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Generate impression based on findings. | Female 65 years old Reason: Met Ovarian cancer needs evaluation and compare to prior scans. Measurements per RECIST 1:1 bi-dimensional where applicable. History: Met Ovarian cancer needs evaluation and compare to prior scans. Measurements per RECIST 1:1 bi-dimensional where applicable. CHEST:LUNGS AND PLEURA: Nonspecif... | Interval increase in the size of the right axillary, mediastinal, retroperitoneal and mesenteric adenopathy and interval increase in the peritoneal carcinomatosis consistent with progression of the disease.Slight interval increase in the size of the splenic lesion. Pelvic adenopathy is stable. |
Generate impression based on findings. | 58 years, Male. Reason: s/p Dobbhoff placement History: same Partially visualized tracheostomy tube. Dobbhoff tube projects over the gastric body. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view.Pneumomediastinum is noted and better appreciated on chest radiograph. | Dobbhoff tube projects over the gastric body. Pneumomediastinum. Findings discussed with pager 6467 at 0902 on 2/19/15. |
Generate impression based on findings. | 61 years, Female. Reason: c/o post-op abdominal pain History: abdominal pain Cholecystectomy clips project over the right upper quadrant. Degenerative changes affect the pubic symphysis.A 7-mm nodule is noted in the right lung base, seen on prior CTs.Paucity of bowel gas throughout the abdomen. No pneumoperitoneum. | Nonspecific bowel gas pattern, likely post-op ileus. 7-mm right lung base nodule. |
Generate impression based on findings. | 6-year-old male with back pain and vomiting, rule out shunt problemVIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 2/19/15 3:33 The intracranial portion of the shunt catheter projects to the left of midline, unchanged. Strata valve level is at 1.5. The ext... | No kinking or discontinuity of the radiopaque portion of the shunt catheter. |
Generate impression based on findings. | 67 years, Female. Reason: baseline, abdomen soft but pt being empirically treated for C diff and not making stool History: sepsis Cholecystostomy tube projects over the right upper quadrant. Dobbhoff tube catheter projects over the gastric fundus. Nonobstructive bowel gas pattern. Left adrenal calcification as noted on... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 6-month-old female status post diaphragmatic hernia repairVIEWS: Abdomen, AP and lateral (two views) 2/19/15 Mild diffuse bowel distention without evidence of obstruction. No bowel wall pneumatosis or free intraperitoneal air. | Diffuse small bowel distention without bowel wall pneumatosis or free air, favoring ileus. |
Generate impression based on findings. | 7 year-old female with distal tibial fracture status post reduction.VIEWS: Left tibia/fibula AP and lateral (two views) status post casting, 2/18/2015 at 1649 Evaluation of bony detail is limited by overlying casting material. Again seen is an oblique distal tibial diaphyseal fracture with persistent lateral displaceme... | Distal tibial fracture with persistent displacement of fracture fragments status post reduction as described above. |
Generate impression based on findings. | Female 25 years old Reason: eval for acute process, s/p thumb hyperextension inj 12/25/14, fell yest History: thumb pain. Mild soft tissue swelling. No underlying fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | Headaches, history of chronic subdural hematoma, status post evacuation Again seen is a left-sided subdural collection measuring up to 10 mm in thickness along the left frontotemporoparietal convexity similar in size to prior. There is a hematocrit effect. There is increased redistribution along the left greater than r... | Compared to 2/13/2015, no significant change in size of mixed density left-sided subdural collection. There is slight interval evolution in the attenuation and increase in blood products along the tentorium likely related to redistribution. There is mild mass effect with minimal rightward midline shift which are also u... |
Generate impression based on findings. | 2-year-old male with respiratory failure, evaluate ETT position.VIEW: Chest AP (one view) 2/19/15 7:44 The ETT is above the carina. Left central venous catheter tip in the SVC. Enteric tube tip and side port in the stomach. The cardiothymic silhouette is normal.Interval improvement in right upper lobe atelectasis with ... | Interval improvement in right upper lobe atelectasis with mild residual streaky opacity. |
Generate impression based on findings. | Female 74 years old Reason: evaluate for malignancy, ?primary History: h/o malignant pleural effusion, unknown primary CHEST:LUNGS AND PLEURA: Multiple lung nodules of varying sizes. Ill-defined nodule in the right upper lobe measures 1.2 x 0.9 cm (series 5, image 30). Nodule in the left lower lobe measures 1.3 x 1.1 c... | 1.Multiple bilateral lung nodules with extensive mediastinal and hilar lymphadenopathy concerning for a primary lung malignancy.2.Large bilateral pleural effusions.3.Bowel-containing right lumbar hernia without evidence of obstruction.4.Hypodense lesion within the upper pole of the left kidney likely represents a compl... |
Generate impression based on findings. | 9-year-old male status post ET tube placement.VIEW: Chest AP (one view) 2/19/2015 at 0542 Two right-sided pigtail catheters are again noted, one terminating in the medial aspect of the right hemidiaphragm and the other in the right lower lobe. ET tube tip is between the thoracic inlet and the carina. Feeding tube tip i... | Persistent complete opacification of the left hemithorax. |
Generate impression based on findings. | 9-year-old male status post ET tube placement.VIEW: Chest AP (one view) 2/18/2015 at 1732 Two right-sided pigtail catheters are again noted, one terminating in the medial aspect of the right hemidiaphragm and the other in the right lower lobe. ET tube tip is between the thoracic inlet and the carina. Feeding tube tip i... | Persistent complete opacification of the left hemithorax. |
Generate impression based on findings. | 40 year-old recalled from screening for a focal asymmetry in the right upper outer breast. An ML view and 3 spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern an... | 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. | Female 21 years old Reason: Thumb fracture? History: Hand injury. No acute fracture or malalignment. There is, perhaps, trace soft tissue swelling about the thumb. | No acute fracture or malalignment. |
Generate impression based on findings. | 17 year-old female with urinary urgency and intermittent right lower quadrant 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 noted... | Normal examination without specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Motion artifact is present. There is a stable right parietal approach ventriculostomy catheter with tip in the left frontal lobe. The lateral ventricles are again collapsed with mild prominence of the quadrigeminal plate, suprasellar color, and suprasellar cisterns. The third and fourth ventricles are also unchanged. ... | 1. Stable right parietal approach ventriculostomy catheter with stable ventricular configuration and caliber.2. Persistent mild prominence of the quadrigeminal plate, supracerebellar, and suprasellar cisterns.3. Improved field-of-view allowing for visualization of the caudal extent of cerebellar tonsils beyond the leve... |
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. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Female 31 years old Reason: evaluate for dislocation/fracture History: ankle swelling and pain. There is soft tissue swelling around the lateral malleolus. There is a subtle cortical irregularity along the lateral process of the talus, which may represent an occult facture. | Possible lateral talus fracture with overlying soft tissue swelling. Follow up ankle radiographs in 7-10 days are recommended.Findings verbally relayed to Dr. Saint-Hilaire at 1109 am, on 2/19/2015. |
Generate impression based on findings. | 8-month-old female, intubated, evaluate ETT position. VIEW: Chest AP (one view) 2/19/15 5:16 ETT tip just above the carina. Enteric tube tip extends beyond the field of view. UAC tip at T6/T7. UVC catheter tip at the right SVC/atrial junction. Left PIC catheter tip in the left axilla.Interval improvement in diffuse haz... | Improved right pulmonary opacity. ETT tip just above the carina. |
Generate impression based on findings. | Facial trauma from syncope with left facial TTP and hematoma. No entrapment. There are no fractures identified involving the maxillofacial bones. Bilateral nasal bones, orbits, paranasal sinuses, and zygomatic arches remain intact. Mandible including the temporomandibular joints are intact. Pterygoid plates are intact.... | 1. No maxillofacial fractures.2. Soft tissue hematoma in the left malar region. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with two repeat left MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious ma... | 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. | Male 53 years old Reason: L hip pain; recent fall History: as above. Mild arthritic changes affect the left hip joint. No evidence of acute fracture | Mild osteoarthritis without evidence of fracture. |
Generate impression based on findings. | IntubationVIEW: Chest AP 2/18/15 ET tube tip immediately above the carina. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal patchy atelectasis left upper lobe. No pleural effusion or pneumothorax. Mandibular distraction hardware noted. | ET tube tip immediately above the carina. |
Generate impression based on findings. | 5-year-old female status post suspected displacement of central line.VIEW: Chest AP (one view) 2/18/2015 at 1951 The left central venous catheter has retracted and its tip is now within the left brachiocephalic vein. Normal cardiothymic silhouette. Low lung volumes. Left retrocardiac opacities compatible with left lowe... | 1.Retracted left central venous catheter with tip in the left brachiocephalic vein. 2.Left lower lobe atelectasis. |
Generate impression based on findings. | 15-year-old male, evaluate PICC placementVIEW: Chest AP (one view) 2/18/15 16:59 Left PICC tip in right atrium. Enteric tube tip in the stomach with side port at the EG junction.The cardiothymic silhouette is normal. No focal pulmonary opacities or pleural effusions. | Left PICC tip in the right atrium. |
Generate impression based on findings. | Male 60 years old Reason: History of left PIP arthroplasties History: History of left PIP arthroplasties. Second through fourth proximal interphalangeal joint prostheses are seen in near-anatomic alignment without radiographic evidence of hardware complication. There is callus formation about a fracture of the base of ... | Postoperative changes and degenerative changes as described above. Interval healing of fourth middle phalanx fracture. |
Generate impression based on findings. | Positive AFBVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal atelectasis left lower lobe. No pleural effusion or pneumothorax. | Minimal atelectasis left lower lobe. |
Generate impression based on findings. | 13-year-old female with pain and swelling for one month, rule out bony processVIEWS: Right hand AP, oblique and lateral, left hand AP, oblique and lateral Alignment is anatomic. The osseous structures of each hand appear normal for the patient's age. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 55-year-old with history of right mastectomy for breast cancer on AI. Three standard views of the left breast were performed digitally 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 dominant mass, suspicious micro... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 3 year-old male with nasal congestion, assess adenoidsVIEWS: Soft tissue neck, lateral (one view) 2/18/15 17:05 There is prominence of the adenoid tonsils with mild nasopharyngeal airway narrowing. There airway is otherwise patent. The osseous structures appear normal for the patient's age. | Prominent adenoid tonsils with mild nasopharyngeal airway narrowing. |
Generate impression based on findings. | 9-year-old male with fifth metatarsal pain. Evaluate for fracture.VIEWS: Right foot AP oblique lateral (3 views) 2/18/2015 at 2241 Mild soft tissue swelling is noted about the lateral aspect of the foot. However, no underlying fracture or dislocation is present. Alignment is anatomic. No ankle joint effusion. | Mild soft tissue swelling without fracture evident. |
Generate impression based on findings. | Male 53 years old Reason: Fall History: Pain. A small flake of bone is seen along the dorsal aspect of the distal radius on the lateral view, with out evidence of a definite donor site. A well corticated ossicle is seen along the dorsal surface of the right hand on the lateral view and likely represents a carpal boss. | Small flake of bone along dorsal aspect of distal radius without evidence of a definite donor site may represent a fracture. Correlation with point tenderness on physical exam is recommended. |
Generate impression based on findings. | PHARYNX/LARYNX: The right piriform sinus is not well aerated. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The postcontrast appearance of the salivary glands i... | 1. No abnormality such as focal fluid collection or abscess within the submandibular space. No significant cervical lymphadenopathy. No inflammatory changes identified.2. Left subclavian and brachiocephalic vein stent with suggestion of focal narrowing of the junction with the superior vena cava just distally, with pro... |
Generate impression based on findings. | BiPAP requirementVIEW: Chest AP 2/19/15 Left upper extremity PICC tip in the right ventricle. There is mediastinal shift from left to right. Cardiothymic silhouette normal. Patchy atelectasis in the right lung. No pleural effusion or pneumothorax. | Malpositioned left PICC with patchy atelectasis in the right lung. |
Generate impression based on findings. | 10-year-old male with right foot pain status post twist injury.VIEWS: Right ankle AP oblique lateral (3 views) and right foot AP oblique lateral (3 views), 2/19/2015 at 0236 Foot: No acute fracture or dislocation. Alignment is anatomic. Cortical irregularity about the distal aspect of the first proximal phalanx represe... | 1.No acute fractures identified. 2.Slight questionable widening of the medial ankle mortise; this can be further evaluated with MRI if there is clinical concern for ligamentous/soft tissue injury. |
Generate impression based on findings. | 67 year old male. OHT December 2014, presenting with hypoxia. Evaluate for underlying lung etiology LUNGS AND PLEURA: Very small bilateral pleural effusions, greater on the right, with adjacent atelectasis.Right lower lobe subpleural wedge-shaped groundglass opacity is suspicious for an infarct, infectious/inflammatory... | 1. Right lower lobe subpleural wedge-shaped groundglass opacity suspicious for a pulmonary infarct. There is a hyperdense filling defect in the right distal main and lobar branches suspicious for pulmonary embolus; confirmation with a CT PE exam or V/Q scan is recommended.2. Very small bilateral pleural effusions.Findi... |
Generate impression based on findings. | Reason: eval for acute process History: SOB/pleuritic CP, +dimer PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Stable benign appearing pulmonary micronodules, including a 4 mm nodule along the minor fissure (series 11, image 146) which is likely ... | No evidence of pulmonary embolism or other acute cardiopulmonary abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | RDS intubatedVIEW: Chest AP 2/19/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. The umbilical arterial catheter again noted. Cardiothymic silhouette normal. Bilateral diffuse atelectasis increased from prior study. No pleural effusion or pneumothorax. | Bilateral atelectasis increased from prior study. |
Generate impression based on findings. | Female 55 years old Reason: Characterize known metastatic breast CA History: History of metastatic breast CA CHEST:LUNGS AND PLEURA: Reference right apical nodule is stable in size and measures 0.9 x 0 .7 cm (series 5, image 20), previously 1.0 x 0.6 cm. Stable small left apical scar-like opacity (series 5, image 27).N... | 1.Stable destructive right chest wall mass and lung nodules.2.New hypodense lesion within the left lobe of the liver which is suspicious for progression of metastatic disease. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP ET tube tip at the level of the thoracic inlet. The umbilical venous catheter tip in the IVC. The prior UVC catheter has been removed in the interval. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally not significantly changed. No pleural effusion or pneumothora... | The umbilical venous catheter tip in the IVC. |
Generate impression based on findings. | Evaluate right pleural effusion.VIEW: Chest AP (one view) 2/19/2015 at 0522 Loculated right pleural effusion and associated atelectasis have progressed since the prior study. Small left pleural effusion and interval increase in left retrocardiac opacification are also noted. ET tube tip between thoracic inlet and carin... | Interval worsening of right pleural effusion and bibasilar opacities.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Battery, evaluate for fracture There is a soft tissue hematoma in the right malar region, with foci of air likely related to laceration. There are no fractures identified involving the maxillofacial bones. Bilateral nasal bones, orbits, paranasal sinuses, and zygomatic arches remain intact. Mandible including the tempo... | 1. No maxillofacial fractures.2. Soft tissue laceration and hematoma in the right malar region. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP ET tube tip immediately above the level of the carina. There are two umbilical venous catheters with tips at the right internal jugular vein and IVC. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Bilateral diffuse atelectasis without pleural effusion or... | Malpositioned ET tube and one of the UVC with tip in the right internal jugular vein. |
Generate impression based on findings. | Tetralogy of Fallot status post repair.VIEW: Chest AP Stable cardiomegaly. Mild patchy right middle and left lower lobe atelectasis but no focal air space opacity or pleural effusion. Right central venous catheter tip in SVC. Right chest tube and epicardial pacing leads are unchanged in position. No evidence of pneumot... | Unchanged bilateral patchy atelectasis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 38-year-old male. Reticular opacities on CXR. Evaluate for infection. LUNGS AND PLEURA: Multiple ill-defined solid nodules with surrounding groundglass opacity bilaterally. The largest nodule measures 12 mm (series 4, image 28). This is consistent with an atypical infection, specifically fungal.Left basilar atelectasis... | 1. Multiple bilateral nodular opacities with surrounding groundglass most consistent with an atypical infection, most likely fungal.2. Small amount of abdominal ascites. 3.Incompletely characterized right hepatic lobe noncystic lesion, unchanged from recent CT abd/pelvis and most likely an incidental benign finding. |
Generate impression based on findings. | Reason: h/o recurrent HNC, s/p cetuximab, eval response, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Scattered benign-appearing micronodules, unchanged. Bilateral tracheobronchial debris, and scattered lower lobe ground glass opacities and nodularity, increased in prominence from the pri... | 1.No evidence of metastatic disease.2.Bilateral tracheobronchial debris, and scattered ground glass opacities and nodularity, compatible with aspiration and/or mucous plugging. |
Generate impression based on findings. | Recurrent sinusitis. Nasal congestion and discharge. There are postoperative findings related to endoscopic sinus surgery. There is moderate mucosal thickening within the bilateral maxillary sinuses, but the neo-infundibula are largely patent. There is also diffuse opacification of the ethmoid cavities and near-complet... | 1. Postoperative findings related to endoscopic sinus surgery with evidence of acute upon chronic sinusitis.2. Dental disease. |
Generate impression based on findings. | For the purposes of numbering, there are 5 lumbar type vertebral bodies. There are postoperative changes related to XLIF from L1 to L5. Interbody spacers are well positioned. There is an obliquely oriented fracture involving the the right lateral aspect of the L2 vertebral body. There is also a split fracture involvin... | 1. Immediate postsurgical changes of XLIF from L1 to L5. Interbody spacers are in adequate position. There is a coronal split fracture involving the L4 vertebral body which extends postero-obliquely on the right. There is central loss of height of approximately 45%. No osseous retropulsion. There is also an obliquely o... |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild-moderate age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are multiple scattered punctate foci of abnormal T2/FLAIR hyperintensity within the bilateral deep and subcortical white matter with associate... | Multiple scattered punctate likely embolic acute infarcts throughout the cerebral hemispheres, as well as foci in the left cerebellum which may be slightly less acute. |
Generate impression based on findings. | Female 53 years old Reason: R knee pain History: R knee pain. No acute fracture or malalignment. No joint effusion. Tiny osteophytes are seen in the medial tibiofemoral and patellofemoral compartments. | Minimal osteoarthritic changes. |
Generate impression based on findings. | History of breast cancer on chemotherapy with memory loss. There is no evidence of intracranial hemorrhage or mass effect. The ventricles and sulci are diffusely prominent, indicative of mild cerebral volume loss. There are scattered punctate and confluent areas of abnormal low attenuation in the periventricular and su... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Moderate age-indeterminate small vessel ischemic changes and chronic-appearing right basal ganglia infarct. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct and metastases.I personally reviewed the Images and/or... |
Generate impression based on findings. | 38-year-old with history of left breast cancer status post mastectomy Two standard views and two implant displaced views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and d... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Annual MRI is also recommended given the patient's breast density and young age at cancer diagnosis. This would be due for her in August 2015. The patient ... |
Generate impression based on findings. | Female 66 years old Reason: hip OA History: hip OA. Severe degenerative arthritic changes affect the bilateral hip joints with near bone on bone apposition of the left and bone on bone apposition of the right. There is severe osteoarthritis of the sacroiliac joints as well as the pubic symphysis. Severe degenerative ch... | Severe osteoarthritis of the hips, right greater than left, as described above. |
Generate impression based on findings. | Male 20 years old Reason: third metacarpal fx History: third metacarpal fx. Again seen is a comminuted fracture of the neck of the third metacarpal with minimal volar angulation of the distal fragment. The fracture lines appear less distinct with bony bridging and callus formation to indicate interval healing. | Healing third metacarpal fracture. |
Generate impression based on findings. | 52-year-old with history of bilateral breast reduction and bilateral benign biopsies. The patient states that the previously biopsied area at 12 o'clock feel slightly larger. She has also lost weight over the last year. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 59 years, Female. Reason: Pt pulled dobhoff by "a few centimeters"...need to confirm placement History: pls see above Enteric feeding tube tip projects over the gastric body. Cholecystectomy clips and biliary stent are again noted. Surgical sutures project the right lower quadrant. Stable appearing ileus bowel gas patt... | Enteric feeding tube tip projects over the gastric body. |
Generate impression based on findings. | 54 years, Female. Reason: advancement of the NGT History: NGT pushed in by 5 cm Enteric feeding tube is looped in the gastric fundus with tip projecting over the gastric body. Mildly dilated loops of small bowel suggestive of ileus. IVC filter is again noted.The pelvis is excluded from the field-of-view. | Enteric feeding tube is looped in the gastric fundus with tip projecting over the gastric body. |
Generate impression based on findings. | central vertigo No evidence of acute ischemic or hemorrhagic lesion on this scan.Patchy low attenuations on bilateral periventricular white matter indicate non specific small vessel disease.Linear low attenuations on bilateral external capsule indicate age indeterminate but likely chronic ischemic infarction.There is a... | No evidence of acute ischemic or hemorrhagic lesion.Small vessel ischemic disease as described above. |
Generate impression based on findings. | 33-year-old female patient with history of achalasia status post laparoscopic Heller myotomy and fundoplication in 2009 and recent balloon dilatation 1 week prior. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Single contrast evaluation of the esophagus... | 1.Persistent achalasia with air-fluid column at the level of the aortic arch.2.Findings compatible with prior fundoplication. |
Generate impression based on findings. | 63 year old male with history of head and neck cancer s/p radiation - evaluate for stricture. Recent OPM study demonstrated tracheal aspiration. Scout radiograph of the chest showed right chest port tip at the superior cavoatrial junction and right apical thickening, pleural effusion. Surgical screws partially visualiz... | 1.Tracheal aspiration with absent cough reflex as described above.2.No esophageal strictures were evident. |
Generate impression based on findings. | FractureVIEWS: Left elbow AP, oblique and lateral There are 3 K wires affixing the supracondylar fracture. There is healing of the supracondylar fracture as evidenced by periosteal reaction. The alignment is near anatomic. The overlying cast has been removed in the interval. | Healing supracondylar fracture as described above. |
Generate impression based on findings. | Female 22 years old Reason: eval known radial head fx, any changes in displacement from prev. study History: same. Again seen is a minimally displaced intraarticular radial head fracture with interval decrease in the size of the joint effusion.No significant change in alignment. | Proximal radial head fracture as described above. |
Generate impression based on findings. | ataxic gait, dizziness NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.Multifocal scattered low attenuations indicating non specific small vessel disease.If clinically indicated, brain MRI can be considered for further evaluation.The ventricles, sulci, and cisterns are symmetric and ... | 1. No evidence of acute ischemic or hemorrhagic lesion. Non specific small vessel disease. Brain MRI can be considered for further imaging evaluation if clinically indicated.2. Bilateral fetal PCAs with hypoplastic vertebrobasilar system with atherosclerotic changes. 3. Bilateral distal ICAs also show atherosclerotic c... |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:There is no detectable acute intracranial process. CT however E. is insensitive for early detection of acute nonhemorrhagic ischemic strokes.The cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation i... | Unremarkable nonenhanced head CT for age. |
Generate impression based on findings. | A paucity of soft tissue is noted in the tonsillectomy beds. There are numerous scattered foci of air within the right and left parapharyngeal space, extending to the skull base on the right. A few of these may be directly indicating with the oropharyngeal mucosa. There is no focal fluid collection or abscess. The lar... | Scattered foci of air within the right greater than left parapharyngeal space extending to the skull base on the right side, somewhat greater than expected giving timing of surgery two days ago. No focal fluid collection or abscess, especially within the retropharyngeal space. Given the proximity of collections of air ... |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild stable periventricular and subcortical white matter hypoattenuation which is nonspecific, with more focal area in the right frontal subcortical white matter. The ventricles and basal cisterns are normal in size and configuration. T... | No acute intracranial hemorrhage or mass-effect. Mild chronic microvascular ischemic changes. |
Generate impression based on findings. | Pleural mesothelioma. CHEST:LUNGS AND PLEURA: Post-surgical findings of left pleurectomy and decortication with associated volume loss. Diffuse nodular pleural thickening and small amount of loculated fluid at the apex of the left hemithorax consistent with known mesothelioma. Reference measurements as follows:1. At th... | Stable reference lesions. Enlarging 8 mm subpleural left lower lobe nodule suspicious for suspicious for a metastasis or a primary lung malignancy. A nonreference anterior left pleural nodule and nodular pleural thickening at the base is decreased. |
Generate impression based on findings. | Female 84 years old Reason: eval for progression History: metastatic urothelial cancer CHEST:LUNGS AND PLEURA: Biapical scarring is unchanged. There is new ground glass opacity and cluster of subcentimeter nodules in the right upper lobe. This likely represents atypical pneumonia versus drug reaction. Metastatic diseas... | Limited study due to lack of intravenous contrast. Liver metastases and increase in size compared to previous study. Left nephrectomy bed mass has decreased in size. Adrenal nodule is stable.Interval development of groundglass opacity and cluster of micronodules in the right upper lobe which may represent pneumonia ver... |
Generate impression based on findings. | Ms. King is a 67 year old female recalled from screening mammogram for a focal asymmetry in the right breast. She has a personal history of bilateral benign breast biopsies. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parench... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, due next in February 2016. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | T3n1 p16- squamous cell carcinoma of the soft palate, status post chemo RT in 7/2013. There is no evidence of mass lesions in the soft palate or significant cervical lymphadenopathy. However, there is persistent thickening of the cervical esophageal walls. There is an unchanged 10 mm hypoattenuating nodule within the t... | 1. No evidence of locoregional recurrent tumor or significant cervical lymphadenopathy. 2. Persistent nonspecific thickening of the cervical esophagus may indicate a neoplasm or inflammatory process versus anatomic variation. Further evaluation via endoscopy may be useful.3. Unchanged subcentimeter thyroid nodules. |
Generate impression based on findings. | PET/CT to stage patient with a malignant peripheral nerve sheath tumor.RADIOPHARMACEUTICAL: 11.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 85 mg/dL. Today's CT portion grossly demonstrates numerous cutaneous, subcutaneous, intraabdominal, and intrapelvic, some in the distribution of exiting sacral nerv... | No significant FDG avid lesion is identified to indicate malignant nerve sheath tumor. |
Generate impression based on findings. | Male 59 years old Reason: evaluate vasculature to support kidney transplant, hx of gunshot wound resulting in abdominal surgery History: bruit in groin ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significa... | Limited study due to lack of intravenous contrast. Moderate atherosclerotic calcifications. Left kidney is not visualized. |
Generate impression based on findings. | Male 37 years old Reason: Pre-kidney/pancreas transplant evaluation. Please assess vasculature to support transplant. History: Pre-kidney pancreas transplant ABDOMEN:LUNG BASES: Bilateral hazy groundglass opacities, nonspecific.LIVER, BILIARY TRACT: Hepatomegaly. Liver measures 29 cm in vertical dimension and extends t... | Limited study due to lack of intravenous contrast. Retroperitoneal and pelvic adenopathy of uncertain etiology and significance. Lymphoma cannot be excluded. Inguinal adenopathy is amenable for biopsy.Hepato- splenomegaly and high density liver. Etiology is unknown. |
Generate impression based on findings. | 57 year old woman with history of prior benign biopsy 20 years ago. Currently complains of itchiness of the skin over the right breast for the last 6 months. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged i... | No finding to account for the patient's symptoms and 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... |
Generate impression based on findings. | Shortness of breath. Post inflammatory pulmonary fibrosis. Evaluate ILD. LUNGS AND PLEURA: Diffuse subpleural honeycombing, traction bronchiectasis, and architectural distortion greater in the bases consistent with a UIP pattern, not significantly changed.8mm solid nodule in the superior segment of the right lower lobe... | On further review of earlier scans, the 8 mm solid nodule in the right lower lobe is unchanged from 6/2014, and likely benign. However, continued follow-up is recommended and the case was discussed with Dr. Strek at the time of reporting. |
Generate impression based on findings. | Female 62 years old Reason: eval for recurrence History: h/o RCC in 2008 CHEST:LUNGS AND PLEURA: Subcentimeter lung nodules in both lungs. The index nodule in the right upper lobe is unchanged measuring 4-mm in diameter image number 24, series number 5.MEDIASTINUM AND HILA: Small mediastinal lymph nodes are unchanged. ... | Nonspecific solitary hypodense lesion in the liver on known etiology and significance. MRI is recommended for further evaluation. Metastatic disease cannot be excluded. This lesion is minimally increased compared to previous study from 2014 and significantly increased compared to the study from 2012. |
Generate impression based on findings. | 74 years, Female, Reason: incidental finding at outside hospital of renal artery mass at outside hospital with non-diagnostic biopsy History: weight loss, current smoking, cervical LAD. CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema. Left basilar atelectasis. No focal consolidation or pleural effusion. Right ... | 1.Lesion adjacent to the left renal artery likely represents retroperitoneal lymphadenopathy and is decreased in size from the prior study.2.Although not measurable on prior PET/CT, supraclavicular lymphadenopathy is subjectively decreased and mediastinal lymphadenopathy is grossly stable. |
Generate impression based on findings. | Recurrent base of tongue squamous cell carcinoma now on palliative chemotherapy. Neck: There are post-treatment findings related to total glossectomy with graft reconstruction, neck dissection, and tracheostomy. There is diffuse stranding and swelling of the fat planes of the neck and face. There is a persistent defect... | 1.Extensive post-treatment findings with extensive edema and multiple persistent soft tissue defects or fistulas and fluid collections, which may be attributable to radiation necrosis, infection, and/or tumor. Furthermore, a dermal right neck mass and right parotid space nodules that likely represent recurrent tumor ha... |
Generate impression based on findings. | Reason: mesothelioma History: s/p extended pleurectomy decortication. 01/2015 CHEST:LUNGS AND PLEURA: Interval changes of a right pleurectomy and decortication, with small residual pneumothorax, and scattered subsegmental atelectasis. A small focus of consolidation and groundglass laterally may represent a small expect... | 1. Post-surgical changes of a right pleurectomy and decortication, with small residual hydropneumothorax, and a moderate lateral right diaphragmatic defect, through which abdominal fat, liver, and multiple bowel loops are herniated into the right thoracic cavity. 2. No definite measurable pleural disease is seen.Findin... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Multiple calcified granulomata, unchanged.No evidence of pulmonary pleural metastases.MEDIASTINUM AND HILA: There is no evidence of mediastinal or hilar lymphadenopathy.No visible coronary calcifications, although there is m... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 60 year-old female patient with history of impaction. Evaluate for structure. Initial spot radiograph of the chest showed no mediastinal widening or pleural effusions. There is a right perihilar nodular opacity that is optimally evaluated on chest CT performed the day prior. A calcified splenic aneurysm was noted.Singl... | 1.Anterior cervical esophageal web causing obstruction of a barium pill.2.Small intermittent hiatal hernia without evidence of stricture in the lower esophagus.3.Multiple duodenal diverticula.4.Minor esophageal motility abnormality.5.Small splenic artery aneurysm. |
Generate impression based on findings. | Left cervical LAD with non-diagnostic FNA and left paratracheal mass in the setting of weight loss and history of smoking. There are abnormal left lower neck lymph nodes. For example, a left level 4 lymph node measures 12 x 15 mm and a left supraclavicular lymph node measures 11 x 12 mm. Several other smaller lymph nod... | 1. A partially calcified left thyroid nodule that measures up to approximately 20 mm may represent a malignant neoplasm and the extensive left cervical lymphadenopathy likely represents metastatic disease.2. Pulmonary emphysema. |
Generate impression based on findings. | Female, 49 years old s/p adrenalectomy and lymphadenectomy. RFO Trigger: multiple surgical teams. Suspected RFO Location: n/a. Suspected RFO: n/a No unexpected radiopaque foreign bodies. Surgical clip in the right upper quadrant. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | No unexpected radiopaque foreign bodies. Findings were discussed with attending surgeon, Dr. Grogan, over phone, at 1008 on 2/19/15. |
Generate impression based on findings. | Clinical question: Chronic sinusitis, polyps. Signs and symptoms: As above. Nonenhanced maxillofacial CT: Examination demonstrate extensive chronic pansinusitis.Completely opacified left frontal sinus demonstrate no change since prior exam.Completely opacified bilateral ethmoid air cells demonstrate no significant chan... | 1.Very extensive chronic pansinusitis as detailed. Minimal interval improvement of maxillary sinus opacification since prior study.2.Extensive postoperative changes of endoscopic functional sinus surgery with compromised however patent bilateral sinonasal windows.3.Mastoid air cells and middle ear cavities remain well ... |
Generate impression based on findings. | CT HEAD: There is a stable small focus of subarachnoid hemorrhage in the right sylvian fissure. There is a new small focus of subarachnoid hemorrhage in the right middle temporal sulcus. There is trace layering hemorrhage in the left occipital horn. There is interval resolution of layering hemorrhage in the right occi... | 1. Unchanged small subarachnoid hemorrhage in the right sylvian fissure and layering hemorrhage in the left occipital horn, but new small subarachnoid hemorrhage in the right middle temporal sulcus. 2. Apparent occlusion of right MCA branch and stenosis of a left MCA branch near the distal bifurcation, which may be att... |
Generate impression based on findings. | Reason: active smoking 1/2 PPD x 57 yrs History: none LUNGS AND PLEURA: Sharply marginated 10 x 9 mm right upper lobe nodule image 54 series 5 has not significantly changed as far back as at least 9/16/2008.Scattered scarlike opacities, minimal bronchial wall thickening, and mild emphysema are unchanged.No evidence of ... | 1. No evidence of lung cancer.2. Long-term stability of the known right upper lobe nodule which is likely benign.3. Severe coronary artery calcification.Lung-RADS: Category: 2/S (Benign Appearance or Behavior: Nodules with a very low likelihood of becoming a clinically active cancer due to size or lack of growth/Signif... |
Generate impression based on findings. | 30 year old male with history of unexplained iron deficiency anemia and EGD with large hiatal hernia. EGD, colonoscopy, capsule study without bleeding source. Assess for hiatal hernia or gastric diverticulum and small bowel wall mass lesion. ABDOMEN:LUNG BASES: A small sliding hiatal hernia is present.LIVER, BILIARY TR... | 1.Non-enhancing high density foci within the small bowel and colon most compatible with ingested enteric contents, although small polyps cannot be entirely excluded.2.No small bowel masses our source of gastrointestinal bleeding identified.3.Agenesis of the left hepatic lobe.4.Redundant sigmoid colon. 5.Small hiatal he... |
Generate impression based on findings. | The lumbar spine is in normal alignment, with a normal lumbar lordosis. There is mild disk narrowing at L4-L5, with diffuse disk desiccation throughout the lumbar spine. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The distal spinal cord and conu... | 1. Overall, mild to moderate multilevel spondylotic changes as detailed above, with greatest degree of disk height loss at L4-L5 although no focal right-sided disk pathology. Mild to moderate central spinal canal stenosis at this level as well as moderate right and mild left foraminal narrowing. Abutment of the right a... |
Generate impression based on findings. | Tracheostomy dependentVIEW: Chest AP Tracheostomy tube in place. NG tube tip in the stomach. Cardiothymic silhouette normal. Right upper lobe atelectasis has improved. There are new atelectasis involving the left lung in a background of chronic lung disease. | Right upper lobe atelectasis has improved with interval increase atelectasis in the left lung. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign biopsies and breast reduction. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this report will be made.Two standard ... | No mammographic evidence of malignancy. Benign-appearing mass in the right breast which can be compared to prior, outside imaging if the patient can provide. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB -... |
Generate impression based on findings. | 68 years, Female, Reason: r/o mass History: abnormal renal ultrasound at outside clinic. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Right renal cyst is stable. Prominent common bile duct. No intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: Prominen... | 1.Subcentimeter left renal lesions are too small to characterize but likely represent cysts. No suspicious renal lesions are identified. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of two sisters with breast cancer. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and ... | 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. | Treated head and neck cancer, now with spiculated lung nodule and adenopathy. Staging mediastinum.RADIOPHARMACEUTICAL: 11.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 91 mg/dL. Today's CT portion grossly demonstrates extensive post-surgical changes in the lower midline neck, an approximately 1 cm right ... | 1.Small but new hypermetabolic right apical lung nodule compatible with malignancy. Given the location and ipsilateral metastatic pattern, this may represent a new primary lung cancer although metastatic head and neck cancer is also conceivable. 2.Hypermetabolic hilar and right mediastinal lymph nodes are also new and ... |
Generate impression based on findings. | Early stage vulvar cancer, status post modified radical vulvectomy for bilateral inguinal sentinel lymph node dissection. RADIOPHARMACEUTICAL: The perineum was prepared in a sterile manner. A total of 0.493 mCi Tc-99m filtered sulfur colloid was injected into six peri-incisional sites by the attending surgeon, Dr Tenne... | Left lower medial inguinal drainage is visualized. No drainage is visualized on the right. The patient was subsequently sent for intra-operative localization. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reduction. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and dist... | Evolving fat necrosis and oil cysts in the breast bilaterally. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Elevated LFTs, evaluate for clot, history of DVT, on Coumadin LIVER: Measures 11.9 cm. Parenchyma not well assessed due to patient's difficulty breath-holding and changing position but no liver lesion delineated. Main portal vein patent with normal directional flow, velocity measures 20 to 30 cm/sec. Left and right por... | Patent hepatic vasculature.Increased renal cortical echogenicity, may reflect underlying medical renal disease. |
Generate impression based on findings. | 43-year-old with history of left breast fibroadenoma and family history of breast cancer. Status post left excisional biopsy for focal atypia and PASH. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular den... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Screening MRI will be due this summer as well. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnost... |
Generate impression based on findings. | T1N2B palate squamous cell carcinoma status post resection and chemotherapy and subsequent recurrence treated with resection. Extensive dental streak artifact limits the assessment of the oral cavity and oropharyngeal regions. Otherwise, there is a defect in the left tongue base with nonspecific partially-obscured soft... | 1. Extensive dental streak artifact limits assessment. Otherwise, a defect in the left tongue base with partially-obscured ill-defined soft tissue along the surgical margins is nonspecific.2. Slight interval increase in size of a left level 2 lymph node that measures 8 mm in short axis, previously 7 mm, which is nonspe... |
Generate impression based on findings. | Female 90 years old Reason: pubic ramus fracture History: pubic ramus fracture. Again seen is a fracture through the right superior pubic ramus and ischium and a right sacral alar fracture, with callus formation indicating interval healing. The bones are demineralized. An IVC filter is noted. | Fractures of the right superior pubic ramus, right ischium and right sacrum as described above with interval healing. |
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