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Generate impression based on findings. | Right proximal tibial lesion. Evaluate for interval change. Again seen is a lucent lesion within the anterior aspect of the proximal tibial diaphysis arising from the cortex with sclerotic margins. It is lobulated and of similar size to that seen on the prior study. | Findings compatible with a nonossifying fibroma of the proximal tibia. |
Generate impression based on findings. | Lumbar pain Moderate degenerative disk disease affects L5/S1. There may also be mild degenerative disease of L3/4 and L4/5. Although oblique views are not provided, there appears to be osteoarthritis of the facet joints. There is a grade 1 anterolisthesis of L4; alignment is otherwise within normal limits. Vertebral bo... | Degenerative disk disease and other findings as above. |
Generate impression based on findings. | AORTOGRAM: Normal caliber aorta with no evidence of stenosis or aneurysm. The left renal artery is widely patent, the right renal artery is absent.PELVIC ANGIOGRAM: The bilateral common iliac arteries are widely patent. On the right there are several pre-existing metallic stents in the external iliac artery. These are... | Patent bilateral iliac stents and patent right superficial femoral artery to tibioperitoneal trunk bypass graft as described above.PLAN: Continue anticoagulation for low graft velocities, continued duplex ultrasound surveillance. |
Generate impression based on findings. | Male, 71 years old, status post right medullary infarct, assess vasculature. Non angiographic findings:Encephalomalacia involving the left occipital lobe and left medial temporal lobe is unchanged. Also stable are numerous small hypoattenuating foci within the left cerebellar hemisphere. Ill-defined periventricular hyp... | 1. No clear source vessel is identified to account for the right medullary infarct. Candidate vessels would include the V4 segment of the right vertebral artery which is patent but diffusely irregular likely representing both calcified and noncalcified atherosclerosis. The right PICA also does not opacify robustly, and... |
Generate impression based on findings. | 26-year-old male with right knee injury status post fall on ice last night and soccer injury 3 weeks ago. Decreased range of motion. Pain. Evaluate for fracture. There is a joint effusion, but I see no fracture or malalignment. | Joint effusion without fracture evident. If there is clinical concern for internal derangement, MRI may be considered. |
Generate impression based on findings. | Pain. Evaluate for osteoarthritis. Three views of the right knee are provided. There is mild medial compartment narrowing and small tricompartmental osteophytes indicating mild osteoarthritis. There is also a small joint effusion.Mild osteoarthritis affects left knee as seen on the frontal view. | Mild osteoarthritis. |
Generate impression based on findings. | Acute change in mental status, on heparin gtt. There is no evidence of acute intracranial hemorrhage or mass. There is encephalomalacia in the right interior parietal lobule. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. There are carotid siphon calcifications. There i... | 1. No evidence of acute intracranial hemorrhage.2. Encephalomalacia in the right interior parietal lobule may be attributable to a chronic infarct. |
Generate impression based on findings. | Status post IM rod Again seen is an intramedullary rod and screw device affixing an oblique fracture of the proximal femoral diaphysis in near-anatomic alignment. I see no hardware complication. A mildly displaced lesser trochanter fracture fragment appears similar to that seen on the prior study. Skin staples along th... | Orthopedic fixation of proximal femur fracture and other findings as above. |
Generate impression based on findings. | Status post ORIF A plate and screw device affixes a fracture of the distal clavicle in near anatomic alignment. Faint density adjacent to the fracture may represent early callous formation. I see no hardware complications. Acromioclavicular joint alignment is within normal limits. A vascular stent overlies the shoulder... | Orthopedic fixation of distal clavicle fracture as above. |
Generate impression based on findings. | Reason: h/o aspergillus pna History: cough LUNGS AND PLEURA: Stable appearing peripheral interstitial and subpleural fibrosis, most severe in the upper lobes.Apical predominant bronchiectasis and scarring, with upper lobe volume loss, unchanged. Debris within a right upper lobe cavity (series 4, image 25) appears uncha... | Stable findings of chronic changes in the lungs associated with treated aspergillosis. |
Generate impression based on findings. | L1 Chance fracture, back pain. Again seen is anterior wedging of the L1 vertebral body indicating a fracture that appears similar to that seen on the prior study accounting for slight positional differences. Extension of the fracture into the posterior elements is better appreciated on the prior CT scan. There is a neg... | L1 fracture appearing similar to the prior study. |
Generate impression based on findings. | 55 year old female with history of recent liver transplant with erythema around surgical site and ultrasound showing loculated fluid collection. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations c... | 1.Interval postsurgical changes of orthotopic liver transplant.2.Loculated subcutaneous fluid collection in the anterior abdominal wall. A benign etiology such as a seroma or resolving hematoma is favored, with abscess possible but considered less likely.3.Mild ileus pattern. |
Generate impression based on findings. | Neuroblastoma off therapy. Assess for progression of disease. Normal physiologic radiotracer distribution is seen in the salivary glands, myocardium, liver, and bowel. A focus of activity in the posterior aspect of the intraluminal bladder is most likely layering accumulation of radiotracer.There is no abnormal focus o... | No convincing MIBG avid tumor is identified. |
Generate impression based on findings. | 64 year old male. History of esophageal cancer. Assess for disease progression. CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules, unchanged and most likely post-inflammatory.Serpiginous, irregular vasculature in the right lower lobe (series 4, image 73), unchanged and suspicious for a small vas... | Stable examination with no new sites of disease. |
Generate impression based on findings. | 15-year-old male with concern for SBOVIEW: Abdomen AP (one view) 2/18/15 11:15 Dilated small bowel loops in the midabdomen without air fluid levels may represent partial obstruction or ileus. Stool is noted within the ascending and transverse colon. There is a small amount of distal gas. | Dilated small bowel loops with small amount of distal gas and stool in the colon suggesting partial obstruction or ileus appearing similar to the prior exam. |
Generate impression based on findings. | FeverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Pain. There is an oblique fracture of the distal fibula extending to the level of the tibiotalar joint with slight posterior displacement and lateral angulation of the distal fracture fragment. Callus along the fracture indicates an attempt at healing. There is also a vertical fracture through the "posterior malleolus"... | Subacute ankle fracture/subluxation as described above. |
Generate impression based on findings. | History of melanoma, now with breast cancer. Assess for bony mets. No abnormal osseous foci are identified to indicate metastatic disease.A focus of uptake in the left mid to distal tibia is likely benign activity and may represent shin splints. Another area of linear activity within the right ischium is also likely be... | No evidence of bone metastases. |
Generate impression based on findings. | 10-year-old male with lumbar back pain for weeksVIEWS: Lumbar spine, AP, obliques, and lateral (4 views) 2/18/1511:38, pelvis, AP and frog leg (two views). Pelvis: The femoral heads are well directed within the normally formed acetabula. The osseous structures of the pelvis appear normal for the patient's age.Lumbar sp... | Normal examination. |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Abdominal pain/tightness upper epigastric area, weight loss. Evaluate delayed emptying of her stomach into the duodenum seen on upper GI series. Visually there was progressive, but delayed gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals w... | Delayed gastric emptying. |
Generate impression based on findings. | Pain Two views of the right hip show moderate to severe osteoarthritis of the hip.AP view the pelvis shows the aforementioned osteoarthritis of the right hip. Relatively mild osteoarthritis affects the left hip. Surgical suture material is noted in the right lower quadrant. The remainder of the pelvis is unremarkable. | Osteoarthritis. |
Generate impression based on findings. | Mesothelioma on observation. CHEST:LUNGS AND PLEURA: Fluid in the left pneumonectomy cavity and left diaphragmatic mesh unchanged in appearance. Calcified pleural plaques on the right consistent with previous asbestos exposure. No suspicious pleural thickening or pulmonary nodules on the right.MEDIASTINUM AND HILA: Lef... | No signs of recurrent or metastatic disease. |
Generate impression based on findings. | Left maxillary alveolar ridge SCCA T4N0, s/p resection with negative margins +perineural invasion 1/31/12, finished XRT 5/8/13. Now with second oral primary on the left lateral tongue pT1N0 SCCA (+) for PNI, and with close margins. Neck: There are postoperative findings related to infrastructure left maxillectomy and l... | 1. Post-treatment findings in the neck with interval left lateral tongue tumor excision, where there is nonspecific ill-defined enhancement in the left tongue, which may represent inflammation and/or tumor. 2. No evidence of intracranial metastases. |
Generate impression based on findings. | Male 64 years old Reason: fx? History: MVC. Small anterior vertebral body osteophytes are noted. The intervertebral disk spaces and vertebral body heights are preserved. There is no acute fracture or subluxation. | No acute fracture or subluxation. |
Generate impression based on findings. | Marginal zone lymphoma with right neck swelling. Needs initial staging.RADIOPHARMACEUTICAL: 7.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 89 mg/dL. Today's CT portion of the neck demonstrates an enhancing soft tissue lesion in the region of the right parotid gland measuring approximately 3 cm and an ad... | 1.Multiple hypermetabolic foci in the bilateral neck including the parotid glands consistent with lymphoma. 2.Additional hypermetabolic foci compatible with tumor in the inferior trachea, right bronchus intermedius, and distal esophagus may represent additional lymphoma. However, additional synchronous lesions of the a... |
Generate impression based on findings. | Pain. Preop. Two views of the left knee are provided. Severe osteoarthritis affects the knee with near bone-on-bone apposition of the medial tibiofemoral compartment. There are also small tricompartmental osteophytes and a small joint effusion. Components of a right total knee arthroplasty device are situated in near a... | Osteoarthritis and mild varus deformity as above. |
Generate impression based on findings. | Non-small cell lung cancer, follow-up LUNGS AND PLEURA: Postsurgical changes from left upper lobectomy unchanged. Left basilar scarring with scattered bronchiectasis. Scattered micronodules, many calcified are all unchanged. No suspicious new pulmonary nodules or masses. No effusion.MEDIASTINUM AND HILA: Mediastinal ly... | Stable appearing lymphadenopathy again likely secondary to known lymphoma. Reference measurements provided |
Generate impression based on findings. | Status post right total hip arthroplasty 6 weeks ago. Evaluate. Two views of the right hip show components of a total hip arthroplasty device situated in near-anatomic alignment without radiographic evidence of hardware complication. The previously seen drain has been removed.The AP view of the pelvis reveals the right... | Total hip arthroplasty as above. |
Generate impression based on findings. | 18 year-old male, history of desmoplastic tumor post chemo and radiation therapy CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules some of which are calcified appear similar to the prior exam.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, ... | 1. Interval tumor debulking with resection of liver nodules and abdominal lymph nodes. Hepatic dome lesion has increased in size. Multiple additional hepatic metastases are not significantly changed.2. Unchanged pulmonary micronodules. |
Generate impression based on findings. | Hypoxemia evaluate interstitial lung disease. Post inflammatory pulmonary fibrosis. LUNGS AND PLEURA: Low lung volumes, which appear smaller when compared to the earlier exams.Severe pulmonary fibrosis comprised of traction bronchiectasis, subpleural honeycombing, architectural distortion and volume loss. There has bee... | Slight progression and severe interstitial lung disease in a pattern most consistent with chronic hypersensitivity pneumonitis. Idiopathic UIP is also within the differential diagnosis. |
Generate impression based on findings. | 5-year-old male with history of neuroblastoma, status post MIBG therapy CHEST:LUNGS AND PLEURA: Note is made of an azygous pseudo-lobe. No nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Right central venous catheter tip extends to the right atrium.CHEST WALL: No axillary or supraclavic... | Interval resection of left adrenal mass with mild soft tissue adjacent to the surgical clips which may be postoperative in etiology and can be followed on subsequent imaging. No evidence of metastatic disease. |
Generate impression based on findings. | 94-year-old male patient with chest pain. Per discussion with patient's daughter, chest pain is not associated with swallowing. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. A bullet projects over the lower thoracic spine.Double contrast evaluation of ... | Moderate to severe esophageal motility abnormality without evidence of esophageal stricture. |
Generate impression based on findings. | Male 58 years old Reason: tophaceous gout History: eval for erosions. Right foot: A soft tissue mass compatible with a gouty tophus is noted. There is gross destruction of the first metatarsal and proximal phalanx with overhanging edges and erosions consistent with tophaceous gout.Left foot: There is a large soft tissu... | Findings consistent with tophaceous gout as described above. |
Generate impression based on findings. | Weight loss, small fiber neuropathy. Evaluate left lower lobe pulmonary nodule and mediastinal lymphadenopathy. RADIOPHARMACEUTICAL: 6.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 111 mg/dL. Today's CT portion grossly demonstrates borderline enlarged right lower paratracheal and AP window lymph nodes. T... | 1. Left lower lobe punctate nodule is not demonstrably FDG avid on this examination, though the small size limits sensitivity.2. Borderline enlarged mediastinal lymph nodes with mild to moderate hypermetabolic activity are considered more likely inflammatory, though, tumor is not entirely excluded. |
Generate impression based on findings. | 46 year old male history of Hodgkin's lymphoma, compared to previous exam. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: CHEST:LUNGS AND PLEURA: Scattered micronodules are unchang... | 1.Increased axillary and mediastinal lymphadenopathy, increased splenomegaly, and new extensive pelvic lymphadenopathy suggesting recurrence of lymphoma.2.Large ventral hernia without evidence of complication.3.Cholelithiasis. |
Generate impression based on findings. | 62 years, Male. Reason: Assess stool burden History: Constipation/ abd pain ; on narcotic analgesics Nonobstructive bowel gas pattern. Slightly greater than average stool burden in the colon. Suture material projects over the right hemiabdomen. Surgical staples project over the right upper quadrant and the pelvis. Epid... | Nonobstructive bowel gas pattern with slightly greater than average stool burden. |
Generate impression based on findings. | Lung cancer, please follow-up and reevaluate CHEST:LUNGS AND PLEURA: Diffuse extensive severe centrilobular and paraseptal emphysema. Associated postsurgical embolization coils are observed in the left lower lobe with an associated large left pleural effusion with underlying compression atelectasis. The focal nodular o... | Essentially unchanged appearance of large left pleural effusion with underlying compressed lung. No suspicious new findings and stable reference measurements, specifically unchanged suspected osseous treated metastatic foci |
Generate impression based on findings. | 68 years, Male. Reason: ng position History: ng position Enteric feeding tube tip projects over the gastric body. Ileus bowel gas pattern with residual barium in the colon. Subsegmental atelectasis noted in the lung bases.The pelvis is excluded from the field-of-view. | Enteric feeding tube tip projects over the gastric body. |
Generate impression based on findings. | Evaluate pneumoperitoneumVIEW: Chest AP and abdomen AP ET tube tip below thoracic inlet and above the carina. NG tube tip at the GE junction. The umbilical venous catheter tip is probably within the umbilical vein. The umbilical arterial catheter tip at T7. Cardiothymic silhouette normal. Diffuse atelectasis bilaterall... | Paucity of bowel gas within the abdomen. If there is clinical concern for pneumoperitoneum crosstable lateral is recommended. |
Generate impression based on findings. | Cough, retrocardiac abnormality follow up from chest x-ray (change in appearance of the left atrium between films). LUNGS AND PLEURA: No pneumothorax or pleural fluid. Mild centrilobular and paraseptal emphysema. 2-mm subsolid nodular density at the right apex (4/17) too small to accurately characterize but most likely... | 1. Mild emphysema, no other findings to account for the patient's cough. 2. Upper normal heart size with mildly prominent but left atrial chamber. No visible mitral valve calcifications are identified, consider imaging of the mitral valve with echocardiogram or cardiac MRI if required.3. 2-mm micronodule right upper lo... |
Generate impression based on findings. | Images are slightly limited by patient motion. There is diffuse hypoattenuation throughout the brain parenchyma with lack of gray-white differentiation. There is focal abnormal low density along the basal ganglia and thalami. There is near complete effacement of the ventricles with cerebellar tonsillar caudal extensio... | 1. Findings consistent with diffuse cerebral edema secondary to hypoxic ischemic injury, with complete effacement of basal cisterns and sulci as well as near complete effacement of ventricles. Cerebellar tonsillar herniation noted. No acute intracranial hemorrhage.2. Moderate-sized air-fluid level in the left maxillary... |
Generate impression based on findings. | 60 years, Female. Reason: evaluate NG tube placement History: NG tube placement; GI bleeding Enteric feeding tube tip projects over the gastric antrum region. Surgical clips project over the right upper quadrant. Nonobstructive bowel gas pattern. IVC filter, posterior fusion of the lumbosacral spine, and right iliac va... | Enteric feeding tube tip projects over the gastric antrum region. |
Generate impression based on findings. | 23 year old who experienced severe pain the right breast two weeks ago, presents for ultrasound evaluation. The patient state that she felt pain in the lateral part of right breast. Focused ultrasound did not detect any abnormalities at the area of pain. | No sonographic evidence of malignancy. Clinical follow up is recommended. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Follow up post RT. Lung cancer. CHEST:LUNGS AND PLEURA: Right lower lobe nodule is 11 x 13 mm, previously 10 x 13 mm (series 5, image 181), not significantly changed. Adjacent groundglass and reticular opacities consistent with post-radiation change. Occluded right lower lobe bronchi, unchanged and suspicious for steno... | Stable right lower lobe nodule with post-radiation changes. No new sites of disease. |
Generate impression based on findings. | Male, 56 years old.Missing forceps. Post surgical pneumoperitoneum noted. Nonobstructive bowel gas pattern. Suture material projects left lower quadrant. No unexpected radiopaque foreign object. | No unexpected radiopaque foreign object, specifically no forceps are seen.Findings discussed with Dr. Posner via telephone at 1:29 PM on 2/18/2015 by Dr. McCann. |
Generate impression based on findings. | 1 year old female with breech birth.VIEWS: Pelvis AP and frog leg (two views) 2/18/2015 Normal alignment with no evidence of fracture or dislocation. No soft tissue swelling or joint effusion. Both femoral epiphyses are symmetric bilaterally. | Normal examination. |
Generate impression based on findings. | Soft tissue sarcoma left thigh. Check for disease LUNGS AND PLEURA: Scattered micronodules without evidence of interval change with associated mild scarring in the right lower lobe largely jacent to the midline. No suspicious new nodules or masses. No effusions. Superimposed moderate centrilobular and paraseptal emphys... | No interval change or specific evidence to suggest metastatic disease. Suspected pulmonary hypertension |
Generate impression based on findings. | Postoperative changes of left frontal calvarial craniotomy/plasty including sideplates and screws without significant interval change in positioning. There is no bony trabeculation across craniotomy/plasty sites. Additionally, there is dehiscence of the orbital wall at the superior lateral aspect, unchanged. There is ... | 1.Stable left calvarial craniotomy/plasty with no significant interval change in positioning of hardware and lack of osseous trabeculation across the craniotomy sites.2.Mild sclerosis of the mildly expanded left sphenoid wing, most likely related to post treatment changes. |
Generate impression based on findings. | 21 years, Female. Reason: assess for obstipation History: 21 y.o. woman with history of eating disorder and family history of celiac disease. Gas/bloating, abd pain. Average stool burden in the colon. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern with average stool burden in the colon. |
Generate impression based on findings. | 83 years, Male. Reason: continued reflux of tube feedings despite J-tube placement on 2/17, please confirm placement History: continued reflux of tube feedings despite J-tube placement on 2/17, please confirm placement J-tube tip projects over the left hemiabdomen, compatible with jejunal placement past the ligament of... | J-tube tip past the ligament of Treitz. |
Generate impression based on findings. | Swelling mass or lump in chest. Evaluate mediastinal mass pre-operatively. History of extragonadal germ cell tumor of mediastinum. CHEST:LUNGS AND PLEURA: Much of the left upper lobe is compressed by the mass. The aerated portion of the lung is unremarkable. No pleural fluid. No suspicious pulmonary nodules.MEDIASTINUM... | Heterogeneous mediastinal mass compatible with provided history of extragonadal germ cell tumor, measurements provided in the body of the report. Small lymph nodes in the chest and upper abdomen are stable to slightly smaller, at least mildly suspicious for nodal metastases given their asymmetry. No evidence of pulmona... |
Generate impression based on findings. | 44 year old woman with history of left breast IDC, additional lesions seen on MR. A targeted left ultrasound was performed for the MR-detected lesion. An ill-defined 9 x 8 x 7 mm hypoechoic area is seen in the left breast at the 6:30 position 4 cm from the nipple, presumably representing the index lesion. An additional... | 1. Hypoechoic area at the 6:30 position likely representing the index lesion.2. Questionable additional hypoechoic area at the 6:00 position, but no definite sonographic correlate for additional lesions seen on MR.If breast conservation surgery is planned, MR guided biopsy is recommend for the MR-detected lesions.BIRAD... |
Generate impression based on findings. | 29 years, Female. Reason: eval for sitz markers History: obstipation Interval removal of rectal tube. The majority of the sitz markers are in the ascending colon and some markers are in the transverse colon. Nonobstructive bowel gas pattern. | The majority of the sitz markers are in the ascending colon and some markers are in the transverse colon. |
Generate impression based on findings. | Reason: Patient participating in research study. Evaluate for lung disease. History: History of rheumatoid arthritis LUNGS AND PLEURA: Mild upper lobe predominant centrilobular emphysema.Scattered benign appearing pulmonary micronodules. No suspicious nodules or masses.Mild basilar atelectasis/scarring. No focal airspa... | 1. Mild upper lobe predominant centrilobular emphysema.2. No suspicious nodules or masses.3. No evidence of interstitial lung disease or air trapping.4. Severe degenerative joint disease of the bilateral shoulders. |
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. | Female 77 years old Reason: lower abdominal pain, eval for diverticulitis History: lower abdominal pain and TTP ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status-post cholecystectomy. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sign... | 1.Transverse fracture of S3 vertebrae with callus formation.2.Bilateral severe sacral insufficiency fractures.3.Global pelvic descent with large rectocele.4.Intestinal malrotation and bowel containing ventral hernia without obstruction.5.No evidence of diverticulitis. |
Generate impression based on findings. | 65 years, Female. Reason: (NEW Replaced) OG placement History: OG placement Mediastinal wires/plates, LVAD, partially visualized pacer leads, Swan-Ganz catheter, and chest tubes are unchanged. Retrocardiac opacity persists. OG tube tip projects over the pyloric area.Nonobstructive bowel gas pattern. Note that the pelvi... | OG tube tip projects over the gastric pyloric area. |
Generate impression based on findings. | 65 years, Female. Reason: OG placement History: OG placement Mediastinal wires/plates, LVAD, partially visualized pacer leads, Swan-Ganz catheter, and chest tubes are unchanged. Retrocardiac opacity persists. OG is partially visualized although the tip is not clearly seen due to motion. The tip presumably projects over... | Limited examination due to motion. Within these limitations, the tip is presumed to project over the proximal gastric body. Advancement of the OG tube is recommended. |
Generate impression based on findings. | 9 year old male with decreased range of motion. Evaluate joint space, follow up x-rayEXAMINATION: Left and right hand PA 2/18/2015 12:11 There is diffuse bony demineralization bilaterally, left greater than. Bilateral joint space narrowing between the distal radius and proximal carpal row. Bilateral joint space narrowi... | 1. Diffuse bony demineralization bilaterally, left greater than right. 2. Joint space narrowing bilaterally between the distal radius, proximal carpal row, distal carpal row and 2nd metacarpal bone as described above. 3. Bilateral probable bony erosion involving the scaphoid bones especially at the distal pole. |
Generate impression based on findings. | 15 months following left upper lobe resection for non-small cell lung cancer LUNGS AND PLEURA: Postsurgical changes from a left upper lobectomy with volume loss unchanged. The residual small to moderate pleural effusion remains similar in size although now more loculated, specifically along the medial and paravertebral... | Postsurgical left upper lobectomy with suspected loculated small to moderate left effusion |
Generate impression based on findings. | Reason: Hx breast Ca. History: right chest wall pain. Evaluate for rib fracture for osseous metastasis. Chest X-ray was negative CHEST:LUNGS AND PLEURA: Right anterior subpleural fibrotic changes, likely related to previous radiation therapy.No suspicious pulmonary nodules or masses. No focal air space consolidation. N... | Healed fractures in the lateral right fourth and sixth ribs, unchanged from the prior exam. No other focal osseous lesions or other acute abnormality. No evidence of metastatic disease. |
Generate impression based on findings. | Supraglottic squamous cell carcinoma LUNGS AND PLEURA: Mild centrilobular emphysema without suspicious superimposed nodules or masses. No effusions. Minimal right basilar scarring and/or atelectasisMEDIASTINUM AND HILA: No lymphadenopathy.The cardiac and pericardium are well within limits.Questionable small hiatal hern... | Minimal right basilar scarring and/or atelectasis without findings to support or suggest metastatic disease |
Generate impression based on findings. | Metastatic ALK + NSCLC, on Crizotinib. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. For example, a right level 5 lymph node measures 7 mm in short axis, previously also 7 mm. The thyroid and major salivary glands are unchanged. The major cervical vessel... | No evidence of measurable mass lesions or significant lymphadenopathy in the neck to suggest tumor recurrence. |
Generate impression based on findings. | Lung carcinoma ABDOMEN:LUNG BASES: Please refer to separate chest CT report.LIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM... | Stable negative examination. No evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Grayscale, Color and spectral Doppler were performed on inflow and outflow vessels of the liver.-GRAYSCALE | Patent vasculature with no evidence of biliary dilatation as clinically questioned. |
Generate impression based on findings. | 39 year old with family history of breast cancer in her sister at age 52 presents for annual mammogram. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious mass, suspi... | 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 65 years, Female. Reason: OG placement History: OG placement Mediastinal wires/plates, LVAD, partially visualized pacer leads, Swan-Ganz catheter, and chest tubes are unchanged. Retrocardiac opacity persists. OG tube tip is obscured by the LVAD. The tip presumably projects over the proximal gastric body. Nonobstructive... | OG tube tip is obscured by LVAD. Tip presumably projects over the proximal gastric body. Advancement is recommended. |
Generate impression based on findings. | Warm, tender, erythematous left ankle There is diffuse swelling about the ankle without underlying fracture, dislocation or osteolysis indicate osteomyelitis. | Diffuse soft tissue swelling without evidence of osteomyelitis. |
Generate impression based on findings. | Thymoma, surgery canceled due pneumonia, evaluate for residual pneumonia. LUNGS AND PLEURA: Interval resolution of air space opacity seen previously in the left lung base. There is some mild residual scarring in and bronchiolitis remaining in the posterior aspect of the left lower lobe.Opacity in the right middle lobe ... | Resolution of pneumonia with clearance of solid appearing air space components, but residual infectious bronchitis and bronchiolitis in the right middle lobe and left lower lobes. No significant change in mediastinal mass or lymph nodes. |
Generate impression based on findings. | 59 years, Female. Reason: NGT placement History: NGT placement , evaluate position Dobbhoff tube tip projects over the gastric antropyloric region. Cholecystectomy clips and biliary stent is again noted. Surgical sutures project over the right lower quadrant and pelvis. Relatively unchanged bowel gas pattern suggestive... | Dobbhoff tube tip projects over the gastric antropyloric region. |
Generate impression based on findings. | Reason: evaluate for pulmonary embolism History: acute SOB, cardiac arrest PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is enlarged, suggestive of pulmonary hypertension.LUNGS AND PLEURA: Small bilateral pleural effusions with segmental and subsegmental basilar atelectasis. No specif... | 1. No evidence of pulmonary embolism.2. Pleural effusions and basilar atelectasis/consolidation may be related to aspiration or fluid overload.3. Moderate pericardial effusion, nonspecific.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: N... |
Generate impression based on findings. | Smoker with weight loss CHEST:LUNGS AND PLEURA: Severe emphysema.No mass lesion.MEDIASTINUM AND HILA: Moderate coronary calcification.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality not... | Severe emphysema. Moderate coronary calcification. No acute, inflammatory, or neoplastic process appreciated. |
Generate impression based on findings. | 72 -year-old male with history of pancreatic ductal carcinoma and urothelial carcinoma. CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules, some of which are calcified, not significantly changed. No new suspicious nodules or masses.MEDIASTINUM AND HILA: Mild coronary artery calcifications. Stable mild... | 1.Decrease in size of previously described right renal infiltrative lesion suspicious for metastatic transitional cell carcinoma.2.Decreased retroperitoneal lymphadenopathy.3.Increased mesenteric lymphadenopathy.4.Ill-defined soft tissue density behind the portal vein is of uncertain etiology, decreased from prior. 5.S... |
Generate impression based on findings. | 59 year-old male. Status post salvage esophagectomy. Esophageal cancer. CHEST:LUNGS AND PLEURA: Mild upper lobe paraseptal emphysema. Scattered linear areas of scarring.New small ill-defined nodular and groundglass opacity in the dependent left lower lobe, most likely inflammatory, likely related to aspiration.Calcifie... | New small cluster of nodular and groundglass opacities in the left lower lobe, most likely infectious/inflammatory, possibly related to aspiration. No evidence of pulmonary metastases. |
Generate impression based on findings. | Exam is limited by motion artifact. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The mastoids are underpneumatized bilaterally. There is suggestion o... | No acute intracranial abnormality. Possible fluid opacification of bilateral middle ears and diminutive mastoids for which clinical correlation is recommended. |
Generate impression based on findings. | Concern for osteomyelitis. Within the both the left and right feet, severe degenerative changes are noted with lateral deviation of the distal phalanges. There is severe degenerative change of the first MTP joint bilaterally. Severe degenerative changes are also noted about the tarsal and tarsometatarsal joints bilater... | Severe degenerative changes of the feet bilaterally as described above which has progressed from 2008 but without without evidence of osteomyelitis. |
Generate impression based on findings. | Lung cancer 4 years of Crizotinib. LUNGS AND PLEURA: 4 x 7 mm scar-like density at the site of prior left lower lobe tumor (series 5 image 117) unchanged allowing for differences in scan variability, although this area is difficult to see on the prior study. Scarring extending cranially from this area is unchanged in a... | Stable appearance of left lower lobe treatment site, no new or suspicious pulmonary nodules. Stable prominent left para-aortic lymph node. |
Generate impression based on findings. | 40 year-old woman with prior history of palpable mass in the right breast, currently no breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Reason: esophageal cancer FU History: 5 years s/p MIE CHEST:LUNGS AND PLEURA: No suspicious tumor nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Stable right thyroid hypoattenuating nodule.Status post esophagectomy and gastric pull.No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evi... | No evidence of recurrent or metastatic disease. Interval partial collapse of the L4 vertebrae. |
Generate impression based on findings. | Male 76 years old; Reason: scrotal pain History: scrotal pain RIGHT TESTIS: The right testicle measures 3.9 x 1.8 x 4.2 cm. It is diffusely heterogeneous in echogenicity and contains a 1.3 x 0.8 x 1.4 cm multiloculated cyst.LEFT TESTIS: Left testicle measures 2.8 x 3.1 x 2.2 cm. It is heterogeneous in echogenicity and ... | 1.Bilateral testicular cysts, benign etiology is favored.2.Left epididymal cyst.3.Bilateral varicoceles. |
Generate impression based on findings. | Hemoglobin dropped after liver biopsy ABDOMEN:LUNG BASES: Small bilateral pleural effusions, right greater than left.LIVER, BILIARY TRACT: Stable hepatic cysts. No evidence for perihepatic fluid collection or hematoma.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | Stable examination without evidence for perihepatic fluid collection or hematoma. No ascites. Stable abnormally enlarged left periaortic lymph node. |
Generate impression based on findings. | HIV poorly compliant to medication and with unknown CD 4 count and bipolar disorder who presented with spiking fevers,and acute onset left neck swelling in the setting of recent 15 lb weight loss. There is extensive cervical lymphadenopathy bilaterally, which has overall increased in size and extent. In particular, the... | 1. Extensive cervical lymphadenopathy bilaterally likely represents an infectious process, such as a typical or atypical bacterial lymphadenitis, syphilis, among several other potential organisms. In particular, a left level 2A lymph node contains central hypoattenuation, which may represent necrosis or pus. In additio... |
Generate impression based on findings. | Left hand swelling. Rule-out fracture. Two portable radiographic views of the left hand were obtained and time stamped 1147 and 1149 respectively. There is soft tissue swelling along the dorsum of the hand. We see no underlying fracture. There is a small ossicle along the dorsal aspect of the carpus that appears cortic... | Soft tissue swelling without acute fracture. |
Generate impression based on findings. | Neuroblastoma, evaluation prior to transplant. The paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is essentially midline. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged i... | No evidence of sinusitis or regional bone metastases. |
Generate impression based on findings. | Reason: RUL nodule; 3 month follow up. PET negative. undergoing work up for liver transplant History: none LUNGS AND PLEURA: Moderate paraseptal emphysema.Dependent atelectasis.A reference right upper lobe solid nodule measures 7 x 6 mm (series 6, image 86), unchanged from the prior exam. Additional scattered benign ap... | Stable 7-mm right upper lobe solid nodule. No new suspicious pulmonary nodules or masses. Continued follow up is recommended to confirm stability.. |
Generate impression based on findings. | Elevated paralyzed right diaphragm, new patient. CHEST:LUNGS AND PLEURA: Mild compressive atelectasis in the right lung. Fine linear scarring anterior right upper lobe. No suspicious nodules or masses. Scattered high-density micronodules are statistically most likely granulomas.MEDIASTINUM AND HILA: There are no masses... | 1. No masses or structural abnormalities to account for the patient's right diaphragmatic paralysis.2. Small, nonspecific clustered lymph nodes in the right paracolic gutter. These could be post inflammatory if the patient has a history of appendicitis in the past. If further evaluation is required, this area may be ev... |
Generate impression based on findings. | Reason: eval Type B dissection History: known Type B dissection Evaluation for known aortic dissection is significantly limited given noncontrast examinationLUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Stable appearance of dilated distal aortic arch (image 39 se... | Redemonstration of a type B aortic dissection. Examination is limited without the use of intravenous contrast. Intramural aortic hematoma demonstrating decreasing attenuation compatible with resolving hematoma.No significant interval change in the caliber of the thoracic aorta. |
Generate impression based on findings. | Lung cancer and HNC. LUNGS AND PLEURA: Significant motion artifact at the bases limits evaluation.Left lower lobe reference nodule is 3 mm, previously 2 mm (series 4, image 50).New tree-in-bud and nodular opacities in the periphery of the right upper lobe and groundglass opacities in the left base are likely inflammato... | 1. Stable left upper lobe reference nodule.2. New clustered nodular and tree-in-bud opacities in the right lung and groundglass opacities in the left base, likely related to aspiration. Two more discrete nodules are likely also inflammatory/infectious, though special attention should be paid on follow-up exams to confi... |
Generate impression based on findings. | Female 44 years old Reason: prosthetic assess History: post-op. We have 3 views of the left hip. We have components of a left total hip arthroplasty in near-anatomic alignment without radiographic evidence of complication.We have a single AP view of the pelvis. There are components of a right total hip arthroplasty dev... | Left total hip arthroplasty as above. |
Generate impression based on findings. | Recent colonoscopy demonstrates benign appearing sigmoid stricture; assess for external cause of sigmoid colon and compression ABDOMEN:LUNG BASES: There is a 3.5 mm left lower lobe micronodule (Series 4 Image 6)LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Heterogeneous mildly enlarged spleenPANCREAS: N... | Fibroid uterus. The left lateral aspect of the uterus abuts against the mid sigmoid colon and many be the explanation for the observed extrinsic impression upon the sigmoid colon seen on colonoscopy. Sigmoid diverticulosis without evidence for acute inflammation or neoplasm. |
Generate impression based on findings. | The ventricles and sulci are slightly prominent for the patient's stated age which may indicate mild global volume loss. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No pathologic extra-axial ... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: Recurrent head and neck cancer, L oral tongue History: Recurrent head and neck cancer, L oral tongue CHEST:LUNGS AND PLEURA: Stable right lower lobe subpleural nodule measuring 5 mm (image 66 series 5).Scattered calcified and noncalcified micronodules unchanged. No new suspicious pulmonary nodules or masses.No ... | Stable right lower lobe subpleural nodule. No evidence of metastatic disease. |
Generate impression based on findings. | 70 year old female with history of breast cancer and therapy related AML status post stem cell transplant complicated by large B-cell lymphoma now in remission. CHEST:LUNGS AND PLEURA: Small lingular partially calcified pulmonary nodule unchanged since 2009. Additional nonspecific pulmonary micronodules also unchanged.... | 1.1.4-cm lesion in the lower pole of right kidney poorly visualized on the prior exam, does not fulfill requirements for benignity, and is incompletely characterized. Recommend dedicated cross sectional renal imaging. 2.Mixed lytic/sclerotic lesions diffusely involving the manubrium, unchanged.3.High-grade stenosis of ... |
Generate impression based on findings. | Sarcoma evaluate for metastatic disease. LUNGS AND PLEURA: Motion artifact degrades image quality, limiting sensitivity for detection of subcentimeter lesions.Calcified micronodule in the lower lobe (4/79) unchanged from an abdominal CT dated 9/14/2010, statistically most likely a granuloma.Dependent atelectasis. No co... | No signs of metastatic disease within the limitations of motion artifact. |
Generate impression based on findings. | 40 year-old female patient with infertility. Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with free spillage on both sides into the pelvis, i... | Normal uterine cavity and patent fallopian tubes. |
Generate impression based on findings. | Lung carcinoma ABDOMEN:LUNG BASES: Please see separate chest CT report.LIVER, BILIARY TRACT: 0.9 x 0.9 cm low-attenuation focus within the dome of the liver best seen on image 8 on the axial series and image 35 on the coronal series. This lesion was not clearly noted on the prior study.Stable cholelithiasis.SPLEEN: No ... | New subcentimeter low-attenuation hepatic dome lesion; a metastatic focus cannot be excluded. Would recommend special attention to this lesion on future surveillance scans. |
Generate impression based on findings. | Female 57 years old Reason: r/o lumbar disc disease History: chronic L-paraspinal muscle pain. There is moderate degenerative disk disease at L4/5 and mild degenerative disk disease at L5/S1. Moderate facet joint osteoarthritis affects the lower lumbar spine. There is a grade 2 anterolisthesis of L4. Vertebral body hei... | Degenerative disk disease and other findings as above. |
Generate impression based on findings. | Postoperative changes are again noted from previous left frontal temporal craniotomy/cranioplasty. The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormalit... | 1. No acute intracranial abnormality.2. Unremarkable contrast-enhanced MR appearance of the orbits, other than for adjacent resolved as well as evolved areas of likely posttreatment change involving the visualized left masticator space and soft tissues along the left lateral orbital wall. Expanded appearance of the lef... |
Generate impression based on findings. | Male 19 years old Reason: eval fx 3rd MCP History: same. We have 3 views of the right hand. There is a fracture of the distal diaphysis of the fifth metacarpal with between 20 to 30 degrees of volar angulation of the distal fracture fragment. The third metacarpophalangeal joint appears normal. | Fifth metacarpal fracture as above. |
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