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Generate impression based on findings. | Metastatic uterine sarcoma with concern for bony mets in L3 and S1 based on CT and radiograph imaging. The known lesions on CT at L3 and S1 do not have significant osteoblastic activity on this examination. No other lesions are identified. Prominence of the right renal collecting system and right ureter may represent s... | 1. No suspicious osteoblastic lesion. Specifically, no abnormal radiotracer uptake is seen relating to the known lesions at L3 and S1 on CT. FDG-PET may be useful to further evaluate for possible bone or soft tissue metastases. 2. Prominent right renal collecting system may represent some degree of obstruction. |
Generate impression based on findings. | 59 years, Male. Reason: Dobbhoff History: Dobbhoff Air distended stomach and small bowel. Dobbhoff tube tip projects over the gastric pyloric area. Note that the pelvis is excluded from the field-of-view. | Dobbhoff tube tip projects over the gastric pyloric area. Air distended loops of small bowel may represent ileus or air from procedure. |
Generate impression based on findings. | Male 50 years old; Reason: eval type B dissection s/p thoracic endograft and carotid to subclavian bypass History: eval s/p TEVAR and carotid subclavian bypass CHEST:LUNGS AND PLEURA: No dominant lung lesion pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion.Ascending aorta mea... | 1.Filling of the false lumen of the thoracic aorta from a combination of flow from the intercostal vessels and retrograde flow from the abdominal aorta where there is flow in both lumens. 2.Patent left carotid to subclavian graft. |
Generate impression based on findings. | 13-year-old male with history of Blount's disease. Preop. VIEWS: Right knee standing lateral (one view) 2/10/2015 16:10:13 Two staples are noted in the proximal tibia. The tibial physis is still open. No evidence of fracture or effusion. | Proximal tibial stapling related to history of Blount's disease. |
Generate impression based on findings. | 75 year old man with moderate to severe AS, CAD s/p cabg and recent syncope who presents for CT as evaluation prior to possible TAVRCPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. There is moderate calcification of the left and right subclavian arterie... | 1. Thoracic aortic anatomy as described above. 2. Moderate to severe aortic valve calcification. 3. Moderate left ventricular hypertrophy. 4. Severe coronary calcification with evidence of bypass grafts as described above. 5. Severe mitral annular calcification.This portion of the report pertains to the heart and grea... |
Generate impression based on findings. | Mesothelioma ABDOMEN:LUNG BASES: Please see separate chest CT report for description of extensive left pleural parenchymal, and chest wall abnormalities.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No change in tumor adjacent arising from the left hemidiaphragm encroaching upon the splenic surface.PANCREAS... | Stable examination without metastatic disease within the abdomen or pelvis. |
Generate impression based on findings. | Reason: smoking history, undergoing heart transplant work up History: smoking history, undergoing heart transplant work up LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal areas of consolidation or air space opacities.No pleural effusions.MEDIASTINUM AND HILA: Left-sided ICD with lead wire in the r... | Cardiomegaly without evidence of pulmonary edema or pleural effusions. No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Reason: Pleural mesothelioma. Please compare to prior exam per RECIST criteria. History: Pleural mesothelioma LUNGS AND PLEURA: Again seen is circumferential left hemithorax pleural thickening and nodularity, compatible with known mesothelioma. Reference measurements are as follows:At the level of the aortic arch (seri... | 1. Slight rightward mediastinal shift due to bulky pleural tumor on the left, reference measurements provided in the body of the report.2. Slightly increased size and increased number of numerous right intrapulmonary metastases, though the reference lesions are unchanged.3. Increased pericardial fluid volume with nodul... |
Generate impression based on findings. | Bladder carcinoma CHEST:LUNGS AND PLEURA: Biapical scarring.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sig... | Status post cystoprostatectomy with unremarkable neobladder. No obvious metastatic focus. Mildly prominent retroperitoneal and mesenteric lymph nodes without measurable adenopathy.Complex loculated fluid collection arising from the left pelvic wall; favor benign postoperative collection over metastatic focus. However, ... |
Generate impression based on findings. | Male 69 years old Reason: unresectable pancreatic cancer, treated with SBRT in jan 2015. evaluate for response and establish new baseline History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes likely secondar... | Pancreatic adenocarcinoma with encasement of the hepatic artery and measurements as above. The lesion was not definitively measurable previously but appears grossly unchanged in size. |
Generate impression based on findings. | 21-day-old male with abdominal distention. Previous x-ray with equivocal pneumatosis. Evaluate for pneumatosis or pneumoperitoneum.VIEWS: Abdomen AP, lateral decubitus (two views) 2/10/2015 16:36:38 Feeding tube tip in gastric body.Persistent mildly dilated bowel loops with interval change in position of the foamy bowe... | Interval change in position of the foamy bowel content. Findings are more consistent with fecal matter although pneumatosis intestinalis cannot be entirely excluded. No free air. |
Generate impression based on findings. | 13-year-old male with history of right Blount's disease.VIEWS: Tibia/fibula lateral (1 view) 2/10/2015 16:43:08 Two staples are present related to prior right lateral tibial hemiepiphysiodesis. The tibial physis is still open. No evidence of fracture. | Right proximal tibial stapling related to history of Blount's disease. |
Generate impression based on findings. | History of plasmacytoma, paraproteinemia, gait unsteadiness, fatigue.RADIOPHARMACEUTICAL: 11.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 83 mg/dL. Today's CT portion grossly demonstrates a small consolidative focus in the right lung base which is stable and non-FDG avid and may represent round atelecta... | Complete resolution of hypermetabolic activity of the right iliac wing lesion without definite FDG active tumor currently. Several small mildly active rib lesions may be benign though tumor cannot be entirely excluded; attention to these areas should be made on follow up imaging. |
Generate impression based on findings. | Shortness of breath. Evaluate for a PE. The comparison chest radiograph performed on 2/9/2015 demonstrates cardiomegaly and a right sided pacemaker device. No focal pulmonary opacities or pleural fluid are visualized. On the ventilation portion of the exam, there are regions of delayed washout bilaterally in the upper ... | Intermediate probability ventilation-perfusion scan. |
Generate impression based on findings. | Male 61 years old Reason: 61 yo male with new diagnosis of cholangiocarcinoma; pt has pancreatitis following stent placement; please evaluate extent of disease, pancreatitis resolve and abnormalities History: cholangiocarcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant... | Multiple hepatic lesions suspicious for metastatic disease. Ill-defined lesion in the pancreatic head at the region of the transition of the pancreatic duct suspicious for malignancy. Peripancreatic fluid density, likely representing changes secondary to resolving pancreatitis. |
Generate impression based on findings. | 11 year old female with tender right proximal humerus. Evaluate for proximal humerus fracture.VIEWS: Right shoulder internal and external rotation (two views) 2/10/2015 Humeral head is normally positioned with respect to the glenoid fossa. Internal and external rotation were done well. No fracture is present. | Normal examination. |
Generate impression based on findings. | Ankle pain. Stress view right ankle. The previously seen distal fibular fracture is barely evident on this study. Ankle joint alignment is within normal limits. | Distal fibular fracture in anatomic alignment. Ankle joint in anatomic alignment. |
Generate impression based on findings. | Neck pain Evaluation of C7 and the cervicothoracic junction on the lateral views is limited by overlying anatomy. There is an anterior plate with screws entering the C6 and C7 vertebrae. I see no hardware complications. The C6 and C7 vertebral bodies appear fused. I see no instability between the flexion, neutral, and ... | Facet joint osteoarthritis and surgical fusion of C6 and C7 as described above. |
Generate impression based on findings. | History of neuroblastoma female with radiation. Left kidney will have radiation and be removed leaving the patient with only the right. Assess split function to assure right renal function is appropriate. The posterior abdominal radionuclide angiogram demonstrates decreased perfusion to the left kidney.Sequential renal... | Significantly diminished left renal parenchymal function. |
Generate impression based on findings. | Knee pain after basketball injury. Four views of the right knee are provided. There is slight depression of the articular surface of the lateral femoral condyle. Although this may reflect normal anatomy for this patient, this could represent an impaction fracture sustained in association with anterior cruciate ligament... | Findings as described above could represent impaction fractures sustained in association with anterior cruciate ligament tearing. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Chronic back pain, kyphotic. Evaluate spine alignment, sagittal balance, abnormality. Moderate degenerative disk disease affects the lower lumbar spine with mild degenerative disease affecting the thoracic spine. There appear to be 6 non-rib bearing lumbar type vertebrae. There is approximately 30 degrees of kyphosis a... | Positive sagittal balance and other findings as described above. |
Generate impression based on findings. | Feeding tube placement.VIEW: Abdomen AP (one view) 02/10/15, 1648 Giant omphalocele is again seen. Feeding tube tip is in the stomach which is contained within the omphalocele. Left lower extremity PICC tip is in right atrium.Bowel gas pattern remains abnormal. Multiple dilated loops are present. Gas is seen in the rec... | Continued dilated bowel loops. |
Generate impression based on findings. | Metastatic breast cancer. Baseline prior to starting new treatment regimen. Known metastases to bone. Exam is somewhat limited by patient body habitus as well as her inability to completely position arms due to pain. A focus of increased activity is seen in the right mid humerus compatible with presumed metastasis and ... | 1.Osteoblastic lesion in the right mid humerus consistent with metastasis and orthopedic surgery.2.No active osteoblastic metastases elsewhere. Suggestion of multiple lucent lesions in the ribs and spine on the comparison CT are not avid on bone scan. This may indicate lytic and/or healed bone metastases. FDG PET may b... |
Generate impression based on findings. | Pain at base of fifth metatarsal. Evaluate for fracture. I see no fracture or malalignment. A tiny ossicle seen on the oblique view in the soft tissues lateral to the calcaneocuboid joint likely represents a normal variant os peroneum. Small lucencies within the fifth metatarsal head may represent cysts, or less likely... | I see no fracture or other specific findings to account for the patient's pain. |
Generate impression based on findings. | Left knee pain status post fall Three views of the left knee are provided. I see no fracture or joint effusion. Moderate osteoarthritis affects the knee. Ossification within the distal quadriceps tendon just above the patella is likely chronic in etiology and of doubtful current clinical significance. Arterial calcific... | Osteoarthritis and other findings as described above, without fracture evident. |
Generate impression based on findings. | Back pain. Assess for "spondy". There is a levoscoliosis of the thoracolumbar spine of approximately 25 degrees as measured from the superior endplate of T12 to the inferior endplate of L4. The lumbar spine appears slightly hyperlordotic, but I see no findings I see no frank spondylolisthesis or spondylolysis. I see no... | Scoliosis and other findings as described above. I see no spondylolysis or spondylolisthesis. |
Generate impression based on findings. | Status post right total knee arthroplasty Components of a right total knee arthroplasty device are situated in near-anatomic alignment without radiographic evidence of complication. Skin staples, a drain, and foci of gas density in the anterior soft tissues reflect recent surgery. Presumed posttraumatic deformity of th... | Postoperative changes of total knee arthroplasty as above. |
Generate impression based on findings. | Left knee pain and instability. Assess degree of osteoarthritis. Four views of the left knee are provided. There is moderate osteoarthritis with narrowing of the medial tibiofemoral compartment, subchondral sclerosis of the medial tibial plateau, and tricompartmental osteophytes.Moderate osteoarthritis also affects the... | Moderate osteoarthritis. |
Generate impression based on findings. | Fell and injured right lower lateral ribs. Pain over patella status post fall. Rule out fracture. Three views of the ribs are provided. A marker was placed along the lateral aspect of the right lower rib cage. I see no fracture. I see no specific findings to account for the patient's rib pain. Multilevel degenerative d... | Left knee osteoarthritis and degenerative arthritis of the spine, without fracture evident. |
Generate impression based on findings. | Hip bipolar with Zimmer (right hip); intraoperative x-ray during surgery to measure bone alignment for hardware. Evaluation of the pelvis is limited by overlying artifact. The superior aspect of the pelvis is not included on the field-of-view of this study. Trial components of a right hip hemiarthroplasty device are si... | Trial components of a right hip hemiarthroplasty situated in near-anatomic alignment. |
Generate impression based on findings. | Knee pain. Rule-out DJD. Four views of the right knee are provided. Moderate osteoarthritis affects the knee, appearing similar to that seen on the prior study.Four views of the left knee are provided. There is severe osteoarthritis of the medial tibiofemoral compartment with near bone-on-bone apposition that appears t... | Osteoarthritis as above. |
Generate impression based on findings. | 43-year-old male with right big toe pain status post glass table falling on it. Swelling and pain. MVA and lumbosacral pain for the past month. Please evaluate for fracture. Three views of the right first toe are provided. I see no fracture or dislocation. There is perhaps mild soft tissue swelling.Five views of the lu... | No fracture evident. |
Generate impression based on findings. | Sarcoid lung disease, pulmonary embolism and S.O.B. PULMONARY ARTERIES: Technically diagnostic quality infusion. No pulmonary emboli are identified. The main pulmonary artery is within normal limits in caliber.LUNGS AND PLEURA: Moderate paraseptal and centrilobular emphysema.Diffuse traction bronchiectasis and upper lo... | 1. No evidence of acute pulmonary embolus. Right-sided cardiac chamber enlargement suggests chronic right heart strain.2. Masslike appearance of the posterior gastric wall; an underlying neoplasm cannot be excluded given lack of under distention and incomplete evaluation on this examination. This may be further assesse... |
Generate impression based on findings. | Cough and fever assess for infection. LUNGS AND PLEURA: No pleural fluid or pneumothorax. Multi-focal groundglass subs solid density nodules measuring up to 15 x 18 mm (8/56), most consistent with bronchopneumonia. Mild thickening of the affected airways supplying lesions.Mild interlobular septal thickening in the righ... | Large multifocal air space nodules most compatible with a bronchopneumonia pattern in an adult patient, follow-up PA and lateral chest radiographs may be obtained in 6 weeks to assess for clearance. Severe coronary artery calcifications. |
Generate impression based on findings. | Clinical question: Head trauma. Signs and symptoms: Fat and head trauma. Nonenhanced head CT:No detectable acute posttraumatic intracranial or calvarial findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces on gray -- white matter differentiation.Minimal soft tissue thickening and hemorr... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate acute process. Signs and symptoms: Unresponsive. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, mass effect, midline shift or hydrocephalus.Extensive low attenuation of the right hemisphere with areas of internal calcification of the cortex and subcortical white ma... | 1.No detectable acute intracranial hemorrhage or mass effect.2.Extensive low-attenuation of the right hemisphere with internal foci of calcification and ex vacuo dilatation of right lateral ventricle as detailed. Findings could represent a chronic large stroke. There is evidence of right-sided craniotomy.3.Periventricu... |
Generate impression based on findings. | S.O.B. and DOE rule out PE. PULMONARY ARTERIES: Technically diagnostic quality infusion within the main pulmonary artery however at the level of the descending arterial vasculature there appears to be flow artifact. The main pulmonary artery is enlarged measuring 4.5-cm in transverse dimension, consistent with pulmonar... | Infusion quality in the lower lobes is limited however there is evidence of chronic bilateral lower lobe pulmonary emboli, right heart strain and findings suspicious for acute or subacute small nonocclusive embolus in the left lower lobe. If confirmation of the acuity of embolic disease is required, please annotate the... |
Generate impression based on findings. | Clinical question: Evaluate for acute process. Signs and symptoms: Diffuse headache for one month. Nonenhanced head CT:There is no detectable acute intracranial process. CT however be insensitive for early detection of acute nonhemorrhagic ischemic strokes.There is a slight prominence of the cerebellar and vermian foli... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Fall and hit head, evaluate for bleed. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are patchy foci of subcortical and periventricular low attenuation o... | 1.No acute intracranial process.2.Mild to moderate age indeterminate small vessel ischemic strokes are noted.3.Air-fluid level in bilateral maxillary sinuses and well pneumatized other sinuses similar to prior exam. |
Generate impression based on findings. | Clinical question: Rule out subarachnoid hemorrhage. Signs and symptoms: Worst headache of life. Unenhanced head CT:There is no detectable acute intracranial process. CT however he is insensitive for early detection of acute nonhemorrhagic ischemic stroke.Unremarkable cerebral cortex, cortical sulci, ventricular system... | 1.Unremarkable nonenhanced head CT.2.Small bilateral retention cysts of maxillary sinuses and unremarkable paranasal sinuses otherwise |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:No acute intracranial process. CT however it is insensitive for early detection of acute nonhemorrhagic stroke.Extensive periventricular and subcortical low-attenuation white matter is highly suggestive of age indeterminate small vessel ischemic strok... | 1.No acute intracranial process.2.Advanced age indeterminate small vessel ischemic strokes with resultant ex vacuo dilatation of the supratentorial ventricular system. |
Generate impression based on findings. | known nasopharyngeal ca patients with prior multiple episode of carotid blow out. New profuse oral bleeding since last afternoon. NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation ... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. Patent bilateral CCA stents. No evidence of contrast extravasation or pseudoaneurysm formation.3. Soft tissue mass like lesion on the left side of neopharynx which may represent acute or subacute hematoma |
Generate impression based on findings. | Pain with movement of right arm. Evaluate for pathology. The bones are demineralized suggesting osteopenia/osteoporosis. There is flattening of the superolateral aspect of the humeral head which may represent a Hill-Sachs deformity from prior anterior dislocation. Mild osteoarthritis affects the glenohumeral joint. An ... | Mild glenohumeral joint osteoarthritis, possible rotator cuff tear, and other findings as described above. |
Generate impression based on findings. | Clinical question: Assess for traumatic injury -- patient struck right frontal area last evening. Signs and symptoms: A trauma with loss of consciousness for two to 3 minutes last evening, headache with diplopia today. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for ... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate mass and enlargement versus other acute process. Signs and symptoms: Headache, vision changes. Enhanced head CT:There is no detectable acute intracranial process. If CT is insensitive for early detection of acute non-hemorrhagic ischemic strokes.The cerebral cortex, cortical sulci, ventricul... | Unremarkable nonenhanced exam for patient stated age. |
Generate impression based on findings. | Fifth digit foreign body.VIEWS: Right foot AP, lateral and oblique 2/10/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. No evidence of red opaque foreign bodies. | Normal examination. |
Generate impression based on findings. | Status post pinning of right femoral neck fracture Orthopedic screws affix a right femoral neck fracture in near-anatomic alignment. I see no complications. The hip joints and the remainder of the pelvis appear normal for age. | Orthopedic fixation of right femoral neck fracture. |
Generate impression based on findings. | Clinical question: Evaluate for acute change. Signs and symptoms: Worsening altered mental status. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, mass, mass effect, midline shift or hydrocephalus.Patchy foci of white matter low-attenuation in the subcortical and periventricular white matter a... | 1.No acute intracranial process.2.Age indeterminate the smaller systemic strokes and a small right superior cerebellar chronic ischemic stroke as detailed.3.Mild chronic pansinusitis and postoperative changes of the paranasal sinuses. |
Generate impression based on findings. | Male 15 years old Reason: evaluate for fx History: laceration via knifeVIEWS: Right hand AP, lateral and oblique 2/10/15 (3 views) There is a soft tissue laceration of the lateral aspect of the PIP joint level of the second finger, with no evidence of fracture, malalignment or joint effusions. | Soft tissue laceration with no fracture as described. |
Generate impression based on findings. | Status post hemi- The AP view of the right hip shows components of a hemiarthroplasty device situated in near-anatomic alignment without radiographic evidence of hardware complication. Skin staples, a drain, and foci of gas density in the soft tissues reflect recent surgery.The AP view of the pelvis reveals the aforeme... | Right hip hemiarthroplasty as above. |
Generate impression based on findings. | 65 year old woman with worsening shock on 2 pressors despite adequate antibiotic coverage for UTI. Looking for intraabdominal source with recent cholecystectomy and biliary stent placement. CHEST:LUNGS AND PLEURA: Bilateral small pleural effusions with associated basilar atelectasis/consolidation.MEDIASTINUM AND HILA: ... | 1.Bilateral small pleural effusions with associated basilar atelectasis/consolidation which may be a source of infection.2.No evidence of abdominal abscess or other specific abdominal source of infection.3.Severe hepatic steatosis worrisome for severe parenchymal dysfunction.4.Mild-moderate abdominopelvic ascites, incr... |
Generate impression based on findings. | 58 years, Female, Reason: r/o acute process History: abd pain. 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 ... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: r/o renal calculi History: left flank pain with hematuria 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 ... | 1.Possible 1-2-mm nonobstructive left renal calyceal calculi. No obstructing stones or hydroureteronephrosis.2.Otherwise, no specific findings to account for patient's symptoms. |
Generate impression based on findings. | Reason: assess pancreatic necrotic lesion for potential drainage History: abdominal distension 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: Small pleural effu... | 1.Necrotizing pancreatitis. Interval placement of drain into complex peripancreatic fluid collection which remains similar in size. 2.Basilar atelectasis/consolidation and left pleural effusion, increased. 3.Moderate abdominopelvic ascites, slightly increased.4.Enteric tube with tip proximal to the ligament of Treitz. |
Generate impression based on findings. | Shoulder and arm pain status post fall Two views of the right shoulder and two views of the right humerus show no definite fracture. There is mild irregularity along the inferior margin of the glenoid which I suspect simply represents osteophyte formation and/or mild spurring at the capsular attachment. Glenohumeral jo... | Osteoarthritis without definite fracture. If there is strong clinical concern for fracture, CT may be considered. |
Generate impression based on findings. | Patient with history of bowel segment inflammation now with epigastric abdominal pain and rebound tenderness. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Segment 6 low-attenuation hepatic lesion with peripheral nodule enhancement, likely benign hemangioma. Segment 4 subcentimeter low-atten... | 1.Small bowel wall thickening involving a long segment of mid to distal small bowel compatible with enteritis, likely infectious or inflammatory.2.No evidence of bowel obstruction.3.Small amount of abdominopelvic ascites.4.Low attenuation liver lesions, favor benign. |
Generate impression based on findings. | 72 years, Female. Reason: Dobbhoff placement History: same LVAD device and pacer leads are unchanged. Dobbhoff tube tip has been advanced now projecting over the pyloric area. Bilateral chest tubes and mediastinal drains are unchanged. Retrocardiac opacity appears improved since prior exam obtained 2/10/15 at 1153 and ... | Dobbhoff tube tip projects over the pyloric area. |
Generate impression based on findings. | headache and fever, suspected meningitis. 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 hemo... | No evidence of acute ischemic or hemorrhagic lesion on this scan.Comment: if clinically indicated, brain MRI with and without contrast would be more sensitive for imaging evaluation of meningitis. |
Generate impression based on findings. | IPF exacerbation of valuate for PE. Hypoxemia. PULMONARY ARTERIES: Technically adequate infusion quality. No evidence of pulmonary embolus.LUNGS AND PLEURA: Severe pulmonary fibrosis, unchanged. No evidence of superimposed acute abnormality.MEDIASTINUM AND HILA: Mildly prominent lymph nodes unchanged. Small hiatal hern... | No evidence of acute pulmonary embolus or other acute pulmonary abnormality. Unchanged pulmonary fibrosis with signs suggesting mild pulmonary hypertension..PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Abdominal pain and gas in urine, evaluate for perforation. ABDOMEN:LUNG BASES: New bilateral small pleural effusions with associated basilar atelectasis/consolidation.LIVER, BILIARY TRACT: Cholelithiasis without specific evidence of cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormal... | 1.Findings compatible with colovesical fistula involving the posterior bladder wall in area of prior sigmoid diverticulitis.2.Nonspecific mild thickening of the small bowel which may be infectious or inflammatory in etiology.3.Colonic diverticulosis. 4.New small bilateral pleural effusions with associated compressive a... |
Generate impression based on findings. | Female 76 years old Reason: r/o rupture of known AAA History: severe epigastric pain CT ANGIOGRAM: Extensive atherosclerotic calcifications of the abdominal aorta with an infrarenal abdominal aortic fusiform aneurysm. The aneurysm is without significant change now measuring 4.5 x 4.3 cm (series 9, image 122), previousl... | 1.Stable infrarenal abdominal aortic aneurysm without evidence of leak.2.Partial small bowel obstruction 3.Extensive atherosclerotic disease of the abdominal aorta and its branches are again seen.The findings related to the small bowel obstruction were communicated by telephone to the emergency department attending at ... |
Generate impression based on findings. | Pain in right leg. Fall. I see no fracture. Mild to moderate osteoarthritis affects the knee. | Osteoarthritis of the knee without fracture evident. |
Generate impression based on findings. | 67 years, Male. Reason: NGT placement History: NGT placement Dobbhoff tube with tip projecting over the gastroesophageal junction. Nonobstructive bowel gas pattern with multiple air-filled loops of bowel. Note that the pelvis is excluded from the field-of-view. | Dobbhoff tube tip projecting over the gastroesophageal junction. |
Generate impression based on findings. | History LVAD now with acute respiratory decompensation, evaluate for hemorrhage. 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: Persistent right lower lobe ... | 1.Increased basilar subsegmental atelectasis/consolidation which may be related to infection and/or aspiration superimposed upon chronic right lower lobe atelectasis/consolidation.2.No evidence of hemorrhage is clinically questioned.3.LVAD and other chronic findings as described above. |
Generate impression based on findings. | Male 22 days old Reason: is there pneumatosis/pneumoperitoneal History: pneumatosisVIEW: Abdomen AP (one view) 2/10/15 at 2226 hrs NG tube tip is in the stomach. Disorganized, slightly distended and nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | Disorganized, slightly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | 16 year-old female with abdominal fullness. Assess for toxic megacolon, free air.VIEWS: Abdomen AP erect, supine (two views) 2/10/2015 Moderate fecal burden. Nonobstructive bowel gas pattern. No evidence of pneumatosis intestinalis, pneumoperitoneum, portal venous gas or ascites. Focal punctate calcification in the rig... | Nonobstructive bowel gas pattern. No free air. |
Generate impression based on findings. | pain and weakness in right upper extremity for 2-3 days. known right carotid body tumor. History of right thyroid lobectomy. NONCONTRAST CT HEADNo 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 no... | 1. Right carotid body tumor, no change in size, configuration and location since prior exam.2. No evidence of acute ischemic or hemorrhagic leison.3. No significant arterial luminal stenosis, intracranial aneurysm or major artery occlusion. |
Generate impression based on findings. | 42 years, Male, Reason: concern for nephrolithiasis History: flank pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Small splenulePANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No hydronep... | 1.2 mm stone within the bladder and minimal right-sided ureteral dilatation and periureteral stranding, possibly the sequela of a recently passed stone.2.Multiple nonobstructing stones in the renal pelvises bilaterally. 3.No hydronephrosis. |
Generate impression based on findings. | Heel ulcer. Evaluate for heel osteomyelitis. There is loss of soft tissue along the posterior aspect of the calcaneus. Overall, the bones appear demineralized, but I see no specific radiographs features of osteomyelitis. Poorly defined density within the calcaneus and distal tibia may represent chronic bone infarction,... | Soft tissue loss without specific radiographic features of osteomyelitis. If there is strong clinical concern for osteomyelitis, MRI may be considered. |
Generate impression based on findings. | 61 years, Male. Reason: constipated, concern for possible SBO. History: as above Rectal tube is in place. IVC filter is noted. A 3 cm radiodense object projects over the L1 vertebral body, probable bullet fragment. Surgical clips project over the right upper abdomen. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Chest pain tachycardia, history of ALL. PULMONARY ARTERIES: Diagnostic quality and fusion without evidence of pulmonary embolus. The main pulmonary artery appears normal in caliber.LUNGS AND PLEURA: Right upper lobe peribronchial groundglass opacities with no bronchial wall thickening. Linear subsegmental atelectasis o... | Noted acute pulmonary embolism. Diffuse ground glass opacities in the right upper lobe without bronchial wall thickening could in the appropriate clinical context represent infection such as viral pneumonia however the finding is nonspecific and blood products from acute pulmonary hemorrhage or aspiration pneumonitis c... |
Generate impression based on findings. | Fall, rule out bleed and fracture Head: No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial colle... | 1. No evidence of intracranial hemorrhage or calvarial fracture. Please note if there is suspicion for maxillofacial fracture, consider dedicated maxillofacial CT evaluation2. No evidence of acute fracture or subluxation within the cervical spine.3. 1.5-cm right thyroid lobe nodule which can be evaluated with ultrasoun... |
Generate impression based on findings. | 59-year-old female with right hip pain s/p fall. Two views of the right hip again show postoperative and arthritic changes which appear similar to the prior study, perhaps reflecting chronic changes from underlying hip dysplasia or old trauma.Two views of the left hip demonstrate moderate osteoarthritis without acute f... | Chronic postoperative and degenerative changes of the hips as described above without acute fracture.Findings discussed with the orthopedic surgery resident on call on 2/11/2015 at 0130. |
Generate impression based on findings. | 83-year-old female with descending aortic aneurysm -- routine surveillance. Thoracic aneurysm without mention of rupture. CHEST:LUNGS AND PLEURA: Emphysematous changes predominating at the lung apices. Motion artifact degrades some of the images.MEDIASTINUM AND HILA: Ascending aorta appears with normal diameter and unc... | Status post thoracic endograft insertion with type III endoleak. Small fluid collection in the subcutaneous tissues anterior to the right rectus muscle. Presumed partially thrombosed conduit extending from the right common iliac artery. Clinical service notified of these findings at the time of dictation. |
Generate impression based on findings. | Female 11 years old Reason: Cochlear implant placement History: Post-op cochlear implantVIEWS: Skull AP and lateral 2/10/15 (two views) Interval left cochlear implant placement. The implant does the complete curl of the cochlea. No evidence of kinking or disconnections. Normal, visualized paranasal sinuses pneumatizati... | Status post left cochlear implant as described. |
Generate impression based on findings. | 4-year-old female, walking with left leg lengthVIEWS: Left femur, AP and lateral (two views),left tibia/fibula, AP and lateral (two views) , 2/11/15, 0:09 Alignment is anatomic. The the femoral head is well directed within the acetabulum. No fracture or other specific finding to account for patient's symptoms. | Normal examination. |
Generate impression based on findings. | 59-year-old female with right hip pain status post fall. Two views of the right hip demonstrate an orthopedic plate and screw device which affixes the proximal right femur in gross anatomic alignment. Deformity of the underlying femoral head and neck may represent old trauma or chronic changes from long-standing hip dy... | Orthopedic fixation of the proximal right femur with chronic arthritic changes of the right hip. |
Generate impression based on findings. | Female, 49 years old s/p robot assisted laparoscopic supracervical hysterectomy and sacral colpopexy. RFO Trigger: Sponge count incorrect however given laparoscopic surgery, no sponge was used within the abdomen. Suspected RFO Location: Abdomen. Suspected RFO: Raytec sponge No unexpected radiopaque foreign bodies. Nono... | No unexpected radiopaque foreign bodies. Findings were discussed with attending surgeon, Dr. Valaitis, over phone, at 2110 on 2/10/15. |
Generate impression based on findings. | 42 year-old woman with history of questionable architectural distortion noted in the left breast on screening mammogram. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 64 years, Male. Reason: OG placement History: vomiting Note that the upper abdomen and lower pelvis are excluded from the field-of-view. Dobbhoff tube tip projects over the expected location of the proximal duodenum. Orogastric tube tip projects over the antrum and sidehole projects over the body of the stomach. A perc... | Dobbhoff tube tip projects over the proximal duodenum and orogastric tube tip projects over the antrum. |
Generate impression based on findings. | There is generalized age compatible cerebral volume loss without acute hemorrhage, mass-effect, midline shift, or CT evidence of large territorial ischemia. There is mild ex vacuo dilation of the ventricular system in the setting of cerebral atrophy. There is mild periventricular hypoattenuation which is nonspecific b... | No evidence of intracranial hemorrhage or mass effect. If there is continued suspicion for acute ischemia, consider MRI for further evaluation. |
Generate impression based on findings. | 29 years, Female. Reason: impaction? History: abdominal pain Surgical clips project over the right and left upper quadrants. Increased stool burden is seen throughout colon, particularly within a gas distended descending colon. No pneumoperitoneum. | Increased stool burden since the prior exam. |
Generate impression based on findings. | 15-year-old female with NG tube. Assess placement.VIEW: Abdomen AP (one view) 2/10/2015 18:38:15 NG tube tip overlying the stomach. Spinal rods are again seen. Nonobstructive bowel gas pattern. Previously noted right pleural effusion on chest x-ray is not definitively seen. | NG tube tip overlying the stomach. |
Generate impression based on findings. | 10-week-old male coughing for two weeks, evaluate for pneumoniaVIEWS: Chest AP/lateral (two views) 2/11/15 0:59 Mild bronchial wall thickening suggesting reactive airway disease or bronchiolitis. The cardiothymic silhouette is normal. | Reactive airway disease or bronchiolitis. |
Generate impression based on findings. | 67 years, Female. Reason: NG tube placement History: SBO s/p NG placement Enteric feeding tube projects over the gastric antrum. Nonobstructive bowel gas pattern. No pelvis is incompletely included in the field-of-view. | Enteric feeding tube projects over the gastric antrum. |
Generate impression based on findings. | 51 years, Female. Reason: Evalute for stool burden. h/o metastatic colon cancer. History: Constipation alternating with diarrhea Amorphous stool is noted within the descending colon with desiccated stool throughout the transverse and ascending colon. Nonobstructive bowel gas pattern. No pneumoperitoneum. Hepatomegaly a... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Abnormal movements. Nonenhanced head CT:A around well-demarcated cystic appearing lesion in the left postcentral gyrus at the site of previously seen presumed remaining enhancing metastatic focus is again identified. This finding measures a 11 x 10.5-mm which is sl... | 1.No detectable acute intracranial hemorrhage, midline shift or hydrocephalus. 2.Cystic presumed metastatic lesion in the left postcentral gyrus measures at 11 x 10.5-mm which is a smaller than prior MRI exam measurements are 15 x 13mm. Surrounding edema and resultant regional mass-effect remains identical to prior stu... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. A metallic device sup... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: lung cancer s/p 6 cycles of chemo please assess response to therapy and compare to previous imaging History: lung cancer CHEST:LUNGS AND PLEURA: Interval increase in size of a right perihilar mass, which is now bilobed, and measures up to 18 x 18 mm (series 6, image 44), previously measuring 14 x 13 mm. The inf... | 1. Interval increase in size of an 18mm solid right perihilar mass. Stable appearance of mediastinal and axillary lymph nodes.2. Continued interval improvement of multifocal nodular ground glass opacities and decreased prominence of likely post-inflammatory scattered micronodules in the right lung. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. A small cluster of calcifications is... | A small cluster of calcifications at upper quadrant in the right breast. Comparison to the old mammogram is recommended to check for stability. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison. |
Generate impression based on findings. | Surgical female status post extubationVIEW: Chest AP (one view) 2/11/15 6:30 Findings right center venous catheter tip in the SVC. Epicardial pacer leads and postoperative change of the upper mediastinum are again noted. NG tube in the stomach.Cardiomegaly and bronchial wall thickening with interval improvement in atel... | Bronchial wall thickening and improvement in atelectasis. |
Generate impression based on findings. | Aphasia, right upper extremity weakness, right face weakness. Evaluate evolution of left MCA territory infarct. There is evolution of the left MCA territory infarct with increased hypoattenuation and local mass effect of the left insula, left middle and inferior frontal gyri. There is no evidence of acute intracranial ... | Evolution of a recent left middle cerebral atery territory infarct without evidence of acute hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 42 year-old female with right shoulder pain. Three views of the right shoulder show no acute fracture or malalignment. Faint amorphous calcification seen adjacent to the posterolateral humeral head is likely within the infraspinatus tendon. | 1.No acute fracture or malalignment.2.Findings suggestive of calcific tendinosis/tendinopathy involving the infraspinatus tendon. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 54 years old. Reason: r/o hematoma. History: IBD s/p colectomy with SBR, pelvic bleeding, now with foul smelling d/c. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL... | 1.Presacral mixed gas-fluid collection with possible fistulous communication to the vagina which is suspicious for an abscess. 2.No definitive evidence of fistulous connection to the bladder or small bowel. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Altered mental status No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is global parenchymal volume loss commensurate with patient's advanced age. No hydrocephalus. No extra-axial collections.... | No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 58-year-old male with chronic left lateral hip pain. Two views of the left hip demonstrate severe joint space narrowing and osteophyte formation, compatible with severe osteoarthritis. No acute fracture or dislocation is identified. | Severe osteoarthritis without acute fracture. |
Generate impression based on findings. | Lymphadenopathy. There is extensive left cervical, left axillary, and upper mediastinal lymphadenopathy. For example, a left level 4 lymph node measures 26 x 30 mm, a left level 5B lymph node measures 12 x 16 mm, and a left level 3 lymph node measures 14 x 20 mm. There is also prominent left paraspinal soft tissue. The... | Extensive left cervical, left axillary, and upper mediastinal lymphadenopathy, as well as prominent left paraspinal soft tissue is suggestive of lymphoma or leukemia. |
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