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Generate impression based on findings. | Female 36 years old Reason: low back pain with lower extremity pain History: see above AP view of the pelvis demonstrates no acute fracture or dislocation. Bilateral hip joints are unremarkable. The femoral head shapes are preserved.Two views of the lumber spine demonstrate degenerative changes at the L5/S1 joint inclu... | Degenerative changes at the L5/S1 joint. However, given the patient's age, and incomplete segmentation abnormality or congenital variant cannot be excluded. |
Generate impression based on findings. | Reason: 70 Yr female here for follow-up of EGFR mutated NSCLC in need of restaging CT History: EGFR mutated NSCLC CHEST:LUNGS AND PLEURA: Redemonstration of postsurgical findings related to a right upper lobectomy. Multiple micronodules demonstrates progressive interval increase in size over the last two exams.Mild int... | Gradually increasing size of scattered pulmonary micronodules over the last two exams and is suspicious of metastatic disease. No new suspicious pulmonary nodules or masses. No new sites of disease identified. |
Generate impression based on findings. | Female 61 years old Reason: Progression of endometrial cancer History: abdominal pain, palpable mass near rectum on exam ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: 1.5 x 0.5 cm cystic appearing lesion in the... | No significant change in the size of the referenced left-sided pelvic soft tissue density.Small cystic lesion in the head of the pancreas. Follow-up with M.R.C.P. in 6 months maybe helpful for further characterization. |
Generate impression based on findings. | History of MAI, now off medications since last CT. Evaluate for progression status post discontinuing medications. LUNGS AND PLEURA: New area of bronchiole mucus impaction in the right lower lobe (series 4, image 79) and interval resolution of mucus plugging in some of the left lower lobe bronchioles. Otherwise, the bi... | Interval resolution of mucus plugging in some left lower lobe bronchioles and a newly impacted bronchiole in the right lower lobe. Otherwise, no significant interval change tree-in-bud opacities consistent with known MAI. |
Generate impression based on findings. | Reason: infection pre-induction chemo for new diagnosis of acute leukemia? (CT sinus also ordered) History: baseline pre-chemo LUNGS AND PLEURA: Probable accessory fissure in the right lower lobe, with an adjacent small solid nodule measuring up to 5 mm (series 6, image 181), with a triangular morphology suggestive of ... | 1. No acute cardiopulmonary abnormality.2. Right chest wall solid lesion with local destruction of the lateral right third rib, most likely related to a known history of myeloid sarcoma. |
Generate impression based on findings. | hypothermiaVIEW: Chest AP 2/16/15 Tracheostomy tube in place. G-tube in place. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal perihilar atelectasis without pleural effusion or pneumothorax. | Minimal perihilar atelectasis without pneumonia. |
Generate impression based on findings. | Mild lobular mucosal thickening is present within the right maxillary sinus, unchanged. Mild mucosal thickening is present within the left maxillary sinus. Bilateral ostiomeatal units are patent.Minimal mucosal thickening is present within the anterior right sphenoid sinus. The left sphenoid sinus is clear and bilater... | 1.Mucosal thickening within several paranasal sinuses without superimposed air-fluid levels.2.Opacification is present within a few left mastoid air cells.3.The nasal septum is deviated leftward and there is a left sided septal spur. |
Generate impression based on findings. | 55-year-old male with possible liver mass and gallstones ABDOMEN:LUNG BASES: Subsegmental atelectasis in the right lung base.LIVER, BILIARY TRACT: Multiple bilobar hepatic metastases. Index lesion in the left lobe measures 1.7 by 1.7-cm image number 30, series number 11. Pneumobilia. Metallic stent in the common bile d... | Locally aggressive likely pancreatic origin cancer invading the retroperitoneal vessels and with multiple liver metastases.Air is noted within the fluid in the lesser sac. Perforation cannot be excluded.Mary Frech was not working today so Dr. Mangum from Friend Family Health Center was acknowledged and notified about t... |
Generate impression based on findings. | FractureVIEWS: Right wrist AP and lateral Healing fracture involving the metaphysis of the distal radius again noted. The sclerosis is less evident reflecting interval healing. The distal ulna is normal. | Healing fracture distal radius as described above. |
Generate impression based on findings. | FractureVIEWS: Left femur AP and lateral Again noted fracture involving the proximal diaphysis of the left femur in near anatomic alignment. There is periosteal reaction and sclerosis reflecting interval healing. The overlying cast obscures fine bony detail. | Healing left femur fracture as described above. |
Generate impression based on findings. | Evaluate fractureVIEWS: Right middle finger AP, oblique and lateral There is a healing fracture involving the distal phalanx of the middle finger. The fracture line is less evident reflecting interval healing. The alignment is near anatomic. | Healing fracture distal phalanx of the middle finger. |
Generate impression based on findings. | 98 years, Female. Reason: assess stool burden or other cause of lower abd pain History: new lower abd pain Note that a portion of the left hemiabdomen is excluded from the field of view. Mildly dilated loops of bowel compatible with ileus. Slightly greater than average stool burden in the ascending colon. Skin staples ... | Findings compatible with mild ileus. Slightly greater than average stool burden in the ascending colon |
Generate impression based on findings. | 51 year old male patient with history of achalasia s/p myotomy and Dor fundoplication in 2008 presents with worsening dysphagia. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed... | 1.Postsurgical changes from Dor fundoplication.2.Interval narrowing of the gastroesophageal junction with delayed passage of a 1.3 cm barium pill.3.Mild esophageal motility abnormality. |
Generate impression based on findings. | Reason: R ICA aneurysm coiling /shunt / follow up History: yearl follow up/clot, surveillance Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. The patient is status post clipping of a left posterior... | 1.Status post coiling of a right posterior communicating artery and clipping of the left posterior communicating artery aneurysm. There is no obvious aneurysm recurrence appreciated though a small one may be obscured by artifact2.Encephalomalacia involving right frontal, occipital, parietal and temporal lobes.3.Status ... |
Generate impression based on findings. | Reason: h/o base of tongue ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Previously new punctate micronodule left apex has resolved.MEDIASTINUM AND HILA: Scattered small subcentimeter lymph nodes are unchanged.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of ent... | Previously noted new left apex micronodule has resolved. Otherwise stable CT with no evidence of metastatic disease. |
Generate impression based on findings. | RIGHT: There are minimal appreciable changes related to canaloplasty and atticotomy.The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course.LEFT: The external auditory canal is patent. The ... | Postoperative findings in the right temporal bone without evidence of cholesteatoma.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
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 extremely dense, which lowers the sensitivity of mammography. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.The sensitivity of mammography for detecting breast cancer is decreased in patients with dense breasts such as this patient. Physical exam assumes a more important ro... |
Generate impression based on findings. | Multinodular goiter on outside CT. RIGHT LOBE MEASUREMENTS: 5.1 x 2.4 x 1.8 cmLEFT LOBE MEASUREMENTS: 5.8 x 2.4 x 2.4 cmISTHMUS MEASUREMENTS: 0.8 cm in thickness.RIGHT LOBE: A predominantly isoechoic solid nodule is noted in the right inferior thyroid lobe with a smaller internal more hypoechoic component and which mea... | Bilateral solid inferior thyroid lobe nodules. Given the solid nature of the nodules, biopsy would provide further information. |
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. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: follow up for RCC History: hx of RCC LUNGS AND PLEURA: Bilateral pulmonary nodules consistent with metastatic disease are not significantly changed. The largest nodule is in the left lower lobe with an endobronchial component measuring 14 x 11 mm on image 65/117.MEDIASTINUM AND HILA: Scattered small subcentimet... | 1. Stable pulmonary nodules, presumably metastases.2. Metastasis in posterior right eighth rib has increased in size with more cortical destruction |
Generate impression based on findings. | Male 48 years old Reason: preop for mitral valve repair History: palpitations CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCT Angiography: There is no evidence of thoracic aortic aneurysmal dilatation, dissection, significant stenosis, or tortuosity. The ... | 1.Normal CT angiography of the chest, abdomen, and pelvis. There is no evidence of aortic aneurysm, dissection, significant stenosis, tortuosity or atherosclerotic disease. 2.Presumed benign renal cysts in the left kidney. |
Generate impression based on findings. | Reason: Please eval for masses, enlarged LNs elsewhere. History: Enlarged lymph nodes in inguinal area. UE and LE pitting edema. Pericardial fluid and ascites. CHEST:LUNGS AND PLEURA: Very small bilateral pleural effusions are present, left greater than right. Dependent atelectasis is seen throughout the left lung. No ... | 1.Mildly enlarged cardiophrenic, external iliac, and inguinal lymph nodes. Bilateral prominent axillary lymph nodes.2.Small pericardial effusion. Very small bilateral pleural effusions.3.Pelvic free fluid is likely physiologic. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal great aunt. Two standard digital views and tomosynthesis of both breast were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged i... | 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 years, Female. Reason: eval bowel distension History: abd pain Rectal tube is coiled in the rectum with tip in the distal descending colon. Mildly increased colonic distention compared to prior study.Surgical clips in the bilateral upper quadrants. Suture material in the left upper abdomen. Incompletely imaged centr... | Mildly increased colonic distention compared to prior study. |
Generate impression based on findings. | Reason: infection? 68M pre-induction chemo for new diagnosis of CML myeloid blast crisis (CT sinus also ordered) (Protective isolation) History: baseline pre-chemo LUNGS AND PLEURA: Moderately large bilateral pleural effusions with basilar subsegmental atelectasis.No specific evidence of pneumonia.MEDIASTINUM AND HILA:... | Moderate pleural effusions with basilar atelectasis. |
Generate impression based on findings. | Ms. Martin is is a 57 year old female with a personal history of left breast mastectomy in December 2013 for triple negative IDC followed by chemotherapy and radiation. She has no current breast related complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 60 years old Reason: Elevated alk phos/ALT with h/o fatty liver, evaluation for progression of fatty liver vs gallstones History: see above LIVER: Liver measures 29 cm, enlarged. Increased echogenicity of the liver consistent with fatty infiltration. No focal liver lesions.BILIARY TRACT: Again noted multiple gal... | Diffuse fatty infiltration of the liver and hepatomegaly. Cholelithiasis. |
Generate impression based on findings. | FlatfootVIEWS: Right foot weight-bearing AP/lateral (two views), left foot weight-bearing AP/lateral (two views) 2/16/2015 0956 Right foot: No acute fracture or dislocation. No soft tissue abnormalities seen. No evidence of pes planus.Left foot: No acute fracture or dislocation. No soft tissue abnormalities seen. No ev... | Normal examination. |
Generate impression based on findings. | 63 years, Male, Reason: neuroendocrine cancer compare to last CT \T\ measure 1) subcarinal node, 2) segment 8 liver leison \T\ 3) aortocaval node History: post 2 cycles of therapy. CHEST:LUNGS AND PLEURA: Right basilar subsegmental atelectasis. Scattered nonspecific micronodules. No suspicious nodules or masses.MEDIAST... | 1.Significantly increased hepatic metastases.2.Stable mediastinal and retroperitoneal lymphadenopathy.3.Cholecystostomy tube with adjacent inflammatory changes is stable. |
Generate impression based on findings. | Reason: syncope, headache, eval for ICH History: headache, dizziness The CSF spaces are appropriate for the patient's stated age with no midline shift. There is scalp normal thickening present adjacent to the parietal bones eccentric towards the left side. There is extension into the subcutaneous tissues. Additional no... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.There are skin-based lesions present along the parietal scalp bilaterally extending into subcutaneous fat. Additional smaller but similar appearing skin lesions are present in the upper neck posteriorly and also adjacent to the occipital calvarium. ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and bilateral additional MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcific... | 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. | 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. | Breast cancer. Evaluate for metastases. There is a focus of increased radiotracer uptake within the left aspect of the T11 vertebral body. Faint uptake is also seen within the breast soft tissues.Degenerative uptake is noted in the bilateral shoulders and sternoclavicular joints. | Non-specific focal uptake in the T11 vertebral body likely represents a hemangioma given CT findings; however, serial imaging would be helpful for confirmation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother, diagnosed in her 50s. Two standard digital views of both breasts with repeat right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure ... | 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 mother with breast cancer. Two standard digital views with additional right MLO and CC views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sen... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSD - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt, diagnosed at the age of 34. 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 obs... | 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. | 47 years old female with a history of breast cancer.RADIOPHARMACEUTICAL: please refer to the report from the outside hospitalBLOOD GLUCOSE (FASTING): please refer to the report from the outside hospital. The CT portion grossly demonstrates extensive lymphadenopathy in the left lower neck, left supraclavicular region, l... | 1.Extensive left cervical, left supraclavicular, left upper chest wall and left axillary conglomerate lymphadenopathy, consistent with nodal metastasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with an additional left CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Loosely clustered calcifications are present in both b... | Focal asymmetries in the right lateral breast. Attempts to obtain prior mammogram should be made in order to confirm stability of these findings.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: chronic rhinitis, DNS History: cough, nasal obstruction. The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. Incidental note is made of concha bullosa bilaterally and very subtle right-sided deviation of the nasal septum.The frontal sinuses are c... | CT of the paranasal sinuses is within normal limits. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with a repeat right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Possible obscured ... | Potential left inferior breast mass for which spot compression and possible ultrasound are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: Hx lung cancer compare to prior scans, measurements please History: none CHEST:LUNGS AND PLEURA: Postop right upper lobectomy. Emphysema.Stable scattered small pulmonary nodules including the reference nodule in the left lower lobe (image 71/110). No new pulmonary nodules.MEDIASTINUM AND HILA: No significant ab... | Stable CT demonstrating scattered micronodules which are stable and presumably benign. No new lesions to suggest recurrent or metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign biopsies in 1998, 2000, and 2002. 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... | Biopsy clip and benign-appearing masses, but 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. | 86 year old female with severe aortic stenosis, evaluation for TAVR. ANGIOGRAM: Please see accompanying cardiac CT report for description of thoracic aorta. Mild-modeate atherosclerotic disease affects the abdominal aorta and its branches. No evidence of dissection. There is mild ectasia of the infrarenal abdominal aor... | 1.Please see accompanying cardiac CT for full details regarding the thoracic aorta and chest.2.Mild-moderate atherosclerotic disease of the abdominal aorta and its branches. Moderate high grade stenosis of the celiac artery origin.3.Measurements of the iliac and femoral arteries as described above. Somewhat narrow femo... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her maternal niece, 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 of scattered fibroglandular ... | Focal asymmetry in the right breast. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 65-year-old female with shortness of breath, mitral valve replacement preoperative evaluation. ANGIOGRAM: Please see accompanying cardiac CT report for description of thoracic aorta. Mild atherosclerotic disease affects the abdominal aorta and its branches. The origins of the celiac artery, SMA, bilateral renal arterie... | 1.Mild atherosclerotic disease of the abdominal aorta and its branches. Somewhat narrow common femoral arteries (measurements above). No significant tortuosity or circumferential calcifications of the common/external iliac arteries.2.Mild prominence of the pancreatic duct. Though no obstructing lesion is identified, co... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional MLO views of each breast 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. Approxi... | Asymmetry in the right inner breast which may represent a skin lesion. A repeat right CC view with skin lesions marked is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: R - Technical Repeat Views. |
Generate impression based on findings. | Female 81 years old Reason: assess for fracture, dislocation. Pls include right upper arm films too. History: right shoulder pain. There is no acute glenohumeral fracture or dislocation. There is no acute fracture or dislocation of the right humerus. Incompletely imaged right lung demonstrates patchy airspace opacities... | No acute fracture or dislocation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of Hodgkin's lymphoma. Two standard digital views of both breasts with repeat bilateral MLO views 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign calc... | 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 bilateral benign breast biopsies. Family history of breast cancer in maternal aunt. 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 fibrog... | 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. | 66 years, Female, Reason: Patient with h/o abdominal aortic aneurysm and right common iliac artery aneuryism, plan for OR 1/20/15. History: none. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Moderate co... | 1.Interval placement of aortobiiliac stent without evidence of endoleak.2.Slightly increased nonocclusive peripheral thrombus of the right common and internal iliac arteries |
Generate impression based on findings. | Female 56 years old Reason: cholecystitis? History: elevated enzymes LIVER: Moderately echogenic liver parenchyma an enlarged liver measuring 18-cm, unchanged.BILIARY TRACT: No evidence of cholelithiasis or biliary dilatation. Gallbladder wall is unremarkable.PANCREAS: Not well-visualized due to overlying bowel gas.SPL... | Echogenic and enlarged liver, unchanged. |
Generate impression based on findings. | 64 years old male a lung nodule and station 10R lymphadenopathy. This study was performed for the diagnosis of solitary pulmonary nodule.RADIOPHARMACEUTICAL: 14.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion grossly demonstrates two spiculated nodular densities in the right u... | 1. Spiculated nodular densities in the right upper lobe and linear density in the right apex, highly suspicious for lung cancer. However infection can have similar hypermetabolism.1.Symmetrical and mild multifocal FDG uptake in both lung hila is most likely due to inflammatory change. However nodal metastasis in the ri... |
Generate impression based on findings. | HCC. Question of metastatic disease. There is a focus of increased radiotracer uptake within the right aspect of the T9 vertebral body; this correlates with a bridging osteophyte on the CT study from the same date.No suspicious osseous lesion is identified. | No specific evidence of bone metastases. |
Generate impression based on findings. | 71 year old female with stage IV chronic kidney disease, prior history of kidney stones on the right. ABDOMEN: Within the limits of a non-IV contrast enhanced examination which limits the ability to evaluate solid organ parenchyma and vascular structures, the following observations can be made:LUNG BASES: Right postero... | 1. Slight increase in nonobstructing right renal calyceal stone burden. 2. Atrophic left kidney. 3. Cholelithiasis without other complication. 4. Probable rounded atelectasis, although does not completely need imaging criteria for this. High resolution chest CT in the prone and supine position would be recommended to s... |
Generate impression based on findings. | Female 30 years old Reason: Eval for erosive arthropathy History: Bilateral arthralgias MCP and PIP. There is some questionable juxtaarticular osteoporosis bilaterally without associated soft tissue swelling. A punctate fragment overlying the ulnar styloid may be a superimposed artifact. The remainder of the carpal bon... | Questionable juxta-articular sclerosis without associated soft tissue swelling. Otherwise study of the bilateral hands. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Left upper lobe reference nodule measures 7 mm on image 35/112 (8 mm on previous).Previously noted apical fibrosis is unchanged. Patchy, peripheral, upper lobe predominance groundglass opacities and reticulation have slightl... | 1.Slight decrease in size of reference left upper lobe nodule.2.Increased left lung opacities which may be to due radiation pneumonitis, chronic aspiration or infection. |
Generate impression based on findings. | Shortness of breath. Evaluate for PE. History of HIV. PULMONARY ARTERIES: No evidence of pulmonary embolism. Dilated main pulmonary artery measuring 3.9 cm consistent with pulmonary artery hypertension.LUNGS AND PLEURA: Diffuse bilateral groundglass opacities, similar in appearance to prior exam. Increased diffuse bron... | 1. No evidence of pulmonary embolism.2. Diffuse bilateral ground glass opacities, suspicious for atypical infection (pneumocystic pneumonia). There may be superimposed pulmonary hemorrhage and edema.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV... |
Generate impression based on findings. | Rheumatoid arthritis. Check for erosive changes Right hand: Marked asymmetry in abnormalities including ulnar subluxation largely observed involving the fifth right MCP with near bone on bone narrowing of the second, third and fourth MCP articulations. Scapholunate widening with moderate to marked degenerative changes ... | A constellation of findings consistent with the patient's carrying diagnosis of rheumatoid arthritis, most pronounced involving the right hand however asymmetry of findings is unusual. See detail provided |
Generate impression based on findings. | Female 33 years old Reason: RUQ U/S for Abnormal LFT's; Hx Excess Eton History: RUQ U/S for Abnormal LFT's; Hx Excess Eton LIVER: Infiltration of the liver. Liver measures 16 cm. No focal liver lesions.BILIARY TRACT: No evidence of gallstones or biliary dilatation.PANCREAS: Not well-visualized due to overlying bowel ga... | Diffuse fatty infiltration of the liver, otherwise unremarkable study. |
Generate impression based on findings. | Ms. Singh is a 65 year old female returning for a short-term follow-up for a high probability benign focal asymmetry in the inferior left breast. Family history of breast cancer in two sisters, diagnosed at the age of 45 and 60. No current breast related complaints. Three standard views of both breasts were performed d... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | blurry vision s/p fall CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Atherosclerotic calcifications are present along the dis... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.No evidence for fracture in the maxillofacial bones3.Right eye staphyloma. |
Generate impression based on findings. | Known tissue in left thyroid bed. Please check for increase in thyroid tissue, suspicious features, suspicious lymph nodes. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: Status post thyroidectomy. No nodul... | 1.The previously biopsied left thyroid bed lymph node is minimally larger but this is nonspecific.2.Multiple stable lymph nodes in the right neck. |
Generate impression based on findings. | Check metacarpal fracture Interval removal of the splint material. The comminuted fifth metacarpal neck fracture appears similar with an gross anatomic alignment other than mild volar angulation. Mild overlying soft tissue swelling. | Comminuted right fifth metacarpal neck fracture with angulation |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. Gray/white interface are maintained. There are no extraaxial fluid collections or subdural hematomas. The mastoid air cel... | Negative unenhanced brain CT. |
Generate impression based on findings. | Reason: r/o acute process History: weakness, malaise and fatigue Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no sig... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.no evidence for acute intracranial hemorrhage, mass effect or edema. |
Generate impression based on findings. | Two months post knee operation. Please evaluate Moderate osteoarthritis, greater on the right with narrowing, sclerosis. Small effusion and osteophytes. Suspected potential loose body behind the knee, and followed serial imaging will help confirm if this is a fixed lesion. | Moderate osteoarthritis |
Generate impression based on findings. | Pain Mild soft tissue swelling overlying the lateral malleolus without discrete distinct definite underlying osseous abnormality. Minimal irregularity of the distal fibular tip may represent partial disruption of the ligaments, correlate with patient's specific site of pain | Mild osteoarthritic changes, see detail |
Generate impression based on findings. | Male 61 years old Reason: Assess for hx of metastatic rectal cancer; previously in liver s/p resection History: N/A CHEST:LUNGS AND PLEURA: Index left lower lobe nodule measures 14 by 12 mm on image number 33, series number 5, not significantly changed from previous study. Postsurgical changes in the right upper lobe, ... | Interval progression of disease with interval increase in the size of the mediastinal adenopathy and liver metastases and interval development of new metastatic lesions in the liver. |
Generate impression based on findings. | Female 45 years old Reason: biliary pathology/obstruction History: elevated alk phos, bili, ast/alt LIVER: Liver measures measures 20.8 cm, enlarged. No focal liver lesions.BILIARY TRACT: Gallbladder is contracted. Therefore, cannot be optimally evaluated. No evidence of cholelithiasis.PANCREAS: Not well visualized due... | Contracted gallbladder. Hepatomegaly. Trace amount of ascites. |
Generate impression based on findings. | 70 years old female. Reason: hoarseness, dysphagia, aspiration, left eye ptosis, left vocal cord paralysis. History: left neck sarcoma and left breast cancer. This study was performed for restaging.RADIOPHARMACEUTICAL: 12.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 105 mg/dL. Today's CT portion grossly... | 1. Hypermetabolic soft tissue densities in the left lower neck at left paratracheal region and the left upper chest wall as well as small hypermetabolic lymph node in the mediastinal prevascular space. These findings may represent recurrent disease and nodal metastasis. However, given the history of post-radiation in t... |
Generate impression based on findings. | Follow-up examination, following unspecified surgery Since the prior exam, previously placement metallic implants/electrodes have been removed. There is no evidence for acute intracranial hemorrhage. There is some intracranial air present.A stereotactic frame is in place which creates artifact and may obscure more subt... | No evidence for acute intracranial hemorrhage mass effect or edema status post removal of intracranial electrodes. Please note that stereotactic frame create artifacts which may obscure more subtle abnormalities such as a small hemorrhage. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign calcifications and right later... | 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. | Female, 12 months old, with abnormal head shape and ridging. Assess for craniosynostosis. The sagittal suture is largely fused with only a small portion at its anterior extent remaining patent. There is mild bony ridging along the fused portions of the suture. The coronal and lambdoid sutures are patent and normal. The... | Dolichocephaly secondary to sagittal synostosis. |
Generate impression based on findings. | 52 year-old female with breast cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.No worrisome nodules or parenchymal mass is seen to suggest metastatic disease.MEDIASTINUM AND HILA: No mediastinal adenopathy or masses seen.CHEST WALL: Left anterior chest wall Port-A-Cath with tip of the catheter in the p... | 1. Stable L5 vertebral body mixed lytic/sclerotic lesion consistent with metastatic lesion, unchanged since 5/14/14. T8 subcentimeter sclerotic focus may represent bone island or small focus of metastatic disease -- this is stable as well. 2. No other evidence of metastatic disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | As before, there is a left frontal approach ventriculostomy catheter with its tip unchanged in position. Redemonstrated is ventricular enlargement and stable intracranial abnormalities, better evaluated on prior MRI. There is no acute intracranial hemorrhage. A nasogastric tube is in place via the right nares. Fluid i... | No acute intracranial hemorrhage. |
Generate impression based on findings. | T4N3M1 HPV+ squamous cell carcinoma of the right tonsil status post treatment. There are post-treatment findings in the neck with diffuse marked supraglottic edema with airway narrowing and superficial areas of hyperenhancement in the right oropharynx. Otherwise, there is no discretely measurable upper aerodigestive tr... | 1. Post-treatment findings in the neck with diffuse marked supraglottic edema with airway narrowing and superficial areas of hyperenhancement in the right oropharynx, which may represent mucositis and/or treated tumor. 2. Continued interval decrease in size of the lymphadenopathy. |
Generate impression based on findings. | 77 years old Female. Reason: restaging. History: 76-year-old female with DLBC lymphoma receiving RCHOP. This study was performed for restaging.RADIOPHARMACEUTICAL: 11.0 MCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 97 mg/dL. Today's CT portion of the neck demonstrates no significant pathology. Please see d... | 1.No evidence of FDG avid tumor on current study.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | 91-year-old male with esophageal -- gastric junction cancer. Staging CT, evaluate for metastatic disease. Status post stent placement at outside hospital. CHEST:LUNGS AND PLEURA: Bilateral pleural effusions with a large right pleural effusion and moderate left pleural effusion. Scattered left nonspecific lung micronodu... | 1. New/distal esophageal stent with slight thickening about the stent, presumably representing known primary tumor. 2. Small gastrohepatic and peri-EG junction lymph nodes with maximum diameter of 9 mm. These do not meet imaging criteria for lymphadenopathy, but remain potential sites for metastatic disease. 3. Bilater... |
Generate impression based on findings. | Recurrent glioma, on Avastin, passed out and hit head yesterday with headache. There are post-treatment findings in the left frontal lobe with areas of gyriform hyperattenuation compatible with mineralization and patchy areas of nonspecific hypoattenuation. There is no evidence of acute intracranial hemorrhage. The ven... | 1. No evidence of acute intracranial hemorrhage.2. Post-treatment findings for a left frontal lobe glioma, which are otherwise better delineated on the recent prior brain MRI. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in mother, diagnosed at the age of 76. 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. No suspicious ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repo... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal grandmother. 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, un... | 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. | The right uterine artery was embolized using 500-700 micron Embospheres until near stasis was achieved. The post-embolization angiogram confirmed these findings.LEFT UTERINE ARTERY EMBOLIZATION | Successful bilateral uterine artery embolization.PLAN: 1. The patient will be admitted overnight for pain control and observation.2. The patient was entered into the IR clinic follow-up system. A follow-up MRI pelvis will be performed in 3 months time, after which the patient should return to the interventional radiolo... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal great aunt, diagnosed at the age of 70. 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 m... | 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. | ORIF Detail remains obscured by cast material. Gross anatomic alignment of the intra-articular distal radial fracture is again observed with resorption along the fracture edges compatible with partial interval healing | Persistent gross anatomic alignment of distal radial fracture |
Generate impression based on findings. | Spinal fusion, check arthrodesed. Interval posterior fixation and laminectomy of L5-S1 with interposed disk material. No bridging osteophytes and material is observed. No hardware complication. Alignment maintained with minimal anterolisthesis at this level . Upper lumber spine unremarkable | Posterior fixation of the lower lumbar spine, as described. No interval change in alignment |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. Family history of breast cancer in sister. Two standard digital views, tomosynthesis, and bilateral repeat CC views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Motion artifact on 1 ... | Two benign morphology masses in the right breast. Attempts to obtain prior mammogram should be made in order to confirm stability of these findings.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | 52 years old female. Reason: IIIC ovarian cancer s/p surgery and chemotherapy, now with rising CA 125. This study was performed for restaging. RADIOPHARMACEUTICAL: 12.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 90 mg/dL. Today's CT portion of the neck grossly is not remarkable.Today's PET examination d... | 1.Multiple hypermetabolic lymph nodes in the mediastinum, upper abdomen and retroperitoneal cavity as well as in the left hemipelvis, which are consistent with metastasis.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | Acute pain. Rule-out abnormality. Two views of the right hip are provided. Mild osteoarthritis affects the hip. A small focus of mineralization along the greater trochanter may reflect calcification within the overlying bursa or tendon. Overall these findings appear similar to those seen on the prior study.Two views of... | Osteoarthritis. |
Generate impression based on findings. | 53-year-old male with gross hematuria and tobacco history. Evaluate for mass. 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 notedKIDNEY... | 1. Slightly greater than expected mural nodularity to posterior bladder wall and a mucosal lesion there cannot be excluded.. 2. No other abnormality seen to account for hematuria. 3. No other significant abnormalities seen. |
Generate impression based on findings. | Reason: regionally advanced NSCLC History: follow up CHEST:LUNGS AND PLEURA: Right upper lobe mass measures 52 x 52 mm on image 47/113. It extends to the hilum and causes mild right upper lobe and bronchus intermedius airway narrowing.There is patchy nodular and airspace opacity in the right middle lobe (image 63/113) ... | 1. 5 cm right upper lobe mass consistent with known lung cancer. It extends to the hilum and causes mild right upper lobe and bronchus intermedius airway narrowing.2. Patchy nodular and airspace opacity in the right middle lobe and anterior right upper lobe. Since these opacities were not present on recent PET/CT it is... |
Generate impression based on findings. | 52 year-old female with ovarian cancer, rising CA -125. Clinically NED CHEST:LUNGS AND PLEURA: Scattered pulmonary parenchymal micronodules are unchanged. No new nodules or evidence of airspace disease is seen. No pleural disease.MEDIASTINUM AND HILA: No adenopathy or other right chest wall infusion port catheter termi... | 1. New enlarged lymph nodes in the hepatoduodenal ligament and in the aortocaval space as delineated/measured above. 2. Diffuse gallbladder wall thickening without gallstones of uncertain significance. CT can miss detecting gallstones and approximately 25% of patients with gallstones. 3. Air in the bladder -- no eviden... |
Generate impression based on findings. | Male, 32 years old, with mental status changes. No loss of gray-white distinction, parenchymal edema or mass effect. No evidence of intracranial hemorrhage or abnormal extra axial fluid collection is seen. The ventricles are normal in size and morphology.The osseous structures of the skull are intact. There is mucosal ... | 1.No acute intracranial abnormality or other specific findings to account for the patient's altered mental status.2.Phthisis bulbi on the right.3.Calcified subcutaneous vessels suggestive of diabetic vasculopathy. |
Generate impression based on findings. | Alcohol abuse, AML, gout, CKD 3-4, HTN, admitted with severe sepsis and anemia. There are bubbly secretions and mild mucosal thickening in the right sphenoid sinus. There is minimal mucosal thickening within the maxillary sinuses. The other paranasal sinuses are clear. The nasal cavity is clear. The nasal septum is dev... | 1. Possible right sphenoid acute sinusitis.2. Nonspecific partial right mastoid air cell opacification. |
Generate impression based on findings. | Reason: lung cancer History: history of RUL lobectomy for NSCLC. Following lung nodules LUNGS AND PLEURA: 7 mm irregular solid nodule in right lower lobe (series 4, image 49/109), unchanged.6 mm irregular subpleural solid nodule in the left upper lobe (series 4, image 34/109), unchanged.10 mm ground glass nodule in lef... | Stable nonspecific solid and nonsolid nodules. |
Generate impression based on findings. | Reason: ho tongue ca, s/p CRT, compare to previous. measurements pls History: none CHEST:LUNGS AND PLEURA: Reference right upper lobe nodule no longer visible (0 mm). No new pulmonary nodules. Stable calcified granulomas.MEDIASTINUM AND HILA: Port tip in right atrium. Tracheostomy tube present. Scattered small subcenti... | Resolved pulmonary nodules. Continued decrease in intrathoracic lymphadenopathy. |
Generate impression based on findings. | 87 year old with history of left lumpectomy in 2006 for invasive ductal carcinoma. Patient received adjuvant radiation therapy and Arimidex. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female, 67 years old, history of myocardial infarction, type 2 diabetes, here with pre-syncope when looking to the left. Concern for vascular insufficiency in the neck arteries. Non angiographic findings:The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemo... | 1.Apparent tortuosity and poor opacification of the left common carotid artery at the level of the thyroid is of uncertain etiology. Given extensive streak artifact through this region, the possibility exists that this finding is itself artifactual. However, given the patient's symptoms, a true abnormality cannot be ex... |
Generate impression based on findings. | Male 35 years old Reason: 35yo male with Crohn's disease with pelvic abscess, iliopsoas abscess, and multiple fistulae. Also with tract to right testicle. History: abdominal abscesses ABDOMEN: Limited study secondary to lack of oral contrast making evaluation of bowel pathology suboptimal.LUNG BASES: No significant abn... | 1.Limited study secondary to lack of oral contrast making evaluation of bowel pathology suboptimal. Within these limitations, there is a large inflamed segment of the affected distal ileum measuring up to 30 cm in length. 2.Phlegmon in the right pelvis with connection to multiple loops of small bowel.3.Right hydronephr... |
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