instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 77-year-old male with history of duodenal stenosis on past endoscopy and history of pyloric ulcer for evaluation of outlet obstruction. Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, no spontaneous or provoked gastroesophage... | 1.Duodenal diverticulum as described above.2.No evidence of outlet obstruction or duodenal stenosis. |
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. | 15 year-old male with abdominal pain and vomiting. Evaluate for necrotizing pancreatitis. ABDOMEN:LUNG BASES: Lung bases are normal with no evidence of focal pulmonary opacities or pleural effusion. LIVER, BILIARY TRACT: Liver is enlarged measuring up to 27.9 cm in craniocaudal dimension. Diffuse decreased density of t... | 1. Findings compatible with acute pancreatitis with no evidence of necrosis. Mild abdominal and pelvic ascites with no evidence of loculated fluid collection or abscess. 2. Hepatic steatosis and hepatosplenomegaly. Findings were discussed with Dr. Krishna Siruguppa on 2/13/2015 at 1:30 PM. |
Generate impression based on findings. | Lung cancer. 15 months after right upper lobectomy for stage I NSCLC. LUNGS AND PLEURA: Post-surgical changes and volume loss from right upper lobectomy, unchanged. Large thin-walled subpleural cyst at the right apex, unchanged.Left lower lobe 5-mm nodule (series 5, image 84), progressively increasing in size over mult... | Slowly enlarging left upper lobe 5-mm nodule is suspicious for an indolent primary lung malignancy and much less likely a metastasis. |
Generate impression based on findings. | The patient submitted outside mammogram dated 3/7/2012, from Mercy Hospital. Submitted outside study was compared to the current mammogram dated 1/9/2015. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are present. Th... | No mammographic evidence of malignancy. Physical examination is of increased importance for a patient with dense breast. 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. | The patient submitted outside mammogram dated 3/7/2012, from Mercy Hospital. Submitted outside study was compared to the current mammogram dated 1/9/2015. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are present. Th... | No mammographic evidence of malignancy. Physical examination is of increased importance for a patient with dense breast. 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: ho tongue ca, s/p CRT, compare to previous. measurements pls History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.Basilar subsegmental atelectasis. Focal airspace consolidation. No pleural effusions.Mild centrilobular emphysema. MEDIASTINUM AND HILA: The heart is normal in size withou... | Unchanged intrathoracic lymph nodes without definitive evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in paternal grandmother. 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, un... | 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. | 40 year-old female with history of DRUJ instability, evaluate for interval changeVIEWS: Left wrist, PA and lateral (two views) 2/13/15 11:27 Interval removal of cast. There is mild positive ulnar variance, but no fracture or other underlying osseous abnormality. | Mild positive ulnar variance without other abnormality to explain the patient's pain. |
Generate impression based on findings. | GE Junction esophageal cancer please compare to prior PET/CT per CALGB 80803. RADIOPHARMACEUTICAL: 12.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 178 mg/dL. Today's CT portion grossly demonstrates a right chest port with tip in the SVC. Extensive atherosclerotic disease is present including coronary ar... | Complete interval resolution of the abnormal distal esophageal activity without suspicious FDG avid lesion to indicate tumor activity currently in the neck, chest, abdomen or pelvis. |
Generate impression based on findings. | The patient submitted outside mammograms dated 4/15/2014 and 3/5/2013, from Stroger Hospital. Submitted outside studies were compared to the current mammogram dated 1/12/2015. The breast parenchyma is composed of scattered fibroglandular density. Prior mammograms demonstrate stable architectural distortion, increased d... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine diagnostic mammogram is recommended annually, do next in January 2016.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 9-year-old male with acute lymphoblastic leukemia on chemotherapy, including steroids. Bilateral foot pain. Evaluate for AVN.VIEWS: Right and left foot AP, oblique, lateral. Right and left ankle AP, oblique, lateral (12 views) 2/13/2015 12:08 No evidence of fracture, dislocation or findings to suggest avascular necrosi... | Normal examination. |
Generate impression based on findings. | History of auto stem cell transplant and DLBCL. Post auto SCT evaluation.RADIOPHARMACEUTICAL: 13.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 93 mg/dL. Today's CT portion grossly demonstrates a 10 mm right intraparotid lymph node as well as scattered subcentimeter bilateral jugular lymph nodes. A right ... | Several subcentimeter mild to moderately hypermetabolic lymph nodes in the neck, most notably in the left posterior jugular station, are new from the prior examination. These may be inflammatory, however, tumor cannot be entirely excluded. Attention to these areas on physical examination and follow up imaging can be ma... |
Generate impression based on findings. | 3-year-old male with brachial plexus palsyVIEWS: Right shoulder, AP, neutral, Grashey, axillary (4 views) 2/13/15 12:30 The humeral head is well directed towards the glenoid cavity, which is shallow in appearance, similar to the prior exam. Normal variant fragmentation of the humeral epiphysis is noted with slight broa... | Normal alignment with unchanged findings consistent with prior brachial plexus injury. |
Generate impression based on findings. | RCC and recent right clavicle fracture. There is moderately increased activity within the right medial clavicle consistent with fracture and/or possibly an underlying pathologic lesion. Subtle focus of decreased activity is noted within the right sternum which corresponds to a lytic lesion seen on CT. This may represen... | 1.Abnormal osteoblastic activity in the medial right clavicle consistent with fracture and possible underlying pathologic lesion.2.Very subtle decreased sternal focus with small lytic CT correlate could represent a small lytic metastasis but this is equivocal.3.No definite osseous metastases otherwise. Consider a PET/C... |
Generate impression based on findings. | Patient is a runner. Pain over second and third metatarsals. Mild soft tissue swelling involving the fifth toe with small punctate calcification or metallic fragment observed in the infralateral aspect. The remainder of the foot other than mild angulation deformity of the second toe, presumably a remote, only demonstra... | Stress reaction of the second metatarsal with questionable soft tissue swelling of the right fifth toe |
Generate impression based on findings. | The patient submitted outside mammograms dated 4/15/2014 and 3/5/2013, from Stroger Hospital. Submitted outside studies were compared to the current mammogram dated 1/12/2015. The breast parenchyma is composed of scattered fibroglandular density. Prior mammograms demonstrate stable architectural distortion, increased d... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine diagnostic mammogram is recommended annually, do next in January 2016.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 were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | 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. | A patient submitted outside study for review. Submitted for review are digital mammographic images (1/26/15), ultrasound images of left breast (1/26/15), images from ultrasound guided biopsy and post-procedural left mammographic images (1/27/15) performed at Aspen Valley Hospital. For comparison, digital mammographic i... | Biopsy proven carcinoma in the left breast. In view of ill-defined appearance of the carcinoma on mammogram, breast MRI might be useful for evaluation of disease extent.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Check for healing proximal humerus fracture Interval healing with interval callus formation observed involving the comminuted right proximal humeral head fracture. No evidence of change in alignment. | Healing comminuted humeral head fracture |
Generate impression based on findings. | Ms. Butler is a 50 year old female with a family history of breast cancer in her mother. She has 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 heterogeneously dense, which may obscure small masses, un... | 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. | Left foot pain Persistent minimally overlapping oblique distal left metatarsal fracture without evidence of significant interval change. Decreased soft tissue swelling and the remainder of the foot remains otherwise unremarkable | Oblique distal fifth metatarsal fracture |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts along with an additional 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. There 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. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is minimal periventricular and subcortical white matter hypoattenuation which is nonspecific, but likely representing mild age indeterminate microvascular ischemic change. The ventricles and basal cisterns are prominent consistent with mil... | 1. No intracranial mass or mass effect.2. Global parenchymal volume loss which appears appropriate for patient's age.3. Mild chronic small vessel ischemic changes. |
Generate impression based on findings. | Right-sided inferior subcostal pleuritic pain. Malignant melanoma. Evaluate for PE. PULMONARY ARTERIES: Acute pulmonary emboli in right lobar and segmental/subsegmental pulmonary arteries supplying the middle and lower lobes.LUNGS AND PLEURA: Right lower lobe subpleural ill-defined groundglass opacity consistent with a... | Acute pulmonary emboli in right lobar and distal arterial branches with an associated small right lower lobe infarct.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Multiple.Most Proximal: Lobar.RV Strain: Negative. |
Generate impression based on findings. | Left hip pain following fall Moderate osteoarthritic changes with preservation of femoral head shape. Sclerosis and bulky osteophytes are observed greater than super aspect. | Moderate left hip osteoarthritis |
Generate impression based on findings. | Pain, follow-up fracture Continued healing with interval increasing callous formation of the transverse proximal left fibular fracture | Partial interval healing of a proximal left fibular fracture |
Generate impression based on findings. | Right knee pain and back pain, specifically L3-4 Knee: Mild osteoarthritic changes greater than medial compartment without superimposed additional abnormalityL-spine: Mild osteoarthritic changes observed involving the upper lumbar levels with relative sparing of L3 distally. Alignment, vertebral body heights and forami... | Mild scattered degenerative changes |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast cyst aspiration. 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. Scatte... | 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. | 19 year-old male with history of hydrocephalus. Motion artifact limits evaluation. Again seen are biparietal ventricular shunt catheters with tips at the midline. The right shunt catheter tip appears to lie more posteriorly when compared prior, although we suspect that this is related to patient positioning. The ventri... | 1. Biparietal VP shunts with no significant ventricular enlargement.2. No acute intracranial hemorrhage. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast biopsy approximately 20 years ago, benign. 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. | T1N0M0 grade 2 overall stage 1 cancer of the petiole of the epiglottis extending into the right false vocal cord, treated with XRT and surgery. There are post-treatment findings related to pharyngolaryngectomy with tracheostomy, voice prosthesis insertion, and neck dissection. There is no evidence of measurable tumor i... | 1. Extensive post-treatment findings in the neck, without convincing evidence of measurable tumor recurrence.2. Several new subcentimeter nodules in the imaged portion of the right upper lung are nonspecific, but may represent metastases. Further evaluation via a dedicated chest CT may be useful. |
Generate impression based on findings. | Reason: 2008 right upper lobectomy for T1N0M0 stage IA adenocarcinoma History: surveillance CT LUNGS AND PLEURA: Stable surgical changes of a right upper lobe resection, with linear scarring along the resection margin. Subpleural scarring along the anterior margin of the right middle lobe appears slightly more nodular ... | 1. New/increased nodularity along anterior right middle lobe scarring. Recommend 3-6 month followup imaging in a high risk patient.2. A 4mm ground glass nodule in the left upper lobe is unchanged dating back 2 years, and likely represents AAH (atypical adenomatous hyperplasia) |
Generate impression based on findings. | Female 15 years old Reason: evaluate for scoliosis History: leg length discrepancyVIEWS: Thoracic and lumbar spine PA, upright 2/13/15 (one views) Vertebral body heights and disk spaces are maintained. Normal alignment of the thoracic and lumbar spine. No segmentation or fusion defects. | Normal examination. |
Generate impression based on findings. | 79-year-old female with history of CVA. There is a small area of hypoattenuation involving the gray matter in the lateral aspect of the left precentral gyrus. There is no evidence of acute intracranial hemorrhage. There is mild periventricular and subcortical hypoattenuation. No midline shift or mass effect. The basal ... | 1. Small area of hypoattenuation within the left precentral gyrus likely representing a small infarct of uncertain age but potentially late acute to subacute. If patient care warrants further imaging, an MRI may be obtained.2. Mild age indeterminate small vessel ischemic disease. |
Generate impression based on findings. | History of Hodgkin lymphoma, nodular sclerosis status post 4 cycles of ABVD chemotherapy in need of restaging.RADIOPHARMACEUTICAL: 12 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Please see diagnostic CT reports for details of the neck, chest, abdomen, and pelvis.Today's PET examination demonst... | Small mild to moderately hypermetabolic right axillary lymph node is considered more likely benign although tumor cannot be entirely excluded. If there is a comparison baseline PET examination, this may be useful for further evaluation. Diagnostic CTs of the neck, chest, abdomen, and pelvis also performed at today's vi... |
Generate impression based on findings. | Pain in the low first metatarsal for one year. Check for stress fracture and pain on weight bearing in both knees. Breast cancer history Foot: Mild first MTP degenerative changes with worse scattered minimal changes distally. Soft tissues and alignment are unremarkable. No definite evidence of stress reaction, however ... | Mild scattered osteoarthritic changes involving both knees and feet with a questionable second metatarsal stress reaction |
Generate impression based on findings. | T2N2a HPV+ left tonsil squamous cell carcinoma treated with chemoradiotherapy and surgery. There are post-treatment findings with diffuse pharyngeal mucosal edema and interval left neck dissection with stranding along the left carotid sheath. There is no measurable mass in the left tonsillar fossa. There is no evidence... | Post-treatment findings without evidence of measurable residual tonsillar mass or lymphadenopathy in the neck. |
Generate impression based on findings. | Osteoarthritis and pain Diffuse demineralization limits sensitivityHands: Mild scattered osteoarthritic degenerative changes largely involving the radiocarpal joints and first and MCP articulations. Mild scattered degenerative changes are also observed in the distal articulations and most pronounced involving the right... | Mild distal hands and feet osteoarthritis with more pronounced changes involving the mid foot bilaterally and severe disease involving both knees. See detail provided |
Generate impression based on findings. | Male 28 years old Reason: evaluate for kidney stone History: abdominal pain, vomiting, urinary retention ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signific... | Malrotated right pelvic kidney with mild hydronephrosis and hydroureter with a subcentimeter obstructing calculus at the ureterovesical junction. |
Generate impression based on findings. | Palpitations. 24 hr uptake in preparation for ablation for Graves' disease. The 24 hour radioactive iodine uptake is 93% (normal range 10-30% at 24-hours). This has progressed significantly from the previous uptake value of 64%. | Markedly elevated thyroid uptake consistent with Graves' disease, with uptake significantly progressed from previous. |
Generate impression based on findings. | Left wrist pain Persistent volar distal radial side plate without evidence of hardware complication. Interval healing of the underlying comminuted fracture and distal ulnar fractures with associated deformity most pronounced involving the latter. Metacarpal joint again demonstrates mild degenerative changes with diffus... | Interval healing with associated deformity of the distal radial and distal ulnar fractures. See detail provided |
Generate impression based on findings. | Reason: 4 years s/p induction therapy followed by minimally invasive esophagectomy for a post-treatment T3N0 adenocarcinoma. History: annual follow up CHEST:LUNGS AND PLEURA: Subpleural opacity in the right upper lobe compatible with scarring, unchanged.Multiple micronodules, some of which are calcified, compatible wit... | No sign of locally recurrent or metastatic disease. |
Generate impression based on findings. | Pain and stiffness Feet: No radiographic abnormality. Specifically soft tissues are intact. Bilateral small os trigonum are observed, a congenital variant. Specifically no superimposed findings to support inflammatory changesHands: Juxta-articular osteoporosis without evidence of superimposed additional abnormalities. ... | Chest reticular osteoporosis without additional focal changes to support inflammatory arthritis involving both hands or feet. |
Generate impression based on findings. | Reason: ild, History: sob LUNGS AND PLEURA: Mild basilar reticular opacities, mild bronchial wall thickening, and mild basilar-predominant mosaic attenuation. No significant air-trapping seen on expiratory images.A single well-marginated noncalcified pleural-based nodule in the medial left lower lobe measures 20 x 15 m... | 1. Findings suggestive of pulmonary artery hypertension, with possibly associated mild basilar reticular opacities, bronchial wall thickening, and mild mosaic attenuation. 2. A 2-cm left lower lobe pleural-based nodule likely represents a solitary fibrous tumor of the pleura or other benign entity. PET imaging can be d... |
Generate impression based on findings. | 17 year-old female with anterior mediastinal mass CHEST:LUNGS AND PLEURA: Moderate left pleural effusion and adjacent atelectasis.MEDIASTINUM AND HILA: Right chest wall port with central venous catheter tip extending to the cavoatrial junction. There is a large anterior mediastinal mass measuring up to 11 x 5 cm (image... | Extensive anterior mediastinal, axillary, and supraclavicular lymphadenopathy with compression of the left innominate vein, likely representing lymphoma. |
Generate impression based on findings. | Arthrodesis Surgical fixation of T12 through L3 is observed with posterior pedicle screws and fixation bilaterally. Associated laminectomy and underlying degenerative changes most pronounced involving L1 through L3. Alignment grossly preserved. Surgical drain overlies soft tissues posteriorly | Posterior surgical fixation of T12 through L3 |
Generate impression based on findings. | History of squamous cell carcinoma of the larynx related with radiation in 1990 and more recently angiosarcoma of vocal cords treated via chemotherapy with clinical response. There are post-treatment findings in the laryngeal region without convincing evidence of measurable mass lesions or significant cervical lymphade... | Post-treatment findings in the laryngeal region without convincing evidence of measurable tumor recurrence or significant lymphadenopathy in the neck. |
Generate impression based on findings. | Metastatic lung cancer on MPDL3280A. Compare with previous study and evaluate treatment response. LUNGS AND PLEURA: Mild emphysema. Scattered micronodules and scar like opacities, unchanged.Right lower lobe subpleural opacity (series 5, image 71), suggestive of post infectious scarring and organized pneumonia, unchange... | No significant change in reference lesions. No new sites of disease. |
Generate impression based on findings. | Pain Overlying splint material obscures detail. Grossly symmetric mortise affixes a grossly aligned SER 4 injury. Specifically the distal fibular fracture is minimally displaced posteriorly. | Anatomic gross alignment of and SER 4 fractures |
Generate impression based on findings. | Female 61 years old Reason: pt w suspected tertiary hyoperparathyroidism, please assess parathyroid glands History: hyperparathyroidism RIGHT LOBE MEASUREMENTS: 6.7 x 2.9 x 3.7 cm.LEFT LOBE MEASUREMENTS: 6.5 x 2.6 x 2.6 cmISTHMUS MEASUREMENTS: .8 cm in thicknessRIGHT LOBE: Large lower lobe nodule measuring 4.8 x 3.3 x ... | Dominant nodule or conglomerate nodules in the right lobe as described.Heterogeneous right lobe with ill-defined nodules and calcifications.Complex nodule may represent exophytic left upper pole nodule or lymph node.None of these lesions are typical for parathyroid adenoma.Common carotid artery calcification. |
Generate impression based on findings. | Check for fracture. Knee replacement Bilateral total knee arthroplasties are observed without evidence of immediate postprocedural complication. Multiple small punctate calcifications are seen throughout the joint, the largest observed superior to the patella, and all possibly loose bodies within the joint. Atheroscler... | Bilateral total knee arthroplasties, see detail provided |
Generate impression based on findings. | Female 68 years old Reason: NGT History: NGT Nasogastric tube is projected over the course of the distal trachea and right main bronchus. The tip is projected above the medial right hemi diaphragm. The possibility of bronchial intubation should be considered. Nonobstructive bowel gas pattern. The pelvis is incompletely... | Nasogastric tube tip is projected above the right hemidiaphragm. The possibility of bronchial intubation should be considered. Discussed with Dr. Buerki by myself Dr. Ward 02/13/15 |
Generate impression based on findings. | 12-year-old male status post right foot injury, tender to the distal metatarsal and proximal phalanxVIEWS: Right foot AP, oblique and lateral (3 views) 2/13/15 13:32 Alignment is anatomic. No fracture or other osseous abnormality is noted. | Normal examination. |
Generate impression based on findings. | Hyperparathyroidism. Assess for parathyroid adenomas. On early images, a small but suspicious abnormal focus of radiotracer uptake is seen posterior to upper pole of the left thyroid lobe.Additionally, both the left and right lower parathyroid glands appear minimally prominent; a superimposed hyperplasia cannot be excl... | 1. Findings highly suspicious for a parathyroid adenoma posterior to the left upper thyroid pole.2. Superimposed hyperplasia of both lower parathyroid glands cannot be excluded but could also represent artifact related to the patient's small size. |
Generate impression based on findings. | Dyspnea and right upper lobe nodule. Evaluate for mediastinal and extrathoracic LAD. RADIOPHARMACEUTICAL: 12.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 83 mg/dL. Today's CT portion grossly demonstrates the spiculated right upper lobe nodule seen on the recent previous chest CT, which measures 2 cm and... | 1.Spiculated right upper lobe lung mass which is FDG avid and very suspicious for lung cancer, possibly of a lower grade given the lower level of uptake. 2.No convincing FDG avid metastatic disease. The mild symmetric bilateral hilar activity more likely represents granulomatous inflammation3.Proximal gastric mass-like... |
Generate impression based on findings. | Male 46 years old Reason: s/p ORIF History: Shoulder pain Four views of the left shoulder show a side plate with multiple screws device affixing a comminuted fracture of the proximal humerus in near-anatomic alignment. Again seen is associated callus formation, which has progressed when compared to the prior exam, comp... | Orthopedic fixation of healing proximal humerus fracture as described above. |
Generate impression based on findings. | pT4aN0 left retromolar trigone squamous cell carcinoma treated via radiation therapy. There are unchanged post-treatment findings in the neck, including total thyroidectomy, lymph node dissection, left palate flap reconstruction, and partial left mandibulectomy with bone graft and plate reconstruction. There is no defi... | Stable post-treatment findings without definite evidence of tumor recurrence at the treatment sites or significant lymphadenopathy in the neck. |
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 of the oral cavity region is limited due to dental artifacts. |
Generate impression based on findings. | 14 year old female with knee pain for weeks with small swelling in the popliteal fossa. Question lymph node seen on ultrasound also with MCL and joint line pain. Evaluate for medial meniscal tear and for mass in popliteal fossa. MENISCI: Normal appearance.ARTICULAR CARTILAGE AND BONE: Normal with no evidence of fractur... | Minimal joint effusion with no other abnormality noted. |
Generate impression based on findings. | Reason: mets lung cancer. s/p chemo. Pls c/w previous study and evaluate tx response. History: lung cancer CHEST:LUNGS AND PLEURA: Patchy lower zone air space and groundglass opacities, slightly increased compared to CT scan of 10/2/2014 and similar to a PET CT scan 11/14/2014 allowing for differences in technique. Giv... | Slight increase in lower zone pulmonary nonsolid nodules, suspicious for mucinous adenocarcinoma. |
Generate impression based on findings. | Ms. Magee-Jones is a 44 year old female with a personal history of left breast mastectomy for IDC/DCIS in December 2013. Patient has no current breast related complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scatt... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 46 years old Reason: ankle pain History: pain. There is evidence of a remote prior injury along the medial ankle with a well-defined and corticated ossicle fragment in the medial ankle joint space. There is no acute fracture or dislocation. There is mild osteoarthritis of the ankle and midfoot. | No acute fracture or dislocation. Mild osteoarthritis as described above. |
Generate impression based on findings. | Reason: recurrent urothelial cancer, evaluate for measurable disease History: recurrent urothelial cancer, evaluate for measurable disease LUNGS AND PLEURA: Stable bilateral apical pleural scarring.New scattered right upper and lower lobe small pulmonary nodules measuring up to 6 mm (series 5, image 86). Additional sca... | Multiple small pulmonary nodules, some new from the prior exam, some decreased in prominence. Continued close interval follow up is recommended in a high-risk patient. |
Generate impression based on findings. | Female 9 years old Reason: r/o constipation History: constipation, nauseaVIEW: Abdomen AP (one view) 2/13/15 at 1420 hrs. Interval decreasing in the amount of fecal accumulation. Normal abdominal gas pattern. No obstruction or free air. | Improvement in fecal burden as described. |
Generate impression based on findings. | Female 81 years old with metastatic lung cancer on MPDL3280A. Evaluate for treatment response. ABDOMEN:LUNG BASES: Stable bibasilar emphysematous changes. Please refer to concomitant CT of the chest for additional lung findings.LIVER, BILIARY TRACT: Stable segment 7 right lobe subcentimeter low attenuation focus. SPLEE... | Stable negative examination without evidence of inflammatory or metastatic process. |
Generate impression based on findings. | 1-year-old male with neuroblastoma, assess disease status CHEST:LUNGS AND PLEURA: Small left pleural effusion. No suspicious nodules or masses.MEDIASTINUM AND HILA: Heterogeneously enhancing right paraspinal mass measures 2.1 x 2.7 cm (image 26, series 3.) Heterogeneous left para-aortic mass extends inferiorly into the... | Extensive disease involvement of the chest, abdomen, and pelvis, with reference measurements described above. |
Generate impression based on findings. | Ms. Porter is a 47 year old female with a personal history of right breast mastectomy in 2009 for cancer followed by chemoradiation and hormonal therapy. She also had left breast reconstruction. Family history of breast cancer in sister, diagnosed at the age of 36. Cowden syndrome. Three standard views of the left brea... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 11-week-old male with undescended testes, multiple congenital anomalies. Evaluate location of testicles. RIGHT TESTIS: Located in the right inguinal canal measuring 0.8-cm x 0.8 cm x 0.5 cm. LEFT TESTIS: Located in the left inguinal canal measuring 1.1-cm x 0.8 cm x 0.5 cm. RIGHT EPIDIDYMIS: Located in the right inguin... | Bilateral testes and epididymi are located in their respective inguinal canals. Patent left peritoneovaginal tract with small amount of fluid in the left scrotal sac. |
Generate impression based on findings. | 75-year-old female. Follow-up of small pulmonary nodules. History of breast cancer and bladder cancer. LUNGS AND PLEURA: Unchanged scattered micronodules, most likely post-inflammatory. The reference right lower lobe nodule unchanged (series 5, image 39); its angular morphology and location adjacent to the fissure is c... | No evidence of metastatic disease in the chest. |
Generate impression based on findings. | 33-year-old male with pain in the left hip for several weeks that is worse with walking. There is no acute fracture or dislocation. There are mild-to-moderate arthritic degenerative changes affecting the acetabular joint. | No acute fracture or dislocation. Mild to moderate osteoarthritis as described above |
Generate impression based on findings. | Male 63 years old Reason: core biopsy of abdominal mass for pathology confirmation and DNA analysis History: 63 yo M with history of resected renal carcinoma and resected prostate cancer, with new abdominal lesions Written informed consent was obtained explaining the risks of pain, infection, bleeding, colonic perforat... | Successful targeting peritoneal implant an 18-gauge core biopsies. Complications of transient abdominal pain and hypotension resolved. |
Generate impression based on findings. | History of HNC. Metastatic disease. Chronic cough. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules consistent with metastases, significantly increased in number and size from prior.Left upper lobe nodule is 9 mm (series 5, image 24) and a right upper lobe nodule is 6 mm (series 5, image 26).Extensive pleur... | Significant interval progression of metastatic disease with lung/pleural, liver, and bone metastases. |
Generate impression based on findings. | Female 55 years old Reason: wrist pain, distal radius fracture History: wrist pain, distal radius fracture. There is diffuse demineralization of bones. An ulnar minus is noted. Again seen is a nondisplaced markedly occult and extra-articular transverse fracture of the distal radius in anatomic alignment. The fracture l... | Distal radius fracture as described above. |
Generate impression based on findings. | Male 61 years old. Reason: melanoma please eval for recurrence of disease History: melanoma CHEST:LUNGS AND PLEURA: Stable pleural thickening and calcification.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Status post thyroidectomy.ABDOMEN:LIVER, BILIARY TRACT: Hypoattenuating segment 7 lesion is st... | Stable examination without evidence of disease recurrence. |
Generate impression based on findings. | Chronic subdural hematoma, status post evacuation There is a left-sided subdural collection measuring up to 11 mm in thickness along the left frontotemporoparietal convexity. There is a hematocrit effect. There is slight enlargement compared to immediate postoperative study from 1/19/2015 but is smaller compared to 1/1... | Left-sided subdural collection has enlarged compared to immediate postoperative study from 1/19/2015 but is smaller compared to 1/18/2015. There is mild mass effect with minimal rightward midline shift. |
Generate impression based on findings. | History of brain lesion, evaluate for primary lesion. Exam somewhat limited by motion artifact.CHEST:LUNGS AND PLEURA: Moderate-severe emphysema. Apical and left basilar atelectasis/scarring. No suspicious pulmonary masses.MEDIASTINUM AND HILA: Right-sided central venous catheter with tip at the atrial caval junction. ... | 1.No specific evidence of primary malignancy.2.Moderate-severe emphysema.3.Atrophic kidneys. |
Generate impression based on findings. | Ms. Kim is a 51 year old female with a known history of bilateral benign breast calcifications. No current breast related complaints. No family history of breast cancer. 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,... | Bilateral benign breast calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mamm... |
Generate impression based on findings. | Salivary gland carcinoma with metstases. Neck: There is a heterogeneous mass arising from the right submandibular gland that measures up to approximately 45 mm, previously 40 mm. There is erosion of the adjacent lingual surface of the right mandibular body and expansion of a portion of the inferior alveolar canal. Ther... | 1. Interval increase in size of the right submandibular carcinoma with erosion into the right mandible and suggestion of perineural spread into the inferior alveolar nerve. 2. No significant interval change in size of a necrotic right level 2 lymph node. However, right parotid lymph nodes have increased in size and may... |
Generate impression based on findings. | Female 53 years old pain joint and forearm. There is demineralization of the bones. Mild degenerative changes affect the carpal bones and proximal ulnar and radial bones. There is an increased scapholunate interval. An ulnar minus is noted. | Mild degenerative changes as described above. |
Generate impression based on findings. | 75 year old female with history of bladder cancer. 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: Please see dedicated chest CT from same day for full details r... | 1.No specific evidence of metastatic disease.2.Colonic diverticulosis without diverticulitis. 3.Please see dedicated chest CT from same day for full details regarding the chest. |
Generate impression based on findings. | Ms. Abdelhamid is a 56 year old female with a personal history of benign left breast biopsy in 2007. Family history of breast cancer in mother (diagnosed at the age of 66) and 3 maternal aunts (one of which was diagnosed at the age of 40). No current breast related complaints. Three standard views of both breasts were ... | Involuting cyst in the right breast. 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. | ConstipationVIEW: Abdomen AP (one view) 2/13/15 at 1452 hrs NG tube tip is in the stomach. Normal abdominal gas pattern. No evidence of obstruction or free air. | Normal examination. |
Generate impression based on findings. | Male 7 years old Reason: degree of fecal impaction History: constipationVIEW: Abdomen AP (one view) 2/13/15 at 1516 hrs. Mild fecal accumulation with no evidence of obstruction or free air. | Mild fecal accumulation. No obstruction. |
Generate impression based on findings. | Female 53 years old Reason: worsening lft wrist pain and swelling ; low back pain History: wrist pain, low back pain. There is loss of lordosis and straightening of the lumber spine which is of uncertain significance. There are minimal anterior vertebral body osteophytes. vertebral body heights and intravertebral disk ... | No acute fracture or malalignment. Minimal degenerative changes as described above. |
Generate impression based on findings. | Headaches and neck pain, bullet wound in face with bullet lodged in back of head. Neck pain. Head:Large bullet fragment lodged within basisphenoid/sella, additional metallic fragments within the ethmoid and sphenoid sinuses, and irregularity involving the left partially visualized left nasal bone are compatible with pr... | 1. No intracranial mass or mass-effect.2. Large bullet fragment lodged in the basisphenoid bone with additional fragments in the left ethmoid sinuses. 3. Degenerative changes in the cervical spine at C4-C5 and C5-C6 with moderate right C4-C5 and moderate to severe left C5-C6 neural foraminal stenosis. There is also mil... |
Generate impression based on findings. | Age: 68 years. Sex : Male. Reason for study: Reason: dysphagia, encephalopathy 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 obtained. Th... | The examination was positive for penetration and positive for aspiration. Please see speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | 49 years, Female. Reason: OG placement History: OG placement NG tube tip projects over the gastric body. Nonobstructive bowel gas pattern. A vascular catheter projects over the right hemipelvis. | NG tube projects over the gastric body. |
Generate impression based on findings. | Age: 57 years. Sex : Male. Reason for study: Reason: 57 yo M with newly dx advanced stage R Lung adenocarcinoma found to have R vocal cord paresis - eval aspiration risk History: Paretic R vocal cord, no clinical signs of aspiration. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by th... | The examination was positive for penetration and negative for aspiration. Please see speech pathology report for additional findings and the recommendations. |
Generate impression based on findings. | NSCLC initial staging. CHEST:LUNGS AND PLEURA: Right lower lobe infrahilar solid mass measures 50 x 64 mm (series 3, image 42), consistent with a primary lung malignancy.Ill-defined mixed solid and groundglass mass in the right upper lobe is 47 x 54 mm (series 4, image 32), suspicious for a synchronous primary lung mal... | 1. Right lower lobe infrahilar mass consistent with primary lung malignancy.2. Mixed solid and groundglass right upper lobe mass is suspicious for a synchronous primary lung malignancy, specifically a mucinous adenocarcinoma.3. Mediastinal/right hilar lymph node metastasis and bilateral lung metastases.4. Solitary live... |
Generate impression based on findings. | Female 68 years old Reason: NGT push in History: NGT reposition Lung bases clear. Enteric tube with tip projected over the distal gastric body. Nonobstructive bowel gas pattern. Degenerative changes of the lumbar spine. Amorphous calcifications projected over the pelvis, likely within a fibroid uterus. | Enteric tube with tip projected over the distal gastric body. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female 39 years old Reason: H/O Hodgkin lymphoma, nodular sclerosis s/p 4 cycles of ABVD chemotherapy. Please compare History: Hodgkin lymphoma, nodular sclerosis CHEST:LUNGS AND PLEURA: Bilateral patchy groundglass opacities in both lungs, nonspecific and may represent edema versus drug reaction versus atypical infect... | Significant interval decrease in the size of the mediastinal and retroperitoneal adenopathy. New right ovarian cyst. |
Generate impression based on findings. | 7-week-old male status-post mandibular distraction, pins removed 2/6 now with swollen, firm left cheek/jaw line. Evaluate for jawline abscess or drainable fluid collection. In the region of the left cheek/jaw line surgical bed there is an irregular predominantly hypoechoic collection measuring 2.3 cm x 1.7 cm x 2.9 cm ... | Postsurgical changes in the left cheek/jaw line surgical bed. No loculated fluid collection or abscess is seen. |
Generate impression based on findings. | 47 years, Male. Reason: Dobbhoff placement History: Dobbhoff placement LVAD, sternotomy wires, plates, mitral valve prosthesis, Swan-Ganz catheter, central venous catheter tip, surgical staples noted. Dobbhoff tube tip projects over the gastric body. Nonobstructive bowel gas pattern. Note that the pelvis is excluded fr... | Dobbhoff tube tip projects over the gastric body. |
Generate impression based on findings. | Female 67 years old Reason: 67 y/o female met colon ca. with reports of swelling and pain to R shoulder/upper back. On chemotherapy. History: see above Right internal jugular vein is thrombosed. No evidence of abscess or collection along the port. | Thrombosis of the right internal jugular vein.Carrie Eickhoff (APN) was notified and acknowledged about these findings at the time of the dictation. Patient was instructed to go to 6E, IV therapy. |
Generate impression based on findings. | Reason: evaluate bleeding and/or aneurysm History: brb per nose/mouth Neck CTA: The patient is status post bilateral common carotid stent placement and proximal embolic coil occlusion of the left superior thyroidal artery an embolic coil occlusion along branches of the left inferior thyroidal artery. There is no eviden... | 1.No evidence for pseudoaneurysm to explain the patient's nasopharyngeal bleeding.2.The vessels nearest to the bleeding site are the left inferior thyroidal branches supplying the remaining thyroid gland and the tissues at the left peristomal area.3.No evidence for cervicocerebral occlusive disease.4.The patient is sta... |
Generate impression based on findings. | 16-year-old male with fall, swelling/pain in left ankle.VIEWS: Left ankle AP, lateral, oblique (3 views) 2/13/2015 13:59 No evidence of fracture or dislocation. No soft tissue swelling. Normal alignment. | Normal examination. |
Generate impression based on findings. | Stage 3 melanoma of oral mucosal origin, status post resection of recurrence. Hardware in the left mandible produces considerable streak artifact, which obscures surrounding structures. There are findings related to bilateral neck dissection and left parotidectomy. There is no evidence of measurable mass lesions or sig... | No evidence of measurable mass or significant lymphadenopathy in the neck. |
Generate impression based on findings. | Reason: Stem cell transplant patient with fevers and new left basilar opacity seen on xray History: fevers, cough LUNGS AND PLEURA: Scattered patchy groundglass opacities and bronchial wall thickening throughout the lungs are mildly increased from the prior exam. Left greater than right basilar consolidation has increa... | 1. Scattered groundglass opacities and bronchial wall thickening, along with new/increased basilar consolidation, may represent pneumonia, including viral pneumonia. Findings also raise the question of graft-versus-host disease.2. Bilateral axillary lymphadenopathy is new from 07/2014, raising the question of treatment... |
Generate impression based on findings. | Male 80 years old Reason: HCC staging History: abd pain. Biopsy proven hepatocellular carcinoma. ABDOMEN:LUNG BASES: Left basilar atelectasis. No suspicious masses or nodules. No pleural effusions.LIVER, BILIARY TRACT: Encapsulated heterogeneous mass in the right hepatic lobe with patchy areas of enhancement. The mass ... | Large right hepatic hepatocellular carcinoma with slight interval increase in size and decreased enhancement. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.