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Generate impression based on findings. | 49 years, Female, Reason: 49 yo female with history of IBS and family hx of UC History: constipation, diarrhea, abdominal cramping. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality n... | Normal exam without evidence of inflammatory bowel disease. |
Generate impression based on findings. | Hodgkin lymphoma, nodular sclerosis, s/p 4 cycles of ABVD chemotherapy. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unremarkable. ... | 1. No evidence of recurrent lymphoma in the neck.2. Ground glass opacities in the imaged portions of the lungs, which may be treatment related or infectious in nature. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Stem cell transplant patient with worsening cough and congestion. There is continued increase in diffuse opacification of the paranasal sinuses with mucosal thickening and fluid. The nasal cavity is also clear. The nasal septum is deviated towards the left. The lamina papyracea and ethmoid roofs are intact. The carotid... | 1. Interval progression of acute sinusitis.2. Partial opacification of the left mastoid air cells may represent mastoiditis. |
Generate impression based on findings. | Reason: Pre-Kidney Transplant, patient has scheduled potential LD Kidney Transplant 3/5/15 had MRA at outside hospital needs additional imaging History: Pre-Kidney Transplant Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and pos... | 1.No evidence for aneurysm.2.No evidence for intracranial cerebrovascular occlusive disease. |
Generate impression based on findings. | 35 years, Female. Reason: possible perforation History: RUQ pain Intrauterine device overlies the midpelvis. GDA embolization coils in the mid upper abdomen. Surgical clip previously seen in the left upper quadrant is now seen in the right lower quadrant.Nonobstructive bowel gas pattern. Lung bases are clear. Supine ra... | Supine radiographs are not sensitive for the detection of free air. No large pneumoperitoneum. Lateral decubitus images are recommended. Surgical clip previously seen in the left upper quadrant is now seen in the right lower quadrant. |
Generate impression based on findings. | Female 75 years old Reason: altered bowel movement, abdominal pain eval for stool burden and gas pattern History: abdominal pain Nonobstructive bowel gas pattern. Average stool burden. Degenerative changes of the lumbar spine. Bilateral hip prostheses in close to anatomical position. Lung bases are clear. | Nonobstructive bowel gas pattern. Average stool burden. |
Generate impression based on findings. | 11-year-old male with constipation. Rule out fecal impaction.VIEW: Abdomen AP (one view) 2/13/2015. Surgical sutures are again seen in the right lower quadrant. Mild colonic stool burden with no evidence of obstruction. No evidence of pneumoperitoneum, pneumatosis intestinalis, portal venous gas or ascites. | Mild stool burden with no evidence of obstruction or impaction. |
Generate impression based on findings. | Pain status post fall No fracture or malalignment. Suprapatellar joint effusion noted. No significant abnormality is otherwise evident. | Joint effusion, without fracture or malalignment. |
Generate impression based on findings. | Reason: Hoarseness and L SCV adenopathy, evaluate for HN or lung ca History: Hoarseness and L SCV adenopathy, evaluate for HN or lung ca LUNGS AND PLEURA: A spiculated left upper lobe nodule measures up to 19 x 12 mm (series 7, image 38).A spiculated left lower lobe nodule measures 23 x 8 teen millimeters (series 7, im... | 1. Two spiculated left lung nodules are highly suspicious for malignancy, likely primary lung cancer.2. Small solid right breast nodule. Correlate with recent mammographic imaging and physical exam. |
Generate impression based on findings. | 30 years, Female. Reason: severe abd pain, eval for free air History: see above Spinal fixation rods and wires are again noted. Bilateral femoral hardware with dysplastic hips unchanged. Rib deformities are unchanged. Ventriculoperitoneal shunt tip projects over the right upper quadrant. Surgical clips are noted along ... | No free intraperitoneal air. |
Generate impression based on findings. | 26 day old male, ex 28 weeker, with temperature instability, distended abdomen. Evaluate for NECVIEW: Chest and abdomen AP (two views) 2/13/2015 16:01 Feeding tube tip in the stomach. ET tube no longer visualized. UVC catheter no longer seen.Cardiothymic silhouette is normal. Bilateral mild hazy pulmonary opacities. No... | 1. Persistent disorganized bowel gas pattern with slightly distended bowel loops not significantly changed. Foamy appearance of the bowel gas pattern in the right upper quadrant likely represents stool although pneumatosis intestinalis cannot be entirely excluded. 2. Persistent bilateral mild hazy opacities. |
Generate impression based on findings. | 68 years, Female. Reason: DHT placement History: DHT replacement ` Enteric tube has been advanced and tip is projected over the anteropyloric region. Nonobstructive bowel gas pattern. Scattered amorphous calcifications projected over the pelvis, likely representing fibroid uterus. Lung bases clear. | Enteric tube with tip projected over the anteropyloric region. |
Generate impression based on findings. | Essential tremor. Evaluate for dopamine dysregulation. Normal symmetric activity is seen in the basal ganglia. | Normal examination. No evidence of nigrostriatal dopaminergic dysfunction. Given the history, these findings are suggestive of essential tremor. |
Generate impression based on findings. | Breast cancer and new hoarseness and left-sided supraclarivular adenopathy. There is no definite evidence of significant left supraclavicular lymphadenopathy, although assessment is limited due to beam-hardening artifact from the adjacent vessels. In addition, there is no evidence of mass lesion or significantly enlarg... | No definite evidence of significant left supraclavicular lymphadenopathy, although assessment is limited due to beam-hardening artifact from the adjacent vessels. |
Generate impression based on findings. | 69 year old female with chronic right flank/abdominal pain, assess for kidney stones, mass, tumor. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffusely decreased attenuation of the liver compatible with fatty infiltration. Status-post cholecystectomy. Rim calcified nodule in the gallbladd... | 1.Stable examination. No specific findings to account for patient's pain. 2.Colonic diverticulosis without evidence of diverticulitis. 3.Hepatic steatosis. |
Generate impression based on findings. | Female 48 days old Reason: follow up left lung atelectasis History: respiratory distressVIEW: Chest AP (one view) 2/13/15 at 1619 hrs. NG tube, mediastinal clips and epicardial pacer leads unchanged. Cardiac silhouette size is enlarged but stable. Left upper and lingular opacities, like atelectasis. No effusions or pne... | Left upper and lingular opacities as described. |
Generate impression based on findings. | Female 62 years old Reason: pain History: anterior shoulder pain. Three views of the right shoulder demonstrate mild degenerative arthritic changes of the glenohumeral joint and acromioclavicular joint. There is no acute fracture or dislocation. There is nonspecific calcification underlying the acromion. Unclear if thi... | 1.Mild and symmetric osteoarthritis of the bilateral shoulder joints without evidence of acute fracture or dislocation.2.Nonspecific calcification underlying the acromion. Is unclear if this extends off the acromion. MR imaging should be considered if there is asymmetrically increased symptoms in the right shoulder. |
Generate impression based on findings. | Male 21 years old Reason: eval for appendicitis or other intraabdominal process History: periumbilical pain, emesis, leukocytosis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedAD... | Normal examination. |
Generate impression based on findings. | Female 62 years old Reason: hand pain History: pain. Three views of the right hand demonstrate minimal osteophyte formation at the base of the metacarpals, proximal , middle, and distal phalanges. There is diffuse mild swelling of the hand without underlying osseous lesion, acute fracture, or dislocation.Three views of... | Bilateral mild osteoarthritis as described above. |
Generate impression based on findings. | Chronic back pain, lumbar spondylosis, degenerative disk disease. Evaluate areas for inflammatory activity. Need to target a pain generator. Degenerative changes are noted of the right lateral anterior L4-5 vertebral level, including an osteophyte and endplate sclerosis, with associated increased abnormal osteoblastic ... | Degenerative disc disease with active osteoblastic remodeling of the anterior right lateral L4-5 vertebral bodies and anterior left lateral L5-S1 vertebral bodies to a smaller extent. |
Generate impression based on findings. | PET WB MELANOMA RE-STAGE, 2/13/2015 3:27 PM Today's CT portion grossly demonstrates medium bilateral pleural effusions with overlying compressive atelectasis, left greater than right, with stable size of the left effusion and slightly increased size of the right effusion. There is median sternotomy hardware with postsu... | Significant improvement on therapy with complete resolution of right thoracic activity and partially decreased retroperitoneal and left iliac lymph node activity. Mild residual activity may represent inflammation or mild residual tumor metabolism. No new FDG avid lesion. |
Generate impression based on findings. | Lymphadenopathy on recent previous CT. Rule out primary malignancy.RADIOPHARMACEUTICAL: 12.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 62 mg/dL. Today's CT portion grossly demonstrates cholecystectomy clips in the right upper quadrant. Renal scarring is seen bilaterally. A left renal cystic lesion is v... | 1.Small but significantly hypermetabolic right thyroid nodule, which could represent a benign or malignant thyroid nodule. A thyroid ultrasound with possible biopsy may be obtained for further information if clinically warranted.2.Several slightly enlarged mildly hypermetabolic lymph nodes in the chest, abdomen and pel... |
Generate impression based on findings. | 86 year old woman with history of aortic stenosis, heart failure with reduced ejection fraction, pulmonary hypertension who presents for cardiac CT for evaluation prior to possible TAVR.CPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. There is mild calc... | 1. Moderate to Severe aortic valve calcification 2. Thoracic aortic root anatomy as above 3. Moderate overall burden of coronary calcification. 4. Mildly dilated main pulmonary artery. 5. Increased LV end-systolic volume. 6. Moderate left atrial dilation. This portion of the report pertains to the heart and great ves... |
Generate impression based on findings. | MIBG for neuroblastoma staging. Multiple areas of abnormal radiotracer uptake are seen within the left supraclavicular region, the posterior right mediastinum, the distal left paraspinal region, and in a large portion of left retroperitoneum/ left upper abdomen. These areas are grossly similar to the prior examination ... | 1. Extensive markedly active MIBG avid tumor of the neck, chest, and abdomen is similar to the prior study though likely slightly improved in the abdomen. 2. No active osseous tumor is identified. |
Generate impression based on findings. | 65 year old woman with history of HTN, paroxysmal atrial fibrillation, severe mitral regurgitation who presents for cardiac CT prior to possible robotic mitral valve surgery CPT: 75572 Aortic and Aortic Root. There is a left-sided aortic arch with normal brachiocephalic branching pattern. There is mild calcification of... | 1. Minimal coronary calcification. 2. Mild aortic calcification. 3. Significant biatrial dilation.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax will be interpreted by the attending chest radiologist and included as an addendum to this report. Abdominal... |
Generate impression based on findings. | Male 68 years old Reason: s/p revision reverse L TSA on 2/5/2015 History: above. Components of a reversed total shoulder arthroplasty device are seen situated in near anatomic alignment. Overlying surgical staples and drain are noted. Cardiac conduction device is incompletely imaged on this study. | Postoperative changes reversal shoulder arthroplasty revision as described above. |
Generate impression based on findings. | Preoperative planning for total hip arthroplasty. Hip and groin pain Redemonstration of extensive severe degenerative changes involving both hips mildly greater on the right. Changes include bone-on-bone narrowing, sclerosis and osteophytes with subchondral cysts. Mild flattening of the right femoral head is also obser... | Extensive severe degenerative changes of both hips, see description upper |
Generate impression based on findings. | Female 71 years old Reason: pre-op mako systyem left uni arthroplasty History: pain. There is near severe degenerative changes of the left knee joint, greatest in the medial tibiofemoral compartment. There is associated sclerosis of the distal femur and proximal tibia and subchondral cysts. There are tricompartmental o... | Severe osteoarthritis of the left knee as described above. |
Generate impression based on findings. | Female 69 years old Reason: Dx GCT femur with curretage and cementation History: Eval No no lytic lesions. Patient is status post curettage and cementation of the medial femoral condyle which appears homogenous and well defined without surrounding lucency. The surrounding soft tissues are unremarkable. The muscles are ... | Status post curettage and cementation of the left medial femoral condyle without complication. |
Generate impression based on findings. | History of PTLD/Hodgkin's subtype status post 6 cycles of ABVD now with apparent relapse of disease in need of staging PET scan.RADIOPHARMACEUTICAL: 15.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 102 mg/dL. Today's CT portion grossly demonstrates a left maxillary sinus retention cyst. There is a ill-de... | Progression of tumor with numerous new markedly hypermetabolic lesions including liver, intramuscular, and osseous sites as well as involvement of lymph nodes in the neck and abdomen. |
Generate impression based on findings. | Female 40 years old with increasing pain recently with a baseball-sized thoracolumbar in multiple mass. Three views of the thoracic spine demonstrate preservation of the normal vertebral body heights and intravertebral disk spaces. There is no acute fracture or subluxation. Alignment is preserved. There is no evidence ... | Soft tissue mass without evidence of impingement on the thoracolumbar spine. |
Generate impression based on findings. | Echogenic mass is noted corresponding to mass seen in segment 4/8 on prior MRI. The mass abuts, and is indistinguishable from middle hepatic vein wall in a very small portion of the vein, however there is no evidence of extension of the mass into the lumen.The catheter was removed and hemostasis was achieved.CHEMOEMBO... | 1. Venogram and IVUS of the middle hepatic vein demonstrates mass abutting, and indistinguishable from the vein wall in a small portion of the vein wall. There is no evidence of extension of the mass into the lumen.2. Successful chemo-embolization of segment IV/VIII tumor. PLAN: Admit to medical service for observation... |
Generate impression based on findings. | Three-year-old female with history of finger laceration. There is soft tissue swelling and laceration along the distal aspect of the middle phalanx. There is a punctate density along the medial/proximal aspect of the distal phalanx which may represent a tiny avulsion fracture (Salter-Harris 3). Cortical irregularity al... | 1.Soft tissue laceration as above.2.Possible Salter-Harris 3 fracture of the third distal phalanx. Follow-up radiographs may be obtained in 10 to 14 days if clinically warranted.3.No evidence of radiopaque retained foreign object. |
Generate impression based on findings. | 66 year old female with abdominal pain. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: Partially visualized central venous catheter with tip at the SVC atrial j... | 1.Large left perinephric hematoma. Comparison with the prior exam reveals no obvious intrinsic abnormality to explain this hematoma. Without intravenous contrast, unable to assess for active bleeding. 2.New small left pleural effusion.3.Cholelithiasis. 4.Appendicolith which may place patient at increased risk of develo... |
Generate impression based on findings. | 35 year-old female with pancreatic cancer now with right upper quadrant pain, evaluate for ischemia versus perforation. ABDOMEN:LUNG BASES: Partially visualized central venous catheter with tip at the SVC right atrial junction.LIVER, BILIARY TRACT: Subcentimeter hypoattenuating lesion in hepatic segment 5/6 is too smal... | 1.Pancreatic head/body mass as detailed above, with extensive vascular encasement. 2.The gallbladder is significantly distended raising the question of cholecystitis. Recommend ultrasound for further evaluation. 3.Interval development of mild biliary ductal dilatation likely related to pancreatic mass. 4.Interval devel... |
Generate impression based on findings. | 51 year-old female with vomiting, abdominal pain, and leukocytosis. 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: Small pericardial effusion, increased from pr... | 1.No evidence of bowel obstruction or appendicitis. 2.Small pericardial effusion, increased from prior. 3.Atrophic native kidneys. Unchanged appearance of renal transplant in the right iliac fossa. 4.Dilated, fluid filled endometrial cavity in postmenopausal patient, recommend pelvic ultrasound/gynecologic consultation... |
Generate impression based on findings. | 23 year old female with right lower quadrant pain, evaluate for ischemia. 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, U... | 1.Multiple bilateral high attenuation adnexal lesions and significant asymmetric enlargement of the left adnexa. Differential diagnosis includes multiple hemorrhagic cysts or neoplasm with or without superimposed adnexal torsion. Pelvic ultrasound is recommended for further evaluation. Findings discussed by on call res... |
Generate impression based on findings. | 30-year-old female with abdominal pain and vomiting. 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: Metallic streak artifact from thoracolumbar spinal fusion hardware some... | 1.No specific evidence of shunt malfunction.2.Small amount of abdominopelvic ascites, similar to prior. 3.Incompletely characterized right adnexal cystic lesion, similar to prior. |
Generate impression based on findings. | 20 year-old female with fever and UTI, evaluate for pyelonephritis. 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... | Right pyelonephritis. No associated hydronephrosis or abscess. |
Generate impression based on findings. | 66 year old woman with abdominal pain. Intravenous contrast extravasation. CT images with intravenous contrast were not acquired. Patient to be credited for exam. Please see subsequent exam without intravenous contrast. | Intravenous contrast extravasation. CT images with intravenous contrast were not acquired. Patient to be credited for exam. Please see subsequent exam without intravenous contrast. |
Generate impression based on findings. | 77 year old male with history of obstructing renal stones, CKD, now with worsening renal failure of unclear etiology. 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 BA... | 1.Punctate non-obstructing left calyceal calculi without obstructing calculi or hydronephrosis. 2.Fat deposition within the apex and intraventricular septum with mild focal aneurysmal dilatation of the left ventricle, likely a sequela of prior infarct, similar to prior. |
Generate impression based on findings. | 57-year-old male with sepsis and anemia, evaluate for intra-abdominal bleeding. ABDOMEN:LUNG BASES: Bilateral small pleural effusions with attenuation of simple fluid. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: ... | 1.No specific evidence of intra-abdominal infection or hemorrhage.2.Bilateral small pleural effusions. |
Generate impression based on findings. | Male 4 years old Reason: Fracture History: Pain, erythema, difficulty ambulatingVIEWS: Left foot AP lateral 2/14/15 (two views) Soft tissue swelling with no fracture, malalignment or joint effusion. | Soft tissue swelling but no fracture. |
Generate impression based on findings. | 5-year-old male, evaluate for pneumoniaVIEW: Chest AP (one view) 2/13/15 17:17 The cardiothymic silhouette is normal. Mild bronchial wall thickening suggests reactive airway disease or bronchiolitis. No evidence of pneumonia. | Bronchiolitis or reactive airway disease without evidence of pneumonia. |
Generate impression based on findings. | 3-day-old male premature with difficulty breathingVIEW: Chest AP (one view) 2/14/15 5:29 Endotracheal tube tip just below the thoracic inlet. NG tube side port at GE junction. UAC catheter tip at T7. The cardiothymic silhouette is normal.Diffuse bilateral pulmonary opacities are not significantly changed. No pneumothor... | Unchanged pulmonary opacities without pneumothorax. |
Generate impression based on findings. | Right heart failure. Evaluate for PE. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Calcified lung nodules consistent with healed granulomatous disease.No pleural effusion or focal airspace consolidation.MEDIASTINUM AND HILA: Normal heart size without pericardial effusion.Moderate coronary art... | No evidence of pulmonary embolism. Moderate coronary artery calcification. Cirrhotic liver morphology and small amount of ascites. No other significant abnormality. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Shortness of breath, tachycardia. Pregnant. PULMONARY ARTERIES: Examination is diagnostic to the segmental arterial level with no pulmonary embolism identified. LUNGS AND PLEURA: No focal airspace consolidation or pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.No visible coronary artery ... | No evidence of pulmonary embolism to the segmental level. No other significant acute abnormality. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 3-day-old male with worsening respiratory statusVIEW: Chest AP (one view) 2/13/1517:50 Endotracheal tube tip below the thoracic inlet. NG tube side-port at the GE junction. UAC catheter at T6. Diffuse bilateral hazy pulmonary opacities appear similar to the prior exam. No pneumothorax. The cardiothymic silhouette is un... | Diffuse pulmonary opacities appear similar to the prior exam. |
Generate impression based on findings. | 90 year-old female with abdominal pain and constipation. ABDOMEN:LUNG BASES: Mild cardiomegaly. Subtle area of relatively decreased attenuation in the descending right pulmonary artery is thought to represent artifact rather than pulmonary embolism. Mild basilar scarring/atelectasis.LIVER, BILIARY TRACT: No significant... | 1.High-grade small bowel obstruction likely due to adhesions.2.Mild abdominopelvic ascites.3.Colonic diverticulosis. |
Generate impression based on findings. | 6-year-old female with cough and decreased breath soundsVIEWS: Chest AP/lateral (two views) 2/13/15 18:23 The cardiothymic silhouette is normal. Bronchial wall thickening and right middle and basilar subsegmental atelectasis. No pneumothorax. | Bronchiolitis or reactive airway disease with superimposed right middle lobe subsegmental atelectasis. |
Generate impression based on findings. | 70 year old female with history of breast cancer, evaluate for metastases. ABDOMEN:LUNG BASES: Please see chest CT from same day for full details regarding the chest. LIVER, BILIARY TRACT: Numerous low attenuation lesions are present in both hepatic lobes which are new from the 2005 exam and are compatible with metasta... | 1.Please see chest CT from same day for full details regarding the chest. 2.Hepatic metastases. 3.Diffuse osseous metastases. Pathologic compression fractures in the lower thoracic and lumbar spine appear similar to recent MRI. |
Generate impression based on findings. | Male 13 days old Reason: interval change History: persistent desaturation, agitationVIEW: Chest AP and abdomen (two views) 2/13/15 at 2043 hrs. ET tube terminates below thoracic inlet. NG tube tip is at the stomach. Right upper extremity central line tip is at the right subclavian/innominate vein junction.Cardiac silho... | Persistent right lung base opacity right-sided pleural effusion.Interval repositioning of central line.Slightly featureless , nonspecific bowel loops noted. |
Generate impression based on findings. | 56 female history of Crohn's disease now with abdominal pain and obstipation. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a low-attenuation lesion within the left hepatic lobe, unchanged since 2012 and likely a benign cyst.SPLEEN: No significant abnormality notedPANCREAS: No signi... | 1.Postsurgical findings related to prior ileocecectomy. 2.Evaluation of the small bowel somewhat limited by lack of distention. Within this limitation, no specific evidence for active Crohn's disease. No small bowel obstruction. 3.Colon distended with stool, increased from prior. |
Generate impression based on findings. | 8-year-old female with pain, fell on concrete while runningVIEWS: Left knee, AP and lateral (two views) 2/14/15 4:18 Alignment is anatomic. No fracture or joint effusion. | Normal examination. |
Generate impression based on findings. | Male 3 months old Reason: reeval lung fields History: Acute respiratory distress.VIEW: Chest AP (one view) 2/14/15 at 405 hours. ET tube terminates below thoracic inlet. NG tube tip is in the stomach. Right upper extremity central line tip is at the SVC/right atrium. Cardiac silhouette size is top normal or mildly enla... | Interval improvement in right lung aeration as described. |
Generate impression based on findings. | Noncontrast head CT: Multiple foci of low attenuation in the right cerebral hemisphere correlate with areas of acute infarction on prior MRI, superimposed upon age-indeterminate small vessel ischemic disease. There is no acute intracranial hemorrhage, mass-effect, or midline shift There are extensive calcifications in... | 1. Extensive small vessel ischemic disease with multifocal infarcts in the right MCA and PCA distributions which are better appreciated on prior MRI. No acute intracranial hemorrhage or edema. 2. Marked intracranial atherosclerotic disease as described above, most severely affecting the right internal carotid artery, r... |
Generate impression based on findings. | 63 year-old female with history of fallopian tube cancer now with nausea, vomiting, and diarrhea; evaluate for obstruction or malignancy. ABDOMEN:LUNG BASES: Emphysema.LIVER, BILIARY TRACT: Again seen is fatty infiltration of the liver with some areas of sparing. No suspicious focal lesions. SPLEEN: No significant abno... | 1.Findings suggestive of chronic, multifocal mild partial small bowel obstruction.2.No new metastatic disease identified.3.Cholelithiasis. |
Generate impression based on findings. | Dislocation status post reduction There is been interval reduction of the prior left shoulder anterior dislocation, now in anatomic alignment. A moderate sized Hill-Sachs deformity is present. There is indistinctness at the inferior aspect of the glenoid, which may represent a Bankart lesion. | Left shoulder reduction, as above. |
Generate impression based on findings. | 33 year old female with history of hypoglycemia syndrome. Arterial phase images somewhat limited by patient motionABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a hepatic lesion in segment 4a (series 10, image 34) which measures 1.3 x 0.8 cm. The lesion demonstrates discontinuous per... | 1.No evidence of pancreatic lesions.2.Segment 4A hepatic lesion which may represent an atypical hemangioma but is best considered indeterminant. MRI may be helpful for further evaluation. |
Generate impression based on findings. | Male 3 months old Reason: eval prior to extubation History: intubated, respiratory failure.VIEW: Chest AP (one view) 2/14/15 at 429 hours. ET tube terminates below thoracic inlet. NG tube tip is in the stomach. Cardiac silhouette size is normal. Right upper lobe streaky opacity, likely subsegmental atelectasis. | Subsegmental atelectasis of the right upper lobe. |
Generate impression based on findings. | New head and neck cancer. Evaluate for metastases. CHEST:LUNGS AND PLEURA: Mild upper lobe paraseptal emphysema and minimal centrilobular emphysema.No suspicious pulmonary nodules or masses are identified.Mild dependent atelectasis.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.No visible coronary artery... | 13 mm liver lesion is likely benign though indeterminate; MRI w/wo contrast would be helpful for further characterization. No other lesions suspicious for metastasis are identified. |
Generate impression based on findings. | 3-day-old male with increasing ventilatory requirementsVIEW: Chest AP (one view) 2/14/15 5:35 ETT tip just above the carina. UVC catheter tip at the junction of the SVC and right atrium. UAC catheter at T6. The cardiothymic silhouette is normal.New right upper lobe opacity and persistent bilateral hazy opacities. | New focal right upper lobe opacity and continued diffuse bilateral hazy opacities. UVC catheter tip at the junction of the SVC and right atrium. |
Generate impression based on findings. | Edema. Right arm swelling. There is mild subcutaneous edema throughout the forearm. No specific etiology for this edema is evident on this examination. No loculated fluid collection is seen to suggest abscess formation.No fracture or malalignment is present. Chondrocalcinosis is present at the radiocarpal joint. Mild d... | Mild diffuse subcutaneous soft tissue edema of the forearm, without specific etiology evident. |
Generate impression based on findings. | Female 49 days old Reason: Interval changes in atelectasis History: s/p cardiac surgeryVIEW: Chest AP (one view) 2/14/15 at 542 hours. Epicardial pacer leads, NG tube and mediastinal clips unchanged. Cardiac silhouette size is top normal or mildly enlarged, but stable. Slight improvement in left lung aeration. Streaky ... | Slight improvement in left lung aeration as described. |
Generate impression based on findings. | 8-year-old male with pain, rule out foreign bodyVIEWS: Right foot, AP, oblique, and lateral (3 views) 2/14/15 8:08 No radiopaque foreign body. Alignment is anatomic. The osseous structures appear normal for the patient's age. | No fracture or radiopaque foreign body. |
Generate impression based on findings. | Male 27 days old Reason: ?NEC History: Abd distensionVIEW: Abdomen and chest AP (two views) 2/14/15 at 550 hours. NG tube terminates above GE junction. Cardiac silhouette size is normal. No focal lung opacities, effusions or pneumothorax.Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free ... | Misplaced NG tube.Improvement in abdominal gas pattern with persistent disorganization. |
Generate impression based on findings. | Pain and abrasion over the posterior left first metacarpal. Pain and swelling over the distal right ulna. History of fall one day prior. LEFT HAND: The bones are demineralized. Mild osteoarthritic changes are present in the basal joint and DIP joints. No fracture or malalignment is present.RIGHT WRIST: There is soft ti... | No fracture or malalignment |
Generate impression based on findings. | Unstageable left decubitus ulcer. The bones are demineralized. Gas projects over the posterolateral proximal left thigh, compatible with ulceration, without clear extension of gas to the underlying femur. There is no radiographic evidence of osteomyelitis.Mild degenerative changes affect the left hip. Vascular calcific... | Soft tissue ulceration, without radiographic evidence of osteomyelitis. Serial imaging may increase sensitivity for osteomyelitis. |
Generate impression based on findings. | There is right frontal scalp contusion with small foci of soft tissue gas without skull fracture. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There are moderate periventricular and subcortical foci of hypoattenuation, unchanged. The ventricles and basal cisterns are prominent but unchange... | Small right frontal scalp soft tissue contusion/laceration with no acute intracranial hemorrhage or skull fracture. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Fall. Back pain. C-SPINE: Anterior fusion is again seen at C4-C7, unchanged. The alignment is anatomic. The vertebral body heights are preserved and unchanged. No prevertebral soft tissue swelling is present.T-SPINE: Decompressive laminectomies at T8 and T9 are again seen. The alignment is anatomic. The vertebral body ... | Postoperative changes, without evidence of acute injury. |
Generate impression based on findings. | Female, 74 years old, with altered mental status and history of left ICA stenosis and brainstem infarct, possible subacute stroke. Assess for steno-occlusive disease. Non-angiographic findings:Again seen is extensive ill-defined periventricular hypoattenuation with more focal lucent lesions in the basal ganglia, right ... | 1. Precontrast imaging redemonstrates extensive age indeterminate microvascular ischemic disease and scattered prior lacunar infarctions.2. No high grade vascular stenosis or occlusion is seen within the neck.3. Moderate atherosclerotic narrowing of the cavernous ICAs is seen. Mild to moderate focal stenoses are detect... |
Generate impression based on findings. | Breast cancer. Evaluate for PE. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Numerous small flat nodules along the fissures bilaterally are consistent with intrapulmonary lymph nodes; while normal in morphology, the number of nodes is more than usual and metastatic disease cannot be excluded.... | 1. No evidence of pulmonary embolism.2. Right breast mass consistent with known breast cancer.3. Extensive osseous metastasis. At multiple vertebral levels, there is significant tumor infiltration into the epidural space and if clinical concern exists for cord compression/involvement, MRI w/wo contrast would be useful.... |
Generate impression based on findings. | Reason: characterization of neck swelling History: 1 day of neck swelling There is extensive subcutaneous soft tissue stranding and inflammatory change superficial to the right parotid gland with skin and fascial thickening, but no evidence of fluid collection/abscess. There is mild asymmetry of the right parotid gland... | 1. Asymmetric subcutaneous inflammatory changes overlying the right parotid gland with skin thickening raises suspicion for cellulitis. No discrete fluid collection or abscess. 2. Mild asymmetric enlargement of the right parotid gland may be reactive or inflammatory in etiology. No intraparotid masses, stone, or fluid ... |
Generate impression based on findings. | There is a 9 x 6 mm hyperattenuating focus in the right frontal corona radiata on series 4 image 23 without significant surrounding edema and minimal mass-effect with slight indentation of the superior aspect of the anterior body of the right lateral ventricle. There is mild advanced diffuse volume loss with diffusely... | 1.A 9 x 6 mm hyperattenuating focus in the right frontal corona radiata with minimal mass effect indenting the superior aspect of the right lateral ventricle may represent a hemorrhagic lesion. Differential diagnoses include small focal parenchymal hemorrhage, cavernoma, or infectious/inflammatory etiology (possibly ev... |
Generate impression based on findings. | There is no acute intracranial hemorrhage, mass effect, or midline shift. The ventricles, sulci, and cisterns are normal in size and configuration with preserved gray-white differentiation. The calvarium is unremarkable without fracture. The imaged portions of the orbits, paranasal sinuses, and mastoid air cells are u... | No acute intracranial abnormalities. |
Generate impression based on findings. | There is advanced global parenchymal volume loss with associated ex vacuo dilatation of the ventricular system appearing similar to the recent prior study. Periventricular hypoattenuation consistent with advanced chronic small vessel ischemic disease with encephalomalacia involving the left frontal corona radiata is a... | 1.No acute intracranial hemorrhage or mass-effect. Please note that CT is insensitive for the detection of acute ischemia, and MRI should be considered if there is continued clinical suspicion.2.Advanced small vessel ischemic disease and global parenchymal volume loss without acute interval change since the prior study... |
Generate impression based on findings. | Male 3 days old Reason: evaluate for atelectasis or other intrapulmonary process History: increased resp acidosisVIEW: Chest AP (one view) 2/14/15 at 844 hours. Umbilical lines and NG tube unchanged. ET tube tip is at the carina or right mainstem bronchus. Cardiac silhouette size is normal. Persistent right upper lobe ... | ET tube terminates at the carina or right mainstem bronchus.Persistent right upper lobe atelectasis on a background of diffuse lung surfactant deficiency disease. |
Generate impression based on findings. | There is a stable 9 x 6 mm hyperattenuating focus in the right frontal corona radiata without significant change. There is mild advanced diffuse volume loss with diffusely prominent which may be treatment related given the patient's underlying breast cancer. Additionally, the morphology of the cerebellar tonsils are m... | 1.Stable 9 x 6 mm hyperattenuating focus in the right frontal corona radiata. Differential diagnoses remain similar to those discussed on the earlier exam. Further evaluation with MRI without and with IV contrast is recommended.2.Stable bulky morphology of the cerebellar tonsils.I personally reviewed the Images and/or ... |
Generate impression based on findings. | Female, 37 years old, with headache and altered mental status status post subarachnoid hemorrhage. Subarachnoid hemorrhage is redemonstrated predominately within the posterior fossa, particularly around the cervicomedullary junction but extending superiorly along the pons to the level of the interpeduncular and quadrig... | Redemonstration of extensive subarachnoid blood predominately in the posterior fossa but with extension to the supratentorial brain and in the intraventricular space. Although blood product has redistributed, overall there does not seem to be an increased quantity of blood.Since the prior examination, a right frontal v... |
Generate impression based on findings. | There is no acute intracranial hemorrhage, mass effect, or midline shift. The ventricles, sulci, and cisterns are normal in size and configuration with preserved gray-white differentiation. The calvarium is unremarkable without fracture. There is partial opacification of the right maxillary sinus. | No acute intracranial hemorrhage or mass effect. No specific evidence of intracranial malignancy or metastasis within the limitations of a noncontrast study. If there is continued clinical suspicion, contrast enhanced MRI or CT may be considered. |
Generate impression based on findings. | There is no acute intracranial hemorrhage, mass effect, or midline shift. There are low attenuation foci within the cerebral hemispheres, basal ganglia, and brainstem which is nonspecific but most likely represents age indeterminate small vessel ischemic disease. The ventricles, sulci, and cisterns are normal in size ... | 1. No acute intracranial hemorrhage or mass effect. 2. Low attenuation foci within the cerebral hemispheres, basal ganglia, and brainstem are nonspecific but most likely represent age indeterminate small vessel ischemic disease. Note that CT is insensitive for the detection of acute ischemia, and MRI should be consider... |
Generate impression based on findings. | There is a new parenchymal hematoma measuring 17 x 8 mm in the posterior aspect of the pons on series 1 image 11/sagittal image 32 with surrounding surrounding vasogenic edema and partial effacement of the fourth ventricle. The hematoma is new, edema within the brainstem was present on prior exams. Generalized intracr... | 1. New acute parenchymal hematoma in the posterior aspect of pons with surrounding edema, mass effect and partial effacement of the fourth ventricle, likely representing a Duret hemorrhage.2. Stable large left thalamic hematoma with surrounding vasogenic edema and mass effect.3. Scattered areas of evolving recent infar... |
Generate impression based on findings. | There is mild prominence of the lateral and to a lesser extent the third ventricle for age. There is no acute intracranial hemorrhage, mass effect, or midline shift. The fourth ventricle, sulci, and cisterns are normal in size and configuration with preserved gray-white differentiation. The calvarium is unremarkable w... | 1. Mild ventricular prominence and empty sella could possibly represent sequela of pseudotumor cerebri, the current clinical significance of which is uncertain without comparison studies. Prior studies may be submitted for comparison if clinically warranted. 2. No evidence of acute edema, mass effect, or hemorrhage. |
Generate impression based on findings. | Pain with movement. There is no fracture or malalignment at the glenohumeral joint. The acromioclavicular joint remains articulated, however, comparison with the contralateral shoulder for a normal variant appearance may be considered if this is the site of the patient's pain. No significant abnormality is otherwise ev... | Comparison with the contralateral shoulder for a normal variant appearance of the acromioclavicular joint may be considered if this is the site of the patient's pain. Otherwise, no fracture or malalignment is evident. |
Generate impression based on findings. | There is mild global parenchymal volume loss with ex vacuo ventricular dilation and periventricular hypoattenuation consistent with small vessel ischemic disease, without acute interval change since the prior study. There is no acute intracranial hemorrhage, mass-effect, or midline shift. There is extensive opacificat... | 1. No acute intracranial hemorrhage or mass effect. 2. Increased extensive sinus opacification since the prior study containing areas of high attenuation which may represent inspissated secretions versus fungal sinusitis. |
Generate impression based on findings. | Female, 27 years old, with headache status post arachnoid hemorrhage. Findings are seen compatible with right pterional craniotomy and placement of an aneurysm clip in the right paraclinoid region. A right frontal approach ventriculostomy catheter is in place, tip in stable position within the left lateral ventricle. T... | 1.Redemonstration of findings related to craniotomy and aneurysm clip placement on the right.2.A right frontal approach ventriculostomy catheter is in stable position. The ventricles remain decompressed. A small amount of intraventricular blood product is demonstrated.3.Hypoattenuation affecting the right temporal lobe... |
Generate impression based on findings. | Multiple areas of supratentorial and infratentorial high attenuation are consistent with multifocal acute parenchymal hemorrhages. The largest focus of hemorrhage in the right temporal-occipital region measures 2.7 x 2.2 cm in axial dimension (series 5 image 16). Other areas of acute hemorrhage are also present in the... | Multifocal intraparenchymal cerebral and cerebellar hemorrhage as described above with extensive edema and mass effect particularly in the posterior fossa. These findings were discussed with the physician at pager 9100 on 2/14/15 at 1925 by the radiology resident on call. |
Generate impression based on findings. | Feeding tube placement Distal end of feeding tube within stomach. No bowel obstruction. | Distal end of feeding tube within stomach. No bowel obstruction |
Generate impression based on findings. | NG tube placement Distal end of NG tube at GE junction with distal side port within the distal esophagus. Dilated small bowel loops unchanged. | Distal end of NG tube at GE junction with distal side port within the distal esophagus. Small bowel obstruction again noted. |
Generate impression based on findings. | Weakness epigastric abdominal pain Abnormally dilated proximal small bowel loops out of proportion with respect to the distal small bowel. | Abnormally dilated proximal small bowel loops out of proportion with respect to the distal small bowel consistent with partial small bowel obstruction. |
Generate impression based on findings. | Femoral line placement Distal end of left femoral line projects over midline sacrum. No bowel obstruction | Distal end of left femoral line projects over midline sacrum. No bowel obstruction |
Generate impression based on findings. | Abdominal pain Mildly dilated left upper quadrant small bowel loops. No free air. | Mildly dilated left upper quadrant small bowel loops. Findings may represent early partial small bowel obstruction versus localized ileus. No free air. |
Generate impression based on findings. | Chronic obstruction and decreased stool output No bowel obstruction | No bowel obstruction |
Generate impression based on findings. | HEAD: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation.MAXILLOFACIAL: There is a mildly displaced left orbital floor fracture with herniation of left intraorbital fat through the def... | 1.Mildly displaced left orbital floor fracture with herniation of intraorbital fat. No retrobulbar hematoma. No evidence of extraocular muscle entrapment or herniation. Recommend correlation with clinical exam.2.Mild foci of soft tissue gas tracking along the left aspect of the esophagus in the right aspect of the trac... |
Generate impression based on findings. | Abdominal pain No bowel obstruction. Extensive stool burden throughout the colon. | No bowel obstruction. Extensive stool burden throughout the colon. |
Generate impression based on findings. | High stool burden with abdominal pain Distal end of jejunal tube probably within the proximal jejunum. No bowel obstruction | Distal end of jejunal tube probably within the proximal jejunum. No bowel obstruction |
Generate impression based on findings. | Feeding tube placement Distal end of feeding tube within stomach. Mild ileus pattern | Distal end of feeding tube in stomach. Mild ileus pattern |
Generate impression based on findings. | Feeding tube placement Distal end of feeding tube within stomach. Mild ileus pattern | Distal end of feeding tube within stomach. Mild ileus pattern |
Generate impression based on findings. | Abdominal pain nausea vomiting Residual contrast within colon. Multiple dilated centrally located loops of small bowel | Multiple dilated centrally located loops of small bowel raises the possibility of partial small bowel obstruction. |
Generate impression based on findings. | There is mild periventricular hypoattenuation consistent with chronic small vessel ischemic disease. There is no acute intracranial hemorrhage, mass effect, or midline shift. The ventricles, sulci, and cisterns are normal in size and configuration with preserved gray-white differentiation. The calvarium is unremarkabl... | 1. No acute intracranial hemorrhage or mass effect. 2. Mild chronic small vessel ischemic disease. |
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