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Generate impression based on findings. | Female, 23 years old. Urgent change and planned procedure. Epidural catheter projecting over the right paracentral abdomen with tip projected centrally over the L3 vertebral body. No unexpected radiopaque foreign body. Nonobstructive bowel gas pattern. | No unexpected radiopaque foreign body.Findings discussed by telephone with Dr. Rana, the attending surgeon by Dr. Vasnani 02/18/15 at 02:30 a.m. |
Generate impression based on findings. | Female 67 years old Reason: sharp LLQ pain, patient has cirrhosis and h/o EV and portal HTN. History: sharp LLQ pain, patient has cirrhosis and h/o EV and portal HTN. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic morphology of the liver. No focal hepatic lesions on this single phas... | 1.Cirrhosis with subocclusive thrombus in the splenic vein with extension into the main portal vein.2.Thickened, enhancing bladder wall suggestive of cystitis. Findings were discussed with the covering neurology resident by the radiology resident on call at 2 a.m. on 2/18/2015. |
Generate impression based on findings. | Patient with dementia status post fall with head trauma. Evaluate for bleed. There is no evidence of intracranial hemorrhage or mass effect. The ventricles and basal cisterns are unchanged in size and configuration. There is diffuse parenchymal volume loss. There are confluent areas of low-attenuation within the suprat... | 1. No evidence of intracranial hemorrhage or mass effect. 2. Moderate chronic small vessel ischemic disease. |
Generate impression based on findings. | Reason: r/o PE History: tachypnea, elevated D-dimer, hx of PE Severe motion artifact.PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery measures up to 36 mm, suggestive of pulmonary hypertension.LUNGS AND PLEURA: Moderate pleural effusions, left slightly greater than right, with mild assoc... | 1. No evidence of pulmonary embolism.2. Moderate bilateral pleural effusions. 3. Tracheobronchial debris. Collapse of the airway suggesting tracheobronchomalacia.4. Age indeterminate left rib fracture. Correlate with physical exam.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.... |
Generate impression based on findings. | Female 58 years old Reason: pain abdomen History: pain abdomen Cross table decubitus images demonstrate no free intraperitoneal air. Nasoenteric feeding tube is poorly localized on this single projection. | No free air is identified on crosstable decubitus projection. |
Generate impression based on findings. | New acute leukemia and myeloid sarcoma. MRI brain (outside) with "osseous metastatic disease" - History: worsening neck/back of head pain Full evaluation is limited due to body habitus. Moderate degenerative changes are noted particularly of the lower cervical spine there is disk space narrowing at C5-6 and C6-7. No ev... | No evidence of osseous metastatic disease in the cervical spine. |
Generate impression based on findings. | Female 63 years old Reason: eval obstruction History: n/v, wbc Surgical staples projected over the right paracentral abdomen. Surgical drain in situ with tip projected over the left hemipelvis. There is abnormal dilatation of small bowel loops measuring up to 5.0 cm and fluid levels within small bowel loops. The findin... | Obstructive bowel gas pattern. Given recent surgery this is likely related to postoperative ileus. Continued follow-up recommended. |
Generate impression based on findings. | Swelling. Three views of the right hand are provided. Evaluation of the hand is slightly limited due to inability to optimally position the patient. There is soft tissue swelling, particularly along the dorsal and ulnar aspects of the hand extending into the fingers, especially the fifth finger. I see no underlying fra... | Soft tissue swelling and osteoarthritis as above. |
Generate impression based on findings. | end stage renal disease, large thrombus burden NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal diffuse brain atrophy which is age appropriate. Minimal small vessel ischemic disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter diffe... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Extensive atherosclerotic wall calcifications on aortic arch and major arch vessels without significant luminal stenosis.3. Extensive wall calcifications with luminal stenosis on bilateral carotid bulb area , right side carotid bulb shows about 50% luminal steno... |
Generate impression based on findings. | 54 years, Female. Reason: verify ngt position History: replacement of ngt Enteric feeding tube tip projects over the gastric body. Nonobstructive bowel gas pattern. Calcified structure in the pelvis likely represents a calcified uterine fibroid. IVC filter and urinary catheter are noted. | Enteric feeding tube tip projects over the gastric body. |
Generate impression based on findings. | Pain and swelling, previous XR with possible fx. Evaluate 3rd metatarsal fracture. Three views of the right foot show intra-articular comminuted fractures at the base of the second, third and fourth metatarsals. Callus formation of the third metatarsal base is suggestive of a subacute nature. Cortical irregularities of... | Multiple fractures of a likely subacute in nature as described above. |
Generate impression based on findings. | 9-year-old male intubated, right-sided effusion with chest tube. Evaluate lung fields.VIEW: Chest AP (one view) 2/18/2015 2:50 ET tube below the thoracic inlet and above the carina. Right-sided pigtail catheter tip along the medial aspect of the right hemidiaphragm unchanged. NG tube tip in the stomach.Cardiothymic sil... | Improved aeration of the right lung with interval decrease in right pleural effusion. |
Generate impression based on findings. | New right facial droop, history of CVA No intracranial hemorrhage is identified. Again seen are multiple areas of hypoattenuation in the periventricular and subcortical white matter compatible with chronic small vessel ischemic disease. Prior lacunar infarcts are noted involving the left frontal corona radiata extent i... | 1. No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. Moderate chronic small vessel ischemic disease. |
Generate impression based on findings. | 58 years, Male. Reason: Dobbhoff placement History: Dobbhoff placement Dobbhoff catheter with tip projected over the gastric fundus. Nonobstructive bowel gas pattern. Pancreatic calcifications noted. Above-average stool burden. Postsurgical changes consistent with prior midline abdominal incision. | Dobbhoff catheter with tip projected over the gastric fundus. |
Generate impression based on findings. | Female 40 years old Reason: surgery longer than 8 hours History: none. Plate and screw devices affix a frontal bone craniotomy in near anatomic alignment. We see no unexpected retained radiopaque foreign object. | No unexpected retained radiopaque foreign object.These findings were discussed by telephone with Dr. Yamini, the attending surgeon, on 2/18/15 at 0220 a.m. |
Generate impression based on findings. | Male 50 years old Reason: Fx? History: Trauma. A horizontally oriented linear lucency is seen within the fibula head with disruption of the cortex, indicating a nondisplaced fracture. There is overlying soft tissue swelling. The distal fibula and tibia appear intact. | Proximal fibular fracture as above. |
Generate impression based on findings. | 9-year-old male with pleural effusion status post chest tube. Evaluate chest tube placement.VIEW: Chest AP (one view) 2/17/2015 23:15 Interval placement of right-sided chest tube which terminates along the medial aspect of the right hemidiaphragm. ET tube below the thoracic inlet and above the carina. NG tube tip in th... | Chest tube tip in the medial aspect of the right hemidiaphragm. Interval improved aeration of the right lung with decrease in size of the right pleural effusion. |
Generate impression based on findings. | 2-year-old male with dog bite puncture wound to the face. Evaluate orbits. Soft tissue swelling overlying the right frontal scalp, superolateral aspect of the right orbit and right inferior periorbital region without evidence of a fluid collection to suggest abscess. No retrobulbar hematoma. The orbits are otherwise un... | 1.Superficial soft tissue swelling overlying the right frontal and right periorbital region as above without evidence of an abscess.2.Orbits are unremarkable as clinically questioned. |
Generate impression based on findings. | Male 50 years old Reason: Rib fx? History: Chest wall trauma. There are old healed fractures of the right fourth and fifth ribs. We see no acute fracture. Note is made of bullet fragments overlying the left shoulder. | We see no acute rib fracture. |
Generate impression based on findings. | 9 year old male with respiratory failure, hypoxia. Evaluate right-sided empyema. LUNGS AND PLEURA: Near complete collapse of the right lung. Bilateral pleural effusions, very large on the right and tiny on the left with bilateral compressive atelectasis. No pneumothorax. MEDIASTINUM AND HILA: ET tube tip below the thor... | Bilateral pleural effusions, very large on the right and tiny on the left with bilateral compressive atelectasis and near complete collapse of the right lung. |
Generate impression based on findings. | Shoulder pain, limited range of motion, crepitus. Evaluating for osteoarthritis, degeneration, effusion. Right knee pain. Assess for bony abnormality. Three views of the right shoulder are provided. The bones appear demineralized suggesting osteopenia/osteoporosis. Mild osteoarthritis affects the the glenohumeral joint... | 1.Osteoarthritis of the shoulder, as well as a ringlike calcification surrounding the base of the acromion process, which is of uncertain etiology or significance, but could conceivably represent callus formation related to an underlying subacute fracture if there is a history of trauma. If further imaging evaluation i... |
Generate impression based on findings. | Status post craniotomy for tumor resection There are postsurgical changes of bifrontal craniotomy for resection of large extra-axial mass. Expected postsurgical changes include resection cavity with small amount of blood products and surrounding edema involving the bilateral frontal lobes anteriorly. There is small amo... | 1. Expected postsurgical changes related to resection of large extra-axial bifrontal mass with small amount of hemorrhage in the resection bed. There is mass effect on the bilateral frontal lobes, lateral ventricles, and callosal genu which was present on prior. No significant midline shift or transtentorial herniation... |
Generate impression based on findings. | 35 years, Female, Reason: mesothelioma of peritoneum s/p resection, eval EOD, compare to previous outside scan History: none. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious nodules or masses. No pleural thickening to suggest mesothelioma in the chest.MEDIASTINUM AND HILA: No significa... | Increased abdominal mesothelioma in the left upper quadrant as well as pelvic mesothelioma with measurements as above. |
Generate impression based on findings. | Clinical question: Evaluate sinuses. Signs and symptoms: Chronic sinus pain/pressure and nasal congestion; deviated nasal septum. Medtronic fusion sinus CT:Frontal sinuses are not pneumatized which is an anatomical variation.Ethmoid sinuses are well pneumatized and unremarkable.Sphenoid sinus is well pneumatized and de... | 1.No significant sinusitis as detailed.2.Mild leftward nasal septum deviation, a small leftward projecting bony septal spur which is in contact and deforms the left inferior turbinate mucosa.3.Well pneumatized bilateral mastoid air cells and middle ear cavities and unremarkable images through the orbits. |
Generate impression based on findings. | 9-year-old male intubated. Evaluate ET tube placement.VIEW: Chest AP (one view) 2/17/2015 17:58 ET tube below the thoracic inlet and above the carina. NG tube with tip in the stomach.Slight improved aeration of the right lung. Persistent large right pleural effusion. Left lower lobe atelectasis unchanged. Small left pl... | ET tube below the thoracic inlet and above the carina. Slight interval improved aeration of the right lung. Large right pleural effusion. |
Generate impression based on findings. | No evidence of a submandibular or tonsillar abscess as clinically questioned. There are numerous enlarged cervical lymph nodes bilaterally as well as an enlarged right sided retropharyngeal lymph node with index right level 2a lymph node measuring 1.8 cm (series 80388, image 104). The parotid and submandibular glands ... | 1.Partially visualized right upper lobe opacity consistent with pneumonia.2.Numerous enlarged bilateral cervical lymph nodes may be infectious in etiology, but follow-up can be considered following treatment to exclude other etiologies.3.No fluid collections or abscess in the neck. |
Generate impression based on findings. | Postoperative changes of C3-C5 laminectomy and anterior cervical fixation are again visualized with a plate and screw device affixing C3-C5 without evidence of hardware complication. The C3-C5 vertebral bodies are nearly fused, as are the C6 and C7 vertebral bodies. Severe degenerative changes affect C7-T1 and T1-T2 a... | 1. Postoperative changes of C3-C5 laminectomy and anterior cervical fixation without evidence of hardware complication or fracture. 2. Spinal canal stenosis at C2-3 and myelomalacia of the cord distally are better appreciated on MRI performed the same day. See separately dictated MRI report for further description. |
Generate impression based on findings. | 9 year old male with hypoxia, decreased breath sounds on the right.VIEW: Chest AP (one view) 2/17/2015 17:03 Left sided aortic arch, cardiac apex and stomach. Complete opacification of the right lung with mediastinal shift to the left due to large right pleural effusion with marked compressive atelectasis. Streaky opac... | Large right pleural effusion with near complete compressive atelectasis of the right lung. Left lower lobe atelectasis.Findings were discussed by on-call radiology resident Dr. Raj Vasnani with covering PICU physician at 5:30 PM on 2/17/2015 |
Generate impression based on findings. | Reason: r/o pe History: hypoxia, afib with rvr, if PE, pls comment on right heart strain PULMONARY ARTERIES: Multiple thin linear filling defects are seen in the main pulmonary artery, proximal left main pulmonary artery and throughout the right main pulmonary artery.Small peripheral filling defect in a right lower lob... | 1. Small subacute pulmonary embolus within a subsegmental right lower lobe pulmonary artery, with an associated very small right lower lobe pulmonary infarct. Multiple webs in the main pulmonary arteries and mild right heart strain are related to chronic pulmonary thromboembolism.2. Cardiomegaly and pleural effusions, ... |
Generate impression based on findings. | Clinical question: Baseline to sinuses. Starting chemotherapy. Signs and symptoms: As above. Nonenhanced maxillofacial CT: Examination demonstrate well pneumatized all paranasal sinuses. Tiny foci of mucosal thickening in the dependent portion of bilateral maxillary sinuses is noted. Unremarkable paranasal sinuses othe... | Unremarkable CT of paranasal sinuses. Please see above comments. |
Generate impression based on findings. | 6-month-old male, evaluate healing fractureVIEWS: Right femur, AP and lateral (two views) left femur, AP and lateral (two views.) 2/17/1517:16 Right femur: There is periosteal reaction along the medial aspect of distal femoral diaphysis and metadiaphysis without visualized fracture line or displacement.Left femur: Alig... | Periosteal reaction along the right femur consistent with healing nondisplaced fracture. |
Generate impression based on findings. | Female 25 years old Reason: eval for appendicitis, nephrolithiasis History: RLQ and R flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abno... | 1.No finding to explain patient's right lower quadrant pain.2.Right ovarian cyst and additional nonspecific hypodense focus in the right uterine fundus. Given the patient's repeated episodes of right flank pain without clear etiology, recommend pelvic ultrasound to further evaluate for endometriosis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | 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. | Chest pain and pregnant evaluate for PE. PULMONARY ARTERIES: Technically optimal examination. No evidence of pulmonary embolus.LUNGS AND PLEURA: 15-mm irregularly marginated cyst or focal emphysema right lower lobe. No acute abnormalities.MEDIASTINUM AND HILA: No visible coronary artery calcifications on this non-cardi... | No evidence of pulmonary embolus or other acute abnormality to account patient's source of pain. 1.5-cm cyst-like lesion in the right lower lobe the may be followed in 4 months if the patient has a history of Sjögren's syndrome or other risk factors for lymphocytic interstitial pneumonia, though the appearance is not t... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt diagnosed at the age of 65. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Evidence of residual or recurrent disease. History of pT3N2b SCC of left tonsil s/p CRT in 2013, then developed left neck soft tissue recurrence in 11/2014 treated with surgical resection on 12/26/14 (margins uncertain). There are post-treatment findings in the left neck. There is infiltrative heterogenously enhancing ... | Infiltrative masses in the left tonsillar fossa region and more several sites more superficially in the left neck underlying the incision site with involvement of the adjacent musculature, deep lobe of the parotid gland, and partial encasement of the left carotid sheath, as well as a probable subcentimeter lymph node o... |
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. Scattered benign calcificatio... | 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 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 2-year-old male, reevaluate line placementVIEW: Chest AP (one view) 2/18/15 1:39 ETT tip at the carina. Left central venous catheter tip in the cavoatrial junction. Enteric tube tip and side-ports in the stomach.Interval near complete right upper lobe atelectasis and right basilar opacity. The left lung is clear. The c... | Interval development of right upper lobe atelectasis. ETT tip at the carina. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with bilateral repeat MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | 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. | Reason: SOB due to PE? History: shortness of breath PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery measures up to 33 mm in diameter, suggestive of pulmonary hypertension.LUNGS AND PLEURA: Mild paraseptal emphysema and right apical scarring appear similar to the prior exam.Reference rig... | 1. No evidence of pulmonary embolism.2. New patchy groundglass and nodular/tree-in-bud opacities, along with a dilated and debris-filled esophagus, compatible with aspiration bronchiolitis.3. Stable right lower lobe pulmonary nodules.4.Probable small bowel lipoma adjacent to the tubing may cause a transient intussuscep... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign right breast biopsy approximately 15 years ago. 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 obscur... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Increased oxygen requirementVIEWS: Chest AP and lateral Cardiothymic silhouette cannot be evaluated. The opacity involving the right lung reflecting a combination of pleural effusion and consolidation not significantly changed. Patchy opacities left lower lobe. | Right lung opacity not significantly changed. |
Generate impression based on findings. | 36-year-old female, evaluate right upper lobe atelectasisVIEW: Chest AP (one view) 2/18/15 1:47 Partial right upper lobe atelectasis, improved from the prior exam. Basilar atelectasis is unchanged. No pneumothorax. The cardiothymic silhouette is normal. | Improved right upper lobe atelectasis and persistent basilar atelectasis. |
Generate impression based on findings. | Status post cardiac surgeryVIEWS: Chest AP and lateral Cardiomegaly unchanged. Multiple surgical clips in the superior mediastinum unchanged. Minimal patchy atelectasis in the right upper lobe and lingula unchanged. No pleural effusion or pneumothorax. | Bilateral patchy atelectasis not significantly changed. |
Generate impression based on findings. | 2-day-old female with respiratory distress. Evaluate for pneumothorax.VIEW: Chest cross table lateral (two view) 18:56 Pneumothorax along the anterior aspect of the lung correlates with that seen in the right lung on recent chest anteroposterior radiograph. Persistent hazy opacity overlies the lung likely related to le... | Small right pneumothorax. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister (diagnosed at the age of 62) and maternal niece (diagnosed at the age of 34). Two standard digital views (total of 8 images) of both breasts and a cleavage view were performed and reviewed with the aid of R2 CAD 9.... | 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. | 9-year-old male, intubatedVIEW: Chest AP (one view) 2/18/15 2:27 ETT above the carina. Left central venous catheter tip in the SVC. Enteric tube and side-port in the stomach. The cardiothymic silhouette is obscured.Interval opacification of the left hemithorax, likely due to effusion and atelectasis. Moderate to large ... | Interval opacification of the left hemithorax, likely due to effusion and atelectasis. Moderate to large right pleural effusion is again noted. |
Generate impression based on findings. | Evaluate for subclavian stent thrombosis, left upper extremity swelling and tenderness. LUNGS AND PLEURA: Severe respiratory motion artifact degrades image quality, limiting assessment for pathology. Mosaic attenuation of the lung parenchyma is noted, predominantly at the lung bases which may be secondary to small airw... | 1. Left subclavian stent occlusion as detailed in the body of the report. 2. Left axillary and subpectoral lymphadenopathy.3. Cardiomegaly with small pericardial fluid collection.4. Left breast solid nodules and bilateral ductal ectasia likely correlates to findings reported on recent mammography from earlier this year... |
Generate impression based on findings. | ET placementVIEW: Chest AP 2/18/15 ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. Right central line with tip in the SVC. Cardiothymic silhouette normal. Bilateral diffuse lung atelectasis not significantly changed. No pleural effusion or pneumothorax. | Bilateral diffuse atelectasis not significantly changed. |
Generate impression based on findings. | 13-year-old female with worsening pneumoniaVIEW: Chest AP (one view) 2/18/15 3:01 Right chest wall port with catheter tip at the cavoatrial junction. Interval removal of additional right central venous catheter. The cardiothymic silhouette is unchanged.Low lung volumes and mild elevation of right hemidiaphragm with pat... | Increased multifocal pulmonary opacities and low lung volumes. |
Generate impression based on findings. | Reason: h/o HNC and RT, compare to previous measurements History: none There is no significant interval change in the irregular, infiltrative soft tissue thickening along the posterior wall of the lower trachea with mild narrowing of the airway, which is partially imaged on this examination. The included portion is unc... | 1. No significant interval change in the appearance of the treated lower tracheal mass which is partially imaged on this study. See separately dictated chest CT for further description of thoracic findings. 2. Asymmetric thickening of the right buccal mucosa is nonspecific and may be anatomic or artifactual in etiology... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of lung cancer, diagnosed at the age of 53. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Linear markers w... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | ET placementVIEW: Chest AP 2/18/15 ET tube tip immediately above the carina. NG tube tip in the stomach. Right central line in place. Cardiothymic silhouette normal. Minimal patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | ET tube tip immediately above the carina. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies. Family history of breast cancer in daughter (diagnosed at the age of 31), maternal first cousin (diagnosed at the age of 60), and paternal aunt. Two standard digital views of both breasts were performed... | Stable benign left breast masses. 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: NSA - Screening Mammogram. |
Generate impression based on findings. | 76 years, Female, Reason: ? size and characteristics History: bilateral adrenal masses. ABDOMEN:LUNG BASES: Lower lobe reticular opacities.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: There is a left adrenal lesio... | 1.Left adrenal adenoma.2.Right adrenal adenoma and other findings as described above. |
Generate impression based on findings. | Abdominal painVIEW: Abdomen AP 2/17/15 Multiple dilated loops of bowel without evidence of obstruction. No pneumatosis or pneumoperitoneum. | Multiple dilated loops of bowel without obstruction. |
Generate impression based on findings. | There is a small focus of diffusion restriction in the left lateral thalamus/posterior limb of internal capsule and the anterior aspect of right cingulate gyrus in the right frontal lobe consistent with ischemia. Mild to moderate periventricular T2/FLAIR signal abnormality consistent with chronic small vessel ischemic... | 1.Two small foci of diffusion restriction in the left thalamus/posterior limb of internal capsule and cingulate gyrus of right frontal lobe consistent with recent infarcts. 2.No evidence of intracranial hemorrhage, mass, or mass effect.Findings discussed with Dr. Ali Mansour over the phone at 9:57 a.m. |
Generate impression based on findings. | Male 53 years old Reason: metastatic colon cancer to lung, restaging History: none CHEST:LUNGS AND PLEURA: Previously seen left upper lobe nodule is slightly increased in size and now measures 1.3 x 1.1 cm (series 5, image 56), previously 0.9 x 0.9 cm. Irregular nodule along the minor fissure is stable size now measuri... | Slight interval growth of the left upper lobe lung nodule. |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal peribronchial wall thickening with subsegmental atelectasis in the left lower lobe. There is a small left apical pneumothorax. | Bronchiolitis or reactive airway disease with small left apical pneumothorax. The result was communicated by the radiology resident on call to the clinical referring service at the completion of the exam. |
Generate impression based on findings. | 4-month-old male with increased ventilation support. Postop to rule out pleural effusions.VIEW: Chest AP (one view) 2/17/2015 18:19 ET tube below the thoracic inlet and above the carina. Right-sided chest tube tip terminates at the right lung base. Right IJ central catheter tip in the SVC. NG tube side-port below the G... | Persistent pulmonary vascular engorgement with no focal pulmonary opacities. Small right pneumothorax adjacent to chest tube tip site. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of architectural distortio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Metastatic oncocytic carcinoma T3N2b of the right parotid gland status post total parotidectomy with right selective neck dissection on 1/16/14, here with recent increase in pain and right facial weakness. Neck: There are postoperative findings related to total parotidectomy with right selective neck dissection with as... | 1. Post-treatment findings in the right neck with what appears to be a nodular area of enhancement in the deep parotid bed medial to surgical clips that measures up to 12 mm. This may represent tumor recurrence or treatment-effects and PET or MRI may be useful for further characterization if clinically warranted.2. No ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Scattered benign punctate calcifications are present in bot... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | 10-month-old male with abdominal pain and vomiting. Evaluate for perforation.VIEW: Abdomen AP (one view) 2/17/2015 Disorganized bowel gas pattern. Prominent bowel loop in the midabdomen with no definite evidence of obstruction. No pneumatosis intestinalis, pneumoperitoneum, portal venous gas or ascites. | Prominent bowel loop in the midabdomen with no definite evidence of obstruction. |
Generate impression based on findings. | 15-month-old male with cough, wheezing. Evaluate for pneumonia.VIEWS: Chest AP/lateral (two views) 2/17/2015 Cardiothymic silhouette is normal. Streaky bibasilar opacities likely atelectasis. No focal pulmonary opacities. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 47 years, Male. Reason: Dht repositioned History: dht repositioned Dobbhoff tube tip projects over the pyloric area. Mildly dilated loops of small bowel in the midabdomen. Support devices are unchanged.Pelvis is excluded from the field-of-view. | Dobbhoff tube tip projects over the pyloric area. |
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. Scattered benign calcificatio... | 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. | Again noted is mild deformity of the scalene musculature at the location of the previously described left supraclavicular nodal conglomerate. No discrete residual mass. Mild interval increase in size of level IIb lymph node which currently measures 20 x 14 x 15 mm (series 6, image 40; coronal series 80434, image 71), ... | 1.Minimal interval increase in size of neck lymph nodes as described above at level IIb is nonspecific. Otherwise no significant cervical lymphadenopathy is seen.2.Few scattered micronodules in the lung apices. Please refer to dedicated chest, abdomen, pelvis CT report for further details. |
Generate impression based on findings. | 47 years, Male. Reason: dht positioning History: dht positioning Note that patient motion limits examination. Enteric feeding tube tip projects over the gastric body. Nonobstructive bowel gas pattern. Support devices unchanged.The pelvis is excluded from field of view. | Enteric feeding tube tip projects over the gastric body. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in maternal grandmother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and dis... | Bilateral benign intramammary lymph nodes. 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. | 27 year old man with Hodgkin lymphoma in remission after chemotherapy in 2012. Compare to prior scans. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified, and intrapulmonary lymph nodes appear similar to prior. No new suspicious nodules or masses. MEDIASTINUM AND HILA: Reference right... | 1.No significant adenopathy or interval change.2.Fatty infiltration of the liver, unchanged. |
Generate impression based on findings. | The frontal, ethmoid, sphenoid, and maxillary paranasal sinuses, the mastoid air cells and middle ears are appropriately pneumatized. The infundibulae of the osteomeatal complexes are patent. The nasal septum lies at midline. There is slight asymmetry of the right nare relative to the left. No osseous erosion or scler... | No CT evidence of acute or chronic sinus disease. |
Generate impression based on findings. | 63 years, Female. Reason: ng History: ng Surgical staples projected over the left paracentral abdomen. Surgical drain projection of the left hemipelvis. Nasoenteric tube is looped within the gastric fundus with tip projected over the proximal gastric body. Persistently dilated small bowel loops, improved compared to pr... | Persistently dilated small bowel loops consistent with improving postsurgical ileus. |
Generate impression based on findings. | 52-year-old female. Sarcoidosis. Shortness of breath. On lung transplant waitlist. LUNGS AND PLEURA: Apical bilateral traction bronchiectasis with associated volume loss consistent with sarcoidosis.Centrilobular emphysema with localized emphysema in the right lower lobe, unchanged.Scar-like opacities in the right lung,... | Severe interstitial lung disease consistent with sarcoidosis without significant interval change. |
Generate impression based on findings. | 7-day-old male with hypoxia, hypercapnia. Evaluate interval change of the lung fields.VIEW: Chest and abdomen AP (two view) 2/17/2015 Umbilical arterial catheter at T8 vertebral body. NG tube side-port below the GE junction. ET tube below the thoracic inlet and above the carina. Cardiothymic silhouette normal. Diffuse ... | Diffuse atelectasis bilaterally not significantly changed.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | Bilateral benign intramammary lymph nodes. 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. | 50 year-old woman with history of left mastectomy for IDC in 2003 and right breast implant. No new breast complaints. Two full field and two implant displaced views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure sma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | History of HNC and RT. ACC of the distal trachea. Compare to previous. CHEST:LUNGS AND PLEURA: Post-surgical findings of left lower lobe wedge resection.Right paramediastinal reticular opacities consistent with post-radiation reaction.Reference right lower lobe micronodule is stable and likely benign (series 4, image 6... | Stable examination with no new sites of disease. |
Generate impression based on findings. | 47-year-old female patient status post reversal BPD portion of duodenal switch, evaluate gastric pouch size. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Evaluation of the esophagus revealed a minor motor abnormality with cessation of the primary wave ... | Cascade stomach with proximal portion measuring 7.0 x 4.3 x 4.5 cm and distal portion measuring 3.3 x 7.5 x 2.4 cm. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of colon cancer, diagnosed at the age of 51. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. There ha... | Involuting cyst in the left 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: NSA - Screening Mammogram. |
Generate impression based on findings. | 51 year-old woman with history of right breast cancer on neoadjuvant chemotherapy, scheduled for lumpectomy. On review of the prior studies, the hydro-mark clip to be targeted is seen at the 12 o'clock position an anterior depth. A second clip is seen in the 12 o'clock position at posterior depth. The procedure, risks ... | Successful needle localization of the right breast clip.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Clinical question: Is there hemorrhagic conversion? Signs and Symptoms: Stroke, now on apixaban. Nonenhanced head CT:A large right hemispheric MCA territory subacute ischemic stroke demonstrate no convincing change in size or extent and without evidence of hemorrhagic conversion.The overall regional mass effect without... | 1. Stable large subacute nonhemorrhagic right MCA territory stroke since prior exam.2. Stable moderate age indeterminant small vessel ischemic stroke.3. No detectable new finding since prior exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of uterine 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 and distrib... | Bilateral benign morphology masses. 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. | Call back from screening mammogram for a focal asymmetry in the left breast. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3.The focal asymmetry at upper outer quadrant is not well visualized on today's mammogram.Focused ultrasound detected ... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP and abdomen AP Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. No focal lung opacity. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. Probable right inguinal hernia. No pneumatosis or pneumoperitoneum. | Probable right inguinal hernia. |
Generate impression based on findings. | Female; 51 years old. Reason: Uncontrolled HTN ULTRASOUND KIDNEYSRIGHT KIDNEY: The right kidney measures 10.6 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis, renal stone, or worrisome mass identified.LEFT KIDNEY: The left kidney measures 9.7 cm in length. The renal cortex is normal... | No ultrasound evidence to suggest renal artery stenosis. |
Generate impression based on findings. | 60 year old with strong family history of breast cancer, mastodynia and previous personal history of benign biopsies. Three standard views of both breasts and a right CC spot view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small ma... | 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP Moderate amount of fecal burden. Nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Moderate amount of fecal burden. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of left cyst aspiration. Patient currently complains of intermittent right breast pain for the past 3 months. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heter... | 1. Findings in both breast described above for which further evaluation with spot compression and possible ultrasound are recommended.2. The previous study performed here recommended an aspiration/possible biopsy. It is not known if this was performed elsewhere. A repeat ultrasound at the right 9:00 (position of that f... |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. The umbilical venous catheter tip in the right atrium. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumo... | The umbilical venous catheter tip in the right atrium. |
Generate impression based on findings. | Thyrotoxicosis. The thyroid gland is diffusely enlarged with the suggestion of multiple cold, warm, and several hot nodules scattered in the bilateral lobes. There also appears to be a functioning nodule contained within the pyramidal lobe. The largest cold nodule is seen in the left lateral thyroid lobe. The 4-hour ra... | 1. Significant autonomously hyperfunctioning thyroid gland. Given the appearance, toxic multinodular goiter is favored over the less likely possibility of Grave's disease. 2. Somewhat dominant hypofunctioning nodule in the left midpole is indeterminate for malignancy. Correlation with ultrasound and physical examinatio... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional left MLO view and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications ... | 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. | Hip pain Two views of the left hip are provided. Mixed lucency and sclerosis in the femoral head indicates avascular necrosis that has perhaps progressed slightly when compared with the prior study, but I see no subchondral fracture or articular surface collapse. Tiny osteophytes indicate mild osteoarthritis.Two views ... | Avascular necrosis and osteoarthritis as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Multiple benign punctate calcifications are seen diffusely throughout both br... | Bilateral benign calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitte... |
Generate impression based on findings. | RIGHT: There is interval stability in infiltrative superotemporal soft tissue extraconal mass involving the lacrimal gland measuring 3 mm in thickness, unchanged from prior exam. The optic nerve and extraocular muscles are intact. There is a lens implant. There is a tiny stable focus of hyperattenuation along the medi... | Stable infiltrative right superotemporal soft tissue extraconal mass involving the right lacrimal gland measuring 3 mm in thickness. |
Generate impression based on findings. | Metastatic thyroid cancer with left groin pain and right buttock pain. Lucent lesions within the bones of the pelvis and proximal femora appear larger and/or more prominent on the current study than on the prior study, suggesting disease progression. The third arcuate line of the sacrum is not well visualized, likely r... | Findings compatible with progression of metastatic disease when compared with the prior pelvis radiograph. |
Generate impression based on findings. | 66 years, Male. Reason: h/o AML on chemotherapy, now with abd pain and new distension, r/o ileus vs obstruction History: abd distension Median sternotomy wires and surgical clips in the left upper quadrant are noted. Gas distended loops of small and large bowel in ileus type bowel gas pattern. Old right rib fractures n... | Ileus type bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. ... | Right breast focal asymmetry for which spot compression views and possible ultrasound are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
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