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Generate impression based on findings. | Male 62 years old; Reason: hematuria History: hematuria ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. Multiple well marginated fluid attenuating foci in the liver most likely represent cysts.The hepatic and portal veins are patent. No biliary ductal dilatation... | 1.Enlarged prostate.2.Bladder calculi possibly the source of the patient's hematuria. |
Generate impression based on findings. | T2N0 right oral tongue squamous cell carcinoma treated with CRT completed in 6/2009 with right partial glossectomy for salvage in 10/2009 now with recurrent right oral tongue SCC. On IRB 121554 re-irradiation clinical trial. Started induction chemotherapy with carbo/abraxane on 1/9/15 which will be followed by CRT. Nec... | 1. Extensive streak artifact related to dental amalgam obscures much of the oral cavity, thereby precluding assessment of the tongue lesion. Therefore, PET or MRI may be generally useful for follow up.2. No evidence of significant cervical lymphadenopathy.3. No evidence of intracranial metastases. |
Generate impression based on findings. | Male 64 years old; Reason: Pt is a 64 yo male w/ hx of lymphoma; pre-auto sct evaluation History: Evaluate CHEST:LUNGS AND PLEURA: Few scattered pulmonary nodules. The nodule in the left upper lobe seen on image 50/series 6 is calcified.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal... | 1.Findings suggestive of chronic liver disease with splenomegaly and varices.2.No enlarged lymph nodes by CT size criteria. |
Generate impression based on findings. | 57 year old man with abdominal pain and history of mass in head of pancreas on EGD, liver lesion seen on prior imaging. CHEST:LUNGS AND PLEURA: No suspicious nodules or masses.MEDIASTINUM AND HILA: Mild coronary artery calcifications are present.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: ... | 1.Pancreatic head mass measuring approximately 2.0 x 2.3 cm suspicious for adenocarcinoma. Possible invasion into the second portion of the duodenum. Gastric distention which may be related to duodenal narrowing from the mass.2.Several small low-attenuation hepatic lesions which are suspected to be metastases. MR may b... |
Generate impression based on findings. | Female 53 years old Reason: Congenital talipes equinovarus; Contracture of tendon (sheath). Status post calcaneal osteotomy with two screws in place. An orthopedic screw affixes the medial malleolus of the distal tibia, unchanged from prior exam. There are two screws through first TMT joint in anatomic alignment. Osteo... | Postoperative changes as detailed above. |
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 almost entirely fatty, unchanged in pattern and distribution. Scattered benign calcifications, including arterial calcifications, 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No s... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views (total of 14 images) of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectur... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repo... |
Generate impression based on findings. | Female 42 years old Reason: fracture History: proximal knee/tib fib pain with ankle fracture. There is no acute fracture or dislocation. No joint effusion. The bones appear unremarkable. | No acute fracture or dislocation. |
Generate impression based on findings. | Reason: r/o PE, also assess lung parenchyma History: elevated d-dimer, CXR findings, heroin use (intranasal), hypoxia, hemoptysis PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery measures up to 3.8 cm in diameter, suggesting pulmonary hypertension.LUNGS AND PLEURA: Bilateral patchy, geog... | 1. No evidence of pulmonary embolism.2. Bilateral central-predominant groundglass opacity may represent hemorrhage or atypical edema related to drug use.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | LIVER: Normal echogenicity measuring up to 5.1 cm in length. No intra-or extrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: Contracted gallbladder with no evidence of sludge or cholelithiasis. The gallbladder wall measures up to 1 mm in thickness, within normal limits. There is no pericholecystic fluid... | Normal examination with no evidence of biliary atresia. Contracted gallbladder with no evidence of sludge or cholelithiasis. |
Generate impression based on findings. | Female 42 years old Reason: eval for medial space widening History: fx. Again seen is a oblique fracture of the distal fibula with lateral displacement of the distal fragment; the fibular fracture is about the level of the joint line. The lateral joint space is mildly increased. Medially, the joint space is unremarkabl... | Distal fibular fracture with lateral joint space widening. |
Generate impression based on findings. | Lymphoma; pre-auto stem cell transplant evaluation. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The Waldeyer ring structures are not enlarged. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous st... | No significantly enlarged lymph nodes by CT size criteria. |
Generate impression based on findings. | 13 year-old male, evaluate for fractureVIEWS: Right thumb, AP and lateral (two views) 2/12/15 15:38 Alignment is anatomic. There is no evidence of fracture. Mild soft tissue swelling about the PIP joint. | Soft tissue swelling without discrete fracture identified. |
Generate impression based on findings. | History of non-Hodgkin lymphoma and EBV status post 3 cycles of chemotherapy. Restaging exam.RADIOPHARMACEUTICAL: 11.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 88 mg/dL. Today's CT portion grossly demonstrates a right chest Port-A-Cath with tip in the SVC. Sliding hiatal hernia is noted. A ventral abd... | Complete interval resolution of previous extensive hypermetabolic tumor without FDG avid tumor currently in the neck, chest, abdomen or pelvis. |
Generate impression based on findings. | Punch in left jaw on 1/25/15. There is no evidence of maxillofacial fractures. The temporomandibular joints are intact. The dentition appears unremarkable. The paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is essentially midline. The lamina papyracea and ethmoid roofs are intact. The car... | No evidence of maxillofacial fractures. |
Generate impression based on findings. | Female 32 years old Reason: ?change since MRI in the past. recent new pain after shovelling snow-mostly sacral and low lumbar with some radiation to the buttock on the right. History: see 1plus known Sickle-c disease-says pain is not typical of sickling.. Vertebral body heights and disk spaces are preserved. Alignment ... | No acute fracture or subluxation. |
Generate impression based on findings. | 43 years, Female. Reason: r/o obstruction History: abdominal pain, persistent nausea/vomiting Right transpedicular screw and rod device at T11-T12. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female 52 years old Reason: r/o cholecystitis History: abd pain, n/v, cholelithiasis, heavy etoh use LIVER: The liver measures 18.1 cm in length. Hepatic parenchyma is diffusely echogenic consistent with fatty infiltration. The main portal vein is patent and demonstrates normal directional flow.GALLBLADDER, BILIARY TRA... | 1. Diffuse hepatic steatosis.2. Cholelithiasis without sonographic evidence of acute cholecystitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy and left cyst aspiration. 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 parenchy... | Bilateral stable benign morphology masses. 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. | History of esophageal cancer and SRS to two enhancing brain lesions. Recent brain MRI demonstrated increasing enhancing lesion. Evaluate for radiation necrosis versus progressive tumor.RADIOPHARMACEUTICAL: 12.8 mCi F-18 fluorodeoxyglucose (FDG)BLOOD GLUCOSE (FASTING): 107 mg/dL Today's CT portion grossly demonstrates h... | No hypermetabolic intracranial lesion. Specifically be left posterior parieto-occipital enhancing lesion on MRI demonstrates no elevated metabolic activity. This favors radiation necrosis for the etiology. |
Generate impression based on findings. | There is no acute intracranial hemorrhage, mass effect, or midline shift. There is a dural based enhancing lesion along the posterior falx measuring 5 mm in thickness and 16x19 mm in the AP and craniocaudal dimensions. No associated mass effect. No abnormal parenchymal enhancement in the brain. The ventricles, sulci, ... | No definite CT evidence of intracranial metastatic disease. There is a 5 mm enhancing lesion along the posterior falx which may represent a small meningioma. If clinically indicated MRI can be considered. |
Generate impression based on findings. | Male 70 years old Reason: Pancreas cancer hx of whipple surgery now progressive disease prior imaging suggestive of liver and lung mets please assess and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: Multiple small lung nodules predominantly in the right lower lobe have not sign... | Small lung lesions suspicious for metastatic disease. Possible metastatic retroperitoneal adenopathy.Interval progression of the left renal vein and infrahepatic IVC thrombus.Dr. Catenacci was notified and acknowledged about the above findings at the time of the dictation. |
Generate impression based on findings. | History of metastatic bladder cancer, baseline exam prior to starting new systemic therapy; please provide bi-dimensional measurements. CHEST:LUNGS AND PLEURA: Numerous, bilateral scattered pulmonary nodules compatible with metastases. Largest nodule is in right lower lobe (series 5, image 45) measuring 2.9 x 2.6 cm, p... | 1.Postsurgical changes from left nephroureterectomy. Non-specific soft tissue nodule in the surgical bed should be followed on subsequent exams.2.Multiple pulmonary mets, increased in size from prior. 3.Cholelithiasis. |
Generate impression based on findings. | 53 year-old male. Esophageal perforation. CHEST:LUNGS AND PLEURA: Interval placement of a pigtail drain in the right loculated small pleural effusion, which is mildly decreased in size.Decreased fluid and increased air within the small loculated left basilar pleural effusion. Previously seen extravasated oral contrast ... | 1. Interval placement of pigtail drain in the right basilar loculated pleural effusion, which is mildly decreased in size. Left loculated pleural effusion is also mildly smaller. 2. Thrombosed right IJ vein. |
Generate impression based on findings. | This scan is a 30-year-old female with recently biopsied right breast mass with pathology revealing microabscesses. On physical examination by Dr. Chhablani today, the mass appears to have enlarged. Upon physical exam, the previously biopsied mass in the right upper inner breast appears to have enlarged in the interim.... | Enlarging right upper inner breast mass with sonographic features compatible with phlegmon. No drainable fluid collection or discrete abscess is identified. All findings were relayed to Dr. Chhablani at time of dictation, who will be re-biopsying the lesion to send additional tissue for antibiotic sensitivity.BIRADS: 2... |
Generate impression based on findings. | 16 year-old female with peripheral edema, hypoalbuminemia, low complement. Evaluate for vasculitis, mass. LIVER: Normal echogenicity measuring up to 14.1 cm in length. No intra-or extra hepatic biliary ductal dilatation. GALLBLADDER, BILIARY TRACT: Normal echogenicity with no pericholecystic fluid. The gallbladder wall... | 1. Small amount of free fluid in the pelvis with no other abnormality noted. 2. Left kidney with a duplicated collecting system. |
Generate impression based on findings. | There are unchanged postoperative findings related to left frontoparietal craniotomy for left MCA clipping with associated streak artifact limiting evaluation. There is stable encephalomalacia in the left anterior temporal lobe. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles a... | Stable postoperative findings related to left MCA aneurysm clipping with no evidence of acute intracranial hemorrhage or skull fracture. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with th... |
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. A small circumscribed asymmetry is present in the left retroareolar region on CC view,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repo... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 48 year-old female patient status post lap sleeve on 1/27/2014 presents with persistent nausea and retching. Scout radiograph of the stomach showed a staple line from prior gastric sleeve surgery.Single contrast evaluation of the esophagus demonstrated spontaneous gastroesophageal reflux to the level of the aortic arch... | 1.Pouch in the proximal portion of the stomach with attenuation of the distal portion of the gastric sleeve. Although there is spontaneous flow of contrast through this area, this attenuation may obstruct solid material.2.Spontaneous high volume reflux in the upright position.3.Findings discussed with Dr. Prachand. |
Generate impression based on findings. | Reason: head and neck cancer/ per protocol scans History: see above CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No focal airspace consolidation.No pleural effusions.MEDIASTINUM AND HILA: The heart is normal in size without pericardial effusion. No visible coronary artery calcification.No mediastin... | No evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 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. | 85 years, Female. Reason: confirm dobhoff placement History: confirm dobhoff placement Pelvis excluded from field-of-view.Dobbhoff tube is supra-diaphragmatic corresponding to the location of the intrathoracic stomach as seen on the CT scan. Consider advancing tube to infra-diaphragmatic stomach.Nonobstructive bowel ga... | Dobbhoff tube probably in hiatal hernia supradiaphragmatic.Discussed with hospitalist. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 almost entirely fatty, unchanged in pattern and distribution. Bila... | Bilateral stable breast masses. 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: NSA - Screening Mammogram. |
Generate impression based on findings. | 29 years, Female. Reason: assess stool burden, and also to check rectal tube placement. History: severe constipation NG tube tip projects over the second portion of the duodenum. Surgical clips are seen in the right upper quadrant and left upper quadrant. Suture material noted in the left upper quadrant. Rectal tube is... | Rectal tube is coiled in the rectum with tip in the distal descending colon. Interval decrease in stool burden. |
Generate impression based on findings. | 11-week-old female with cough and feverVIEWS: Chest AP/lateral (two views) 2/12/15 16:15 Bronchial wall thickening, large lung volumes and retrocardiac atelectasis. The ventricular apex, aorta, and stomach are left-sided. The cardiothymic silhouette is normal. | Bronchial wall thickening and large lung volumes suggesting bronchiolitis or reactive airway disease. |
Generate impression based on findings. | 66 years, Male. Reason: Dobbhoff History: Dobbhoff Dobbhoff tube tip projects over the second portion of the duodenum. Mitral valve prosthesis is again noted. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | Dobbhoff tube tip projects over the second portion of the duodenum. |
Generate impression based on findings. | Male 59 years old; Reason: 59 yo with right flank pain History: right flank pain, assess for stones ABDOMEN:LUNG BASES: Calcified granuloma in the right lower lobe.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Calcified splenic granulomas.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No si... | 1.No nephrolithiasis or hydronephrosis.2.No bladder calculi.3.No bowel obstruction. |
Generate impression based on findings. | 56 years, Female. Reason: r/o obstruction History: abdominal pain Surgical sutures project over the lower abdomen. Diffusely gas distended loops of colon with amorphous stool. Above average stool burden. Air-fluid levels noted in the colon on upright views.Nonobstructive bowel gas pattern. | Diffuse gas distended loops of colon with above average stool burden suggestive of obstipation. |
Generate impression based on findings. | 65-year-old female. Head and neck cancer. Compare to previous. CHEST:LUNGS AND PLEURA: Stable calcified and noncalcified micronodules, which are most likely post inflammatory.No suspicious pulmonary nodules or masses are identified.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Calcified left hilar and ... | No evidence of metastases in the chest or abdomen. Right tracheoesophageal groove mass, refer to separately dictated CT neck report for further details. |
Generate impression based on findings. | Female 72 years old Reason: Weight bearing views. Evaluate extent of osteoarthritis compared to 2013 films. History: worsening left knee pain There is moderate medial compartment and extensor compartment joint space narrowing in the left knee with tricompartmental osteophytes. There is a small joint effusion.The bones ... | Moderate left knee osteoarthritis. |
Generate impression based on findings. | Right hip pain Mild osteoarthritis affects the right hip, without significant interval change at the hip joint. No malalignment is present. | Mild osteoarthritis |
Generate impression based on findings. | Left breast cancer.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected subcutaneously. Following injection, intraoperative probe localization was performed. No images were acquired. | Successful left breast injection for intraoperative identification of sentinel lymph node. |
Generate impression based on findings. | NONCONTRAST: There are chronic infarcts in the left inferior parietal lobule and bilateral cerebellar hemispheres. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are unchanged. There is no midline shift or herniation. There is mild left maxillary sinus mucos... | 1. No evidence of significant steno-occlusive arterial disease in the head or neck.2. Chronic infarcts in the cerebellum and left parietal lobe, but no acute intracranial hemorrhage or mass effect. 3. Postoperative findings in the neck without evidence of significant adenopathy.4. Multilevel cervical spondylosis, which... |
Generate impression based on findings. | Female 54 years old Reason: fracture History: lateral hip pain post fall No acute fracture or dislocation of the left hip joint. Frontal view of the right hip joint demonstrates mild osteoarthritic changes. | No acute fracture or dislocation of the left hip joint. Mild osteoarthritic changes of the right hip joint. |
Generate impression based on findings. | 4 y/o female, trauma.VIEWS: Chest AP (one view), cervical spine AP and lateral (two views), pelvis AP (one view), right forearm, AP and lateral (two views) 2/12/15 16:26 The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal. No focal lung opacity, pleural effusion or pneumothorax is see... | Normal chest, cervical spine, pelvis, and forearm. |
Generate impression based on findings. | Female 39 years old Reason: Upper abdominal pain with positive Murphy's sign. Evaluate for cholelithiasis and evidence of cholecystitis. History: Upper abdominal pain with positive Murphy's sign. LIVER: The liver measures 20.1 cm. Hyperechoic hepatic echotexture suggestive of fatty infiltration. No focal liver lesion.G... | 1. No evidence of cholelithiasis or acute cholecystitis. 2. The liver parenchyma is diffusely echogenic suggestive of fatty infiltration. |
Generate impression based on findings. | Female 5 years old Reason: eval post-reduction History: thumb painVIEWS: Left hind AP and lateral view of the first digit 2/12/15 at 1640 hrs. (Two views) Cast material obscures bone details. Assessment of post reduction status is not possible. | Fracture obscured by cast. |
Generate impression based on findings. | Refractory Hodgkin's lymphoma status post two cycles of ICE. Restaging exam.RADIOPHARMACEUTICAL: 14.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 96 mg/dL. Today's CT portion grossly demonstrates enlarged right supraclavicular lymph node with adjacent surgical clips. Enlarged anterior mediastinal soft ti... | 1.Right supraclavicular and anterior mediastinal lymph nodes are significantly hypermetabolic and consistent with current metabolically active tumor.2.No suspicious FDG avid elsewhere. If there is an outside baseline FDG-PET that could be submitted for comparison, this may be useful for additional characterization. |
Generate impression based on findings. | hypertensive crisis Mild diffuse brain atrophy with non specific small vessel disease, no change since prior exam.No evidence of acute ischemic or hemorrhagic lesion.Opacifications on bilateral maxillary sinuses, ethmoid sinus, frontal sinus and sphenoid sinus.The ventricles, sulci, and cisterns are symmetric and unrem... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. Non specific small vessel disease, no change since prior exam.3. Pan sinusitis |
Generate impression based on findings. | NPH No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. Th... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | HIV with persistent headache No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous struct... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The mastoid air cells are clear.R... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | recurrent seizures No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid ai... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | altered mental status, left side weakness There is ill defined subtle low attenuation on the right pre central gyrus, right parietal, left occipital and right occipital lobes. Comparing to prior exam, there is no significant interval change.These findings may suggest possible acute ischemic infarction or other parenchy... | Multifocal subtle low attenuations as described above. Brain MRI can be considered for further evaluation. |
Generate impression based on findings. | worsening mental status No evidence of acute ischemic or hemorrhagic lesion.Multiple variable sized tissue losses on bilateral basal gangalia and thalami indicating multiple lacunes.Non specific small vessel ischemic disease, progressed since prior exam.Underlying brain shows mild diffuse brain atrophy which shows prog... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Progressed small vessel ischemic disease and mild brain atrophy since prior exam. |
Generate impression based on findings. | Female 86 years old Reason: eval intra abd pathology History: abd pain, leukocytosis ABDOMEN: The exam is limited secondary to respiratory motion.LUNG BASES: Please refer concomitant CT of the chest for detailed findings of the lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abno... | 1.Nonspecific bowel wall thickening and submucosal edema of the sigmoid colon which may be secondary to ischemic or infectious etiology.2.Aneurysmal dilatation of the abdominal aorta with extensive calcifications and mural thrombus as above.3.Distinct thrombi within the right internal iliac and right femoral veins. |
Generate impression based on findings. | Reason: 25 year old female status post lap cholecystectomy and abdominal washout; evaluate for additional fluid collections, contrast extravasation History: tachycardia, diaphoresis Timing of contrast bolus slightly delayed due to combination of exam within concomitant pulmonary embolism chest CT.ABDOMEN:LUNG BASES: Sm... | 1.Findings compatible with interval abdominal washout with interval near resolution of previously seen multiloculated abdominal fluid collections with small amount of residual scattered fluid/stranding. No remaining large loculated collections.2.Mild ileus pattern. 3.Hepatic steatosis. |
Generate impression based on findings. | 35 years, Female. Reason: 35yoF with recent actively bleeding pyloric ulcer s/p IR embolization today History: R sided abd pain with rebound tenderness Lung bases are clear.Interval GDA embolization with embolization clips projected over the right upper abdomen. Nonobstructive bowel gas pattern. No intramural air or fr... | Nonobstructive bowel gas pattern. No subdiaphragmatic free air on upright radiograph. |
Generate impression based on findings. | 81 year old female with flank pain, evaluate for nephrolithiasis. ABDOMEN:LUNG BASES: Partially visualized cardiac pacemaker leads. Cardiomegaly. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorma... | 1.Punctate calcifications in left renal hilum which may represent vascular calcifications or nonobstructive calyceal calculi. No hydronephrosis or obstructing renal calculi.2.Small left renal infarct/scar. 3.Colonic diverticulosis without evidence of complicated diverticulitis. |
Generate impression based on findings. | facial droop No evidence of acute ischemic or hemorrhagic lesion.No change of non specific small vessel disease since prior exam.Right temporal calcified mass is again demonstrated, no change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. Th... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Non specific small vessel ischemic disease.3. No change of right temporal mass lesion since prior exam.If clinically indicated, consider brain MRI for further evaluation. |
Generate impression based on findings. | 81 year old female with left flank pain, evaluate for nephrolithiasis. 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: Partially visualized cardiac pacemaker lea... | 1.Punctate calcifications in left renal hilum which may represent vascular calcifications or nonobstructive calyceal calculi. No hydronephrosis or obstructing renal stones.2.Colonic diverticulosis without evidence of complicated diverticulitis. |
Generate impression based on findings. | History of lung cancer now with new brain metastases, restaging. Exam limited by patient motionABDOMEN:LUNG BASES: Please see chest CT from the same day for details regarding the chest. New pleural based left lower lobe nodule (series 8039, image 24). LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No sig... | 1.Please see chest CT from same day for detail regarding the chest including new pleural based left lower lobe nodule.2.Study somewhat limited by motion, but no specific evidence of metastatic disease or acute process in the abdomen/pelvis. |
Generate impression based on findings. | 85 years, Female. Reason: ng tube History: c dif NG tube is coiled with side-port and tip projecting over the supradiagphragmatic stomach, tip pointed towards the fundus. Bilateral lung base opacities, increased on the right. Centralized loops of nondilated small bowel. Note that the pelvis is excluded from the field-o... | NG tube within a supradiagphragmatic stomach with projecting over the presumed fundus. Nonspecific bowel gas pattern. |
Generate impression based on findings. | 92 years, Female. Reason: 92 yo with lower abdominal pain History: abdominal pain Nonobstructive bowel gas pattern. Average stool burden. Vascular calcifications noted. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | cerebrovascular accident No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | 85 years, Female. Reason: Advanced Dobbhoff \R\15cm, confirm placement History: Advanced Dobbhoff \R\15cm, confirm placement Dobbhoff tube is looped projecting over a supradiaphragmatic stomach with possible kinking of the tip. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view.Ch... | Looped Dobbhoff tube over the supradiaphragmatic stomach with possible kinking of the tip. |
Generate impression based on findings. | 67 years, Female. Reason: Constipation History: Constipation Right lower lobe consolidation and volume loss, is better evaluated on recent CT chest 12/11/14.Scattered loops of mildly prominent small bowel with mild mural thickening in a nonobstructive pattern, with gas identified in the distal colon and rectum. Average... | 1. Nonobstructive bowel gas pattern. Average stool burden.2. Right lower lobe consolidation and volume loss, is better evaluated on recent CT chest 12/11/14. |
Generate impression based on findings. | 72 years, Female, Reason: eval source of infection History: s/p LVAD, sepsis. CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions, left greater than right. Left basilar consolidation with patchy right basilar opacities. There is septal thickening in the bases which may reflect mild edema. A small focus of air is ... | 1.Left basilar consolidation and patchy right basilar opacities with bilateral pleural effusions.2.Postsurgical changes including pneumomediastinum and a small right pneumothorax.3.Collection surrounding the drive line in the anterior subcutaneous tissues likely represents a seroma/hematoma, although developing abscess... |
Generate impression based on findings. | Female, 49 years old s/p tumor debulking. RFO Trigger: Surgical teams. Suspected RFO Location: Abdomen. Suspected RFO: Sponges. No unexpected radiopaque foreign bodies. JP drain projects over the mid pelvis and coiled tubing projects over the right hemiabdomen. Nonobstructive bowel gas pattern. | No unexpected radiopaque foreign bodies. Findings were discussed with attending surgeon, Dr. Tenney, over phone, at 0541 on 2/12/2015. |
Generate impression based on findings. | Reason: intraoperative head ct for surgical planning History: same CT scans were obtained before and after stereotactic placement of deep brain stimulating device. The pre-contrast study demonstrates no significant lesions appear to be post device placement study demonstrates intracranial air and a left-sided burr hole... | 1.No evidence for acute intracranial hemorrhage or edema.2.Status post deep brain stimulator placement with expected postoperative changes3. |
Generate impression based on findings. | 56 year old female. Stem cell transplant patient with x-ray concerning for opacity in LLL. History of ALL. LUNGS AND PLEURA: Small cluster of groundglass opacities in the posterior aspect of the left anterior lobe consistent with infection.Left lower lobe bronchial wall thickening with areas of mucous plugging.Left bas... | Left upper lobe cluster of groundglass opacities consistent with infection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. No suspicious... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 in pattern and distribution. No suspicious masses, microca... | 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. | Reason: CVA History: AMS acute mental status change The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the para... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | 15-year-old female with chest pain, evaluate for collapseVIEW: Chest AP (one view) 2/13/15 1:14 ET tube at the thoracic inlet. Spinal fusion hardware from T2 to L1 is again noted. Right PICC tip extends to the cavoatrial junction. NG-tube tip and side-port in the stomach.Increased small right pleural effusion and uncha... | Increased right pleural effusion and unchanged adjacent pulmonary opacity. |
Generate impression based on findings. | Female 48 days old Reason: Evaluate lung fields History: History of complete AV canal repair, intubatedVIEW: Chest AP (one view) 2/13/15 at 531 hours. NG tube terminates at the stomach. Epicardial pacer leads mediastinal clips unchanged. Cardiac silhouette size is enlarged but stable. Worsening pain left upper and ling... | Worsening in left upper and lingular opacities as described. |
Generate impression based on findings. | 24 years, Male. Reason: SLE pt on occasional narcotics for severe joint pain, +C diff c/o N/V/D/abdominal pain, c/f ileus History: as above Elevation of the left hemi-diaphragm. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: eval intracranial abnl History: AMS Motion artifact partially obscures the upper half of the patient's headThere is redemonstration of a calcific lesion adjacent to the temporal horn of the right lateral ventricle anterior aspect of the right temporal lobe. This currently measures 18 x 13 mm axial dimensions an... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Since the previous exams a partially calcified mass in the right temporal lobe is stable since the prior exam from 12/12/15. One possibility is that this represents a primary brain neoplasm such as oligodendroglioma in a periventricular region.3.Per... |
Generate impression based on findings. | 16-year-old female with back pain status post assault (was thrown) with L3/L4 tenderness to palpation.VIEWS: Lumbar spine AP and lateral, L5/S1 lateral (3 views) 2/12/2015 Mild rightward curvature of the lumbar spine. Vertebral body and disk space heights are maintained. No evidence of fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | Female 48 days old Reason: follow-up to evaluate L atelectasis History: atelectasisVIEW: Chest AP (one view) 2/12/15 at 2129 hrs. NG tube, mediastinal clips and epicardial pacer leads unchanged. Cardiac silhouette size is enlarged but stable. Slight improvement in left lung atelectasis. No effusions or pneumothorax. | Interval slight improvement in left lung atelectasis. |
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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 56 years, Male. Reason: DHT placement into stomach History: DHT placed Surgical clips project over the left hemipelvis. Dobbhoff tube tip projects over the gastric fundus. Sutures project over the right hemiabdomen. Nonobstructive bowel gas pattern. The lung bases are clear. | Dobbhoff tube tip projects over the gastric fundus. |
Generate impression based on findings. | Female 59 years old Reason: CLL in follow up History: please compare to prior exams CHEST:LUNGS AND PLEURA: Index left lower lobe nodule now measures 8-mm in diameter on image number 76 considered number 5, not significantly changed in size compared to previous study. No new nodules.MEDIASTINUM AND HILA: Index pretrach... | Stable to minimally increased in size retroperitoneal lymph nodes. Otherwise no significant change from previous study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 60 years old; Reason: rule out Fournier's gangrene, soft tissue infection of bilateral thighs History: fever, tachycardia, skin breakdown on left lateral thigh, scrotum, medial left gluteal region No contrast enhancement is evident, secondary to the aforementioned extravasation.The patient is status post left AKA.... | 1. Left thigh cellulitis without evidence of abscess formation or Fournier's gangrene.2. Soft tissue edema extending laterally beyond the field of view of this study. If CT evaluation of the lateral soft tissues of the thigh remains clinically necessary, reattempted imaging is recommended. Findings were discussed with ... |
Generate impression based on findings. | Reason: follow up study History: ACOM aneurysm s/o clipping The patient is status post right-sided craniotomy for anterior communicating artery aneurysm clip placement. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the ... | 1.Status post ventriculostomy tube placement. The lateral ventricles are stable.2.Status-post a recent craniotomy for anterior communicating artery aneurysm clip placement.3.Hypodensities along the anterior aspect of the right temporal lobe as well as the inferomedial aspects of the frontal lobes, right caudate nucleus... |
Generate impression based on findings. | Reason: 25 F s/p lap chole and abd washout History: tachycardia, diaphoresis PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal caliber.LUNGS AND PLEURA: Small areas of basilar segmental atelectasis bilaterally. Very small pleural effusions, left greater than right.Scattered beni... | 1. No evidence of pulmonary embolism.2. Bilateral basilar atelectasis.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 83 year old male. Dyspnea on exertion. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery diameter is 33 mm, but still smaller than the aorta.LUNGS AND PLEURA: Significant motion artifact limits evaluation. Calcified lung nodules consistent with healed granulomatous disease. Scattered noncalci... | No evidence of pulmonary embolism. Motion degraded exam. Diffuse bronchial wall thickening consistent with bronchitis or asthma.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 73 years, Male. Reason: s/p NGT reposition History: s/p NGT reposition NG tube tip projects over the gastric antrum. Gas distended loops of small bowel measuring up to 5 cm with gaseous distention of large bowel. Note that the pelvis and portion of the left hemiabdomen is excluded from the field of view. | NG tube tip projects over the gastric antrum. High grade ileus versus partial small bowel obstruction. |
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. There is a focal asymmetry in the right superol... | Right breast focal asymmetry for which further evaluation with spot compression views and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Acute respiratory distress syndrome.VIEW: Chest AP (one view) 2/13/15 at 520 hours. ET tube terminates above the carina. Central line tip is in the SVC. Gastrostomy tube is noted. Cardiac silhouette size is normal. Right upper and left lower lobe opacities are likely atelectases. No effusions or pneumothorax. | Multifocal opacities as described. |
Generate impression based on findings. | Female 76 years old Reason: cholangitis History: s/p ERCP 2/10, now with abd pain, fever ABDOMEN:LUNG BASES: Small left pleural effusion and atelectasis.LIVER, BILIARY TRACT: Mild to moderate biliary dilatation with moderate dilatation of the common bile duct is again noted. Pneumobilia secondary to recent instrumentat... | CT findings suggestive of possible focal pancreatitis involving the head of the pancreas. Mild to moderate biliary dilatation and pneumobilia.Borderline enlarged retroperitoneal and pelvic nodes of uncertain etiology and significance. |
Generate impression based on findings. | 8 year old male with bruising of tip of finger, assess for fractureVIEWS: Hand PA, right finger PA and lateral (3 views) 2/12/15 Minimal soft tissue swelling overlying the distal 5th digit. No evidence of fracture or dislocation. Alignment is normal. | Minimal soft tissue swelling adjacent to the distal 5th digit with no evidence of fracture or dislocation. |
Generate impression based on findings. | 66 years, Male, Reason: 66yo M w/ hx head neck cancer, presenting w/ diarrhea/colits, assess for degree History: as above. ABDOMEN:LUNG BASES: Left basilar mass measures 3.3 x 2.5 cm in (4/23), previously 2.7 x 2.5 cm and is suspicious for metastases. Lingular nodule measures 0.8 cm (4/3), unchanged. Additional scatter... | 1.Nonspecific colitis, most severe in the rectosigmoid.2.Scattered ill-defined and ground glass opacities in the right lower lobe likely represents aspiration/infection.3.Increasing pulmonary metastases.4.Hepatic metastases are likely stable accounting for differences in technique.5.Loculated left pleural effusion is s... |
Generate impression based on findings. | 36 years, Female, Reason: intrabdominal inflammatory process History: abd distension. ABDOMEN:LUNG BASES: Centrilobular and paraseptal emphysematous changes with basilar reticular opacities and trace effusions. Cardiomegaly with a small pericardial effusionLIVER, BILIARY TRACT: Hepatic hypodensities too small to charac... | 1.Large amount of desiccated stool in the colon. Otherwise no additional findings the patient's pain.2.Cardiomegaly with small pericardial effusion.3.Nonspecific interstitial lung disease and trace effusions. |
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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: Evaluate IPH History: IPH, elevated ICP's There is redemonstration of a hematoma centered in the left thalamus and extending into the left basal ganglia measuring approximately 47 by 42 mm axial dimensions and previously measuring the same. There is associated vasogenic edema and midline shift. Edema extends in... | 1.Large left sided intraparenchymal hemorrhage remains stable in size. There is associated uncal and transtentorial herniation , subfalcine herniation as well as significant midline shift.2.Ventriculomegaly is present which has not changed since the prior exam. The patient is status post ventriculostomy tube placement. |
Generate impression based on findings. | 59 years, Male. Reason: ileus? History: yes Corkscrew tacks project over the pelvis. Dobbhoff tube tip projects over the fourth portion of the duodenum. Nasogastric tube tip projects over the gastric stomach. Left chest tube is noted.Air distended transverse colon measuring up to 6 cm. | Focal large bowel ileus. |
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