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Generate impression based on findings. | Gas in RLE. History of RLE infection. Status post amputation. The patient has undergone an above the knee amputation. The distal soft tissues at the amputation site are irregular and edematous. The distal 2-3 cm of the femur is exposed, extending beyond the soft tissue margin. Foci of gas are present in the posterior a... | Irregular post-surgical soft tissue margin, exposed femur, and soft tissue gas compatible with infection. |
Generate impression based on findings. | 69 years, Male. Reason: stool burden History: G tube feed nausea and vomiting Percutaneous gastrostomy tube tip projects over the expected location of the distal stomach. There is a slightly greater than average desiccated stool burden throughout the colon. An esophageal stent and numerous clips project over the medias... | 1.Percutaneous G-tube tip projects over the distal stomach.2.Slightly greater than average desiccated stool burden throughout the colon. |
Generate impression based on findings. | Previous great toe fracture. Previous humeral head fracture. Three views of the left first digit reveals a fracture of the proximal phalanx and extends into the metatarsophalangeal joint. This is unchanged from previous exam January 19. Three views of the right shoulder reveals a nondisplaced fracture of the greater tu... | Left great toe fracture unchanged. Healing fracture of the greater tuberosity of the right humerus |
Generate impression based on findings. | 60 year-old female, evaluate for fractureVIEWS: Right third digit, PA and lateral (two views) 2/10/15 13:13 There is a small curvilinear ossicle volar to the proximal aspect of the middle phalanx of the third finger, likely representing a small avulsion fracture. An additional linear density adjacent to the head of the... | Fractures about the PIP joint as described above. |
Generate impression based on findings. | Bilateral knee pain Four views of the right knee are provided. Moderate osteoarthritis affects the knee, particularly the patellofemoral joint. There is a small joint effusion.Four views of the left knee are provided. Moderate osteoarthritis affects the knee, particularly the patellofemoral joint. There is a small join... | Osteoarthritis. |
Generate impression based on findings. | Male 59 years old; Reason: restaging scans s/p 6 weeks on investigational targeted oral agent History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: Bi-basilar atelectasis, left greater than right. Scattered areas of ground-glass opacities and bronchial wall thickening.Bilateral pleural effusions, left greate... | 1.Slight increase in the size of the reference metastatic deposits in the liver. |
Generate impression based on findings. | Lumbar pain Four the purposes of the study I will designate 5 lumbar vertebrae with small hypoplastic ribs at L1. There is a minimal leftward curvature of the thoracolumbar spine. Moderate-severe degenerative disk disease affects L5/S1. Mild degenerative disk disease affects L4/5. Mild facet joint osteoarthritis affect... | Degenerative disk disease and other findings as above. |
Generate impression based on findings. | Male 61 years old Reason: hx resected renal cancer, on surveillance History: hx resected renal cancer, on surveillance This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Subcentimeter nodule in the right lower lobe on image number 45, series number 6, unchanged.MEDIASTINUM AND HILA: No si... | Limited study. No significant change from previous study. |
Generate impression based on findings. | 18 year-old female with fevers, abscess, orocutaneous fistula, assess for fluid collection At the left neck incision site there is no evidence of fluid collection or abscess. Scattered prominent cervical lymph nodes are likely reactive in etiology. The thyroid gland appears normal. | No evidence of loculated fluid collection or abscess. |
Generate impression based on findings. | Status post fall Examination is mildly motion degraded. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydroceph... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Chronic small vessel ischemic disease. |
Generate impression based on findings. | Hip pain and knee pain Two views of the right hip are provided. Small osteophytes indicate very mild osteoarthritis. On the frog leg view, there is slight prominence of the anterolateral aspect of the femoral head/neck junction, perhaps representing a mild cam deformity.The AP view of the pelvis shows mild osteoarthrit... | Mild hip joint osteoarthritis and other findings as above. |
Generate impression based on findings. | 24 year old man with stage IVB DLBC lymphoma cycle 6 of R-CHOP and 2 cycles of HD MTX in need of restaging. RADIOPHARMACEUTICAL: 9.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion of the neck is unremarkable. Please see diagnostic CT reports for details of the chest, abdomen, a... | Near complete resolution of extensive tumor activity within the chest, abdomen, and pelvis. However, there are two pelvic foci, while significantly improved, are still markedly FDG avid and suspicious for residual current tumor metabolism. Alternatively, these could represent benign inflammation. Attention to these reg... |
Generate impression based on findings. | 57-year-old male with history of recurrent sinusitis. There is a tiny polypoid opacity located at the posterior aspect of the right maxillary sinus which likely represents a mucous retention cyst. There is a small amount of mucosal thickening anteriorly within the left maxillary sinus. Minimal left frontal mucosal thic... | No significant paranasal sinus disease. |
Generate impression based on findings. | 62-year-old with history of left breast cancer status post mastectomy in 2013 with reconstruction. No current breast 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 heterogeneously dense, unchanged in pattern and distributi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Small bowel 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 notedRETROPERITON... | Negative for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Postsurgical changes from cervical laminoplasty with interval resolution of subcutaneous air within the soft tissues and the extradural space. Additionally, the bone graft margins within the laminectomy defects on the right at the C4 and C6 levels are indistinct compatible with incorporation. Laminoplasty extends from... | Status post cervical laminoplasty from C3 to C7 levels as above with multilevel cervical spondylosis. |
Generate impression based on findings. | History of cholangiocarcinoma completed therapy in November of 2009, evaluate for disease. 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: CHEST:LUNGS AND PLEURA: Scattered nonspeci... | 1.Findings consistent with stated history of cholangiocarcinoma without significant interval change compared to the prior studies. No evidence of new disease.2.Marker for percutaneous biliary drain flush with surface of the liver and may need to be repositioned. Discussed with Dr. Polite at time of dictation.3.Persiste... |
Generate impression based on findings. | Six months post ACDF There is an anterior plate with screws entering the C6 and C7 vertebrae. I see no acute hardware complications. There is also an intervertebral spacer at C6-7. There may be early fusion of the posterior aspects of the cervical vertebral bodies at this level, but this is equivocal. Severe degenerati... | Degenerative disk disease and postoperative changes of ACDF at described above. |
Generate impression based on findings. | 60-year-old male. Hypopharyngeal SCC s/p CRT. CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema. Right apical scarring, unchanged.Scattered stable micronodules, most likely postinflammatory. No suspicious pulmonary nodules or masses.Very mild bronchiectasis bilaterally in the upper and lower lobes, similar to prior ... | No evidence of metastatic disease in the chest or abdomen, or other significant abnormality. |
Generate impression based on findings. | History of cervical fracture. Surveillance. There is mild depression of the superior endplate of the C7 vertebral body compatible with a compression fracture as seen on prior CT scans. There is approximately 3 mm of anterolisthesis of C6 on flexion that decreases to 2 mm on extension. The remaining cervical vertebrae a... | C7 fracture as described above with mild C6 anterolisthesis. |
Generate impression based on findings. | Fracture.VIEWS: Left femur AP/lateral (two views) 02/10/15 Cast remains in place. Oblique fracture of the proximal mid femur is again seen. The distal fracture fragment is displaced medially and anteriorly. Approximately 1.5 cm of overlap is present. There may be some periosteal reaction. | Probable early healing of the femoral fracture. |
Generate impression based on findings. | All of the paranasal sinuses are clear. Bilateral mastoid air cells and middle ear cavities are clear. The bilateral maxillary sinus ostia are patent as are the bilateral frontoethmoidal and sphenoethmoidal recesses. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform pl... | Unremarkable CT scan of the sinuses. |
Generate impression based on findings. | Fluid collection and pain. Fracture versus arthritis. There is diffuse soft tissue swelling with reticulation of the subcutaneous fat. The bones are slightly demineralized. Severe osteoarthritis affects the knee, particularly at the patellofemoral joint. There may be a small joint effusion. There is mild deformity of t... | Osteoarthritis and other findings as above. I see no acute fracture. If there is strong clinical concern for acute fracture, CT or MRI may be considered. |
Generate impression based on findings. | THORACIC SPINE: The partially imaged cervical spine demonstrates endplate degenerative changes at C6-7 with left uncovertebral spur, contributing to moderate left foraminal stenosis. Mild C7 on T1 anterolisthesis. There is mild dextrocurvature of the thoracic spine. There is minimal anterolisthesis of T2 on T3. The ve... | 1. Degenerative changes in the thoracic and lumbar spine without high grade spinal stenosis at any level. There is mild spinal canal narrowing at the left T7-8 level in the thoracic spine. There is mild spinal canal stenosis at L3-4 and L4-5 in the lumbar spine. 2. There is moderate right L5-S1 neural foraminal narrowi... |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Stable scattered nonspecific micronod... | 1.Right breast mass stable. 2.Extensive osseous, hepatic, and lymphadenopathy consistent with metastatic disease without significant interval change.3.No new sites of disease identified. |
Generate impression based on findings. | Chronic back pain. Evaluate for bony pathology. Three views of the thoracic spine are provided. There are tiny vertebral body osteophytes, but otherwise I see no specific findings to account for the patient's pain.Five views of the lumbar spine are provided. Vertebral body heights and intervertebral disk spaces are wit... | No specific findings to account for the patient's pain. |
Generate impression based on findings. | 14-year-old male status post tarsal coalition removalVIEWS: Right foot oblique, AP, Lateral (3 views) 2/10/2015 10:24:37 and 11:38:22 Interval removal of the k-wire and cast. Postsurgical changes of calcaneonavicular coalition resection with interposition fat graft. Alignment is normal. No evidence of fracture or effus... | Postsurgical changes with no evidence of malalignment or fracture. |
Generate impression based on findings. | Reason: Follow-up of lung nodule in a smoker History: As above LUNGS AND PLEURA: Severe centrilobular emphysema. A right lower lobe well circumscribed pleural based nodule measures 8 x 8 mm (series 7, image 77), previously measuring 7 x 7 mm on 9/11/2013, 6x 7 mm on 2/2/2013 and 5 x 5 mm on 1/12/2010. There is no visi... | 1. Continued mild increase in size of an 8mm fat-containing, noncalcified right lower lobe nodule. The appearance and growth rate favor hamartoma, but malignancy cannot be excluded.2. Stable mild paratracheal lymphadenopathy.3. Severe emphysema. |
Generate impression based on findings. | Low back/lumbar spine pain. The bones appear demineralized suggesting osteopenia. Vertebral body heights and intervertebral disk spaces are within normal limits. Tiny osteophytes project from the anterior aspects of the lumbar vertebrae, of doubtful clinical significance. Surgical clips in the right upper quadrant like... | I see no specific findings to account for the patient's pain. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Male 65 years old Reason: eval for acute process, s/p slipped/fall History: diffuse l anterior/lat rib pain. The bones appear slightly demineralized. There are minimally displaced fractures of the lateral aspects of the left eighth rib and possibly the left ninth rib. We see no additional acute rib fractures. Note is m... | Acute rib fractures of the left eighth and possibly ninth ribs. |
Generate impression based on findings. | Metastatic prostate cancer, evaluation of disease during therapy with investigational treatment; please complete PCWG2 form. No abnormal osseous foci are identified to indicate metastatic disease.Degenerative changes are noted of the mid-cervical region, right sacroiliac joint and glenohumeral joints | No evidence of bone metastasis. |
Generate impression based on findings. | Male 67 years old Reason: lumbar back pain History: lumbar back pain. There is severe degenerative disk disease at L5/S1. There is moderate to severe degenerative disk disease at L4/L5 and moderate degenerative disk disease at L3/L4. There is also severe degenerative disk disease at T12/L1. We see no spondylolisthesis ... | Degenerative disk disease and osteoarthritis as described above. |
Generate impression based on findings. | DLBCL status-post Rituxan monotherapy with PD needs restaging please.RADIOPHARMACEUTICAL: 11.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 88 mg/dL. Today's CT portion of the neck grossly demonstrates a large approximately 4.5 cm mass in the region of the right parotid gland. Adjacent surgical clips are ... | 1.Markedly hypermetabolic tumor in right neck, which has progressed compared to the previous exam.2.No convincing FDG avid tumor activity elsewhere. FDG avid activity along the right porta-cath is more likely reactive in etiology than additional tumor activity.Diagnostic CTs of the chest, abdomen, and pelvis also perfo... |
Generate impression based on findings. | 48-year-old female with history of excisional biopsy for focal ADH in the right breast in 2012, with final pathology results showing fibrocystic changes, apocrine metaplasia and columnar cell change. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 21-year-old male with dyspnea on exertion, evaluate for abnormalityVIEW: Chest AP (one view) 2/10/15 14:10 Right central venous catheter tip at the cavoatrial junction. Low lung volumes without consolidation or pleural effusion. The cardiomediastinal silhouette is unchanged. | No evidence of infection. |
Generate impression based on findings. | Female 26 years old Reason: r/o fx History: lateral ankle pain s/p fall. There is mild soft tissue swelling about the ankle. We see no fracture. | Mild soft tissue swelling without fracture. |
Generate impression based on findings. | Reason: follow up, lung nodules, smoker History: lung nodules LUNGS AND PLEURA: Multifocal areas of groundglass opacities seen predominantly in the lower lobes. Several of these have mild interval increase in size.Reference right lower lobe subpleural nodule (image 61 series 5) now measures 12 mm on the prior exam this... | 1.Multiple groundglass and semi-solid nodules predominantly in lower lobes are either stable or increased in size and suspicious of adenocarcinoma. Chronic inflammatory etiologies cannot be excluded. |
Generate impression based on findings. | 6-month-old female, assess for fractureVIEWS: Left humerus, AP and lateral (two views) 2/10/15 Deformity and callus formation about the proximal left humeral metaphysis consistent with healing fracture with mild medial angulation of the distal fragment. No new fracture is identified. | Healing proximal humerus fracture as described above. |
Generate impression based on findings. | Fracture Evaluation of fine detail is limited by overlying cast material. Again seen is a transverse fracture of the distal radius with fracture fragments in near anatomic alignment. There is perhaps slight widening of the scapholunate interval which may reflect ligamentous laxity or disruption. Mild osteoarthritis aff... | Distal radius fracture in near-anatomic alignment. |
Generate impression based on findings. | History of laryngeal squamous cell carcinoma status post prior chemoradiation therapy. Evaluation is limited by lack of intravenous contrast. Again seen are posttreatment changes with mild soft tissue thickening involving the supraglottic and glottic larynx. No discrete mass. Unchanged irregularity of the thyroid and c... | 1. Limited study due to lack of contrast. Mild thickening involving the laryngeal soft tissues is unchanged and may represent treatment change. No discrete mass or significant cervical lymphadenopathy. 2. Subcentimeter right apical lung nodule and bilateral pleural effusions. Please refer to the separate chest CT repor... |
Generate impression based on findings. | Male, 71 years old, with history of squamous cell carcinoma of the left neck. Ill defined soft tissue thickening and effacement of the fascial planes along the left carotid space are stable findings. No new mass or abnormal enhancement is seen. Supraglottic mucosal edema is also stable and likely related to therapy.No ... | Redemonstration of findings compatible with treated tumor in the left neck. No evidence of progressive disease is seen. |
Generate impression based on findings. | Hip and back pain with a history of prostate cancer and a PSA of 629, prostate cancer- biopsies to follow. Innumerable osteoblastic lesions are visualized throughout the entire axial and proximal appendicular skeleton compatible with metastases. Absence of renal and other soft tissue activity indicates a "metastatic su... | Innumerable osseous metastases. |
Generate impression based on findings. | Pain after injury Best seen on the oblique view is an intra-articular fracture through the dorsal aspect of the base of the distal phalanx of the ring finger (mallet fracture). Alignment is near-anatomic. Mild osteoarthritis affects scattered interphalangeal joints. A round lucency within the distal pole of the scaphoi... | Ring finger mallet fracture as above. |
Generate impression based on findings. | Knee pain for one day. Rule out bony abnormality.VIEWS: Right knee AP/lateral/oblique (3 views) 02/10/15 A joint effusion is not seen. The bones are normal in appearance. No fracture is identified. | Normal examination. |
Generate impression based on findings. | 14-year-old male, assess for fractureVIEWS: Left ankle, AP, lateral, and oblique (3 views) 2/10/15 14:22 Splint material obscures underlying osseous detail. Fractures of the medial malleolus and distal fibula are again identified in near anatomic alignment. | Casted ankle fractures in near-anatomic alignment. |
Generate impression based on findings. | Right finger swollen and with difficulty for patient to bend finger. Please assess for possible broken index finger. Patient with recent injury after falling on ice. I see no fracture or malalignment of the index finger. There is mild deformity of the dorsal aspect of the base of the distal phalanx of the fifth finger ... | No findings to suggest an index finger fracture. Deformity of the base of the distal phalanx of the fifth finger likely represents a mallet fracture, perhaps chronic. |
Generate impression based on findings. | 60-year-old female with a history of metastatic breast CA, restaging, response to therapy.RADIOPHARMACEUTICAL: 11.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 105 mg/dL. Today's CT portion grossly demonstrates stable innumerable predominantly sclerotic osseous lesions. Right proximal humeral sideplate w... | Multiple significantly metabolically active osseous metastases, moderately progressed from previous with multiple new and larger lesions. |
Generate impression based on findings. | Ms. Hillhope is a 70-year-old female with a highly suspicious right breast mass. Recent imaging suggest metastatic osseous disease, concerning for breast primary. She presents today for biopsy of the right breast mass. Right breast ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hy... | Successful ultrasound-guided core biopsy of the right breast lesion with clip placement. Pathology is pending at this time.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Left ankle pain There is mild soft tissue swelling about the ankle. A tiny ossicle distal to the medial malleolus may reflect old trauma, but I see no findings to suggest an acute fracture. Faint calcific density along the talus may reflect chondrocalcinosis, but this is equivocal. There is a small plantar calcaneal sp... | Mild degenerative and possibly old post-traumatic changes as described above. |
Generate impression based on findings. | PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. ORAL ... | No significant interval change in the reference level IIa and level III lymph nodes. |
Generate impression based on findings. | Bilateral hip pain. Femoroacetabular impingement. There is slight prominence of the anterolateral aspect of the femoral head/neck junction on the modified Dunn view indicating a CAM deformity with an alpha angle of approximately 70 degrees. The lateral center edge angle is approximately 37 degrees. The anterior center ... | Cam deformity and other findings/measurements as described above. |
Generate impression based on findings. | 49 year old with history of asymmetry in the left breast. No current breast complaints. 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, unchanged in pattern and distribution. Post surgical scar is re-demonstrated at ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. In view of dense breasts, tomosynthesis is preferable. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS -... |
Generate impression based on findings. | Recent chest CT showed asymmetric tissue in the left breast. 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. No suspicious mass, suspicious microcalcifications or suspicious areas of architectural distortion are note... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 88-year-old male on Coumadin with history of confusion x 1 week. Evaluate for intracranial hemorrhage. There is no evidence of acute intracranial hemorrhage. There is extensive confluent periventricular subcortical and white matter hypoattenuation most compatible with chronic small vessel ischemic disease. The grey-whi... | 1.No evidence of acute intracranial hemorrhage.2.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | Female, 68 years old, history of tongue cancer status post wide local excision and right neck dissection in 2009, now with a mass suspicious for recurrence. Anatomic asymmetry is seen along the ventral tongue and anterior floor of mouth which is of uncertain significance. No discrete or measurable tumor is seen in thes... | Anatomic asymmetry along the ventral tongue and anterior floor of mouth is of uncertain significance and could reflect change related to prior surgery. No discrete or measurable mass is detected, though please note that CT is insensitive for the detection of superficial lesions, and image quality is somewhat degraded b... |
Generate impression based on findings. | Osteoporosis and "spinal punch tenderness". Pain over L1 -- 2 with known osteoporosis. The bones appear demineralized. There is a mild scoliosis of the visualized thoracolumbar spine that appears similar to that seen on the prior study. Severe degenerative disk disease affects L4/5 and L5/S1. Moderate degenerative disk... | Degenerative disk disease of the lumbar spine. T12 compression fracture might be better assessed with dedicated thoracic spine radiographs if clinically warranted. |
Generate impression based on findings. | Female 75 years old Reason: eval Type 1 endoleak repair with SMA/renal artery stent History: s/p EVAR with Type 1 endoleak ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GL... | Type 1 endoleak at the proximal attachment of the EVAR. |
Generate impression based on findings. | Ms. Kimbrough is a 67 year old female with a personal history of right breast lumpectomy in April 2013 for IDC, mucinous type, followed by radiation therapy and a benign left breast biopsy in 1999. No current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Non-small cell lung cancer. RADIOPHARMACEUTICAL: 14.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 103 mg/dL. Today's CT portion grossly demonstrates a spiculated right apical lung mass measuring approximately 2.8 x 1.7 cm. There is a moderate right-sided pleural effusion with overlying compressive atelec... | 1.Markedly hypermetabolic right apical mass consistent with lung cancer.2.Extensive markedly hypermetabolic metastatic disease involving the bilateral neck, chest, upper abdomen, and bone. |
Generate impression based on findings. | Distant history of trauma, now with increasing hip pain Normal appearance of the left hip joint. No fracture or malalignment is present. The visualized muscles and soft tissues are normal in appearance. | No specific findings to account for the patient's pain. |
Generate impression based on findings. | 40 year-old male, assess for fractureVIEWS: Right tibia and fibula, AP and lateral (two views) 2/10/15 14:55 Deformity of the proximal fibula compatible with healing/healed fracture in near-anatomic alignment. Two screws traverse the distal tibia and fibula metaphyses in near-anatomic alignment without evidence of hard... | Healing/healed fractures in near-anatomic alignment. |
Generate impression based on findings. | 37-year-old pregnant female with suspected left wrist fracture after fall onto outstretched hand. Wrist swelling and pain. Three views of the left wrist are provided. I see no fracture or malalignment. There is perhaps mild soft tissue swelling.Three views of the left hand are provided. I see no fracture or malalignmen... | Mild soft tissue swelling without fracture evident. |
Generate impression based on findings. | The images are degraded by patient motion. There is mandibular hypoplasia with 14 mm of overjet and apparent 9 mm of underbite, as well as glossoptosis with marked narrowing of the oropharyngeal airway, measuring as little as 3 mm in width. There is deficiency of the posterior hard palate, consistent with cleft palate... | 1. Stigmata of Pierre Robin sequence with mandibular hypoplasia, narrowing of the oropharyngeal airway, cleft palate, as well as suggestion of left otomastoiditis. 2. Possible deficiency of the posterior semicircular canals. A dedicated temporal bone CT may be useful for further evaluation, if clinically warranted.3. T... |
Generate impression based on findings. | Blount's disease postop.VIEWS: Left tibia-fibula AP/lateral (two views) 02/10/15 The Ilizarov type device is intact. The anterior skin staples have been removed. Minimal soft tissue swelling is noted laterally. The proximal tibial osteotomy alignment is unchanged in appearance. The gap is very similar in appearance. In... | Unchanged alignment of proximal tibial osteotomy. |
Generate impression based on findings. | 70 year-old female with chronic constipationVIEW: Abdomen AP (one view) 2/10/1515:00 There is a moderate stool burden. No evidence of bowel obstruction. | Moderate stool burden. |
Generate impression based on findings. | 62 years, Male. Reason: assess for obstruction vs ileus History: distension, nausea vomiting, history g tube Gastrostomy tube is in place. Residual contrast is noted within the stomach, proximal bowel, and possibly within the gallbladder. Nonobstructive bowel gas pattern. No pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 64 years, Male. Reason: Eval placement NG tube History: Dysphagia Dobbhoff tube tip projects over the body of the stomach. Nonobstructive bowel gas pattern. IVC filter noted. The lung bases are clear. Healed right lateral rib fracture noted.Note that the pelvis is excluded from the field-of-view. | Dobbhoff tube tip projecting over the body of the stomach. |
Generate impression based on findings. | Male 54 years old Reason: r/o fx History: lateral ankle pain s/p fall. Three views of the right ankle show an oblique fracture of the distal fibula with fracture fragments in anatomic alignment. We see no additional fracture. | Distal fibular fracture in near anatomic alignment. |
Generate impression based on findings. | 13-week-old female with reflux, dysphagia, bradycardia and desaturation with feeds. EXAMINATION: Oropharyngeal motility study 2/10/2015 10:50:00 Beth Harrison, speech and language therapist, supervised the examination.1 minutes and 28 seconds of fluoroscopy was used.Rapid expression of thins. Mild premature spillage of... | Mildly impaired swallow function with no evidence of penetration or aspiration. Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Left hip pain Subjectively, there is slight prominence of the anterolateral aspect of the right femoral head/neck junction, although the alpha angle measures 50 degrees, which is within normal limits. The lateral center edge angle is approximately 39 degrees. The anterior center edge angle is approximately 45 degrees. ... | Borderline acetabular overcoverage with measurements as described above. |
Generate impression based on findings. | Male 65 years old Reason: inflammation of joints in wrist bilaterally History: joint inflammation. Left wrist: There is mild soft tissue swelling along the dorsum of the wrist. We see no erosions. There is chondrocalcinosis in the lunotriquetral interval. Right wrist: There is mild soft tissue swelling particularly alo... | Mild arthritic changes as described above appear degenerative in etiology. We see no specific radiographic features of inflammatory arthritis. |
Generate impression based on findings. | 62 year old female with history of severe necrotizing pancreatitis, s/p ERCP with necrosectomy and transgastric drainage 1/20/15. Pt still with abdominal pain requiring narcotics. ABDOMEN:LUNG BASES: Linear density within the right lower lobe may be related to prior surgery. Mild basilar atelectasisLIVER, BILIARY TRACT... | 1.Necrotizing pancreatitis with only minimal residual viable pancreatic tissue remaining. 2.Large peripancreatic fluid collection and post surgical changes of pancreatic necrosectomy. 3.Splenic vein thrombosis. Attenuated main portal vein and superior mesenteric vein. 4.Colonic diverticulosis without evidence of compli... |
Generate impression based on findings. | Female 57 years old Reason: Evaluate for healed osteotomy History: none. We have two views of the right forearm that show a plate and screw device affixing an osteotomy of the distal ulnar diaphysis in near anatomic alignment. The third to most distal screw appears to have retracted by approximately 4 mm and the head o... | Orthopedic fixation of healing distal ulnar osteotomy with retraction of one of the screws as described above. |
Generate impression based on findings. | 8-month-old male with fractureVIEWS: Left femur, AP, lateral (two views) 2/10/15 15:10 Residual deformity of the mid femoral diaphysis consistent with a healed fracture. | Healed femoral fracture. |
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. There is nas... | No acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: CardiomegalyLIVER, BILIARY TRACT: Mild bilobar intrahepatic ductal dilatation associated with mild extrahepatic ductal dilatation without obvious distal obstructing lesion. Maximal diameter of the common bile duct is 0.9 cm.Diffuse gallbladder wall thickening with gallbladder wall cal... | Mild bilobar intrahepatic and mild extrahepatic ductal dilatation without obvious distal obstructing lesion.Porcelain gallbladder with probable cholelithiasis without acute inflammation no worrisome mass at this time.Otherwise negative examination. |
Generate impression based on findings. | Male 45 years old Reason: OA History: left knee pain. There is narrowing of the medial tibiofemoral compartment, particularly on the skier's view, where there is near bone on bone apposition indicating severe osteoarthritis. There are also tricompartmental osteophytes. There is a slight varus deformity of the left knee... | Left knee shows severe osteoarthritis and joint effusion. |
Generate impression based on findings. | Ms. Love is a 53 year old female with a personal history of right breast abscess in October 2014 that underwent incision and drainage by Dr. Jaskowiak. Three standard views of both breasts with an additional left MLO view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is compose... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.The patient also signed a release form in order to obtain prior mammograms from Mercy hospital for futur... |
Generate impression based on findings. | 8-month-old female, assess NJ tube placementVIEW: Abdomen AP (one view) 2/10/15 15:29 NJ tube tip is within the distal duodenum. Left central venous catheter tip at the cavoatrial junction. IVC stent and suture material in the right upper quadrant again noted. Low lung volumes with basilar atelectasis and mild vascular... | NJ tube tip in the distal duodenum. |
Generate impression based on findings. | Female 53 years old Reason: djd vs carpal instability History: pain at base of thumb with finger extension. The trapezium is absent, presumably due to prior surgical resection. There are also surgical defects in the base of the first metacarpal. Punctate densities in the adjacent soft tissue were present on the prior s... | Postoperative changes of basilar joint arthroplasty and other findings as above. |
Generate impression based on findings. | Ms. Coleman is a 44 year old female with a personal history of left breast mastectomy in O8/2007 for IDC/DCIS followed by chemoradiation therapy. History of right breast reduction and left breast reconstruction in 3/2014. Family history of breast cancer in maternal aunt. Three standard views of the right breast were pe... | Expected postsurgical changes from recent breast reduction surgery. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.R... |
Generate impression based on findings. | Clinical question: Status post MUD stem cell transplant. Acute mental status changes. Signs and symptoms: As above. Nonenhanced head CT:No evidence of acute intracranial process, CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular syst... | Negative nonenhanced head CT |
Generate impression based on findings. | Male 72 years old; Reason: Patient enrolled in clinical trial History: Compare to prior scans CHEST:LUNGS AND PLEURA: Mild to moderate emphysematous changes. No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy.... | 1.Stable exam without size change in the reference lesions. |
Generate impression based on findings. | Female 78 years old Reason: back pain, rule out compression fx History: as above. We see no compression fracture. The bones appear slightly demineralized. Severe degenerative disk disease affects L4/L5. There is a grade 1 anterolisthesis of L4. There is mild calcification of the intervertebral disks at L2/3 and L3/4 wi... | Degenerative disk disease and facet joint osteoarthritis, as described above, appearing similar to prior study. |
Generate impression based on findings. | Status post hernia repair ABDOMEN:LUNG BASES: Cardiomegaly; extensive coronary calcification.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality no... | Status-post repair of large ventral hernia. Large bland appearing loculated fluid collection associated with hernia repair; favor benign postoperative collection such as seroma or resolving hematoma. No evidence for fascial defect. Small more superiorly located fat-containing ventral hernia unchanged.Interval resolutio... |
Generate impression based on findings. | Rheumatoid arthritis. New synovitis. RIGHT HAND: Again seen are findings compatible with rheumatoid arthritis, including narrowing of the 3rd PIP joint, 1st MCP joint, 2nd MCP joint, and 3rd MCP joint with small associated lucencies which may reflect erosions. These findings are minimally progressed compared to prior. ... | Findings compatible with rheumatoid arthritis in the hands with minimal disease progression since 2013. |
Generate impression based on findings. | Male 8 years old Reason: healed distal radius fx? History: none The previously seen distal radius fracture is less distinct on the current study when compared to the prior study, indicating some interval healing. There is also focal sclerosis within the distal ulnar diaphysis indicating a healing fracture. | Healing/healed distal radius and ulnar fractures. |
Generate impression based on findings. | Previous trauma. Continued pain. Decreased range of motion Three views of the right shoulder reveal no evidence of fractures or dislocations. There is small calcific density adjacent to the humeral head that represents calcific tendinopathy of the rotator cuff | Small focus of calcific tendinopathy. Otherwise negative |
Generate impression based on findings. | Female 64 years old Reason: diffuse pain, hx hand/wrist swelling, as well as foot swelling 2/2 gout, evaluate for gouty as well as other inflammatory arthritis changes History: diffuse pain, hx hand/wrist swelling, as well as foot swelling 2/2 gout, evaluate for gouty as well as other inflammatory arthritis changes. Ri... | Arthritic changes of the hands and feet appear predominantly degenerative in etiology, although there appear to be chronic erosions of the first metatarsal heads bilaterally that may represent long-standing gout. |
Generate impression based on findings. | Transformed Follicular lymphoma s/p 3 cycles RCHOP.RADIOPHARMACEUTICAL: 8.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 111 mg/dL. Today's CT portion grossly demonstrates surgical clips in the right axilla. A Port-A-Cath is noted in the right chest terminating in the right SVC/RA junction. Atheroscleroti... | 1.Several markedly hypermetabolic mesenteric lymph nodes consistent with active tumor, progressed from previous.2.Otherwise complete interval resolution of tumor seen elsewhere in the abdomen and chest. |
Generate impression based on findings. | Female 58 years old; Reason: Pt is a 57 y/o female with met rcc, evaluate for progression s/p anti PD-1 therapy History: met RCC CHEST:LUNGS AND PLEURA: Right right nodule measures 6 mm (image 37/series 4) is unchanged.Right middle right nodule measures 6 x 6 mm on image 63/series 4 previously, 7 x 5 mm. Multiple subtl... | 1.Stable reference measurements with no new sites of disease.2.Progression of the lung findings with multiple small nodules in the upper lobes with mild subpleural emphysema and bronchiectasis. Imaging findings are most suggestive of respiratory bronchiolitis interstitial lung disease (RB- ILD) related to smoking. |
Generate impression based on findings. | Evaluate for right femoral acetabular impingement syndrome Three views of the right hip reveal a bony prominence at the femoral head and neck junction consistent with femoral acetabular impingement. | Findings consistent with FAI |
Generate impression based on findings. | Male 21 years old Reason: possible trauma to right distal medial foot and great toe: evaluate for fracture History: exquisite pain at medial distal right foot and great toe for 2-3 daysVIEWS: Right foot AP, lateral and oblique 2/10/15 at 1550 hrs. (3 views) There is no evidence of fracture, malalignment, joint effusion... | Normal examination. |
Generate impression based on findings. | Right foot pain/numbness. History lumbar laminectomy. Evaluate abnormality, stability of the spine. The patient is status post lower lumbar laminectomy. The bones appear demineralized suggesting osteopenia/osteoporosis. Moderate degenerative disk disease affects L5/S1. The remaining intervertebral disk spaces are prese... | Postoperative changes, degenerative disk disease, and grade 1 L4 anterolisthesis that appears stable between the flexion, neutral and extension views. |
Generate impression based on findings. | Total knee arthroplasty Two portable views of the left knee reveal a total knee arthroplasty in anatomic alignment.. No evidence of fracture-dislocation. Note is made of skin staples | New total knee arthroplasty in anatomic alignment |
Generate impression based on findings. | "Found a new friend". Obvious ganglion cyst. There is lobulated soft tissue opacity along the radial aspect of the wrist and basilar joint that is nonspecific but could represent a ganglion. It is between 2.5 and 3 cm in longitudinal dimension and approximately 1 cm in transverse dimension. I see no destruction of the ... | Soft tissue mass along the radial aspect of the wrist is nonspecific but could represent a ganglion. Arthritic changes as described above may represent a combination of osteoarthritis and CPPD arthropathy. |
Generate impression based on findings. | Patient with HCC here for therasphere mapping in conjunction with a nuclear medicine MAA. There is mild to moderate shunting to the lungs (lung fraction = 10%). There is radiotracer activity within the right lobe of the liver compatible with the patient's known hepatocellular carcinoma. Mild bilateral renal and diffuse... | 1. Mild to moderate lung shunting. 2. Radiotracer accumulation in the right hepatic lobe compatible with the patient's known hepatocellular carcinoma. |
Generate impression based on findings. | Right leg pain. Left shoulder pain. Two views of the right femur are provided. Moderate to severe osteoarthritis affects the right hip joint. Mild osteoarthritis affects the knee with chondrocalcinosis of the menisci. Chronic enthesopathic changes are noted along the patella. Streaky foci of mineralization within the p... | Osteoarthritis of the right hip and left shoulder with other findings as described above. |
Generate impression based on findings. | Abdominal distention, evaluate for obstruction. ABDOMEN:LUNG BASES: Small amount of fluid or pleural thickening along the right major fissure.LIVER, BILIARY TRACT: Subcentimeter low attenuation lesion in segment 6 of the liver (series 3, image 38) too small to characterize. SPLEEN: No significant abnormality notedPANCR... | 1.No evidence of bowel obstruction or other specific findings to account for the patient's pain.2.Partially visualized non-specific small amount of pleural fluid or pleural thickening along the right major fissure. 3.Subcentimeter low attenuation liver lesion too small to characterize. |
Generate impression based on findings. | History of c-section and large abdominal hernia now with intractable nausea/vomiting, evaluate for SBO, incarcerated hernia. 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:... | 1.Large left anterior abdominal wall hernia containing small and large bowel.2.High-grade small bowel obstruction with transition point in the hernia sac likely due to adhesion. Ischemia cannot be excluded.3.Bilateral small pleural effusions and left basilar atelectasis/consolidation.Findings communicated to Dr. West a... |
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