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Generate impression based on findings. | Reason: r/o PE History: SOB, CP, hx DVTs PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolism. The main pulmonary artery is prominent suggesting pulmonary arterial hypertension.LUNGS AND PLEURA: Mild left pleural thickening/scarring.MEDIASTINUM AND HILA: The heart size is within normal limit... | No evidence of pulmonary embolism. No specific findings to account for patient's symptoms.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 3 years old Reason: rule out intra-abdominal process History: abdominal massVIEW: Abdomen AP (one view) 1/6/50 Normal abdominal gas pattern. No evidence of obstruction or free air. No displaced bowel loops suspicious for abdominal mass. | Normal examination. |
Generate impression based on findings. | 65-year-old female with a history of lupus, diabetes, and recent surgical repair of paraesophageal hernia. Now with recurrent vomiting hours after meals. Please assess for gastroparesis. Visually there was significantly delayed gastric emptying. Using anterior and posterior geometric means, residual gastric activity at... | Severely delayed gastric emptying. |
Generate impression based on findings. | 90-year-old female with weakness and pain The bones are demineralized suggesting osteoporosis. Mild osteoarthritis affects the the glenohumeral joint. There is spurring of the acromion process and greater tuberosity. The humeral head is slightly high riding, which may reflect rotator cuff atrophy or tearing. Again note... | Degenerative arthritic changes and other findings as described above. |
Generate impression based on findings. | Reason: hx LVAD, pulm fibrosis, repeat CT History: Repeat CT LUNGS AND PLEURA: Significant interval improvement in the diffuse groundglass opacities and interlobular septal thickening which is compatible with edema.Interval clearing of a small bilateral pleural effusions.Severe underlying centrilobular emphysema redemo... | Significant interval improvement in the pulmonary edema and clearing of small bilateral pleural effusions. |
Generate impression based on findings. | 50 year-old female 6 months status post a ALIF and PSF Three views of the lumbar spine show posterior stabilization rods with screws entering L4 and L5 with no evidence of hardware complication. A disk spacer device is present at the L4/L5 with no frank interbody fusion. Severe degenerative disk disease affects L5/S1. ... | Orthopedic fixation of the lower lumbar spine and degenerative disk disease, as described above. |
Generate impression based on findings. | 82 year old with new bilateral breast masses presents for ultrasound guided biopsy. Biopsy for right breast mass is performed. Biopsy for left breast mass will be performed later today, and it will be reported separately. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoec... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Staging squamous cell carcinoma of the lung.RADIOPHARMACEUTICAL: 13.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 112 mg/dL. Today's CT portion grossly demonstrates right cerebellar porencephaly. Emphysema is seen bilaterally most notably in the upper lungs. An approximately 3.5-cm right upper lobe spicu... | 1.Markedly hypermetabolic right upper lobe pulmonary mass with an adjacent satellite nodule is compatible with the patient's diagnosis of lung cancer and has progressed from previous PET.2.Enlarged markedly hypermetabolic right hilar, precarinal, and subcarinal lymph nodes are compatible with regional lymph node metast... |
Generate impression based on findings. | Female, 69 years old, status post C7 fracture, assess healing. Concavity and sclerosis along the superior endplate of C7 is again seen compatible with the known fracture at this location. The fractured fragment continues to protrude slightly towards the ventral epidural space which, along with bulging disk material and... | A fracture through the superior endplate of C7 shows findings compatible with at least partial healing and no significant interval change.Associated fracture through the right C7 transverse process has healed in the interval. |
Generate impression based on findings. | Ms. Springer is a 58 year old female with a personal history of left breast lumpectomy in March 2012 for IDC treated with chemotherapy and Herceptin. She also has a biopsy proven fibroadenoma in the left inferior breast. She has no current breast related complaints. Three standard views of both breasts, a left laterall... | Stable postsurgical changes in the left breast. 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 - Diagnos... |
Generate impression based on findings. | 82 year old with new bilateral breast masses presents for ultrasound guided biopsy. Biopsy for left breast mass is performed. Biopsy for right breast mass was performed earlier today (please see the separate report). Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic m... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 74 years old Reason: hx of bladder cancer, evaluate for mets with delayed imaging History: see above ABDOMEN:LUNG BASES: Pulmonary micronodules without significant change. However, there is a 1.0 cm right lower lobe pulmonary nodule (image 2, series 5), which was not included in the previous field of view. The eti... | 1.No definite evidence of locoregional disease recurrence or distant metastatic disease.2.1.0 cm left lower lobe pulmonary nodule not included in the field of view on the prior examinations. The etiology of this nodule is uncertain, but attention at follow up is recommended. |
Generate impression based on findings. | 12-year-old female with pain, history of stone. Rule out cholecystitis. LIVER: The liver is normal in echotexture and size, measuring 13 cm in length.GALLBLADDER, BILIARY TRACT: No intra-or extrahepatic biliary ductal dilatation. Common duct measures 4 mm. Cholelithiasis is noted. No pericholecystic fluid or gallbladde... | Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | Reason: recurring pneumonia History: recurring pneumonia LUNGS AND PLEURA: Scattered nonspecific micronodules. Peripheral bilateral lower lobe and right middle lobe tree in bud opacities compatible with aspiration bronchiolitis.No focal areas of consolidation.No pleural effusions.MEDIASTINUM AND HILA: Hypoattenuating b... | Scattered peripheral areas of tree in bud opacities in both lungs compatible with aspiration/ bronchiolitis. No evidence of pneumonia. |
Generate impression based on findings. | Metastatic carcinoid CHEST:LUNGS AND PLEURA: Stable biapical scarring. Stable left basilar scarring.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Accounting for differences in technique, there has probably been no significant change in th... | Stable examination. |
Generate impression based on findings. | Reason: NSCLC in need of re-imaging please compare to prior History: NSCLC CHEST:LUNGS AND PLEURA: Comparable measurements are not possible, as the margins of the mass are obscured by radiation reaction.New multifocal centrilobular and subpleural ground-glass/solid opacities, bronchial wall thickening, and associated v... | Interval development of multifocal, patchy, air space opacities, which obscure the margins of the reference left perihilar mass; appearance is compatible with radiation reaction. No new suspicious nodule/mass. |
Generate impression based on findings. | Male; 69 years old. Reason: eval for oa History: hip pain Mild to moderate osteoarthritis affects both hip joints. No acute fracture or malalignment is evident. | Mild to moderate osteoarthritis of both hips. |
Generate impression based on findings. | Female, 67 years old. Reason: DHT advanced, nausea. Eval gastric bubble/DHT placement History: nausea Interval adjustment of Dobbhoff tube with tip overlying the gastric body.Nonobstructive bowel gas pattern. | Dobbhoff tube tip overlying the gastric body. |
Generate impression based on findings. | Reason: Patient is participating in research study. Evaluate for lung disease History: History of rheumatoid arthritis LUNGS AND PLEURA: Scattered centrilobular opacities are seen, as well as a mild mosaic attenuation pattern worse on expiratory series consistent with air trapping.While there is no significant bronchie... | Mild pulmonary abnormalities consisting of centrilobular opacities, mosaic attenuation/air trapping, and bronchial wall thickening are nonspecific but could in part be related to rheumatoid disease. |
Generate impression based on findings. | Male 54 years old Reason: evaluate EC fistula ABDOMEN:LUNG BASES: Right basilar atelectasis.LIVER, BILIARY TRACT: The patient is status post cholecystectomy.SPLEEN: Findings consistent with splenosis.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Left-sided r... | 1.Ventral abdominal wall defect with findings most compatible with a gastrocutaneous fistula near/at the presumed level of the prior gastrojejunal anastomosis, although the anastomosis is not definitely seen.2.Postsurgical changes related to multiple intra-abdominal surgeries including gastrojejunostomy, cholecystectom... |
Generate impression based on findings. | Reason: evaluate for metastasis. History: mesenchymal chondrosarcoma. LUNGS AND PLEURA: No postsurgical changes in right lower lobe related to a prior wedge resection.Left basilar subpleural semisolid nodule (image 80 series 7) demonstrates continued decrease in size now measuring 10 mm x 60 mm imaging 13 x 16 mm and m... | 1.No interval change without evidence of metastatic disease. Stable left upper lobe subpleural nodule.2.No evidence of recurrent disease in the region of the resected left 11th rib and left transverse process of T11. |
Generate impression based on findings. | 60 years old, Female, Reason: met colon cancer on chemotherapy, evaluate for disease progression History: colon cancer CHEST:LUNGS AND PLEURA: Multiple pulmonary lesions. Reference left lower lobe lung lesion measures 1.1 x 0.7 cm (image 60, series 4), previously measuring 0.9 x 0.8 cm.MEDIASTINUM AND HILA: Stable mild... | 1. No significant change in size of pulmonary nodules2. No significant change in size of hepatic metastases.3. Rectosigmoid colon similar in appearance as above. |
Generate impression based on findings. | 61-year-old male status post LVAD placement. Drainage around the tract line. Evaluate for drainable fluid collection. Targeted ultrasound was performed of the left upper and lower quadrants along the LVAD drive line. There is no discrete drainable fluid collection. The subcutaneous soft tissues are edematous. | No drainable fluid collection. Edematous subcutaneous soft tissues; correlate for clinical signs and symptoms of cellulitis. |
Generate impression based on findings. | 65-year-old male with history of gout, PsA, bilateral hand synovitis Hand: Severe osteoarthritis affects the fifth PIP joint. Relatively mild osteoarthritis affects additional scattered interphalangeal joints. There are no specific radiographic features of psoriatic arthritis or gout. Left hand: Mild osteoarthritis aff... | Osteoarthritis without specific radiographic features of psoriatic arthritis or gout. |
Generate impression based on findings. | Female 40 years old; Reason: 40 y/o met colon ca. on chemo. compare to prior scan. History: met colon ca CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Central venous catheter with tip in right atrium. Status post sternotomy and postoperative changes related to pulmonic valve replacement... | 1. Hepatic metastatic disease, not as well seen but grossly stable in size as above.2. Subocclusive IVC thrombus again seen, may be secondary to underlying intrahepatic IVC stenosis, associated collateral vessel formation seen. |
Generate impression based on findings. | 63 year old female with history of neck cancer. Chemoradiation therapy. CHEST:LUNGS AND PLEURA: Stable scattered pulmonary micronodules, some which are calcified. No pleural effusion, no consolidation and no pneumothorax. Minimal basilar scarring, unchanged. No new suspicious pulmonary nodules or masses.MEDIASTINUM AND... | Stable exam, without evidence of metastatic disease. |
Generate impression based on findings. | Reason: h/o oropharyngeal ca and CRT, compare to previous, measurements pls History: none LUNGS AND PLEURA: Ground-glass opacity in the right apex is unchanged.Posterior left upper lobe ground glass nodule measures 7 mm, unchanged (series 5, image 33), which may relate to atypical adenomatous hyperplasia or adenocarcin... | 1. No definitive evidence of metastatic disease.2. Unchanged solid and ground glass nodules. Continued surveillance is recommended. |
Generate impression based on findings. | Female 40 years old Reason: Colon cancer follow up History: Abdominal pain CHEST:LUNGS AND PLEURA: Biapical pleural parenchymal scarring unchanged. Multifocal patchy airspace opacities, with tree in bud opacities seen in the right lower lobe, may reflect chronic aspiration. More focal area of consolidation seen in the ... | 1.Interval increase in size of the perirectal lymphadenopathy.2.Long segment mucosal hyperenhancement and submucosal edema affecting the transverse and left colon, suggesting an inflammatory or infectious etiology. However, neoplasm is not excluded.3.Findings above may reflect aspiration, with possible superimposed con... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.Moderate coronary calcifications are present, but the heart and pericardium are otherwise unremarkable.CHE... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Reason: Hx of COPD transferred here with new AML History: Fevers LUNGS AND PLEURA: Mild upper lobe predominant centrilobular emphysema and basilar predominant bronchial wall thickening.Calcification the left lower lobe most likely representing calcified granuloma.No suspicious pulmonary nodules or masses.No pleural eff... | Mild centrilobular emphysema and bronchial wall thickening compatible with COPD. No evidence of acute infection. |
Generate impression based on findings. | Status post scapholunate ligament reconstruction with scapholunate screw fixation. Assess healing. An orthopedic screw affixes the proximal pole of the scaphoid to the lunate in near-anatomic alignment. There is minimal widening of the scapholunate interval relative to the remaining intercarpal intervals. Lucency about... | Orthopedic fixation of the scapholunate interval as described above. |
Generate impression based on findings. | Status post fracture.VIEWS: Left ankle AP, lateral and oblique 1/6/15 (3 views) Cast material obscures fine bone details. Three K wires are affixing a medial malleolus fracture and two screws are doing this same with the distal fibular fracture. Alignment is anatomic. | Healing fractures in anatomic alignment after instrumentation as described. |
Generate impression based on findings. | 56 your old male with history of the neck cancer. Chemoradiation therapy. CHEST:LUNGS AND PLEURA: Reference right upper lobe nodule (6/28) measures 14 x 4 mm, unchanged. Additional pulmonary nodules are unchanged in size.Biapical radiation fibrosis. Small left apical pneumothorax is new. Bronchiolar and bronchial wall ... | 1.Multiple bilateral pulmonary nodules, unchanged in size, with no new sites of metastatic disease.2.Bronchiolar/bronchial wall thickening which may represents reactive airway disease.3.New small left apical pneumothorax.Clinical service has been notified of small apical pneumothorax. |
Generate impression based on findings. | Female; 56 years old. Reason: back pain s/p fall History: back pain Five views of the lumbar spine demonstrate mild degenerative disk disease L3-4, L4-5, and L5-S1. Vertebral body heights are maintained without evidence of fracture. Normal alignment.Single AP view of the pelvis demonstrates severe osteoarthritis of the... | Degenerative arthritic changes without evidence of acute fracture or malalignment. |
Generate impression based on findings. | Status post fracture.VIEWS: Right ankle AP, lateral and oblique 1/6/15 (3 views) Cast material obscures fine bone details. Compression plates and screws are affixing a distal fibular fracture. Salter-Harris two fracture of the distal tibia is in anatomic alignment. | Interval instrumentation of distal fibular fracture as described. |
Generate impression based on findings. | Status post fracture.VIEWS: Right forearm AP and lateral 1/6/15 (two views) Cast material obscures fine bone details. Healing fracture of the right ulna is in anatomic alignment. | Right ulnar healing fracture in anatomic alignment. |
Generate impression based on findings. | Female 7 years old Reason: Evaluate degree of stool burden History: Hx cloaca and constipationVIEW: Abdomen AP (one view) 1/6/15 I1429 hours. Sacrum agenesis is again noted. Interval decreasing in fecal accumulation. Noted is obstruction or free air. | Interval improvement in fecal loading. |
Generate impression based on findings. | 40 year-old female with right breast mass detected on screening mammography. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 10 mm at the 2 o’clock position with increased vascularity, 2 cm from the nipple. The lesion was readily visible.PROCEDURE: T... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Status post fall. Evaluate for fracture. I see no fracture or dislocation. Tubing overlies the left hip. | No fracture evident. |
Generate impression based on findings. | 15-year-old female status post appendectomy 7/2014, delayed bowel function. Evaluate for IBD, fistula.EXAMINATION: MR enterography without and with IV contrast 1/6/2015, 1310 hrs. ABDOMEN:LIVER, BILIARY TRACT: Homogeneous liver parenchyma without focal lesion. No intra-or extrahepatic biliary ductal dilatation. Normal ... | No evidence of abscess, fistula, or inflammatory bowel disease. |
Generate impression based on findings. | Lumbar pain The bones appear demineralized, suggesting osteopenia/osteoporosis. There is a mild levoscoliosis of the lumbar spine. Severe degenerative disk disease affects L2/3 and L3/4. Vertebral body heights are preserved. | Degenerative disk disease. |
Generate impression based on findings. | Reason: left upper lung mass; had several CTs and a recent PET; need super D protocol History: cough LUNGS AND PLEURA: Left upper lobe mixed groundglass opacity with associated nodules are ((images 63 through 78, series 7) is unchanged from the prior exam and compatible with minimally invasive adenocarcinoma. Associate... | Stable left upper lobe groundglass mass with solid components suspicious of a minimally invasive adenocarcinoma. |
Generate impression based on findings. | Female; 72 years old. Reason: ? OA History: Back pain Five views of the lumbar spine demonstrate severe degenerative disk disease at T12-L1, moderate degenerative disk disease of L1-L2, and mild degenerative disk disease of the remainder of the lumbar spine. Moderate degenerative arthritic changes of the facet joints o... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 82 years old, Female, Reason: 82 yo female with recurrent ovarian cancer and clinically worsening left groin metastasis History: Left groin pain, swelling and drainage CHEST:LUNGS AND PLEURA: New and enlarging bilateral pulmonary nodules. Left lower lobe pulmonary nodule appears larger in size measuring 6 mm (series 6,... | 1.Marked interval growth of left inguinal mass.2.Interval growth of multiple retroperitoneal lymph nodes with questionable thrombosis of the common iliac vessels.3.Interval growth of pelvic lymph nodes with possible invasion of adjacent structures including the bladder.4.Enlarging and new pulmonary metastases. |
Generate impression based on findings. | 48-year-old female with history of salivary gland malignancy. LUNGS AND PLEURA: Right lower lobe peripheral 3-mm nodule (6/29) is unchanged in size compared with the most recent exams. Additional scattered micronodules are unchanged. No pleural effusion or new suspicious nodules.MEDIASTINUM AND HILA: Heart size within ... | Unchanged right lower lobe peripheral nodule, likely benign. No evidence of metastatic disease. |
Generate impression based on findings. | 82 year male with history of T2 N0 squamous cell carcinoma of the floor of mouth and ventral tongue, treated in 2013 with surgery. Evaluate for recurrence. Again seen are postsurgical changes of resection involving the anterior tongue and floor of mouth with graft. Evidence of bilateral neck dissection is also seen. No... | 1. Postsurgical changes involving the anterior tongue and floor of mouth as well as of bilateral neck dissections. No findings to suggest tumor recurrence.2. No pathologic lymphadenopathy in the neck. |
Generate impression based on findings. | Ms. Brody is a 69 year old female with a personal history of right partial mastectomy in November 2013 for multicentric right breast IDC. She had a post-operative mammogram that demonstrated new calcifications at the lumpectomy site. Recent MRI performed in June 2014 was read as negative. She now presents for a short-t... | Stable postsurgical changes with probably benign calcifications in the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient. BIRADS:3 - Pro... |
Generate impression based on findings. | Reason: r/u upper respiratory infection- needs CT non infused History: coughing LUNGS AND PLEURA: No specific evidence of infection.Mild compression atelectasis is present adjacent to the mediastinum primarily on the left.Mosaic attenuation is consistent with known pulmonary arterial hypertension.Prominent subpleural v... | 1. Massive pulmonary arterial hypertension, with associated mosaic lung attenuation and possible small subpleural AVMs.2. Moderate pericardial effusion.3. No specific evidence of infection. |
Generate impression based on findings. | Female; 66 years old. Reason: healed fx? History: none Three views of the right wrist demonstrate volar plate and screw device affixing a comminuted fracture of the distal radius in near anatomic alignment. No evidence of hardware loosening. Increased sclerosis along the fracture lines, compatible with some interval he... | Fixated distal radius fracture without complication. |
Generate impression based on findings. | Low back pain. Multiple myeloma. 3 views of the thoracic spine are provided. Evaluation of the upper thoracic spine is limited due to overlying anatomy. The bones are demineralized, likely reflecting widespread multiple myeloma. Again seen is a compression fracture of T12 that was present on the May 2013 study. There i... | Findings compatible with myeloma with compression fractures appearing similar to those seen on the prior study. |
Generate impression based on findings. | 64-year-old male with history of right lower facial droop. Evaluate for hemorrhage. There is no evidence of acute intracranial hemorrhage. There are foci of hypoattenuation within bilateral basal ganglia and thalami. There is mild confluent areas of periventricular and white matter hypoattenuation compatible with progr... | 1.No acute intracranial hemorrhage.2.Progressive small vessel ischemic disease with interval left basal ganglia and thalamic lacunar infarcts which are age indeterminate. MRI can be obtained if there remains concern for an acute ischemic event.3.Advanced cerebral volume loss somewhat out of proportion to age. |
Generate impression based on findings. | Male; 19 years old. Reason: fractured radius History: tenderness over distal radius, pain with pronation, suppination, extension s/p FOOSH Normal appearance of the bones without evidence of fracture. Alignment is normal. | No acute fracture or malalignment. |
Generate impression based on findings. | Left-sided weakness, confusion. Evaluate for any interval increase in right thalamic hemorrhage. Redemonstration an area of hemorrhage within the right thalamus measuring approximately 20 x 10 mm with surrounding edema and local mass effect on the third ventricle, which appears similar to the prior study. There is no e... | No significant change of size of hemorrhage centered in the right thalamus or locoregional mass effect. |
Generate impression based on findings. | 72 year old with history of mesothelioma. CHEST:LUNGS AND PLEURA: Postoperative findings of right pleurectomy and decortication are again seen, and there has been interval resolution of the previously seen right pneumothorax. No significant pleural effusion. Scattered pulmonary micronodules are unchanged, with one new ... | 1.Stable postoperative changes of right pleurectomy and decortication, with resolution of previously seen pneumothorax.2.Reference measurements of pleural thickening have decreased in size over the interval, however one new pleural-based nodule is seen for which appropriate follow-up is recommended.3.Right major fissur... |
Generate impression based on findings. | Recurrent mucoepidermoid cancer of the buccal and parotid area with possible lung mets. Please measure any lesions using recist criteria. Pre-chemotherapy. There is no evidence of an enhancing parenchymal mass in the brain. The grey-white matter differentiation appears to be intact. The ventricles are stable in size an... | 1. Compared to outside CT neck 9/13/2014, grossly similar size of heterogeneously enhancing soft tissue mass at the left infratemporal fossa and enhancing nodules deep to the zygomatic arch and anterior aspect of the left masseter muscle, given differences in scan plane and contrast timing.2. No significant change in s... |
Generate impression based on findings. | 67 years old, Male, Reason: evaluate for stone History: left flank pain, h/o urolithiasis, recurrent UTI, renal transplant pt Lack of IV contrast limits evaluation of abdominal parenchyma. Within these limitations the following observations are made:ABDOMEN:LUNG BASES: Small right and trace left pleural effusion with a... | 1.New bilateral pleural effusions.2.New ascites with fluid within the right paracolic gutter, adjacent to the transplanted kidney.3.No specific findings to account for the patient's flank pain. |
Generate impression based on findings. | Male, 56 years old, with history of pyriform sinus / supraglottic laryngeal cancer, status post CRT. Treatment related findings are again seen including volume loss on both sides of the neck, scarring along the fascial planes, and diffuse supraglottic mucosal hyperemia and thickening. No evidence of any nodular tissue ... | 1.Stable posttreatment findings in the neck with no evidence of local recurrence or nodal metastasis.2.New small pneumothorax at the left lung apex. Discussed with Dr. Villaflor at 3:30 PM on 1/6/15. |
Generate impression based on findings. | Ms. Wolf is a 77 year old female presenting for routine imaging. She has no current breast related complaints. Three standard views of both breasts (total of 6 images) were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pa... | 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. | 82-year-old male status post right total hip arthroplasty Status post right total hip arthroplasty in near-anatomic alignment without evidence of fracture or dislocation. Surgical drain and gas in the soft tissues reflects recent surgery. | Status post right total hip arthroplasty without evidence of complication. |
Generate impression based on findings. | Reason: history of metastatic renal and prostate cancer, on androgen ablation, assess for progression History: none CHEST:LUNGS AND PLEURA: Numerous pulmonary nodules redemonstrated. Reference right upper lobe nodule (image 34 series 4 entering 12 mm.Reference left lower lobe nodule is unchanged measuring 9 mm.Referenc... | 1.Redemonstration of is a innumerable pulmonary nodules. For the most part these are stable however there has been interval decrease in size or resolution of several of the pulmonary nodules.2.Stable retrocrural lymphadenopathy.3.Stable hepatic lesion can better be evaluated with use of intravenous contrast and dedicat... |
Generate impression based on findings. | Male 42 years old; Reason: Patient with a history of distal aorta dissection CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Main pulmonary trunk borderline in size, may be seen in setting of pulmonary arterial hypertension.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIA... | 1. Stable focal infrarenal aortic dissection.2. Foley catheter in collapsed bladder. Although bladder underdistended, circumferential wall thickening and mucosal enhancement seen, raising possibility for underlying cystitis. Correlation with patient's clinical history and urinalysis recommended. |
Generate impression based on findings. | Male 70 years old Reason: Follow up residual dissection, s/p tissue AVR/root replacement History: as above ANGIOGRAM: There has been interval replacement of the aortic valve as well as placement of vascular stent graft material within the ascending aorta. There is persistent aneurysmal dilatation of the ascending aorta... | 1.Postoperative changes related to aortic valve replacement and placement of endograft material within the ascending aorta.2.Hematoma extending from the ascending aorta into the distal thoracic aorta as described.3.Type A aortic dissection and associated aneurysmal dilatation of the aorta as detailed above.4.Cluster of... |
Generate impression based on findings. | 62-year-old male with history of substance abuse. Evaluate for pathology. There is no acute intracranial hemorrhage. Mild periventricular and subcortical white matter hypoattenuation most conspicuous in the left periatrial region compatible with age indeterminate ischemic small vessel disease. The gray white differenti... | No acute intracranial hemorrhage. Mild age indeterminate small vessel ischemic disease. |
Generate impression based on findings. | 72-year-old male with history of new weakness. Evaluate for intracranial hemorrhage. There is no evidence of intracranial hemorrhage or mass. There is mild periventricular and subcortical white matter hypoattenuation compatible with age indeterminate ischemic small vessel disease. The grey-white matter differentiation ... | 1.No evidence of acute intracranial hemorrhage. Mild age indeterminate ischemic small vessel disease.2.Deformity of the right lamina papyracea secondary to chronic trauma. |
Generate impression based on findings. | Male, 21 years old, with epilepsy. Axial imaging was acquired portably with a stereotactic frame in place. Preoperative imaging shows no significant abnormality. Imaging obtained during/after the procedure demonstrates newly placed left frontal, left temporal, and bilateral occipital burr holes. Through these holes tra... | Expected findings status post placement of multiple intracranial electrode arrays. |
Generate impression based on findings. | 42 year-old female with history of prior trauma. Evaluate for orbital wall fracture. There is a concave deformity of the right lamina papyracea containing orbital fat, likely chronic in etiology. There is no associated significant medial rectus deformity. There are no acute fractures. The frontal sinuses are under pneu... | Deformity of the right lamina papyracea secondary to chronic trauma. No acute fractures. |
Generate impression based on findings. | 52 year old with history of dense breasts and benign left breast calcifications. Three standard views of both breasts with repeat right MLO view 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 dist... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Tomosynthesis may be of benefit, especially given the patient's breast density. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign findi... |
Generate impression based on findings. | 82-year-old male with history of squamous cell carcinoma of the floor of the mouth LUNGS AND PLEURA: Scattered pulmonary micronodules and basilar atelectasis/scarring are unchanged. No significant pleural effusion.MEDIASTINUM AND HILA: Severe coronary artery ossifications. Heart size upper normal, unchanged, and there ... | Minimal basilar scarring/atelectasis, without evidence of metastatic disease. |
Generate impression based on findings. | Male 49 years old Reason: evaluate vasculature to support kidney transplant History: left toes amputated ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Dense splenic arterial calcifications.PANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | There are mild atherosclerotic calcifications of the proximal right common iliac artery. There are no significant atherosclerotic calcifications of the bilateral external iliac arteries seen. There are dense atherosclerotic calcifications of the bilateral internal iliac arteries bilaterally. |
Generate impression based on findings. | Female 65 years old; Reason: anal cancer follow up CHEST:LUNGS AND PLEURA: Visualized lung fields without significant change with scattered micronodules, for example, peripheral 2 mm right upper lobe lung nodule, image 21 series 80353.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right-sided chest ... | 1. Enlarging right inguinal adenopathy. New trace pelvic free fluid.2. Remainder of exam without significant change as described. |
Generate impression based on findings. | 69-year-old male with history of left-sided weakness. Evaluate for ischemia or hemorrhage. There is a large area of encephalomalacia in the territory of the right MCA involving much of the the frontal and temporal lobes as well as the right basal ganglia compatible with chronic infarction. There is associated ex vacuo ... | 1.Large chronic infarct in the territory of the right MCA. No evidence of acute intracranial hemorrhage.2.Mild age indeterminate ischemic small vessel disease of the remaining brain parenchyma. |
Generate impression based on findings. | Female 53 years old Reason: Stage IV pancreas cancer, please compare to previous scan and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: Numerous pulmonary nodules again identified, which overall are slightly increased in size from the prior examination. For reference purposes, a... | 1.Disease progression with interval increase in size of the patient's extensive retroperitoneal lymphadenopathy.2.Interval increase in size of the numerous pulmonary nodules, most consistent with metastatic disease.3.Subtle hypoattenuating lesion in the dome of the liver is worrisome for metastasis, although incomplete... |
Generate impression based on findings. | Ms. Williams is a 66 year old female recalled from screening mammogram for calcifications in the left medial breast. She has a family history of breast cancer in her sister. An ML view and three spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast pare... | Stable calcifications of the left breast, considered benign largely based on long term stability. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 12 months, after which the patient may be a candidate for a return to s... |
Generate impression based on findings. | 52-year-old male with history of DVT off anticoagulation, with tachypnea and tachycardia, evaluate for pulmonary embolism The comparison chest radiograph performed on 1/6/2015 demonstrates bibasilar opacities with pleural effusions.Single breath ventilation images show decreased activity in bilateral lung bases with su... | Intermediate probability for pulmonary embolism due to triple match perfusion defect in the left lower lobe. |
Generate impression based on findings. | Right cheek squamous cell carcinoma with parotid invasion, post resection with positive margins. Compared to 11/13/2014, interval postsurgical changes of lesion involving the right cheek, near total right parotidectomy, and right-sided neck dissection are seen. There is soft tissue thickening at the level of the previo... | 1. Interval postsurgical changes of resection involving the right cheek lesion, near total right parotidectomy, and right neck dissection. There appears to be gross total resection. Area of hyperdensity surrounding the small seroma in the right parotid surgical bed favored to represent postsurgical change, although sma... |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild to moderate global volume loss greater than expected for the patient's stated age. The basal cisterns remain patent. There is no midline shift or mass effect. There is redemonstration of gyral thickening and T2/FLAIR hyperintensity involving the cortex of bi... | 1. No significant interval change with no acute abnormality. Stable chronic findings of abnormal signal and mild gyral expansion involving cortex of bilateral insula, mesial temporal lobes/hippocampi, and anterior cingulate gyri.2. Mild-moderate global volume loss greater than expected for the patient's stated age, lik... |
Generate impression based on findings. | Ms. Cade is a 60 year old female with biopsy proven malignancy in the right breast status post neoadjuvant therapy. She now presents for reimaging to assess for response to chemotherapy. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is c... | Mild decrease in size of known malignancy within the right lower inner breast with continued extension towards the nipple. Surgical correlation is recommended as clinically warranted.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 75-year-old male with history of prostate cancer, rising PSA, evaluate for metastatic disease No abnormal osseous foci are identified to indicate metastatic disease. Faint soft tissue activity adjacent to the right 10th rib posteriorly corresponds with old retroperitoneal hematoma with peripheral calcification. Foci of... | No evidence of bone metastases. |
Generate impression based on findings. | 48-year-old female with history of recurrent mucoepidermoid cancer of the buccal and parotid area. Preclinical trial.RADIOPHARMACEUTICAL: 8.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 93 mg/dL. Today's CT portion of the abdomen and pelvis demonstrates multiple small hypoattenuating hepatic lesions that... | 1.Mixed metabolic response to therapy. The left neck tumor activity in the infratemporal fossa and within superficial masticator muscles remain markedly hypermetabolic and appear slightly progressed compared to previous exam. Previously identified bilateral hypermetabolic neck lymph node metastasis have resolved, howev... |
Generate impression based on findings. | 2-year-old male with hip subluxation.EXAMINATION: Pelvis AP and frog leg (two views), 1/6/2015, 1141 hrs. Ossification of femoral heads is symmetric. There is bilateral coxa valga deformity, right greater than left, with no significant femoral head uncovering. No evidence of acute fracture or malalignment. | Bilateral coxa valga deformity. |
Generate impression based on findings. | 37 year-old female status post Lisfranc reduction A cast obscures underlying osseous detail. There is a Lisfranc fracture with lateral dislocation of the first and second metatarsals. | Lisfranc fracture-dislocation. |
Generate impression based on findings. | 50 year-old female with trismus, right facial pain Somewhat limited examination due to technique, which demonstrates expected anterior translocation of the mandibular condyles with open mouth views. There is no frank dislocation or fracture. | Limited examination demonstrating no frank dislocation although further evaluation with dedicated MRI may be considered if clinically warranted as evaluation of the TMJ by radiography is limited. |
Generate impression based on findings. | 2-year-old male with hip subluxation.EXAMINATION: Pelvis AP and frog leg (two views), 1/6/2015, 1216 hrs. Femoral heads are well-directed into normally formed acetabula bilaterally. No evidence of fracture or malalignment. | Normal examination. |
Generate impression based on findings. | Male 15 years old Reason: fracture VIEWS: Right tibia-fibula AP and lateral 1/6/15 (two views) Two screws traversing the right distal metaphyses of the tibia and fibula is again noted, alignment is anatomic. No evidence of hardware complications. Proximal fibular healing fracture is in anatomic alignment as well. | Healing fractures, unchanged in alignment. No evidence of hardware complications. |
Generate impression based on findings. | Two-year old male with hip subluxation.EXAMINATION: Pelvis AP and frog leg (two views), 1/6/2015 1150 hrs. Ossification of the femoral heads is symmetric. Bilateral coxa valga deformity without significant femoral head uncovering. No evidence of acute fracture or malalignment in the pelvis. | Bilateral coxa valga deformity. |
Generate impression based on findings. | 5-year-old male with hip subluxation.EXAMINATION: Pelvis AP and frog leg (two views), 1/6/2015, 1236 hrs. Coxa valga deformities are again noted bilaterally with approximately 30% femoral head uncovering on the right, well-covered on the frog leg view. No evidence of acute fracture or malalignment. Copious stool is aga... | Bilateral coxa valga deformities. |
Generate impression based on findings. | Male, 84 years old. Reason: assess dobhoff placement position History: see above The lower pelvis is excluded from the field-of-view.Dobbhoff tube is not visualized in the field of view on this exam.Nonobstructive bowel gas pattern. | Dobbhoff tube is not visualized in the field of view on this exam. |
Generate impression based on findings. | 4-year-old male with hip subluxation.EXAMINATION: Pelvis AP and frog leg (two views), 1/6/2015, 1311 hrs. Bilateral coxa valga deformities are again noted with approximately 20% femoral head uncovering bilaterally. With frog leg positioning the left femoral head is well-covered by the acetabulum, however 20% uncovering... | Bilateral coxa valga deformities. |
Generate impression based on findings. | Female 47 days old Reason: CT placement History: s/p new CTVIEW: Chest AP (one view) 1/6/15 at 1612 hrs. ET tube tip is below thoracic inlet. Soft tissue edema again noted. Central line tip is at the left innominate vein. NG tube terminates at the stomach. Right-sided chest tube is again noted. Cardiac silhouette size ... | Interval improvement in left-sided pleural effusion after chest tube exchanged. |
Generate impression based on findings. | 72-year-old male status post Dobbhoff tube placement. Note that the pelvis was not included in the exam. The Dobbhoff tube has been pulled back and terminates in the intrathoracic stomach. Cholecystectomy clips are again seen. Nonobstructive bowel gas pattern with contrast within the small bowel. | Dobbhoff tube tip in the intrathoracic stomach. |
Generate impression based on findings. | Male, 84 years old. Reason: Where is Dobbhoff? History: Dobbhoff The lower pelvis is excluded from the field of view.A Dobbhoff tube is not clearly identified.Nonobstructive bowel gas pattern. | Dobbhoff tube is not seen within the field of view on this exam. |
Generate impression based on findings. | 51-year-old male with lung nodule and concern for malignancy. RADIOPHARMACEUTICAL: 8.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 115 mg/dL. Today's CT portion grossly demonstrates multiple enlarged bilateral cervical lymph nodes. There are also multiple enlarged anterior and middle mediastinal lymph no... | 1.Markedly hypermetabolic destructive lesions in the T3 through T5 anterior vertebral bodies highly suspicious for tumor activity.2.Mildly hypermetabolic activity in numerous enlarged lymph nodes in the neck, chest, and pelvis with an associated enlarged and mildly hypermetabolic spleen. The findings are suspicious for... |
Generate impression based on findings. | 53-year-old female with AML and fevers There are numerous missing and broken teeth with multiple caries. No specific evidence of osteomyelitis. | Poor dentition, as detailed above. |
Generate impression based on findings. | Abdominal pain. History of lymphoma and stem cell transplant ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable cholelithiasis without acute inflammation or ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ab... | Negative for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | 57 year old female with hypoxia and increased a gradient. Evaluate for lung disease. LUNGS AND PLEURA: Scattered pulmonary micronodules, unchanged. No pleural effusion, no consolidation and no fibrosis.MEDIASTINUM AND HILA: Heart size within normal limits, and there is no significant pericardial effusion. No mediastina... | Stable scattered pulmonary micronodules. No findings to suggest interstitial lung disease or other abnormality to explain the patient's hypoxia. |
Generate impression based on findings. | Female 46 years old Reason: 46 yr F with autoimmune enterocolitis History: Asses for small bowel thickening lesion or ulceration ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypoattenuating lesion in hepatic segment 2 is consistent with a simple hepatic cyst. Hypoattenuating lesion in hepat... | 1.Poor intraluminal contrast filling of the terminal ileum and rectosigmoid colon, giving the appearance of mild mucosal enhancement, nonspecific and may be due in part to underdistention.2.High-density foci within the small bowel, possibly ingested material. |
Generate impression based on findings. | Female 63 years old; Reason: Pt with hx of stage IV colon cancer now with NED, evaluate for progression. History: colon cancer. CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Enlarged thyroid nodules and gland.ABDO... | 1.Stable exam without evident metastatic disease. |
Generate impression based on findings. | 73 years old, Male, Reason: HNSCC. Compare to previous. History: as above CHEST:LUNGS AND PLEURA: Small right and trace left pleural effusions.Multiple new and enlarging pulmonary nodules suspicious for metastasis. Largest new pulmonary nodule in the right base measuring 8 mm (series 5, image 85). Patchy groundglass op... | 1.New and enlarging pulmonary metastases.2.Worsening bilateral hilar lymphadenopathy.3.Mildly enlarged axillary lymphadenopathy.4.Diffuse tumor in the neck is better evaluated on dedicated neck CT. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with minimal age-related volume loss, with mild nonspecific prominence of the lateral ventricles which is unchanged. Exuberant calcifications are incidentally noted along bilateral choroid plexus cysts in the atria. There is no midline shift or mass effect. There is n... | No acute intracranial abnormality. Stable mild chronic small vessel ischemic changes. |
Generate impression based on findings. | 35-year-old female with relapsed Hodgkin lymphoma status post two cycles of ICE in need of restaging.RADIOPHARMACEUTICAL: 9.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 95 mg/dL. Today's CT portion grossly demonstrates multiple surgical clips in the right neck. Left chest Port-A-Cath with tip in the SVC... | Several punctate subcentimeter mild to moderately hypermetabolic foci in the right inferior neck and right mediastinum are most likely inflammatory or minimal residual tumor metabolism. However, if there has been outside baseline PET, this would be useful for comparison. |
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