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Generate impression based on findings. | Metacarpal neck fracture Again seen is an oblique fracture through the distal diaphysis of the fifth metacarpal, with slight volar and radial angulation of the distal fracture fragment. There is associated callous formation, indicating healing. | Healing fifth metacarpal fracture, as above. |
Generate impression based on findings. | Female 12 years old; Reason: Left distal radius pathologic fracture, evaluate for healing Again seen is the pathologic fracture through a lucent lesion of the distal radial metadiaphysis. The fracture fragments remain in near anatomic alignment. Indistinctness of the fracture line and periosteal reaction along the dist... | Healing distal radial fracture, as above. |
Generate impression based on findings. | SOB, unexplained weight loss. ESRD. Evaluate for malignancy. LUNGS AND PLEURA: Very mild paraseptal emphysema. Mosaic attenuation, most pronounced in the lung bases, likely due to small airways disease.No evidence of lung malignancy or infection.Mild basilar scarring/atelectasis. Scattered micronodules, some calcified,... | No evidence of lung malignancy. Very mild emphysema and lower zone predominant mosaic attenuation, likely due to small airways disease. Small intrathoracic nodes.Mild asymmetry in chest wall musculature just inferior to the right scapula (image 58/116) is presumably related to patient positioning. This could be further... |
Generate impression based on findings. | Reason: mets lung cancer, on MPDL3280A, s/p 12 cycles. pls c/w previous study and evaluate tx response. History: lung ca LUNGS AND PLEURA: Emphysema. Extensive postop and post XRT changes on the left. Multiple small calcified nodules are presumably granulomas. No new pulmonary nodules. No evidence of pleural effusion.M... | Stable to slightly decreased left chest wall mass. Other findings stable. |
Generate impression based on findings. | Pain and swelling of the second metacarpal phalangeal joint of the left hand No fracture or malalignment. No significant abnormality is otherwise evident. | No specific findings to account for the patient's pain. |
Generate impression based on findings. | 54-year-old female with worsening history of lower abdominal pain into her pelvis a goes into her legs. No current neurological symptoms. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted in the liver parenchyma. Gallbladder and biliary tract appear normal.SPLEEN... | 1. Probable large fibroid tumor in the uterus. 2. Marked hypertrophic degenerative changes at the posterior facet joints greatest at L5 -- S1 which narrows the spinal canal. See above discussion. 3. No other abnormalities seen. |
Generate impression based on findings. | Pain. Mallet finger. Again seen is the intra-articular fracture through the dorsal aspect of the base of the distal phalanx of the ring finger (mallet fracture). Alignment remains near-anatomic. No significant callus formation is evident. | Ring finger mallet fracture, unchanged. |
Generate impression based on findings. | Oral SQCC staging. Evaluate for distant mets or regional spread. LUNGS AND PLEURA: Scattered micronodules, which are most-likely post-inflammatory.No suspicious pulmonary nodules or masses are identified.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Normal heart size without pericardial effusion. No vis... | No definite evidence of metastatic disease in the chest. Scattered punctate pulmonary micronodules are nonspecific but far more typical of postinflammatory nodules than metastases. Continued follow up is recommended. |
Generate impression based on findings. | Left arm/leg paresthesias and subtle left sided pronator drift. There is unchanged patchy cerebral white matter hypoattenuation and more focal encephalomalacia in the left occipital lobe and basal ganglia. There is no evidence of acute intracranial hemorrhage or mass. There are bilateral carotid siphon vascular calcifi... | Unchanged small vessel ischemic disease and chronic left occipital lobe and and basal ganglia infarcts, but no evidence of acute intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | 56 year-old female with right-sided abdominal pain. ABDOMEN:LUNG BASES: Left Bassler parenchymal calcification most likely from prior scarring. Associated atelectasis or scarring in the adjacent region at left lung base. No pleural disease seen.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significan... | 1. Small hiatal hernia. 2. No other significant abnormality seen and no findings seen to account for patient's symptomatology. |
Generate impression based on findings. | Hypercalcemia There are multiple areas of increased radiotracer uptake within the distal right humerus, skull, ribs, spine, and left iliac wing. Some of these lesions have a lytic component. | Multiple osseous metastatic lesions, some of which have a lytic appearance; correlate with recent CT imaging. |
Generate impression based on findings. | 44 year old male with chronic kidney disease now with RLQ pain at site of transplanted kidney. ABDOMEN:LUNG BASES: Mild basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality n... | 1.Swollen, poorly enhancing transplant kidney which may be due to rejection.2.Nonspecific pancolitis which may be secondary to infectious, inflammatory, or less likely ischemic etiology. |
Generate impression based on findings. | Metastatic prostate cancer, known mets to right humerus, multiple ribs. Shoulder pain, staging. There is worsening existing and multiple new areas of radiotracer uptake involving the bilateral ribs, spine, proximal humeri, pelvis, and proximal femurs. | Worsening existing and new metastatic osseous lesions. |
Generate impression based on findings. | 10-year-old female with NG tube. Check NG placementVIEW: Abdomen AP (one view) 2/15/2015 13:04 NG tube tip at the GE junction. Nonobstructive bowel gas pattern. | NG tube tip at the GE junction. |
Generate impression based on findings. | Coronary artery disease, shortness of breath, left breast cancer. LUNGS AND PLEURA: Background emphysema with linear interstitial abnormality, upper lobe predominant, with subpleural reticulation especially in the upper lobes. Equivocal honeycombing in some locations. No evidence of pulmonary metastases. Mild bronchial... | 1. Background emphysema with linear interstitial abnormality as above. Intrathoracic lymphadenopathy, partially calcified. The findings are nonspecific but more likely related to sarcoidosis or healed granulomatous disease than metastases. Metastases, however, cannot be excluded and continued follow up is recommended. ... |
Generate impression based on findings. | 14-month-old male with vent change. Evaluate lung volumes following vent changeVIEW: Chest AP (one view) 2/15/2015 13:29 Tracheostomy tube is seen.Cardiothymic silhouette is normal. Bilateral atelectasis with no focal pulmonary opacities. No pleural effusion or pneumothorax. | Bilateral atelectasis with no focal pulmonary opacities. |
Generate impression based on findings. | Right facial droop. There is encephalomalacia in the left posterior cerebral artery territory and left posterior inferior cerebellar artery terrotiroy. There is also unchanged patchy cerebral white matter hypoattenuation. There is no evidence of acute intracranial hemorrhage or mass. The ventricles are unchanged in siz... | Chronic left posterior cerebral artery and left posterior inferior cerebellar artery territory infarcts and small vessel ischemic disease, but no evidence of acute intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | Back pain after fall. Fracture? The bones appear demineralized suggesting osteopenia/osteoporosis. There is mild loss of height of the L3 and L5 vertebral bodies representing compression fractures of indeterminate age. Moderate to severe facet joint osteoarthritis affects the lower lumbar spine, and there are minimal a... | Demineralized bones with mild loss of height of L3 and L5 representing compression fractures of indeterminate age. Facet joint osteoarthritis and other findings as above. |
Generate impression based on findings. | 56-year-old male -- preop evaluation for mitral valve repair -- robotic. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality in the liver, although parenchymal evaluation is limited due to arterial phase only images. Gallbladder and biliary tract appears normal.SPLEEN: N... | 1. Aortic mild peripheral atherosclerotic calcification without significant narrowing or aneurysmal dilatation. 2. Iliac arteries and femoral arteries show no significant tortuosity and are widely patent without significant narrowing. 3. No other significant abnormality seen. |
Generate impression based on findings. | 2-year-old female, hip subluxation.VIEW: Pelvis AP and frog leg views (two view) 2/16/2015 11:25 Bilateral coxa valgus. Lateral uncovering of the right femoral head of approximately 10%. The left hip is normal. No evidence of fracture bilaterally. | 1. Bilateral coxa valgus. 2. Lateral uncovering of the right femoral head of approximately 10%. Left hip is normal. |
Generate impression based on findings. | 3-year-old male with left knee painVIEW: Left knee AP, oblique and lateral, left hip AP and lateral (5 views) 2/16/2015 15:08 No soft tissue swelling or joint effusion. No evidence of fracture or dislocation. Alignment is normal. | Normal examination. |
Generate impression based on findings. | Pain. Injury? I see no fracture or malalignment. There is mild soft tissue swelling. | Mild soft tissue swelling, but otherwise no specific findings to account for the patient's pain. |
Generate impression based on findings. | 63-year-old male with abdominal pain, nausea and vomiting. Evaluate for acute intra-abdominal process. ABDOMEN:LUNG BASES: Emphysematous changes again seen. No pleural disease seen. No other abnormalities.LIVER, BILIARY TRACT: Several small subcentimeter hypodensity seen -- although these are nonspecific they have an a... | 1. Diffuse skeletal metastatic disease similar in appearance to 1/24/15 CT examination. 2. No evidence for lymphadenopathy (prior described questionable lymph node today is confirmed as duodenum.). 3. No abnormalities otherwise seen and no cause for patient's symptomatology identified. |
Generate impression based on findings. | Reason: history of soft tissue of head/neck s/p multiple resections and adjuvant radiation. Interval CT for evaluation History: history of soft tissue of head/neck s/p multiple resections and adjuvant radiation. Interval CT for evaluation LUNGS AND PLEURA: Scattered benign-appearing pulmonary micronodules, unchanged. N... | No evidence of metastatic disease. |
Generate impression based on findings. | 56-year-old female with metastatic cholangiocarcinoma and chemotherapy. Evaluate for interval progression. CHEST:LUNGS AND PLEURA: Solitary right lower lobe pulmonary nodule again seen (series 5 on image 60) measuring 0.6 x 0 .5 cm, previously 0.6 x 0.6 cm. No other nodules or air space disease is seen. Resolution of t... | 1. 1. Diffuse intrahepatic mass lesions consistent with diagnosis of cholangiocarcinoma, minimally changed since 12/16/14. 2. Extensive portal vein thrombus, presumably tumor thrombus. 3. Stable solitary right lower lobe pulmonary nodule. 4. Subtle anterior abdominal omental nodularity which is suspicious for omental m... |
Generate impression based on findings. | Ankle fracture Evaluation of fine detail is limited by overlying cast material. Again seen is a comminuted, predominantly oblique fracture of the distal fibula. The proximal and distal fracture fragments appear to have been reduced to near-anatomic alignment, with a butterfly-type fragment displaced laterally by approx... | Trimalleolar fracture status-post reduction as described above. |
Generate impression based on findings. | 24 year old male status post total abdominal colectomy with end ileostomy for UC toxic megacolon 6 weeks ago, evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: Previously seen bilateral pleural effusions and atelectasis have resolved.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant a... | 1.Dilated distal small bowel until near right lower quadrant ostomy without definite transition point.2.Interval development of a long segment of circumferential bowel wall edema in the distal small bowel concerning for infection or ischemia.3.Right lower quadrant ostomy catheter with tip in the right lower quadrant ab... |
Generate impression based on findings. | Bilateral wrist swelling and tenderness. Bilateral ankle swelling and tenderness. Right rib pain. Joint erosions? Bony involvement? Evaluate for arthritis/fracture. Three views of the left wrist are provided. I see no erosions or other specific radiographic features of inflammatory arthritis. The bones appear normal, a... | Postoperative changes of the spine and right pleural effusion or scarring; I see no fracture or frank arthritic changes. |
Generate impression based on findings. | 46 years old male with a history of head and neck cancer status post chemoradiation on April 2014. This study was performed for restaging.RADIOPHARMACEUTICAL: 10.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 96 mg/dL. Today's CT portion grossly demonstrates multiple scattered lung nodules in both lungs. ... | 1.Multiple scattered lung nodules in both lungs, consistent with the metastasis. |
Generate impression based on findings. | Focal lower back pain, pain radiation to left leg. Compression fracture? The bones appear demineralized suggesting osteopenia/osteoporosis. Vertebral body heights are preserved; I see no frank compression fracture. There is an intervertebral spacer device at L4/5, with the anterior radiopaque marker projecting just ant... | Degenerative disk disease and other findings as described above without fracture evident. |
Generate impression based on findings. | 56 year old man being considered for robotic mitral valve repair and is referred for evaluation of cardiovascular anatomy prior to surgery. CPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with a pseudo-bovine brachiocephalic branching pattern with only mild calcification of the aortic arch. No thor... | 1. Mildly dilated ascending aorta. 2. Evidence of mitral valve leaflet thickening and posterior leaflet prolapse. 3. Severe left atrial dilation. 4. Moderate burden of coronary calcium, which is advanced for a 56 year old man. This portion of the report pertains to the heart and great vessels only. The remaining soft ... |
Generate impression based on findings. | Draining ankle ulcer. Rule out osteomyelitis. There is diffuse soft tissue swelling, with a defect superficial to the medial malleolus presumably representing the ulcer. There is mild chronic-appearing periosteal reaction along the medial malleolus that may reflect a long-standing reactive osteitis or perhaps sequela o... | Soft tissue swelling and ulceration as described above. Chronic-appearing periosteal reaction along the medial malleolus is nonspecific and may reflect sequela of prior infection, but I see no frank osteolysis to confirm acute osteomyelitis. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | LUNG APICES: The visualized lung apices are clear.PROXIMAL VASCULATURE: The aortic arch and great vessels are widely patent. The brachiocephalic veins are also widely patent. LEFT ARM: The subclavian, axillary, brachial, radial, ulnar and interosseous arteries are all widely patent. The patient's known infiltrative he... | Hemangiomata of the left upper extremity, with interval resection at three sites as above. No acute abnormalities, and the arteries of the upper extremity are patent. |
Generate impression based on findings. | Right facial droop. There is encephalomalacia in the left posterior cerebral artery territory and left posterior inferior cerebellar artery territory. There is also unchanged patchy cerebral white matter hypoattenuation. There is no evidence of acute intracranial hemorrhage or mass. The ventricles are unchanged in size... | Chronic left posterior cerebral artery and left posterior inferior cerebellar artery territory infarcts and small vessel ischemic disease, but no evidence of acute intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct, particularly in the posterior fossa. |
Generate impression based on findings. | Female 13 years old Reason: right hip pain, concern AVN History: right hip painVIEWS: Pelvis AP and frog leg 2/16/15 (two views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. Specifically no evidence of AVN. | Normal examination. |
Generate impression based on findings. | Reason: r/o acute event History: impulsive self destructive behavior. Doesn't recall self destructive behavior The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a hypodense focus present in the right inferior parietal lobule measuring 16 x 18 mm axial dimensions associated with... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Small focus of encephalomalacia in the right inferior parietal lobule. Most likely this is vascular related injury based on its location. |
Generate impression based on findings. | Female 22 months old Reason: increasing lactate, r/o pneumonosis intestinalis History: increasing lactateVIEW: Abdomen AP (one view) 2/16/15 at 1831 hrs. Gastrostomy and ileostomy tubes are noted. Interval removal of feeding tube. Partial uncovering of the right femoral head and dislocation of the left hip as well as b... | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | acute change in mental status No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | 64 years, Male, Reason: assessment of PFC drain History: abdominal distension. ABDOMEN:LUNG BASES: Large left pleural effusion is unchanged. Right basilar atelectasis. Patchy ground-glass opacities in the lingula and right lower lobes are new.LIVER, BILIARY TRACT: CholelithiasisSPLEEN: No significant abnormality notedP... | 1.Necrotizing pancreatitis with interval drain placement and decrease in size of large anterior fluid collection with persistent large necrotic air and fluid-filled posterior collection in the region of the pancreatic body and tail.2.Cecal pneumatosis with adjacent free air is suspicious for colonic ischemia and perfor... |
Generate impression based on findings. | Female, 36 years old. There was no needle miscount. Two metallic densities projected over the right upper quadrant. The superior density has the appearance of a cholecystectomy clip. A curvilinear density within the right upper quadrant was confirmed to be a surgical clip by the attending surgeon. A nasogastric tube co... | No unexpected radiopaque foreign object.These findings were discussed by telephone with Dr. Hussain (#3605), the surgical fellow, who relayed the interpretation to Dr. Renz (# 4214) on 02/16/15 at 5:19 p.m.. |
Generate impression based on findings. | Clinical question : Evaluate for subacute stroke. Signs and symptoms : facial droop. Unenhanced head CT:No detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Similar to prior exam there are periventricular and subcortical low attenuation of white matter... | 1.No acute intracranial process.2.Mild to moderate age indeterminate small vessel ischemic strokes |
Generate impression based on findings. | Reason: possible bleed History: 5x falls 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.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No ed... | 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. | seizure No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | headache, dizziness after head injury No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sin... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Female 12 years old Reason: fracture History: pain, swelling after blunt traumaVIEWS: Left hand AP and left third digit lateral and oblique 2/16/15 (3 views) Soft tissue swelling of the distal phalanx of the left third finger with no fracture or malalignment. | Soft tissue swelling with no fracture. |
Generate impression based on findings. | Clinical question: Rule out ICH. Signs and symptoms Cone ASA/Plavix with recent occipital CVA and left-sided headache. Unenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.The small focus of low attenuation of right... | 1.No acute intracranial process. 2.Small focus of low-attenuation in the right occipital lobe without evidence of mass effect or volume loss is suggestive of an age indeterminate ischemic stroke. |
Generate impression based on findings. | Ms. Hubbard submitted outside mammogram dated 09/13/2012, from Mercy Hospital. Submitted outside study was compared to the current mammogram dated 12/24/2014. The breast parenchyma is mostly fatty replaced, unchanged in appearance. There has been interval development of a circumscribed fat-containing mass in the upper ... | Interval development of a circumscribed fat-containing mass in the right upper outer breast, most likely representing an area of fat necrosis. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRE... |
Generate impression based on findings. | 77 years, Male. Reason: 77 year male, hx DM on insulin, abscess at injection sight, please evaluate for any abnormalities History: swelling Nonobstructive bowel gas pattern. Slightly greater than average stool burden in the colon. Degenerative changes and osteophytes noted in the thoracolumbar spine. Posterior fusion h... | Nonobstructive bowel gas pattern with slightly greater than average stool burden in the colon. |
Generate impression based on findings. | headache No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkabl... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Clinical question: CVA. Sudden loss of vision. Signs and symptoms: As above. Unenhanced head CT:Large focus of low attenuation involving the cortex and subcortical white matter of left hemisphere along the distribution of left posterior cerebral artery. The findings extends along the medial aspect left temporal lobe an... | 1.Subacute nonhemorrhagic ischemic stroke in the left PCA territory involving the left temporal and occipital lobes.2.Unremarkable exam otherwise. |
Generate impression based on findings. | Female 11 years old Reason: evaluate for fracture History: pain, swelling, visible deformityVIEWS: Right ankle AP, lateral and oblique on 2/16/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Female 3 years old Reason: r/o PNA History: prolonged fever, coughVIEWS: Chest AP/lateral (two views) 2/16/15 Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal in size and shape. Peribronchial thickening retrocardiac opacity either atelectasis or pneumonia . No effusions or pneumothorax... | Peribronchial thickening and retrocardiac opacity as described. Findings were communicated to acknowledged by Dr. PAIK, SANGHYUN MARGARET on 2/17/15 at 749 hours. |
Generate impression based on findings. | Ms. Hubbard submitted outside mammogram dated 09/13/2012, from Mercy Hospital. Submitted outside study was compared to the current mammogram dated 12/24/2014. The breast parenchyma is mostly fatty replaced, unchanged in appearance. There has been interval development of a circumscribed fat-containing mass in the upper ... | Interval development of a circumscribed fat-containing mass in the right upper outer breast, most likely representing an area of fat necrosis. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRE... |
Generate impression based on findings. | Ms. Jefferson submitted outside mammograms dated 03/06/2012 and 03/11/2011, from Mercy Hospital. Submitted outside studies were compared to the current mammogram dated 12/24/2014. The breast parenchyma is mostly fatty replaced. Scattered coarse benign calcifications are seen in both breasts. No suspicious masses, micro... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually, due next in Dec 2015.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 59 years, Male. Reason: NGT placement History: NGT placement Patchy opacities in the left base.Nasogastric tube with tip projected over the mid gastric body. Interval removal of left-sided chest tube. The pelvis is not included on this radiograph. | Nasogastric tube with tip projected over the gastric body. |
Generate impression based on findings. | Ms. Jefferson submitted outside mammograms dated 03/06/2012 and 03/11/2011, from Mercy Hospital. Submitted outside studies were compared to the current mammogram dated 12/24/2014. The breast parenchyma is mostly fatty replaced. Scattered coarse benign calcifications are seen in both breasts. No suspicious masses, micro... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually, due next in Dec 2015.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Reason: dissection History: new vision loss 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 60% stenosis at the proxima... | 1.There is 75% stenosis of the right ICA at the clinoidal segment. Please note that the posterior communicating arteries are very tiny in the anterior communicating artery is small to medium size.2.On the basis of NASCET criteria there is 60% stenosis at the proximal right internal carotid artery associated with irregu... |
Generate impression based on findings. | Male 64 years old Reason: L testicular Swelling History: above PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedPENIS, TESTICLES: Complex fluid collection in the region of the expected location of left testicle measuring 9.0 x 6.3 cm (series 2, image 124), corresponding to lesion seen on ultrasound fr... | 1.Large left scrotal collection which is suspicious for an abscess.2.Rectal wall thickening with foci of gas within the wall which could represent extension of the scrotal infection (Fournier's gangrene) or perforation of the rectum. 3.Foley catheter with inflated balloon and tip within the prostatic urethra. Repositio... |
Generate impression based on findings. | 42 year-old female status post cholecystectomy and colon resection complicated by GI bleed at anastomosis, colonoscopy showed loose sutures at anastomotic site, evaluate for anastomotic leak or fluid collection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy with e... | 1.Postsurgical changes from recent cholecystectomy and partial colectomy.2.Extensive inflammatory changes at right upper quadrant colonic anastomosis without large drainable peritoneal fluid collections or free intraperitoneal air. |
Generate impression based on findings. | Male 10 years old Reason: hx of distal radius fx, eval healing VIEWS: Right wrist AP, lateral and oblique 2/16/15 (3 views) There is no evidence of fracture, malalignment or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Ms. Black submitted outside mammograms dated 12/17/2013 and 06/16/2009, from Mercy/Provident Hospital. Submitted outside studies were compared to the current mammogram dated 12/18/2014. The breast parenchyma is composed of scattered fibroglandular density. A benign-morphology partially obscured mass in the right upper ... | Stable benign morphology mass in the right breast. 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. | 59-year-old male with scrotal swelling, evaluate for Fournier's gangrene. ABDOMEN:LUNG BASES: Bilateral small pleural effusions. Basilar subsegmental consolidation which may be due to aspiration. Severe emphysema. Calcified pulmonary micronodules and hilar lymph nodes likely from prior granulomatous disease. LIVER, BIL... | 1.Cirrhotic liver morphology.2.Small pleural effusion, ascites, and anasarca which may be related to cirrhosis.3.Diffuse colonic wall thickening which may be related to hypoalbuminemia or colitis from infectious, inflammatory, or less likely ischemic etiology.4.Marked scrotal swelling which may be related to hypoalbumi... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Maternal cousin with breast cancer. 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 an... | 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. | Ms. Black submitted outside mammograms dated 12/17/2013 and 06/16/2009, from Mercy Hospital. Submitted outside studies were compared to the current mammogram dated 12/18/2014. The breast parenchyma is composed of scattered fibroglandular density. A benign-morphology partially obscured mass in the right upper quadrant i... | Stable benign morphology mass in the right breast. 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 12 years old Reason: eval for interval change History: increased WOBVIEW: Chest AP (one view) 2/17/15 at 219 hours. Thoracolumbar kyphoscoliosis and cholecystectomy cleats as well as gastrostomy tube unchanged. Cardiac silhouette size is normal. Streaky opacities of the left upper and lower lobe are again noted. N... | Persistent streaky multifocal opacities as described. |
Generate impression based on findings. | 72-year-old male with hemoglobin drop, evaluate for hematoma. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: Partially visualized ICD device. Severe coronary ar... | 1.Widespread metastatic disease to the lung and liver likely from a sigmoid colon adenocarcinoma. Recommend endoscopy for further evaluation.2.No evidence of hemorrhage or loculated fluid collections in the abdomen or pelvis.3.Cholelithiasis.4.Severe coronary artery calcifications.Findings discussed with P.A. Anderson ... |
Generate impression based on findings. | 15-year-old female with T8 - T10 pain. Evaluate for fracture and spondylolisthesis.VIEWS: Swimmers, L5/S1 Lateral, Thoracic and lumbar spine AP, lateral (6 views) 2/16/2015 No evidence of fracture or dislocation. Alignment is normal. | Normal examination. |
Generate impression based on findings. | Clinical question: Evaluate for cause of right leg weakness. Signs and symptoms: Right leg weakness for 3 days. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are very subtle periventricular and subcorti... | 1.No acute intracranial process.2.Findings suggestive of mild age indeterminate small vessel ischemic strokes.3.Stable colloid cyst of the third ventricle measuring at 4 x 6-mm in size and stable mildly prominent supratentorial ventricular system since prior MRI exam from 2014. |
Generate impression based on findings. | Ms. Trujillo is a 54 year old female presents for short-term follow-up of a benign mass in the left breast. She has no current breast related complaints. 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 obscu... | Bilateral benign masses, previously characterized as cysts. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ... |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. Low lying right axillary lymph node ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 9-year-old female with increased oxygen requirement, rule out pneumoniaVIEW: Chest AP (one view) 2/17/15 7:03 Marked interval increase in opacity involving the right hemithorax with sparing of the apex. Retrocardiac atelectasis is also noted. The cardiothymic silhouette is partially obscured. | Marked increase in right pulmonary opacity sparing the apex compatible with acute chest. |
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, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 16-year-old female with back pain. Evaluate for bony problem.VIEWS: Swimmers, thoracic and Lumbar spine AP and lateral, L5/S1 lateral (6 views) 2/16/2015 No evidence of fracture or dislocation. Alignment is normal. | Normal examination. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 33 year old male with history of DLBCL. Pre-allo SCT transplant. LUNGS AND PLEURA: Significant left hemidiaphragm elevation. Lingula and left lower lobe subsegmental atelectasis with associated patent air bronchograms. No suspicious nodules or masses. No evidence of active infection.Calcified and noncalcified micronodu... | No evidence of active infection. Left superior mediastinal conglomerate mass extending into the apex and left lower neck lymphadenopathy consistent with known lymphoma. |
Generate impression based on findings. | 2-year-old male with history desaturationsVIEW: Chest AP (one view) 2/17/15 5:23 Interval removal of right IJ catheter. Left central catheter tip in the SVC. NG tube tip and side-port in the stomach. ETT tip below the thoracic inlet. The cardiothymic silhouette is normal. Improved right upper lobe atelectasis and persi... | Left central venous catheter tip in the SVC. No pneumothorax. |
Generate impression based on findings. | Male 64 years old; Reason: Testicular Swelling History: Above RIGHT TESTIS: 3.4 x 2.7 x 3.1 cm, normal echotexture. Adjacent 2 cm complex fluid collection distorts the right testicle. There is diffuse scrotal wall thickening and edema with hyperemiaLEFT TESTIS: No normal left testicle is identified. Within the region o... | 1.The left testicle is replaced by a large, complex fluid collection. An aggressive infectious/inflammatory process is favored. These findings could also be secondary to infection of a neoplastic process, however this is felt to be less likely. Please refer to the report for the subsequent CT of the pelvis for addition... |
Generate impression based on findings. | Female 1 day old Reason: is there atelectasis History: previous film with atelectasis, respiratory distress of the newborn.VIEW: Chest AP (one view) 2/16/15 1848 hrs. Cardiac silhouette size is normal. In the fine right middle lobe opacity, likely atelectasis on a background of diffuse lung haziness due to surfactant d... | Interval improvement in left lung aeration with persistent right middle lobe atelectasis on a background of diffuse lung haziness. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 15-year-old male post reductionVIEWS: Hand PA and lateral, Wrist AP and lateral (4 views) 2/17/2015 Interval reduction of distal fifth metacarpal metaphyseal fracture with improvement in degree of lateral and palmar angulation now in near anatomic alignment. Cast material overlying fifth digit and medial aspect of the ... | Post reduction of distal fifth metacarpal metaphyseal fracture with improvement in degree of lateral and palmar angulation. |
Generate impression based on findings. | Male 6 days old Reason: lines \T\ tubes; lung expansion History: 25 weeks premature.VIEW: Chest and abdomen AP (two views) 2/17/15 at 603 hours. ET tube terminates below thoracic inlet. Proximal side port of the NG tube is above the GE junction. UAC tip is at T7. UVC terminates in an uncertain position, either in the p... | Misplaced NG tube and UVC as described.Bilateral diffuse lung haziness, likely due to surfactant deficiency.Complete paucity of abdominal gas. |
Generate impression based on findings. | Pain after fall. Pain over the anterior knee. No fracture or malalignment. No joint effusion is evident. No significant abnormality otherwise noted. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: Traumatic removal of Hickman catheter, now with new onset tachycardia, concern for PE History: Tachycardia PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Scattered pulmonary micronodules are stable from the prior exam and decreased from th... | No evidence of pulmonary embolism or other acute cardiopulmonary abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Pain after bricks fell on forearm. No fracture or malalignment. No significant abnormality otherwise noted. | No fracture or malalignment. |
Generate impression based on findings. | 66 years, Male, Reason: Pt w/ borderline resectable pancreatic cancer on a non infused CT scan - also s/p IR PCT 2/10 for acute cholecystitis - please evaluate for resectability (pancreatic protocol CT scan) History: Pancreatic cancer. ABDOMEN:LUNG BASES: Small right pleural effusion with associated atelectasis is new ... | 1.Pancreatic head mass with abutment of the hepatic and portal veins and encasement of the GDA.2.Mildly enlarged retroperitoneal and subcarinal nodes.3.Findings of acute cholecystitis with interval placement of cholecystostomy tube. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal aunt. 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 pat... | 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. | Swelling and pain. Mild soft tissue swelling about the ankle. No fracture or malalignment. No knee joint or ankle joint effusion evident. | Mild ankle soft tissue swelling, without fracture or malalignment. |
Generate impression based on findings. | Male 72 years old Reason: fracture History: R ankle, foot, knee pan s/p fall. We have 3 views of the right foot. The bones appear demineralized, suggestive of osteopenia. There is diffuse soft tissue swelling. There is an oblique fracture of the distal diaphysis of the third metatarsal, best seen on the oblique view, w... | Fractures of the third and fourth metatarsals, and other findings as described above. |
Generate impression based on findings. | 7-week-old female, reevaluate lung fields status post cardiac surgeryVIEW: Chest AP (one view) 2/17/15 5:12 Interval removal of NG tube. Surgical clips again noted in the superior mediastinum. The cardiothymic silhouette is unchanged with persistent cardiomegaly.Streaky lingular and retrocardiac subsegmental atelectasi... | Lingular and retrocardiac subsegmental atelectasis. No pneumothorax. |
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, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. Stable asymmetry in the right lateral breast is present. No s... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Ms. Rykal is a 75 year old female with a personal history of left breast lumpectomy in 2005 for IDC followed by chemotherapy and radiation. She is currently on tamoxifen. Family history of breast cancer in mother (diagnosed at the age of 65) and sister (diagnosed at the age of 63). She has no current breast related com... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnos... |
Generate impression based on findings. | Reason: status hemorrhage before starting heparin History: status hemorrhage before starting heparin There is a redemonstration of a hematoma centered in the left thalamus associated with intraventricular blood. Since the prior exam the density of the intraparenchymal hematoma has decreased as has the density of the in... | 1.There is a right-sided subdural effusion which is stable since the prior exam .2.Continued evolution of a left thalamic and brainstem hematoma associated with intraventricular blood. |
Generate impression based on findings. | Female 78 years old Reason: post-reduction film History: post-reduction. Three views of the left wrist were obtained post reduction and time stamped 0553 through 0555. Evaluation of fine detail is limited by the overlying cast material. A curvilinear lucency traversing the radial styloid may represent overlying artifac... | Equivocal radial styloid fracture. If further imaging evaluation is clinically warranted, CT may be considered. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. There is a new focal asymmetry at low... | New focal asymmetry at lower inner left breast, for which spot compression views and possible ultrasound study is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 16 day old male with history of pleural effusionsVIEW: Chest AP (one view) 2/17/15 6:06 ETT tip below thoracic inlet. Right PIC catheter extends into the right innominate vein. NG tube tip in the stomach.Large bilateral pleural effusions and associated atelectasis as well as patchy left pulmonary opacities appear simil... | Large bilateral pleural effusions and pulmonary opacities without significant interval change. No pneumothorax. |
Generate impression based on findings. | Right upper extremity swelling. Evaluate for compartment syndrome. There is diffuse subcutaneous soft tissue edema throughout the right upper extremity from the shoulder to fingertips. No soft tissue mass or loculated fluid collection is seen. No soft tissue gas is evident.Emphysematous changes are visualized in the pa... | Diffuse soft tissue edema, without soft tissue mass or abscess. Please note that compartment syndrome cannot be excluded by CT. |
Generate impression based on findings. | Female 78 years old Reason: eval for fx, dislocation; FOOSH History: distal ulnar and radial TTP. We have 3 views of the left wrist. We see no fracture. There is mild soft tissue swelling along the radial aspect of the left wrist. Mild osteoarthritis affects the basilar joint. Although the distal ulna appears slightly ... | No definite fracture. Apparent slight dorsal displacement of the ulna may simply be due to suboptimal positioning rather than subluxation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and cleavage view of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is a 1 cm mass in the left upper outer breast at approximately... | Mass in the left upper outer breast for which spot compression views and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: recurrent epidural hematoma? 30F thrombocytopenic with LVAD, relapsed AML s/p 2 stem cell transplants. c/o L leg sciatica similar to 8/2014 when she had epidural hematoma that got smaller off coumadin. Now platelets are only 4K. History: worsening L leg sciatica over past few days similar to pain from epidural ... | 1.There is no evidence for epidural hematoma current exam. Since the prior exam previously noted epidural hematoma at L3-4 has regressed. |
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