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Generate impression based on findings. | Nausea and vomiting No acute intrathoracic findings. No bowel obstruction or free air. | No acute intrathoracic findings. No bowel obstruction or free air. |
Generate impression based on findings. | NG tube placement Distal end of the NG tube within stomach. Dilated small bowel loops again noted | Distal end of NG tube within stomach. Small bowel obstruction again noted. |
Generate impression based on findings. | NG tube placement Distal end of the NG tube within stomach. No bowel obstruction | Distal end of NG tube within stomach. No bowel obstruction |
Generate impression based on findings. | NG tube placement Distal end of ET tube at thoracic inlet. Distal end of the NG tube at GE junction with distal side port within distal esophagus. No bowel obstruction. | Distal end of NG tube at GE junction with distal side port within distal esophagus. No bowel obstruction. |
Generate impression based on findings. | Dysphagia 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. | Feeding tube Distal end of feeding tube coiled within stomach. No bowel obstruction | Distal end of feeding tube coiled within stomach. No bowel obstruction |
Generate impression based on findings. | Feeding tube placement Distal end of the feeding tube coiled within stomach. No bowel obstruction | Distal end of the feeding tube coiled within stomach. No bowel obstruction |
Generate impression based on findings. | Right lower quadrant and CVA tenderness ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis with subtle pericholecystic infiltration and possible wall thickening.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormal... | Cholelithiasis associated with subtle pericholecystic soft tissue infiltration with possible gallbladder wall thickening. The findings raise the possibility of acute cholecystitis. Would recommend correlation with ultrasound. Otherwise negative examination. |
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. Prominence of the CSF space is seen along the posterior midline cerebellum likely representing either a mega cisterna magna or... | No evidence of acute traumatic injury to the head or face.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Metastatic breast carcinoma CHEST:LUNGS AND PLEURA: Emphysema again noted. Subcentimeter left upper lobe micronodule stable best seen on image 22 of series 5 measuring 0.4 cm in diameter.Loculated right pleural effusion unchanged. Interval increase in size of right pleural-based enhancing nodule best seen on image 79 o... | Interval increase in size of enhancing right pleural-based nodule worrisome for metastatic focus. No change in bony metastases. |
Generate impression based on findings. | Pain, patient fell check for fracture Knee: Diffuse demineralization mildly limits sensitivity. Deformity and a suspected transverse patellar fracture is observed, please correlate with patient's site of symptoms. No distinct overlying soft tissue swelling, this may represent an old deformity difficult to confirm on al... | Questionable patellar deformity and suspected fracture. Pager 2567 contacted |
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. On the most inferior image, an apparent lucency involving the left anterior arch of C1 likely represents partial volume averaging... | 1. No acute intracranial hemorrhage or mass effect.2. Apparent lucency involving the left anterior arch of C1 on the most inferior image most likely represents artifactual partial volume averaging. However, if there is clinical suspicion for acute cervical spine pathology, a cervical spine CT should be considered. |
Generate impression based on findings. | CT neck soft tissues: There is no evidence of a mass lesion or significant cervical lymphadenopathy. There is suspected mild bilateral orbital exophthalmos. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. There is complete osseous fusion of C7-T1 and partial fusion of C3-... | 1. No evidence of neck mass, thyroid abnormality, or orbital cellulitis as clinically questioned. 2. Symmetric bilateral prominence of the lacrimal glands without evidence of malignancy or infection. This finding is nonspecific but could reflect a systemic inflammatory or autoimmune process. 3. Multilevel cervical spin... |
Generate impression based on findings. | Shoulder pain. ROMVIEWS: Left shoulder in internal and external rotation 2/14/15 (two views) Fragmentation of the distal acromion may represent avulsion fracture versus normal variant. Please correspond with a maximal point of tenderness. No malalignment or additional fractures noted. | Skeletal solution of fracture versus normal variant of the distal acromion as described. |
Generate impression based on findings. | 50-year-old male. CT to evaluate lung cancer. CHEST:LUNGS AND PLEURA: Right paratracheal mass in the upper lobe is 55 x 42 mm (series 3, image 25), previously 35 x 29 mm.Mild paraseptal emphysema with apical bullae.Calcified lung nodules consistent with healed granulomatous disease. No new suspicious pulmonary nodules ... | Increased size of right paratracheal mass consistent with known primary lung cancer. No new sites of disease. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild periventricular white matter hypoattenuation which is nonspecific, likely representing age indeterminate microvascular ischemic changes. The ventricles and basal cisterns are normal in size and configuration. There is no midline sh... | No acute intracranial hemorrhage or skull fracture. Mild age indeterminate microvascular ischemic changes. CT is insensitive for detection of early nonhemorrhagic stroke. |
Generate impression based on findings. | TxN2cM0 squamous cell carcinoma status post chemo/RT followed by right neck dissection with right vocal cord paralysis. Neck: There are post-treatment findings in the neck, including prior right neck dissection and persistent marked supraglottic mucosal edema with associated airway narrowing. There are also a few punct... | 1. No definite evidence of measurable residual mass lesions or significant lymphadenopathy in the neck amidst extensive post-treatment effects with persistent markedly edematous tissue in the supraglottic region associated with airway narrowing, as well as a small amount of residual ill-defined soft tissue associated w... |
Generate impression based on findings. | History of thyroid cancer metastatic to the skull s/p thyroidectomy and resection of the skull lesion. Neck: The thyroidectomy bed appears unchanged. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The salivary glands are unremarkable. The major cervical v... | 1. No evidence of measurable tumor recurrence in the neck.2. No significant interval change in the skull metastases.3. Lung metastases. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Male, 18 years old, with severe upper airway obstruction. The osseous structures of the skull are intact. The calvarium is symmetric and normal in size. The major calvarial sutures are identified and are normal.Mild malocclusion is seen with an apparent slight mandibular underbite. This may reflect abnormalities of den... | 1.Diffuse facial skin thickening with regions of more significant thickening seen along the scalp bilaterally. Scalp soft tissue defects may reflect prior surgical intervention.2.Mild malocclusion which may be secondary to malalignment and disorganization of the incisors and canines affecting the maxillary more than th... |
Generate impression based on findings. | There is generalized parenchymal volume loss and periventricular hypoattenuation consistent with age-indeterminant small vessel ischemic disease. There is no acute intracranial hemorrhage, mass effect, or midline shift. There is a hematoma of the frontal calvarial soft tissues without underlying fracture. Extensive de... | 1. Frontal scalp hematoma without underlying fracture. 2. No acute intracranial hemorrhage or edema. |
Generate impression based on findings. | There is pointed morphology with inferior herniation of the right cerebellar tonsil measuring up to 12-mm below the foramen magnum (soft tissue sagittal series 80269 image 32) suggesting Chiari I malformation. However, this can be confirmed with MRI.There is trace right maxillary sinus mucosal thickening. The remainin... | 1.Findings suggesting Chiari I malformation, however confirmation is recommended with MRI brain and cervical spine.2.Trace right mastoid sinus mucosal thickening. No evidence of acute sinusitis.3.Marked rightward nasal septal deviation with effacement of the right middle meatus. |
Generate impression based on findings. | 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. There is a tiny calcification in the right frontal high convexity probably representing dural calcification. There is scattered mild... | No acute intracranial hemorrhage or mass-effect.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | There is no evidence of mass lesions or significant cervical lymphadenopathy. There are scattered small cervical lymph nodes which are unchanged in size and morphology. There are bilateral palatine tonsilloliths again seen. The left submandibular gland is atrophic but unchanged. The thyroid and remaining major salivar... | Posttreatment findings with no evidence of recurrent tumor or significant cervical lymphadenopathy. Scattered small cervical lymph nodes without an acute change. |
Generate impression based on findings. | Female, 73 years old, with history of left cavernous sinus aneurysm, yearly surveillance scan. History of acoustic tumor status post removal in 1989. An aneurysm arising from the left cavernous ICA, just past the second genu, shows no significant interval change in size or morphology. The lesion is directed superiorly ... | Stable left ICA aneurysm. |
Generate impression based on findings. | Male, 68 years old, with confusion, status post subdural hematoma and hygroma. Fairly symmetric bilateral subdural hygromas along the cerebral hemispheres have not significantly changed in size. For reference, the hygroma on the left measures up to 13 mm in reference, previously 13 mm. Mild prominence of the subdural s... | 1.Stable bilateral subdural hygromas.2.Stable trace subarachnoid blood product along the right temporal lobe.3.Stable small focal hemorrhages in the left superior frontal gyrus.4.Scattered areas of hypoattenuation are unchanged, nonspecific finding which may reflect age indeterminate microvascular ischemic disease. |
Generate impression based on findings. | Male, 89 years old, stroke. Assess status of petechial hemorrhage. Hypoattenuation involving the right basal ganglia is unchanged in extent but slightly better defined than on the prior examination compatible with expected evolution of stroke. Central to this region there is very subtle increased attenuation similar to... | 1. Expected evolution of the appearance of a right basal ganglia stroke with no interval expansion in geographic extent.2. Minimal petechial blood product internal to the stroke is unchanged.3. No new intracranial lesions are seen. |
Generate impression based on findings. | Male 56 years old Reason: RLQ pain, hernia, appendicitis, less likely renal stones History: as above ABDOMEN:LUNG BASES: Dilated distal esophagus secondary to patient's known history of achalasiaLIVER, BILIARY TRACT: Nonspecific subcentimeter hypodensities within the liver, too small to accurately characterize but are ... | No CT findings to explain patient's right lower quadrant pain. |
Generate impression based on findings. | Female 18 years old Reason: r/o hematoma, intraabdominal pathology History: was shoved in stomach, domestic dispute, epigastic and RLQ abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant... | No CT findings of acute traumatic injury |
Generate impression based on findings. | Female 21 years old Reason: New fever, crohns disease with prior tuboovarian abscess History: new fever, rising CRP ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: ... | Interval worsening of pancolitis and interval development of fluid collections in the cecum suspicious for abscess |
Generate impression based on findings. | Female 45 years old Reason: resolution of pelvic abscesses History: abdomninal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality noted... | Interval decrease in the size of the pelvic multiloculated abscesses. Mild ileus as described above. |
Generate impression based on findings. | Female 38 years old Reason: 38 y/o F w/ Hx of endometriosis 1 week post op total lap colectomy w/ ileostomy who presents w/ diffuse abdominal pain and rectal pain would like to evaluate ileum and rectum specifically (IV and PO contrast) History: Abdominal pain radiation from RLQ to L back, rectal pain, failure to pass ... | Postsurgical changes secondary to colectomy. Subcentimeter hyperdense lesion in the pancreatic tail. Further evaluation with a repeat pancreas MRI is recommended.Wall thickening of the pouch may represent pouchitis. |
Generate impression based on findings. | Female 40 years old Reason: eval for small bowel mass, ?abscess, ?obstruction, cause of ab pain, N/V History: N/V, ab pain, weight loss ABDOMEN:LUNG BASES: Bilateral moderate pleural effusions and atelectasisLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signi... | Bilateral moderate sized pleural effusions and dependent atelectasis |
Generate impression based on findings. | Female 71 years old Reason: 71 y/o F p/w abdominal bleeding x2 weeks was told in Belize she had a large cervical pelvic mass History: Vaginal bleeding, LLQ abdominal mass on exam ABDOMEN:LUNG BASES: Small right-sided pleural effusionLIVER, BILIARY TRACT: Mild periportal edema. A small amount of perihepatic ascites.Ther... | Right ovarian complex cystic mass with solid component suspicious for ovarian malignancy. Retroperitoneal and pelvic metastatic adenopathy.Ill-defined hypodense lesion in the liver suspicious for metastatic disease, however, an abscess cannot be excluded. Focal gallbladder wall thickening involving the fundus of the ga... |
Generate impression based on findings. | Female 60 years old Reason: evaluate for acute intra abdominal process History: abdomoinal pain and vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Significant into and extrahepatic biliary dilatation throughout the common bile duct is unchanged compared to previous study.SPLEEN: No s... | Persistent intra-and extrahepatic biliary dilatation. No significant change from previous study. |
Generate impression based on findings. | Male 78 years old Reason: metastatic work up for brain mass History: seizure CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Diffusely dilated esophagus which may be secondary to reflux. Exact etiology is unknown.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Dif... | Left adrenal mass of uncertain etiology area MRI may be helpful for further evaluation.Diffusely dilated esophagus of uncertain etiology and significance. Endoscopy helpful for further evaluation of the distal esophagus.Diffuse fatty infiltration of the liver and small hypodense lesions of uncertain etiology. MR may be... |
Generate impression based on findings. | Male 51 years old Reason: Re-evaluate disease status following completion of maintenance immunotherapy; compare to previous scan History: Stage III melanoma CHEST:LUNGS AND PLEURA: Stable subcentimeter micronodular image number 39, series number 9 in the right upper lobe. No new nodules.MEDIASTINUM AND HILA: Ortolani e... | No significant change from previous study. |
Generate impression based on findings. | Female 65 years old Reason: Ovarian cancer History: progressive leg edema right more than left CHEST:LUNGS AND PLEURA: Peripheral groundglass tree in bud opacities are again seen. Fat long-standing right-sided diaphragmatic hernia, unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No signific... | No significant change from previous study. |
Generate impression based on findings. | Female 41 years old Reason: 41 female with history of umbilical hernia and ? inguinal hernia, please eval History: hernia as above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Bilobar numerous cystic lesions compatible with biliary hamartomasSPLEEN: No significant abnormality notedPANCREAS:... | Small periumbilical hernia containing unobstructed bowel segments. Small amount of fluid in the right inguinal canal which measures secondary to inguinal hernia. |
Generate impression based on findings. | Male 56 years old Reason: history of met castrate resistant prostate ca; staging History: staging CT CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. Bilateral moderate pleural effusions and dependent atelectasis, new from previous study.MEDIASTINUM AND HILA: Diffuse wall thickening of the esophagus and st... | New bone lesions suspicious for metastatic disease.New bilateral moderate pleural effusions and diffuse wall thickening of the esophagus and stomach. Etiology of this is unknown. |
Generate impression based on findings. | Female 44 years old Reason: abdominal pain r/o colitis History: left upper and lower abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorma... | Normal study. |
Generate impression based on findings. | 64 years old, Female, Reason: r/o acute abnormality History: sob PULMONARY ARTERIES: Pulmonary artery opacification adequate to a subsegmental level. No evidence of pulmonary embolism.LUNGS AND PLEURA: Bibasilar bronchiectasis is present. There is mucous plugging in the left lower lobe. Mild left basilar atelectasis is... | 1.No evidence of pulmonary embolism. 2.Bibasilar bronchiectasis with mucous plugging in the left lower lobe.3.Groundglass opacity in left upper lobe is nonspecific but may be infectious or inflammatory etiology.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not a... |
Generate impression based on findings. | Male 66 years old Reason: recurrent urothelial cancer in the bowel wall by biopsy, evaluate for measurable disease History: recurrent urothelial cancer in the bowel wall by biopsy, evaluate for measurable disease ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedS... | No MR evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 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. There is partial opacification of the left maxillary sinus. The imaged paranasal sinuses and mastoid air cells are otherwise clear. ... | No acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Male 5 months old Reason: evaluate for intrapulmonary process, pneumonia, trach placement History: hypoxia, persistent pulmonary hypertension.VIEW: Chest AP (one view) 2/14/15 at 1132 hrs. Tracheostomy tube terminates at the thoracic inlet. NG tube is noted. Cardiac silhouette size is normal. No effusions or pneumothor... | Right lower lobe opacity, likely to the testes on a background of chronic lung disease. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. An apparent focal small area of hyperattenuation in the right anterior aspect of the medulla (described on the preliminary report) is likely artifactual. There is minimal periventricular and subcortical white matter hypoattenuation which is nons... | No acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Female 2 months old Reason: evaluate for NEC History: abdominal distention > 3cmVIEW: Chest and abdomen AP (two views) 2/14/15 at 1306 hrs. NG tube terminates at the antral pyloric region. Cardiac silhouette size is normal. Persistent bilateral diffuse haziness with no focal opacities, effusions or pneumothorax.General... | Persistent bilateral diffuse lung haziness.Nonspecific and generalized bowel distention |
Generate impression based on findings. | 85 years old, Female, Reason: r/o PE History: Tachy and hypoxic PULMONARY ARTERIES: Large right main pulmonary artery embolism extending into the lobar and segmental levels. There straightening of intraventricular septum suggestive of right heart strain. The main pulmonary artery measures 2.7 cm, within normal limits.L... | 1.Large right main pulmonary artery embolism extending into the lobar and segmental levels with associated right lower lobe infarct.2.Bilateral pleural effusions.3.Spiculated subpleural mass is highly suspicious for neoplasm.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Single.Most Proximal: Main.RV ... |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is a small ill-defined right middle frontal gyrus hypoattenuation which is new from prior exam, and nonspecific, and may possibly even be artifactual. Right precentral gyrus hypoattenuation seen on prior exam is not definitely seen on prio... | No acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Male 12 years old Reason: eval for fx, able to move all joints History: pain after slamming in door frame injury to 3rd and 4th fingerVIEWS: Right hand AP, lateral and oblique 2/14/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male 16 months old Reason: Concern for obstruction History: Frequent emesis and loose stools.VIEWS: Abdomen AP supine and left lateral decubitus (two views) 2/14/15 Normal abdominal gas pattern. No evidence of obstruction or free air. | Normal examination. |
Generate impression based on findings. | Male 10 months old Reason: signs of obstruction, other abnormalities History: Acute on chronic vomiting in child with failure to thriveVIEWS: Abdomen AP supine and left lateral decubitus (two views) 2/14/15 at 1639 hrs. Umbilical line has been removed. Not obstructive abdominal gas pattern. Mild to moderate fecal accum... | Mild to moderate fecal accumulation with no evidence of obstruction. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is small region of ill-defined hypoattenuation in the left subinsular region which was present on the prior examination, along with subtle hypoattenuation in the anterior temporal lobes. Few scattered brain parenchymal calcifications seen ... | No acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Female 12 years old Reason: eval for interval reduction L proximal humerus fx History: see aboveVIEWS: Left shoulder AP and transthoracic 2/14/15 at 2012 hrs. (Two views) Unchanged posterior angulation of the transverse fracture of the left humerus. | Left humerus transverse fracture, unchanged in alignment. |
Generate impression based on findings. | Female 12 years old Reason: r/o dislocation History: shoulder swellingVIEWS: Left shoulder AP and transthoracic at 2/14/15 at 1832 hrs. (Two views) Unchanged dorsal angulation of the transverse fracture of the left humerus with no evidence of dislocation. | Transverse fracture of the left humerus with no evidence of shoulder dislocation. |
Generate impression based on findings. | Female, 37 years old, subarachnoid hemorrhage, status-post EVD, assess ventricular size. Redemonstration of extensive subarachnoid hemorrhage located predominantly along the ventral brainstem in the posterior fossa. Evidence of intraventricular blood product persists with layering hyperdense blood in the occipital horn... | 1. Redemonstration of extensive subarachnoid blood along the brainstem, in the ventricular system, and scattered along the cerebral sulci. There may be some redistribution of blood products as evidenced by the changing blood fluid levels in the ventricles, but no substantial overall change in quantity of blood is suspe... |
Generate impression based on findings. | Female 12 years old Reason: r/o dislocation, fracture History: pain, swellingVIEWS: Left shoulder AP in internal and external rotation 2/14/15 (two views) There is a transverse fracture of the proximal metadiaphysis of the left humerus with lateral and posterior angulation. No evidence of shoulder dislocation | Transverse fracture of the left humerus as described with no evidence of shoulder dislocation. |
Generate impression based on findings. | Male 14 days old Reason: 2 week old, intubated, reevaluation of left lung fields History: left lung opacificationVIEW: Chest AP (one view) 2/15/15 at 604 hours. ET tube terminates below thoracic inlet. NG tube tip is in the stomach. Right upper extremity PCVC terminates at the right innominate vein. Cardiac silhouette ... | Multifocal opacities as described. |
Generate impression based on findings. | BRAIN: 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. There is mild mucosal thickening of the ethmoid air cells. The imaged paranasal sinuses and mastoid air cells are otherwise c... | 1.No acute intracranial hemorrhage or skull fracture.2.Very limited evaluation at C6 through the T1 levels due to beam hardening artifact. No definite acute fracture or subluxation at other levels, although examination at C6 through T1 is nondiagnostic due to artifact.3.Moderate to severe left neural foraminal stenosis... |
Generate impression based on findings. | Male 14 days old Reason: ex-37 week NICU infant, s/p congenital diaphragmatic hernia repair, intubated with increased O2 requirement, please assess for new infiltrate History: Increasing O2 requirement, intubatedVIEW: Chest AP (one view) 2/14/15 at 1837 hrs. ET tube terminates below the thoracic inlet. NG tube tip is i... | Multifocal opacities as described. Possible left lung mucus plugging. Improvement in right-sided pleural effusion. |
Generate impression based on findings. | Male 3 years old Reason: R/O obstruction History: Patient with emesis and diarrhea. Mother concerned that the emesis looks and smells feculent.VIEWS: Abdomen AP supine and left lateral decubitus 2/14/15 (two views) Normal abdominal gas pattern. No evidence of obstruction or free air. | No obstruction or free air. |
Generate impression based on findings. | 35 years old, Male, Reason: r/ o PE History: chest pain, hypoxia PULMONARY ARTERIES: Adequate pulmonary opacification to the subsegmental level. No evidence of pulmonary embolism.LUNGS AND PLEURA: Mild bibasilar dependent atelectasis. Minimal centrilobular and paraseptal emphysema is present. No pneumothorax or effusio... | 1.No evidence pulmonary embolism. 2.Stable pulmonary nodules.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 15 years old Reason: ETT placement, new infiltrate History: desaturations in pt with respiratory failureVIEW: Chest AP (one view) 2/15/15 at 310 hours. Spinal rods again noted. ET tube terminates thoracic inlet. NG tube since. Right upper extremity central line tip is at the RA/SVC junction. Cardiac silhouette s... | Interval worsening in right lung base opacity and pleural effusion. |
Generate impression based on findings. | Male 9 years old Reason: check ETT placement History: respiratory failureVIEW: Chest AP (one view) 2/15/15 at 539 hours. Central line terminates at the SVC. ET tube terminates below thoracic inlet. NG tube tip is in the stomach Cardiac silhouette size is normal. Interval complete atelectasis of the right flank, a mucou... | Interval complete atelectasis of the right hand as described. |
Generate impression based on findings. | There is extensive soft tissue gas extending from the frontal scalp the bilateral preseptal soft tissues, pre-nasal soft tissues, dissecting inferiorly into the pre-maxillary soft tissues, the left masticator space and buccal space as well as the right buccal space. Soft tissue air also dissects along the left superio... | 1.Comminuted and mildly displaced bilateral nasal bone fractures and vomer. 2.Extensive facial superficial soft tissue gas extending from the frontal scalp, preseptal, pre-nasal and premaxillary soft tissues. Soft tissue air dissects the bilateral buccal spaces and into the left masticator space as well.3.Additionally,... |
Generate impression based on findings. | Male 4 months old Reason: ETT placement History: respiratory failureVIEW: Chest AP (one view) 2/15/15 at 550 hours. ET tube terminates at the carina. NG tube tip is in the stomach. Cardiac silhouette size is enlarged. Bibasilar streaky opacities, likely subsegmental atelectasis. No effusions or pneumothorax. | Cardiomegaly and multifocal opacities as described. |
Generate impression based on findings. | 48 years old, Female, Reason: r/o pe History: syncope, chest pain PULMONARY ARTERIES: There is adequate pulmonary artery opacification of the subsegmental level. There is no evidence of pulmonary embolism. The pulmonary arteries normal in caliber.LUNGS AND PLEURA: There is a 6-mm pulmonary nodule in the left lower lobe... | 1.No pulmonary embolism.2.Multiple pulmonary nodules the largest of which measures 6 mm. Recent guidelines by the Fleischner society (Radiology 2005: 237:395-400) suggest that patients with low risk for lung cancer and nodules greater than 4 mm and less than or equal to 6 mm in diameter should have follow up in 12 mont... |
Generate impression based on findings. | Female 15 years old Reason: f/u pleural effusion History: known pleural effusion, CT to water sealVIEW: Chest AP (one view) 2/15/15 at 534 hours. Central line terminates at the RA/SVC junction. Interval removal of epicardial drain. Left-sided chest tube is again noted. Cardiac silhouette size is top normal or mildly en... | No change in left lower lobe opacity and bilateral pleural effusions. |
Generate impression based on findings. | Male 12 years old Reason: ETT placement History: respiratory failureVIEW: Chest AP (one view) 2/15/15 at 611 hours. ET tube terminates below thoracic inlet. A likely venous access is overlying the medial aspect of the right arm. Thoracolumbar dextroscoliosis unchanged. Cardiac silhouette size is normal. Streaky opaciti... | Multifocal opacities as described. |
Generate impression based on findings. | Female 2 years old Reason: Fracture, AVN, bony lesion History: Acute refusal to bear weight on right leg.VIEWS: Pelvis AP and frog leg 2/15/15 (two views) Both round, smooth and normally formed femoral heads are well directed to a normally developed acetabulum. | Normal examination. |
Generate impression based on findings. | Female 50 days old Reason: follow up History: post operativeVIEW: Chest AP (one view) 2/15/15 at 713 hours. NG tube terminates above GE junction. Mediastinal clips unchanged. Interval epicardial pacer lead removal. Cardiac silhouette size is top normal. Streaky opacities of both lung bases and mild lung vascular engorg... | Multifocal opacities and mild lung vascular engorgement. |
Generate impression based on findings. | Female 8 months old Reason: r/o new infiltrate History: desaturations despite increasing HFVIEW: Chest AP (one view) 2/15/15 at 719 hours. Cardiac silhouette size is top normal. Slight improvement in right upper lobe aeration with interval development of left upper lobe subsegmental atelectases. Left retrocardiac opaci... | Multifocal opacities as described , on a background of chronic lung disease.. |
Generate impression based on findings. | Female 12 years old Reason: r/o fracture History: tender to MT/PIP jointVIEWS: Right foot AP, lateral and oblique 2/14/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 19 years old, Male, Reason: evaluate for mediastinal air History: injury w/concern for air on ct neck LUNGS AND PLEURA: No evidence of pneumothorax or pleural effusion. No focal consolidation to suggest infection. There is a 5-mm pulmonary nodule in the right lower lobe (series 4, image 56).MEDIASTINUM AND HILA: There ... | Pneumomediastinum without evidence of pneumothorax. |
Generate impression based on findings. | Female 2 months old Reason: NG tube placement History: confirm ng tube in proper placement, necrotizing enterocolitis.VIEW: Abdomen AP (one view) 2/14/15 at 1358 hrs. NG tube terminates in the stomach. Central line tip is at the right atrium. Changes of chronic lung disease note that. Left lower lobe opacity is present... | NG tube positioning as described. |
Generate impression based on findings. | Male 1 day old Reason: evaluate for esophageal probe placement History: part of cooling protocolVIEW: Chest AP (one view) 2/14/15 at 1437 hrs. Esophageal temperature probe terminates at the need esophagus. NG tube tip is at the stomach. UVC terminates at the IVC/right atrium junction. UAC tip is at T6. The aortic arch,... | Esophageal temperature probe an umbilical lines positioning as described.No focal lung opacities. |
Generate impression based on findings. | Male 16 days old Reason: is there pneumatosis History: abdominal distention and emesisVIEW: Abdomen AP (one view) 2/14/15 at 1431 hrs. NG tube terminates in the stomach. Generalized, nonspecific bowel distention. No obstruction or free air. No pneumatosis intestinalis or portal venous gas. No ascites. | Generalized, nonspecific bowel distention. |
Generate impression based on findings. | 43 years old, Female, Reason: h/o klebsiella pneumonia, possible RLL infiltrate, fever - assess for PNA History: h/o klebsiella pneumonia, possible RLL infiltrate, fever - assess for PNA LUNGS AND PLEURA: Bibasilar groundglass opacities, possibly related to infection/aspiration are not significant change from prior stu... | 1.New focal opacity in the right upper lobe may be related to atelectasis or infection.2.Persistent bibasilar groundglass opacities with scattered nodular opacities likely related to infection.3.Unchanged moderate pericardial effusion.4.Soft tissue density in the right breast may be better evaluated by mammography or u... |
Generate impression based on findings. | Male 4 days old Reason: Preterm infant on oscillator, please assess expansion and tube placement History: Preterm infant on oscillator , respiratory distress syndrome.VIEW: Chest AP (one view) 2/15/15 600 hours. UVC unchanged. A second catheter is overlying the right mid abdomen. ET tube terminates below thoracic inlet... | Misplaced NG tube.Large lung volumes and bilateral diffuse lung haziness, likely due to RDS. |
Generate impression based on findings. | Male 51 years old Reason: s/p OLT with increased jp output. concern for portal vein compromise History: as above LIMITED ABDOMENLIVER: Liver measures 17 cm. small amount of perihepatic fluid.BILIARY TRACT: No evidence of biliary dilatation.PANCREAS: Not visualized.SPLEEN: Splenomegaly. | Small amount of perihepatic ascites, mild hepato- splenomegaly, otherwise unremarkable study. Trace ascites. Patent hepatic vasculature. |
Generate impression based on findings. | Female 37 years old Reason: RUQ r/o cholecystitis History: Abdominal pain LIVER: Liver measures 16.3 cm. increased echogenicity compatible with fatty infiltration. No focal liver lesions.BILIARY TRACT: No evidence of intrarectally pedicle there dilatations. Gallbladder is distended with stones. Due to the extensive sha... | Fat infiltration of the liver. Numerous gallstones. Due to the shadowing from the gallstones, gallbladder cannot be optimally evaluated. Mild acute cholecystitis cannot be excluded. |
Generate impression based on findings. | Female 23 years old Reason: right upper quadrant pain, eval for pathology; hepatobiliart system and right kidney History: RUQ pain, fever LIVER: Liver measures 17 cm, slightly enlarged. No focal liver lesions.BILIARY TRACT: Gallbladder is unremarkable. No evidence of gallstones or biliary dilatation.PANCREAS: Not visua... | Unremarkable study. |
Generate impression based on findings. | Female 35 years old Reason: RUQ US for GB distention History: RUQ pain LIVER: Liver measures 15 cm. no focal liver lesions.BILIARY TRACT: There is significant intra-axial peribiliary dilatation secondary to patient's known history of pancreatic head cancer. Gallbladder is also significant distended with significant wal... | Significant intra-extra hepatic biliary dilatation and gallbladder distention caused by patient's pancreatic cancer. Gallbladder wall thickening associated with gallbladder distention. Acute cholecystitis cannot be excluded. |
Generate impression based on findings. | Male, 69 years old, subdural hemorrhage follow up. Evidence of craniotomy is seen involving the right frontal, parietal and temporal bones. Encephalomalacia of the anterior right temporal lobe is similar to that seen on the prior examination.A hyperdense collection is seen along the right aspect of the interhemispheric... | Acute subdural hemorrhage is seen along the right aspect of the interhemispheric falx resulting in mild mass effect on the adjacent right cingulate and superior frontal gyri.Evidence of scalp injury is seen with swelling and hematoma formation at the high left vertex.Sequelae of prior right-sided surgery are demonstrat... |
Generate impression based on findings. | 41 years old, Male, Reason: h/o endocarditis, assess for septic emboli History: h/o endocarditis, assess for septic emboli LUNGS AND PLEURA: There are bilateral confluent groundglass patchy opacities which is favored to represent pulmonary edema, septic emboli are felt to be less likely. No large cavitary lesions are i... | Bilateral confluent ground glass patchy opacities which are favored to represent pulmonary edema. Septic emboli are also considered although are felt to be less likely. |
Generate impression based on findings. | Male 77 years old Reason: 77M CKD with acute renal failure History: uptrending Cr RIGHT KIDNEY: Significant echogenic kidney. Right kidney measures 9.8 cm. no hydronephrosis. 2.2 x 1 .7-cm simple appearing cyst within the right kidney.LEFT KIDNEY: Left kidney measures 13.3 cm. Significant echogenic kidney. There is a l... | Bilateral significant echogenic kidneys without evidence of hydronephrosis. Possible left renal stone. |
Generate impression based on findings. | Male, 65 years old, altered mental status. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. The gray white differentiation is preserved. No parenchymal edema or mass effect seen. Ventricles are normal in size and morphology. There may be minimal periventricular hypoattenu... | No evidence of any acute intracranial abnormality. |
Generate impression based on findings. | There is a large predominately hypoattenuating complex mass in the right frontal region measuring at least 4.3 x 4.6 cm causing leftward midline shift of 8 mm, partial effacement of the right lateral ventricle and dilatation of the left lateral ventricle suggesting possible entrapment. There is extensive surrounding v... | Large complex cystic/solid mass in the right frontal region with extensive mass effect, and midline shift with possible entrapment of the left lateral ventricle. Foci of high attenuation in the periphery of the mass may represent calcification and/or blood products, although there are no layering fluid-fluid levels. Fu... |
Generate impression based on findings. | Female 85 years old Reason: assess for toxic megacolon, ileus, distention History: active recurrent c diff, sepsis Interval increase in the size of centralized gas distended loops of bowel measuring up to 6 cm. there is thumbprinting in portions of the colon suggestive of colitis. NG tube tip projects over the distal p... | Interval increase in the size of centralized gas distended loops of bowel measuring up to 6 cm. there is thumbprinting in portions of the colon suggestive of colitis. |
Generate impression based on findings. | Male 59 years old Reason: Assess location of IABP History: location of IABP Motion degrades the quality of the examination. Nonobstructive bowel gas pattern. Enteric tube projects over the second/third portion of the duodenum. Remainder of support devices are unchanged. | No free air. |
Generate impression based on findings. | Female 30 years old Reason: r/o obstruction History: bilious emesis Enteric tube projects over the third/fourth portion of the duodenum. Nonspecific bowel gas pattern. No free air. Residual barium in the colon. | No free air. |
Generate impression based on findings. | Female 72 years old Reason: dobhoff advanced History: same Enteric tube is obscured by LVAD. Its tip presumably projects over the gastric body. Otherwise, spot support tubes, lines, devices are grossly unchanged. Retrocardiac opacity which can be further evaluated with chest x-ray. | The tip of the enteric tube projects over the gastric body. |
Generate impression based on findings. | There is a stable large predominately hypoattenuating complex mass in the right frontal region measuring at least 4.3 x 4.6 cm causing leftward midline shift of 8 mm, partial effacement of the right lateral ventricle and dilatation of the left lateral ventricle suggesting possible entrapment, unchanged. There is uncha... | No significant change in large complex cystic/solid mass in the right frontal region with extensive mass effect, and midline shift with possible entrapment of the left lateral ventricle. |
Generate impression based on findings. | Male 39 years old Reason: GSW History: GSW Dense oval-shaped radiodensities overlie the patient's chest and abdomen. They can be external to the patient. Their etiology is unknown. Nonobstructive bowel gas pattern with no free air. | No free air. |
Generate impression based on findings. | Male 88 years old Reason: s/p DHT placement History: as above The tip of the enteric tube is in the right mainstem bronchus. Nonobstructive bowel gas pattern. No free air. | The tip of the enteric tube is in the right mainstem bronchus.Dr. Thompson was notified and acknowledged about the above findings at the time of the dictation. |
Generate impression based on findings. | Male 89 years old Reason: replace DHT History: replace DHT Enteric tube projects over the gastric body. Nonobstructive bowel gas pattern. No free air. | Enteric tube projects over the gastric body. |
Generate impression based on findings. | BRAIN: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is minimal periventricular white matter hypoattenuation which is nonspecific, likely representing age indeterminate small vessel ischemic changes. The ventricles and basal cisterns are normal in size and configuration. There is no m... | 1.Very limited evaluation due to beam hardening artifact at C7 level and below. Age indeterminate compression fractures of C7 and T1 vertebral bodies without osseous retropulsion into the spinal canal. There is no paravertebral soft tissue swelling at these sites. Further evaluation with MRI can be obtained if clinical... |
Generate impression based on findings. | Male 47 years old Reason: dobhoff placement History: same Enteric tube is obscured by the LVAD. The tip presumably projects over the proximal stomach. Chest findings are unchanged from 2/13/2014. | No free air. |
Generate impression based on findings. | Female 34 years old Reason: abd pain, diarrhea History: abd pain, diarrhea Surgical sutures projects over the left midabdomen. Nonobstructive bowel gas pattern. No free air. | No free air. |
Generate impression based on findings. | Female 81 years old Reason: R/O Obstruction History: 81 yo with partial SBO, now persistent n/v Nonobstructive bowel gas pattern. No free air. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 56 years old Reason: Free air? History: Distension, vomiting Distention of the small bowel loops suggestive of bowel obstruction without evidence of free air. | No free air. |
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