instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 51 year-old male with history of assault. There is a comminuted fracture about the anterior aspect of the maxilla involving the alveolar process of the incisors and lateral incisors. The incisors and left lateral incisor are absent. There is associated air density within the anterior soft tissues as well as moderate sw... | 1. Comminuted facture along the anterior aspect of the maxilla involving the alveolar processes and absent teeth as described above.2. Cortical fragmentation along the anterior aspect of the mandible with missing lateral incisors likely representing additional fracture which involve the alveolar processes. Remainder of... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
Generate impression based on findings. | Redemonstration of multifocal areas of acute intraparenchymal hemorrhage with surrounding vasogenic edema, largest in the left parietal lobe and also involving the left frontal lobe. Hyper and hypo attenuation in the occipital lobes and right cerebellum is also stable since the prior study from 2/10/15. Mild mass effe... | 1. No interval change in multifocal areas of intraparenchymal hemorrhage with surrounding edema. Mild associated mass effect. Possibilities again include hemorrhagic infarcts (including septic embolic) and other etiologies such as metastatic disease. 2. Sequelae of chronic left PCA infarction. |
Generate impression based on findings. | 7-year-old male with diffuse rebound tenderness. Rule out constipation.VIEW: Abdomen AP (one view) 2/10/2015 Nonobstructive bowel gas pattern. Moderate stool burden. No evidence of pneumatosis intestinalis, pneumoperitoneum, portal venous gas or ascites. | Normal examination. |
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. Scattered benign calcifications are n... | 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, on Coumadin 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 collection... | No evidence of intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | A new focal asymmetry at lower inner quadrant in the left breast. Spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male 24 years old Reason: fall, back pain History: see above. Thoracic spine: There is slight anterior wedging of T11, which we suspect is chronic in etiology, and associated with small anterior vertebral body osteophytes. We see no definite acute fracture, alignment is within normal limits.Lumbar spine: We see no frac... | No fracture or other acute findings to account for patient's pain. Other findings as above. |
Generate impression based on findings. | 40 year-old recall from screening for a left breast mass. An ML view, laterally exaggerated CC view and 3 spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and d... | No suspicious mammographic or sonographic finding. Suggestion of normal intramammary lymph node. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended next year, and if stable at that time routine screening may be subsequently... |
Generate impression based on findings. | 56 years, Male. Reason: constipation History: abdominal pain Stones project over the paramedian left upper abdomen. Moderate stool burden throughout the colon. No pneumoperitoneum. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 62 year old female with history of left hemiplegia and dysarthria. There is no evidence of acute intracranial hemorrhage. There is moderate confluent hypoattenuation within the periventricular and subcortical white matter. The gray-white differentiation is preserved. No midline shift or mass effect. The basal cisterns ... | 1.No evidence of acute intracranial hemorrhage.2.Moderate periventricular white matter hypoattenuation compatible with moderate age-indeterminate ischemic small vessel disease. Please note that CT is insensitive for the detection of acute ischemic infarction. If patient care warrants further imaging, an MRI may be obta... |
Generate impression based on findings. | 80 years, Female. Reason: Dobbhoff History: Dobbhoff Dobbhoff tube tip projects over the gastric body. Nonobstructive bowel gas pattern.Bibasilar opacities. | Dobbhoff tube tip projects over the gastric body. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 58 years, Male. Reason: abd fullness, discomfort History: see above Gas distended loops of small bowel with relative paucity of distal bowel gas.Radiodense material projects over the left upper quadrant, may represent contrast or ingested material. | Ileus type bowel gas pattern versus early obstruction. |
Generate impression based on findings. | Intracranial hemorrhage, evaluate of hydrocephalus. Compared to 2/8/2015, there is slight evolution of large left sided intraparenchymal hematoma centered within the left thalamus, measuring 5.1 x 4.5 x 4.1 cm in the AP, transverse, and craniocaudal dimensions. There is surrounding vasogenic edema slightly increased si... | 1. Compared to 2/8/2015, evolution of large intraparenchymal hematoma centered within the left thalamus with mild increase in surrounding edema. There is also mild worsening of rightward midline shift and downward herniation with diffuse effacement of the suprasellar cistern.2. Unchanged size of the entrapped, mildly e... |
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 mostly fatty replaced, unchanged in pattern and distribution. A marker clip is agai... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Reason: head and neck cancer/ per protocol scans History: see above CHEST:LUNGS AND PLEURA: Left upper lobe paramediastinal mass measures 30 x 25 mm (series 3, image 31), previously assuring 27 x 18 mm. The mass shows central necrosis, air-fluid level, and encasement/narrowing of the left main pulmonary artery. Stable ... | 1. Increase in size measurement of a left upper lobe paramediastinal mass, with central necrosis, encasement/narrowing of the left pulmonary artery, and distal left upper lobe segmental atelectasis.2. Increase in size of reference hepatic metastases and portocaval lymph node.3. Multiple enlarging soft tissue metastases... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Abdominal pain after bariatric surgery. Limited exam due to patient large body habitus.LIVER: The liver measures 15.3 cm in length. No intrahepatic biliary ductal dilatation. Portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. Common... | No findings to explain left upper quadrant pain. Echogenic kidneys compatible with medical renal disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is 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. | Lung cancer status post 6 cycles of chemotherapy. Neck: There is no significant cervical lymphadenopathy. For example, a left level 4 lymph node measures 6 mm in short axis, previously 7 mm, and a left level 5B lymph node measures 3 mm in short axis, previously 4 mm. The thyroid and major salivary glands are unremarkab... | 1. No evidence of recurrent metastatic lymphadenopathy in the neck. 2. No evidence of intracranial metastases. |
Generate impression based on findings. | Ms. Zugalj is a 69 years year old female recalled from screening mammogram for calcifications in the right breast. Result history left breast biopsy. No current breast related complaints. An ML view and two spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. Th... | Scattered benign calcifications that have progressed in a benign fashion in the right breast. 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 ... |
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. There are stable beni... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | There is no acute intracranial hemorrhage or new mass effect. There has been interval revision of a right frontal ventriculostomy catheter for a right parietal approach ventriculostomy catheter with its tip in the left ventricle. Marked ventriculomegaly involving the lateral ventricles and third ventricle has mildly d... | 1. No evidence of traumatic injury. 2. New right parietal approach ventriculostomy catheter with mild interval decrease in ventriculomegaly since the prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (total 8 images) were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. Scattered benign calcifications are unchange... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | There is interval development of multifocal areas of acute intraparenchymal hemorrhage with surrounding vasogenic edema, relatively largest in the left parietal lobe, measuring up to 2 cm in diameter. Small hemorrhages and edema include the left frontal and bilateral occipital lobes. There is possible focus of high at... | 1. Multifocal areas of acute intraparenchymal hemorrhage with surrounding edema. No significant mass effect or herniation. Differential considerations for this appearance include hemorrhagic embolic infarcts. Hemorrhagic metastases can also be considered and MRI may be helpful for further evaluation as clinically warra... |
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. | Tongue squamous cell carcinoma, status post surgery, radiation, re-irradiation, and stereotatic RT to lung lesion, treated with docetaxel for metastatic disease. Neck: The images area degraded by patient motion. There are post-treatment findings in the neck. There is an enhancing mass within the left trapezius muscle, ... | 1. Interval increase in size of the intramuscular metastasis.2. No evidence of intracranial metastases.3. Partially-imaged cavitary left lung mass. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Metastatic breast cancer. Baseline. ABDOMEN:LUNG BASES: Pulmonary metastases. For reference purposes, a nodule at the right lung base measures 1.9 x 1.7 cm (image 14; series 80494).LIVER, BILIARY TRACT: Liver metastases. For reference purposes, a lesion in the inferior right lobe measures 5.3 x 6.5 cm (image 43; series... | Metastatic disease. Reference measurements are given above. |
Generate impression based on findings. | 47-year-old with history of prior abnormal mammograms presents currently without complaints. Three standard views of both breasts (9 images) and 4 left spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchange... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral 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. | Male 34 years old Reason: R/O fracture History: pain. The proximal tibia and fibula appear normal. A plate and screw device affixes healed fracture/osteotomies of the distal tibia/fibula in near-anatomic alignment. Two screws affix the fused subtalar joint as well as a healed calcaneal osteotomy in near-anatomic alignm... | 1.Acute fracture of the neck of the second metatarsal.2.Mild deformity of the base of the first metatarsal may reflect old trauma, but we cannot exclude the possibility of acute fracture if patient complains of pain at this site.3.Extensive postoperative changes and other findings as described above.Dr. Teresita Hogan ... |
Generate impression based on findings. | Left-sided weakness. There is no evidence of intracranial hemorrhage or mass effect. There is mild parenchymal volume loss. There is no midline shift or herniation. There is mucosal thickening in the left maxillary sinus. The mastoid air cells are clear. There is mild plagiocephaly. The extracranial soft tissues are un... | No evidence of intracranial hemorrhage. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern, MRI of the brain is recommended.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. A loosely clustered linear calcifications are present at uppe... | A loosely clustered linear calcifications at upper inner quadrant in the left breast. Magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Obese male with hepatomegaly on physical exam. Patient history of cysts or steatosis. LIVER: The liver measures 29 cm in length. There is an infiltrative, complex mass encompassing nearly the entire right lobe; correlation with cross-sectional imaging is recommended. Minimal perihepatic ascites noted. Portal vein is pa... | Large infiltrative mass in the right lobe liver; correlation with cross-sectional imaging is advised. Clinical service notified of these findings at the time of dictation. |
Generate impression based on findings. | Noncontrast head CT: There is no acute intracranial hemorrhage, mass effect, or midline shift. The ventricles, sulci, and cisterns are normal in size and configuration with preserved gray-white differentiation. There is leftward nasal septal deviation, otherwise the calvarium is unremarkable without fracture. The imag... | 1. No significant stenosis in the intracranial or extracranial circulation in the neck. Specifically, no significant stenosis in the vertebrobasilar system. Mild atherosclerotic changes at the internal carotid artery origins. Opthalmic artery origins are patent.2. No acute intracranial abnormalities. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 37-year-old female with history of left ventricular thrombus, facial numbness and speech difficulty. There is no evidence of acute intracranial hemorrhage. The gray-white differentiation is preserved. The ventricles and sulci are symmetric. The basal cisterns are intact. The visualized paranasal sinuses, mastoid air ce... | No evidence of intracranial hemorrhage or mass effect. Please note that CT is insensitive for detection of acute ischemia. If patient care warrants further imaging, an MRI may be obtained. |
Generate impression based on findings. | Male 65 years old Reason: r/o fracture History: pain. There is a hairline lucency in the distal radial metaphysis indicating a nondisplaced radial fracture. We see no extension to the articular surface on this study. There is mild soft tissue swelling about the wrist. | Distal radius fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 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. | 77 years, Male, Reason: pancreatic cancer and elevated CA19.9 and SOB History: as above. CHEST:LUNGS AND PLEURA: Posterior right lower lobe nodule minimally increased in size measuring 9 mm (4/44), previously 7 mm. No focal consolidation or pleural effusion. No new nodules or masses. Micronodule along the right major f... | 1.Right lower lobe pulmonary nodule is minimally increased in size and remains nonspecific. No new pulmonary nodules.2.Stable peripancreatic lymph node. No new lymphadenopathy. |
Generate impression based on findings. | Fatty liver disease. Elevated alcohol use. Abnormal liver function tests. LIVER: The liver measures 17.7 cm in length. The echogenic compatible with fatty infiltration. No focal abnormalities identified. The portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIARY TRACT: Status po... | Fatty liver. Status post cholecystectomy. |
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. Scattered benign calcifications are noted in both breasts.No suspicious mass... | 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. | Metastatic breast carcinoma CHEST:LUNGS AND PLEURA: While the right upper lobe index nodule has not significantly changed (seen on image 23 series 5 measuring 0.9 x 0 .7 cm), there has been slight interval increase in size of several of the previously noted numerous bilateral pulmonary metastatic nodules. An example is... | Slight interval increase in size of several of the pulmonary metastatic nodules. Interval increase in size of bilateral hilar and mediastinal metastatic lesions. New subcentimeter hypoattenuating bilobar liver lesions suspicious for new metastatic foci. |
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. | 74 years, Female. Reason: evaluate dobhoff placement History: s/p dobhoff Dobbhoff tube tip projects over the gastric body and appears to be kinked. Mild left curvature of the lumbar spine. Nonobstructive bowel gas pattern. The lung bases are clear. | Dobbhoff tube tip projects over the gastric body and appears to be kinked. Follow-up radiograph is recommended. Findings text paged to Dr. Vasenina at 1404 on 2/11/15. |
Generate impression based on findings. | 88 years, Male. Reason: 88 yo M s/p NG placement, please verify placement History: as above Exam is degraded by motion. Dobbhoff tube tip projects over the proximal gastric body. IVC filter noted. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | Dobbhoff tube tip projects over the proximal gastric body, recommend advancement. |
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. | 70 year-old woman with history of right breast papillary carcinoma resected in June 2014, annual diagnostic mammogram. Three standard views of both breasts and 2 spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 56-year-old female. Metastatic breast cancer. Baseline prior to starting a treatment regimen. Known metastatic disease to the liver, lung, bone, and brain. LUNGS AND PLEURA: Multiple bilateral pulmonary nodules, highly suspicious for metastases. For reference a right lung base nodule is 19 x 16 mm (series 7, image 60).... | 1. Liver and pulmonary metastases and probable right adrenal metastasis.2. Patchy groundglass opacities in the lower lobes suggestive of aspiration and/or infection. |
Generate impression based on findings. | 76-year-old female with bilateral total knee arthroplasties. Three views of the left knee demonstrate components of a total arthroplasty device with long femoral and tibial stems in anatomic alignment. There is no evidence of hardware complication or loosening. No acute fractures.Three views of the right knee also demo... | Bilateral total knee arthroplasties as described above without evidence of complication or significant interval change. |
Generate impression based on findings. | Pulmonary nodule,patient with history of tobacco use. Follow-up LUNGS AND PLEURA: Bilateral apical scarring unchanged. Moderate centrilobular emphysema with scattered micronodules, many calcified and all appear unchanged. The large 10 x 12 mm solid noncalcified nodule in the right middle lobe (image 69 series 4) remain... | Unchanged large solid nodule in the right middle lobe, stable since 5/2/14. Although again suspicious of granulomatous infectious change such as histoplasmosis, serial imaging to confirm stability in one more year would be confirming. Additionally a PET scan would also provide further characterization and potentially e... |
Generate impression based on findings. | 27 years, Male, Reason: Abdominal pain h/o SBO History: RLQ RUQ pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Metallic densities are unchanged and likely represent bullet fragments.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sign... | No evidence of small bowel obstruction or other findings to explain patient's symptoms. |
Generate impression based on findings. | Female 51 years old Reason: 51yr old female with history of MM; post-auto sct evaluation History: evaluate lesions. SKULL: Two views of the skull again show lesions of multiple myeloma similar to those of the prior study.CERVICAL SPINE: Two views of the cervical spine show scattered lucencies in the posterior elements ... | Findings compatible with multiple myeloma appearing similar to the prior study. |
Generate impression based on findings. | Acute kidney failure; abdominal pain. Biliary disease and liver disease. Abdominal pain, nausea and vomiting. LIVER: The liver measures 16.1 cm in length. No focal lesions. Portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIARY TRACT: Cholelithiasis. No evidence of wall thickeni... | Echogenic kidneys compatible with medical renal disease. Gallstones. No findings to explain nausea and vomiting. |
Generate impression based on findings. | Reason: CXR with left basilar scarring/volume loss, restrictive PFT. unclear etiology, patients reports history of severe PNA in 2003. History: dyspnea LUNGS AND PLEURA: Elevation of the left hemidiaphragm with volume loss in left lower lobe, basilar scarring/atelectasis, and mild bronchiectasis.No suspicious pulmonary... | 1.Volume loss in the left lung with elevation of the left hemidiaphragm and evidence of fibrosis, atelectasis, and bronchiectasis the left lung base.2.No evidence of pulmonary edema or pleural effusions. 3.No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Sternocleidomastoid muscle sprain with swelling, tenderness, and pain. The right sternocleidomastoid muscle appears grossly unremarkable. There is no evidence of significant cervical lymphadenopathy based on size criteria. There is a right thyroid nodule that measures up to 16 mm, previously 12 mm in 2011. There is a s... | 1. The right sternocleidomastoid muscle appears grossly unremarkable.2. No evidence of significant cervical lymphadenopathy. 3. Increase in size of a nonspecific right thyroid nodule since 2011. 4. Small right lateral pharyngeal pouch. |
Generate impression based on findings. | 51-year-old male status post right total hip arthroplasty. Two views of the right hip demonstrate a total arthroplasty device in anatomic alignment. There is no evidence of hardware complication or loosening. No acute fractures.Single AP view of the pelvis demonstrates the previously described hip arthroplasty device a... | Total right hip arthroplasty and left hip pinning as described above without evidence of complication or significant interval change. |
Generate impression based on findings. | Female 18 years old Reason: Signs of colitis ? History: hematochezia 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, URETER... | No definitive evidence of colitis or proctitis. No significant abnormality to explain the patient's symptoms. |
Generate impression based on findings. | 48-year-old female. Asthma with nasal polyposis. Cough. Salicylates causing adverse effect in therapeutic use. LUNGS AND PLEURA: Diffuse bronchial/bronchiolar wall thickening and scattered endobronchial mucous plugging.There are extensive tree-in-bud opacities in the bilateral lower lobes and the right upper lobe, new/... | New/increased tree-in-bud opacities in the bilateral lower lobes and right upper lobe with associated diffuse bronchial/bronchiolar wall thickening, consistent with an infectious bronchiolitis. |
Generate impression based on findings. | Reason: Pleural mesothelioma. Please compare to prior exam per recist criteria. History: Pleural mesothelioma. CHEST:LUNGS AND PLEURA: Redemonstration of volume loss and postsurgical changes in left hemithorax.Reference pleural measurements are as follows:1. At the level of the aortic arch (series 3, image 30): The les... | Stable appearance of nodular pleural thickening on the left, with reference measurements as above. No specific evidence of metastatic disease in the upper abdomen. |
Generate impression based on findings. | Dyspnea on exertion. Idiopathic pulmonary fibrosis LUNGS AND PLEURA: Extensive bilateral and basilar predominant extensive fibrotic changes including honeycombing and traction bronchiectasis. Architectural distortion remains consistent with a UIP pattern without evidence of superimposed focal air space abnormality. Irr... | UIP pattern consistent with stated history of IPF, no distinct superimposed acute or new pulmonary process. |
Generate impression based on findings. | Peritoneal mesothelioma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Stable left adrenal nodule best seen on image 43 of series 7 measuring 1.4 x 1.1 cm.KIDNEYS,... | Status post ventral hernia repair. No evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | 57 years, Male, Reason: periotoneal mesothelioma on observation, eval EOD, compare to previous History: none. ABDOMEN:LUNG BASES: For findings in the chest, please see dedicated chest CT performed on the same day. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Status-post splenectomyPANCREAS: No signific... | 1.Significant progression in the peritoneal mesothelioma with soft tissue encasing multiple bowel loops.2.Soft tissue mass encasing the distal esophagus has increased.3.Increased retroperitoneal adenopathy.4.Increased abdominopelvic ascites.5.For findings in the chest, please see dedicated chest CT performed on the sam... |
Generate impression based on findings. | Reason: metastatic lung CA, on new medication, evaluate for status of disease History: anterior chest pain CHEST:LUNGS AND PLEURA: Interval reduction in the left lingular and right lower lobe nodules.Reference right lower lobe nodule (image 64 series 4) now measuring 3 mm x 4 mm previously measuring 10 mm x 10 mm.Refer... | 1.Significant interval treatment response of pulmonary metastatic nodules with almost complete resolution.2.Stable sternal and T1 osseous metastases.3.No new sites of disease identified. |
Generate impression based on findings. | Male 73 years old Reason: r/o stone History: right CVAT ABDOMEN:LUNG BASES: Stable bibasilar emphysematous changes. Calcified left basilar granuloma.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abno... | Acute ureteral obstruction due to multiple distal right ureteral stones. |
Generate impression based on findings. | History of metastatic apocrine adenocarcinoma to retroperitoneal, mediastinal and cervical lymph nodes along with vertebral metastases, now s/p 6 cycles of chemotherapy, compare with last 2 studies. CHEST:LUNGS AND PLEURA: Moderate right pleural effusion with associated basilar atelectasis, similar to prior. Reference ... | 1.Lymphadenopathy overall stable to slightly decreased. Interval decrease in size of reference right prevascular lymph node and left para-aortic lymph node. Additional reference lesions not significantly changed.2.Stable diffuse osseous metastatic disease; however, nuclear medicine bone scan may better evaluate the ext... |
Generate impression based on findings. | Mesothelioma, follow-up CHEST:LUNGS AND PLEURA: No any significant chronic right subpulmonic pneumothorax, unchanged. Minimal basilar atelectasis with elevated right hemidiaphragm. Pleural calcifications again suggesting asbestos exposure with interval increasing pleural nodular disease. No significant effusions. Uncha... | Right pleural nodularity demonstrates interval increased size, reference measurements provided. Associated increasing lymphadenopathy |
Generate impression based on findings. | Malignant neoplasm of peritoneum (mesothelioma) on observation. LUNGS AND PLEURA: Bilateral pleural plaques and a sub-pleural scarring in the lateral left upper lobe unchanged. Small left pleural fluid collection is new compared to the previous study, but there is no measurable pleural thickening.MEDIASTINUM AND HILA: ... | 1. Enlarging distal paraesophageal mass is consistent with tumor extending through the diaphragmatic hiatus.2. New small left pleural fluid collection and new subcentimeter adjacent posterior para-aortic lymph node suspicious for intrathoracic disease, but no discrete be measurable pleural disease on the left.3. Diaphr... |
Generate impression based on findings. | 8-year-old male. Evaluate for hip subluxationEXAMINATION: Pelvis 2 view 2/10/2015 12:11:27 No evidence of fracture or dislocation. Alignment is normal. | Normal examination. |
Generate impression based on findings. | 32-year-old female with haustral colitis status post colectomy with ileostomy, status post ileostomy takedown and revision, relocated to left hemiabdomen. Patient presents with pain in right hemiabdomen exacerbated with bending and walking and relieved with left side down lateral decubitus positioning. During pain, the... | At least two nonobstructive adhesions as described above may explain the patients symptoms. |
Generate impression based on findings. | History of sinusitis. There is fluid within the maxillary sinuses. The other paranasal sinuses are clear. The nasal cavity is also clear. There is minimal nasal septal deviation. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tis... | Fluid within the maxillary sinuses suggests acute sinusitis. |
Generate impression based on findings. | 13-year-old female with low oxygen saturations and febrile illness.VIEW: Chest AP (one view) 2/10/15 15:09 Right chest wall port with catheter at the cavoatrial junction. Low lung volumes with elevation of the right hemidiaphragm and basilar atelectasis, appearing similar to the prior exam. | Low lung volumes and elevation of the right hemidiaphragm without significant interval change. |
Generate impression based on findings. | 41 year-old woman with history of focal asymmetry in the right breast on screening mammography. An ML view and two spot compression views of the right 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 pat... | 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 13 year old male, slammed right middle finger in door one day agoEXAMINATION: Right hand 3 views 2/10/2015 13:24:48 Normal alignment. No effusion or fracture is noted. | Normal examination. |
Generate impression based on findings. | NSCLC on Tarceva with new bone mets.RADIOPHARMACEUTICAL: 13.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 110 mg/dL. Today's CT portion grossly demonstrates a right upper lobe nodule and right hilar lymphadenopathy. Pleural thickening is noted in the right lung base with adjacent streaky opacities. Diffu... | 1.Significantly increased FDG avid lesions within the skeleton indicating diffuse osseous metastases as described above.2.The left C1 lateral mass and/or adjacent prevertebral space activity is highly suspicious for a metastatic lesion. 3.The right upper lobe lung nodule with only mild activity may represent residual t... |
Generate impression based on findings. | 2 year and 6 month old male. Evaluate belly EXAMINATION: Abdomen AP (single view) 2/10/2015 13:09:24 Moderate fecal burden. Nonobstructive bowel gas pattern. No evidence of pneumatosis intestinalis, pneumoperitoneum, portal venous gas or free air. | Moderate fecal burden without obstruction. |
Generate impression based on findings. | Pleural mesothelioma. CHEST:LUNGS AND PLEURA: Postsurgical appearance of the right hemithorax. Trace pleural fluid adjacent to the liver. Reference right pleural lesions as follows:Level of the carina (3/43): Three o'clock position 18 mm, unchanged. Four o'clock position 8 mm, previously 11-mm.Level of right mainstem b... | Right pleural mesothelioma measurements without significant change. Chest wall and mediastinal extension of disease about the same. Asymmetric peritoneal thickening and nodularity in the right hemi abdomen should continue to be monitored. |
Generate impression based on findings. | 62 year old female. Peritoneal mesothelioma on observation, evaluate EOD. Compare to previous. LUNGS AND PLEURA: Stable calcified and noncalcified micronodules, which are most likely post inflammatory.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.No visible coro... | No evidence of metastatic disease in the chest. |
Generate impression based on findings. | The patient submitted outside mammograms and ultrasound dated 2/12/2008 and 2/17/2007, from Mercy Hospital. Submitted outside study was compared to the current mammograms dated 10/20/2014 and 2/3/2015. The submitted studies are of significantly different technique than the current studies. There has been interval decre... | No mammographic evidence of malignancy. Presuming her recent ultrasound finding does not require additional imaging follow up, the recommendation would be for a bilateral diagnostic mammogram in October 2015 to prove stability of all her findings. BIRADS: 3 - Probably benign finding.RECOMMENDATION: T - Take Appropriate... |
Generate impression based on findings. | Male 53 years old Reason: Pt is a 53 y/o male with met rcc, evaluate for response to sunitinib History: met rcc CHEST:LUNGS AND PLEURA: Right basilar scarring/atelectasis. Scattered pulmonary micronodules, unchanged.No suspicious pulmonary nodules or masses.No pleural effusions.Persistent elevation of the right hemidia... | Stable examination in a patient status post partial right nephrectomy with osseous metastases. |
Generate impression based on findings. | Reason: lung cancer History: 20 months after RLL lobectomy for Stage IB NSCLC. Following right lung GGO. LUNGS AND PLEURA: Postsurgical changes at the right lower lobe resection. Previously visualized right upper lobe ground glass opacity measures 13 x 13 mm (series 4, image 44), previously measuring 13 mm, stable comp... | 1. Stable 13mm right lung subsolid nodule. Continued annual followup imaging is recommended. No definite evidence of recurrent or metastatic disease.2. Newly seen 1-2 cm nodular soft tissue density in the right breast may represent volume averaging. Correlate with physical exam. |
Generate impression based on findings. | History of duodenal neuroendocrine tumor. Question of metastases. Normal physiologic radiotracer distribution is seen in the spleen, kidneys, liver, gallbladder, bowel and bladder. There is no abnormal focus of activity to indicate an octreotide avid lesion. | No octreotide avid tumor is identified. |
Generate impression based on findings. | 15 year-old female with low back pain. Evaluate for spondylitis.VIEWS: Lumbar spine AP, right oblique, left oblique, lateral, lumbosacral junction lateral (5 views) 2/11/2015 10:17:11 Alignment is normal. Vertebral body height and disk space are maintained. No pars defects are present. No evidence of fracture or disloc... | Normal examination. |
Generate impression based on findings. | Reason: s/p MIE 8 months out History: esophageal cancer, follow up CHEST:LUNGS AND PLEURA: Redemonstration of severe apical predominant centrilobular and paraseptal emphysema. Large number of new scattered solid pulmonary nodules compatible with diffuse pulmonary metastases. For reference, a left upper lobe nodule meas... | 1. Multiple new solid pulmonary nodules bilaterally, compatible with diffuse pulmonary metastases.2. New right hepatic lobe hypoattenuating lesion, suspicious for additional metastatic disease. |
Generate impression based on findings. | 65 year-old woman with history of right IDC status post mastectomy 10/12. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No dominant masses, suspicious... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 55-year-old with history of focal pain in her right outer breast. The patient denies any palpable abnormality. Three standard views of both breasts and a left lateral exaggerated CC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular densi... | 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. | Male 42 years old Reason: eval chronic R knee pain, poss OA, poss retained missile from prev GSW History: same. Four views of the right knee show metallic densities along the posterolateral aspect of the distal femoral metaphysis compatible with bullet fragments. We see no underlying fracture or osteoarthritis.The left... | Bullet fragments as described above. We otherwise see no specific radiographic findings to account for patient's knee pain. |
Generate impression based on findings. | cT3N0 squamous cell carcinoma of the supraglottic larynx, status post treatment. There are post-treatment findings, including total laryngectomy with flap reconstruction and tracheostomy tube insertion. There is no evidence mass lesions in the neck or significant cervical lymphadenopathy. However, a partially-imaged ri... | 1. Stable post-treatment findings in the neck without evidence of locoregional recurrent tumor or significant cervical lymphadenopathy. However, a partially-imaged right lower paratracheal lymph node appears to have increased in size. Please refer to the separate chest CT report for additional details.2. New right apic... |
Generate impression based on findings. | 11 year old female, postoperative scan for renal stones ABDOMEN:LUNG BASES: Mild left basilar atelectasis.LIVER, BILIARY TRACT: Normal hepatic morphology. No biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEY... | 1. Interval removal of ureteropelvic calculus and placement of left nephroureteral catheter with mild residual hydronephrosis.2. Nonobstructive left nephrolithiasis.3. Bilateral large ovarian cystic lesions appearing similar to the prior exam. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.