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Generate impression based on findings. | Male 23 years old Reason: r/o fx History: swelling. We have 3 views of the right wrist which show no fracture.We have 3 views of the right hand which show no fracture. | No fracture evident. |
Generate impression based on findings. | Female 23 years old Reason: assess for intra-abdominal pathology for epigastric and flank pain. History: increased creatinine, bilateral flank pain, abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: ... | Very distended bladder. Correlate for bladder dysfunction. |
Generate impression based on findings. | 15-year-old male punched wall with swelling. Evaluate for fracture VIEWS: Hand PA, lateral, oblique, wrist PA, oblique, lateral (6 views) 2/16/2015 Distal fifth metacarpal metaphyseal fracture with lateral and palmar angulation of the distal fracture fragment. The remaining digits and wrist are normal in appearance and... | Distal fifth metacarpal metaphyseal fracture with lateral and palmar angulation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas o... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Male 24 years old Reason: eval fx History: s/p assault. We have 3 views of the thoracic spine; we see no fracture or malalignment. | No fracture evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Stable skin lesion is again projected over left lower breast.... | 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. | Female 58 years old Reason: pain History: pain. We have two views of the right hip. Tiny femoral head osteophytes indicate minimal osteoarthritis. The hip otherwise appears normal for patient's age.We have two views of the left hip. There are components of a left hip arthroplasty which appear similar to those seen on t... | 1.Left hip arthroplasty as described above, with findings that may represent particle wear osteolysis and/or loosening.2.Additional post traumatic and osteoarthritic changes as described above. |
Generate impression based on findings. | 35-day-old male with history of right upper lobe atelectasisVIEW: Chest AP (one view) 2/17/15 5:54 Persistent right upper lobe atelectasis and perihilar/basilar streaky opacities. No pleural effusion or pneumothorax.The cardiothymic silhouette is normal. | Persistent right upper lobe and basilar atelectasis. |
Generate impression based on findings. | 6 day old male with pneumoperitoneum. Assess Penrose drain replacementVIEW: Abdomen AP (one view) 2/17/2015 2:09 Interval placement of Penrose drain which courses from the right lower quadrant and terminates at the left upper quadrant. NG tube with side port above the GE junction. Umbilical arterial catheter tip at T6 ... | 1. Penrose drain terminates at the left upper quadrant. Residual pneumoperitoneum is noted. 2. NG tube with side port above the GE junction. |
Generate impression based on findings. | Reason: ro pe History: chest pain, sob, history of DVT subtherapeutic on ac PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Moderate to severe apical predominant centrilobular emphysema.A left upper lobe subpleural nodule measures up to 12 x 9 mm (seri... | 1.No evidence of pulmonary embolism or other acute abnormality.2.Upper lobe subpleural nodule is increased from the prior exam dated 05/2012. Further followup with PET imaging may be useful to exclude malignancy.3.Emphysema.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Pr... |
Generate impression based on findings. | Pain. Injury 10 days prior. Radiopaque BB markers are noted over the right lateral inferior ribs, indicating the site of the patient's pain. Cortical irregularity along the anterior aspect of the seventh rib represents a minimally displaced fracture.No pneumothorax. No focal lung opacities. | Minimally displaced anterior seventh rib fracture, without 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. 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. | 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. Biopsy proven benign mass with clip i... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with a additional bilateral MLO and cleavage views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of arch... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts 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. | There are multiple enlarged mildly hyperenhancing left cervical lymph nodes, several of which demonstrate central hypoenhancement. The largest of these measures 1.2 x 2.1 cm on 5/52 the left level IIb nodal station. Additional enlarged nodes are seen in the left level Ib and IIa nodal stations. In addition, there is a... | Significant left cervical lymphadenopathy as detailed above, with mild-moderate localized mass effect. Includes large superficial hypoenhancing oval structure with peripheral enhancement abutting the left parotid gland which may represent a suppurative node which has transformed to an abscess, now abutting the skin sur... |
Generate impression based on findings. | Fall. Left hip pain. Moderate osteoarthritis affects the hips bilaterally. No fracture or malalignment is present. Degenerative changes are also noted in the symphysis, sacroiliac joints, and visualized lower lumbar spine.A curvilinear metallic density is again noted within the pelvis. | No fracture or malalignment. |
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. A lobulated mass associated with a few calcifications is present at upper outer quadrant in the left... | A lobulated mass associated with a few calcifications at upper outer quadrant in the left breast. Comparison to old mammograms is recommended. If old mammograms are not available, spot compression views and possible ultrasound study are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATIO... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Pacemaker generator is noted in the right chest wall.... | 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. | post brain biopsy There is a burr hole on the left frontal bone and a small air indicating postoperative status.In addition, there is a small metallic nodular lesion on the left parahippocampal gyrus which again is postoperative implantation.There is no evidence of acute hemorrhagic lesion on this scan.Diffuse low sign... | 1. Postoperative status.2. No evidence of acute hemorrhagic lesion.3. No change of left insular cortex, left temporal lobe pole and left parahippocampal gyrus since prior exam. |
Generate impression based on findings. | Female 53 years old Reason: eval peripancreatic fluid collection vs abscess History: upper abd pain, JP drain not draining. History of pancreatic cancer. ABDOMEN:LUNG BASES: Left pleural effusion with overlying atelectasis, unchanged.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Surgically absent.PANCRE... | 1.Interval decrease in size of the fluid collection in the distal pancreatectomy surgical bed, with percutaneous drain appropriately positioned.2.Persistent left pleural effusion, unchanged. |
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. | Asymptomatic female presents for routine screening mammography. History of 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 composed of scattered fibroglandular density, unchanged in pattern ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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. | 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. Stable circumscribed mass is again se... | 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. | 12-year-old male, evaluate for fractureVIEWS: Right ankle, AP, lateral, oblique (3 views) 2/17/15 8:21 Alignment is anatomic. There is mild improved soft tissue swelling about the ankle without underlying fracture visualized. The bones are sightly demineralized. | Mild soft tissue swelling without fracture evident. |
Generate impression based on findings. | OHT in 9/2014 presents with positive RSV. Evaluate for bacterial pneumonia. EPIC history: operative note from 9/8/2014, large LV calcified aneurysm eroding through diaphragm into the pleura/peritoneum, which was plicated and left attached to diaphragm. LUNGS AND PLEURA: Small area of consolidation in the right upper lo... | Multifocal opacities in the right lung consistent with infection. |
Generate impression based on findings. | 10-year-old male, evaluate for fractureVIEWS: Right Tibia and fibula, AP and lateral (two views) 2/17/15 8:30 Deformity of the distal tibial diaphysis with persistent visualization of an oblique fracture line consistent with a healing fracture. Alignment is anatomic. | Healing fracture of the distal tibia in anatomic alignment. |
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. | 62 year old female with right cervical pain/swelling and subjective fever. There is asymmetric enlargement of the right parotid gland with asymmetrically enlarged right intraparotid lymph nodes and infiltrative increased attenuation of the gland and induration of the surrounding fat planes. There is no parotid ductal d... | 1. Infiltrative changes of the right parotid gland as described above are suggestive of parotitis. No evidence of parotid duct obstruction, stone, or abscess. 2. Mildly enlarged right cervical lymph nodes are most likely reactive. |
Generate impression based on findings. | Female 26 years old; Reason: s/p left thumb MC resection for giant cell tumor, ICBG reconstruction of defect, s/p hardware removal for suspected infection, now with lucency in graft, please evaluate for infection vs. recurrence. The first metacarpal bone graft material and post surgical deformity are again noted. There... | Fragmentation of the mid diaphysis of the left first metacarpal |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast aspiration and prior benign left biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Biopsy clip noted in the left lower inner br... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | 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. | Female, 36 years old, with history of myxofibrosarcoma of the neck. Findings related to extensive right neck dissection are again seen including partial right mandibulectomy. The mandibular defect is bridged by bone graft which appears to be incorporated into the native residual mandible. The entire construct is affixe... | Redemonstration of extensive postsurgical findings with no evidence to suggest local tumor recurrence or pathologic adenopathy. |
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. Scattered benign calcifications and m... | 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. | 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. No suspicious masses, microcalcificat... | 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. | 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. | 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 extremely dense, limiting the sensitivity of mammography and increasing the importance of physical examination, unchanged i... | No mammographic evidence of malignancy. Physical examination is of increased importance for patients with dense breasts. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSD - Screening Mammogram. |
Generate impression based on findings. | Quadriparesis Limited examination, with only one open-mouthed odontoid view provided. The dens is intact. The lateral masses are symmetric, suggestive against Jefferson fracture. | Limited examination, without abnormality evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Small mass with biopsy clip i... | 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. | Ms. McDonald is a 70 year old female with a personal history of left breast lumpectomy in 2006 for IDC followed by radiation, chemotherapy, and hormonal therapy (Femara). She also had a benign left breast biopsy in 2013. Family history of breast cancer in sister. No current breast related complaints. Three standard vie... | Expected 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 - Diagn... |
Generate impression based on findings. | CT head: There is generalized cerebral atrophy and marked dilation of the ventricles appearing similar to the prior study from 2013. There is no acute intracranial hemorrhage, mass effect, or midline shift. Periventricular low attenuation is consistent with chronic small vessel ischemic disease. The orbits and paranas... | 1. No acute intracranial hemorrhage or edema. Asymmetric ventricular enlargement relative to the sulci raises the possibility of normal pressure hydrocephalus, but is not significantly changed since 2013. 2. Acute appearing fractures of the L5 vertebral body as well as the bilateral L4-5 facets and L4 and L3 spinous pr... |
Generate impression based on findings. | Reason: cerebrovasculature, stroke w/u . Malaise and fatigue Unspecified urinary incontinence. 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 N... | 1.No evidence for cervicocerebral occlusive disease.2.There is 30% narrowing proximal left internal carotid artery associated with some hypodense plaque.3.There are multilevel degenerative changes present in the cervical spine with findings suspicious for spinal stenosis at C3-4 and C4-5. 4.Periventricular and subcorti... |
Generate impression based on findings. | Pain. No fracture or malalignment. No ankle joint effusion. No significant abnormality otherwise evident. | No specific findings to account for the patient's pain. |
Generate impression based on findings. | Metastatic urethral cancer. Staging CT. EPIC history: recently admitted for urosepsis, treated with IV Ab. LUNGS AND PLEURA: Post-surgical findings of left upper lobe wedge resection with interval resolution of loculated air/fluid collection adjacent to the suture line.No suspicious pulmonary nodules or masses.New mult... | 1. Decreased size of previously prominent mediastinal lymph nodes.2. No evidence of lung metastases.3. New multifocal groundglass opacities, which may represent drug reaction, aspiration, hemorrhage or atypical infection.An acute exacerbation of the underlying chronic interstitial lung disease is also a possibility. |
Generate impression based on findings. | Frontal sinus: The right frontal sinus is not pneumatized. The left frontal sinus has cleared, with trace mucosal thickening along the left frontoethmoidal recess.Anterior ethmoids: There is slightly improved aeration of the anterior ethmoid air cells, with the right slightly better aerated than the left.Maxillary sin... | 1. Mild interval mixed change in aeration of paranasal sinuses as detailed above. Completely opacified right ostiomeatal unit as well as opacified bilateral sphenoethmoidal recesses.2. Areas of masslike opacification in the middle meati which are nonspecific, for which correlation with direct inspection is recommended ... |
Generate impression based on findings. | 6 day old male with possible free air in the midabdomen. Evaluate for intestinal perforation.VIEWS: Abdomen lateral decubitus and crosstable (two views) 2/17/2015 0:10 NG tube tip in the stomach. Umbilical arterial catheter tip at T6 vertebral body level. Umbilical venous catheter tip in the right atrium.Oval-shaped lu... | Findings consistent with pneumoperitoneum. Findings were discussed by Radiology on-call resident Dr. Michael Veronesi with surgery team on 2/17/2015 at 12:51 AM. |
Generate impression based on findings. | Male, 33 years old, with diffuse large B-cell lymphoma, pre-stem cell transplant evaluation. The paranasal sinuses are clear and free of significant mucosal thickening or accumulated secretions. There is at most a very small mucous retention cyst in the right maxillary sinus. The major sinus ostia are unobstructed. The... | No evidence of sinus inflammatory disease. |
Generate impression based on findings. | Reason: h/o laryngeal ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Apical pleural and pulmonary scarring secondary to radiation therapy. Scattered benign appearing micronodules, some calcified, unchanged. No new suspicious pulmonary nodules or masses.Debris within the trachea. Patchy ... | 1.No evidence of metastatic disease.2.Findings compatible with chronic/recurrent aspiration. |
Generate impression based on findings. | Reason: s/p EDH evac History: HA The patient is status post right-sided craniotomy for removal of a right frontal lobe mass..Since the prior exam the patient has undergone a reoperation through an epidural hematoma at the craniotomy site. Since the prior exam midline shift associated with epidural hematoma has decrease... | 1.Status post recent craniotomy for removal of right frontal lobe tumor and more recently epidural hematoma. Midline shift has significantly decreased since the prior exam. 2.There are attendant postoperative changes present which include some blood products along the subarachnoid space over the convexities of the righ... |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. The scout l... | 1. No acute intracranial abnormality.2. No acute fracture or subluxation. |
Generate impression based on findings. | Follow-up There is diffuse soft tissue swelling. Again seen is a transverse fracture through the base of the fifth metatarsal; the fracture line appears less distinct on the current study than on the prior study, suggesting some interval healing. Old posttraumatic deformities and arthritic changes of the foot appear si... | Healing fifth metatarsal fracture and other findings as described above. |
Generate impression based on findings. | Reason: s/p tumor resection History: ha Since the prior exam the patient has undergone right-sided craniotomy for removal of a right frontal lobe mass. Patient now has a large epidural collection adjacent to the craniotomy flap measuring 36 mm in thickness and is associated with 18-mm shift of the midline structures to... | 1.There is a new epidural hematoma present adjacent to the craniotomy site associated with approximately 18 mm shift of the midline structures towards the left.2.The patient is status post recent right-sided craniotomy for removal of a right frontal lobe mass. A there are some postoperative changes which include blood ... |
Generate impression based on findings. | 50 years, Female. Reason: evaluate for ileus v. SBO History: diffuse abdominal pain Cholecystectomy clips right upper quadrant with surgical sutures and surgical staples scattered throughout the abdomen. Gas distended loops of large bowel compatible with large bowel ileus. | Large bowel ileus pattern. |
Generate impression based on findings. | Patient with EGFR mutation, on TKI. Follow-up. CHEST:LUNGS AND PLEURA: Left lower lobe reference nodule is 7 x 22 mm, previously 8 x 20 mm (series 5, image 80), not significantly changed. Additional smaller nodules in the left lung are not significantly changed. This includes a 3 mm nodule adjacent to the major fissure... | Stable disease. |
Generate impression based on findings. | 15 year old female with left lower quadrant pain. Evaluate for stone. VIEW: Abdomen AP (one view) 2/17/2015 Nonobstructive bowel gas pattern. Average stool burden. Punctate density in the left hemipelvis may represent a stone or phlebolith. | Punctate density in the left hemipelvis may represent a stone or phlebolith. |
Generate impression based on findings. | Swelling and pain. Healed? Again seen are 3 orthopedic screws affixing the first tarsometatarsal joint in near-anatomic alignment. I see no hardware complications, and there is bone-on-bone apposition at the articulation. The previously seen orthopedic pin affixing the first metatarsophalangeal joint has been removed. ... | Postoperative changes of first tarsometatarsal joint fixation and other findings as above. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: There is mild to moderate patchy bilateral anterior ethmoid air cell mucosal thickening and aerated secretions.Maxillary sinuses: There is again trace mucosal thickening in the maxillary sinuses. The ostiomeatal units are clear.... | Slight increased opacification and mucosal thickening in bilateral anterior and posterior ethmoid air cells. Resolution of previously seen bilateral sinus mucosal retention cysts. Both ostiomeatal units are patent. |
Generate impression based on findings. | 69-year-old male with history of bladder cancer with neobladder and recent right ureteral reimplantation due to obstruction complicated by urinoma here for evaluation of anastomotic leak at ureteral reimplantation site. The cystogram was performed using Foley Catheter which was inserted by the clinical service. Scout f... | 1.Anastomotic leak at the right ureteral implantation site. 2.Bilateral vesicoureteral reflux as described above.3.Findings were discussed with Dr. Steinberg at 0859 on 2/17/15. |
Generate impression based on findings. | Back pain The bones appear demineralized, suggesting osteopenia/osteoporosis. Mild loss of height of a few mid and lower thoracic vertebrae appears similar to that seen on the prior study. There is also mild to moderate multilevel degenerative disk disease and a mild thoracic kyphoscoliosis that appears similar to the ... | Demineralized bones, vertebral height loss, and degenerative disk disease appearing similar to the prior study. |
Generate impression based on findings. | Reason: to check for any ischemia, abnormalities leading to AMS History: brain stem reflexes only appreciated The CSF spaces are appropriate for the patient's stated age with no midline shift. Atherosclerotic calcifications are present along the distal internal carotid arteries.No abnormal mass lesions are appreciated ... | 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.Opacification of the mastoid air cells and left middle ear. Please correlate with physical findings or possible otitis.4.Thickening of the lining of the left ext... |
Generate impression based on findings. | Scout radiograph showed a nonobstructive bowel gas pattern and a gastrojejunostomy tube looped overlying the stomach. Barium was first injected into the jejunostomy tube and there was filling of the proximal duodenal bulb as well as some reflux into the gastric antrum. During injection of the gastrostomy tube, there w... | 1.Jejunostomy tube tip initially at the duodenal bulb with migration distally towards the genu.2.No evidence of small bowel obstruction. |
Generate impression based on findings. | Left hip pain Three views of the left hip are provided. The bones appear slightly demineralized. Tiny osteophytes indicate mild osteoarthritis, essentially within normal limits considering the patient's age.The AP view the pelvis shows mild osteoarthritis affecting both sacroiliac joints and moderate degenerative arthr... | Osteoarthritis as described above. |
Generate impression based on findings. | Reason: f/u from previous History: f/u from previous The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a subarachnoid hyperdensity in the right sylvian fissure.Hypodense foci are present in the pons and midbrain which are unchanged since the prior exam.Focus ... | 1.Examination is essentially stable compared to the prior exam. There is redemonstration of a small amount of subarachnoid blood in the right sylvian fissure. The patient is known to have occlusion of the superior division of the right middle cerebral artery based on MRA.2.A small focus of infarction present along the ... |
Generate impression based on findings. | 73 years, Male. Reason: 73M s/p cystectomy, ileal conduit complicated by partial small bowel obstruction. Failed trial without NGT tube. Now confirm replacement position History: Persistent nausea Note that the pelvis is excluded from the field-of-view. There are multiple dilated loops of small bowel compatible with kn... | Enteric feeding tube is looped over the gastric fundus with tip near the gastroesophageal junction. Persistently dilated loops of small bowel compatible with small bowel obstruction. |
Generate impression based on findings. | 69 year male with history of metastatic prostate cancer now with abdominal pain for 4 days, worse with eating, evaluate for obstruction. 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 ma... | 1.Metastatic prostate cancer. Mesenteric implant invading rectum. Increased retroperitoneal lymphadenopathy. Osseous metastases also appear to have increased, but bone scan would be more sensitive. 2.Interval placement of bilateral nephroureteral stents with resolution of right-sided hydroureteronephrosis. Mild left-si... |
Generate impression based on findings. | There is transitional lumbosacral anatomy, with partial sacralization of the L5 vertebra. There appears be anomalous articulation of the left L5 transverse process with the sacrum. For purposes of this exam, the last fully formed disk is at L4-L5 with a rudimentary disk at L5-S1.The lumbar spine is in normal alignment... | 1. Transitional lumbosacral anatomy at detailed above. If surgery is to be contemplated, correlation with plain films of the entire spine is recommended.2. Mild scattered spondylotic changes as detailed above, without significant right-sided findings. Left paracentral disk protrusion at L4-L5 which closely displaces th... |
Generate impression based on findings. | 50 year old woman with proven DCIS of the right breast, now presents for ultrasound biopsy for possible invasive component. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted are multiple ill-defined hypoechoic masses measuring up to 6 mm at the 9 o’clock position with increased vasc... | Successful ultrasound-guided core biopsy of right breast lesions and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male; 61 years old. Reason: R/o obstruction. Evaluate hydronephrosis, kidney mass History: 61 yo M with L kidney lesion, AKI, hematuria RIGHT KIDNEY: The right kidney measures 11.8 cm in length. The renal cortex is echogenic. No shadowing stone, hydronephrosis, or worrisome renal mass is identified.LEFT KIDNEY: The lef... | 1.No hydronephrosis or obstructing renal stone.2.2.1-cm left renal cyst with a heavily calcified rim. No worrisome renal mass. |
Generate impression based on findings. | Male 61 years old; Reason: h/o DLBCL History: re-eval of disease CHEST:LUNGS AND PLEURA: The right upper lobe pulmonary nodule measures 5 mm on image 25/series 5, unchanged. No new lesions have developed. The pleural spaces are clearMEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion no mediastinal lymp... | 1.Stable exam. No significant size change of the right upper lobe pulmonary nodule. |
Generate impression based on findings. | T2N2a right tonsillar squamous cell carcinoma p16+ status post completion of radiation therapy on 10/9/2014. Neck: Redemonstrated are postoperative findings in the right side of the neck, without definite evidence of mass lesions or significant cervical lymphadenopathy. There are bilateral tonsilloliths. The thyroid an... | 1. Postoperative findings in the neck, without definite evidence of residual mass lesions or significant cervical lymphadenopathy.2. No evidence of brain metastases. |
Generate impression based on findings. | 13-year-old male with growth arrest of the left wrist Focal osseous bridging along the ulnar aspect of the distal radial physis as seen on prior exams with resulting Madelung deformity. The remainder of the physes appear patent. The carpal bones appear normal. | Focal osseous bridging along the ulnar aspect of the distal radial physis and resultant Madelung deformity. |
Generate impression based on findings. | Ms. Green is a 49 year old female presenting for a short-term follow-up for calcifications in the left breast. Family history of breast cancer in mother, diagnosed at the age of 59. Three standard views of both breasts with two left spot magnification views were performed digitally and reviewed with the aid of R2 CAD 9... | High probability benign calcifications in the left breast. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months to confirm stability of these findings. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.... |
Generate impression based on findings. | Female 71 years old; Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesions. Hepatic a... | 1.No definite metastatic disease in the chest, abdomen or pelvis.2.Findings suggestive of a colitis. |
Generate impression based on findings. | Seminoma status post chemotherapy and distant history of pulmonary infections, residual masses after chemotherapy. Evaluate for active disease. RADIOPHARMACEUTICAL: 12.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 114 mg/dL. Today's CT portion grossly demonstrates right perihilar enlargement and a right ... | 1. Multiple foci of hypermetabolic activity within the chest including a right perihilar mass, right lower lobe pulmonary nodule, and mediastinal lymph nodes are compatible with metastatic disease.2. Linear area of hypermetabolic activity in the right external iliac station is equivocal and could represent a hypermetab... |
Generate impression based on findings. | Elbow pain, history of gout. Assess for erosions. Evaluation of the elbow is slightly limited due to factors related to portable technique. Given this limitation, see no definite erosions. There there may be elevation of the distal humeral fat pads, suggesting the possibility of a joint effusion, but this is equivocal. | Possible joint effusion, but no definite erosions or other specific radiographic features of gout. |
Generate impression based on findings. | Male, 56 years old, history of laryngeal cancer. On partial imaging of the brain, scattered small hypoattenuating regions are seen within the cerebellum, at least some of which were present on the prior examination and compatible with ischemic lesion.Treatment related findings are redemonstrated on both sides of the ne... | 1. No evidence of local tumor recurrence or pathologic adenopathy in the neck.2. Occlusion of the right internal carotid artery at its origin is new when compared to the prior neck CT, but stable when compared to the prior CTA. |
Generate impression based on findings. | Left knee pain Left total knee arthroplasty device situated in anatomic alignment without radiographic evidence of hardware complication. There is 2 degrees of genu valgum of the left lower extremity.Marked osteoarthritis affects the right knee, as seen on frontal views. | Left TKA without evidence of complication. |
Generate impression based on findings. | Reason: evaluate s/p evd removal History: same The patient is status post right-sided craniotomy for anterior communicating artery aneurysm clip placement. A ventriculostomy tube has been removed. There is some intraventricular blood present which continues to decrease in density. There is no evidence for ventriculomeg... | 1.Status post ventriculostomy tube removal. The lateral ventricles are stable and non-enlarged.2.Status-post recent craniotomy for anterior communicating artery aneurysm clip placement.3.Hypodensities along the anterior aspect of the right temporal lobe as well as the inferomedial aspects of the frontal lobes, right ca... |
Generate impression based on findings. | There has been significant interval increase in size of the ventricular caliber diffusely, with evidence of periventricular FLAIR hyperintensity consistent with transependymal edema. For example, the third ventricle measures 14-mm transverse as opposed to 7 mm. There is suggestion of elevation of the optic nerve head ... | 1. Significant increased caliber of ventricles diffusely with transependymal edema, consistent with acute hydrocephalus. Elevated optic nerve head at least on the right suggested, likely relating to increased intracranial pressure.2. Interval additional postoperative changes from revision Chiari decompression and sligh... |
Generate impression based on findings. | Male; 57 years old. Reason: eval pyelonephritis History: UTI, quadriplegic RIGHT KIDNEY: The right kidney measures 8.9 cm in length. The collecting system is mildly dilated with echogenic debris and stones. Secondary infection cannot be excluded. There is no perinephric collection or abscess. Mild hydronephrosis.There ... | 1.Mildly dilated right renal collecting system with echogenic debris and stones. Secondary infection cannot be excluded but there is no evidence of abscess.2.Minimal left hydronephrosis. |
Generate impression based on findings. | 58 year old female with pancreatic neuroendocrine tumor metastatic to liver. CHEST:LUNGS AND PLEURA: Mild basilar atelectasis/scarringMEDIASTINUM AND HILA: Calcified hilar lymph nodes likely from prior granulomatous disease.CHEST WALL: Bilateral breast implants.ABDOMEN:LIVER, BILIARY TRACT: Status post partial resectio... | 1.Stable likely metastatic hepatic segment 8 hypervascular lesion. Additional previously seen hypervascular hepatic lesions are not visualized which may be due to phase of contrast or treatment effect. No new lesions. |
Generate impression based on findings. | Reason: lung mass in LLL. compare to outside film in PACS History: cough LUNGS AND PLEURA: Multiple spiculated nodules are seen in the left lower lobe. A nodule in the superior segment of the left lower lobe measures 19 x 16 mm (series 4, image 44), not imaged on comparison CT abdomen pelvis.A pleural based nodule at t... | Three pleural-based nodules in the left lower lobe as described above. The lesions which were visualized on previous CT abdomen and pelvis dated 11/2014 appear stable from that exam. Findings are suspicious for malignancy, including primary lung cancer, versus rounded atelectasis or organizing pneumonia. PET imaging or... |
Generate impression based on findings. | Female 83 years old Reason: 83 yo F with difficulty swallowing, found to have nodularity on EGD bx showing SCC. Pls eval for other intra-abdominal/thoracic involvement or mets History: dysphagia CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Small lymph node in the aorticopulmonary windo... | 1.Nonspecific lucent lesion in the T1 vertebral body without cortical destruction. 2.No other findings suspicious for metastatic disease. |
Generate impression based on findings. | Reason: evaluate post treatment cancer/HNC History: post CRT HNC CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No focal airspace consolidation. No pleural effusions.MEDIASTINUM AND HILA: The heart is normal in size without pericardial effusion. Severe coronary artery calcification. No mediastinal or... | 1. No definite evidence of metastatic disease.2. A hypodense lesion at the inferior aspect of the spleen is minimally increased in size from the prior exam. This is unlikely a metastasis in the absence of other metastatic disease and may represent a hemangioma or other benign lesion, but continued follow-up is recommen... |
Generate impression based on findings. | Female 17 years old Reason: evaluate for fracture History: pain along lateral aspect of knee s/p traumaVIEWS: Left knee AP, lateral and oblique 2/17/15 (3 views) Small lateral epiphyseal avulsion fracture of the left tibia along with joint effusion is rising concern for lateral collateral ligament tear and possible med... | Avulsion fracture of the lateral epiphyses of the left tibia with joint effusion as described. Knee MR is recommended. |
Generate impression based on findings. | Male; 82 years old. Reason: kidney stones History: stones RIGHT KIDNEY: The right kidney measures 11.4 cm in length. The renal cortex is normal in echogenicity. There is minimal hydronephrosis. No shadowing renal stone or worrisome mass is identified. There is an exophytic 3.9 x 3.9 x 4.2 cm minimally complex renal cys... | 1.Minimal bilateral hydronephrosis.2.Nonobstructing left renal stone. |
Generate impression based on findings. | Swollen left hand. On steroids. Mild soft tissue swelling is present at the dorsum of the hand. No fracture or malalignment is noted. No osseous lesions or erosions are noted. | Soft tissue swelling, without abnormality otherwise evident. |
Generate impression based on findings. | 38 years old female with a history of T cell Rich B Cell Lymphoma with associated HLH s/p 6 cycles of R CHOEP in need of end of treatment staging. Please compare to prior. RADIOPHARMACEUTICAL: 12.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 100 mg/dL. Today's CT portion of the neck demonstrates no signi... | 1.Hypermetabolic lymph nodes in the right side of pelvis and the bilateral inguinal regions, which are consistent with the metabolically active tumor.2.Minimal FDG uptake seen in the cystic lesion attached to the uterus in the right side of the pelvis, which is most likely due to a functional ovarian cyst.Diagnostic CT... |
Generate impression based on findings. | The bilateral hippocampi are symmetric. There is no evidence of cortical dysplasia or gray matter heterotopia. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. Areas of peritrigonal hyperintensity relat... | No evidence of seizure focus. |
Generate impression based on findings. | Back pain The alignment is anatomic. There is mild narrowing of the L5-S1 disk space, likely degenerative. The vertebral body heights and disk spaces are otherwise preserved. No fracture or spondylolisthesis is evident. The sacroiliac joints are normal in appearance. | Mild degenerative disk disease at L5-S1. |
Generate impression based on findings. | Ms. Oken is a 47 year old female with a personal history of right breast mastectomy in October 2012 for IDC/DCIS followed by implant based reconstruction in February 2013. She has no current breast related complaints. Two full field views and two implant displaced views of the left breast were performed digitally and r... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Myeloma. Recurrent lower back pain SKULL: No significant abnormality noted. No discrete myelomatous lesions evident. Tiny lucencies likely represent venous lakes.CERVICAL SPINE: Anterior fusion of C4 through C7, with degenerative changes. No discrete myelomatous lesions evident. THORACIC SPINE: Mild to moderate multile... | No discrete myelomatous lesions evident. Additional findings, as above. |
Generate impression based on findings. | 80 year-old female with history of altered mental status. There is no evidence of acute intracranial hemorrhage. There is an area of encephalomalacia within the left superior frontal lobe compatible with chronic infarction. An additional area of encephalomalacia is observed within the right anterior temporal lobe with ... | 1. Chronic infarctions of the right anterior temporal and left superior frontal lobes.2. Extensive age indeterminate small vessel ischemic disease and chronic left basal ganglia lacunar infarcts.3. CT is insensitive for the detection of acute ischemia. If patient care warrants further imaging, an MRI may be obtained. |
Generate impression based on findings. | 10-month old female, evaluate for hip dysplasiaVIEWS: Pelvis, AP (one view) 2/17/15 9:45 Both normal appearing femoral heads are well directed within the well formed acetabula. | Normal examination. |
Generate impression based on findings. | Abdominal pain; metastatic prostate carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Accounting for differences in technique comment no significant change in extensive confluent bilobar hepatic metastases.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality not... | Stable examination. No change in confluent extensive bilobar hepatic metastatic disease. No change in small peristomal hernia or ventral hernia without evidence for bowel obstruction or bowel wall edema. |
Generate impression based on findings. | Metastatic colon cancer surveillance after chemotherapy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple metastatic lesions are again seen throughout the liver. While the reference liver lesion (segment 5, series 4, image 49) has not significantly changed and measures 1.8 x 1 .6 cm, p... | 1. Interval insertion of colonic stent across descending colon tumor. Slightly decreased size of tumor mass extending into medial mesentery. 2. Although the reference lesion has changed only minimally, there has been a reduction in the number and size of multiple other metastatic lesions in the liver. 3. Borderline enl... |
Generate impression based on findings. | Question of hot or cold nodules. There are multiple hypofunctioning small nodules within the right thyroid lobe in the lower, mid-, and upper poles. There is a medium to large dominant warm nodule within the left lower pole and a medium-sized hyperfunctioning nodule within the left mid-pole. A medium sized hypofunction... | 1. Multiple hypo- to hyperfunctioning nodules with a normal uptake is suggestive of multinodular goiter. 2. Bilateral hypofunctioning nodules are indeterminate; correlate with ultrasound/biopsy is as clinically indicated. |
Generate impression based on findings. | Female 53 years old Reason: pain History: pain. Three views of the left ankle show a mild deformity of the left fibula, likely representing an old fracture. Ossification along the distal aspect of the medial malleolus likely reflects old trauma, but we see no acute fracture. A small round lucency in the medial aspect o... | Old posttraumatic and osteoarthritic changes as described above. |
Generate impression based on findings. | 65-year-old male with colonic mass at 55 cm from anal verge, evaluate for any metastatic disease. CHEST:LUNGS AND PLEURA: Parenchymal lung nodules or masses. No airspace disease or pleural disease.MEDIASTINUM AND HILA: No adenopathy or other abnormality.CHEST WALL: Degenerative changes throughout the thoracic spine to ... | 1. Two foci of circumferential colonic wall thickening (proximal transverse colon and sigmoid colon). The colon was not prepped for detailed examination and these two lesions may represent significant lesions or be artifactual. 2. Multiple solid liver lesions most consistent with metastatic lesions with reference measu... |
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