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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Scattered benign cal... | 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. | Asymptomatic female presents for routine screening mammography. Personal history of benign right breast biopsy in 1984. Family history of breast cancer in maternal niece diagnosed at the age of 20. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma i... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | 1-year-old male, evaluate for fractureVIEWS: Right elbow, AP and lateral (two views) right humerus, AP and lateral (two views), right shoulder, AP, Grashey and Y view (3 views). Alignment is anatomic. The humerus is intact. No elbow fracture is visualized. The humeral head is well directed with respect to the glenoid. | Normal examination. |
Generate impression based on findings. | Postop prosthetic assessment Two views of the right hip show components of a total hip arthroplasty device situated in near-anatomic alignment without radiographic evidence of complication.AP view of the pelvis reveals the aforementioned right total hip arthroplasty. Minimal osteoarthritis affects the left hip, essenti... | Right total hip arthroplasty as above. |
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 and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Metal... | 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. | 90 years, Female. Reason: ng History: ng Dilated loops of small bowel with relative under distention of contrast filled large bowel. Please note that the upper abdomen is excluded from the field-of-view. NG tube tip projects over the gastric pyloric area. | Small bowel obstruction. NG tube tip projects over the gastric pyloric area. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of ovarian cancer, diagnosed at the age of 31. Family history of breast cancer in mother, diagnosed at the age of 44. Two standard digital views and tomosynthesis of both breasts along with an additional left MLO view were performed and re... | 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. | 56-year-old male with history of NHL. Pre allo SCT evaluation. LUNGS AND PLEURA: Calcified micronodules consistent with healed granulomatous disease. Scattered noncalcified micronodules, likely also post-inflammatory.No evidence of active infection.Scar-likely opacity in the lingula.MEDIASTINUM AND HILA: No mediastinal... | No evidence of active infection. Bilateral adrenal masses and conglomerate lymph node mass in the left upper quadrant consistent with known lymphoma. |
Generate impression based on findings. | T1N3 base of tongue squamous cell carcinoma with completion of CRT on 3/9/12 and posttreatment salvage neck dissection. There are post-treatment findings in the neck, including persistent diffuse supraglottic edema and stranding of the right neck subcutaneous tissues. There is no evidence of measurable mass lesions or ... | Post-treatment findings in the neck without evidence of measurable mass lesions or significant cervical lymphadenopathy. |
Generate impression based on findings. | History of right ankle post-traumatic arthritis, status post recent fall and twisting injury to same ankle with pain. Evaluate for new injury/fracture. Again seen is a side plate and radiolucent cable device affixing the distal tibiofibular syndesmosis in gross anatomic alignment. I see no new fracture. Periosteal new ... | Postoperative changes, osteoarthritis and soft tissue swelling as described above, without acute fracture evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (total of 8 images) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Bilateral circumscribed masses are present. There are no suspiciou... | Bilateral circumscribed masses. Attempts to obtain patient's prior mammograms should be made in order to confirm stability of these findings.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breat cancer in sister. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Bilateral circumscribed masses are present. ... | Bilateral circumscribed masses. Attempts to obtain patient's prior mammograms should be made in order to confirm stability of these findings.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | 53-year-old female with difficulty of swallowing liquids. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities of the mucosal surfaces or mural contours... | 1.Tracheal aspiration with absent cough reflex. Dedicated OPM study may be considered for further evaluation.2.Small sliding hiatal hernia. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benig... | 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. | 16-week-old female with worsening cough and sweatsVIEWS: Chest, AP and cross table lateral (two views), soft tissue neck, AP and lateral (two views). 2/18/15 0:37 Chest: The cardiothymic silhouette is normal. The cardiac apex and stomach are left-sided. Bronchial wall thickening without consolidation or pleural effusio... | Bronchial wall thickening indicating bronchiolitis without evidence of pneumonia. |
Generate impression based on findings. | Follow-up of T1N2B left tonsil cancer, status post induction with TPF then TFHX completed on 8/17/2011. The images are partly degraded by patient motion. There are post-treatment findings in the neck, but no evidence of measurable mass lesions or significant cervical lymphadenopathy. For example, a right level 2 lymph ... | 1. Post-treatment findings in the neck without evidence of measurable locoregional tumor recurrence or significant lymphadenopathy.2. Mild to moderate atherosclerotic plaque at the bilateral carotid bifurcations. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in two paternal aunts (diagnosed at the ages of 60 and 70). 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 den... | 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. | Acute myeloid leukemia. Baseline, starting chemotherapy. LUNGS AND PLEURA: Very mild centrilobular emphysema.Calcified lung nodules consistent with healed granulomatous disease. No evidence of an active infection.Scattered flat nodules along pleural surfaces, including in the periphery of the left upper lobe (series 5,... | No evidence of active infection. Very mild emphysema. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts along with 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, unchanged in pattern and dis... | 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. | 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. |
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 mother (diagnosed at the age of 50) and maternal aunt (diagnosed at the age of 66). Two standard digital views of both breasts were performed and reviewed with the aid... | 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. | 3-year-old male with painVIEWS: Left foot, AP, oblique and lateral (3 views) 2/18/15 Lucency and cortical angulation along the bases of the first, second, third, and fourth metatarsals consistent with fractures. There is overlying soft tissue swelling along the dorsum of the foot. Alignment is otherwise anatomic. | Fractures of the bases of the first, second, third, and fourth metatarsals as described above. |
Generate impression based on findings. | 6-year-old male with snoringVIEWS: Soft tissue neck, lateral (one views) 2/18/15 There is mild enlargement of the adenoid tonsils without significant obstruction of the airway. The prevertebral soft tissues are normal. Straightening of the cervical spine is likely due to patient positioning. | Mild adenoid tonsil enlargement without airway obstruction. |
Generate impression based on findings. | Nausea and vomitingVIEW: Abdomen AP Disorganized nonobstructive bowel gas pattern. Paucity of bowel gas within the abdomen. Punctate radiopaque densities at the right lower quadrant may represent ingested material or retained barium. No pneumatosis or pneumoperitoneum. | Paucity of bowel gas within the abdomen. |
Generate impression based on findings. | New pancreatic adenocarcinoma with liver mets. Pre-therapy. Malignancy workup. LUNGS AND PLEURA: Small bilateral pleural effusions and basilar subsegmental atelectasis and/or aspiration. Linear scarring in left lower lobe.Very mild centrilobular emphysema.Intraluminal debris in the upper trachea.No suspicious pulmonary... | 1. No specific evidence of metastatic disease in the chest. Small bilateral pleural effusions with adjacent atelectasis and/or aspiration. 2. Liver metastases, abdominal ascites, and lesser sac air concerning for perforation, unchanged and previously described on 2/16/2015 CT abd/pelvis report. |
Generate impression based on findings. | 12-year-old male with history of pain in left knee, rule out fractureVIEWS: Left knee, AP, oblique, and lateral (3 views) 2/18/15 9:04 There is mild soft tissue swelling overlying the tibial tubercle. The quadriceps tendon and patellar tendon appear otherwise normal. Alignment is anatomic. No fracture or joint effusion... | Minimal soft tissue swelling overlying the tibial tubercle may represent early Osgood-Schlatter's disease, but MRI may be considered for further evaluation if clinically warranted. |
Generate impression based on findings. | PICC placementVIEW: Chest AP 2/18/15 Cardiothymic silhouette normal. Right lung atelectasis has improved in the interval. Placement of a left upper extremity PICC with tip in the right atrium. Minimal atelectasis left lung. | Left PICC tip in the right atrium. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 82-year-old female with history of diabetes mellitus with right big toe ulcer. Rule-out "osteo". There is ulceration of the soft tissues along the distal and dorsal aspects of the great toe. There is destruction of the underlying tuft of the distal phalanx indicating osteomyelitis. | Osteomyelitis of the distal phalanx of the great toe. This was relayed to Dr. Dia over the phone at the time of dictation. |
Generate impression based on findings. | Evaluate bowel gas patternVIEW: Chest AP and abdomen AP ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. Right central line in place. Left chest tube in place. The side hole of the left chest tube is within the subcutaneous tissue. There is a small left basal pneumothorax. Patchy atelectasis ... | Disorganized nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies. She currently complains of right breast tenderness for 1 month. 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 sc... | Stable benign calcifications seen bilaterally. 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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister diagnosed at the age of 50. 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... | 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. Family history of breast cancer in two sisters. Two standard digital views of both breasts with repeat right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Ovoid circumscribed mass present in the left upper o... | Ovoid mass in the left breast may represent an area of fat necrosis or a lymph node. However, to ensure a benign etiology, additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - A... |
Generate impression based on findings. | Head and neck cancer. LUNGS AND PLEURA: Moderate paraseptal and centrilobular emphysema.Stable left lower lobe subpleural nodule, unchanged from 2012 and most likely benign. No suspicious pulmonary nodules or masses.Small area of groundglass opacity adjacent to the aorta in the left lower lobe, which is probably atelec... | No evidence of metastatic disease in the chest. |
Generate impression based on findings. | Large goiter with substernal extension and hyperthyroidism. Question of distribution of activity and uptake. There is a large dominant hypofunctioning nodule occupying much of the right mid to lower thyroid lobe. There is also the suggestion of two other hypofunctioning nodules in the left mid to lower lobe. The remain... | 1. Bilateral hypofunctioning nodules, with a large dominant nodule on the right, are indeterminate for malignancy.2. Otherwise, fairly uniform uptake which is inappropriately elevated given a suppressed TSH; Grave's disease is favored over toxic multinodular goiter. |
Generate impression based on findings. | Gastric cancer on chemotherapy with daily headaches. There is no evidence of intracranial mass or abnormal enhancement. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air c... | No evidence of intracranial metastases. However, CT is less sensitive than MRI for the detection of intracranial metastases. |
Generate impression based on findings. | 42 year-old woman with history of right DCIS status post mastectomy in 2011. Three standard views of the left breast were performed digitally 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 dominant mass, ... | 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. | Reason: is there evidence of disease in the left neck, supraclavicular region, or at the site of prior left neck dissection History: history of pT3N2b SCC of L tonsil s/p CRT 2013, then developed L neck soft tissue recurrence in 11/2014 treated with surgical resection on 12/26/14 (margins uncertain). Had a PET with + J... | No evidence of metastatic disease within the thorax and visualized abdomen. |
Generate impression based on findings. | 2-day-old female with increased work of breathing. Evaluate for pneumothorax or atelectasis or RDS.VIEW: Chest AP (one view) 2/17/2015 17:46. Increased atelectasis in the left lung. Small right-sided pneumothorax. Left heart border is obscured by overlying pulmonary density. | Small right pneumothorax. Increased atelectasis in the left lung. |
Generate impression based on findings. | 74 year-old male with history of aortic stenosis, pre-operative TAVR evaluation. Patient also with history of cirrhosis, evaluate portal vein for thrombosis. ANGIOGRAM: Please see accompanying cardiac CT report for description of thoracic aorta. Moderate atherosclerotic disease affects the abdominal aorta and its branc... | 1.Please see accompanying cardiac CT for details regarding the thoracic aorta and chest.2.Vascular measurements as above. Moderate tortuosity of the bilateral common/external iliac arteries without circumferential atherosclerotic calcifications or significant stenoses.3.Cirrhotic liver morphology with associated spleno... |
Generate impression based on findings. | Right hip FAI. MEASUREMENTS: CAM location : Three o'clock position.Alpha angle : 65 degreesCoronal center-edge angle : Approximately 31 degreesSagittal center-edge angle : 56 degrees as measured on direct sagittal images to the anterior edge of the acetabulum.Femoral neck-shaft angle : 133 degreesAcetabular version (1 ... | Cam deformity of the anterior femoral head-neck junction and other measurements as above |
Generate impression based on findings. | The scout lateral view and the sagittal reformatted images demonstrate normal alignment of the cervical spine, with trace reversal of the normal cervical lordosis. The vertebral body and disk space heights are well-maintained.There is no acute fracture.At C1-C2, there is a normal relationship of the dens with the arch... | No acute fracture or subluxation. |
Generate impression based on findings. | Reason: h/o tonsil ca, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular emphysema.Scattered stable calcified and noncalcified micronodules.No suspicious pulmonologist masses.No pleural effusions.Mild basilar scarring/discoid atelectasis w... | Stable hilar and mediastinal lymphadenopathy. No new sites of disease identified. |
Generate impression based on findings. | Following a discussion of the procedure with the patient and/or family, including its risks, benefits, alternatives and steps to prevent infection, informed written consent was obtained and documented in the patient's chart. The time-out form was completed to confirm patient identity and side/type of procedure. All op... | Successful CT guided right femoral bone biopsy.PLAN: |
Generate impression based on findings. | Reason: esophageal cancer, sp chemoradiation, ck response History: dysphagia CHEST:A pulmonary arterial filling defect in the right upper lobe pulmonary artery (series 3, image 38) is new from the prior exam. Additional segmental branch right lower lobe pulmonary arterial filling defects are new (series 3, image 59). T... | 1. Pulmonary emboli in the right upper lobe and right lower lobe pulmonary arteries. No evidence of right heart strain.2. No evidence of metastatic disease.Findings discussed with Dr Villaflor at 11:10 AM |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There are moderate foci of periventricular and subcortical white matter hypoattenuation which are nonspecific, likely representing chronic small vessel ischemic changes. There are more focal small areas of hypoattenuation in the left subinsular ... | No acute intracranial hemorrhage or mass effect. Grossly stable chronic microvascular ischemic changes. |
Generate impression based on findings. | Mesothelioma status post pleurectomy decortication status post chemotherapy. On observation, evaluate for EOD. Compared to previous. CHEST:LUNGS AND PLEURA: Postoperative changes in the right hemithorax with a diaphragmatic mesh. No evidence of residual or recurrent disease.Scattered stable micronodules, most likely po... | No evidence of recurrent or residual disease relating to mesothelioma. Interval right upper pole partial nephrectomy with no definite evidence of residual tumor. Right suprarenal soft tissue is presumably postsurgical, continued follow up recommended |
Generate impression based on findings. | Male 66 years old Reason: bladder cancer History: bladder cancer ABDOMEN:LUNG BASES: Atelectasis of the right lung base with persistent elevation of the right hemidiaphragm.LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver with nodular contour and widened fissures suggestive of chronic liver disease. Redemo... | 1.Stable examination with no evidence of metastatic disease. 2.Fatty infiltration of the liver with features suggestive of chronic liver disease. |
Generate impression based on findings. | 35-year-old woman with history of DCIS left breast status post lumpectomy in 2012. Three standard views of both breasts along with spot compression CC and LM views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small... | 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 - Diagnostic Mammogram. |
Generate impression based on findings. | 43 year-old woman with history of left breast IDC status post mastectomy in 2013. Three standard 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 small masses, unchanged in pattern and distribution. No dominant ... | 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. | No evidence of intracranial hemorrhage, extra-axial fluid collections or subdural hematomas. No CT evidence of acute large territorial ischemia. Mild prominence of the ventricles and sulci, likely age related volume loss. No evidence of midline shift. Mild periventricular hypoattenuation consistent with age indetermin... | 1.No evidence of intracranial hemorrhage as clinically questioned.2.Partial opacification of the left maxillary sinus with possible air-fluid level. Correlate for acute sinusitis. |
Generate impression based on findings. | Reason: metastatic lung cancer on treatment, evaluate disease History: cough, hemoptysis CHEST:LUNGS AND PLEURA: Interval increase in size and number of numerous pulmonary nodules and increasing loculated left pleural effusion.Reference measurements are as follows:Left upper lobe (image 44 series 4) lingular nodule now... | 1.Interval progression in size and number of multiple pulmonary metastases.2.Increasing bilateral basilar consolidation/atelectasis particularly on the right.3.Interval increase in loculated left sided pleural effusion with development of small right-sided pleural effusion. |
Generate impression based on findings. | Male 44 years old Reason: fall History: pain. We have 3 views of the left wrist. There is soft tissue swelling of the wrist. Seen only on the PA view is a step-off along the cortex on the medial aspect of the ulna at the base of the ulnar styloid which may represent a nondisplaced fracture. We see no fracture of the di... | Possible nondisplaced fracture through the base of the ulnar styloid. |
Generate impression based on findings. | 54 year-old female. Mantle cell lymphoma on observation. Bilateral cervical lymphadenopathy is redemonstrated and not significantly changed. For example right level 1B lymph node measures 25 x 19 mm (series 8, image 50), unchanged. Right level 2A lymph node measures 16X14 mm previously 15x13 mm (series 8, image 47) and... | No significant change in extensive cervical lymphadenopathy compared to 7/16/2014. |
Generate impression based on findings. | 55 year old status post right stereotactic biopsies for calcifications, with pathology results including focal ADH. On review of the prior studies, a marker clip is present at 12 o'clock position in the right breast. There are multiple calcifications near this clip, extending posteriorly. The target of this procedure i... | Successful needle localization of the right breast clip.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | No evidence of acute intracranial hemorrhage. No CT evidence of acute large territorial ischemia. The ventricles and sulci are normal in size. There are no extraaxial fluid collections or subdural hematomas. Mild to moderate periventricular hypoattenuation, likely small vessel ischemic disease of indeterminate age. Ma... | No acute intracranial hemorrhage or CT evidence of large territorial ischemia. If there is high clinical suspicion for acute ischemia, further evaluation with MRI is recommended. |
Generate impression based on findings. | Basal cell cancer metastases to the lung. CK response to chemo. CHEST:LUNGS AND PLEURA:Necrotic right suprahilar mass is 34 x 27 mm, previously 33 x 20 mm (series 5, image 48) and now with fluid filling the necrotic central cavity.Left inferior hilar mass is 34 x 30 mm (series 20212, image 60), previously 34 x 28 mm. N... | 1. Previously necrotic right suprahilar mass is mildly increased in size. Remainder of reference lesions are not significantly changed.2. New clustered left perihilar micronodules in the upper lobe are likely infectious/inflammatory though special attention to this area on follow-up scan to exclude metastases. |
Generate impression based on findings. | 63-year-old female with history of ovarian cancer, compare to previous. CHEST:LUNGS AND PLEURA: Reference right upper lobe pulmonary nodule (series 4, image 24) measures 3 x 7 mm, previously measuring 7 x 3 mm. Additional scattered pulmonary micronodules not significantly changed.MEDIASTINUM AND HILA: Reference pretrac... | 1.Reference mediastinal and mesenteric lymph nodes are stable.2.Interval increase in size of single non-reference pretracheal lymph node.3.No additional new lymphadenopathy or new evidence of metastatic disease. |
Generate impression based on findings. | Male 67 years old Reason: BL chronic wrist pain History: as above. We have 3 views of the right wrist. There is slight widening of the scapholunate interval suggesting ligamentous laxity or disruption. There is narrowing of the radioscaphoid articulation with osteophyte formation. There is also dorsal tilting of the lu... | Arthritic changes of both wrists as described above suggesting SLAC wrist deformities. |
Generate impression based on findings. | 40 year-old female with history of appendectomy, two adhesion lysis surgeries, the most recent in 2010, with 3 episodes of ileocolonic intussusceptions since. Presents with chronic baseline pain in left hemiabdomen. The scout film shows a nonobstructive bowel gas pattern. Fluoroscopic evaluation showed thickening of fo... | 1.Nonspecific thickening of the jejunal folds with nodular appearance. 2.Multiple nonobstructive adhesions in the left hemiabdomen as described above. |
Generate impression based on findings. | Call back from screening mammogram for a benign appearing mass in the left breast. Focused ultrasound was performed for the left breast. Detected is a circumscribed 5 mm oval mass with internal hyperechoic area with blood flow, consistent with intramammary lymph node at 11 o;clock position in the left breast, correspon... | No 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
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 is abnormal low density which is noted in the white matter of the right superior frontal gyrus near the apex, as seen on 4/26-27 and 80236/40-42. There is additional questionable low-... | Area of abnormal low density in the right superior frontal gyrus white matter as well as questioned on the left. Given the bilaterality of findings and location, these could represent prominent perivascular spaces in patient of this age although more commonly seen in the pediatric population. No associated abnormal vas... |
Generate impression based on findings. | Pre-renal transplant evaluation ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral renal atrophy again note... | Mild atherosclerotic calcification involving the abdominal aorta. Mild atherosclerotic calcification involving common iliac arteries bilaterally. Moderate external iliac atherosclerotic calcification bilaterally. |
Generate impression based on findings. | Reason: mesothelioma History: s/p extended pleurectomy decortication CHEST:LUNGS AND PLEURA: Surgical changes of a recent right pleurectomy and decortication, with moderate right pneumothorax, focal consolidation, and right-sided subcutaneous emphysema. Nodular wall thickening throughout the right hemithorax. For refer... | Post surgical changes in the right hemithorax of a pleurectomy decortication, with residual nodular pleural thickening and right hilar/mediastinal lymphadenopathy. Reference measurements as above. No definite evidence of disease in the left chest or in the abdomen. Presumably postprocedural changes in the right chest w... |
Generate impression based on findings. | 19 years, Female. Reason: Assess for obstipation, ileus History: 19 y.o. woman with history of constipation on narcotics for ankle surgery. Severe gas/bloating, abd distension No free intraperitoneal air. Greater than average stool burden with desiccated stool in the distal colon. Nonobstructive bowel gas pattern. Lung... | Greater than average stool burden with desiccated stool in the distal colon. |
Generate impression based on findings. | Female 88 years old Reason: fracture History: known hip fracture; need pelvis through distal femur. The bones are demineralized suggestive of osteopenia/osteoporosis. There is a complete fracture of the femoral neck with approximately 1 cm superior displacement of the diaphyseal fragment. There is bone on bone appositi... | Limited study due to inability to optimally position patient within the CT scanner.1.Complete fracture of the femoral neck with mild displacement as described above.2.Additional pelvic fractures and other findings as described above. |
Generate impression based on findings. | 84 years, Female. Reason: check NG tube placement to begin trickle feeds History: check NG tube placement to begin trickle feeds Nasogastric tube tip projects over the gastric body. ET tube noted. Right pleural effusion with adjacent atelectasis. Significant interval decrease in gaseous dilation of small and large bowe... | Nasogastric tube tip projects over the gastric body. |
Generate impression based on findings. | Status post dedifferentiated chondrosarcoma Two views of the right humerus reveal a hemiarthroplasty with a long humeral stem and resection of the proximal one third of the humerus. No change is seen from the previous exam. No evidence of hardware loosening or complications. No evidence for tumor recurrence. There is a... | Stable examination |
Generate impression based on findings. | T3N2c supraglottic squamous cell carcinoma receiving induction chemotherapy with carbo/taxol. Here for C2D8. There has been interval decrease in size of the supraglottic mass, which now measures up to approximately 10 mm, previously approximately 15 mm. There is slight interval decrease in size of the right level 3 lym... | Interval decrease in size of the laryngeal squamous cell carcinoma and cervical lymphadenopathy. |
Generate impression based on findings. | Note that the cervical spine is only viewed to the C6 level on the lateral view. Postsurgical changes of a multilevel laminectomy are again noted from C3 to C6. Severe degenerative changes are noted of the cervical spine with near complete loss of height of the C3-4 disk space and with degenerative fusion of the C4-5 ... | Severe degenerative disease of the cervical and lumbar spine as described above. |
Generate impression based on findings. | left ankle pain after binding the floor two days beforeVIEWS: Left ankle AP, oblique, lateral Soft tissue swelling and joint effusion about the ankle. Linear oblique lucency along the distal fibular metaphysis may represent a nondisplaced fracture. The ankle mortise joint is normal. | Probable nondisplaced fracture of the distal fibular metaphysis with soft tissue swelling and joint effusion. Text page was sent to Dr. Yingshan, Shi at 2/18/2015 at 11:50 AM. |
Generate impression based on findings. | PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The right parotid and submandibular glands are slightly larger than the left. The right submandibular gland ... | 1. Subtle asymmetric enlargement of the right parotid and cerebellar glands with increased heterogeneity of the right submandibular gland. No associated inflammatory changes identified. Left slightly greater than right prominence of the sublingual glands. No focal mass is identified. Findings may relate to an inflammat... |
Generate impression based on findings. | Right femoral neck fracture. Evaluate. The bones appear demineralized, suggesting osteopenia. There is a complete fracture through the femoral neck with mild superior displacement of the diaphyseal fracture fragment, as seen on the recent CT scan. The distal femur appears intact. There are subacute fractures of the lef... | Right femoral neck fracture and other findings as above. |
Generate impression based on findings. | There is no intracranial hemorrhage. The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There are scattered punctate and confluent areas of abnormal low attenuation in the periventricular and subcortical white matter, consistent with mild age... | 1. No acute intracranial hemorrhage, mass, or mass effect. No intracranial abscess or empyema. No CT evidence of PRES. Please note MRI would be more sensitive and can be considered as clinically indicated.2. Mild age-indeterminate small vessel ischemic changes. 3. Mild contrast extravasation as noted in technique secti... |
Generate impression based on findings. | Clinical question: Evaluate for stroke, rule out hemorrhagic conversion. Signs and symptoms: Status post stroke. Nonenhanced head CT:There is a new small foci of cortical attenuation in high convexity right posterior frontal (axial image 26 and 27) measuring approximately 15 mm in size and highly suspected a small focu... | 1.New since prior exam is a 15-mm focus of cortical low attenuation suggestive of an acute ischemic stroke in high convexity right posterior frontal as detailed.2.Interval decrease density of hemorrhage of left hemispheric stroke and with mild decreased regional mass-effect. 3.Interval subtle decreased size of left inf... |
Generate impression based on findings. | Male 68 years old; Reason: staging exam History: prostate cancer CT of pelvis for research purposes | 1.CT of pelvis for research purposes |
Generate impression based on findings. | Mantle cell lymphoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL G... | Stable examination. No new adenopathy. |
Generate impression based on findings. | There is a moderate area of low attenuation in the posterior right frontal/parietal lobe subcortical white matter, right centrum semiovale, and corona radiata favored to represent vasogenic edema with concern for underlying mass, which results in cortical low density. Although axial images appear to suggest an area of... | 1.Finding representing vasogenic edema in the right posterior frontal/parietal lobe as described above with mild regional mass effect with underlying mass suspected. Further evaluation with contrast enhanced MRI is recommended, if there are no contraindications.2.Extensive symmetric bilateral basal ganglia and dentate ... |
Generate impression based on findings. | Mesothelioma on observation. CHEST: TheLUNGS AND PLEURA: Left pleural thickening consistent with provided history of mesothelioma, reference measurements on the left as follows:1. Level of the diaphragm at the 4 o'clock position (4/90) 2.3 x 4.2-cm previously 2.8 x 4.4 cm differences in first dimension likely reflects ... | No significant change in reference level measurements. No new sites of disease. |
Generate impression based on findings. | Total shoulder arthroplasty Three views of the right shoulder show components of a reverse total shoulder arthroplasty device situated in near-anatomic alignment without radiographic evidence of hardware complication. Overall the shoulder appears similar to that seen on the prior study. Degenerative arthritic changes a... | Total shoulder arthroplasty appearing similar to prior study. |
Generate impression based on findings. | Status post left total knee arthroplasty 3 views of the left knee show components of a total knee arthroplasty device situated in near-anatomic alignment without radiographic evidence of hardware complication. Swelling of the anterior soft tissues limits evaluation of the extensor mechanism.Severe osteoarthritis affect... | Total knee arthroplasty as above. |
Generate impression based on findings. | 7-year-old female with acute left lower leg painVIEWS: Tibia and fibula, AP and lateral (two views) 2/18/15 11:22 The bones are gracile and diffusely demineralized. There is an oblique fracture of the distal tibial diaphysis with mild lateral displacement of distal fragment. Bowing deformity of the fibula is also noted... | Oblique distal tibia fracture and additional findings as described above. |
Generate impression based on findings. | Status post total shoulder arthroplasty. Assess prosthesis. Components of a reverse total shoulder arthroplasty device are situated in near-anatomic alignment without specific radiographic findings to suggest hardware complication. A plate and screw device affixing the humeral diaphysis is incompletely imaged on this s... | Left total shoulder arthroplasty and other findings as described above appearing similar to the prior study. |
Generate impression based on findings. | Pain. Prosthetic assessment. Three views of the right knee are provided. Severe tricompartment osteoarthritis affects the knee, appearing similar to that seen on the prior study. I see no joint effusion.Three views of the left knee are provided. Components of a longstem total knee arthroplasty device are situated in ne... | Total knee arthroplasty and osteoarthritis as described above. |
Generate impression based on findings. | Microscopic hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: 0.6-cm obstructing right renal stone. No hyd... | 0.6-cm nonobstructing right renal stone. Otherwise unremarkable examination without evidence for worrisome renal mass, hydronephrosis, or acute inflammatory process. Unremarkable collecting systems bilaterally.Right adnexal cyst. |
Generate impression based on findings. | Male 68 years old Reason: 67M with history of renal stones now with positive urine cytology, please perform CT urogram History: gross hematuria, positive urine cytology ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCR... | 1.Abnormal mucosal enhancement and mild thickening of the urothelium in a left lower pole calyx. Given the small size of lesion, it is difficult to characterize with CT and recommend retrograde evaluation. 2.Multiple bilateral nonobstructing renal stones. |
Generate impression based on findings. | 53 year old with benign appearing calcifications in right breast, presents for follow up study. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Small clu... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Cough feverVIEW: Chest AP Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Reactive airway disease without pneumonia. |
Generate impression based on findings. | Patient with neuroendocrine tumor. Benign carcinoid, follow-up LUNGS AND PLEURA: the. described mild to moderate compression atelectasis related to the anterior mediastinal mass essentially unchanged. No suspicious superimposed pulmonary nodules or new masses. No effusionsMEDIASTINUM AND HILA: The large anteromediastin... | Unchanged size and measurements of the mediastinal mass and lymph nodes, reference measurements provided. Appearance remains consistent with known carcinoid |
Generate impression based on findings. | Fracture healing? The bones appear demineralized with gracile diaphyses and mild chronic deformity of the carpus appearing similar to the prior study. There is a side plate and screw device affixing a fracture of the distal radial diaphysis in anatomic alignment. The portion of the fracture not obscured by overlying ha... | Orthopedic fixation of distal radius fracture as above. |
Generate impression based on findings. | Lumbar pain There are posterior rods with screws entering the L4 and L5 vertebrae. I see no hardware complications. There is a spacer device between the L4 and L5 vertebral bodies with associated bone graft material that appears similar to that seen on the prior study. Small osteophytes project from the anterior aspect... | Postoperative changes of lower lumbar spine fusion appearing similar to those seen on the prior study. |
Generate impression based on findings. | Evaluation of the craniocervical junction demonstrate borderline low cerebellar tonsils with preserved rounded morphology. Right cerebellar tonsil measures up to 6 mm below the foramen magnum. There is retroflexion of the dens which partially effaces the ventral thecal sac. CSF spaces at the craniocervical junction ar... | 1. Low-lying cerebellar tonsils measuring up to 6 mm on the right and 4-5 mm in the midline. There is mildly diminished CSF space at the foramen magnum related to retroflexed dens and the borderline low cerebellar tonsils. There is preserved biphasic flow.2. No evidence of syrinx or cord signal abnormality.3. No eviden... |
Generate impression based on findings. | Fall 8 days ago. Severe pain over radius with movement. There is perhaps mild soft tissue swelling along the dorsal and radial aspects of the wrist, but I see no underlying fracture. There is slight widening of the scapholunate interval which appears similar to that seen on the prior study. Minimal degenerative arthrit... | Soft tissue swelling and other findings as above without fracture evident. If there is clinical concern for an occult scaphoid or radius fracture, MRI may be considered for further evaluation. |
Generate impression based on findings. | Bladder carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable bilateral nonobstructing subcentimeter renal s... | Stable nonobstructing bilateral nephrolithiasis. Stable left retroperitoneal pre-psoas bland fluid collection; favor benign postoperative collection such as lymphocele. No evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Left foot, ankle and leg pain and swelling. New onset. History of stem cell transplant on steroids for 10 months. Three views of the left foot are provided. Mild osteoarthritis affects the first metatarsophalangeal joint and midfoot. There is soft tissue swelling, particularly along the dorsum of the foot, but I see no... | Nonspecific soft tissue swelling and other findings as described above. |
Generate impression based on findings. | There is beam hardening artifact at C7 level and below, limiting evaluation. There is straightening of the cervical lordosis. There is mild narrowing of the C2-3 disk suspected to be at least partly developmental, with small posterior bridging osteophyte formation. There is developmental fusion of the right C2-3 facet... | 1.No acute fracture or traumatic subluxation. 2.Multilevel disk/endplate and facet degenerative changes, worst at C3-4 where there is a suspected disk extrusion.3.Mild-moderate bilateral bony foraminal narrowing at C4-5. |
Generate impression based on findings. | Pain, swelling. There is soft tissue swelling, particularly along the medial aspect of the ankle. I see no underlying fracture or malalignment. I see no joint effusion. | Soft tissue swelling, nonspecific. |
Generate impression based on findings. | Status post shoulder scope Mild osteoarthritis affects the glenohumeral joint. There is new widening of the acromioclavicular joint that is presumably postoperative in etiology. Streaky calcification between the humeral head and acromion process suggests calcific tendinopathy of the rotator cuff. | Postoperative and degenerative arthritic changes as described above. |
Generate impression based on findings. | Low back pain. Fall on icy stairs. Moderate to severe degenerative disk disease affects L5/S1. The remaining intervertebral disk spaces are preserved. I see no frank compression fracture. Tiny osteophytes project from the anterior aspects of the lumbar vertebrae. Alignment is within normal limits. Calcifications of the... | Degenerative disk disease. |
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