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Generate impression based on findings. | Ms. Digby-Lucas is a 40 year old female with palpable left axillary mass for the past 3 months. Dr. Jaskowiak has marked the site with palpable area of abnormality. Family history of breast cancer in sister, diagnosed at the age of 34. Upon physical exam at the palpable area of abnormality, a vague soft abnormality is ... | Prominent fat lobule with no sonographic evidence for malignancy. Patient should return to normal screening mammogram annually, due next in Jan 2016. All results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Follicular lymphoma; pre-allo sct evaluation. The moderate right and mild left maxillary sinus mucosal thickening. There is minimal opacification of the ethmoid sinuses. The frontal and sphenoid sinuses are clear. There is partial opacification of the right concha bullosa. The nasal septum is deviated to the left poste... | 1. Nonspecific scattered sinonasal opacification. 2. Degenerative changes involving the right temporomandibular joint. |
Generate impression based on findings. | Right upper quadrant pain. LIVER: The liver is mildly enlarged measuring 18.2 cm in length. There is normal echotexture and there are no focal mass lesions.GALLBLADDER, BILIARY TRACT: Normal appearing gallbladder without biliary ductal dilatation. Normal hepatopetal flow of the main portal vein.PANCREAS: No significant... | 1.Mild liver enlargement without focal mass-lesion. 2.Normal gallbladder. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left benign biopsy. Two standard digital views of both breasts and additional bilateral MLO views, left CC view, and cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandu... | 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. | Male 63 years old; Reason: R testicle torsion? History: right testicular swelling RIGHT TESTIS: Right testis measures 4.4 x 2.7 x 2.5 cm. no focal lesions. Normal vascularity.LEFT TESTIS: Left testis measures 4.5 by 3 x 2 cm. No focal lesions. Normal vascularity.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT... | Normal vasculature of bilateral testis without any focal lesions. Small bilateral hydrocele. Significant thickened scrotal wall. |
Generate impression based on findings. | Female, 67 years old.Evaluate for RFO. Prolonged surgery. Surgical clips are noted projecting over the right upper quadrant. Surgical drain projects over the mid abdomen with tip projecting over the stomach. No unexpected radiopaque foreign objects.Note that the lower portion of the pelvis is excluded from the field-of... | No unexpected radiopaque foreign objects.Findings communicated to Dr. Alverdy at 2:45 PM on 2/16/2015 via text message and confirmed receipt of message. |
Generate impression based on findings. | Back painVIEWS: Lumbar spine three views No acute fracture or subluxation. No evidence of spondylolyses or spondylolisthesis. The disk spaces are maintained. | Normal examination. |
Generate impression based on findings. | Right upper quadrant pain status post meals. Question of biliary dyskinesia. Angiographic images are unremarkable. Prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the liver is present. There is normal excretion of tracer into the intrahepatic ducts, common bile duct, gallbl... | 1. Normal hepatobiliary imaging. No evidence of acute or chronic cholecystitis.2. Lower limits of normal gall bladder contractile response to CCK. The patient was asymptomatic with CCK administration. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with additional bilateral MLO and CC 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. Benign appearing lymph node... | 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. | Female 22 years old Reason: r/o hydro (hx stones) History: flank pain, recent dx stones RIGHT KIDNEY: Right kidney measures 12.6 cm. no focal lesions. No hydronephrosis.LEFT KIDNEY: Left kidney measures 12.4 cm. No focal lesions. Mild left-sided caliectasis. Punctate stone in the left kidney is unchanged.OTHER: No sign... | Mild left caliectasis and left nephrolithiasis. |
Generate impression based on findings. | Female 33 years old Reason: pls assess hepatomegaly, pls include DOPPLER STUDY to assess for chronic budd chiari History: chronic abdominal pain LIMITED ABDOMENLIVER: Liver measures 24 cm, enlarged. Patient's known liver mass is again noted in the right lobe of the liver. This cannot be optimally characterized by ultra... | Hepatomegaly. Dilated hepatic veins and IVC likely secondary to congestive heart failure. |
Generate impression based on findings. | History of RCC. Follow up. There is a focus of increased radiotracer uptake within the posterior right 8th rib, which correlates to a lytic lesion on CT. There is a large area of uptake within the distal right humerus and increased uptake within the lower lumbar spine. There is relative faint increased uptake in the ri... | Multiple osseous metastatic lesions with a large distal right humeral lesion; correlate with focal tenderness and consider dedicated radiographs if clinically indicated. |
Generate impression based on findings. | Elevated liver enzymes. LIVER: Normal appearance of the liver which measures 16.7 cm in length. No focal mass lesions are noted.GALLBLADDER, BILIARY TRACT: The gallbladder is not visualized consistent prior cholecystectomy. The common bile duct diameter measures 6 mm.PANCREAS: No significant abnormalities noted.RIGHT K... | Normal appearance to the liver without focal mass lesion. |
Generate impression based on findings. | Drop in hematocrit, evaluate for intra-abdominal bleed. ABDOMEN:LUNG BASES: Streaky atelectasis is seen in the lung bases. Hypodense blood pool is compatible with anemia.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS... | 1.High-density material the small bowels raises concern for gastrointestinal hemorrhage if no oral contrast has been recently administered.2.Multiple enlarged mesenteric lymph nodes are present.3.Status post exploratory laparotomy with silo placement. |
Generate impression based on findings. | 76-year-old female with metastatic lung cancer status post 6 cycles of treatment. Please evaluate treatment response. ABDOMEN:LUNG BASES: See chest CT report from today's examination.LIVER, BILIARY TRACT: No significant abnormality noted in the liver or biliary tract.SPLEEN: No significant abnormality notedPANCREAS: No... | Stable examination with no evidence for metastatic disease in abdomen or pelvis. |
Generate impression based on findings. | Male 39 years old; Reason: history of ALL s/p bone marrow transplant with testicular pain. F/u ultrasound after ibuprofen therapy. Bilateral as he know has left pain . Initially right sided pain History: right testicular mass RIGHT TESTIS: Right testis measures 4.6 x 2.2 x 2.9 cm. Again noted a hypoechoic lesion in the... | Unchanged right testicular lesion with interval development of small left testicular lesion. These are suspicious for leukemia involvement versus less likely testicular cancer. |
Generate impression based on findings. | Ms. Fitzgerald is a 65 year old female with high probability benign clustered cysts and a benign hyalinized fibroadenoma in the right breast. She has a personal history of cutaneous B cell lymphoma. No current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the... | Benign hyalinizing fibroadenoma. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 55-year-old female patient with history of small bowel obstruction and intermittent abdominal pain, nausea and vomiting. UPPER GI:Double contrast visualization of the esophagus showed a small hiatal hernia. During the exam, spontaneous gastroesophageal reflux was observed. Fluoroscopic evaluation of esophageal peristal... | 1.Small bowel stricture with associated dilatation in the right upper quadrant as described above.2.Minor esophageal motor abnormality.3.Small hiatal hernia. |
Generate impression based on findings. | Right sided heart failure on echo. Concern for PE. Examination limited by suboptimal positioning secondary to patient mobility issues. The comparison chest radiograph performed on 2/12/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show a uniform distribution of activity on sing... | Low probability for pulmonary embolus. |
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. | Numerous intra-axial metastases are better demonstrated on prior MRI. Hypodensity representing associated vasogenic edema is noted, and a couple of lesions demonstrate increased central density. The ventricles and sulci are normal in size. There is no midline shift. There is no acute intracranial hemorrhage or evidenc... | Numerous intra-axial metastases are better demonstrated on prior MRI. Hypodensity representing associated vasogenic edema is noted, and a couple of lesions demonstrate increased central density. There is no midline shift. There is no acute intracranial hemorrhage. |
Generate impression based on findings. | Female 3 years old Reason: eval fracture healing History: s/p ORIF. Evaluation is limited by overlying cast material. We have 4 views of the left elbow. Orthopedic pins are again seen affixing the radial head as well as a fracture of the capitellum in gross anatomic alignment; appearing similar to the prior study, acco... | Orthopedic fixation of capitellum and radial head. Appearance is similar to the prior study. |
Generate impression based on findings. | Female 75 years old Reason: Rule out fx History: pain s/p fall. The bones are demineralized, suggesting osteopenia. Mild osteoarthritis affects the interphalangeal joints, but we see no fracture. There is slight widening of the scapholunate interval which may reflect ligamentous laxity or disruption, which is of questi... | Mild osteoarthritis and other findings as above, but no fracture evident. |
Generate impression based on findings. | Reason: evaluate for changes in ILD History: increased oxygen requirements, worsened DOE LUNGS AND PLEURA: Diffuse reticulonodular interstitial disease with predominantly subpleural and basilar distribution, markedly increased compared to the previous scan. Diffuse traction bronchiectasis is present consistent with fib... | Diffuse basilar predominant pulmonary fibrosis compatible with UIP, with marked interval progression and loss of lung volumes since 2012. Focal areas of air trapping at the lung bases raise the question of hypersensitivity pneumonitis as an underlying etiology. |
Generate impression based on findings. | left hand caught in elevator door and is swollen but no bruisingVIEWS: Left hand AP, oblique and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Reason: mets lung cancer, s/p 6 cycles of MPDL3280A. Pls c/w previous study and evalaute tx response. History: lung ca LUNGS AND PLEURA: Left apical nodule (image 15 series 7) measures 9 x 6 mm (9 mm x 8 mm previously).Additional left upper lobe lesion (image 17 series 7) stable at 10 x 6 mm. Left superior segment nodu... | No significant change small pulmonary nodules and mediastinal nodes. |
Generate impression based on findings. | Renal failure, evaluate line placementVIEW: Chest AP (one view) 2/16/2015 1317 Right internal jugular catheter tip lies within the right atrium. Nasogastric tube extends into the stomach. One of the previously seen nasogastric tubes has been removed. Endotracheal tube tip is just below the thoracic inlet.Left lower lob... | Right internal jugular catheter tip lies within the right atrium. No new tubes or catheters identified. |
Generate impression based on findings. | Redemonstrated is a stable 9 x 6 mm hyperattenuating focus in the right frontal corona radiata without significant change. There is mild advanced diffuse volume loss with diffusely prominent sulci which may be treatment related given the patient's underlying breast cancer. Additionally, the morphology of the cerebella... | 1.Stable 9 x 6 mm hyperattenuating focus in the right frontal corona radiata.2.Stable bulky morphology of the cerebellar tonsils.3.Differential diagnosis list includes small focal parenchymal hemorrhage, cavernoma, or infectious/inflammatory etiology (possibly even chronic) with focal area of mineralization, or possibl... |
Generate impression based on findings. | Term infant with tachypneaVIEW: Chest AP 2/16/15 Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Diffuse patchy atelectasis bilaterally. No pleural effusion or pneumothorax. | Diffuse patchy atelectasis bilaterally. |
Generate impression based on findings. | 53 year old male with history of Crohn's disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Right renal lowe... | 1.Postsurgical changes of prior small and large bowel resection. 2.New significant dilation of the distal small bowel. The enterocolic anastomosis is not visualized, and high-grade short segment stenosis at the anastomosis cannot be excluded. No specific evidence of active Crohn's disease. Barium fluoroscopic examinati... |
Generate impression based on findings. | Abdominal pain with urination, history of hernia surgery ABDOMEN:LUNG BASES: No consolidation or pleural effusion is seen in the visualized portion of the lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No... | No findings to explain the patient's symptoms. |
Generate impression based on findings. | Breast cancer There is increased radiotracer uptake at the left aspect of the L5/S1 level which corresponds to a sclerotic/lytic lesion on recent CT. No additional area of abnormal tracer uptake is identified. | L5/S1 lesion which is highly suspicious for metastatic disease. |
Generate impression based on findings. | 61-year-old female presents for annual mammogram. No current 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 fibroglandular elements, unchanged in pattern and distribution. Mildly ectatic duct in th... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Ms. Griffith is a 71 year old female presenting with a large pelvic mass suspicious for malignancy. Evaluate for breast cancer primary. Three standard views of both breasts with a left spot compression view were performed digitally 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, 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. | Metastatic lung cancer status post neck radiation therapy and chemotherapy. There is no evidence of recurrent significant residual lymphadenopathy in the neck. For example, a left level 2A lymph node measures 4 mm in short axis, previously also 4 mm. Likewise, subcutaneous mass in the right supraclavicular region remai... | 1. No evidence of recurrent significant residual lymphadenopathy in the neck. 2. Continued interval decrease in size of metastases in the imaged portions of the lungs, but persistent right lung consolidation. Please refer to the separate CT chest report for additional details. |
Generate impression based on findings. | Evaluate pleural effusionVIEW: Chest AP 2/16/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left chest tube in place. Right central line in place. Cardiothymic silhouette normal. Bilateral atelectasis improved in the interval. Left pleural effusion decreased in the interval. | Placement of left chest tube with interval decrease in the pleural effusion. |
Generate impression based on findings. | 54-year-old male. History of of follicular lymphoma. Pre allo SCT evaluation. LUNGS AND PLEURA: Calcified lung nodules consistent with healed granulomatous disease. Additional scattered noncalcified micronodules are most likely also post inflammatory.Mild basilar scarring.No evidence of active infection. No pleural eff... | No evidence of active infection or significant acute abnormality. |
Generate impression based on findings. | Female 35 years old Reason: eval for joint derangement History: wrist pain. We have 3 views of the left wrist. The sclerotic band in the distal radius seen on the prior study, presumably representing a healing fracture, is no longer evident, suggesting that the fracture has healed. We see no specific findings to accoun... | Healed distal radius fracture. |
Generate impression based on findings. | 62 years old Male. Reason: 62 years old male with HIV and metastatic anal squamous cell carcinoma, off therapy for 3 months. Please evaluate for evidence of disease progression. Please evaluate for evidence of disease progression. RADIOPHARMACEUTICAL: 12.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 86 m... | 1.New hypermetabolic masses and lymphadenopathy in the pelvis and in the left inguinal region, consistent with recurrent and metastatic disease.2.Probable bilateral ureteral obstruction. |
Generate impression based on findings. | Reason: 42M with CD s/p ex lap with ileocolonic resection/anastomosis. Persistently tachycardic post op requiring O2. History: O2 requirements, persistent tachycardic PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Debris in the right main stem bro... | 1. No evidence of pulmonary embolism.2. Findings compatible with aspiration/mucus plugging and subsequent basilar atelectasis, with small pleural effusions.3. Free peritoneal air and ascites likely related to recent abdominal surgery.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicab... |
Generate impression based on findings. | Female 32 years old Reason: hx skiing accident with C7 fracture. eval healing History: neck pain. There is a curvilinear lucency through the left articular pillar of C7 which presumably represents the patient's known C7 fracture; fracture fragments are in near-anatomic alignment. There is perhaps 1 mm anterolisthesis o... | Fracture of the left articular pillar of C7 in near anatomic alignment. |
Generate impression based on findings. | Reason: Pleural mesothelioma. Please compare to prior exam per RECIST criteria. History: Pleural mesothelioma CHEST:LUNGS AND PLEURA: Postoperative changes of left pleurectomy/decortication. Reference small focus of residual pleural thickening is stable measuring 5 mm in the left apex at the 11 o'clock position (image ... | 1. Stable pulmonary nodules in the left lung.2. Stable left axillary and intraabdominal lymphadenopathy.3. Stable very small focus of pleural thickening. |
Generate impression based on findings. | Female 86 years old Reason: cause of dysphagia History: dysphagia Double contrast evaluation of the esophagus revealed no mucosal or mural abnormalities. No hiatal hernia was identified. Mass effect posterolateral to the inferior esophagus best seen in the steep LAO position is likely due to an uncoiled aorta and is ac... | Prominent areae gastricae within the proximal stomach. Correlation for gastritis/H. pylori infection recommended. |
Generate impression based on findings. | ABPA, evaluate for airflow obstruction LUNGS AND PLEURA: Flat subpleural lesion in the right upper lobe (image 20, series 4) likely represents an intrapulmonary lymph node. No suspicious pulmonary nodule or mass is seen. No bronchiectasis, bronchial wall thickening, or consolidation is seen. No pleural effusion.MEDIAST... | No bronchiectasis, bronchial wall thickening, or consolidation. |
Generate impression based on findings. | 32-year-old female with history altered mental status. No evidence of acute intracranial hemorrhage. No midline shift or mass effect. The gray-white differentiation is preserved. The ventricles and sulci are symmetric. The basal cisterns are intact. There is no significant edema. The calvarium and soft tissues of the s... | No acute intracranial abnormality. |
Generate impression based on findings. | Female 70 years old Reason: s/p TEVAR History: s/p TEVAR CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: CT Angiography: Tortuous thoracic aorta with aortic aneurysmal dilatation extending from the descending aorta to the proximal abdominal aorta measuring up to 7.6 cm (series 12, image 4... | 1. Thoracic aortic aneurysm measuring up to 7.6 cm status post TEVAR with peripheral filling of the aneurysmal sac by medial branch vessels consistent with a type II endoleak. 2. Ill-defined cystic lesion of uncertain etiology in the peri-pancreatic soft tissue within the lesser sac. Recommend MR imaging to better char... |
Generate impression based on findings. | 76 y/o female with history of DLBCL on treatment, re-staging. CHEST:LUNGS AND PLEURA: Nonspecific scattered micronodules, similar to prior. Calcific pleural plaques suggestive of asbestos exposure. No new suspicious nodules or masses. MEDIASTINUM AND HILA: Left-sided central venous chest port with tip at the SVC atrial... | 1.No significant lymphadenopathy to suggest disease recurrence. 2.Resolved right chest wall mass and left iliac fossa mass. 3.Chest wall port with fibrin thrombus adjacent to its catheter in the left brachiocephalic vein, similar to prior. |
Generate impression based on findings. | direct hyperbilirubinemia. Evaluate for cyst, biliary tree LIVER: Normal echogenicity measuring up to 6.0 cm in length. No intra-or extra hepatic biliary dilatation. Normal direction and flow of the portal vein. There is a small amount of perihepatic ascites.GALLBLADDER, BILIARY TRACT: There is sludge in the gallbladde... | Small amount of perihepatic ascites. Gallbladder sludge with no evidence of cholecystitis. |
Generate impression based on findings. | Female 36 years old Reason: post reduction History: above. Two views of the left ankle were obtained post reduction. Evaluation of fine bone detail is limited by overlying cast material. Again seen is a comminuted oblique fracture of the distal fibula with approximately 5 mm of lateral displacement of the distal fractu... | Trimalleolar fracture as described above. |
Generate impression based on findings. | 14-year-old male with right lower pole kidney stone status post ESWL. BLADDER Wall Thickness: Unable to assess Contents: Collapsed Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Continued increase in cortical echogenicity of the ri... | 1. Increased right renal cortical echogenicity suggestive of medical renal disease. 2. Nonobstructing 4 mm stone in the inferior pole of the right kidney.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the ... |
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 mother, maternal aunt, and maternal grandmother. She currently presents today with right arm pain. Two standard digital views of both breasts were performed and reviewed with... | Stable benign morphology mass in the left breast. Patient's right arm pain should be managed clinically. 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 Ma... |
Generate impression based on findings. | 47-year-old female patient with history of colectomy and multiple resections presents with intermittent obstructive symptoms. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the J pouch was 15 minutes. Fluoroscopic evaluation showed normal mucosa throughout the small bowel, with no ulcers, s... | Expected postsurgical changes in the small bowel without evidence of focal stricture or bowel obstruction. |
Generate impression based on findings. | History of right submandibular gland malignancy (intracapsular carcinosarcoma). There are postoperative findings related to right submandibular gland resection. There is no definite evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid appear unremarkable. There... | Postoperative findings related to right submandibular gland resection definite evidence of recurrent tumor or significant lymphadenopathy in the neck, although assessment is limited by the lack of intravenous contrast. |
Generate impression based on findings. | Reason: hx NSIP-like ILD, has underlying scleroderma with possible overlap CTD; evaluate for change in CT compared to 2010 History: hx NSIP-like ILD, has underlying scleroderma with possible overlap CTD; evaluate for change in CT compared to 2010 LUNGS AND PLEURA: Stable basilar and peripheral predominant interstitial ... | 1. Stable interstitial lung disease which may be related to NSIP.2. New 12-mm nodule in the anterior mediastinum abutting the ascending aorta which may represent lymphadenopathy or be related to the thymus (likely a thymoma though malignancy cannot be excluded, continued follow up is recommended). |
Generate impression based on findings. | Male 53 years old Reason: eval wrist for fracture History: wrist injury. We have 3 views of the right wrist. We see no fracture or malalignment. | No fracture evident. |
Generate impression based on findings. | Female 15 years old Reason: eval alignment History: elbow GSW. Again seen is posttraumatic deformity of the elbow, appearing similar to that seen on the prior study with numerous bullet fragments in the adjacent soft tissues. A plate and screw device affixing the proximal radius and a suture anchor in the distal humeru... | Posttraumatic deformity and postoperative changes as described above, with alignment appearing similar to the prior study. |
Generate impression based on findings. | 72 years, Female. Reason: Assess dobhoff placement History: dobhoff placement Dobbhoff tube tip projects the expected location of the gastric body. Nonobstructive bowel gas pattern. Support devices are unchanged in position. | Dobbhoff tube tip projects over the gastric body. |
Generate impression based on findings. | Female 50 years old Reason: Left proximal tibia lesion, evaluate on xray History: above. Two views of the left knee are provided. There is a mixed lucent and sclerotic lesion within the lateral aspect of the proximal tibial meta-epiphysis. It measures approximately 4 cm in the craniocaudal dimension and approximately 3... | Mixed lucent and sclerotic lesion in the proximal tibia as described above. We suspect that the lesion is benign, perhaps representing a peculiar area of bone infarction, fibrous dysplasia, or possibly a benign cartilage neoplasm or intraosseous venous malformation. If the patient has a known primary malignancy, then t... |
Generate impression based on findings. | Male 63 years old Reason: 63yo M with worsening epigastric/RUQ pain and LFT changes. Please assess former LVAD pocket and driveline. History: epigastric/RUQ pain LIVER: Coarse echotexture of the liver. Liver measures 20 cm, enlarged. Small amount of perihepatic ascites.BILIARY TRACT: No evidence of biliary dilatation. ... | Slightly coarse echotexture of the liver. Hepatomegaly.. Small amount of sludge versus non-shadowing stones in the gallbladder. Small amount of ascites and left-sided pleural effusion.Small amount of subcutaneous fluid in the right lower quadrant at the previous drainage site. |
Generate impression based on findings. | Reason: Lung cancer s/p chemo, re-staging exam History: Lung cancer s/p chemo, re-staging exam CHEST:LUNGS AND PLEURA: Biapical nodular pleural thickening suggestive of scarring.Moderate left pleural effusion.Volume loss some surgical staples in the area of the left lower lobe suggestive of previous lower lobectomy.Mar... | Limited examination due to absence of contrast material, showing a left pleural effusion and presumed to previous left lower lobectomy. Masslike opacity in the area of the left descending pulmonary artery is suggestive of an aneurysm, which could be confirmed by CT scan with contrast material. Moderate mediastinal lymp... |
Generate impression based on findings. | Reason: Intra-Abdominal Injury, GSW to the right flank History: Pediatric Trauma ABDOMEN:LUNG BASES: No consolidation or pleural effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Accessory spleen is seen anterior to the spleen.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | 1.Gunshot wound injury resulting in L4 and right iliac crest fractures, right retroperitoneal and paracolic gutter hemorrhage, and injury to the right psoas and paraspinal musculature.2.The largest bullet fragment is immediately adjacent to the aorta at the level of L3-L4. While no periaortic inflammation is seen, inju... |
Generate impression based on findings. | TraumaVIEWS: Abdomen AP There is a metallic bullet at the level of L4 on the left of midline. Additionally there is a small punctate metallic fragment on the right of L4. There are fractures involving the L4 vertebral body and right iliac crest. Disorganized nonobstructive bowel gas pattern. | Acute fractures involving L4 and right iliac crest. |
Generate impression based on findings. | Female, 59 years old, history of right tonsil squamous cell carcinoma. An 11 x 9 mm enhancing mass is present in the left temporal lobe with moderate surrounding parenchymal edema. In retrospect, this lesion is first detectable on the 9/25/14 examination, and it has increased in size from that time.A 13 x 9 mm region o... | 1. A parenchymal mass with moderate associated edema is seen in the left temporal lobe which has increased in size from September 2014, but which was not clearly evident on earlier studies. Further assessment with contrast enhanced MRI is recommended.2. An apparent enhancing nodule is seen along the right postero-later... |
Generate impression based on findings. | 72 years old male presents with dysphagia. Reason: Patient with a history of esophageal and gastric cancer needs surveillance imaging. This study was performed for restaging.RADIOPHARMACEUTICAL: 14.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 79 mg/dL. Today's CT portion of the neck demonstrates no sign... | 1.Interval increased metabolic activity in the multifocal mildly abnormal FDG uptake in the mediastinum and lung hila, which which remain nonspecific. Suggest follow-up.2.No new FDG avid tumor identified.3.Nonspecific new focal FDG uptake in the right thigh muscle.4.Stable FDG uptake in the right hip is most likely due... |
Generate impression based on findings. | History of AML, s/p SCT. Persistently febrile, tachycardic despite broad spectrum abx LUNGS AND PLEURA: Near the right lung apex, there is a focal, approximately 6mm nodular density (series 4, image 22), with apparent internal air-bronchogram, which may represent mucus plugging. Additional scattered benign-appearing pu... | Small bilateral pleural effusions. No evidence of edema or infection. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP 2/16/15 Moderate amount of fecal burden. Nonobstructive bowel gas pattern. There are segmentation anomalies at the thoracolumbar junction. No pneumatosis or pneumoperitoneum. | Moderate amount of fecal burden. |
Generate impression based on findings. | Evaluate NG placementVIEW: Abdomen AP 2/16/15 NG tube tip in the fundus of the stomach. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. Patchy atelectasis left lower lobe. | NG tube tip in the fundus of the stomach. |
Generate impression based on findings. | Right inferior pelvic transplant kidney. Evaluate for obstruction. RENAL TRANSPLANT: Normal appearing transplant kidney measuring 10.1 cm in length. No hydronephrosis or nephrolithiasis. LOCATION: Right inferior pelvisPERITRANSPLANT TISSUES: Very minimal perinephric fluid which is nonspecific.KIDNEY: Echogenic kidneys ... | 1.Normal size and echogenicity of the right inferior pelvis transplant kidney without evidence of obstruction or hydronephrosis.2.Trace perinephric fluid adjacent to the transplant kidney which is nonspecific.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | There is a small portion of intrathecal contrast at the level of the lumbar spine. More cephalad the contrast pattern appears to shift from the subarachnoid compartment to a subdural location at approximately L3, and above the T10/11 level resides entirely within a subdural location. There are no osseous dysplasias. | 1.There is a small portion of intrathecal contrast at the level of the lumbar spine. More cephalad the contrast pattern appears to shift from the subarachnoid compartment to a subdural location at approximately L3, and above the T10/11 level resides entirely within a subdural location.2.Findings were discussed with Dr.... |
Generate impression based on findings. | Male 55 years old Reason: s/p temporary pancreatic stent placement, eval for passage History: pancreatic cancer, s/p CBD stent placement, with liver mets Intravenous contrast material opacifies the collecting system bilaterally and the bladder. Biliary stent in situ. Pancreatic stent in situ. The pigtail component of t... | Temporary pancreatic stent in situ. The pigtail component is projected over the expected location of the second part of duodenum. |
Generate impression based on findings. | 72-year-old female with abdominal pain. Assess etiology. ABDOMEN:LUNG BASES: Calcified lung nodules from prior granulomatous disease. Mitral valve annular calcification. No other significant abnormalities seen.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No sig... | 1. Recent cystectomy/hysterectomy with postoperative changes. Surgical drains with expected appearance. 2. Ileal conduit urinary diversion with expected appearance. 3. Fluid collections in the left pelvis and central pelvis most likely lymphoceles or seromas. While CT cannot characterize fluid collections, and no abnor... |
Generate impression based on findings. | The patient was not cognitively intact, and therefore, the procedure, indications, benefits, risks/complications and alternatives were described to the patient's caretaker (Dawn Hinton - at phone number 773-230-7744) and informed consent was obtained over the telephone by Dr. Uppuluri, and witnessed by Dr. Katzman.The... | Status-post lumbar puncture as above. |
Generate impression based on findings. | Male 65 years old Reason: mets lung cancer, on MPDL3280A, s/p 12 cycles. pls c/w previous study and evaluate tx response. History: lung ca ABDOMEN:LUNG BASES: Small left-sided pleural effusion.LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. Hypodense lesion in the left lobe is unchanged and likely repres... | No significant change from previous study. Right adrenal nodule is unchanged. |
Generate impression based on findings. | HLH, pre-transplant evaluation. The patient’s weight of 5.12 kg and height of 39 cm were used for all calculations.Raw GFR = 20 mL/minBSA = 0.26364 m2Estimated GFR/m2 = 75 mL/min/m2Estimated GFR/m2 * 1.73 m2 (average adult BSA) = 130 mL/min (adult GFR equivalent) | GFR measurements as above. |
Generate impression based on findings. | There is an evolving recent right MCA territory infarct with no hemorrhagic conversion involving portions of the right temporal, parietal and frontal lobes, right insula with relative sparing of the right basal ganglia. There is mildly increased regional mass effect with sulcal effacement and partial effacement of the... | 1.Evolving recent right MCA territory infarct with no hemorrhagic conversion. 2.Mildly increased mass effect which is felt to be expected from interval infarct evolution. No midline shift or herniation.3.Chronic microvascular ischemic changes. |
Generate impression based on findings. | Ms. Dennis is a 44 year old female recalled from screening mammogram for a focal left breast asymmetry. No current breast related complaints. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, whi... | 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. No noBIRADS: 1 - Negative. RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Reason: hx;SAH, multiple aneuysms, s/pemoblic coiling History: morning confusion MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.The patient is status post embolic coil occlus... | 1. Status embolic coil occlusion of a left posterior communicating artery aneurysm, a left superior hypophyseal aneurysm and a right ophthalmic segment aneurysm. There is no interval change in the appearance of these aneurysms. There is a 1.5mm residual component of the aneurysm at the base of the left posterior commun... |
Generate impression based on findings. | History of Crohn's disease and decreasing hemoglobin. Evaluate for hepatic thrombus. LIMITED ABDOMENLIVER: The liver is normal in appearance and echogenicity measuring 15.4 cm in length. No focal mass lesions.BILIARY TRACT: Normal appearing gallbladder. No intra-or extrahepatic biliary ductal dilatation. PANCREAS: No s... | 1.Left renal hydronephrosis.2.No evidence of hepatic vascular thrombus. |
Generate impression based on findings. | Male 72 years old Reason: pt with a hx of esophageal and gastric cancer needs surveillance imaging History: dysphagia CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Postsurgical changes secondary to esophagectomy and gastric pull-through.CHEST WALL: No significant abnormality notedABDOMEN... | No significant change from previous study. |
Generate impression based on findings. | Ms. Cammon is a 50 year old female with a personal history of benign left breast biopsy in 2012. No current breast related complaints pain Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses... | Bilateral benign calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Male 64 years old Reason: eval for degenerative disease, disc disease History: neck pain. We have 3 views of the shoulder. The bones appear slightly demineralized. Mild osteoarthritis affects the glenohumeral and acromioclavicular joints. Small densities along the greater tuberosity may reflect a foci of calcification ... | Degenerative arthritic changes of the cervical spine, sacroiliac joints, and shoulder as described above. |
Generate impression based on findings. | 59 years, Female. Reason: NGT placement History: NGT placement Enteric feeding tube tip projects over the gastric body. Cholecystectomy clips and biliary stent project over the right upper quadrant. Surgical suture material projects over the right lower quadrant and pelvis. Thickened jejunal folds and findings compatib... | Enteric feeding tube tip projects over the gastric body. |
Generate impression based on findings. | Reason: acute stroke activation History: right face droop The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. Atherosclerotic calcifications are present along the distal internal carotid arteries.... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | Ms. Herron submitted outside mammograms dated: 12/10/2012 and 11/26/2012 from Mercy Hospital. Submitted outside studies were compared to the current mammogram dated 01/22/2015. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural dist... | 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. | Male 65 years old Reason: s/p RTSA History: above. Evaluation of fine bone detail is limited by overlying splint material. Components of a reverse total shoulder arthroplasty are seen in near anatomic alignment. A surgical drain and foci of gas density in the soft tissues reflect recent surgery. | Postoperative changes of left reverse total shoulder arthroplasty. |
Generate impression based on findings. | Ms. Herron submitted outside mammograms dated: 12/10/2012 and 11/26/2012 from Mercy Hospital. Submitted outside studies were compared to the current mammogram dated 01/22/2015. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural dist... | 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. | Male 49 years old Reason: eval for source for hip pain, eval for DJD History: hip pain. Severe degenerative disk disease is seen at L5/S1. The remaining lumbar intervertebral disk spaces are within normal limits. There is mild deformity of the right transverse process of L5, which may reflect prior trauma. There is als... | Severe degenerative disk disease at L5/S1 and posttraumatic/postoperative changes as described above. |
Generate impression based on findings. | 20 year old male with left neck swelling. Assess for left cervical abscess. In the left submandibular region there are two enlarged lymph nodes. One measures 3.0 cm x 2.0 cm x 2.9 cm and the other measures 2.6 cm x 1.5 cm. No evidence of loculated fluid collection or abscess.The visualized thyroid gland appears normal. | Two enlarged lymph nodes in the left submandibular region. No evidence of abscess. |
Generate impression based on findings. | Male 40 years old Reason: eval LBP w/o LE radiation History: same. We have 5 views of the lumbar spine which show perhaps mild facet joint osteoarthritis affecting the lower lumbar spine. Vertebral body heights and intervertebral disk spaces are within normal limits for the patient's age. Small osteophytes project from... | Mild degenerative arthritis. If further imaging is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Female 7 years old Reason: s/p curettage/bone grafting of left distal tibia pathologic fracture through UBC, evaluate for healing/recurrence History: above. We have 3 views of the left ankle again showing mild expansile remodeling of the distal tibia with intramedullary density compatible with grafting of a unicameral ... | Findings consistent with healing unicameral bone cyst. |
Generate impression based on findings. | Female 77 years old Reason: severe pain with palpation via rectal exam s/p fall History: rectal/sacral pain eval for fx. Evaluation of the sacrum is slightly limited by overlying bowel contents, but we see no fracture. Mild osteoarthritis affects the sacroiliac joints. Severe degenerative disk disease affects the visua... | Osteoarthritis and degenerative disk disease without fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her sister. 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 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. | Male 30 years old Reason: Is there liver disease? And is there portal hypertension? History: Transaminitis LIVER: Liver measures 18 cm. Slightly coarse echotexture. No focal liver lesions.GALLBLADDER, BILIARY TRACT: No significant abnormality noted.PANCREAS: Not well-visualized due to overlying bowel gas.SPLEEN: No sig... | Coarse echotexture of the liver and hepatomegaly. Bilateral slightly echogenic kidneys.Diffuse wall thickening of the bladder. Small amount of debris is present within the bladder. |
Generate impression based on findings. | Pls evaluate L thumb for fracture History: "hairline fracture" diagnosed at OSH ER after fall in a snowbank, was splinted for 1 week.VIEWS: Left hand PA/oblique/lateral (3 views) 2/16/2015 1557 Buckle fracture of the proximal first metacarpal is present. No dislocation is present. | First proximal metacarpal buckle fracture. |
Generate impression based on findings. | Status post intramedullary rod of left tibia fracture. Evaluate for healing. Again seen is an intramedullary rod and screw device affixing a transverse fracture of the distal tibial diaphysis in anatomic alignment. I see no hardware complication. The fracture line is less distinct on the current study than on the prior... | Healing distal tibial and fibular fractures as above. |
Generate impression based on findings. | Reason: thymic carcinoma History: thymic carcinoma s/p chemo/radiation LUNGS AND PLEURA: Linear scarring and atelectasis, especially at the bases, but no definitive pulmonary metastases. Scattered punctate micronodules are present though these are most likely post inflammatory.MEDIASTINUM AND HILA: Heterogeneous anteri... | Heterogeneous 5 cm anterior mediastinal mass abuts the aortic root, SVC, and right atrial appendage. There is likely pericardial invasion though no pericardial effusion is present. Scattered small subcentimeter mediastinal nodes. No definitive pulmonary metastases. |
Generate impression based on findings. | Back and hip pain. Osteoarthritis? Two views of the left hip are provided. Tiny acetabular osteophytes suggest minimal osteoarthritis. A round lucency with thin sclerotic margins in the femoral head/neck likely represents a benign synovial herniation pit. Small foci of mineralization along the superior aspect of the gr... | Mild degenerative arthritic changes of the hip and lumbar spine as described above. |
Generate impression based on findings. | Pain status post MVA. The alignment is anatomic. Mild scattered degenerative changes are noted. The vertebral body heights and disk spaces are preserved. No fracture is evident. The prevertebral soft tissues are unremarkable. | Degenerative changes, without fracture or malalignment. |
Generate impression based on findings. | Pain over left anterior tibia No fracture or malalignment is present. No osseous lesion is noted. No significant abnormality is otherwise evident. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 50 years old; Reason: evaluate wrist alignment History: s/p repair of scapholunate ligament Again seen is an orthopedic screw affixing a fracture of the radial styloid in near-anatomic alignment. The fracture line is indistinct suggesting healing, similar to the prior study. Two orthopedic pins also affix the scap... | Stable postoperative findings, as above. |
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