instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 49 year year old female with tachycardia, evaluate for abdominal infection. 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: Right basilar atelectasis/consolidati... | 1.Right basilar atelectasis/consolidation.2.Ventral hernia without evidence of obstruction. Constipation. 3.Soft tissue collection along the right paracolic of uncertain etiology. Given lack of adjacent fat stranding, unlikely to be abscess.4.Non-specific retroperitoneal lymphoadenopathy. 5.Findings compatible with pri... |
Generate impression based on findings. | Ms. Vines is a 76 year old female with a personal history of left cyst removal approximately 5 to 10 years ago. No current breast related 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 fibroglandular densi... | 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. | 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. | Reason: infection? History: neutropenic fever, pneumonia CT head: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.Periventricular and su... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3.CT of the maxillofacial bones is within normal limits.4.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age th... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of excisional biopsy on the left and percutaneous biopsy on right, both benign. 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 sma... | Bilateral unchanged, 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. | Evaluate for sinus infection, potential fungal infection in febrile neutropenic patient with fever. There is moderate mucosal thickening in the bilateral maxillary, ethmoid, and sphenoid sinuses. There is also fluid within the bilateral frontal, sphenoid and portions of the ethmoid sinuses. There is extensive diffuse s... | Acute upon chronic pansinusitis. |
Generate impression based on findings. | Male 71 years old Reason: hematuria History: hematuria ABDOMEN:LUNG BASES: Mild bibasilar atelectasis/scarring. No pleural effusion. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Calcified granulomata. ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Hypodense lesion in the inferior pol... | Negative examination. |
Generate impression based on findings. | Ms. Newark is a 49 year old female with a personal history of benign right breast biopsy in 2014 at an outside hospital. No current breast related 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 fibroglandu... | 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.Mammography is optimally performed when prior studies are available to detect changes. If the patient's ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of excisional biopsy in 2010 enlarging fibroadenoma of the left breast. 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 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: NSC - Screening Mammogram. |
Generate impression based on findings. | 15-year-old male with hand injury. Evaluate for fracture.VIEWS: Right hand PA and lateral (two views) 2/13/2015 There is a distal metaphyseal fracture of the 5th metacarpal bone with palmar and lateral angulation. | Distal metaphyseal fracture of the 5th metacarpal bone with palmar and lateral angulation. Findings were discussed with Dr. Jovito Angeles by phone on 2/13/2015 at 11:00 AM |
Generate impression based on findings. | Male 46 years old Reason: left shoulder pain History: pain. Again seen is a radiolucent fixation device between the distal clavicle and the coracoid in near-anatomic alignment. There is no evidence of hardware loosening. There is normal alignment of the glenohumeral joints. No acute fracture or dislocation. | Postoperative cortical ligament repair without radiographic evidence of hardware complication. |
Generate impression based on findings. | 47-year-old female with dysphasia, evaluate esophageal dysmotility or structural blockage Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities of the mu... | 1.Mild gastroesophageal reflux was noted without evidence of reflux esophagitis. 2.Delayed emptying of barium pill into the stomach may be the cause referred globus sensation. |
Generate impression based on findings. | 16-year-old male, evaluate for fractureVIEWS: Left ankle AP, oblique and lateral (3 views) 2/13/2015 10:07 Previously noted soft tissue swelling and joint effusion about the ankle and edema of Kager's fat pad have resolved. No evidence of fracture or dislocation. Again seen is a well corticated ossific density just inf... | Normal examination. |
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. Scattered cal... | 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. | Reason: lung CA, not currently on therapy. followup. History: none CHEST:LUNGS AND PLEURA: Left hemithorax postsurgical and postradiation changes and volume loss appear similar to the prior exam. Large left pleural effusion, stable to slightly increased from prior exam, with associated compressive atelectasis.Right upp... | 1. No evidence of recurrent or metastatic disease.2. Stable post-treatment findings in the left hemithorax, with persistent large left pleural effusion. |
Generate impression based on findings. | Male 32 years old Reason: persistent R buttock pain, evaluating for sacroiliitis History: persistent R buttock pain. Bilateral sacroiliac joints are unremarkable. There is no acute fracture or malalignment. The vertebral body heights and intravertebral disk spaces are maintained. | No radiographic evidence of sacroiliitis as clinically questioned. |
Generate impression based on findings. | Possible stress fracture with LBP after fall, and history of L5-S1 surgery 6 years ago. There is no evidence of fracture. There is a punctate midline posterior epidural calcification at L3-4. There is a slight disc bulge at L4-5 as well as mild bilateral facet hypertrophy and ligamentum flavum thickening with mild spin... | Postoperative findings and degenerative spondylosis in the lower lumbar spine, but no evidence of lumbar spine fracture. |
Generate impression based on findings. | 56-year-old female with history of benign ultrasound guided core biopsy of the left breast. 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 heterogeneously dense, unchanged in pattern and distribution. A ribbo... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. In view of her dense breasts, whole breast ultrasound may be useful for the supplemental screening. Results and recommendations were discussed with ... |
Generate impression based on findings. | Male 63 years old Reason: AKI History: AKI RIGHT KIDNEY: 11.4 cm in length. Increased echogenicity consistent with medical renal disease. Several small cysts.LEFT KIDNEY: Atrophic, 7.7 cm in length. Echogenic. Several small cyst.URINARY BLADDER: : No significant abnormality noted.OTHER: Limited color Doppler imaging sh... | Echogenic right kidney consistent with medical renal disease. Atrophic left kidney. Several small cysts bilaterally. No hydronephrosis. |
Generate impression based on findings. | Female 65 years old Reason: eval for esophageal injury, esophageo-jejunal anastomosis integrity History: C-spine repair now s/p esophago-jejunostomy Scout radiograph shows a left lower lobe opacity. Postsurgical changes are noted in the lower cervical spine and upper abdomen. There is skin suture staples and multiple s... | 1.No evidence of leak at the esophageal jejunal anastomosis.2.Severe jejunal esophageal reflux. |
Generate impression based on findings. | 62 years, Male. Reason: ngt placement History: ngt placement NG tube side-port projects over the gastroesophageal junction with tip over the gastric body. Gastrostomy tube is noted. Rectal temperature probe is partially visualized. Nonobstructive bowel gas pattern. | NG tube side-port projects over the gastroesophageal junction, recommend advancement. |
Generate impression based on findings. | 58 years, Female, Reason: f/u ovarian cancer History: shooting pain starting at navel and going down. CHEST:LUNGS AND PLEURA: No consolidation or pleural effusion. Scattered nonspecific micronodules are unchanged. No suspicious nodules or masses.MEDIASTINUM AND HILA: Left chest port tip terminates in the SVC. Aneurysma... | 1.Omental nodularity is minimally increased.2.Subcentimeter enhancing right hepatic lobe lesion is unchanged from 2012 and may represent a hemangioma, although metastasis cannot be excluded.3.Stable retroperitoneal lymphadenopathy. |
Generate impression based on findings. | 43 year old female with pain with eating, evaluate for SMA syndrome There is prompt emptying of contrast from the esophagus into the stomach. The stomach was normal in size, shape, and position. There was delayed emptying of contrast into the duodenum. After approximately 8 minutes, contrast emptied into the duodenum a... | Delayed emptying of contrast into the duodenum. No evidence of SMA syndrome. Formal nuclear medicine gastric emptying study may be considered. |
Generate impression based on findings. | Chronic DOE. Abnormal CXR suggesting possible chronic indolent infection. LUNGS AND PLEURA: Right lower lobe opacity with volume loss and linear margins, increased in size from prior and likely representing atelectasis. Patent bronchi without evidence of an obstructing lesion in this area of atelectasis. No evidence of... | Increased size of right lower lobe opacity, most likely representing atelectasis. This may partially be attributed to a chronically elevated hemidiaphragm. No evidence of active infection or lung malignancy. |
Generate impression based on findings. | 8-month-old female with emesis. Assess NJ tube placement.VIEW: Abdomen AP (one view) 2/13/2015 10:30 NJ tube tip unchanged in the distal duodenum. Partially visualized central venous catheter in the cavoatrial junction. IVC stent and suture material in the right upper quadrant are again seen.Disorganized bowel gas patt... | NJ tube tip in the distal duodenum. |
Generate impression based on findings. | Reason: localize SAH lesion History: posterior headache 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 ... | 1.No evidence for aneurysm. If clinically appropriate, conventional angiogram would help further evaluate for aneurysm not readily identified on this exam.2.Subarachnoid hemorrhage is collected predominantly in the posterior fossa in the pre-medullary cistern and surrounding the medulla. This suggests possible source f... |
Generate impression based on findings. | Reason: HNSCC. Compare to previous. History: as above CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema.Multiple bilateral lung nodules appear to have gradually increased in size, especially compared to the prior exam dated 09/2014.Reference anterior right upper lobe subpleural nodule measures 7 x 5 mm (series 7, im... | 1. Gradually enlarging bilateral pulmonary nodules, including a new right lower lobe nodule, and gradually enlarging necrotic mediastinal/hilar lymphadenopathy, most likely representing progressive metastatic disease.2. Right lower lobe scattered groundglass opacity may be related to inflammatory process, including asp... |
Generate impression based on findings. | Lung Transplant Evaluation. Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 47.9 % of peak activity (normal >70 %)1 hour: 32.8 % of peak activity (normal 30... | Gastric emptying within normal limits. |
Generate impression based on findings. | Male 15 years old Reason: follow up History: follow up. There is a deformity of the head of the fifth metacarpal bone compatible with a prior fracture. Fracture line is somewhat indistinct with bony bridging compatible with partial healing and callus formation. | Partial healing of the fracture of the fifth metacarpal head. |
Generate impression based on findings. | Six year old male status post fractureVIEWS: Right wrist PA, oblique, lateral (3 views) 2/13/2015 10:40 Interval removal of cast material. Healing distal radial and ulnar fractures with periosteal reaction and callus formation again seen. Radius and ulna are in near anatomic alignment. | Healing fractures with the radius and ulna in near anatomic alignment. |
Generate impression based on findings. | Male 18 years old Reason: left leg pain History: pain. Again seen is a intramedullary rod of the left femur with a single orthopedic screw at the distal diaphysis of the femur. A distinct fracture line is seen at the mid diaphysis of the femur with minimal medial displacement of the distal fracture fragment and surroun... | Orthopedic fixation of partially healed mid diaphyseal femoral fracture as described above. |
Generate impression based on findings. | Female 79 years old Reason: eval parastomal hernia - ?incarceration History: pain at hernia, N/V, inc firmness ABDOMEN:LUNG BASES: New incompletely imaged, nonspecific tree in bud opacities in the right upper lobe. Early infectious process cannot be excluded. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN... | 1.High-grade partial small bowel obstruction with transition point in the area of the parastomal hernia. 2.New and increasing size of several inguinal and abdominal lymph nodes worrisome for progression of metastatic disease. |
Generate impression based on findings. | Evaluate for toxic multinodular goiter. The thyroid images demonstrate a single or two adjacent hypofunctioning nodules in the right mid to lower pole. There is also a small to medium warm functioning nodule within the left midpole. However, there is no suppression throughout the remaining gland which demonstrates unif... | 1. Dominant hypofunctioning right mid to lower pole nodule(s) which are indeterminate for malignancy; this may be further evaluated with ultrasound/biopsy as clinically indicated.2. Otherwise, fairly uniform uptake of tracer throughout the thyroid gland, including the pyramidal lobe, which is at the upper limits of nor... |
Generate impression based on findings. | Male 78 years old Reason: assess fracture History: right leg pain. Two views of the right femur show an intramedullary rod with two screws affixing a comminuted fracture of the proximal femur in near anatomic alignment. The fracture lines appear less distinct with surrounding callus formation indicating interval healin... | Orthopedic fixation of healing right proximal femoral fracture as described above. |
Generate impression based on findings. | 83-year-old female. Hemoptysis. Lung nodule. LUNGS AND PLEURA: Left lower lobe 7-mm nodule (series 4, image 69), unchanged from 7/2014.Calcified nodules consistent with healed granulomatous disease.MEDIASTINUM AND HILA: Normal heart size without pericardial effusion.Calcified mediastinal nodes consistent with healed gr... | Stable 7 mm left lower lobe nodule, very likely benign; however, one additional follow-up scan in 1 year is recommended is confirm stability. |
Generate impression based on findings. | Ms. Davis is a 57 year old female with a personal history of benign right breast biopsy. No current breast related 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 fibroglandular density, unchanged in patter... | Bilateral benign calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 14-year-old male with sickle cellVIEWS: Chest AP/lateral (two views) 2/13/15 10:38 The cardiothymic silhouette is normal. Subsegmental atelectasis of the anterior right upper lobe. No pleural effusions. | Subsegmental right upper lobe atelectasis. |
Generate impression based on findings. | Reason: s/p VATS LUL for T1N0 carcinoid History: follow up LUNGS AND PLEURA: Small micronodules and an intrapulmonary lymph node in the right upper lung zone unchanged.There is no evidence of tumor recurrence following left upper lobectomy.Mild centrilobular emphysema is most pronounced in the right upper lobe. MEDIAST... | No evidence of tumor recurrence following left upper lobectomy. No other significant abnormality. |
Generate impression based on findings. | Colon carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, L... | Stable examination without acute, inflammatory, or metastatic process. |
Generate impression based on findings. | 70 years, Female, Reason: 70 y.o F iwth FL on BR regimen, please restage and assess response. History: none. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Left supraclavicular lymph node measures 2.3 x 1.5 cm (3/4), previously 3.5 x 2.5 cm. Thyroid nodules are unchanged. Precarinal node ... | Improved lymphadenopathy and splenomegaly |
Generate impression based on findings. | Ms. Amshoff is a 40 year old female with a personal history of bilateral benign breast biopsies and recent right cyst aspiration. Family history of breast cancer in mother and grandmother. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is het... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Tomosynthesis may also be useful for this patient. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Scree... |
Generate impression based on findings. | 53 year old male with history of rectal cancer, restaging after neoajuvant therapy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Mild mesenteric haziness adjacent to the pancreas is nonspecific but may represe... | No pelvic lymphadenopathy or other specific evidence of metastatic disease. |
Generate impression based on findings. | Prostate carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Stable gynecomastia.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS:... | Interval increase in size of sclerotic bony lesions; correlation with nuclear medicine scan recommended. No new metastatic foci. |
Generate impression based on findings. | 53 years, Male, Reason: 53 yo male with history of necrotizing pancreatitis with peripancreatic fluid collections, s/p ERCP with transduodenal stent exchange, panceratic duct stent placement for pancreatic duct fistula. CT to asssess fistula History: history of pancreatitis with pancreatic duct disruption. ABDOMEN:LUNG... | 1.Improved abdominal ascites.2.New gallbladder wall thickening and possible developing stones. Recommend further evaluation with ultrasound.3.Necrotic pancreatitis appearing similar to the prior exam. No new fluid collections. For evaluation of a fistulous communication, a fluoroscopic study would be more sensitive. |
Generate impression based on findings. | History renal cell carcinoma, follow-up. CHEST:LUNGS AND PLEURA: No suspicious nodules masses. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Pacemaker leads terminate in the right atrium and right ventricle. Mild coronary artery calcifications. Nonspecific small hypoattenuating nodule in the right thyr... | No specific evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | 12-year-old female with abdominal pain, evaluate for SMA syndrome ABDOMEN:LUNG BASES: Lung bases are clear.LIVER, BILIARY TRACT: Normal hepatic morphology without focal lesion.SPLEEN: No significant abnormality noted.PANCREAS: Normal pancreatic enhancement.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETE... | Normal exam without evidence of SMA syndrome with measurements provided above. |
Generate impression based on findings. | Family history colon cancer with right-sided abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Minimal r... | Subcentimeter distal right ureteral stone associated with mild right hydronephrosis and hydroureter. Additional nonobstructing punctate right renal stone. |
Generate impression based on findings. | History of HCC please assess and compare to previous imaging and provide index lesion measurements for RECIST. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: Moderate atherosclerotic calcifications of the coronary arteries.CHEST WALL: No significant abnormality noted.ABDOMEN:LI... | 1.Stable segment 6 partially necrotic dominant hepatic mass with mildly enhancing periphery suggesting viable tumor. 2.Interval increase in size of the hepatic dome lesion and conglomerate of surrounding satellite lesions. 3.No specific evidence of distant metastatic disease. 4.Stable splenic artery aneurysm. |
Generate impression based on findings. | Sinusitis and intermittent crusty nasal drainage, status post repair of bilateral choanal atresia. There is near-complete opacification of the bilateral maxillary and ethmoid sinuses with suggestion of fluid. The sphenoid and frontal sinuses have not yet pneumatized. There are postoperative findings related to choanal ... | 1. Findings suggestive of acute rhinosinusitis. 2. Postoperative findings related to choanal atresia repair with possible restenosis of the right posterior choana, although assessment is limited in the presence of superimposed secretions.3. Findings suggestive of left otomastoiditis and right otitis media. |
Generate impression based on findings. | Male 30 years old; Reason: evaluate for torsion, clot History: acute scrotal pain/swelling RIGHT TESTIS: The right testis measures 4.5 x 2.8 x 2.4 cm and is of normal echotexture. Small right hydrocele noted.LEFT TESTIS: The left testis measures 3.9 x 2.6 x 2.1 cm and is of normal echotexture.RIGHT EPIDIDYMIS: The righ... | No evidence of testicular torsion. Bilateral varicoceles noted. Scrotal skin thickening, likely reflects edema. |
Generate impression based on findings. | Neck: There is overall slight interval increase in size of multiple necrotic cervical lymph nodes with evidence of extracapsular extension. For, example, a heterogeneous right level Ia lymph node measures 14 mm in short axis, previously 13 mm in short axis, a right level Ib lymph node measures 27 mm in short axis, and... | 1. Slight interval progression of extensive right cervical lymphadenopathy with signs of extracapsular extension and increase in size of right face dermal metastases, but unchanged appearance of the treated right tonsillar fossa.2. No evidence of intracranial metastases.3. A nodule in the left tracheoesophageal groove ... |
Generate impression based on findings. | 8 month old female with elevation of LFTs following transplant. Evaluate for signs of acute rejection, changes in blood flow. Grayscale, spectral and color Doppler images were obtained on inflow and outflow images.LIVER: Normal echogenicity with no evidence intra-or extrahepatic biliary ductal dilatation.There is norma... | 1. Normal direction, velocity and flow of the portal veins, hepatic arteries and hepatic veins. 2. Moderate ascites in the abdomen. 3. Splenomegaly. |
Generate impression based on findings. | 47 years, Male. Reason: Dobbhoff placement History: same LVAD, pacer leads, median sternotomy wires and fixation plates are all unchanged. Dobbhoff tube tip is obscured by LVAD device and presumably projects over the gastric body. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view... | Obscured Dobbhoff tube tip presumably projects over the gastric body. |
Generate impression based on findings. | Tenderness and swelling at the left maxillary area. Right ring finger pain. FACIAL BONES: No fracture or malalignment evident. Dental amalgam noted.RIGHT FOURTH DIGIT: Minimally displaced oblique fracture through the middle phalanx, without intra-articular extension. There is mild overlap of the fracture fragments. | 1. Right ring finger middle phalangeal fracture, as above. 2. No maxillofacial fracture evident. |
Generate impression based on findings. | 37 years, Female. Reason: eval for acute process History: abdominal pain, distention, hepatic failure, lactulose Intrauterine device projects over the midpelvis. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Lung carcinoma ABDOMEN:LUNG BASES: Please see separate report for chest findingsLIVER, BILIARY TRACT: Stable cholelithiasisSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Stable right adrenal nodule best seen on image 41 of series 7 measuring 1.2 x 0.8 cm.KIDNEYS, URETE... | Stable examination. |
Generate impression based on findings. | 65 years, Male. Reason: Dobbhoff placement History: Dobbhoff placement Dobbhoff tube tip projects over the first portion of the duodenum. Bilateral chest tubes, median fixation plate and wires, and mediastinal clips are unchanged. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view... | Dobbhoff tube tip projects over the first portion of the duodenum. |
Generate impression based on findings. | 3-year-old male with pain and right third ribVIEWS: Chest AP/lateral (two views) 2/13/15 11:24 The cardiothymic silhouette is normal. Bronchial wall thickening and large lung volumes indicate bronchiolitis or reactive airway disease. No pleural effusions. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease; compare to previous scan History: None CHEST:LUNGS AND PLEURA: Marked interval increase in the left pleural effusion with a persistent small right pleural effusion.Complete atelectasis of the left upper lobe with a centrally obstructing mass. Previous measurements... | 1. Markedly increased left pleural effusion and moderately increased pericardial effusion. 2. Extensive hematogenous and possibly lymphogenous metastatic disease in the lungs, slightly overall stable or slightly improved.3. Extensive metastatic lymphadenopathy in the thorax, chest wall and abdomen, without significant ... |
Generate impression based on findings. | LIVER: Normal echogenicity with no intra-or extrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: Visualized gallbladder appears normal in echogenicity.PANCREAS: Partially visualized pancreas appears normal in echogenicity.SPLEEN: Partially visualized spleen appears normal in echogenicity. KIDNEYS: The vi... | No evidence of appendicitis. Mildly prominent lymph nodes in the right lower quadrant. |
Generate impression based on findings. | 28 years, Female. Reason: eval stool burden History: abd pain Above average stool burden. Nonobstructive bowel gas pattern. Lung bases are clear. Probable urinary or rectal catheter overlies the midpelvis. | Above average stool burden. |
Generate impression based on findings. | Male 2 years old Reason: R/O Fracture History: Pediatric TraumaVIEWS: Chest AP (one view), cervical spine AP and lateral (two views), pelvis AP (one view), 2/13/50. The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal. No focal lung opacity, pleural effusion or pneumothorax is seen. Ve... | Normal chest, cervical spine and pelvis. |
Generate impression based on findings. | Age: 65 years. Sex : Male. Reason for study: Reason: 65 y/o male with head/neck CA; please eval for aspiration; completing chemo/RT this week History: Coughing when swallowing thin liquids. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT servic... | Exam positive for penetration but negative for aspiration. Please refer to dedicated speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | Male 45 years old Reason: METASTATIC PANCREATIC NEUROENDOCRINE CANCER. STATUS POST CHEMOTHERAPY WITH CAPECITABINE AND TEMODAR. EVALAUTE FOR DISEASE RESPONSE History: PANCREATIC NEUROENDOCRNIE TUMOR CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: ... | Large pancreatic mass invading the main portal vein, SMV and splenic vein and causing tumor thrombus in the main portal vein.Numerous hepatic metastases. |
Generate impression based on findings. | Age: 79 years. Sex : Male. Reason for study: Reason: stroke, concerns for aspiration History: as above. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obtain... | The examination was negative for vestibular penetration and negative for aspiration. Please refer to speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | Age: 45 years. Sex : Female. Reason for study: Reason: previous OPM, hx of scleroderma, microaspirations leading to pneumonia History: scleroderma, pneumonia. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded... | The examination was positive for vestibular penetration and negative for aspiration. Please see speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | Female 47 years old Reason: renal cancer and SOB History: as above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormalit... | Nonspecific, sclerotic lesion involving the T7 vertebral body. Postsurgical changes involving the right upper renal pole. |
Generate impression based on findings. | Status post fall 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. | No evidence of intracranial hemorrhage or skull fracture |
Generate impression based on findings. | Male 70 years old Reason: Pt s/p subtotal colectomy for stage IIA colon cancer in 2011 - please eval for any recurrent or metastatic disease (note: bx of Right pericolic gutter mass on 11/26/13 negative for cancer) History: colon cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No signif... | Slight interval decrease in the right peritoneal pericolic implant, otherwise no significant change from previous study. |
Generate impression based on findings. | Reason: NSCLC restaging History: NSCLC CHEST:LUNGS AND PLEURA: Right upper lobe a large necrotic mass abutting and probably invading the pleura (series 3/29) 6.5 by 5.6 cm, decreased from previous.Small right upper lobe nodule (series 4/46) now 5 mm, decreased from 7 mm previously.New small right pleural effusion.Decre... | Interval decrease in right upper lobe mass, pulmonary nodules, mediastinal lymphadenopathy and hepatic metastasis. |
Generate impression based on findings. | Reason: Right v/c paralysis, Please evaluate. History: Right v/c paralysis, Please evaluate. LUNGS AND PLEURA: Calcified granuloma left lower lobe.MEDIASTINUM AND HILA: Mild coronary artery calcification.calcified nodes consistent with healed granulomatous disease.There is a short segment subglottic stenosis causing na... | Subglottic stenosis seen secondary to soft tissue thickening along the posterior and left lateral aspects of the airway. Is relatively fixed on dynamic phases. Please see dedicated neck CT report for further details regarding the upper airway. The lower trachea is normal.I personally reviewed the Images and/or procedur... |
Generate impression based on findings. | Again seen is a large enhancing mass extending from the left T1-T2 level to the left T3-T4 level. Mass measures up to approximately 6.2 x 7 .6 cm in the axial and transverse dimensions (axial image 21 of 20, including right vertebral involvement) and up to 5.9 cm in the craniocaudal dimension (coronal image 20 to 53).... | 1. Compared to 1/28/2015, there is no significant change in size of large destructive upper thoracic spinous and paraspinous mass extending from T1-T2 to the T3-T4 levels and consistent with known metastatic disease. 2. Tumor extends into the spinal canal with mild narrowing superior to the level of the laminectomies f... |
Generate impression based on findings. | There is streak artifact from dental amalgam limiting evaluation. There are postoperative and posttreatment findings in the neck with no discrete recurrent tongue mass. There is hyperenhancement and edema of the oropharyngeal mucosa compatible with posttreatment mucositis. There is also new thickening and hyperenhance... | Post-treatment findings in the neck with slight interval enlargement of hyperenhancing bilateral level Ib lymph nodes, which are likely reactive, and no evidence of recurrent measurable tumor in the neck otherwise, although assessment I personally reviewed the Images and/or procedure with the Resident/Fellow and agree ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts with 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. Scattered coarse benign calcifications ar... | 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 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. Scattered benign calcifications are present in both breasts... | 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 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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother (diagnosed at the age of 76) and maternal aunt (diagnosed at the age of 50). 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 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: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: active smoking 1/2 PPD x 57 yrs History: none LUNGS AND PLEURA: Sharply marginated 10 x 9 mm right upper lobe nodule image 54 series 5 has not significantly changed as far back as at least 9/16/2008.Scattered scarlike opacities, minimal bronchial wall thickening, and mild emphysema are unchanged.No evidence of ... | 1. No evidence of lung cancer.2. Long-term stability of the known right upper lobe nodule which is likely benign.3. Severe coronary artery calcification.Lung-RADS: Category: 2/S (Benign Appearance or Behavior: Nodules with a very low likelihood of becoming a clinically active cancer due to size or lack of growth/Signif... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign right breast biopsy. Family history of cervical cancer in mother, diagnosed at the age of 77. 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... | Incompletely characterized calcifications in the right breast. Additional imaging, including spot magnification views, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of colon cancer. 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. Scattered benign calcifications, including arterial ... | 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. | The patient submitted outside mammogram dated 12/13/2012, from Metro South Hospital. Submitted outside study was compared to the current mammogram dated 2/5/2015. The breast parenchyma is composed of scattered fibroglandular elements. Previously identified benign morphology masses in the left breast have resolved on th... | Involuting left breast cysts. 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: h/o tonsil ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.Severe coronary artery calcifications are present.A sliding hiatal hernia is noted. CHEST WALL: Mi... | 1. No evidence of metastatic disease.2. Enlarging infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | Female 51 years old Reason: evaluate for gall stones, s/p gastric bypass 2009 History: epigastric and LUQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | Postsurgical changes in the stomach secondary to bariatric surgery, otherwise unremarkable CT. |
Generate impression based on findings. | The patient submitted outside mammogram dated 12/13/2012, from Metro South Hospital. Submitted outside study was compared to the current mammogram dated 2/5/2015. The breast parenchyma is composed of scattered fibroglandular elements. Previously identified benign morphology masses in the left breast have resolved on th... | Involuting left breast cysts. 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. | The patient submitted outside mammogram dated 11/8/2014, from Advocate Trinity Hospital. Submitted outside study was compared to mammograms dated 11/15/2013 and 11/09/2012. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Benign morphology mass in the left l... | Waxing and waning cysts in the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine diagnostic mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is hypoattenuation involving the left frontal lobe including the precentral gyrus compatible with recent infarct, which is unchanged since 2/10/2015, but not present on the prior study from 1/16/2015. There are chronic lacunar infarcts inv... | 1. No acute intracranial hemorrhage or mass-effect. Please note CT is insensitive for detection of early nonhemorrhagic stroke.2. Multiple small bilateral infarcts including in the left frontal lobe which is present on 2/10/2015 but new since 1/16/2015. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Scattered benign appearing micronodules, but no evidence of metastases.New reticular opacities in the left lung base, with mild bronchiectasis, is suggestive of aspiration.MEDIASTINUM AND HILA: There is no mediastinal or hil... | 1. No evidence of metastatic disease.2. New intra-and extrahepatic biliary ductal dilatation, cause not identifiable, but could be better evaluated by MRCP. |
Generate impression based on findings. | Male 58 years old Reason: staging exam-Research History: prostate cancer This study is performed for research purposes. | This study is performed for research purposes. |
Generate impression based on findings. | Age: 63 years. Sex : Male. Reason for study: Reason: r/o aspiration History: coughing with oral intake, signs of aspiration on CT chest. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No stat... | The examination was negative for vestibular penetration and negative for aspiration. Please see speech pathologist report for additional findings and feeding recommendations. |
Generate impression based on findings. | Left ankle injury playing soccer. Point tenderness overlying medial and lateral malleoli Moderate soft tissue swelling mildly greater medially without underlying osseous abnormality. Specifically no evidence of a fracture. Ankle mortise intact and symmetric.Note is made of an minimal well corticated ossicles including ... | Diffuse soft tissue swelling without distinct acute abnormality. |
Generate impression based on findings. | Metastatic lung cancer. Status post 6 cycles of Docetaxel. Compare with previous study and evaluate tx response. LUNGS AND PLEURA: Right perihilar mass is 36 x 46 mm (series 6, image 38), previously 35 x 42 mm, but not significantly changed on the coronal series.Left upper lobe fat-containing nodule consistent with a h... | Stable right perihilar mass. No new sites of disease. |
Generate impression based on findings. | Reason: evaluate for response to chemotherapy; angiosarcoma of vocal cords. History: evaluate for response to chemotherapy; angiosarcoma of vocal cords. LUNGS AND PLEURA: Scattered benign-appearing pulmonary micronodules, unchanged. No new suspicious pulmonary nodules or masses.No focal airspace consolidation.No pleura... | No evidence of metastatic disease or other significant abnormality. |
Generate impression based on findings. | Shoulder pain, lymphoma on CT guided biopsy Marked distraction and loss of the glenoid and a large lytic lesion extending into the scapular with minimal scattered osseous nonspecific fragments. Diffuse demineralization with a downward projected humeral head, representing possible large shoulder effusion. | Large scapular lytic lesion with marked destruction and loss of the glenoid. Appearance similar to recent CT 1/29/15 |
Generate impression based on findings. | The patient submitted outside mammogram dated 11/8/2014, from Advocate Trinity Hospital. Submitted outside study was compared to mammograms dated 11/15/2013 and 11/09/2012. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Benign morphology mass in the left l... | Waxing and waning cysts in the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine diagnostic mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Prostate cancer. Foci of activity in the T7 and T12 vertebrate, right posterior elements of L2 and within the left inferior medial iliac wing have significantly increased in size and/or osteoblastic activity compared to the previous exam, which is very suspicious for progression. Again seen is a faint right ninth rib l... | Increased size and activity of four active bone metastases without new lesions, very suspicious for osseous metastatic progression. However, in there has been recent therapy, flare phenomenon may also be considered. |
Generate impression based on findings. | The patient submitted outside mammogram dated 12/5/2012, from HealthEast Health Care System. Submitted outside study was compared to the current mammogram dated 1/19/2015. The breast parenchyma is almost entirely fatty. Previously identified focal asymmetry in the right superior breast is stable when compared to the pr... | Stable focal asymmetry in the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually, due next in Jan 2016.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Pain A right total reverse shoulder arthroplasty remains in alignment with a questionable small effusion. Specifically the glenoid and humeral stem components appear intact without evidence of loosening or superimposed new complication. Minimal polygonal soft tissue lucency representing suspected gas is observed overly... | Nonspecific focal lucency suggesting gas and probable skin ulceration/incision, however see recommendation provided above |
Generate impression based on findings. | There is moderate motion degradation limiting evaluation. Within this limitation, there is no gross evidence of intracranial hemorrhage or significant mass effect. There is unchanged periventricular white matter hypoattenuation which is more focal in the posterior limb of the right internal capsule and adjacent to the... | Motion degraded exam with no gross intracranial hemorrhage or mass-effect. |
Generate impression based on findings. | Metastatic prostate cancer. Assess for progression. There are two new areas of significantly increased radiotracer uptake within the left iliac bone/acetabulum and the left proximal femur indicating progression of osseous metastases. Mild degenerative uptake is noted at the AC joints and the lower lumbar spine. | Progression of osseous metastases with two new significant osteoblastic lesions. |
Generate impression based on findings. | History of renal mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter low attenuation hepatic lesions in the dome and in segment 6 too small to characterize but probably benign cysts, unchanged. No biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No si... | 1.Multiple bilateral renal lesions which enhance, have increased in size compared to the 2012 exam, and are suspicious for malignancy, most likely papillary renal cell carcinoma. Discussed findings with Dr. Zeytinoglu at 2:12 p.m on 2/13/2015. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.