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Generate impression based on findings. | Malignant bronchial neoplasm LUNGS AND PLEURA: Stable mixed interstitial and patchy focal air space opacities largely observed in the right upper lobe, all unchanged. No associated effusion or additional intrapulmonary abnormalitiesMEDIASTINUM AND HILA: Right paratracheal lymph node remains 2.4 cm in short axis (image ... | Stable right apical suspected scarring or chronic change without new superimposed acute pulmonary abnormality. Specifically no findings to support intrapulmonary recurrent disease or metastatic disease. See reference measurements provided |
Generate impression based on findings. | 37 years, Female. Reason: Pre-Kidney Transplant Evaluation, two view supine and upright History: Potential Living Donor kidney transplant patient, with hx of umbilical abdominal pain r/o incarcerated hernia Severe levoscoliosis of the lumbar spine with lateral listhesis of L3 over L4. Compression deformity of the L2 an... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 72 years old Reason: HIP TOTAL ARTHROPLASTY PRIMARY UNCEMENTED (Left HIP). Components of a left total hip arthroplasty device with preliminary femoral component are situated in near anatomic alignment, although the distal extent of the device is not included on the field of vision of the study. Gas density over th... | Total hip arthroplasty in near-anatomic alignment. |
Generate impression based on findings. | 35 years, Male. Reason: eval stool burden vs SBO History: abd distension, abd pain Partially visualized central venous catheter tip projects over the left atrium. Lung bases are clear.Dilated loops of small bowel in the left upper quadrant with relative paucity of distal colonic bowel gas. | Partial small bowel obstruction versus ileus pattern. |
Generate impression based on findings. | Female 68 years old Reason: History of lytic lesion right radius. Please evaluate for resolution. History: As above. We have two views of the right forearm. There is an ovoid lucent lesion within the dorsal aspect of the mid radial diaphysis associated with endosteal scalloping. The lesion is approximately 2 cm in long... | Lucent lesion of the mid radial diaphysis as described above. Although nonspecific, this may represent a benign focus of cortical thinning considering that it was evidently present since at least 2008, based on clinical information supplied in a bone scan report. If further evaluation is clinically warranted, MRI may b... |
Generate impression based on findings. | Left chest tube, check pneumothorax LUNGS AND PLEURA: Small pleural effusions persist without significant interval change yet demonstrate underlying consolidation and/or atelectasis. Persistent focal gas collections are also observed again thought to represent cysts. Minimal new patchy airspace opacities in the left up... | Chest tube unchanged the small and significant associated pneumothorax. Minimal suspected aspiration without significant additional new abnormalities. Moderate pericardial effusion. See detail provided |
Generate impression based on findings. | 60 year-old woman with history of left breast mass seen on mammogram and ultrasound July 2014. Now with left axillary drainage. Three standard views of the left breast and a spot compression left MLO view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fi... | No mammographic evidence of malignancy. Sebaceous cyst in the left axilla. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammog... |
Generate impression based on findings. | Theodore Ford is a 61Yrs old male with history of IDDM, AAA (5.9 cm), CAD (s/p PCI x 7), CVA w/ residual slurred speech, and ischemic cardiomyopathy who is status post LVAD (HMII) insertion on 2/6/15CPT Code: 75572 Left Ventricle: The left ventricle is severely dilated without evidence of thrombus. There is an LVAD (He... | 1. No evidence of obstruction or "kinking" involving the inflow or outflow LVAD cannulas, which appear to be well positioned. 2. The LV is severely dilated but the interventricular septum is mid-line. 3. Moderate RV dilation. 4. Severe left atrial dilation. 5. Severe coronary artery disease as described above.This port... |
Generate impression based on findings. | Pain. Preoperative assessment. Three views of the left knee show severe osteoarthritis. Components of a right total knee arthroplasty device are situated in anatomic alignment and without complication.There is 7 degrees of valgus alignment of the knee with respect to the mechanical neutral axis. Severe degenerative dis... | Osteoarthritis and valgus deformity. |
Generate impression based on findings. | Female 66 years old Reason: r/o worsening DJD History: fell one month ago and hurt the right knee. effusion present. There is severe osteoarthritis of the right knee, particularly affecting the lateral compartment. There is also a moderate sized joint effusion. Overall, this appears similar compared to the prior study.... | Osteoarthritis. |
Generate impression based on findings. | 9-year-old male with two chest tubes placed to drain pleural effusion. Evaluate right chest tube placement.VIEW: Chest AP (one view) 2/18/2015 14:33 Placement of two right-sided pigtail catheters, one terminating in the medial aspect of the right hemidiaphragm and the second in the right lower lobe. ET tube below the t... | Placement of two right-sided chest tubes with improved aeration of the right lung as well as right pleural effusion. Persistent opacification of the left hemithorax unchanged. |
Generate impression based on findings. | Female 59 years old Reason: r/o oa vs ra History: bilat hand pain. We have 3 views of the right hand. Minimal osteoarthritic changes affect the hand. We see no erosions or other specific radiographic features of inflammatory arthritis.We have 3 views of the left hand. Minimal osteoarthritic changes affect the hand. We ... | Minimal osteoarthritis. |
Generate impression based on findings. | Male 67 years old Reason: s/p orif of ankle History: ankle pain. Three views of the left ankle show a side plate, screws, and pin affixing an oblique fracture of the distal fibula in near anatomic alignment. We see no hardware complications. Two screws affix a fracture of the medial malleolus in near anatomic alignment... | Orthopedic fixation of distal tibial and fibular fractures |
Generate impression based on findings. | Male 84 years old Reason: pain History: above. Four views of the right shoulder show mild osteoarthritis of the glenohumeral and acromioclavicular joints. There is spurring of the anterior aspect of the acromion as well as an adjacent ossicle. The glenohumeral joint alignment is within normal limits. | Osteoarthritis of the shoulder and other findings as above. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Male 56 years old Reason: Evaluation of pancreatic allograft History: Elevated amylase and lipase look for pancreatic abnormality The lack of intravenous contrast limits evaluation of solid organ pathology and lymphadenopathy.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis witho... | 1.No CT evidence of pancreatitis or its complications in the right lower quadrant transplant pancreas.2.No hydronephrosis or perinephric fluid collection in the left iliac fossa transplant kidney. |
Generate impression based on findings. | 29-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. The left tube freely opacified with free spillage into the pelvis, indicating tubal ... | Normal uterine cavity with patent left fallopian tube. The right fallopian tube was dilated and there was no free spillage into the pelvis. |
Generate impression based on findings. | Call back from screening mammogram for calcifications in the right breast. Three standard views with two spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. Loosely clustered coarse round calcifications are seen in the central aspect of the right breast. These... | High probability benign calcifications in the right breast. Short term follow-up of the right diagnostic mammogram in 6 months is recommended.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | Clinical stage IIIB cervical cancer. Complete staging exam.RADIOPHARMACEUTICAL: 8.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 99 mg/dL. Today's CT portion grossly demonstrates several calcified splenic granulomata. Dilation of the left upper renal collecting system is noted. Several enlarged bilateral ... | 1.Large markedly hypermetabolic cervical/uterine mass, compatible with the patient's diagnosis of cervical cancer.2.Several hypermetabolic bilateral iliac lymph node metastases within the pelvis.3.Borderline enlarged more mildly FDG avid lymph node more superiorly within the abdominal retroperitoneum is of some suspici... |
Generate impression based on findings. | Male, 78 years old, with severe neck pain at the base of the skull. Anterior instrumented fusion has been performed from C4 to C5 with placement of intervertebral device. The surgical plate and screws seem well positioned with no evidence of complication. A grade 2 anterolisthesis of C4 relative to C5 is demonstrated. ... | 1. Findings related to anterior instrumented spinal fusion at C4-5. No instrument complications are suspected. There is a grade 2 anterolisthesis of C4 relative to C5.2. Marked pannus formation at the atlanto-dental articulation resulting in effacement of the ventral thecal sac but minimal if any spinal cord deformatio... |
Generate impression based on findings. | History of DVT not on anticoagulation, worsening HF. Assess for PE. The comparison chest radiograph performed on 2/18/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show decreased ventilation within the left lower lobe on single-breath and wash-in images with eventual mild reten... | Intermediate probability for pulmonary embolus. Findings discussed by Dr. Appelbaum with the ICU resident in person prior to the stat dictation. |
Generate impression based on findings. | 10-year-old male with left mid abdominal pain, question of constipationVIEW: Abdomen AP (one view) 2/18/15 14:55 The bowel gas pattern is nonobstructive. There is only a mild stool burden. | Normal examination. |
Generate impression based on findings. | 11 year old female with knee pain with sportsVIEWS: Right and left knees, AP, lateral, sunrise and skiers (4 views) 2/18/15 14:04 Alignment is anatomic. There is no joint effusion or fracture evident. The osseous structures of both knees appear normal for the patient's age. | Normal examination. |
Generate impression based on findings. | Cough, SOB, fibrosis. LUNGS AND PLEURA: Moderate upper lobe paraseptal and mild centrilobular emphysema.Basilar subpleural honeycombing, architectural distortion, and mild traction bronchiectasis, consistent with UIP pattern.Calcified nodules consistent with healed granulomatous disease. Noncalcified scattered micronod... | Findings consistent with combined pulmonary fibrosis and emphysema (CPFE). |
Generate impression based on findings. | Female; 44 years old. Reason: secondary HTN History: High BP uncontrolled for last 2 months RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No perinephric fluid collections.KIDNEY: The transplanted kidney measures 11.1 cm in length. The cortex is normal in echogenicity. There is no shadowing stone ... | Normal ultrasound appearance of the transplanted kidney with patent vasculature. |
Generate impression based on findings. | Marginal zone lymphoma CHEST:LUNGS AND PLEURA: Right lower lobe nodule significant less conspicuous on the current examination but still measuring approximately 0.6 cm.MEDIASTINUM AND HILA: Interval decrease in size of posterior tracheal wall soft tissue mass as seen on image 23 now measuring 2.3 x 0.9 cm; this is in c... | Interval decrease in size of tracheal wall and right bronchial wall soft tissue masses. No new adenopathy. |
Generate impression based on findings. | Congestive heart failure, question LVAD. LUNGS AND PLEURA: Areas of linear scarring in the left upper lobe and lower lobes bilaterally. No evidence of CHF. Mild mosaic attenuation of the lung parenchyma, best appreciated on the coronal MINIP sequence; this may be the result of small airways disease and was present prev... | LVAD in expected position and without radiographic signs of complication. Chronic mild mediastinal lymphadenopathy is unchanged. No acute pulmonary abnormality; chronic mosaic attenuation of the lung parenchyma suggests the presence of small airways disease. |
Generate impression based on findings. | Cough, shortness of breath, fibrosis. Evaluate ILD. LUNGS AND PLEURA: Small bilateral pleural effusions.Patchy nodular groundglass and solid opacities bilaterally with more confluent faint groundglass in the lower lobes. Largest solid nodule is in the right middle lobe at 19 x 17 mm (series 4, image 54).No interlobular... | 1. Multifocal groundglass and solid nodules, suspicious for an atypical infection in the appropriate clinical setting. For the solid nodules, the largest in the right middle lobe, lung malignancy is also in the differential though considered less likely. Pulmonary edema is also in the differential for the groundglass o... |
Generate impression based on findings. | No acute intracranial hemorrhage. No CT evidence of acute large territorial ischemia. Small hypoattenuating lesion in the left frontal lobe may be slightly more prominent compared to the previous examination and may be related to evolution of the previous small stroke in this location. There is a small region of hypoa... | 1.No CT evidence of acute large territorial ischemia. If there is high clinical concern for acute ischemia, further evaluation with MRI is recommended.2.Scattered small hypoattenuating lesions, most of which were seen on the previous exam, are compatible with age indeterminate ischemic changes. |
Generate impression based on findings. | There is evidence of surgery/dissection in the left neck with volume loss and infiltration of the fascial planes as well as numerous scattered surgical clips. Since the prior examination, a large cystic lesion in the left supraclavicular fossa has been resected with new surgical findings correlating to that procedure.... | 1.Findings related to remote surgery in the left neck. 2.Interval resection of a cystic mass in the left supraclavicular region. Medial to the resection bed, there is a new thick walled cystic lesion and immediately inferior to the resection bed, there is a soft tissue nodule. While it is possible that both findings ar... |
Generate impression based on findings. | Right lower quadrant pain This study is compromised due to lack of intravenous contrast and poor bowel opacificationABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Stable splenomegaly.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significa... | Given the technical limitations of poor bowel opacification and lack of intravenous contrast, stable examination without acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | Cardiac surgeryVIEW: Chest AP ET tube and NG tube have been removed in the interval. Right central line, right chest tube and epicardial pacing leads again noted. Cardiomegaly unchanged. Patchy atelectasis in the right middle lobe and left lower lobe unchanged. No pleural effusion or pneumothorax. | Bilateral patchy atelectasis unchanged. |
Generate impression based on findings. | Right upper lung cancer initial staging.RADIOPHARMACEUTICAL: 12.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 93 mg/dL. Today's CT portion grossly demonstrates an approximately 2.5 cm right upper lobe spiculated mass, similar to previous CT. Several hypodense bilateral renal lesions are likely cysts. Ext... | 1.Markedly hypermetabolic right upper lobe mass, compatible with the patient's diagnosis of lung cancer.2.Punctate slightly FDG avid right superior hilar/interlobar lymph node of some suspicion for a single ipsilateral metastasis although this is equivocal.3.No contralateral thoracic or extrathoracic FDG avid tumor. |
Generate impression based on findings. | 16-year-old male with history of pancreatitis now with bilious output. Evaluate pancreas and rule out pancreatic pseudocyst ABDOMEN:LUNG BASES: No suspicious pulmonary nodules or masses. Bilateral pleural effusions, left greater than right, increased from prior study with adjacent compressive atelectasis. LIVER, BILIAR... | 1. Slight interval decrease in size of the pancreas reflecting improving pancreatitis. Extensive inflammatory changes surrounding the pancreas are unchanged however with no evidence of loculated fluid collection, abscess or pseudocyst.2. Bilateral pleural effusions, left greater than right, are increased from prior stu... |
Generate impression based on findings. | 77 year-old male with history of gastric cancer on chemotherapy, compare to prior. CHEST:LUNGS AND PLEURA: Reference right lower lobe solid pulmonary nodule (series 4, image 55) measures 7 mm, unchanged. Reference left lower lobe pulmonary nodule (series 4, image 68) poorly visualized but it is stable to decreased in s... | 1.Abnormal thickening of the gastric antrum suspicious for gastric malignancy with nodal involvement, decreased in size from prior. 2.Status post cystectomy with ileal conduit formation. No evidence of local recurrence. |
Generate impression based on findings. | Squamous cell carcinoma of the scalp and scan of neck. Status post RT. LUNGS AND PLEURA: New 9-mm nodule with epicenter along the mediastinal pleural surface (4/16).14-mm nodule right upper lobe (6/37), new from previous.23 x 21 mm soft tissue nodule surrounding the left inferior pulmonary vein and occluding the left l... | Left thoracic inlet mass with ipsilateral chest wall lymphadenopathy, bilateral pulmonary nodules suspicious for metastases and a right sided pleural metastases. |
Generate impression based on findings. | NG placementVIEW: Abdomen AP NG tube tip in the fundus of the stomach. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | NG tube tip in the fundus of the stomach. |
Generate impression based on findings. | NG placementVIEW: Abdomen AP NG tube tip in the fundus of the stomach. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | NG tube tip in the fundus of the stomach. |
Generate impression based on findings. | 13-year-old male right thumb pain status post injuryVIEWS: Right hand, AP, oblique, and lateral (3 views) 2/18/1515:40 A fracture is noted through the volar aspect of the base of the distal phalanx of the thumb extending to the physis with overlying soft tissue swelling. | Salter-Harris type II fracture of the base of the distal phalanx of the thumb. |
Generate impression based on findings. | Female; 35 years old. Reason: cervical cancer History: cervical cancer CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodule.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hypodensity in segment 7 of the liver (seri... | 1.Stable size and appearance of bulky cervical tumor and pelvic sidewall adenopathy.2.No evidence of metastatic disease.3.Subcentimeter hypodensity in the right lobe of the liver is too small to characterize but its stability favors a benign process. This can be followed on subsequent studies. |
Generate impression based on findings. | Female 34 years old Reason: hx of metastatic neuroblastoma, now s/p chemotherapy and resection History: hx of metastatic neuroblastoma, now s/p chemotherapy and resection. Status post retroperitoneal mass resection, IVC tumor thrombus resection, IVC resection with Gore-Tex graft reconstruction CHEST:LUNGS AND PLEURA: I... | 1.Postoperative fluid collection surrounds and exerts mass effect on a patent IVC graft. Favor hematoma or benign seroma over abscess. 2.The IVC graft is patent with a small nonocclusive thrombus. 3.No evidence of disease recurrence. |
Generate impression based on findings. | Status post left TKA. Two portable radiographic views of the left knee were obtained in the recovery room and time stamped 1333 and 1337 respectively. There are components of a total knee arthroplasty device situated in anatomic alignment and without complication. Foci of gas in the soft tissues and a drain reflect rec... | Total knee arthroplasty device as above. |
Generate impression based on findings. | Patient with breast cancer with mets to the liver is here for a Y90 mapping along with a nuclear medicine MAA. There is mild to moderate shunting to the lungs (lung fraction = 14.6%). There is heterogeneous activity in the right liver consistent with perfusion to tumor. Note however, a vast majority of activity goes to... | 1. Mild to moderate lung shunting.2. Note the largest hepatic dome lesion does not receive a significant amount of perfusion from the injection of radiotracer with the catheter in this location. |
Generate impression based on findings. | Back pain and tenderness as well as left hip pain for 2 months following fall. Five views of the lumbar spine show sever degenerative disc disease of L5-S1. Moderate degenerative disc disease is noted at L4-5. Alignment is within normal limits. Two views of the left hip show mild to moderate osteoarthritis affecting th... | Osteoarthritis and degenerative disc disease as described above. |
Generate impression based on findings. | 15 year-old female with scoliosisVIEWS: Thoracic and lumbar spine, AP (1 view) 2/18/15 15:28 14 degrees thoracic dextroscoliosis from the superior endplate of T3 through the inferior endplate of T10 and 32 degrees thoracolumbar levoscoliosis from the superior endplate of T11 to the inferior endplate of L4. No segmentat... | Thoracic dextroscoliosis and thoracolumbar levoscoliosis as described above appearing similar to the prior exam. |
Generate impression based on findings. | Malignant neoplasm of the adrenal gland. Repeat evaluation. Normal physiologic radiotracer distribution is seen in the salivary glands, myocardium, liver, bowel and bladder. A left sacral lesion has significantly decreased in activity, although remains mildly MIBG avid suggesting some persistent activity. Previously se... | 1. Near complete resolution of the previously seen MIBG avid tumor with mild residual activity of the left sacral metastatic lesion. No new MIBG avid lesion is identified.2. Prominent left adrenal uptake is considered more likely benign in etiology. |
Generate impression based on findings. | Small cell lung cancer pre-chemotherapy. CHEST:LUNGS AND PLEURA: There is significant dependent and compressive atelectasis due to scanning during supine patient positioning. Dominant nodule in the right upper lobe with incomplete occlusion of the apical segmental bronchus measures 2.5 x 1.7 cm and is inseparable from ... | Examination is limited by severe underinflation and compressive atelectasis due to scanning of the patient in the prone position. In addition, motion artifact is present. Within this limitation, the following observations were made:1. Right upper lobe anterior segment lesion extends centrally, inseparable from the righ... |
Generate impression based on findings. | Lung cancer staging.RADIOPHARMACEUTICAL: 7.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 99 mg/dL. Today's CT portion grossly demonstrates an approximately 7-cm left upper lobe pulmonary mass with some adjacent interstitial and groundglass opacities. A medium-sized left pleural effusion is present. Scatt... | 1.Markedly hypermetabolic left upper lobe mass, compatible with the history of lung cancer.2.Single markedly hypermetabolic left AP window lymph node likely represents ipsilateral lymph node metastasis.3.Multiple additional fairly symmetric bilateral hilar and mediastinal lymph nodes which are only mildly FDG avid and ... |
Generate impression based on findings. | Staging newly diagnosed gastric cancer. Evaluate extent of disease. RADIOPHARMACEUTICAL: 10.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 98 mg/dL. Today's CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis.Today's ... | 1.Large markedly hypermetabolic gastric antral mass, compatible with the history of gastric carcinoma.2.Several adjacent hypermetabolic gastrohepatic lymph nodes, consistent with regional lymph node metastases.3.No convincing FDG avid metastatic disease elsewhere. Symmetric mediastinal/hilar lymph node activity is cons... |
Generate impression based on findings. | Patient metastatic lung cancer. Status post MPDL LUNGS AND PLEURA: The left lower lobe peripheral nodule remains unchanged measuring 2.3 x 1.3 cm (image 68 series 4) with associated mild pleural adjacent thickening. Numerous pleural calcifications are also observed all unchanged.Mild centrilobular emphysema is unchange... | Unchanged left lower lobe focal pleural based nodule without additional abnormality. Reference measurements provided |
Generate impression based on findings. | Mesothelioma pre-clinical trial.RADIOPHARMACEUTICAL: 9.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 99 mg/dL. Today's CT portion grossly demonstrates diffuse left pleural thickening involving nearly all of the left pleural surface with left basilar consolidation and diffuse left interstitial opacities. ... | 1.Markedly hypermetabolic left pleural thickening involving nearly the entire left pleural surface has significantly increased in extent compatible with tumor progression. Additionally, increased activity within the left lung parenchyma may reflect additional tumor progression or inflammation. 2.Numerous new hypermetab... |
Generate impression based on findings. | Male 13 years old Reason: hx of ORIF History: above. Previously seen intramedullary rod affixing a fracture of the left clavicle has been removed. There is mild deformity of the distal clavicular diaphysis indicating a healing/healed fracture. | Healing clavicle fracture following removal of intramedullary rod. |
Generate impression based on findings. | Lung carcinoma ABDOMEN:LUNG BASES: Please see separate chest CT reportLIVER, BILIARY TRACT: No significant change in bilobar subcentimeter low-attenuation foci.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable bilat... | Stable examination |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Linear and nodular apical pleural scarring, unchanged from the prior exam. Mild to moderate centrilobular and paraseptal emphysema.Right middle lobe scarring, stable, likely from prior infection. Calcified pleural plaques, c... | No evidence of metastatic disease. |
Generate impression based on findings. | 66 year old female with multiple recent abdominal surgeries and persistent abdominal pain, nausea, leukocytosis with recent low grade fever. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with associated basilar atelectasis appearing similar to recent CT. Borderline cardiomegaly. Small hiatal hernia. LIVER, BILI... | 1.Extensive postsurgical changes without evidence of small bowel obstruction. Non-obstructive small bowel adhesions in the pelvis.2.No intraperitoneal abscess.3.Left renal low attenuation lesion does not meet all requirements for benignity and is incompletely characterized. In the appropriate clinical setting, recommen... |
Generate impression based on findings. | Female; 34 years old. Reason: 34 F with metastatic neuroendocrine tumor, please eval for interval progression since prior CT. History: none CHEST:LUNGS AND PLEURA: Again seen is a 3-mm nodule along the right minor fissure. This is unchanged. Right upper lobe pulmonary micronodules are unchanged.No suspicious pulmonary ... | Stable appearance of innumerable liver lesions compatible with metastatic neuroendocrine tumor. |
Generate impression based on findings. | Right shoulder pain. Rule-out osteoarthritis. Mild osteoarthritis affects the glenohumeral joint. There is cyst formation in the greater tuberosity at the expected site of insertion of the rotator cuff. The acromiohumeral interval is within normal limits. Degenerative arthritic changes also affect the visualized spine.... | Mild osteoarthritis of the shoulder. |
Generate impression based on findings. | Female, 88 years old, with altered mental status. Assess for intracranial mass or bleed. Patchy periventricular hypoattenuation is again seen, a nonspecific finding. No loss of gray-white distinction, parenchymal edema or mass effect is detected. No evidence of intra-cranial hemorrhage or any abnormal extra-axial fluid... | Redemonstration of nonspecific periventricular hypoattenuation which may represent age indeterminate microvascular ischemic disease.No CT evidence of acute territorial ischemia is seen. However, if clinical concern persists, further evaluation with MRI would be appropriate. |
Generate impression based on findings. | Male 72 years old Reason: Evaluate s/p Left THA History: Evaluate s/p surgery . Hardware components of a left total hip arthroplasty device are situated in near anatomic alignment with no radiographic evidence of hardware complication. Skin staples, a drain, and foci of gas density in the soft tissues reflect recent su... | Total hip arthroplasty in near-anatomic alignment. |
Generate impression based on findings. | Follow-up A plate and screws are again seen affixing an oblique fracture of the distal fibula in near anatomic alignment. Callus along the posterior aspect of the fracture appears to have progressed compared with the prior study, suggesting some interval healing. There is mild diffuse soft tissue swelling. There is thi... | Orthopedic fixation of healing distal fibular fracture. |
Generate impression based on findings. | LEFT LOWER EXTREMITY: Flow in the external iliac artery terminates abruptly in the midportion of the external iliac and common femoral artery stent. The distal common femoral artery bypass graft and profunda reconstitute via collaterals. After angioplasty with a 6-mm balloon, there is only a moderate amount of flow th... | Acute thrombosis of the left common femoral artery. Minimal improvement status post angioplasty.PLAN: The patient will be taken emergently to the operating room for surgical repair. |
Generate impression based on findings. | Female 41 years old Reason: eval for fracture History: hip pain. The bones appear demineralized. There is a poorly defined bandlike lucency traversing the left femoral neck consistent with a fracture or Looser's zone if the patient has a history of osteomalacia. There is poor definition of the superolateral cortex of t... | Nondisplaced left femoral neck fracture/Looser's zone as described above. Workup for osteomalacia is recommended |
Generate impression based on findings. | Female 29 years old Reason: right thumb MCP injury History: swelling and pain, after bending thumb backwards accidentally. No fracture or malalignment. Specifically, the right thumb metacarpophalangeal joint appears normal. | No specific findings to account for patient's pain. If further imaging evaluation is clinically warranted, dedicated thumb radiographs are recommended. |
Generate impression based on findings. | Rectal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH... | Complex loculated perianal fluid collection with extension into the right ischiorectal fossa. Findings consistent with peri-anal abscess. Since CT lacks sensitivity in assessing for fistulous communication to the anus, would recommend correlation with MR. |
Generate impression based on findings. | Female, 96 years old, with lethargy and decreased mentation, prior posttraumatic intracranial hemorrhage. Please compare to previous. Hyperattenuating blood product seen on the prior examination in the right parietal lobe and along the right occipital and temporal lobes has resolved. Hypoattenuation and encephalomalaci... | 1.Resolution of previously seen hyperdense hemorrhage with encephalomalacia now seen in those locations.2.Mild interval increase in caliber of the lateral ventricles is seen which cannot be entirely attributed to ex vacuo dilatation. The etiology and significance of this finding are uncertain.3.Redemonstration of periv... |
Generate impression based on findings. | Restaging small cell lung cancer prior to clinical trial.RADIOPHARMACEUTICAL: 9.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 106 mg/dL. Today's CT portion of the neck and pelvis demonstrates a right hip prosthesis but otherwise no significant pathology. Please see diagnostic CT reports for details of th... | 1.Multiple hypermetabolic tumor foci in the right chest.2.No suspicious FDG avid lesion in the contralateral left chest, abdomen, pelvis, or visualized skeleton.Diagnostic CTs of the chest and upper abdomen and also performed at today's visit will be reported separately. |
Generate impression based on findings. | 44 year-old female. Patient status post anterior pelvic exenteration for recurrent cervical cancer. Now with persistent tachycardia. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Calcified nodules consistent with healed granulomatous disease. Scattered noncalcified micronodules are likely also... | No evidence of pulmonary embolism or significant acute abnormality. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Male 72 years old; Reason: ankle fracture? History: s/p fall, TTP at lateral malleolus and midfoot Three views of the right ankle show an oblique fracture of the distal fibula with fracture fragments in near-anatomic alignment. There is soft tissue swelling about the ankle. Three views of the right foot show slightly d... | Distal fibular fracture as above. Findings were discussed with Dr. Frogge (pager 3326) at the time of this finding by Dr. Veronesi of the radiology service on 2/18/2015 at approximately 1630. |
Generate impression based on findings. | History of psoriatic arthritis. ANA positive and inflammatory back pain. Evaluate for spondylitis. There is a bilateral spondylolysis of L5 without significant spondylolisthesis. There is perhaps minimal narrowing of the L5-S1 intervertebral disk space, but this is equivocal. Vertebral body heights are preserved. Align... | L5 spondylolysis. |
Generate impression based on findings. | Neck instability. Some dysphagia. Moderate degenerative disk disease affects C5/6. The C5/6 neural foramina appear slightly narrowed bilaterally. Alignment of the cervical spine is within normal limits. The atlantal-axial articulation is within normal limits. Note is made of an impacted mandibular molar. A right upper ... | Degenerative disk disease and other findings as above. |
Generate impression based on findings. | Neuroblastoma on ANBL09P1 status post MIBG therapy. Normal physiologic radiotracer distribution is seen in the salivary glands, myocardium, liver, bowel and bladder. Previous activity within the right adrenal gland has resolved. There is no abnormal focus of activity to indicate current MIBG avid tumor. A focus of appa... | No MIBG avid tumor currently. |
Generate impression based on findings. | Clinical question: Rule out mass lesion. Signs and symptoms: Seizure. Unenhanced head CT:There is no detectable acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus.There is no detectable abnormal enhancement the brain parenchymal or the leptomeninges to suggest presence of a mass.Unremarka... | Negative enhanced head CT. |
Generate impression based on findings. | Clinical question; Rule out bleed. Signs and symptoms: AMS. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.There are patchy bilateral subcortical and periventricular low attenuation white matter which are non... | 1.No acute intracranial process.2.Moderate age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: AMS. Signs and symptoms: AMS. Nonenhanced head CT:There is no evidence of acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic stroke. Examination demonstrate moderate periventricular and subcortical low attenuation white matter which considering patient'... | 1.No acute findings.2.Moderate age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion.Moderate degree non specific small vessel ischemic changes, no change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline sh... | No evidence of acute ischemic or hemorrhagic lesion.Small vessel ischemic disease, no change since prior exam. |
Generate impression based on findings. | 57 years, Female. Reason: evaluate for free air History: septic shock with unknown source Note that the examination is limited by patient instability and positioning. The pelvis is excluded from the field-of-view. Enteric feeding tube tip projects over the gastric body. Nonobstructive bowel gas pattern. No pneumoperito... | Enteric feeding tube tip projects over the gastric body. No pneumoperitoneum seen. |
Generate impression based on findings. | Clinical question: Concern for bleed or edema. Signs and symptoms: Alteration of mental status. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, ... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 49 years, Male. Reason: dht placement History: DHT PLACEMENT Enteric feeding tube tip projects over the pyloric region. Mildly dilated loops of small bowel are consistent with an ileus pattern. Left lower lobe opacities appear similar compared to prior chest radiograph.The lower pelvis is excluded from the field-of-vie... | Enteric feeding tube tip projects over the pyloric region. |
Generate impression based on findings. | cerebrovascular accident Multifocal low attenuation areas on the left parietal lobe superior lobule, right side putamen and external capsule, and right cerebellar hemisphere indicating possible acute/subacute ischemic infarctions. Underlying brain shows moderate to severe non specific small vessel ischemic disease.The ... | Multifocal low attenuation lesions indicating possible acute/subacute ischemic lesions as described above.Brain MRI can be considered if further imaging investigation is needed.Extensive non specific small vessel ischemic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Clinical question: 55 year old female with history of head and neck cancer ACC with metastases to tongue, lung and liver. Signs and symptoms: On deviation to the left, rule out brain metastases. Nonenhanced head CT:Examination demonstrate a focus of vasogenic pattern edema in the left superior frontal gyrus with result... | 1.Small focus of vasogenic edema in the left superior frontal gyrus (12 x 22 mm) highly suspected of peritumoral vasogenic edema. Follow up with enhanced CT or MRI is recommended.2.Unremarkable exam otherwise. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign biopsies. 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. No suspicious masses, microcalcifications or are... | 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. | 47 years, Male. Reason: dobhoff placement History: same Dobbhoff tube tip projects over the gastric body. Support devices are unchanged. Mildly dilated loops of small bowel are again noted. Right pleural effusion.The pelvis is excluded from the field of view. | Dobbhoff tube tip projects over the gastric body. |
Generate impression based on findings. | 63 years, Female. Reason: NGT position History: pulled out 6 inches Enteric feeding tube tip projects over the gastric fundus. Persistently dilated loops of small bowel, consistent with postsurgical ileus. Surgical drain and skin staples project over the lower abdomen and pelvis.The pelvis is excluded from the field-of... | Enteric feeding tube tip projects over the gastric fundus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in her grandmother. 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 composed of scattered fibroglandular density, unchanged in patter... | 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. | 58 years, Female. Reason: 58 yo with abd pain History: abd pain Nonobstructive gas pattern. No pneumoperitoneum. Average stool burden in the colon. | No acute intra-abdominal abnormalities. |
Generate impression based on findings. | 55-year-old male with chest pain and hypotension, rule out abdominal aortic aneurysm. 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: No significant abnormal... | 1.Evaluation for dissection limited by lack of intravenous contrast. Ectatic ascending aorta similar in morphology to prior.2.Normal caliber abdominal aorta. 3.Colonic diverticulosis without diverticulitis.4.Hepatic steatosis. |
Generate impression based on findings. | 53-year-old female with history of low-grade endometrial stromal sarcoma resected in anterior vaginal wall, evaluate for metastasis. CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules. No suspicious nodules or masses. No consolidation or pleural effusions. MEDIASTINUM AND HILA: No hilar or mediastinal... | 1.Interval resection of vaginal cuff mass seen on recent MRI.2.Ill-defined soft tissue attenuation in the right pelvis nonspecific but cannot exclude metastatic disease.3.New ill-defined soft tissue encasing thrombosed right common femoral vein, cannot exclude metastatic disease. In the apppropriate clinical setting, m... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her aunt. Bilateral breast pain for a week. 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 composed of scattered fibroglandula... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Suggest clinical correlation given the patient's breast pain.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 66 years old Reason: rule out tifflitis, SBO in 66yo neutropenic pt w abd pain and distention History: abdominal distention s/p colectomy ABDOMEN:LUNG BASES: Subpleural nodule in the right upper lobe which has slightly decreased in size now measuring up to 8 mm (series 4, image 3). Additional nonspecific micronodu... | 1.Markedly dilated colon consistent with colonic ileus.2.Ill-defined soft tissue mesenteric mass in the left midabdomen which likely represents metastatic lymphadenopathy or carcinoid tumor. |
Generate impression based on findings. | 70 year-old female with abdominal pain. Exam somewhat limited by motion. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: Subsegmental basilar opacities, probably... | 1.No acute intraabdominal process.2.Cholelithiasis without evidence of acute cholecystitis.3.Distended bladder. 4.Above average stool burden. |
Generate impression based on findings. | 26-year-old male with history of renal transplant, evaluate for 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 can be made: ABDOMEN:LUNG BASES: No significant abnormality note... | 1.Right iliac fossa transplant kidney without hydronephrosis. Nonspecific 2.3 x 7 cm fluid collection posterior to the transplant kidney, favor postoperative seroma or urinoma. JP drain with tip in the midline soft tissues of the anterior abdominal wall without associated fluid collection.2.Colonic diverticulosis witho... |
Generate impression based on findings. | 73 year old female with history of metastatic breast cancer needs re-evaluation and compare to prior scans using RECIST. CHEST:LUNGS AND PLEURA: Bilateral upper lobe pleural thickening/scarring, right greater the left, with areas of calcification. Mild apical predominant centrilobular emphysema. Bibasilar dependent sca... | 1.Interval decrease in size of reference anterior mediastinal and axillary lymph nodes.2.Interval decrease in size of left adrenal nodule which previously demonstrated increased metabolic activity on PET.3.Widespread osseous metastases appearing grossly similar to prior. Possibly pathologic fractures of the right clavi... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | 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. | Right sided hydronephrosis. Duplex right kidney. There is prompt perfusion, uptake and excretion of the left kidney. No evidence of left collecting system dilation or obstruction. The right kidney demonstrates somewhat delayed perfusion. The right upper moiety demonstrates prompt uptake and excretion without evidence o... | 1.Normal appearing left kidney and its collecting system.2.Normal upper moiety of the right kidney and its collecting system. 3.Significantly diminished parenchymal function of the right lower moiety as well as moderately dilated right lower collecting system with poor washout which could be due to lower moeity obstruc... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in her mother. 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 composed of scattered fibroglandular density, unchanged in pattern... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: evaluate R middle lobe opacity, ? PNA, infarct vs. neoplasm History: R middle lobe infarct, recurrent fevers LUNGS AND PLEURA: Right perihilar solid, nodular area of consolidation ( new from prior CT imaging dated 01/2004) with extension anteriorly and inferiorly, and scattered surrounding ground glass and nodu... | Right perihilar solid, nodular area of consolidation corresponds with the opacity seen on recent prior chest radiographs. Given the relatively short time course of this abnormality on recent radiographs, infectious process is more likely, but the appearance is worrisome for tumor, and rapidly growing neoplasm cannot be... |
Generate impression based on findings. | 45 years, Female. Reason: obstipated without bowel sounds. Rule out mechanical obstruction vs ileus History: pain, constipation Diffuse dilation of predominately large bowel loops. Moderate stool burden with amorphous stool in the rectum. Bilateral tubal ligations clips noted. | Diffuse dilation of predominately large bowel loops suggestive of large bowel ileus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History breast cancer in her grandmother. 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 composed of scattered fibroglandular density, unchanged in pattern and d... | 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. | 81 years, Male. Reason: Patient with suspected CBD injury, direct transfer from OSH History: Abdominal pain Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Right greater than left bibasilar interstitial and airspace opacities. Discoid atelectasis bilaterally at the bases.Surgical clips in t... | 1.Right lung base opacity may represent aspiration.2.Ileus versus partial small bowel obstruction.3.Thickened jejunal folds. Correlate for causes of mucosal edema such as ischemia. |
Generate impression based on findings. | Female 77 years old; Reason: Merkel cell with mets to pancreas. please measure using recist criteria and assess for any other sites of disease History: pre chemo CHEST:LUNGS AND PLEURA: Apical pleural nodularity/scarring. Punctate 2 mm right middle lobe lung nodule, image 58 series 8, nonspecific. No pleural effusion. ... | 1. Large heterogeneous soft tissue mass involving majority of pancreas, compatible with patient's history of metastatic disease. 2. Periceliac and pelvic adenopathy, reference nodes as above. |
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