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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with a repeat left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered focal asy... | Bilateral benign focal asymmetries. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. Family history of breast cancer in sister, diagnosed at the age of 41. Two standard digital views of both breasts with repeat bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The bre... | Benign morphology mass in the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Right lower quadrant abdominal pain and right lower quadrant abscess. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILI... | 1.Presumed pericecal collection decreased in size now measuring 2.2 x 2.2 cm. 2.Colonic diverticulosis. Submucosal fat deposition in ascending colon consistent with chronic colitis. 3.Atrophic right kidney. Renal retention of IV contrast from prior exam consistent with poor renal function.4.Left adrenal adenoma.5.Sever... |
Generate impression based on findings. | 19 years, Male. Reason: Please check NGT placement after it was advanced further History: N/V, NGT placement NG tube tip is in the proximal gastric body. Slight interval decrease in caliber of small bowel measuring 3cm with relative paucity of distal bowel gas consistent with small bowel obstruction. Contrast fills the... | NG tube tip in the proximal gastric body. Findings consistent with small bowel obstruction as noted on prior CT. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Male 39 years old Reason: effusion/abnormality History: pain and swelling remote injury. Partially imaged intramedullary rod of the tibia is noted. There is chronic deformity of the proximal fibula with fusion to the tibia. There is a moderately sized suprapatellar joint effusion. There is no underlying fracture or dis... | Moderately sized suprapatellar joint effusion without definite underlying fracture as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distrib... | Focal asymmetry in the right breast. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 66-year-old female patient with recurrent hiatal hernia status post open repair and ventral hernia. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. There is a round opacity projecting over the distal esophagus, compatible with patient's known hiatal hern... | 1.Medium-sized hiatal and ventral hernias as described above.2.Minor esophageal motility abnormality.3.Spontaneous gastroesophageal reflux. |
Generate impression based on findings. | Male 47 years old Reason: patellar fracture History: patellar fracture The patella fracture line is less evident indicating ongoing healing. Alignment is near-anatomic. Joint effusion has resolved. Soft tissue swelling has improved. Mild osteoarthritis affects the right knee. | Healing right patellar fracture. |
Generate impression based on findings. | 12-year-old female with clitorimegaly, elevated total and free testosterone, evaluate for ovarian or adrenal androgen producing tumor. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal. No intra-or extrahepatic biliary ductal location. No perihepatic fluid.SPLEEN: The spleen is normal.PANCREAS: Pancreas is normal with ... | Normal examination. |
Generate impression based on findings. | Male 49 years old Reason: 49yo M w/ lower back pain History: lower back pain There is mild anterior wedging of the T12 and L1 lumbar vertebral bodies. There is subtle lucent area involving the posterior superior aspect of the L1 vertebral body.The disk spaces are normal. There is mild facet hypertrophic changes involvi... | Mild facet degenerative change.Subtle lucency near the superior endplate of L1 may represent a Schmorl's node. If patient has pain in the upper back consider cross-sectional imaging. |
Generate impression based on findings. | 2-year-old male with right ankle fracture, out of castVIEWS: Right ankle, AP, oblique, and lateral (3 views) 2/12/15 12:12 Interval removal of cast. There is an oblique fracture of the distal tibial diaphysis with adjacent callous formation and periosteal reaction indicating an attempt at healing. | Healing distal tibial fracture as described above |
Generate impression based on findings. | 81 years, Female. Reason: Dobbhoff placement History: Dobbhoff placement Median sternotomy wires, fixation plates, bilateral chest tubes, and Swan-Ganz catheter are unchanged since prior exam. Dobbhoff tube tip projects over the gastric body and appears kinked.Nonobstructive bowel gas pattern. Note that the pelvis is e... | Dobbhoff tube tip projects over the gastric body and appears kinked. Follow-up study may be considered to ensure resolution. |
Generate impression based on findings. | 66-year-old female status post lap banding 2009, evaluate position and dilation. Single contrast visualization of the esophagus showed no morphologic abnormalities. Fluoroscopic evaluation of esophageal peristalsis demonstrated cessation of the primary peristaltic wave at the midesophagus with secondary waves noted. Th... | 1.Mild motor abnormality of the esophagus.2.Dilation above the level of the laparoscopic band is believed to be distal esophagus, unchanged from 2011. |
Generate impression based on findings. | 14-year-old male with right ankle injuryVIEWS: Right ankle, AP, oblique, and lateral (3 views) 2/12/15 Interval removal of cast. There is mild residual soft tissue swelling about the ankle without underlying fracture visualized. | Mild soft tissue swelling without fracture evident. |
Generate impression based on findings. | 82-year-old female patient with nausea and reported history of gastric stenosis. Evaluate for gastric/pyloric stenosis. Single contrast visualization of the esophagus showed no significant morphologic abnormalities of the mucosal surfaces or mural contours. Fluoroscopic evaluation of esophageal peristalsis demonstrated... | 1.Stable retroverted duodenal bulb without pyloric channel abnormality identified.2.Minor esophageal motility abnormality.3.Nonobstructive anterior cervical esophageal web. |
Generate impression based on findings. | Small cell bladder cancer, metastasis to lymph node. Restaging on chemotherapy. CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema.No suspicious pulmonary nodules or masses.Calcified nodules consistent with healed granulomatous disease.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Calcified media... | Extensive abdominal lymphadenopathy, with mild decrease in size of some reference lymph nodes. No new sites of disease identified in the chest or abdomen. |
Generate impression based on findings. | 18-year-old male with scoliosisVIEWS: Thoracolumbar spine, supine in brace AP (one views) 2/12/15 13:00 There is 50 degrees dextroscoliosis of the thoracolumbar spine (previously 45 degrees). No segmentation anomalies are noted. The lungs are clear. Nonobstructive bowel gas pattern. G-tube again noted. | Thoracolumbar dextroscoliosis, slightly increased from the prior exam. |
Generate impression based on findings. | 70 year-old male with history of TxN2a (SCC of the skin) s/p chemoradiation cycle 7 of 7 FHX completed 11/9/12. There are posttreatment findings in the right upper neck with persistent stranding of the fat in the right suprahyoid region. There is no evidence of abnormal enhancement or measurable mass lesions. There is ... | 1. Post-treatment findings without convincing evidence of recurrent tumor or lymphadenopathy in the neck.2. Left temporal lobe encephalomalacia.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 75 years, Male. Reason: 75 year-old male with abdominal pain, evaluate stool burden or other etiology History: as above Nonobstructive bowel gas pattern with slightly above average stool burden. Vascular calcifications are noted. | Nonobstructive bowel gas pattern with slightly above average stool burden. |
Generate impression based on findings. | Indeterminant colitis status-post total colectomy with end ileostomy and a history of H. Pylori leading to outflow obstruction and distention with gastroparesis. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 86.2 % of p... | Gastric emptying is significantly improved from the previous exam and is now within normal limits. |
Generate impression based on findings. | Male 36 years old; Reason: s/p L shoulder recurrent dislocation, assess for bony deficiency of glenoid. please perform coronal, sagittal recons, humeral subtraction 3D reconstructions A large Hill-Sachs deformity is present. An osseous Bankart lesion is present. The rotator cuff is grossly normal. No fluid is seen in t... | Hill-Sachs deformity and Bankart lesion compatible with prior humeral head dislocation. |
Generate impression based on findings. | Ms. Felix is a 27-year-old female with recently drained abscess in the axillary region. Per her primary physician, there is continued tenderness just inferior to the drained abscess, with concern for loculated fluid. Upon physical exam, there is gauze material packed within a small incision in the upper left axillary r... | Parenchymal edema without evidence of discrete fluid collection or abscess formation. The packing material fell out near the conclusion of the exam, and the patient will follow up with her referring providers to see when the material should be replaced. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlatio... |
Generate impression based on findings. | 96 years, Female. Reason: NGT placement History: NGT placement Enteric feeding tube tip projects over the distal gastric body and sidehole projects over the proximal gastric body. Nonobstructive bowel gas pattern. Cardiomegaly is again noted. Dysmorphic calcifications in the pelvis may represent uterine fibroids. | Enteric feeding tube tip projects over the distal gastric body. |
Generate impression based on findings. | Ms. Haywood is a 55 year old female with a personal history of palpable lump in the left upper outer breast since the age of 13 with imaging characteristics of a benign fibroadenoma. No current breast related complaint. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.... | Stable benign left breast mass. 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. | Pain. Preop left total hip arthroplasty. Severe osteoarthritis of the left hip with osteophyte formation and joint space narrowing with bone-on-bone apposition. Subchondral cysts and sclerosis are noted. No fracture is present.Degenerative changes affect the visualized lower lumbar spine and left sacroiliac joint. | Severe osteoarthritis of the left hip. |
Generate impression based on findings. | Memory loss. Encephalopathy. The distribution of radiotracer throughout the brain is within normal limits. No significant regional hyper or hypoperfusion is present. | Unremarkable perfusion brain scan.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 71-year-old female with history of bladder cancer and prior enlarged supraclavicular lymph node (biopsy proven metastatic bladder cancer). Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. The left level 4 lymph node has decreased in size, measuring 2.8 x ... | 1. Overall decrease in size of left level 4 lymph node metastasis. 2. Unchanged multiple subcentimeter thyroid nodules.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 42 years old Reason: fall History: pain , swelling , decreased ROM. There is soft tissue swelling surrounding the ankle joint. There is an oblique fracture of the distal fibula with posterolateral displacement of the distal fracture fragment. There is widening of the lateral joint spaces. Well corticated ossicle... | Minimally displaced distal fibular fracture as described above. |
Generate impression based on findings. | Status post fracture.VIEWS: Left wrist AP lateral 2/12/15 (two views) Material obscures fine bone details. Healing distal fracture of the left radius with periosteal reaction is in anatomic alignment. | Healing fracture in anatomic alignment after casting. |
Generate impression based on findings. | Female 20 years old Reason: thyroid CA History: tyroid CA s/p surgery and RAI RIGHT LOBE: Status post thyroidectomy.LEFT LOBE: Status post thyroidectomy..LYMPH NODES: There are benign appearing bilateral level 2 lymph nodes in the neck. These are not significantly changed from previous study. However, there are bilater... | Bilateral submandibular adenopathy suspicious for metastatic disease. |
Generate impression based on findings. | Prostate cancer, rising PSA. No abnormal osseous foci are identified to indicate metastatic disease. Significantly atrophic and hypofunctioning left kidney. A focus of activity in the left seventh rib corresponds with a rib fracture seen on the same day abdomen/pelvis CT. Faint diffuse activity in the soft tissues of t... | 1.No evidence of bone metastases. 2.Significantly atrophic and hypofunctioning left kidney. |
Generate impression based on findings. | Male 5 months old Reason: evaluate lungs s/p tracheostomy and NG tube placementVIEW: Chest and abdomen AP (two views) 2/12/15 at 1337 hrs. ET tube has been removed and a tracheostomy tube with the tip below the thoracic inlet has been placed. NG tube tip is at the stomach. Right lower extremity venous access terminates... | Interval tracheostomy tube and new NG tube placement.Multifocal streaky opacities on a background of chronic lung disease.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Right knee pain after fall. Right ankle pain after fall. Three views of the right knee reveal mild medial joint space narrowing with small osteophytes . There is some narrowing of the patellofemoral joint, especially along the lateral facet.Three views of the right ankle reveal diffuse soft tissue swelling. No fracture... | Moderate degenerative changes right knee. Right ankle swelling |
Generate impression based on findings. | Male 72 years old; Reason: pt w/ known AAA, possible OR tomorrow, eval for increase in size. History: eval for AAA size. No PO/IV contrast. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Asymmetric fatty infiltration of the liver predominately of the right hepatic lobe, unchanged.SPLEEN: No ... | 1.6-cm infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | Male 47 years old Reason: left ankle pain History: ankle pain Left ankle: Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal. Mild osteoarthritis affects the midfoot at the talonavicular joint.No acute fracture or dislocation is evident.Left foot: Postsurgical changes in the first metatar... | Degenerative and postsurgical changes as detailed above. |
Generate impression based on findings. | Abdominal pain and family history of cancer. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnorm... | 1.No specific evidence of malignancy or findings to account for the patient's pain. 2.Degenerative disk disease most prominent at L5-S1. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in paternal grandmother. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 33 year old female status post right lumpectomy with radiation and chemotherapy in 2005 for IDC grade 3 and left lumpectomy with radiation and tamoxifen in 2009 for DCIS, presents today for routine follow up. History of bilateral breast reduction in 2002. No current breast complaints. Family history of breast carcinoma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 71 years old Reason: left hip pain History: left hip pain Two views of the left hip shows moderate to severe joint space narrowing at the left hip joint with osteophyte formation. No acute fracture or malalignment.Single AP view of the left hip shows the aforementioned left hip osteoarthritis. Mild osteoarthriti... | Severe left hip osteoarthritis. |
Generate impression based on findings. | Male 64 years old Reason: eval oa, hx of numerous ortho procedures History: same. There is joint space narrowing with near bone on bone apposition of the medial and lateral tibiofemoral compartment. There are tricompartmental osteophytes. Degenerative arthritic changes affect the patella.Frontal views of the right knee... | Osteoarthritic changes of the left knee as described above. |
Generate impression based on findings. | Female 48 years old Reason: Pt w/ CKD s/p renal Tx. History: see above RENAL TRANSPLANT: LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: Peritransplant fluid relating to intra-abdominal ascites.KIDNEY: The transplant kidney measures 13.4 cm. Subcentimeter cortical cyst noted. Slightly increased echogenicity of the ... | Slightly echogenic but otherwise unremarkable appearance of the transplant kidney in the right iliac fossa. Abdominal ascites. |
Generate impression based on findings. | Female 59 years old Reason: OA, pain History: OA , pain Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal for age. There is mild sharpening of the tibial spines and mild early osteophyte formation.No acute fracture or malalignment. No joint effusion. | Minimal left knee osteoarthritis. |
Generate impression based on findings. | Bilateral sensorineural hearing loss, which developed during a bout of severe systemic illness and kidney disease. Right: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve... | Unremarkable appearance of the bilateral temporal bones. |
Generate impression based on findings. | Female 52 years old Reason: bilateral hip pain History: bilateral hip pain Two views of right hip demonstrates slight abnormal offset of the right femoral head neck junction suggestive of a CAM Type deformity. No acute fracture or malalignment. Joint space is normal. There are small osteophytes near the fovea of the fe... | Postsurgical changes in the left femur and other findings as detailed above. |
Generate impression based on findings. | 51 years, Male. Reason: Dobbhoff tube readjusted History: Dobbhoff tube readjusted Multiple surgical clips, surgical drains, and an IVC filter is noted. Dobbhoff tube projects over the gastric pyloric area. Residual contrast within the small bowel and colon.Nonobstructive bowel gas pattern. Note that the pelvis is excl... | Dobbhoff tube projects over the gastric pyloric area. |
Generate impression based on findings. | 51 years, Male. Reason: Dobbhoff placement History: post LT Multiple surgical clips, surgical drains, and an IVC filter is noted. Dobbhoff tube projects over the proximal gastric body. Residual contrast within the small bowel and colon.Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of... | Dobbhoff tube projects over the proximal gastric body. |
Generate impression based on findings. | Male 52 years old; Reason: rule out testicular torsion History: left testicular pain RIGHT TESTIS: The right testis measures 2.9 x 2.1 x 4.5 cm. No focal lesion is identified. Trace right hydrocele.LEFT TESTIS: The left testis measures 2.2 x 1.5 x 3.5 cm. No focal lesion is identified.RIGHT EPIDIDYMIS: No significant a... | No evidence of testicular torsion. No focal lesion is identified. Small bilateral varicoceles noted. |
Generate impression based on findings. | T2N2b right BOT SCC, HPV p16+. Completed 2 cycles of IC with carbo/taxol, and 5/5 cycles of TFHx (completed 1/16/15), now here for follow up. There are post-treatment findings in the neck. There is no measurable residual mass in the tongue. There has been interval decrease in size of the right level 2 lymphadenopathy, ... | No measurable residual mass in the tongue and interval decrease in size of the right level 2 lymphadenopathy. |
Generate impression based on findings. | History of laryngeal cancer and CRT.RADIOPHARMACEUTICAL: 12.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 114 mg/dL. Today's CT portion again demonstrates extensive posttreatment and surgical changes in the neck. Thyroid nodules are again seen. A tracheostomy tube is again visualized. A catheter or endov... | 1.Punctate hypermetabolic right supraclavicular focus indeterminate for single small metastatic focus versus inflammation.2.No active metastatic disease elsewhere.3.Hypermetabolic left thyroid nodule which may be benign or malignant primary thyroid nodule. |
Generate impression based on findings. | Female 53 years old Reason: fracture/effusion History: pain bilateral knee post fall this am. There is severe osteoarthritis of the left knee with near bone on bone apposition of the lateral tibiofemoral compartment, which is unchanged from the prior exam. There are prominent tricompartmental osteophytes. No definite f... | Severe osteoarthritis of the left knee without definite fracture. |
Generate impression based on findings. | Fall on ice A radiopaque BB marker is noted over the left lower rib cage, indicating the patient's location of pain. No fracture is identified.No focal lung opacities are present. | No rib fracture evident. |
Generate impression based on findings. | Female 77 years old Reason: CLL History: Comparison to prior scans CHEST: The exam is suboptimal secondary to motion artifact.LUNGS AND PLEURA: Calcific granulomata.Bibasilar atelectasis/scarring.MEDIASTINUM AND HILA: Moderate atherosclerotic calcifications of the aortic arch and descending aorta. Mild coronary artery ... | 1.Stable size of mesenteric mass and retroperitoneal lymph nodes.2.Left kidney mass is stable in size, however, the lesion is suspicious for malignancy and renal cell carcinoma cannot be excluded. |
Generate impression based on findings. | Reason: ho tongue ca, s/p CRT, compare to previous. measurements pls History: none CHEST:LUNGS AND PLEURA: Scattered benign-appearing micronodules. No suspicious pulmonary nodules or masses. Mild basilar scarring or subsegmental atelectasis. No focal airspace consolidation.No pleural effusions.MEDIASTINUM AND HILA: The... | No evidence of metastatic disease. |
Generate impression based on findings. | Ms. Randell is a 50 year old female with a personal history of benign left breast biopsy in 01/2014 for a fibroadenoma. She then had an MR guided biopsy along with terminal duct excision in 07/2014 for a papilloma. No current breast related complaints. Three standard views of both breasts, additional left MLO view, add... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 5 years old Reason: evaluate healing of fracture History: left wrist fractureVIEWS: Left wrist AP and lateral 2/12/15 (two views) Cast material obscures fine bone details. Healing distal radial fracture with periosteal reaction and callus formation is in near-anatomic alignment. | Healing fracture, in near anatomic alignment. |
Generate impression based on findings. | Male 64 years old Reason: unconjugated hyperbilirubinemia, please evaluate hepatic and biliary ducts as well as liver architecture to r/o obvious pathology History: unconjugated hyperbilirubinemia, please evaluate hepatic and biliary ducts as well as liver architecture to r/o obvious pathology Very limited study due to... | Limited study. Diffuse fatty infiltration of the liver. No biliary dilatation. |
Generate impression based on findings. | Recent stroke with vertebral artery occlusion. New headache and imbalance. NONCONTRAST CT HEADThere is a focal low attenuation on bialteral cerebellar hemispheres indicating age indeterminate but likely chronic ischemic infarctions, no change since prior exam.Underlying brain shows mild non specific small vessel ischem... | 1. Multiple low attenuations on bilateral cerebellar hemisphere indicate age indeterminate likely chronic ischemic lesions.2. No evident acute ischemic or hemorrhagic lesion on this scan.3. Bilateral vertebral arteries appear to be completely occluded from their origin and reconstituted distally (right:C3 and left:C1 l... |
Generate impression based on findings. | There is no acute intracranial hemorrhage, mass effect, or midline shift. There is patchy hypoattenuation of the cerebral hemispheres and insulae consistent with age indeterminate small vessel ischemic disease. The calvarium is unremarkable without fracture. The imaged portions of the orbits sinuses, and mastoid air c... | 1. No acute intracranial hemorrhage or edema. 2. Patchy white matter hypoattenuation is consistent with age indeterminate small vessel ischemic disease. Note that CT is insensitive for the detection of acute ischemia. If further imaging is clinically warranted, MRI is recommended. |
Generate impression based on findings. | Seven month old male with history of rickets and elevated alkaline phosphatase. Evaluate for fracture.VIEW: Right and Left Femur AP, Right and Left Tibia/Fibula AP, Right and Left Humerus AP, Right and Left Forearm AP (8 views) 2/12/2015 13:48 Bilateral humeri and forearms are normal in appearance. No evidence of fract... | 1. Metaphyseal fracture of the proximal tibia.2. Bowing of the bilateral femurs, left greater than right, may be physiologic or changes related to rickets. |
Generate impression based on findings. | Ms. Hairston is a 23-year-old female presenting with unilateral left clear/milky nipple discharge for the past few months. Patient says that the discharge is only elicited when she squeezes on her breast. Upon physical exam, no discharge is able to be expressed.A targeted left breast ultrasound was performed for the pa... | No ectatic ducts or intraductal masses identified. Patient should return to her primary care physician for further clinical management as warranted.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 64-year-old with history of left breast DCIS status post lumpectomy and radiation therapy. Three standard views of both breasts and lumpectomy magnification views 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Pain No significant degenerative changes are noted. No malalignment is noted. | No evidence of osteoarthritis. |
Generate impression based on findings. | Male 27 years old; Reason: B testicular pain History: B testicular pain RIGHT TESTIS: The right testis measures 4.2 x 2.6 x 1.7 cm. No focal lesion is identified.LEFT TESTIS: The left testis measures 4.1 x 2.6 x 1.8 cm. No focal lesion is identified.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: ... | No evidence of testicular torsion. Bilateral varicoceles. |
Generate impression based on findings. | Female 82 years old Reason: s/p L2-5 PSF, L2-4 XLIF, evaluate alignment History: see above There is levoconvex scoliosis of the lumbar spine. There are postsurgical changes with pedicle screw fixation from L2 to L5 with lumbar interbody fusion of L2 to L4.. The lumbar vertebral bodies are normal in height. Alignment is... | Scoliosis and postsurgical changes as detailed above. |
Generate impression based on findings. | 6-week-old female with pain and swelling, evaluate for fractureVIEWS: Left thumb, AP and lateral (two views) 2/12/15 14:31 Alignment is anatomic. There is no sclerosis or periosteal reaction about the interphalangeal joint. | No evidence of fracture or malalignment. |
Generate impression based on findings. | Female 84 years old Reason: assess prosthesis History: S/P TSA Components of a reverse total right shoulder arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. The bones are demineralized. No acute fracture is evident.Brace, catheter and drain have been re... | Reverse total right shoulder arthroplasty as detailed above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in sister, diagnosed at the age of 42. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in p... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 59 years old Reason: assess healing History: S/P ORIF right arm both bone fx, non-union The right ulnar fracture has been affixed by two plate and screw devices; the alignment is near-anatomic. The ulnar fracture site is obscured by the plate.The transverse radius fracture has been affixed by a side plate and sc... | Healing radius and ulnar fractures. |
Generate impression based on findings. | History of metastatic small bowel neuroendocrine tumor please assess and provide index lesion measurements for RECIST. CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules are present some of which are poorly visualized on the prior outside exam and which can be followed on subsequent exams. Mild basila... | 1.Calcified soft tissue mass in the pelvis presumably representing patient's known neuroendocrine tumor, similar to prior.2.Multiple liver metastases which are stable to slightly increased in size.3.Moderate right hydronephrosis and hydroureter slightly increased from prior and likely related to inflammatory changes in... |
Generate impression based on findings. | Female 80 years old Reason: s/p stroke with residual R sided weakness, with radicular type pain assoc. paresthesias History: same Lumbar vertebral bodies are normal in height. There is straightening of the lumbar curvature.This disk heights are narrowed at L2-L3 and L5-S1 and to a lesser degree at L4-L5 with endplate s... | Degenerative changes and other findings as detailed above. |
Generate impression based on findings. | Female 67 years old; Reason: mucinous appendiceal cancer s/p 6 months of chemotherapy. evaluate current status of disease. being considered for debulking and hipec History: appendiceal cancer CHEST:LUNGS AND PLEURA: No new lung lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericar... | 1.Stable to probably slightly decrease in the diffuse peritoneal/omental carcinomatosis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered coarse benign calcifications are pres... | Bilateral benign breast calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | History of breast cancer with a T4 lesion seen on MRI. No abnormal osseous foci are identified to indicate metastatic disease. Minimal degenerative changes of the cervical spine. Nonspecific minimal soft tissue uptake in the soft tissues of the left anterior chest wall are unchanged. The T4 lesion noted on recent MRI d... | No evidence of bone metastases. Specifically, lack of activity in the T4 region may suggest a benign osseous lesion such as a hemangioma. |
Generate impression based on findings. | repeat head CT to evaluate stroke, right upper extremity weakness No evidence of acute ischemic or hemorrhagic lesion.Previously noted chronic ischemic infarctions on the right high parietal lobe and left temporoparietal lobe are seen without evidence of interval change since prior exam.The ventricles, sulci, and ciste... | No evidence of acute ischemic or hemorrhagic lesion.Chronic ischemic infarctions on the right high parietal and left temporoparietal lobe as described above.If clinically indicated, brain MRI can be considered for further imaging evaluation. |
Generate impression based on findings. | Lateral ankle pain. No fracture. Three views of the right ankle reveal lateral soft tissue swelling. No fractures are visualized. | Lateral soft tissue swelling. No visualized fractures |
Generate impression based on findings. | 12-year-old female with right thumb pain with flexion and opposition, edema after injury. Evaluate for fracture of thumb or hand.VIEWS: Right hand PA, oblique and lateral (3 views) 2/12/2015 There is an epiphyseal fracture of the proximal phalanx of the thumb. Alignment of the remaining digits is normal with no evidenc... | Epiphyseal fracture of the proximal phalanx of the thumb. Findings were discussed with Dr. Ashley Barrile on 2/12/2015 at 4:10 PM. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 44 years old Reason: 44 y/o F hx of obesity here with chronic left knee pain, concern for OA History: knee pain. There is no acute fracture or dislocation. No joint effusion. There is a bipartite patella with the fragment located superolaterally to the patella, measuring 13 x 25 mm. There is irregularity of the ... | 1.Mild osteoarthritis of the left knee.2.Bipartite patella of the left knee, as described above. |
Generate impression based on findings. | Reason: r/o fracture or abnormality. s/p fall, c/o back pain History: back pain Thoracic spine: There is mild irregularity and linear area of sclerosis involving the superior endplate of the T5 vertebral body suspected to represent a mild compression fracture. Vertebral body heights and intervertebral disk spaces are o... | 1. Mild irregularity and sclerosis involving the upper T5 vertebral body suspected to represent a mild compression fracture. 2. Mild degenerative changes as described above. 3. A hypoattenuating focus in the upper pole of the right kidney is incompletely characterized, possibly a cyst. 4. 7 mm right subpleural apical n... |
Generate impression based on findings. | 40 year-old male, left ankle injuryVIEWS: Left ankle, AP, oblique, and lateral (3 views) 2/12/1514:55 Interval removal of splint. No evidence of fracture is identified. Alignment is anatomic. There is minimal soft tissue swelling about the ankle. | Removal of splint without evidence of fracture or malalignment. |
Generate impression based on findings. | Female 74 years old Reason: 74F alcoholic liver cirrhosis with ?chronic cholecystitis w RUQ pain History: RUQ abdominal pain LIVER: The liver measures 11.5 cm in length. Coarsely echogenic parenchyma consistent with history of chronic liver disease. There is a 2.6 x 2.2 cm hyperechoic lesion within the posterior right ... | 1. Cholelithiasis without evidence of acute cholecystitis. 2. Coarsely echogenic hepatic parenchyma consistent with history of chronic liver disease. Echogenic lesion within segment 7, presumably corresponds to hemangioma identified on prior studies. Segment 5 lesion described in prior cross-sectional imaging studies i... |
Generate impression based on findings. | Female 44 years old Reason: pre-op History: pain There is a chronic deformity of the right femoral head with an associated coxa vara. Moderate osteoarthritis affects the right hip joint with osteophyte formation and joint space narrowing.Single view of the pelvis shows aforementioned right hip abnormality and mild to m... | Chronic changes in the right femoral head with associated coxa vara. |
Generate impression based on findings. | Ms. Kelly is a 27-year-old female presenting with a palpable lump in the superior left breast. Prior FNA of this area revealed fibrocystic changes. However, this lesion continues to remain suspicious on recent MRI. She presents today for ultrasound guided core biopsy of this area. Left breast ultrasound re-identified t... | Successful ultrasound-guided core biopsy of the left breast lesion with clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 67-year-old female with history of altered mental status. There is no evidence of acute intracranial hemorrhage. There are small scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with mild chronic small vessel ischemic changes. The gray-white dif... | No evidence of acute intracranial hemorrhage, mass effect, or edema. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern, MRI of the brain is recommended. |
Generate impression based on findings. | Preoperative planning. Removal of prior prosthesis. There is extensive deformity about the elbow with marked fragmentation, compatible with the given history of a failed total elbow arthroplasty. Cement is present in the medullary space of the humerus and proximal ulna. No metallic hardware is present. The proximal uln... | Extensive deformity about the elbow compatible with a prior failed total elbow arthroplasty. |
Generate impression based on findings. | Great toe proximal phalanx fracture The fracture line at the great toe proximal phalanx is indistinct, with possible subtle periosteal reaction, indicating healing. The alignment is anatomic. | Healing great toe proximal phalangeal fracture. |
Generate impression based on findings. | NECK: There are unchanged postoperative findings related to thyroidectomy. There is unchanged 14 x 9 mm right tracheoesophageal groove mass with heterogeneous enhancement. There are no new lesions or significant cervical lymphadenopathy. The major salivary glands are unremarkable. The major cervical vessels are patent... | 1.Unchanged tumor within the right tracheoesophageal groove.2.No evidence of intracranial metastases.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Bilateral hip pain Marked osteoarthritis affects the hip joints bilaterally. No malalignment is present. | Marked osteoarthritis of the hips. |
Generate impression based on findings. | 37-year-old female patient with abdominal pain, and nausea and vomiting with food. Evaluate for gastric and esophageal dysmotility. Scout radiograph demonstrated a nonobstructive bowel gas pattern with a small amount of residual enteric contrast in the descending colon. Single contrast visualization of the esophagus sh... | 1.Normal esophageal motility.2.Small hiatal hernia. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral sebaceous cysts. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scatter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 67 years old Reason: assess for fracture History: L.sided face and jaw swelling after a fall. There is no acute fracture. The frontal, maxillary, and mastoid sinuses are well pneumatized. Dental caries are noted. | There is no acute fracture. |
Generate impression based on findings. | Male 55 years old Reason: eval LLE radiculopathy History: same. Left-sided pedicle screws are seen affixing the L5/S1 joint. There is grade 2 anterolisthesis of L5 on S1. There are severe facet degenerative changes on the right side of the L5/S1 joint. The vertebral body heights and intravertebral disk spaces are prese... | Grade 2 L5 on S1 anterolisthesis with right-sided facet degenerative changes. |
Generate impression based on findings. | Bilateral hip pain AP view of the pelvis reveals no acute abnormalities. there may be some minimal osteophyte formation at the head and neck junction of the right hip. The left hip is unremarkable.. | Questionable minimal degenerative changes of the right hip |
Generate impression based on findings. | Chronic lymphocytic lymphoma treated with R-CHOP and BR now on ibrutinib who presents for follow up. There is no definite cervical lymphadenopathy. The Waldeyer ring structures are not enlarged. The airway appears patent. The thyroid gland and major salivary glands are unchanged, including herniation of the left subman... | No significant lymphadenopathy in the neck to suggest recurrent lymphoma. |
Generate impression based on findings. | Male, 52 years old.Status post aborted left nephrectomy with multiple surgical teams involved. Again seen is a percutaneous right nephrostomy tube. A surgical drain projects over the left hemiabdomen. There is pneumoperitoneum. Skin staples project over the left flank and surgical staples project over the pelvis. No un... | No unexpected radiopaque foreign objects.Findings discussed with Dr. Norm Smith via telephone at 3:33 PM on 2/12/2015 by Dr. S. McCann. |
Generate impression based on findings. | 49 year old female with history of recurrent left breast abscess presents for ultrasound study of a palpable abnormality in the left periareolar region. Focused ultrasound was performed for the marked area of the left periareolar region. There is a post-surgical scar at medial retroareolar region. No fluid collection i... | No fluid collection or suspicious abnormality in the left periareolar region.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female 49 years old Reason: numbness to B thumbs some transient numbness to other fingers in both hands. Vertebral body heights are maintained. There is no acute fracture or subluxation. There is no evidence of bony neuroforaminal narrowing. There is straightening of the cervical spine and, degenerative changes includi... | Degenerative arthritic changes of the cervical spine without evidence of bony neuroforaminal narrowing. |
Generate impression based on findings. | Back pain, T11 bone lesion and pulmonary nodules. Evaluate for bony lesions suggestive of metastatic disease. No abnormal osseous foci are identified to indicate metastatic disease. Specifically, no abnormal activity is noted in the T11 vertebral region to indicate an osteoblastic lesion. | No evidence of bone metastases. |
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