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Generate impression based on findings. | 45 year old female with history of benign biopsy in the left breast in 2013. Family history breast cancer in her mother at the age of 50. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered f... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Right groin pain. There is a heterogeneously-attenuating soft tissue mass-like lesion in the right medial upper thigh measuring 9.0 cm TV x 8.5 cm AP x 10.0 cm CC. This appears located between the pectineus and obturator externus muscles with splaying of the musculature, though an intramuscular component cannot be excl... | Large heterogeneous mass in the proximal right medial thigh. The differential for this appearance is broad, including non-neoplastic and neoplastic processes. Non-neoplastic etiologies include hematoma or infection. Neoplastic etiologies should also be considered, however, the appearance of this lesion is nonspecific o... |
Generate impression based on findings. | 14-year-old male, evaluate PICC locationVIEW: Chest AP (one view) 2/12/15 17:25 Right PICC tip at the cavoatrial junction. The cardiothymic silhouette is normal. No focal pulmonary opacities or pleural effusions. No pneumothorax. | Right PICC tip at cavoatrial junction. |
Generate impression based on findings. | right side weakness and numbness NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.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 unre... | No evidence of acute ischemic or hemorrhagic lesion.No evidence of extracranial and intracranial significant arterial stenosis or narrowing. No intracranial aneurysm.Mild to minimal intracranial atherosclerosis as described above. |
Generate impression based on findings. | Female 59 years old Reason: r/o diverticulitis, adhesions History: LLQ pain, hx of colon 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 abnor... | No CT findings to explain patient's left lower quadrant pain. |
Generate impression based on findings. | Male 54 years old Reason: Pt with recent fall on 2/10 now with left shoulder pain and reduced mobility. Please eval for fracture. Pending d/c History: shoulder pain. There is no acute fracture or dislocation. Chronic appearing deformity of the metaphysis of the left humerus is compatible with a prior fracture. There is... | No acute fracture or dislocation. Mild to moderate osteoarthritis of the glenohumeral and acromioclavicular joints. |
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. A cluster of coarse microcalcifications in the ... | 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. | 53 year old with a lump in the left breast for 3 weeks. Three standard views of both breasts with two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution... | 1. Palpable mass in the left breast at 1 o'clock position; highly suggestive of malignancy by mammographic and sonographic appearance. Additional mass in the left breast at 1 o'clock position, locating 2.5 cm inferior to the main mass.2. Abnormally enlarged lymph node in the left axilla.3. No mammographic evidence of m... |
Generate impression based on findings. | Male 59 years old Reason: S/P fall and S/P right fibular fracture; Eval for right knee patella fracture or soft tissue injury History: Left knee pain. Limited study of the left knee reveals a small suprapatellar joint effusion without radiographic evidence of an underlying fracture or dislocation. Vascular surgical cli... | Small joint effusion without radiographic evidence of an underlying fracture or dislocation in this limited study of the left knee. |
Generate impression based on findings. | Female 44 years old Reason: polycystic kidney ds (autos dom); RUQ pain after eating. History: as above. Pls check liver, GB, and kidneys B LIVER: Liver measures 14 cm. there are numerous cysts in the liver, some of which are minimally complex.BILIARY TRACT: Gallbladder is unremarkable. No evidence of intra-or extrahepa... | Numerous cysts in the liver and the right kidney compatible with patient's known history of adult onset polycystic kidney disease |
Generate impression based on findings. | 7-year-old female with fever and increased work of breathing. Concern for pneumonia.VIEW: Chest AP (one view) 2/12/2015 22:12 Left upper extremity PICC tip has been retracted and now located in the SVC/RA junction. Right internal jugular central venous catheter is no longer seen. Gastrostomy tube partially visualized i... | Left upper extremity PICC tip now located in the SVC/RA junction. Otherwise no interval change. |
Generate impression based on findings. | 86-year-old female. Increased work of breathing. Evaluate for PE versus aspiration. PULMONARY ARTERIES: Hypoattenuation in a right upper lobe segmental artery (series 10, image 100) is consistent with a pulmonary embolus, of indeterminate age.LUNGS AND PLEURA: Calcified lung nodules consistent with healed granulomatous... | 1. Right upper lobe solitary age indeterminate segmental pulmonary embolus. 2. Severe atherosclerotic disease of the thoracic aorta with an ectatic descending thoracic aorta and a saccular degenerative aneurysm in the aortic arch.PULMONARY EMBOLISM: PE: Positive.Chronicity: Indeterminate.Multiplicity: Single.Most Proxi... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast reduction surgery. 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 distri... | 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. | Male 20 years old Reason: eval for dislocation History: pain and deformity of left shoulder. There is no acute fracture or dislocation. The bones are unremarkable. | No acute fracture or dislocation. |
Generate impression based on findings. | 55 years, Male. Reason: conduit emptying History: no Right chest tube and central venous catheter is noted. Drain projects over the left hemiabdomen. IVC filter is noted. Previously seen right rib fracture is not imaged on the current study.Barium is noted within the large bowel and appendix. Focal narrowing in the des... | Nonspecific, fixed, narrowing of the mid descending colon. Clinical correlation is advised. |
Generate impression based on findings. | Male 71 years old Reason: osteomyelitis History: chronic cellulitis. A shallow soft tissue defect of the anterior thigh is seen with deeper reticulations of the soft tissue, compatible with cellulitis. No acute osseous abnormalities are identified. Specifically, there is no radiographic evidence of cortical destruction... | Cellulitis without radiographic evidence of osteomyelitis. If there is continued clinical concern for osteomyelitis, an MRI is recommended as clinically warranted. |
Generate impression based on findings. | Reason: 67yo F w/ NSCLC, concern for pleural effusion History: as above LUNGS AND PLEURA: A right lower lobe mixed density rounded lesion is increased in size compared to the prior exam, difficult to measure on noncontrast imaging, but estimated measurement is 6.1 x 5.9 cm (series 5, image 53), increased in size from t... | 1. Increasing size of a right lower lobe rounded density, with additional increasing areas of nodular pleural thickening in the right lung, and persistent loculated right subpulmonic effusion. Findings suggestive of progressive pleural metastatic disease.2. Stable mild right supraclavicular and right axillary lymph nod... |
Generate impression based on findings. | 12 year old female with epigastric and right lower quadrant pain. Evaluate for appendicitis. LIVER: Normal echogenicity with no intra or extrahepatic biliary ductal dilatation. GALLBLADDER, BILIARY TRACT: The visualized gallbladder appears normal in echogenicity.PANCREAS: No significant abnormality noted.SPLEEN: Normal... | The appendix is not definitively visualized and study is inconclusive for ruling out appendicitis. There is small amount of free fluid in the lower abdomen. Scattered mildly prominent lymph nodes in the periumbilical region.Findings were discussed with ED physician Dr. Christine Babcock by phone on 2/13/2015 at 10:20 A... |
Generate impression based on findings. | Female 74 years old Reason: fx, dislocation History: knee pain s/p fall. There is no acute fracture or dislocation. There are small tricompartmental osteophytes and near bone on bone apposition in the patellofemoral compartment. The distribution of the osteoarthritis is suggestive of CPPD arthropathy.A well corticated ... | 1.No evidence of acute fracture or dislocation.2.Severe osteoarthritis in a pattern suggestive of CPPD arthropathy, please correlate clinically.3.Superimposed ossicle in the tibial spine may reflect a loose body within the joint. Serial imaging will help to differentiate this. |
Generate impression based on findings. | Altered mental status No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. Global parenchymal volume loss is comm... | 1. No evidence of acute intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. 14-mm lytic lesion involving the left greater sphenoid wing differential which includes benign and n... |
Generate impression based on findings. | Reason: new pontine stroke History: as above Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at... | 1.Subacute infarction involving the left pons. There is no evidence for hemorrhagic conversion.2.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. 3.There are atherosclerotic calcifications present at the origin of the right to ... |
Generate impression based on findings. | 12-week-old female, evaluate subclavian lineVIEW: Chest AP (one view) 2/12/15 20:05 Interval placement of right subclavian line with tip in the right atrium. ETT tip at thoracic inlet. Enteric tube and side port in the proximal stomach. The cardiothymic silhouette is normal.Bilateral pulmonary opacities and left pleura... | New right subclavian line tip in the right atrium. Persistent left pleural effusion. |
Generate impression based on findings. | 5 year old male with bruise. Rule out fracture. VIEWS: Forearm AP and Lateral (2 views) 2/13/2015 No evidence of joint effusion. No fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | Female 74 years old Reason: fracture, dislocation History: fall, shoulder pain. There is no acute fracture or dislocation. There are mild to moderate osteoarthritic changes affecting the glenohumeral and the acromioclavicular joints. | No acute fracture or dislocation. Mild to moderate osteoarthritis as described above. |
Generate impression based on findings. | 38-day-old female with scalp hematoma status post blunt head trauma.VIEWS: C-spine AP and lateral (two views) 2/13/2015 Vertebral body and disk space are maintained. No prevertebral soft tissue swelling. No evidence of fracture or dislocation. | Normal examination. |
Generate impression based on findings. | 12-day-old male status-post CDH repair, evaluate ETT and lungsVIEW: Chest AP (one view) 2/13/15 6:40 or ETT above the carina, below the thoracic inlet. Epidural catheter tip position slightly retracted. Enteric tube tip in the stomach. Right peripherally inserted catheter coiled in the axillary vessels. Soft tissue swe... | ETT tip in appropriate location. Increased right pleural effusion. |
Generate impression based on findings. | Female 80 years old Reason: pain History: pain. There is diffuse demineralization of the bones. There are small osteophytes affecting the bones of the midfoot and hindfoot as well as ankle joint. There is a questionable small effusion anteriorly, however there is no underlying fracture or dislocation. | Mild to moderate degenerative changes of the ankle joint without evidence of fracture or dislocation. |
Generate impression based on findings. | Leukocytosis. Sacral decubitus ulcer. The bones are diffusely demineralized. There is no definite erosion to suggest osteomyelitis.Moderate degenerative changes affect the lumbar spine. The vertebral body heights and intervertebral disk spaces are maintained. The alignment is anatomic. No fracture is evident.Atheroscle... | No radiographic evidence of osteomyelitis. If clinical suspicion for osteomyelitis remains high, cross sectional imaging with CT or MRI is recommended. |
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. There is a possible ... | Possible architectural distortion in the left upper breast. Further evaluation with spot compression and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male 56 years old Reason: low back pain History: low back pain. There is there is an anterior wedge deformity of the T12 vertebral body with mild loss of intervertebral disk space. There is no acute fracture or malalignment. There are moderate degenerative arthritic changes including anterior vertebral body osteophytes... | Moderate degenerative changes of the lumbar spine as described above. |
Generate impression based on findings. | Newly diagnosed leukemia. There is moderate opacification of the ethmoid sinuses diffusely. There is mild mucosal thickening in the bilateral frontoethmoid recesses and inferior frontal sinuses. There is mild mucosal thickeing in portions of the sphenoid sinuses as well. The maxillary sinuses are essentially clear. The... | Scattered paranasal sinus opacification in an sporadic pattern. |
Generate impression based on findings. | Assault/battery Brain: No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift, or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus.Calvarium is intact. There ... | 1. No evidence of acute intracranial hemorrhage or mass effect. Left frontotemporal sugaleal hematoma. No calvarial fracture.2. No maxillofacial fracture. Mild diffuse prominence of the neck lymph nodes throughout is nonspecific and may be reactive. Ovoid, approximately 2 cm lesion in the left submandibular soft tissue... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts with a repeat right 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. ... | 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: eval for infection and for IPF History: sob CHEST:LUNGS AND PLEURA: Small pleural effusions with overlying consolidation.Air collections in the the left lower lobe are suggestive of cavitation.No evidence of interstitial lung disease, although the basilar compression atelectasis would obscure this.MEDIASTINUM A... | Left lower lobe consolidation with collections of air consistent with a lung abscess, which could be the result of aspiration. Bilateral pleural effusions are present. |
Generate impression based on findings. | Female 69 years old Reason: new pain without injury in region of left posterior ribs(approx. ribs 5-7) near the midline .Known myeloma. History: see1 There is no acute fracture or dislocation. No lytic appearing lesion is seen in the posterior left sixth rib, which is not seen on the prior exam and is suspicious for my... | Lytic appearing lesion in the posterior left sixth rib suspicious for myelomatous deposition. |
Generate impression based on findings. | Female 38 years old Reason: s/p islet cell transplant 2/12/15. Please evaluate portal vein patency tomorrow, 2/13/15 History: As above LIVER: Mild hepatomegaly 23 cm in length. No evidence of perihepatic or subcapsular fluid. Marked coarse echogenicity with no discrete focal lesions.Flow in the portal vein is pulsatile... | Coarse hepatic texture. No evidence of perihepatic fluid. Patent hepatic vasculature with prominent portal venous flow. |
Generate impression based on findings. | Rheumatoid arthritis in flair. Synovitis. RIGHT HAND: Findings compatible with severe rheumatoid arthritis at the PIP joints and MCP joints, particularly of the 2nd and 3rd digits, with ankylosis of the carpal bones are minimally progressed compared to prior. Superimposed degenerative changes are noted. LEFT HAND: Find... | Findings compatible with rheumatoid arthritis, minimally progressed. Additional arthritic changes as described above. |
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 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. An area focal asymmetry is present in the left upper centra... | Left breast focal asymmetry for which comparison to prior exams is necessary.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OC - OLD FILM FOR COMPARISON |
Generate impression based on findings. | 74 year old female with right mastectomy in 2007, followed by 5 years of aromatase inhibitor. Family history of breast carcinoma in her sister and paternal aunt. No current breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic 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 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. A stable focal asymmetry with associated calcificati... | 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. | Reason: stroke mechanism History: stroke mechanism Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant steno... | 1.Lacunar infarct involving the posterior limb of the right internal capsule2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 3.There is no significant cervicocerebral occlusive disease appreciated.4.No evidence for aneurysm.5.Deg... |
Generate impression based on findings. | 53 years, Female, Reason: evaluate for dissection History: cool RLE with inablilty to move.. Please note that arterial phase of CTA was not obtained as the patient moved during injection. Delayed phase images were subsequently obtained, however arterial evaluation is limited.CHEST:LUNGS AND PLEURA: No focal consolidati... | Limited CTA is patient moved during arterial phase of contrast administration. Limited arterial evaluation on delayed phase images show no aneurysmal dilatation, dissection or obvious filling defects within the aorta, iliac or femoral arteries. |
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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 18 years old Reason: eval fx History: same. Two intramedullary vertical orthopedic screws are seen affixing the patella in anatomic alignment. The fracture line appears somewhat indistinct with bony bridging, compatible with partial interval healing. There is no acute fracture or dislocation. No joint effusion. | Orthopedic hardware affixing healing patellar fracture. If prior images are available, this could increase the sensitivity of the study. |
Generate impression based on findings. | Reason: PE? History: SOB PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is upper normal in diameter.LUNGS AND PLEURA: Right greater than left small pleural effusions, increased from the prior exam, with associated mild compressive atelectasis. Diffuse interlobular septal thickening and... | 1. No evidence of pulmonary embolism.2. Cardiomegaly with mildly decreased pulmonary edema, and increased small pleural effusions. Findings compatible with CHF.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 97 years old Reason: r/o acute process History: abd pain Without the administration of oral or intravenous contrast, there is decreased sensitivity for the detection of bowel, solid organ and vascular pathology. Given these limitations, the following observations were made:ABDOMEN: LUNG BASES: Bibasilar atelecta... | 1.Diverticulosis with nonspecific chronic small fluid collection in the left lower quadrant. Correlate clinically for left lower quadrant pain. 2.No evidence of acute abdominal pathology to account for diffuse abdominal pain. |
Generate impression based on findings. | Male 19 years old Reason: pain History: pain. There is an orthopedic screw affixing the fifth metatarsal bone in persistent unchanged anatomic alignment. The fracture line is less distinct with some bony bridging consistent of interval healing. No new fracture or dislocation is identified. | Healing 5th metatarsal fracture with repair.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: SOB, h/o PE History: above PULMONARY ARTERIES: Technically adequate examination with no sign of pulmonary embolism.Pulmonary artery diameter at upper limits of normal.LUNGS AND PLEURA: Small lung volumes with basilar subsegmental atelectasis.Patchy ground glass and interstitial opacity with bronchial thickening... | 1. No sign of pulmonary embolism.2. Basilar atelectasis and focal interstitial opacity in the right upper lobe of uncertain chronicity, most likely post infectious.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Ms. Spielman is a 58-year-old female with biopsy proven complex sclerosing lesion in the right superior breast. She presents today for ultrasound guided wire localization of this area prior to excisional biopsy by Dr. Chhablani. On review of the prior studies, an area of architectural distortion is again identified in ... | Successful needle localization of the right breast distortion.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
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. An asymmetry is seen on the CC view in the righ... | Asymmetry in the right medial breast. 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. | CVA There is moderate amount of subarachnoid hemorrhage involving the posterior fossa including the prepontine and. perimedullary cistern as well as the cisterna magna. Subarachnoid hemorrhage extends superiorly to the level of the interpeduncular cistern. Hemorrhage extends into the cervical spinal canal. There is mil... | 1. Moderate degree of subarachnoid hemorrhage centered within the posterior fossa and extending into the cervical canal. There is mild mass effect on the brainstem related to the hemorrhage.2. Hypodensity favored to represent chronic infarcts involving the bilateral anterior frontal as well as laterally involving the s... |
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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her sister diagnosed at age 42. 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 ... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts with an additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifi... | 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 can be submitted, then an addendum to this re... |
Generate impression based on findings. | History of cervical cancer, evaluate for progression of disease. CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules, likely representing prior granulomatous infection, unchanged. MEDIASTINUM AND HILA: Right-sided central venous catheter with tip in the right atrium. Multiple calcified l... | 1.Large cervical mass compatible with patient's known cancer, similar to prior. 2.Previously described mesenteric lymph node, left axillary lymph node, and scattered small pelvic lymph nodes are stable.3.New subcentimeter mediastinal lymph node and subcentimeter low-attenuation hepatic lesion are nonspecific but should... |
Generate impression based on findings. | Hodgkin lymphoma status post 6 cycles of ABVD. RADIOPHARMACEUTICAL: 11.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 85 mg/dL. Today's CT portion grossly demonstrates opacification of the left frontal sinus suggestive of sinusitis as well as a right maxillary sinus retention cyst/polyp. Today's PET exami... | Complete metabolic response to therapy without FDG avid tumor currently. |
Generate impression based on findings. | Male 65 years old Reason: AKI on CKD, poor response to diuresis, unknown etiology of CKD History: tachypnea. Unable to place patient decubitus position, incubated.RIGHT KIDNEY: 11 .5 cm in length. Increased echogenicity consistent with medical renal disease. Extrarenal pelvis. No hydronephrosis. Small cyst, unchanged. ... | Echogenic kidneys consistent with medical renal disease. No hydronephrosis. |
Generate impression based on findings. | Male 11 years old Reason: eval fracture alignment History: wrist injuryVIEWS: Right wrist AP, lateral and oblique 2/13/50 (3 views) Interval cast removal. Healing fracture of the distal metadiaphysis of the right radius with periosteal reaction and callus formation is noted. Mild dorsal angulation is unchanged. | Healing fracture unchanged in alignment after cast removal. |
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 benign calcifications are present bil... | 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 28 years old Reason: appy History: RLQ abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signific... | No evidence of acute appendicitis. No acute pathology to account for patient's right lower quadrant pain. |
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. No suspicious masses, microcalcifications or areas of archi... | 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. | Asymptomatic female presents for routine screening mammography. History of two left breast benign biopsies. Two standard digital views 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 distribu... | 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. | Asymptomatic female presents for routine screening mammography. She reports yellow-colored right breast nipple discharge, which was also reported on prior mammograms. Personal history of benign right breast biopsy in 2009. Two standard digital views with additional right CC view of both breasts were performed and revie... | 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. | 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 heterogeneously dense, which may obscure small masses. As... | Asymmetry in the right lateral breast best seen on tomosynthesis. Attempts to obtain patient's prior mammogram should be made in order to confirm stability of this finding.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OC - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Persistent vomiting. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There are secretions within the right sphenoid sinus. The mastoid air cells are cl... | 1. No evidence of acute intracranial hemorrhage, mass, or ventriculomegaly.2. Secretions within the right sphenoid sinus may represent sinusitis. |
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. There is an intramammary lymph node in the left upper breast. 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Previous benign left breast biopsy. History of right breast cysts. Two standard digital views of both breasts with repeat right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular de... | 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. | Total hip replacement Bilateral total hip arthroplasty devices are situated in near-anatomic alignment. Surgical drain and soft tissue gas at the right hip reflect recent surgery. The right hip total arthroplasty device is without radiographic evidence of hardware complication. Poorly defined lucency in the adjacent ac... | Total hip arthroplasty devices, as above. |
Generate impression based on findings. | Female 32 years old Reason: assess alignment to r/o stress fracture History: LBP. There is no acute fracture or malalignment. The lumber spine vertebral body heights and intravertebral disk spaces are preserved. There is no evidence of instability. | No acute fracture or malalignment. No evidence of instability. |
Generate impression based on findings. | Female 35 years old Reason: eval gall bladder / biliary tree for pathology History: abdominal pain, nausea, diarrhea after PO intake. Limited by body habitus.LIVER: 19.1 cm in length. Diffusely echogenic consistent with fatty infiltration. No focal lesions.Flow in the portal vein is hepatopedal with a peak velocity of ... | Cholelithiasis no evidence of cholecystitis or biliary dilatation. Echogenic liver consistent with diffuse fatty infiltration. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distor... | 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. | Chronic lymphoid leukemia follow up. There has been slight interval increase in size of a few cervical and upper mediastinal lymph nodes, although these remain not significantly enlarged based on size criteria. The Waldeyer ring structures are not enlarged. There is an unchanged subcentimeter nodule with a punctate cal... | Slight interval increase in size of a few cervical and upper mediastinal lymph nodes, which is nonspecific. |
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. Benign intramammary lymph nod... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views, repeat right CC view, 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. Benign... | 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 with repeat right CC 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. 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: NSB - 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 almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, 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. Family history of breast cancer in maternal cousin. 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. No suspicious ma... | 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: R/O ICH or fracture History: Pediatric Trauma There is redemonstration of a 12 x 37 mm axial dimension extra-axial CSF density lesion adjacent to the right flow associated with the lobe of adjacent bone remodeling. This was also present on the prior exam and is unchanged.There is soft tissue thickening present ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.A cystic lesion adjacent to the right frontal lobe most likely represents arachnoid cyst and is stablesoft tissue swelling along the left scalp is present which most like represents a subgaleal hematoma |
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. There is a stable asymmetry 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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her mother and two maternal cousins. Two standard digital views 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, uncha... | 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. | Newly diagnosed leukemia. LUNGS AND PLEURA: Calcified granulomas consistent with granulomatous disease.No focal airspace consolidation or pleural effusion.Mild dependent atelectasis.MEDIASTINUM AND HILA: Normal heart size without pericardial effusion.Severe coronary artery calcification.CHEST WALL: Minimal degenerative... | No evidence of infection. Severe coronary artery calcification. No other significant abnormality. |
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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Benign intramammary lymph nodes in the... | 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. | Female 72 years old Reason: r/o cholecystitis History: abd pain, elevated LFT, fevers Limited by bandages. Left upper quadrant cannot be visualized.LIVER: 19.7 cm in length. Slight coarse echotexture. No focal lesions. Flow in the portal vein is hepatopedal, peak velocity .4 m/secGALLBLADDER, BILIARY TRACT: Extensive c... | Limited exam. Cholelithiasis without biliary dilatation. |
Generate impression based on findings. | 2-year-old male, evaluate for interval healingVIEWS: Left forearm, AP and lateral (two views) 2/13/15 9:32 An external fixation device affixing the proximal radius and ulna and distal forearm and metacarpals is unchanged in alignment without evidence of new hardware complication. Interposed bone graft with osseous brid... | External fixation of radial or ulnar osteotomies appearing similar to the prior exam. |
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. No suspicious masse... | 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. | Female 68 years old Reason: right shoulder s/p removal of arthroplasty components and placement of prostalac. History: above. There has been interval removal of total shoulder arthroplasty device and placement of methacrylate. The joint appears to be in near-anatomic alignment. There is a new oblique fracture of the re... | 1.Interval removal of total shoulder arthroplasty device and placement of methacrylate with shoulder joint in near anatomic alignment. 2.New fracture of the humeral tuberosity as described above. |
Generate impression based on findings. | Ms. Garnett is a 56 year old female with a prior history of fat necrosis/oil cyst formation that had resolved by July 2013 by ultrasound. Family history of breast cancer in mother (diagnosed at the age of 80) and sister (diagnosed at the age of 60). No current breast related complaints. Three standard views of both bre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Restaging of NSCLC. Exam is significantly degraded by motion artifact.LUNGS AND PLEURA: Moderate right pleural effusion, increased from prior, with adjacent atelectasis obscuring the previously seen subpleural right lower lobe nodule.New small left pleural effusion. Bilateral pulmonary nodules consistent with metastase... | 1. Moderate right pleural effusion, increased from prior, and new small left pleural effusion. 2. Significantly increased size of a left lower lobe nonreference nodule, most likely a metastasis. Other reference nodules and anterior mediastinal mass are not significantly changed (except for a right lower lobe nodule, wh... |
Generate impression based on findings. | Female 6 years old Reason: eval distal radius fracture VIEWS: Right forearm AP and lateral 2/13/15 at 944 hours. (Two views) Healing distal metaphyseal fracture of the right radius is in anatomic alignment. Cast material obscures fine bone details. | Healing fracture unchanged in alignment after casting. |
Generate impression based on findings. | 38 day old female with history of trauma. There is no evidence of acute intracranial hemorrhage. The gray-white differentiation is preserved. The basal cisterns are intact. The ventricles and sulci are symmetric. There is no evidence of depressed calvarial fracture. The soft tissues of the scalp are within normal limit... | No evidence of acute intracranial hemorrhage or calvarial fracture. |
Generate impression based on findings. | Intramedullary nail Intramedullary rod and screw device is present in the left femur, without radiographic evidence of hardware complication. Skin staples and soft tissue gas reflect recent surgery. The permeative lucency in the distal diaphysis with associated endosteal scalloping is again seen.Mild osteoarthritis aff... | Postoperative changes, as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her maternal niece. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distributio... | 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. | Female 95 years old Reason: r/o fracture History: LLE edema, no DVT. There are moderate degenerative arthritic changes of the left hip joint and pubic symphysis. There is no acute fracture or dislocation.Four views of the knee reveal moderate enthesopathic changes of the patella and chondrocalcinosis. There is no acute... | Moderate degenerative changes of the left hip and left knee without evidence of fracture or dislocation. |
Generate impression based on findings. | SNHL, bilateral. Possible cochlear implant candidate. 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 describes a normal course. The jugular bulb and carotid cana... | No evidence of temporal bone structural anomalies that may potentially interfere with cochlear implantation. |
Generate impression based on findings. | 63 year-old female with history of bleeding from tracheostomy site. Please note that this study was protocoled to evaluate the vasculature which results in decreased sensitivity to subtle changes in soft tissue lesions.Head: There is no evidence of acute intracranial hemorrhage. The gray-white differentiation is preser... | 1. There is no significant vascular abnormality in the neck. Specifically, no evidence of any actively extravasating vessel is seen.2. Anomalous intracranial vasculature including a persistent trigeminal artery. There is no evidence of aneurysmal dilatation or flow limiting stenosis.3. Diffuse metastatic disease as abo... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her mother at age 44 and grandmother in her 60's. The patient is currently breast-feeding. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images a... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | Female 22 years old Reason: evaluate for renal stone History: L flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, ... | Non-obstructing subcentimeter stone at the left ureterovesical junction. Additional non-obstructing subcentimeter left renal calculus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient has history of prior abscess drained from the right breast in 1960s. 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. No suspic... | 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. | Male 54 years old Reason: MGUS History: hx of MGUS, right hip pain. SKULL: Two views of the skull are unremarkable, without evidence of myelomatous lesions.CERVICAL SPINE: Two views of the cervical spine demonstrate straightening of the cervical spine and small anterior osteophytes of vertebral bodies. There is a anter... | 1.Indeterminate anterior wedge deformity of the C7 vertebral body.2.No discrete myelomatous lesions identified. |
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