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Generate impression based on findings. | Reason: 37 y/o woman with breast cancer metastatic to bone currently on chemotherapy. Evaluate for extent of disease. History: New mid-chest pain. CHEST:LUNGS AND PLEURA: Interval resolution of the previously noted focal area of groundglass opacity in the left lower lobe.No suspicious pulmonary nodules or masses.No ple... | 1.Widespread osseous metastases with in the visualized axial skeleton without evidence of new sites of disease.2.Interval clearing of left breast nodules previously noted.3.Interval clearing of left lower lobe groundglass opacities. |
Generate impression based on findings. | 33 years, Male. Reason: cause of suprapubic pain? urinalysis unremarkable. 33M NK lymphoma, HLH. same pain as on admission that had resolved. History: suprapubic pain; hyperactive bowel sounds Nonobstructive bowel gas pattern. Splenomegaly is noted. | No acute intra-abdominal pathology visualized to account for patient's symptoms. |
Generate impression based on findings. | Chronic nasal obstruction and rhinorrhea; markedly deviated nasal septum seen on prior MRI, questionable right sided concha bullosa. The nasal septum and 7 mm wide spur are deviated towards the left. There is a right concha bullosa. There is mild mucosal thickening within the maxillary sinuses. The other paranasal sinu... | 1. The nasal septum and 7 mm wide spur are deviated towards the left and right concha bullosa.2. Mild mucosal thickening within the maxillary sinuses. The other paranasal sinuses are clear. |
Generate impression based on findings. | Preop for total knee arthroplasty. Status post gunshot wound Three views of the right knee with weight-bearing reveal severe osteoarthritis with marked medial joint space narrowing. There is medial and lateral ossified formation. Marked narrowing of the patellofemoral joint with osteophyte formation Two views of the ri... | Severe osteoarthritis. Preoperative examination |
Generate impression based on findings. | 45 years, Female. Reason: eval for kidney stone History: right flank pain Nonobstructive bowel gas pattern with average stool burden. No abnormal calcifications are seen to suggest renal calculi. Intrauterine device is noted. | No evidence of renal calculi. |
Generate impression based on findings. | Abdominal pain, evaluate for intraabdominal infection and colitis. ABDOMEN:LUNG BASES: Previously seen diffuse pulmonary opacities have resolved. Minimal residual basilar atelectasis/scarring. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormal... | 1.Diffuse pancolitis likely from inflammatory/infectious etiology, clostridium difficile colitis is a differential consideration. No evidence of obstruction.2.Interval resolution of diffuse pulmonary opacities.3.Near resolution of anasarca. |
Generate impression based on findings. | There are postsurgical changes of corpectomy at T9 and posterior spinal fusion extending from the T6 to T12 levels. There is diffuse heterogeneity of the bone marrow compatible which is nonspecific but compatible with known multiple myeloma.There is minimal loss of height involving the T4 vertebral body. There is also... | 1. Postsurgical changes of T9 corpectomy and posterior spinal fusion from T6 to T12. CT may be helpful to better evaluate the hardware if clinically warranted although no hardware fracture or displacement is seen on prior radiographs from 9/24/2013.2. Mild compression fractures are seen at T4, T6, and T12. Compared to ... |
Generate impression based on findings. | Reason: lung nodule History: lung nodule LUNGS AND PLEURA: Severe centrilobular emphysema. Status post right upper lobe resection with stable linear and nodular scarring near the right lung apex.An 11 x 11 mm anterior left upper lobe ground glass nodule (series 7, image 61) is unchanged in appearance. A previously iden... | 1. Stable 1cm left upper lobe ground glass nodule. Continued followup is recommended for this lesion.2. Resolution of scattered small nodules and new scattered small peribronchovascular left lower lobe nodules are likely related to inflammatory process, including aspiration. 3. Additional scattered small lung nodules, ... |
Generate impression based on findings. | 64 year old male. Persistent subcutaneous emphysema. Evalaute for placement of IR drain/new airspaces in lung. Malignant mesothelioma s/p pleurectomy and decortication. LUNGS AND PLEURA: Interval placement of a small bore chest tube in the left base anterior moderate pneumothorax (series 5, image 60), which is not sign... | Interval placement of small bore chest tube in a moderate left anterior pneumothorax, which is not significantly changed in size. |
Generate impression based on findings. | Reason: History of metastatic breast cancer, on treatment. Compare to prior imaging, evaluate for response \T\ extent of disease. History: History of metastatic breast cancer, on treatment. Compare to prior imaging, evaluate for response \T\ extent of disease. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or ... | 1.Resolved left axillary lymphadenopathy. No new sites of osseous metastases.2.Interval kyphoplasty at the L2 level |
Generate impression based on findings. | Dyspnea and the large mediastinal mass, most likely lung primary.RADIOPHARMACEUTICAL: 11.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 78 mg/dL. Today's CT portion grossly demonstrates near complete atelectasis and consolidation of the right upper lobe secondary to proximal bronchial obstruction similar ... | 1.Significantly increased FDG avid activity in the right perihilar/paratracheal region corresponding to the primary lung malignancy.2.There is likely right paratracheal lymph node involvement. 3.No distant metastases, including no abnormal activity in the bilateral adrenal nodules. |
Generate impression based on findings. | Status post fall. Wrist pain Three Views of the left wrist reveal no evidence of any fractures or dislocations. No radiographic abnormalities | Negative left wrist examination |
Generate impression based on findings. | Lymphoma and recurrent fevers. There is minimal mucosal thickening in the right maxillary sinus without an air-fluid level. The ethmoid sinuses, frontal sinuses, and sphenoid sinuses are clear. The nasal cavity is also clear. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are co... | Minimal right maxillary mucosal thickening without specific findings of acute sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Follow up fracture Two views of the left femur reveal a comminuted intratrochanteric fracture that is fixed with a trochanteric femoral nail. The bones appear in near anatomic alignment. No change in position from the previous exam. | Rodding of comminuted intratrochanteric fracture |
Generate impression based on findings. | 54 years, Female. Reason: assess for stool burden or SB obstruction History: bloating/abdominal pain/ constipation Nonobstructive bowel gas pattern with slightly greater than average stool burden in the colon. | Slightly greater than average stool burden without evidence of obstruction. |
Generate impression based on findings. | Metastatic RCC. Evaluate for response to therapy. There is redemonstration of increased radiotracer uptake within the proximal right humerus, with a photopenic center, and the mid-left humerus. Focal radiotracer uptake in the right posterior fifth rib and T8 vertebrae are unchanged. There is new soft tissue activity wi... | 1. Stable appearance of existing metastatic lesions without definite new lesion. 2. New non-specific soft tissue uptake may represent dystrophic calcification. |
Generate impression based on findings. | 51 year-old woman history of known right breast cancer on neoadjuvant chemotherapy. Three standard views of the right breast and repeat right ML view 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 distribu... | Decrease in size of right breast mass without residual visible mass. Patient is scheduled for surgery next week, management as per surgery service is recommended.BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 56 years, Male. Reason: Assess fecal load History: Diarrhea/ constipation; on morphine pump Nonobstructive bowel gas pattern. Average stool burden in the colon. Pump device projects over the right lower abdomen with tubing extending to the spine. | Average stool burden within the colon and nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 31 years old Reason: eval for fracture History: s/p fall w back and l hip pain. We have 5 views of the lumbar spine. Vertebral body height and disk spaces are preserved. There is near-anatomic alignment of the lumbar spine. No acute fracture or subluxation is noted.AP view of the pelvis and left hip demonstrate os... | No acute fracture or subluxation. Chronic changes consistent with bilateral femoral acetabular impingement are noted. |
Generate impression based on findings. | History of metastatic breast cancer to bone. Evaluate bone involvement/spine. History of thoracic metastatic lesion resection and fusion. There is redemonstration of increased radiotracer uptake within the left posterior 9th rib and faintly increased activity within the L2 vertebrae corresponding to healing pathologic ... | Multiple osseous metastatic foci are similar to the prior examination. Note that disease burden may be underestimated on bone scan due to the lytic nature of some of the lesions, which may not be visibile on bone scan. Please refer to CT to better visualize these lytic lesions. |
Generate impression based on findings. | Kidney donor, living kidney donor protocol. CT Angiography: There is no evidence of aortic aneurysm, dissection, or significant stenosis. The origins of the great vessels, celiac axis, SMA, and renal arteries are patent. No evidence of atherosclerotic disease. There is a replaced right hepatic artery, normal variant.AB... | 1.Two orthotopic kidneys without significant abnormality. 2.Left kidney with inferior pole accessory artery. 3.Right kidney drained by two renal veins. |
Generate impression based on findings. | 4-year-old male with hip subluxationVIEWS: Pelvis AP and frog leg (two views) 2/10/15 10:48 The femoral heads are well directed with respect to the normal acetabula. The bones of the pelvis appear normal. | Normal examination. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none LUNGS AND PLEURA: Surgical changes of resection of the right lung base, with decreased adjacent consolidation and decreased small right pleural effusion. Stable right middle lobe and right lower lobe perihilar consolidation.Reference necrotic nodul... | Continued overall improvement in right-sided intrapulmonary and pleural metastatic disease. |
Generate impression based on findings. | Reason: lung cancer History: history of LUL lobectomy for Stage IIB adenocarcinoma. Being followed for RUL GGO and LUL nodule LUNGS AND PLEURA: Status post left upper lobectomy.9-mm right apical ground glass nodule (image 18 series 5) is unchanged.Stable 6-mm left lower lobe ground glass opacity (image 133 series 6).St... | Stable multiple subcentimeter groundglass nodules compatible with atypical adenomatous hyperplasia or possibly adenocarcinoma in situ. Continued annual follow up examination is recommended. |
Generate impression based on findings. | 59-year-old female with ankle and foot pain. Diffuse soft tissue swelling is noted about the ankle and foot. No acute fracture or dislocation is identified. Incidental note is made of a type 1 accessory navicular. | Diffuse soft tissue swelling without acute fracture identified. |
Generate impression based on findings. | 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. The calvarium is unremarkable without fracture. The imaged portions of the orbits, paranasal sinuses, and mastoid air cells are u... | No evidence of acute intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct and posterior reversible encephalopathy syndrome.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 1-year and 10 month old female, rule out ricketsEXAMINATION: Right wrist PA, Right knee AP (2 views) 2/10/2014 12:21 No widening of the physis. No metaphyseal cupping or fraying is seen. Normal alignment with no evidence of fracture or dislocation. | Normal examination. No evidence of rickets. |
Generate impression based on findings. | 75 years, Female, Reason: 75 year-old female, underwent colonoscopy today with concern for malignancy at distal sigmoid colon. CT chest/abd/pelvis for staging and to rule out perforation given friability of mass History: as above. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. Nonspecific lingular ... | 1.Long segment of bowel thickening and pericolonic inflammatory changes in the sigmoid colon with an adjacent enlarged mesenteric lymph node is suspicious for neoplasm. 2.Additional regions of narrowing with adjacent inflammatory changes within the mid small bowel and terminal ileal thickening are nonspecific3.Nonspeci... |
Generate impression based on findings. | Female 54 years old Reason: hallux valgus History: pain. There is hallux valgus of the right foot. There are no acute fractures or dislocations. The soft tissues are within normal limits. | Hallux valgus of the right foot. |
Generate impression based on findings. | 62 year old female with right shoulder pain. No acute fracture or dislocation is identified. Alignment is anatomic. No significant degenerative changes. | Normal examination. |
Generate impression based on findings. | 37 year old female with history of Lisfranc injury status post orthopedic fixation. Two orthopedic screws affix the medial cuneiform to the first metatarsal. An additional screw affixes the head of the second metatarsal to the medial cuneiform. A 4th screw affixes the middle cuneiform to the second metatarsal. A fifth ... | Orthopedic fixation as described above without evidence of hardware complication or significant interval change. |
Generate impression based on findings. | Female 50 years old Reason: neck and right arm pain History: neck and right arm pain. Intravertebral disk spaces are preserved. There is no acute fracture or subluxation. Cervical spine is in anatomic alignment. | No acute fracture or subluxation. |
Generate impression based on findings. | 17 year-old female with headache, rule out shunt malfunctionVIEWS: Abdomen, AP and lateral (two views) 2/11/15 14:18 A lumbar catheter enters into the spinal canal at the level of L3/4 with its tip extending superiorly to T11. The Strata valve is is not seen en face and its setting cannot be evaluated. The shunt cathet... | No evidence of shunt malfunction. |
Generate impression based on findings. | 49 year old female. 1 month bilateral lung transplant per protocol. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Postsurgical findings of bilateral lung transplant. Small bilateral pleural effusions. Left upper lobe 5 mm groundglass nodule (series 9, image 33).MEDIASTINUM AND HILA: Dilated ma... | 1. No evidence of pulmonary embolism. 2. 5 mm left upper lobe groundglass nodule is indeterminate, follow-up in 3 months is recommended.3. Small bilateral pleural effusions.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 55-year-old female with right hip prosthesis and concern for loosening. Evaluate for bone stock. Exam is limited by significant streak artifact from metal hardware.There is a total right hip arthroplasty device with marked vertical displacement of the acetabular component, also seen on prior radiographs. As a result, t... | 1.Vertical displacement of the acetabular component of the total right hip arthroplasty device as seen on prior radiographs.2.No evidence of bone resorption about the femoral stem. Evaluation of bone stock about the more proximal hardware is limited by significant streak artifact. |
Generate impression based on findings. | 46 year-old female with right shoulder pain. No acute fracture or dislocation. The humeral head articulates normally with the glenoid on the axillary view. | Normal examination. |
Generate impression based on findings. | Male 71 years old; Reason: muscle invasive bladder cancer - CT for preoperative staging History: muscle invasive bladder cancer - CT for preoperative staging CHEST:LUNGS AND PLEURA: Severe emphysema. There are soft tissue masses in the upper lobes slightly larger on the left. The lesion on the left measures 3.1 x 2.2 c... | 1.Asymmetric bladder wall thickening and hyper enhancement compatible with the patient's known malignancy.2.No evidence of distant metastatic disease in the abdomen or pelvis.3.Abnormal lung findings which appear stable from prior. The lack of interval change favors a benign process. |
Generate impression based on findings. | AORTOGRAM: Normal caliber aorta with no evidence of stenosis or aneurysm. Normal appearing single bilateral renal arteries. PELVIC ANGIOGRAM: Common, internal and external iliac arteries are widely patent. LEFT LOWER EXTREMITY: The common and deep femoral arteries widely patent. The superficial femoral artery is occlu... | Aortogram and left leg angiogram with findings as noted above. Occlusion of the left superficial femoral artery with reconstitution of left popliteal artery via collaterals. The peroneal artery runoff.PLAN: The patient will follow-up in vascular clinic to discuss surgical options. |
Generate impression based on findings. | LIVER: Normal echogenicity measuring up to 15.4 cm in longitudinal dimension. No intra-or extrahepatic biliary ductal dilatation. No perihepatic fluid.GALLBLADDER, BILIARY TRACT: Normal echogenicity, nondistended. No cholelithiasis, gallbladder wall thickening (1 mm in thickness) or pericholecystic fluid. Common bile ... | Normal examination. |
Generate impression based on findings. | Clinical question: Signs and symptoms: Follow-up from previous CTh. Signs and symptoms: Same. Unenhanced head CT:Examination demonstrates interval increased size of right lateral ventricle. The trigonal right lateral ventricle measures approximately 21 mm in transverse axis compared to prior study measurement of 14. Th... | 1.Slight interval increased size of right lateral ventricle since prior study as measured above.2.No significant change in the size, extent and surrounding vasogenic edema of the left hemispheric hematoma.3.Slight interval decreased midline shift to the right to 12.7-mm at the level of septum pellucidum compared to pri... |
Generate impression based on findings. | 54 year old male. History of recurrent thyroid cancer. RUL PET avid nodule. LUNGS AND PLEURA: Previously seen right upper lobe nodule has resolved, and was most likely infectious/inflammatory. Scattered nodules bilaterally, measuring up to 5 mm right lower lobe nodule (series 6, image 62); prior PET-CT images are nondi... | 1. Interval resolution of right upper lobe nodule, which was most likely infectious/inflammatory. Scattered nodules bilaterally, measuring up to 5 mm, outside hospital images for comparison if available is requested to determine their stability; if this is not possible, follow-up CT in 6 to 12 months is recommended.2. ... |
Generate impression based on findings. | Reason: assess for lung cancer History: hyponatremia, CXR: elevation of R.hemithorax LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal airspace consolidation. Minimal basilar scarring/subsegmental atelectasis. No pleural effusions.MEDIASTINUM AND HILA: Heterogeneous thyroid nodules, left greater tha... | 1. No suspicious pulmonary nodules or masses. No other acute cardiopulmonary abnormality.2. Heterogeneous approximately 2cm left adrenal nodule, slightly decreased from the prior CT exam dated 08/2012, likely benign. |
Generate impression based on findings. | 40 years, Female, Reason: kidney stones History: flank. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly. Diffuse hypoattenuation suggests steatosis.SPLEEN: Multiple small splenules.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, U... | No CT findings to account for the patient's symptoms. |
Generate impression based on findings. | Clinical question: Head and neck cancer, please evaluate for abnormality? CVA. Signs and symptoms: None Nonenhanced head CT:Examination demonstrates a new focus of cortical and subcortical white matter low attenuation which result in effacement of adjacent cortical sulci in the left angular gyrus and consistent with a ... | 1.Small right angular gyrus subacute nonhemorrhagic ischemic stroke with subtle regional mass-effect.2.Small bilateral cerebellar chronic ischemic strokes since multiple prior exams. |
Generate impression based on findings. | 14 year-old female with knee pain. Evaluate for fracture.VIEWS: Knees standing AP/notch, knees merchant, right knee lateral, left knee lateral ( right knee - 4 views, left knee -- 4 views) 14:15 Articular surfaces of the distal femurs and proximal tibias are smooth. No loose bodies are present. Alignment is normal. No ... | Normal examination. |
Generate impression based on findings. | History hepatocellular carcinoma now status post Therasphere mapping. CHEST:LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema. MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy. Severe atherosclerotic calcifications of the coronary arteries. Moderate hiatal hernia.CHEST WALL: No significant ... | 1.Multiple arterially enhancing hepatic lesions compatible with HCC as detailed above, not significantly changed from prior. 2.Cirrhotic morphology of the liver with findings compatible with portal hypertension.3.New small splenic infarct. |
Generate impression based on findings. | Evaluate portal venous flow biliary tract patency. Hyperbilirubinemia. LIMITED ABDOMENLIVER: The liver measures 15 cm in length. It remains slightly echogenic but there is no evidence of intrahepatic biliary ductal dilatation.BILIARY TRACT: The common duct measures 2 mm which is within normal limits.PANCREAS: No signif... | Patent hepatic vasculature. No evidence of dilated bile ducts. Varices. Echogenic liver as noted previously. |
Generate impression based on findings. | Adenocarcinoma of lung, some increasing chest pain and syncope. PULMONARY ARTERIES: Excellent infusion quality. No evidence of embolus. The right upper lobe pulmonary artery is encased and narrowed by tumor but remains patent. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Moderate right pleural effus... | No evidence of pulmonary embolus. Right apical spiculated nodule consistent with tumor. Confluent tumor/lymphadenopathy extends from the lower right cervical space to involve the right hilum with probable contralateral nodal metastases. Flattening of the distal trachea and proximal mainstem bronchi by adenopathy/tumor.... |
Generate impression based on findings. | Mesothelioma, compared to prior CHEST:LUNGS AND PLEURA: Scattered right hemithorax changes remain unchanged and compatible with known underlying mesothelioma. Underlying subpleural reticulation and subtle honeycombing again consistent with fibrotic changes greater in both bases. No new superimposed focal findings. Mode... | Unchanged reference measurements |
Generate impression based on findings. | HCC screening. Chronic hepatitis C. LIVER: Liver slightly echogenic with coarsened echotexture but without focal lesions. No intrahepatic biliary ductal dilation. Portal vein is patient with flow toward the liver. Liver measures 15.5 cm in length.GALLBLADDER, BILIARY TRACT: Common duct measures 4 mm which is within nor... | Echogenic liver without focal lesions. Collapsed gallbladder secondary to a recent meal. |
Generate impression based on findings. | Right parotiditis and history of treated supraglottic squamous cell carcinoma. There is interval resolution of the left parotid gland swelling and stranding of the overlying subcutaneous tissues. The other salivary glands appear unchanged. There are post-treatment findings in the supraglottic region without evidence of... | 1. No of residual measurable tumor supraglottic laryngeal carcinoma or evidence of significant cervical lymphadenopathy.2. Interval resolution of the left parotitis.3. Persistent right thyroid lobe nodule with calcification. A thyroid ultrasound may be useful for further evaluation.4. Prominent ossification of the post... |
Generate impression based on findings. | 66-year-old female. Tachycardia, tachypnea. PULMONARY ARTERIES: Motion artifact somewhat limits exam, which is diagnostic for PE to the segmental arterial level. Interval resolution of previously seen partially occlusive pulmonary emboli in the left upper and right middle lobes. No pulmonary embolism is identified on t... | 1. Interval resolution of previously seen pulmonary emboli. No current evidence of pulmonary embolism to the segmental level.2. Pleural effusions and mild pulmonary edema, likely related to CHF.3. Reference groundglass nodules are unchanged and indeterminate. Continued follow-up in 7-13 months is recommended.PULMONARY ... |
Generate impression based on findings. | Female 67 years old Reason: evaluate for any abscesses - signs of infection - especially groin areas. History: persistent fevers, groin lines that were infected with MDROs CHEST: The exam is suboptimal secondary to motion artifact.LUNGS AND PLEURA: Nonspecific left upper lobe mass-like opacity measuring 2.2 x 1.1 cm (s... | 1.Gallbladder wall thickening with adjacent soft tissue edema which is worrisome for acute cholecystitis. Recommend right upper quadrant ultrasound.2.Nonspecific nodular opacity in the left upper lobe. Recommend follow-up to resolution. |
Generate impression based on findings. | 67 years, Male. Reason: NGT placement advanced History: NGT placement Dobbhoff tube with tip projecting over the gastric fundus. Nonobstructive bowel gas pattern with multiple air-filled loops of bowel. Note that the pelvis is excluded from the field-of-view. | Dobbhoff tube tip projecting over the gastric fundus. |
Generate impression based on findings. | 19 year-old male with history of cystic fibrosis. Evaluate bronchiectasis.VIEWS: Chest PA/lateral (two views) 2/11/2015 Left chest wall Port-A-Cath tip terminates in the right atrium. Gastrostomy tube in the stomach. Cardiac silhouette is normal. AP diameter of the chest is increased unchanged from prior exam. Diffuse ... | Chronic changes of cystic fibrosis with slight decrease in nonspecific right peripheral nodular opacities. |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: Interval progression of the numerous bilateral pulmonary nodules and masses with increasing confluence. The left lower lobe mass currently measures 4.2 x 3.9 cm (image 34 series 7) with increasing fullness and decreased lobularity. The reference right lower lobe nodule (im... | Interval increasing size of multiple numerous bilateral pulmonary nodules and masses, representing known metastatic disease. Grossly stable lymphadenopathy |
Generate impression based on findings. | Metastatic prostate cancer and wheezing. Known right pelvic lesion. The right ischial metastasis is again visualized and is unchanged. New left third and fourth rib lesions indicate likely new rib fractures. The previous fracture of the left fifth rib remains stable and the activity in the previous left 7th rib fractur... | Stable right ischial metastasis. Probable new fractures in left ribs. |
Generate impression based on findings. | 67 year old woman with history of prior abnormal mammogram and left breast biopsy. Three standard views of both breasts 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 composed of scattered fibroglandular density, unchanged in... | Waxing and waning simple cysts without 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 Mammogra... |
Generate impression based on findings. | Male 59 years old Reason: 59yo M w/ pancreatic Ca p/w anasarca and ascites History: evaluate liver and abdominal organs Somewhat limited by patient discomfort during the exam. LIVER: The liver has a nodular contour. Liver measures 14.5 cm in length. The parenchyma demonstrates a coarsened echotexture. No discrete hepat... | 1.Patent hepatic vasculature.2.Cirrhotic liver morphology.3.Large amount of ascites. |
Generate impression based on findings. | Cervical radiculopathy The cervical vertebral bodies are appropriate height. There is minimal anterolisthesis of C4 on C5. Alignment is otherwise maintained. No fractures are identified in the cervical spine. No suspicious bony lesions are identified in the cervical spine.Degenerative changes are seen including disk os... | Degenerative changes in the cervical spine with moderate bilateral neural foraminal stenosis at C5-C6 and on the right at C4-C5. |
Generate impression based on findings. | 23-year-old female patient with infertility. Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity with filling defects in the uterine cavity, likely representing blood clots, as the patient was actively bleeding. Both tubes were not opacified by contras... | Bilateral nonpatent fallopian tubes. |
Generate impression based on findings. | Right lower lobe lobectomy for squamous cell carcinoma LUNGS AND PLEURA: Stable appearing severe centrilobular emphysema without evidence of superimposed acute abnormality. Mild basilar atelectasis and/or scarring with no effusions. No suspicious nodules or masses. Scattered micronodulesThe scarlike opacity in the righ... | Severe centrilobular emphysema without suspicious new nodules or masses. Right lobe suspected scarring unchanged |
Generate impression based on findings. | Periumbilical abdominal pain, diarrhea. Assess for Crohn's disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS... | No CT findings to explain periumbilical abdominal pain. No CT evidence of Crohn's disease as clinically queried. |
Generate impression based on findings. | Cough and a newly diagnosed lung malignancy.RADIOPHARMACEUTICAL: 11.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 109 mg/dL. Today's CT portion again grossly demonstrates a large right lower lobe mass with chest wall invasion and large right hilar mass most compatible with a primary lung malignancy with ... | 1.Significantly increased FDG avid activity in the right lung base mass with chest wall invasion, right hilar/infrahilar mass, and throughout the mediastinum are compatible with a primary lung malignancy with metastases.2.Abnormally increased activity in the large left renal mass is compatible with either metastasis or... |
Generate impression based on findings. | Male 42 years old Reason: ro SBO History: RLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abno... | No evidence of active bowel inflammation or small bowel obstruction. |
Generate impression based on findings. | 36-year-old female with pain over the lumbar region. No acute fracture or malalignment. Vertebral body heights are preserved. | Normal examination. |
Generate impression based on findings. | 17-week-old female with history of HLH, pretransplant evaluation CHEST:LUNGS AND PLEURA: No suspicious nodules, opacities or pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal.CHEST WALL: No axillary lymphadenopathy.ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion... | Mild ascites without evidence of lymphadenopathy. |
Generate impression based on findings. | Frontal sinuses and sphenoid sinuses have not yet pneumatized, which is within normal limits for age. Maxillary and ethmoid sinuses are partially pneumatized and demonstrate opacification, which is nonspecific. The nasal cavity is clear. No findings to suggest an aggressive sinonasal process. Visualized brain parenchy... | Please note imaging evaluation for sinusitis in this age group is very limited. Frontal and sphenoid sinuses have not yet pneumatized. There is partial opacification of the partially pneumatized maxillary sinus and ethmoid air cells, which can be normal in this age group. |
Generate impression based on findings. | Female 64 years old Reason: 64 y/o with history of stage 3 colon ca s/p hemicolectomy please restage History: see above CHEST:LUNGS AND PLEURA: Left lower lobe solid nodule measures 0.5 x 0.5 cm (image 60; series 4), unchanged. Additional ground glass nodules in the left lung base are not significantly changed. Lobe pr... | Solid left lower lobe pulmonary micronodules which is unchanged. Otherwise stable examination. |
Generate impression based on findings. | Male 19 years old Reason: follow up History: follow up. A plate and screws device affixes the distal fibula and screw affixes the medial distal tibia, both in anatomic alignment. There is an associated irregularity of the medial malleolus. No fracture line is seen. There is medial greater than lateral soft tissue swell... | Postsurgical changes as described above without distinct fracture line. Medial greater than lateral soft tissue swelling. |
Generate impression based on findings. | Dyspnea on exertion status post lung transplant. Additional history of Crohn's disease and small bowel adenocarcinoma. History of left lung transplant and kidney transplant. LUNGS AND PLEURA: The transplanted the left lung is well expanded however within the left lower lobe, there are multifocal clustered airspace opac... | 1. Left lower lobe bronchiolitis pattern with confluent nodular opacities and evidence of bronchiolar disease. Bronchopneumonia is the most likely diagnosis however in the absence of clinical signs of infection recurrent complication related to the patient's primary disease such as granulomatous or eosinophilic bronchi... |
Generate impression based on findings. | Female, 58 years old, with several intracranial aneurysms, assess for change. Plan for surgery/coiling. Non-angiographic findings:Evidence of left pterional craniotomy is again seen. A left paraclinoid aneurysm clip and adjacent aneurysm coiling are stable in position. Extensive encephalomalacia involving the left midd... | 1. An aneurysm arising from the communicating segment of the right ICA shows no significant interval change in size or morphology.2. A suspected 2-mm aneurysm at the level of the left anterior choroidal artery is not as well seen on the present study, perhaps secondary to differences in technique and distribution of ar... |
Generate impression based on findings. | Male 67 years old Reason: r/o fracture History: fell back onto concrete steps, persistent pain wraps around to abdomen for one month. There is moderate kyphosis of the thoracic spine. Vertebral body heights are preserved. There is no definite fracture. | No definite evidence of fracture. |
Generate impression based on findings. | Testicular cancer staging prior to retroperitoneal lymph node dissection. ABDOMEN:LUNG BASES: No significant abnormality identifiedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNE... | No CT evidence of metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | Right lower quadrant pain, vomiting, and previous history of obstruction. 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, U... | 1.No evidence of bowel obstruction. 2.Normal appearing appendix.3.Small amount of free fluid adjacent to the base of the cecum of unclear significance. The adjacent cecum appears unremarkable. |
Generate impression based on findings. | Male 67 years old Reason: Dedicated pancreas study for 67 y/o M with CLL on ibrutinib, increased abdominal pain, h/o of pancreas lesion. Eval for increased LAN, pancreatic lesion,any abnormal findings History: abd pain, diarrhea, night sweats, elevated LFT CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIAST... | 1.Extensive mesenteric and retroperitoneal lymphadenopathy has slightly increased in size.2.No pancreatic lesion. |
Generate impression based on findings. | Reason: HNSCC 30D post CRT evaluation. Compare to previous. History: as above LUNGS AND PLEURA: Mild centrilobular emphysema. Mild bronchial wall thickening. A right lower lobe solid pulmonary nodule measures 6 mm (series 5, image 60) and was not clearly seen on prior imaging. Additional scattered pulmonary and pleural... | 1. New right lower lobe 6-mm solid pulmonary nodule. Followup imaging is recommended in 3-6 months in a high risk patient.2. A mildly enlarged subcarinal lymph node is stable dating back to 01/2014, nonspecific in etiology. |
Generate impression based on findings. | 13-month-old male with shortness of breath, history of ASD VIEWS: Chest AP/lateral (two views) 2/11/15 Mild bronchial wall thickening, suggesting bronchiolitis or reactive airway disease. No consolidation or pleural effusion. Although the transverse diameter of the heart appears mildly increased on the frontal view, th... | Bronchiolitis or reactive airway disease without enlargement of the cardiac silhouette. |
Generate impression based on findings. | Headache No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus.There are multiple areas of hypoattenuatio... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Multiple areas of hypoattenuation in the periventricular and subcortical white matter are of uncertain etiology but are present on recent MRI from 2/8/2015. These may be related to vasculopathy related to lupus or PRES. MR can better assess for interval... |
Generate impression based on findings. | 58-year-old male. History of AML with suspected fungal pneumonia. Evaluate for interval improvement. LUNGS AND PLEURA: Small to moderate right partially loculated pleural effusion is unchanged.Right lower lobe consolidation consistent with infection, unchanged.Small left upper lobe subpleural nodular opacity is unchang... | Right lower lobe consolidation consistent with chronic infection and associated pleural effusion, unchanged. No significant acute abnormality. |
Generate impression based on findings. | 3 year-old male with history of trauma. Head: There is no evidence of acute intracranial hemorrhage. The gray-white differentiation is preserved. The basal cisterns are intact. The ventricles and sulci are symmetric. There is no depressed calvarial fracture. The soft tissues of the scalp are unremarkable.Cervical spine... | 1. No evidence of acute intracranial hemorrhage.2. No acute cervical spine fracture. |
Generate impression based on findings. | History of Crohn's disease and hernia surgery now with left lower quadrant pain, evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a low attenuation hepatic lesion in segment 6 (series 3, image 51) measuring 3.0 x 2.4 cm which is incompletely charac... | 1.Acute inflammation of the terminal ileum likely related to Crohn's disease causing proximal small bowel obstruction.2.Small foci of gas in the pelvis raise the possibly a small abscess or developing fistula. No drainable abscess. 3.Low-attenuation hepatic lesions incompletely characterized but favor benign.Findings c... |
Generate impression based on findings. | There are post-treatment findings with persistent diffuse pharyngeal mucosal space, retropharyngeal space, and parapharyngeal space edema. There is interval increase in size of a heterogeneous left level 2 lymph nodes that measure up to 16 mm in short axis, previously 12 mm in short axis. There is also an adjacent ill... | 1. Interval disease progression in left neck, including lymphadenopathy with suggestion of extracapsular extension and perhaps tumor recurrence along the lateral aspect of the left soft palate treatment bed.2. Extensive dental disease. |
Generate impression based on findings. | Female 29 years old Reason: fx f/u History: pain. Sideplate and screws affixing the distal ulna and radius diaphyseal fractures. The radial fracture line is indistinct with callus formation indicating interval healing. The ulnar fracture line, while identifiable, appears somewhat less distinct when compared to the prio... | Orthopedic fixation of healing distal radius and ulnar fractures. |
Generate impression based on findings. | T1N0 right parotid adenoid cystic carcinoma, status post radiation therapy and surgery with right jaw pain. Evaluate for right jaw osteomyelitis. There are stable postoperative findings related to right parotidectomy and right face and neck radiation therapy. The other salivary glands are unchanged and there is no evid... | 1. Postoperative findings related to right parotidectomy without evidence of measurable mass lesions. 2. No definite significant lymphadenopathy to suggest metastatic disease. 3. Interval right mandibular ramus debridement, with a new defect in the retromolar trigone area, which may reflect excision and curettage, and ... |
Generate impression based on findings. | There is extensive opacification involving the bilateral anterior and posterior ethmoid air cells, sphenoid sinuses, left greater than right maxillary sinus, as well as right greater than left frontal sinus. Multiple areas of hyperdensity are noted throughout the paranasal sinuses. There is diffuse mucoperiosteal thic... | 1. Extensive paranasal sinus opacification is most compatible with chronic sinonasal polyposis or allergic fungal sinusitis. Multiple areas of hyperdensity are seen which may be related to inspissated secretions versus chronic fungal colonization. Bony remodeling and erosions are also seen, particularly in the left ant... |
Generate impression based on findings. | Reason: evaluate for underlying lung issue History: shortness of breath PULMONARY ARTERIES: No pulmonary arterial filling defects is to the segmental level. Main pulmonary arteries normal in caliber. No evidence of right heart strain.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal air space consol... | No evidence of pulmonary embolism or other acute cardiopulmonary abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Alignment is anatomic. Vertebral body and disk space heights are preserved without fracture. No spinal canal or neural foraminal stenosis at any level.There are inflammatory changes along the posterior paraspinal subcutaneous tissues without discrete fluid collections. The paraspinal musculature is otherwise unremarka... | 1. Posterior paraspinal subcutaneous inflammatory changes without discrete fluid collections. Lumbar spine is otherwise unremarkable. 2. Colonic wall thickening and mesenteric inflammation is better visualized on CT abdomen from the same day. |
Generate impression based on findings. | Breast cancer CHEST: Scattered micronodules and a loop solitary calcified granuloma in the right upper lobe. No superimposed acute abnormalities, specifically no suspicious nodules or masses. No effusions. Mild centrilobular emphysematous changes.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: ... | No suspicious abnormalities to suggest anesthetic disease. |
Generate impression based on findings. | 57-year-old female presents with right knee pain and swelling status post fall. No acute fracture or dislocation. Alignment is anatomic. Mild sharpening of the tibial spines is noted. | Mild degenerative changes without fracture. |
Generate impression based on findings. | Male 79 years old Reason: rectal cancer s/p resection with ileostomy, eval for anastomotic leak History: fluid and tissue protruding through rectum CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BIL... | Disruption of the connection between the distal colon and the anus with associated presacral complex gas collection which drains to the anus. Findings are worrisome for dehiscence of coloanal anastomosis. |
Generate impression based on findings. | 75 year-old female with left knee pain and swelling. Evaluate for septic arthritis. No acute fracture or dislocation. No evidence of knee joint effusion or bony erosive changes. Generalized osteopenia is present. | No radiographic evidence of septic arthritis or other acute findings to account for the patient's pain. |
Generate impression based on findings. | 68-year-old male with history of esophagectomy. Evaluate for neurologic pathology. Please note that portable technique limits evaluation particularly in the posterior fossa as well as in the detection of subtle abnormalities.Within these limitations, there is no gross acute intracranial hemorrhage. The gray white diffe... | Limited study.1. No gross acute intracranial hemorrhage.2. Tiny focus of hypoattenuation within the genu of the corpus callosum is nonspecific, but may be vascular in etiology. If patient care warrants further imaging, an MRI may be obtained when clinically feasible. |
Generate impression based on findings. | There is no acute intracranial hemorrhage, mass effect, or midline shift. There is possible symmetric low attenuation of the gray and white matter of the posterior parietal and occipital lobes. The ventricles, sulci, and cisterns are normal in size and configuration. There is a normal variant cavum septum pellucidum. ... | 1. No acute intracranial hemorrhage, mass effect, or cerebral edema.2. Please note CT is insensitive for evaluation of acute ischemic injury. There is possible low attenuation in the bilateral parieto-occipital region which may be artifactual. If there is significant suspicion for hypoxic-ischemic injury, consider MRI ... |
Generate impression based on findings. | Female 57 years old Reason: follow up History: follow up. Again seen is an oblique fracture through the distal fibula with minimal lateral displacement of the distal fracture fragment. The fracture line appears somewhat less distinct when compared to the prior exam, which suggests interval healing. There is interval in... | 1.Increased soft tissue swelling along medial ankle. 2.Interval healing of distal fibular fracture as described above. |
Generate impression based on findings. | 55-year-old female status post collision with automobile. Three views of the right wrist demonstrate no acute fracture or dislocation. Alignment is anatomic.Five views of the lumbar spine demonstrate no acute fracture or malalignment. Vertebral body heights are preserved. There is mild disk space narrowing at L2/L3 and... | No acute fractures seen. Unchanged mild degenerative changes in the lumbar spine. |
Generate impression based on findings. | 3-day-old male evaluate for evidence of pneumatosisVIEWS: Abdomen, Ap and lateral (two views) 2/11/15 16:29 NG-tube tip and side-port at the EG junction. UVC catheter in the portal vein. Portal venous gas, likely related to UVC catheter again noted. No evidence of bowel wall pneumatosis. Hazy basilar pulmonary opacitie... | No evidence of pneumatosis. NG tube at the EG junction. |
Generate impression based on findings. | Female 21 years old Reason: evaluate for appendicitis History: diffuse abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality not... | Right ovarian cyst measuring 2.1 cm may represent a corpus luteum. If any ovarian pathology is clinically suspected further evaluation with pelvic ultrasound is recommended. |
Generate impression based on findings. | Female 58 years old Reason: r/o intraabdominal source for GERD symptoms and worsening abdominal pain History: epigastric and diffuse abdominal pain The study is limited due to lack of intravenous contrast.ABDOMEN:LUNG BASES: Large hiatal hernia, containing most of the stomach, not significantly changed from previous st... | No significant change from previous study. Large hiatal hernia containing most of the stomach is unchanged. |
Generate impression based on findings. | Umbilical hernia without mention of obstruction or gangrene. Observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRE... | Tiny periumbilical hernia containing fat. |
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