 mm, suggestive of pulmonary artery hypertension.LUNGS AND PLEURA: Septal thickening and bilateral patchy groundglass opacities consistent with pulmonary edema. Bilateral lower lobe dependent ... | 1. No evidence of pulmonary embolism.2. Findings consistent with moderate pulmonary edema and dense dependent atelectasis due to congestive heart failure.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 41 years, Female. Reason: hx of bloating; r/o ileus History: occ bloating. past hx of abd surgery for esophageal cancer Nonobstructive gas pattern. There is an average amount of stool throughout the colon. Surgical changes are again noted in the upper abdomen as well as a gastric pull up. | Nonobstructive gas pattern. |
Generate impression based on findings. | Female 72 years old Reason: eval for diverticulitis History: LLQ pain CHEST:LUNGS AND PLEURA: Minimal basilar atelectasis with mild bilateral lower lobe bronchial wall thickening which may indicate reactive airways disease.MEDIASTINUM AND HILA: No significant abnormality noted. CHEST WALL: No significant abnormality no... | 1.Colonic diverticulosis without specific evidence of diverticulitis. No acute abnormality to account for the patient's left lower quadrant pain.2.Cortically-based right renal mass measuring 1.0 cm is suspicious for malignancy. Recommend triphasic CT to further evaluate. 3.Distended bladder which extends below the symp... |
Generate impression based on findings. | 16-week-old male status post intubation, confirm ETTVIEW: Chest AP (one view) 2/10/15 7:08 Interval placement of ETT with tip above the carina. NG tube tip and side-port project over the gastric body. Bilateral diffuse hazy pulmonary opacities are increased from the prior exam.The cardiothymic silhouette is unchanged. | ETT above the carina. Increased diffuse bilateral pulmonary opacities. |
Generate impression based on findings. | 88 years, Male. Reason: Check Dobhoff placement History: s/p DHT placement Dobbhoff tubing with tip projected over the distal gastric body. Bilateral nephroureteral stents are projected over the expected course of the ureters and are incompletely imaged. Cardiac conduction device, partially imaged, is projected over th... | Dobbhoff tube with tip projected over the distal gastric body. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | One day old female with respiratory distress, acidosis. Evaluate for effusion, focal infiltrate.VIEW: Chest AP (one view), Abdomen AP (one view) 2/9/2015 22:48:30 Diffuse interstitial opacities without focal air space opacity or consolidation. No pleural effusion or pneumothorax. Cardiothymic silhouette is normal. Bowe... | Diffuse interstitial opacities likely represents transient tachypnea of the newborn. |
Generate impression based on findings. | Cerebral palsy. Desaturations, constipation and firm abdomenVIEW: Abdomen AP (one view) 2/9/15 at 2135 hrs. Thoracolumbar dextroscoliosis, gastrostomy tube and left lower lobe atelectasis noted. Possible small right-sided pleural effusion is present as well. Disorganized, nonspecific abdominal gas pattern. No evidence ... | Left lower lobe opacity, likely atelectasis and possible small right-sided or effusion.Nonspecific abdominal gas pattern. |
Generate impression based on findings. | 86 years, Male. Reason: 86M with 4 days of nausea and emesis History: as above Four nephroureterostomy tubes, two on each side, are in place. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 41 years, Female. Reason: pain History: distension, pain Nonobstructive bowel gas pattern. The lung bases are clear. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Injury to third toe. Evaluate tarsal/metatarsal.VIEWS: Left foot AP/lateral (two views) 02/10/15 No soft tissue swelling is seen. The bones are normal in appearance. A fracture is not identified. | No fracture. |
Generate impression based on findings. | Reason: new cva History: facial droop The CSF spaces are appropriate for the patient's stated age with no midline shift. Subdural effusions in the posterior fossa probably related to atrophy. The ventricles are sizable which may also be related to atrophy.No abnormal mass lesions are appreciated intracranially. No intr... | 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. | 48 years, Female. Reason: evaluate for free air, obstruction History: abdominal pain Stimulator leads are partially visualized. IVC filter is present.Nonobstructive bowel gas pattern. No pneumoperitoneum. Note that the pelvis is excluded from the field-of-view. | Nonobstructive bowel gas pattern. No pneumoperitoneum. |
Generate impression based on findings. | Respiratory distress.VIEW: Chest AP (one view) 02/10/15, 0456 Tracheostomy tube remains in place. Feeding tube has been removed.Right base opacity is decreased. Residual subsegmental atelectasis is present. No other focal opacity is identified. Cardiac silhouette size is normal.Dilated bowel is present in the upper abd... | Improvement in appearance of chest with decrease in right lower lobe atelectasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies. Family history of breast cancer in mother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandula... | Right outer breast focal asymmetry for which further evaluation with spot compression views and possible ultrasound is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 5 month old male with omphalocele. NG tube placed, assess position. VIEW: Abdomen AP (one view) 2/9/2015 23:07:58 There are two feedings tubes terminating in the stomach which is located within a giant omphalocele. Left lower extremity PICC with tip at T11 vertebral body level unchanged. Giant omphalocele is again note... | 1. NG tube tip in the stomach with persistent nonspecific bowel dilatation. No evidence of obstruction. 2. Calcification at the external edge of the omphalocele is unchanged which may represent most likely wall calcification or meconium peritonitis. |
Generate impression based on findings. | 36-year-old male. Chest pain. Evaluate for PE. PULMONARY ARTERIES: Acute pulmonary emboli in the left lower lobe segmental and subsegmental arteries. LUNGS AND PLEURA: Peripheral left lower lobe wedge-shaped ground glass opacities consistent with an infarct due to the aforementioned pulmonary emboli.Faint scattered gro... | Acute pulmonary emboli in the left lower lobe with associated infarct.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Multiple.Most Proximal: Segmental.RV Strain: Negative. |
Generate impression based on findings. | 6-week-old female postop cardiac surgery, now extubatedVIEW: Chest AP (one view) 2/10/15 5:21 Right central venous catheter tip at the cavoatrial junction. NG tube tip and side-port in the gastric body. Surgical clips are noted in the upper mediastinum. Epicardial pacer leads are unchanged in position. The cardiothymic... | Increased basilar atelectasis and questionable right subpulmonic pneumothorax. |
Generate impression based on findings. | Reason: eval s/p aneurysm clipping History: sah Since the pervious exam the patient has undergone right-sided craniotomy for anterior communicating artery aneurysm clip placement. In addition, a ventriculostomy tube has been placed which courses to the right frontal lobe into the frontal horn of the right lateral ventr... | 1.Status-post recent right-sided craniotomy for aneurysm clip placement. There is redemonstration of subarachnoid blood products and intraventricular blood. 2.A ventriculostomy tube is in place. There is no evidence for ventriculomegaly at this time. |
Generate impression based on findings. | Reason: eval for malignancy History: weakness, new pulm nodule LUNGS AND PLEURA: Scattered benign appearing pulmonary micronodules, some calcified. Focal pleural-based calcification in the left upper lobe (series 7, image 22). No suspicious pulmonary nodules or masses. Basilar subsegmental scarring/atelectasis. No foca... | 1. No acute cardiopulmonary abnormality. No suspicious pulmonary nodules or masses as questioned on recent chest radiograph.2. Atherosclerotic calcification and mural thrombus involving the descending thoracic and abdominal aorta, with marked narrowing of the celiac artery origin. Recommend followup with abdominal CT a... |
Generate impression based on findings. | Hypoxia.VIEW: Chest AP (one view) 2/10/15 at 439 hours. ET tube terminates at the carina. Gastrostomy tube is present. Cardiac silhouette size is top normal. Streaky bibasilar opacities, likely subsegmental atelectasis are noted. | Multifocal subsegmental atelectases as described. |
Generate impression based on findings. | 9-year-old male, intubated, follow-up examVIEW: Chest AP (one view) 2/10/15 5:37 ETT above the carina. Left central venous catheter tip at the cavoatrial junction. Right PICC tip in the SVC. NG tube tip and side-port in the gastric body. The cardiothymic silhouette unchanged. Mild basilar predominant interstitial edema... | Mild unchanged pulmonary edema. |
Generate impression based on findings. | Female, 62 years old, with colon cancer. Evaluate prior to new treatment. CT head:The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No pathologic enhancement is detected. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect o... | 1. No evidence to suggest metastatic disease to the brain or spine.2. Relatively mild degenerative findings are seen in the cervical spine.3. Moderate to severe degenerative findings are seen in the lumbar spine with significant spinal canal stenosis at L3-4 and L4-5.4. Multiple pulmonary nodules, as well as mesenteric... |
Generate impression based on findings. | bihemispheric multifocal ischemic infarctions. NONCONTRAST CT HEADCLINICAL INFORMATION:headache during sexCOMPARISON: None.TECHNIQUE: MRI brain without and with contrast, MRA brain without contrast were performed. 20ml Multihance were administered intravenously. | No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremar... |
Generate impression based on findings. | Reason: Patient with history of stroke s/p LCEA. New RLE weakness/numbness/tingling in October 2014. Carotid duplex 1/30 with findings that could suggest possible distal ICA occlusion. Pls eval. Thanks History: 1 episode of RLE weakness/numbness/tingling 10/2014 Neck CTA: There is opacification of the aortic arch, grea... | 1.There is 70% stenosis along the left ICA ophthalmic segment. Please note that the left ICA effectively only supplies the left MCA due to hypoplastic left A1 segement and hypoplastic left PCOMA.2.Occlusion of the basilar artery. Collateral flow emanates through a hypoplastic right P1 segment and possibly through lepto... |
Generate impression based on findings. | 2nd post reduction radiographs Osseous detail is obscured by overlying cast material.Interval further reduction of the ankle fracture-dislocation, with the distal fibular fracture, posterior malleolar fracture, and tibiotalar articulation now in anatomic alignment. No new fractures are seen. | Interval further reduction of the ankle fracture-dislocation, now in anatomic alignment. |
Generate impression based on findings. | 60-year-old male with surgical site abscess. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Postsurgical c... | 1.Large anterior abdominal wall abscess in continuity with underlying mesh but which does not appear to extend into the peritoneal cavity. Loops of small bowel adhere to the subjacent abdominal wall.2.Foci of high attenuation within the abscess may represent pieces of mesh or enteric contrast from fistulous communicati... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. Family history of breast cancer in mother and maternal first cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scat... | Bilateral benign breast masses. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (12/26/14, 1/14/15), ultrasound images of right breast and right axilla (1/14/15), images from ultrasound guided biopsy of right breast and post procedural right mammographic images (1/22/15) performed at Advocate Trinity... | Biopsy proven carcinoma in the right breast at 4 o'clock position. Increasing skin thickening and new asymmetry in the right breast. Abnormal lymph node in the right axilla. Breast MRI is recommended for evaluation of the extent of disease in the right breast.2. No mammographic evidence for malignancy in the left breas... |
Generate impression based on findings. | Status post reduction of ankle fracture. Osseous detail is obscured by overlying cast.Interval reduction of the ankle fracture-dislocation. The fibular fracture is in near anatomic alignment. The tibiotalar articulation is improved, thought there remains mild widening of the medial tibiotalar joint space and tibiotalar... | Ankle fracture-dislocation reduction, as above. |
Generate impression based on findings. | HEAD: The examination is limited due to "grainy" image quality likely secondary to low dose (mAs = 95) technique. There is no gross intracranial hemorrhage, or midline shift. There is no hydrocephalus. The skull is intact.MAXILLOFACIAL: There are postoperative findings related to partial left lobectomy and left maxill... | 1.Poor scan quality likely due to low dose technique. No gross intracranial hemorrhage or hydrocephalus. 2.No evidence of acute sinusitis.3.Postoperative sinonasal anatomy with persistent but mildly improved near complete opacification of the left maxillary sinus, along with scattered mucosal thickening of the right et... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal grandmother and three maternal cousins. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogla... | Bilateral benign breast masses. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | There are patchy regions of restricted diffusion with associated T2/FLAIR signal abnormality in the right middle frontal gyrus and a punctate focus of restricted diffusion in the right thalamus consistent with acute ischemia. Additional regions of FLAIR/T2 signal abnormality in the periventricular and subcortical whit... | Findings consistent with non-hemorrhagic acute to subacute ischemia in the right MCA territory as above.Findings relayed to Dr. Jared Davis over the phone at approximately 8:37 am. |
Generate impression based on findings. | 5-year-old male with right IJ central line placement. Assess placement.VIEW: Chest AP (one view) 22:58:50 Right IJ central venous catheter with tip at the cavoatrial junction. ET tube tip below the thoracic inlet and above the carina. Two feedings tubes are present, one with tip in the fundus and the other extends beyo... | 1. Right IJ central venous catheter with tip at the cavoatrial junction. 2. Persistent left lower lobe opacity unchanged. |
Generate impression based on findings. | 61-year-old male. Fever, cough, productive sputum. Small cell carcinoma. LUNGS AND PLEURA: New patchy ground glass and solid opacities in the left lower lobe consistent with aspiration and infection. Previously seen groundglass opacities in the anterior aspect of the left lower lobe have resolved.Circumferential nodula... | 1. New left lower lobe patchy opacities consistent with aspiration and infection.2. Extensive right hemithorax pleural tumor and mediastinal lymphadenopathy, not significantly changed.3. Interval resolution of previously seen acute left pulmonary emboli. |
Generate impression based on findings. | 11 week old female, follow bilateral pleural effusionsVIEW: Chest AP (one view) 2/10/15 6:02 ETT above the carina and below the thoracic inlet. NG tube tip and side-port in the stomach.Extensive bilateral palmar opacities and left pleural effusion. No pneumothorax. The cardiothymic silhouette is obscured.Nonspecific bo... | Extensive bilateral pulmonary opacities and left pleural effusion. |
Generate impression based on findings. | Female 36 years old Reason: evaluate for injury History: pain s/p fall. Seen only on the oblique view is a step-off along the ulnar margin of the triquetrum, suspicious for a nondisplaced fracture. There is also soft tissue swelling along the proximal wrist. A lucency with sclerotic margins in the lunate bone may repre... | There is a step-off along the ulnar margin of the triquetrum seen only on the oblique view of the wrist. This could represent a fracture if it corresponds to site of patient's pain. CT can be considered for further evaluation if clinically warranted.Dr. Mulligan was notified by phone regarding these findings on 2/10/20... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother and maternal grandmother. Two standard digital views and additional bilateral MLO views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repo... |
Generate impression based on findings. | Right ankle swelling status post fall Comminuted fracture of the distal fibula, with lateral angulation of the distal fracture fragment. Tibiotalar disarticulation, with 2 cm lateral and 2.5 cm posterior displacement of the talus relative to the tibia and compatible with deltoid ligament tear. | Ankle fracture-dislocation, as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in paternal grandmother and paternal great-grandmother. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibr... | Possible left retroareolar mass. Comparison to prior studies is needed to ensure stability of this appearance. If they cannot be submitted, then diagnostic evaluation will be necessary. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Ms. Moore is a 55 year old female with a personal history of left breast mastectomy in 2002 followed by chemoradiation and hormonal therapy. 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 heterogen... | No mammographic evidence of malignancy. Given patient's young age at diagnosis and dense breast, consideration into obtaining a routine breast MRI should be made. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were ... |
Generate impression based on findings. | Pain.VIEWS: Right foot standing AP/lateral (2 views) 02/10/15 Pes planovalgus is present. No fracture is seen. | Pes planovalgus. |
Generate impression based on findings. | Postop.VIEWS: Left foot AP/lateral (two views) 02/10/15 Screws remain in place in the calcaneus. No fracture is seen. | Unchanged exam. Healed calcaneal osteotomy. |
Generate impression based on findings. | Reason: pe study History: hypoxemia PULMONARY ARTERIES: Suboptimal contrast bolus leads to near-nondiagnostic study for pulmonary embolism. No large central pulmonary embolism is seen. No evidence of right heart strain.LUNGS AND PLEURA: Right upper lobe calcified granuloma. No suspicious pulmonary nodules or masses. No... | Nondiagnostic study for pulmonary embolism. No other acute cardiopulmonary abnormality.PULMONARY EMBOLISM: PE: Indeterminate.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Right groin pain.EXAMINATION: Pelvis AP/frog leg (two views) 02/06/15 Round, smooth femoral heads are well directed into normally formed acetabula. No fracture is seen.A moderate to large amount of feces is present in the rectosigmoid. | Normal appearance of bones. No evidence of avascular necrosis. |
Generate impression based on findings. | Male 30 years old Reason: fx? History: pain in the dorsum of hand and palmar area. There is a well corticated ossicle distal to the ulna which may represent an ulnar styloid fracture fragment or normal variant; we see no acute fracture. There is a small round lucency with sclerotic margins in the third metacarpal head ... | No acute fracture or other acute findings to account for patient's pain. Other findings as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and a repeat left MLO view of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 47 years old; Reason: pre-kidney transplant, assess aortic and iliac vessels for kidney transplants History: pre-kidney transplant, diminished pedal pulses ABDOMEN:LUNG BASES: Soft tissue nodule in the left lower lobe measures 10 mm on image 11/series 3, unchanged.LIVER, BILIARY TRACT: Liver is normal in morphol... | 1.No significant calcific plaque burden involving the aorta and iliac vessels.2.Severe calcific arteriosclerotic disease of the second and third order branch vessels.3.Left lower lobe soft tissue nodule follow -up is suggested.4.Cholelithiasis. |
Generate impression based on findings. | Female 72 years old Reason: eval for fx History: L hip pain. Small osteophytes indicate mild osteoarthritis. We see no fracture. | Mild osteoarthritis. No fracture. |
Generate impression based on findings. | Male 62 years old; Reason: cholangiocarcinoma History: cholangiocarcinoma ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Dominant right hepatic lobe mass measures 12.0 x 12.0 cm (image 37/series 11) previously, 11 x 11 cm.Satellite lesion measures 2.0-cm previously, 1.2-cm on image 39/series... | 1.Increase in the size of the dominant right hepatic lobe lesion. |
Generate impression based on findings. | Fracture The complete subcapital fracture of the femoral neck with slight valgus angulation is again seen and unchanged. The hip joint alignment is normal. No additional fractures are identified. | Femoral neck fracture, as above. |
Generate impression based on findings. | Male 21 years old Reason: post reduction History: same. Two views of the right hand were obtained following reduction and splint placement. Evaluation of fine detail is limited by overlying splint. Again seen is a fracture of the the fifth metacarpal neck that has been reduced such that there is now approximately 40 de... | Fifth metacarpal fracture post reduction as above. |
Generate impression based on findings. | Ankle pain Soft tissue swelling about the ankle. No fracture or malalignment. No joint effusion evident. | No fracture or malalignment. |
Generate impression based on findings. | Swelling. Soft tissue swelling about the ankle, particularly over the lateral malleolus. No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | Ms. Jaeger is a 51 year old female with a personal history of right breast mastectomy in June 2013 for IDC followed by chemoradiation therapy. 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 parenchyma is composed... | 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 71 years, Male. Reason: abdominal dist History: hiccups Midline surgical staples and left upper quadrant surgical sutures are noted. Interval removal of nasogastric and right-sided abdominal tube. Left abdominal tube is unchanged in position.Relative paucity of bowel gas throughout the abdomen. Right pleural effusion a... | Nonspecific bowel gas pattern. |
Generate impression based on findings. | Pain status post fall No fracture or dislocation. High riding humeral head, compatible with chronic rotator cuff tear or rotator cuff atrophy. Humeral head degenerative subchondral cysts. | Degenerative changes, without fracture or dislocation. |
Generate impression based on findings. | Pain status post fall No fracture or malalignment. Mild osteoarthritis of the right hip. Vascular calcifications noted. | No fracture or malalignment. |
Generate impression based on findings. | Pain No fracture or malalignment. No joint effusion evident. | No fracture or malalignment. |
Generate impression based on findings. | Female 63 years old Reason: s/p R hip hemiarthroplasty History: see above. Components of a right hip hemiarthroplasty are situated in near anatomic alignment. Skin staples, a drain, and foci of gas in the soft tissues reflect recent surgery. | Right hip hemiarthroplasty as described above. |
Generate impression based on findings. | 59 years, Male. Reason: assess for obstruction or other causes of distention History: abdominal distention Partially visualized cardiac assist device line is seen at midline coursing above the field of view. Two tubes project over the left paramedian abdomen coursing above the field-of-view. Cholecystectomy clips are n... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 15 year-old female with acute respiratory failure, intubated. Follow up exam.VIEW: Chest AP (one view) 2/10/2015 4:49:45 ET tube tip below the thoracic inlet. Spinal fusion instrumentation consisting of hooks, rods and pedicle screws extends from T2 to L1 with residual dextroscoliosis. Right upper extremity PICC with t... | Increase in lung opacities in the interval. Probable layering right pleural effusion. |
Generate impression based on findings. | Mr. Grammer is a 68 year old male presenting with pain and discomfort in both breasts for one month. He denies a discrete mass, history of trauma, or fever/chills. Family history of breast cancer in maternal aunt. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The... | Bilateral benign gynecomastia without suspicious mammographic findings. Patient should follow up with his primary care physician for pain as clinically warranted.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 71 years, Male, Reason: Patient with questionable small abdominal aortic aneurysm at OSH. Please eval. Thanks History: none. Former smoker. PAD and CAD.. CHEST:LUNGS AND PLEURA: Nodular pleural plaques within the right lung is well as along the left upper lobe. For reference, a posterior plaque along the right upper lo... | 1.Mildly aneurysmal infrarenal aorta measuring up to 3 cm.2.Bilateral pleural plaques, some of which are calcified, are likely asbestos related.3.Hyperattenuating lesion in the right renal sinus. A benign complex cyst is favored. |
Generate impression based on findings. | There is normal alignment of the thoracic spine with preserved vertebral body heights. There is loss of disk height and multiple levels of the thoracic spine from T3-4 through T9-10, worst at T8-9 where there is severe loss of disk height, vacuum disk phenomenon and sclerotic endplate degenerative changes. In addition... | Severe spinal canal stenosis at T8-9 as noted on the MRI. No significant interval change. |
Generate impression based on findings. | Reason: NO ORAL OR IV CONTRAST NEEDED. H/o esophageal leak. Stent migration over weekend while patient on full liquid diet. want to evaluate amount leaking in lungs/mediastinum History: NO ORAL OR IV CONTRAST NEEDED. esoph leak CHEST:LUNGS AND PLEURA: Bilateral chest tubes in place. Bilateral small pleural effusions, s... | 1. Interval stent migration superiorly, with increased size of the previously visualized mediastinal fluid collection, now measuring up to approximately 7 x 4 cm. 2. Bilateral small pleural effusions, with bilateral chest tubes in place.3. Two indeterminate left upper lobe ground glass nodules may be followed up by CT ... |
Generate impression based on findings. | Spinal fusion.VIEWS: Thoracic spine AP (one view), lumbar spine AP (one view) 02/10/15, 0829 and 0831 Surgery has been performed in the interval. Spinal fusion instrumentation extends from T3 to L2. Rods and hooks are intact and in this single plane. A drain is identified. There appears to be bone graft material along ... | Postoperative changes. |
Generate impression based on findings. | T2 hypointensity in the left thalamus with associated susceptibility and surrounding edema consistent with the known left thalamic bleed. No significant midline shift. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. The cerebellar tonsils are in normal position. The pitu... | Findings consistent with left thalamic hemorrhage with associated vasogenic edema. |
Generate impression based on findings. | There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage. There are no extraaxial fluid collections or subdural hematomas. Mild to moderate prominence of the ventricles and sulci most likely age related volume loss. Thickening of the wall of the left maxillary sinus, most lik... | No CT evidence of acute intracranial abnormality. |
Generate impression based on findings. | Cirrhosis with TIPS LIMITED ABDOMENLIVER: Cirrhotic liver.ABDOMINAL DOPPLER: Color and spectral Doppler were performed on inflow and outflow vessels.PORTAL VENOUS: Patent portal vessels with normal directional flow. Main portal in velocity 60 cm/sec. Undivided left portal vein still demonstrates pedal flow.Patent TIPS ... | Patent TIPS catheter without evidence for inflow or outflow compromise; however the undivided left portal vein still demonstrates pedal flow. Patent main portal vein with normal directional flow. Trace ascites. |
Generate impression based on findings. | Left hip pain for months, difficult to bear weight There is sclerosis of the femoral head compatible with avascular necrosis. There is minimal flattening of the superior articular surface of the femoral head which may reflect mild subchondral collapse. | Avascular necrosis as above. |
Generate impression based on findings. | Severe pain, left hip Tiny osteophytes indicate mild osteoarthritis. There is slight prominence of the anterolateral aspect of the femoral head neck junction seen on the frog leg view, suggesting a mild cam deformity. There is also a subcentimeter ossicle along the superior rim of the acetabulum, of questionable clinic... | Mild osteoarthritis of the left hip and other findings as above. |
Generate impression based on findings. | Follow-up A side plate and screws affix an oblique fracture of the distal fibula in near anatomic alignment. The fracture remains visualized on the lateral view. There is also a mildly displaced fracture of the "posterior malleolus" of the distal tibia, as well as a mildly displaced fracture through the tip of the medi... | Orthopedic fixation of distal fibular fracture and other findings as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister and maternal first cousin. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Lumbago Mild degenerative disk disease affects the mid and lower lumbar spine. Small osteophytes project from the anterior aspects of the lumbar vertebrae. There appears to be moderate facet joint osteoarthritis of the mid and lower lumbar spine as well. There is a minimal rightward curvature of the lumbar spine but ot... | Facet joint osteoarthritis and mild degenerative disk disease. |
Generate impression based on findings. | Male 21 years old Reason: evaluate for injury History: pain s/p punching a wall. There is a comminuted fracture of the fifth metacarpal neck with approximately 70 degrees of volar angulation of the distal fracture fragment. The wrist and the remainder of the hand appear normal other than soft tissue swelling. | Fifth metacarpal fracture as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views (total of 8 images) of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Several benign intramammary... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 3D time of flight MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal flow enhancement within the bilateral internal carotid arteries across the skull base in the supraclinoid segments. Patent bilateral anterior and middle cerebral arteries as well ... | No significant interval change in the mild fusiform aneurysmal dilatation of proximal left A2 segment. |
Generate impression based on findings. | Follow-up A plate and screws affix a medial malleolar fracture in near-anatomic alignment. The fracture line is indistinct which may reflect some healing, appearing similar to the prior study. I see no hardware complications. | Orthopedic fixation of medial malleolar fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother and maternal grandmother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patte... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Healing fracture of fifth toe. Pain. Again seen is a transverse fracture through the head/neck of the proximal phalanx of the fifth toe. The fracture remains visible; a small amount of callus along the fracture suggests an attempt at healing. Mild osteoarthritis affects the first metatarsophalangeal joint. Small midfoo... | Fifth toe fracture and other findings as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectura... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 63 years old Reason: right hip fracture History: intra-op. Evaluation of the pelvis is limited by oblique positioning and overlying artifact. Furthermore, the superior aspect of the pelvis is not included on the field-of-view. Trial components of a right hip hemiarthroplasty device are situated in near anatomic ... | Right hip hemiarthroplasty trial components as described above. |
Generate impression based on findings. | Left knee pain Evaluation of the knee is slightly limited by factors related to portable technique. Moderate osteoarthritis affects the knee, particularly the medial compartment. A corticated 1.5-cm ossicle within the soft tissues medial to the medial femoral condyle may represent prior injury to the medial supporting ... | Osteoarthritis and other findings as above. |
Generate impression based on findings. | Ms. Cohen is a 52 year old female with a personal history of right breast lumpectomy in Feb 2013 for IDC with tubular features followed by radiation therapy. No current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma... | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. Consideration into breast MRI or whole breast ultrasound as an additional surveillance exam should be made, given patient's breast density. As long as the patient's physical examination remains normal, bilateral diagnostic mammogra... |
Generate impression based on findings. | 66 year old male patient with melanoma of left forearm. Please do lymphoscintigraphy with mapping to identify sentinel lymph node.RADIOPHARMACEUTICAL: The left forearm was prepared in a sterile manner. A total of 0.54 mCi Tc-99m filtered sulfur colloid was injected in four peri-lesional sites. A focus of increased acti... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | Female 63 years old Reason: right hip fracture History: n/a. Evaluation of the pelvis is limited by oblique positioning and overlying artifact. Components of a right hip hemiarthroplasty device are situated in near anatomic alignment, although the distal extent of the femoral component is not included on the field of v... | Right hip hemiarthroplasty components as described above. |
Generate impression based on findings. | Gangrene. Osteomyelitis? Evaluation of the foot, and in particular the toes, is limited due to inability to optimally position the patient. There is loss of soft tissue along the distal end of the great toe. There also appears to be loss of bone along the distal aspect of the tuft of the distal phalanx, compatible with... | Findings compatible with osteomyelitis of the distal phalanx of the great toe. This was relayed to and acknowledged by Dr. Radovanovic over the phone at the time of dictation. This can be further evaluated with MRI if clinically warranted. |
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