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Generate impression based on findings. | Reason: patient with metastatic squamous cell lung cancer, evaluate liver for accessible lesions to biopsy for further molecular characterization History: vertebral metastases s/p radiation treatment to control pain and maintain function CHEST:LUNGS AND PLEURA: Heterogeneous soft tissue density mass containing areas of... | 1.Right lower lobe mass with local extension to the right upper lobe posterior to the right main bronchus produces segmental atelectasis due to bronchial occlusion, consistent with patient's given history of primary squamous cell carcinoma.2.Hepatic metastasis.3.Mild to moderate ipsilateral mediastinal and hilar lympha... |
Generate impression based on findings. | Reason: 65 yo F with worsening lung function History: evaluate for underlying lung disease in setting of decreasing lung function LUNGS AND PLEURA: Surgical staples are seen in the right upper lobe. Compression atelectasis is present adjacent to a very large hiatal hernia. MEDIASTINUM AND HILA: Mild aortic root calcifi... | No specific pulmonary abnormality. However, a very large hiatal hernia, larger than on prior studies, significantly decreases the left hemithorax volume. |
Generate impression based on findings. | Male, 73 years old, history of right neck squamous cell carcinoma, unknown primary. Head:A small region of hypoattenuation is seen within the left lateral cerebellar hemisphere corresponding to the location of a known lesion. No discretely measurable mass is identified which may be due at least in part to limitations o... | 1. Progression of infiltrative tumor at several locations in the right neck, for example at the carotid bifurcation where the vessel is nearly completely encased, and perhaps just below the jugular foramen. Infiltrative tumor has also progressed within the right trapezius muscle, and there is new lysis and mottling of ... |
Generate impression based on findings. | 81 years old, Male, Reason: Hx NHL History: upper abdominal pain CHEST:LUNGS AND PLEURA: Scattered micronodules. Small subcentimeter nodule in the right lower lobe. Mild emphysematous changes in the lung apices.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Scattered subcentimeter axillary lymph node... | 1.No evidence of enlarged adenopathy in the chest, abdomen, or pelvis. 2.New subcentimeter pulmonary nodule in the right lower lobe.3.No evidence of pancreatic mass as clinically questioned.4.Enlarged prostate, bladder wall thickening suggested, may reflect sequela of chronic bladder outlet obstruction. |
Generate impression based on findings. | 22 years old, Female, Reason: Rule out intra-abdominal/pelvic infection s/p nephrectomy/ureteretomy History: Abd pain, fever ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL... | 1.Expected postsurgical changes of a left heminephrectomy without evidence of pyelonephritis. Left hydroureter which is likely chronic in etiology.2.Bowel wall thickening of the descending and transverse colon concerning for colitis, age indeterminate. |
Generate impression based on findings. | Female; 56 years old. Reason: fx? History: fall Two views of the right hip demonstrate severe osteoarthritis. No evidence of acute fracture or malalignment. | Severe osteoarthritis without evidence of fracture. |
Generate impression based on findings. | Pain in range of motion of rotator cuff, weakness in internal and external rotation, weakness in active arc, intact distal strength. Evaluate for bony pathology. Mild osteoarthritis affects the glenohumeral joint. There is slight inferior translation of the humeral head relative to the glenoid which may not be of any c... | Mild osteoarthritis and other findings as described above. If further imaging evaluation of the shoulder is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Pain after injury Four views of the left knee are provided. There is a moderate-sized joint effusion which appears to have decreased slightly in size compared with the prior study. There is also reticulation of the subcutaneous fat anteriorly suggesting edema. I see no fracture or malalignment.The right knee appears no... | Joint effusion. |
Generate impression based on findings. | Status post right total knee arthroplasty Components of a right total knee arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. Skin staples, a drain, and foci of gas density in the anterior soft tissues reflect recent surgery. | Postoperative changes of total knee arthroplasty as above. |
Generate impression based on findings. | Metastatic adenoid cystic carcinoma status post cis/navelbine and palliative radiotherapy. There is interval decrease in size of the hyperattenuating left tongue base mass that crosses the midline and extends into the left oral tongue and into the left tonsillar fossa, now measuring up to approximately 35 mm, previousl... | 1. Interval decrease in size of the mass centered within the left tongue base with extension into the left lateral floor of mouth and right tongue base and left tonsillar fossa.2. Interval decrease in size of the bilateral neck and partially imaged upper mediastinal lymphadenopathy. Please refer to the separate chest C... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of archi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. History of ovarian cancer in maternal aunt diagnosed in her 30s. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of kidney cancer diagnosed at the age of the age of 55. Four standard digital views of both breasts and a cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular d... | New group of calcifications in the left breast. Spot magnification imaging is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | lethargic, altered mental status Motion artifacts degraded image quality.No evidence of acute ischemic or hemorrhagic lesion.Minimal patchy low attenuation on bilateral periventricular white matter indicate non specific small vessel disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no... | No evidence of acute ischemic or hemorrhagic lesion.Motion artifacts degraded image quality.Minimal non specific small vessel disease.Right maxillary sinus fluid collection. |
Generate impression based on findings. | gait instability, short term memory loss, confusion No evidence of acute ischemic or hemorrhagic lesion.There are multifocal low attenuation lesions on the left posterior aspect of inferior temporal gyrus, left cerebellar hemisphere and right basal ganglia (putamen) indicating age indeterminate likely represent chronic... | No evidence of acute ischemic or hemorrhagic lesion.Multifocal age indeterminate ischemic infarctions (likely chronic) as described above.Non specific small vessel ischemic disease. |
Generate impression based on findings. | Male, 54 years old. Reason: Dobbhoff placement History: Dobbhoff placement Interval adjustment of Dobbhoff tube, now with an atypical trajectory overlying the left hemithorax, raising concern for intrabronchial placement. This tube has been removed on subsequent imaging. Dual lumen central venous catheter, with tip ove... | Findings suggestive of malpositioned Dobbhoff tube, with intrabronchial placement. Dr. Pabla, covering pager 2836 was paged with the findings at 9:25 am. This tube has been removed on subsequent imaging. |
Generate impression based on findings. | headache Focal tissue loss on the left basal ganglia (globus pallidus) indicating possibilities of lacune or large perivascular space. Otherwise no evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline sh... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | Female, 75 years old. Reason: Evaluate for obstruction History: h/o cervical ca, s/p many surgeries long ago, rectovaginal fistula, now with nausea, dry heaves, abdominal pain. Indeterminate prominent bowel loop overlying the right hemisacrum could represent distal ileum, and is nonspecific. No free air seen on upright... | Indeterminate bowel loop overlying the right hemisacrum could represent prominent distal ileum, but is nonspecific. Rounded artifact overlying left abdomen may be an ostomy, and adjacent lobulated lucencies may represent a hernia. If there is continued clinical concern, further evaluation with dedicated CT imaging reco... |
Generate impression based on findings. | 65-year-old male with abdominal pain. Evaluate bowel gas pattern. Post-surgical changes, support devices, and tubes are again seen and appear similar to the same day chest radiograph (please refer to chest study for additional findings). Nonobstructive bowel gas pattern. Above average amount of stool in the colon. Surg... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male, 41 years old. Reason: OG tube placement Enteric feeding tube with tip overlying the region of pylorus, with distal sideport overlying the antrum.The lower pelvis is excluded from the field of view. Partially visualized mildly prominent loops of small bowel with relative paucity of gas within the distal colon, sug... | Enteric tube with distal sideport overlying the gastric antrum. Additional findings suggestive of developing/partial small bowel obstruction. |
Generate impression based on findings. | 49-year-old male with history of renal cell carcinoma. On clinical trial. CHEST:LUNGS AND PLEURA: Stable right upper lobe nonspecific nodule adjacent to the pleura measuring 6 x 6 mm (series 4/19). Calcified left lower lobe micronodule compatible prior granulomatous disease. No focal consolidation or pleural effusions.... | Stable examination with no evidence of local recurrent or metastatic disease. |
Generate impression based on findings. | Female, 68 years old. Reason: evaluate for dilatation of bowel loops; hx of ileus Multiple mildly prominent loops of small bowel in the left abdomen. Colonic gas and moderate stool burden, with air seen within the rectum. Findings most compatible with ileus.Swan-Ganz catheter and IABP in place. Left femoral vascular sh... | Findings most compatible with ileus. |
Generate impression based on findings. | altered mental status. Focal linear encephalomalacia on the right external capsule indicating chronic focal hemorrhagic lesion. Otherwise, no evidence of acute ischemic or hemorrhagic lesion.Minimal patchy low attenuations on bilateral periventricular white matter indicate non specific small vessel disease.The ventricl... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. Focal lenticular shaped encephalomalacia on the right external capsule.3. Minimal non specific small vessel ischemic disease. |
Generate impression based on findings. | Male 72 years old Reason: eval for bowel obstructions History: abd pain, no flatus, multiple abd surgeries and prior SBOs ABDOMEN:LUNG BASES: Bibasilar atelectasis/scarring.LIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or focal mass lesion within the hepatic parenchyma. The patient is status p... | No specific finding seen to account for the patient's pain, specifically no evidence of small bowel obstruction as clinically questioned. |
Generate impression based on findings. | There are postoperative findings related to a right parietal craniectomy and cranioplasty with mesh placement. There is extensive encephalomalacia of the right parietal lobe with ex vacuo dilatation of the adjacent right lateral ventricle. The ventricles and sulci are unchanged. There is no midline shift or mass effec... | No significant interval change. No acute findings. |
Generate impression based on findings. | fall, acute mental status change No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal brain atrophy which is age appropriate.Minimal patchy low attenuations on bilateral periventricular white matter indicate non specific small vessel ischemic disease.The ventricles, sulci, and cisterns are symmetric... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. Minimal brain atrophy as well as minimal non specific small vessel ischemic disease as described above. |
Generate impression based on findings. | 53-year-old female with bilateral hip pain Left hip: Hardware components of a total hip arthroplasty are situated in near-anatomic alignment without evidence of complication. There is an ossific fragment projecting lateral to the prosthetic femoral head appearing similar to the prior study that we suspect is chronic. W... | Postoperative changes of bilateral total hip arthroplasties and other findings as described above. We see no definite acute fracture. |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage. There is an unchanged subcentimeter calcified extra-axial mass along the right parietal convexity may represent a meningioma. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air... | 1. No evidence of acute intracranial hemorrhage.2. Unchanged subcentimeter calcified extra-axial mass along the right parietal convexity may represent a meningioma. A brain MRI may also be useful for further characterization.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this ... |
Generate impression based on findings. | fell out of bed and hit head 2 days ago. No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. T... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | 26-year-old man with history of pain and swelling. Right ankle: There is soft tissue swelling about the ankle. Deformity of the medial malleolus may reflect old trauma, but there is no acute fracture or malalignment.Right foot: There is no acute fracture or malalignment. | Soft tissue swelling about the ankle without acute fracture or malalignment. |
Generate impression based on findings. | Male 79 years old Reason: eval for metastatic disease History: prostate cancer, weight loss Within the limits of a non IV contrast enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: CHEST:LUNGS AND PLEURA: There is moderate cen... | 1.Bulky mediastinal of pelvic lymphadenopathy compatible metastatic disease.2.Sclerotic lesions scattered throughout the axial skeleton consistent with sclerotic metastases. Nuclear medicine bone scan is a more sensitive test for evaluation of osseous metastatic disease.3.Compression fracture of the T10 vertebral body.... |
Generate impression based on findings. | There is physiologic activity in the liver, spleen, blood pool, and external genital organ. The angiographic phase images are unremarkable. There is no abnormal activity to indicate gastrointestinal bleeding. | No evidence for gastrointestinal bleeding. |
Generate impression based on findings. | 8-year-old male with abdominal pain. Evaluate for constipation.VIEW: Abdomen AP (one view) 1/6/2014, 1732 Mild colonic stool burden. Nonobstructive bowel gas pattern. | Mild colonic stool burden. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy demonstrating fibroadenomatous change with associated calcifications. Personal history of thyroid cancer diagnosed at the age of 42. History of breast cancer in maternal aunt, maternal cousin and paternal aunt. Two stan... | Stable left breast calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 37-year-old female with AIH s/p OLT with E.coli sepsis, pancreatitis, ileus. Paucity of small bowel gas but no discrete evidence of obstruction or ileus. Right upper quadrant coil embolization material suggested. A right upper quadrant drain is also noted. An additional catheter projects over the left paramedian abdome... | No definitive evidence of bowel obstruction. |
Generate impression based on findings. | 27-year-old with headache for two days. Evaluate for obstructive hydrocephalus. The patient is status post right frontoparietal craniotomy and right hemispherectomy. Dystrophic appearing calcifications are again seen along the dura. Again seen is ventriculostomy tube coursing through the left parietal lobe into the lef... | 1.Unchanged size of the ventricular system without evidence of hydrocephalus. 2.Status post right hemispherectomy.3.Findings suggest some periventricular leukomalacia along the left hemisphere which is stable since prior exams. |
Generate impression based on findings. | Leukemic crisis, leukostasis, wbc 155K, headache. There is mild mucosal thickening in the alveolar recess of the right maxillary sinus and minimal scattered mucosal thickening in the ethmoid sinuses. The paranasal sinuses are otherwise clear. The nasal cavity is clear. There are bilateral conchae bullosa. There is mild... | 1. Mild mucosal thickening in the alveolar recess of the right maxillary sinus and minimal scattered mucosal thickening in the ethmoid sinuses. The paranasal sinuses are otherwise clear. 2. Partially-imaged mildly prominent upper cervical lymph nodes are likely related to leukemia.3. Nonspecific area of subcutaneous st... |
Generate impression based on findings. | 64-year-old female status post hip fracture repair, evaluate for osteomyelitis An intramedullary rod and screw device affixes an intertrochanteric fracture in near anatomic alignment. We see no hardware complication or specific radiographic evidence of infection. | Orthopedic fixation of proximal femoral fracture without a specific radiographic evidence of infection. |
Generate impression based on findings. | 39 years old, Female, Reason: appendicitis History: rlq pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Subce... | No specific findings to account for the patients pain. If clinically warranted, gynecologic ultrasound may be helpful for further evaluation of the uterus and adnexa in the absence of CT findings. |
Generate impression based on findings. | Altered mental status and history of GBM. Evaluate for edema/mass effect. There are postsurgical changes of a right frontal craniotomy. Underlying the craniotomy site, there is an approximately 2.3 x 3.4 cm area of hypoattenuation with peripheral calcification. There are additional smaller areas of hypoattenuation with... | 1. Right frontal craniotomy and bilateral frontal lobe hypoattenuating areas without significant mass effect or acute intracranial hemorrhage. No definite evidence of surgical intervention of the left frontal cranium. Diffuse white matter hypoattenuation is non-specific but may be related to edema and/or radiation effe... |
Generate impression based on findings. | Male 1 day old. Evaluate bowel gas pattern and NG placement. Increasing respiratory distressVIEWS: Chest and abdomen AP (2 views) 1/6/14 1705 Enteric tube tip in the gastric body. The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. Mild diffuse lung haziness is present, wit... | 1. Distal bowel obstruction.2. Mild diffuse lung haziness. |
Generate impression based on findings. | 33-year-old man with history of fifth toe ulcer, foot pain, and swelling. The patient is status post second digit amputation with expected postoperative changes. There is gross destruction of the fifth proximal and middle phalanges with associated soft tissue swelling indicating osteomyelitis. Additionally, there is de... | 1.Osseous destruction of the fifth phalanx compatible with osteomyelitis. 2.Additional, questionable focus of osseous destruction of the third metatarsal head. |
Generate impression based on findings. | 55 year old presenting with increasing prominence of the right nipple the last 3 to 4 months. Patient has history of benign right breast biopsy and hematoma. Family history in the patient's maternal grandmother and cousin. Three standard views of both breasts and additional right CC spot compression view were performed... | Stable benign findings as described. Mammographically, the right nipple and retroareolar region is unremarkable, however clinical correlation is suggested. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results... |
Generate impression based on findings. | 66 year-old female with fall and knee pain. A splint obscures underlying osseous detail. Moderate osteoarthritis affects the knee. A 1.5-cm ossicle within the intracondylar notch likely represents a chronic loose body. A smaller ossicle lateral to the lateral tibial plateau is also likely chronic. There is no evidence ... | Osteoarthritis and chronic appearing ossicles, one of which appears to be intra-articular. No acute fracture evident. |
Generate impression based on findings. | 4-month-old male with fever, evaluate for interval changes in lung fields.VIEWS: Chest and abdomen AP (two views) 1/7/2015, 0547 hours. Tracheostomy tube tip between the thoracic inlet and carina. Enteric tube tip within the stomach, which is likely within the giant omphalocele.No focal pulmonary opacity. Normal cardia... | Decreased bowel distention. |
Generate impression based on findings. | 29 year-old female with right elbow pain No evidence of fracture, malalignment, or joint effusion. | No fracture or other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 67-year-old female with RA and OA Left foot: The bones are demineralized. There are no specific radiographic features of rheumatoid arthritis. Mild osteoarthritis affects the first MTP joint. There is soft tissue swelling about the ankle. A prominent enthesophyte is noted at the Achilles insertion on the calcaneus.Righ... | Osteoarthritis and other findings as described above without specific radiographic features of rheumatoid arthritis. |
Generate impression based on findings. | 60 year-old male with joint pain, gout, +ANA Right hand and wrist: There is mild ulnar translation of the carpus as well as slight narrowing of the radiocarpal and ulnocarpal articulations. Focal soft tissue swelling is present along the ulnar aspect of the wrist with erosion of the underlying ulnar styloid and distal ... | Soft tissue swelling along the ulnar aspect of the right wrist, which may represent a gouty tophus with underlying erosion of the ulna. There is also ulnar translocation of the carpus, which is of uncertain etiology, and while this may be seen with rheumatoid arthritis, the lack of additional inflammatory changes are a... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in sister and maternal cousin. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 75 year-old woman with history of shoulder and elbow pain after fall. Right shoulder: There is a transverse fracture through the surgical neck of the humerus and vertically oriented fracture through the greater tuberosity. Additionally, the humeral head appears inferiorly displaced, compatible with a pseudosubluxation ... | Fractures through the surgical neck and greater tuberosity of the right humerus. |
Generate impression based on findings. | 55-year-old male with history of bone spurs and arthritis in neck radiating down left arm Cervical spine: Moderate degenerative disk disease affects C4/5 and C6/7. Mild degenerative disk disease affects C3/4 and C5/6. There are prominent multilevel anterior vertebral body osteophytes as well as posterior vertebral body... | Degenerative disk disease and other findings as described above. |
Generate impression based on findings. | Stomach pain for two days. Constipation.VIEW: Abdomen AP (one view) 1/6/15 1756 Large amount of rectal stool is present, with a moderate to large amount of stool throughout the rest of the colon. The rectum measures at least 10 cm in width. No pneumatosis, portal venous gas, or pneumoperitoneum is evident. | Large amount of rectal stool. |
Generate impression based on findings. | 59-year-old female with metastatic colon cancer and known left scapular metastases all with right upper rib and shoulder pain Right shoulder: The right shoulder appears normal for the patient's age. No focal osseous lesions are identified to suggest metastases to the bones of the shoulder.Ribs: There is lytic destructi... | Metastatic disease as described above, including lytic destruction of the posteromedial right third rib. |
Generate impression based on findings. | Trauma There is an acute subdural hematoma along the left parietal convexity, measuring up to 6 mm in the coronal plane. Subdural hematoma extends along the falx as well as along the tentorium. Small subdural component is also seen along the left frontal convexity. There is small amount of subarachnoid hemorrhage which... | 1. Acute subdural hematoma along the left frontoparietal convexity measuring up to 6 mm, with extension along the falx and tentorium. Small subarachnoid hemorrhage is also seen in the right frontal lobe.2. Multiple calvarial fractures involving the left parietal bone, left temporal bone, and right parietal bone as desc... |
Generate impression based on findings. | 59-year-old female status post left hip hemiarthroplasty Hardware components of a left hip hemiarthroplasty are situated in near anatomic alignment without evidence of complication. Surgical staples, drain and gas in the soft tissues reflects recent surgery. | Status post left hip hemiarthroplasty in near anatomic alignment. |
Generate impression based on findings. | 82 years old, Female, Reason: kidney stone History: History of stones with hematuria and right cvat Lack of IV contrast limits evaluation of abdominal parenchyma. Within these limitations following observations are made:ABDOMEN:LUNG BASES: Micronodule in the left lung base.LIVER, BILIARY TRACT: Multiple hypodensities w... | Right mid ureter calculus with resultant right hydronephrosis and perinephric fat stranding. |
Generate impression based on findings. | 37 year-old female with pain and swelling after car crash There is mild soft tissue swelling along the dorsum of the hand. Slight irregularity of the medial margin of the head the second metacarpal seen on the PA view with underlying curvilinear lucency seen on the oblique view could represent a minimally displaced fra... | Findings suggestive of a minimally displaced fracture of the head of the second metacarpal, discussed with the clinical service at the time of dictation (pager 1223). |
Generate impression based on findings. | 16-month-old male with desaturations.VIEW: Chest AP (one view) 1/7/2015, 0102 hrs. Endotracheal tube tip at the ostium of the right mainstem bronchus. Enteric tube tip beyond the field of view.Continued worsening of right-sided pulmonary opacities. Left-sided/retrocardiac opacities stable. New right pleural effusion. N... | 1.Worsening right-sided opacities.2.New right pleural effusion.3.Endotracheal tube tip at the ostium of the right mainstem bronchus. This finding was relayed via telephone to Dr. Chong at 9:39 a.m. on 1/7/2015. |
Generate impression based on findings. | 58 showed female status post hardware removal Hardware components of a total left hip arthroplasty are situated in near-anatomic alignment. A greater trochanter claw and cerclage wire device has been removed with residual wires noted in the soft tissues. The head of the prosthesis is slightly eccentrically positioned, ... | Postoperative changes of bilateral total hip arthroplasties with removal of greater trochanteric claw and cerclage wires as described above. |
Generate impression based on findings. | 82-year-old male with trauma, left foot pain, evaluate for infection There is soft tissue swelling along the dorsum of the foot with confluent soft tissue opacity suggesting hematoma. There are no specific findings to suggest abscess. The bones are diffusely demineralized, but there are no specific features to indicate... | Dorsal soft tissue swelling and possible subacute hematoma without fracture or specific features of infection. |
Generate impression based on findings. | 16-month-old male presents after blunt trauma.VIEW: Chest AP (one view) 1/6/2014, 2123 hrs. ET tube tip at the ostium of the right mainstem bronchus. Enteric tube tip beyond the field of view.The aortic arch, cardiac apex, and stomach are left-sided. Hazy left-sided and more patchy right-sided pulmonary opacities are p... | Pulmonary opacities suggestive of hemorrhage/contusion.ET tube tip at ostium of the right mainstem bronchus. This finding was relayed to Dr. Chong at 9:39 a.m. on 1/7/2015. |
Generate impression based on findings. | 16-month-old male presents after blunt trauma.VIEWS: Pelvis AP (one views) 1/6/2014, 2118 hrs. No fracture or malalignment in the pelvis. Femoral heads are well seated within normally formed acetabula. | No fracture or malalignment. |
Generate impression based on findings. | 40 year-old female with bony tenderness, evaluate for metastasis or fracture Mild to moderate osteoarthritis affects the right hip. No fracture or focal osseous lesion is identified to suggest metastatic disease. | Osteoarthritis without fracture or bone metastasis evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Benign calcifications are present. Stable focal... | Stable right focal asymmetry. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | left upper extremity weakness, history of metastatic lung cancer. No evidence of acute ischemic or hemorrhagic lesion on this scan.Right parietal encephalomalacia with overlying craniotomy do not show any significant interval change since prior exam.Patchy low attenuations on bilateral periventricular white matter indi... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. No interval change of right parietal encephalomalacia, overlying craniotomy and non specific small vessel ischemic disease since prior exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of skin cancer. History of ovarian cancer in paternal grandmother and paternal first cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts and an additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 16-month-old male presents after blunt trauma. CHEST:LUNGS AND PLEURA: Dense patchy and confluent opacities are present bilaterally, which may represent contusion/hemorrhage. More confluent left-sided opacities may be partially accounted for by atelectasis secondary to right mainstem intubation. No significant pleural ... | 1.Liver laceration. 2.Findings concerning for shock bowel and shock liver.3.Large amount of intraperitoneal intermediate density free fluid. Hemorrhage not excluded.4.Right adrenal hemorrhage.5.Right 6th rib fracture.Findings relayed via telephone to Dr. Oddiri at 10:45 a.m. on 1/7/2015. |
Generate impression based on findings. | Altered mental status, visual hallucination. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is no evidence of abnormal intracranial enhancement. The ventricles are normal in size and configuration. There is no midline shift or herniation. There... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in sister and ovarian cancer in maternal aunt. Two standard digital views and tomosynthesis of both breasts and an additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Vocal cord paralysis, vagal nerve involvement? History: hoarseness. Head: There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and ma... | 1. Mild asymmetry of the laryngeal vestibules, left larger than right, may be related to vocal cord paralysis.2. No evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria, although the assessment is limited by the lack of intravenous contrast.3. No evidence of intracranial he... |
Generate impression based on findings. | 16-month-old male with respiratory distress after sustaining blunt trauma. Evaluate for pneumothorax or hemothorax.VIEW: Chest AP (one view) 1/6/2014, 2243 hrs. Endotracheal tube at the ostium of the right mainstem bronchus. Enteric tube tip in the pyloric/duodenal bulb region.Worsening right-sided patchy pulmonary opa... | 1.Worsening right-sided opacities.2.Endotracheal tube tip at the ostium of the right mainstem bronchus. This finding was relayed via telephone to Dr. Chong at 9:39 a.m. on 1/7/2015. |
Generate impression based on findings. | Head trauma.VIEW: Chest AP (one view) 1/7/15 0552 ET tube tip is at the carina. Left subclavian venous catheter tip is at the confluence of the brachiocephalic veins. NG tube tip is in the antropyloric region. The cardiothymic silhouette is normal.Increased bibasilar lung opacities likely represent subsegmental atelect... | Bibasilar subsegmental atelectasis. |
Generate impression based on findings. | 32 year old female with a given history of Graves' disease. Need uptake for dosing of RAI. The thyroid images demonstrate decreased activity in the right lower pole consistent with a cold nodule. Otherwise there is uniform activity in both lobes in a gland of normal size and configuration. The 4-hour radioactive iodine... | 1. Scintigraphic findings of normal radioactive iodine uptake are inconsistent with Graves' disease.2. Decreased activity in the lower pole of the right thyroid lobe is compatible with a cold nodule. Correlate with ultrasonography. |
Generate impression based on findings. | 4 year old female with HIE. Evaluate for atelectasis or pneumonia. VIEW: Chest AP (one view) 1/7/15 0557 Left PICC tip is at the superior cavoatrial junction. Upper abdominal surgical clips are noted. The cardiothymic silhouette is normal. Bibasilar pulmonary opacities persist, unchanged. | Persistent bibasilar opacities. |
Generate impression based on findings. | 79-year-old woman with history of swelling and tenderness over the wrist, elbow, and shoulder. Right forearm: There is no acute fracture or malalignment. Mild degenerative changes are noted at the elbow joint.Right humerus: There is no acute fracture or malalignment. Severe degenerative changes affect the acromioclavic... | No acute fracture or malalignment. Degenerative changes as described above. |
Generate impression based on findings. | Right eye pain, worsening frontal headaches, right eye chemosis. Evaluate for worsening lymphoma infiltration. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles... | 1. No evidence of intracranial hemorrhage or intracranial mass effect.2. Preseptal soft tissue thickening involving the right orbit appears slightly worse than prior. Based on prior PET from 10/14/2014, finding may be related to lymphomatous infiltration although infection should also be considered. No CT findings to s... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 41-year-old with right breast ALH and papilloma. Additional calcifications noted on prior mammogram requiring short interval follow-up. No family history of breast cancer. Three standard views of right were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibro... | Stable calcifications in the anterior right breast as described. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMEN... |
Generate impression based on findings. | 56 year-old woman with history of pain status post fall. There is an acute fracture of the right greater trochanter with no significant displacement of the fracture fragment. The fracture line does not extend into the femoral neck or to the lesser trochanter. Associated soft tissue edema is noted. Extensive degenerativ... | Nondisplaced fracture of the right greater trochanter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in 4 maternal cousins. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern... | Stable bilateral calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Pneumothorax.VIEW: Chest AP (one view) 1/7/15 0419 ET tube tip is at the thoracic inlet. Left upper extremity PICC tip is in the SVC. NG tube tip is in the stomach. Three right-sided chest tubes are again noted. The superior-most projecting right chest tube side port is likely extra-pleural.The cardiothymic silhouette ... | Unchanged large right pneumothorax. |
Generate impression based on findings. | 19 year-old woman with history of puncture wound with broken glass. There is a punctate radiopaque density along the anterolateral aspect of the first phalanx nail bed which may represent a foreign body or may be artifactual. No additional unexpected radiopaque foreign bodies are identified. There is no acute fracture ... | Punctate radiopaque density in the first phalangeal nailbed which may represent a foreign body or may be artifactual. Correlation with physical exam is recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Round markers were placed on ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 58 years old, Female, Reason: appy History: rlq pain ABDOMEN:LUNG BASES: Mild bibasilar dependent atelectasis.LIVER, BILIARY TRACT: Cholelithiasis without evidence cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URE... | Findings consistent with acute appendicitis. No drainable fluid collection, obstruction, or free air. |
Generate impression based on findings. | Female 57 years old Reason: r/o obstruction History: abdominal pain, constipation 6 days ABDOMEN:LUNG BASES: Resolution of the previously seen right-sided pleural effusion with associated atelectasis.LIVER, BILIARY TRACT: Hypoattenuating lesion in the right hepatic lobe slightly smaller, now measuring 1.7 x 6.2 cm (ima... | 1.Findings consistent with terminal ileitis as detailed above.2.Marked interval decrease in size of the right renal mass and associated lymphadenopathy, compatible with treatment response, as detailed above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast cyst aspiration. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in patte... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 29-year-old man with history of left tibial plateau fracture. Again seen is a comminuted fracture of the tibial plateau with fracture lines extending to the lateral articular surface. Fracture fragments are in near anatomic alignment. The cast has been removed and there is mild periosteal reaction suggesting interval h... | Healing comminuted tibial plateau fracture with fracture fragments in near anatomic alignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. History of breast cancer in mother diagnosed at age 55 and paternal grandmother. Two standard digital views of both breasts and an additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The b... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 44 year old female with a history of thyroid cancer. Status post thyroidectomy and radioiodine therapy. THYROID: The patient is status post thyroidectomy. RIGHT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LEFT THYROIDECTOMY BED: Status post thyroidectomy with no evide... | No specific findings of residual or recurrent disease. No regional lymphadenopathy. |
Generate impression based on findings. | 26 years old, Female, Reason: r/o IBD History: diffuse abd pain, worse in suprapubic area, 3 months of diarrhea ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | No specific CT findings to account for patient's symptoms. |
Generate impression based on findings. | 54-year-old male with increased thickening in the left retroareolar region. The patient is on numerous medications, including prednisone. History of right mastectomy for breast cancer. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is comp... | Findings compatible with increasing gynecomastia. Surgical consultation is planned for today. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIR... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal cousin diagnosed at the age of 51. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Abdominal distension.VIEW: Abdomen AP (one view) 1/7/15 0436 Enteric tube tip is in the stomach. The bowel gas pattern is disorganized and nonobstructive, with decreased bowel distension. No pneumatosis, portal venous gas, or pneumoperitoneum is present. | Decreased bowel distension. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. History of breast cancer in maternal aunt diagnosed at the age of 30. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered f... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 30 years old Reason: r/o appendicitis vs ruptured cyst History: RLQ pain ABDOMEN:LUNG BASES: Trace bibasilar dependent atelectasis. Punctate calcifications seen in both breasts.LIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or focal mass lesion within the hepatic parenchyma. Borderline h... | No specific findings seen to account for the patient's pain, specifically no evidence of appendicitis or ruptured adnexal cyst. |
Generate impression based on findings. | Tachypnea and retractions. VIEW: Chest AP and abdomen AP (two views) 1/7/15 0832 The ET tube has been removed. The left jugular central venous catheter tip is in the right atrium. The enteric tube tip is in the third portion of the duodenum. An IVC stent and upper abdominal surgical clips/suture are noted. The right ch... | Low lung volumes with bilateral opacities possibly representing subsegmental atelectasis. |
Generate impression based on findings. | 52 years old, Female, Reason: r/o right inguinal hernia, R hip abnormality, infection, mass History: right inguinal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality... | No evidence of inguinal hernia, infection, or mass as clinically questioned. No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A round marker was placed on a skin lesion over... | Stable right breast mass. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
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