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Generate impression based on findings. | Evaluate fecal burdenVIEW: Abdomen AP Multiple gaseous distention of bowel loops without obstruction. Mild amount of fecal burden. No pneumatosis or pneumoperitoneum. | Mild amount of fecal burden. |
Generate impression based on findings. | Cellulitis and edema. Evaluate for necrotizing fasciitis There is extensive edema throughout the entire right upper extremity, most prominent in the forearm. There is predominantly subcutaneous edema from the axilla to the elbow, with increasing fascial edema and skin thickening throughout the volar aspect of the forea... | 1. Increasing fascial edema and skin thickening in the right forearm, which likely infectious in etiology. Early necrotizing fasciitis may appear similar to this and cannot be excluded.2. Increased size and decreased attenuation of the flexor musculature of the forearm, which may represent edema or possible necrosis, t... |
Generate impression based on findings. | Male 34 years old Reason: significant weight loss and dysphagia. Recent diagnosis of Achalasia. Rule out intraabdominal advanced malignancy. History: dysphagia and weight loss ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No biliary ductal dilatation or focal hepatic mass.SPLEEN: No signific... | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of basal cell carcinoma of the nose. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | ReintubationVIEW: Chest AP ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. Right central line in place. Cardiothymic silhouette cannot be evaluated. Diffuse atelectasis bilaterally not significantly changed. No pleural effusion or pneumothorax. | ET tube tip at the level of the thoracic inlet. |
Generate impression based on findings. | 38 years, Female. Reason: S/P ex-lap, aborted HIPEC. Evaluate for ileus History: Same Midline abdominal staples again noted. Central venous catheter tip at the superior cavoatrial junction.Centralized loops of gas distended small bowel. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional left MLO were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Scattered coarse calcifications are noted b... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 55-year-old male with history of testicular seminoma status post orchiectomy. Also history of PE. CHEST:LUNGS AND PLEURA: Scattered nonspecific micronodules including right middle lobe pleural based nodule (series 5, image 63) not significantly changed. No pleural effusions or suspicious masses. MEDIASTINUM AND HILA: N... | 1.No specific evidence of metastatic disease. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. Areas of T2/FLAIR hyperintensity in the subcortical and deep white matter bilaterally without significant interval change, consistent with probable chronic small vessel ischemic changes. There... | 1. No acute infarct. Similar pattern of probable chronic small vessel ischemic changes within the white matter bilaterally.2. Incomplete evaluation of the vasculature as MRA was not performed. Grossly, internal carotid artery flow-voids as well as bilateral M1 and right A1 segments are not well visualized, similar to p... |
Generate impression based on findings. | 72 years, Female, Reason: Parastomal hernia status History: Abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver morphology. Right hepatic hypodensity is unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Left ... | 1.Incisional and right parastomal hernias containing bowel loops have increased. No evidence of obstruction.2.Stable thoracic aortic aneurysm.3.Stable left adrenal nodule. |
Generate impression based on findings. | PICC placementVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left central line with tip in the SVC. Left upper extremity PICC with tip in the right atrium. Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe and left lower lobe. No pleural effusi... | Patchy atelectasis in the right upper lobe and left lower lobe. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of paternal grandmother and aunts with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious m... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: Recent worsening ground glass opacities on CT, assess for progression or resolution History: Cough \T\ SOB LUNGS AND PLEURA: Continued increase in scattered patchy ground glass opacities and bronchial wall thickening throughout the lungs.Redemonstration of bilateral basilar consolidation, slightly decreased on ... | 1.Continued interval increase in scattered ground glass opacities, bronchial wall thickening, basilar consolidation. Findings may represent pneumonia including viral pneumonia, or may relate to graft versus host disease.2.Bilateral axillary lymphadenopathy, raising the question of treatment related lymphoma. |
Generate impression based on findings. | Male 57 years old Reason: eval for cirrhosis, hepatic mass History: suspect EtOH cirrhosis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nodular liver morphology with widening of the fissures consistent with cirrhosis. No focal enhancing hepatic masses. No ascites. Prominent splenorenal and ... | 1.Cirrhotic liver morphology with prominent splenorenal and paraesophageal varices.2.No focal hepatic mass. |
Generate impression based on findings. | Worsening sinusitis on 2/13 CT, assess for progression or resolution. There is continued increase in diffuse opacification of the paranasal sinuses with mucosal thickening and fluid, particularly within the left sphenoid and maxillary sinuses. The olfactory recesses are opacified. The nasal septum is deviated towards t... | 1. Overall continued slight interval progression of acute sinusitis.2. Partial opacification of the left mastoid air cells and tympanic cavity may represent otomastoiditis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. A focal asymmetry in the left upper oute... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 57-year-old female status post robotic hysterectomy for endometrial cancer, now with pelvic swelling, evaluate for lymphocele. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADREN... | 1.Status post hysterectomy. Small amount of free fluid in the pelvis may be postsurgical. No lymphadenopathy.2.Lymphocele compressing the right common external iliac vein. |
Generate impression based on findings. | 64 years, Male, Reason: evaluate vasculature to support kidney transplant History: weak pulses. Prior transplant in 2008 ABDOMEN:LUNG BASES: Cardiomegaly with small pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality not... | 1.Vasculature as described above.2.Moderate abdominopelvic ascites.3.Failed transplant in the right iliac fossa. |
Generate impression based on findings. | Recent heart transplant presenting with new onset hypoxia and abnormal chest CT. The comparison chest CT performed on 2/18/2015 demonstrates small bilateral pleural effusions as well as groundglass and consolidative lesions in the right lung base.The ventilation images show a uniform distribution of activity on single-... | High probability for pulmonary emboli.Findings relayed to Dr. Schurle (pager 4279) of the primary service by Dr. Veronesi of Radiology at the time of this dictation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of colon cancer at age 54. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Focal as... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | The procedure, indications, benefits, risks/complications and alternatives were described to the patient and informed consent was obtained.The patient was placed in an oblique left lateral decubitus decubitus position and the lumbar region was prepped with Betadine, draped and anesthetized with 1% lidocaine.Using fluo... | Successful fluoroscopically guided lumbar puncture without immediate complication. |
Generate impression based on findings. | 10-year-old male with distal right tibia fracture s/p cast removal.VIEWS: Right ankle AP and lateral (two views) 2/19/2015 at 1021 Again seen is an oblique fracture through the distal tibial diaphysis with persistent lateral displacement of the distal fracture fragment status post cast removal. Increased periosteal rea... | Healing oblique fracture of the distal tibial diaphysis, unchanged in alignment as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of maternal cousins with breast cancer. Two standard digital views of both breasts with additional bilateral CC, an additional left MLO, and two additional right MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchym... | Benign appearing calcifications, but 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. | Ms. Smith is a 60 year old female with a personal history of right cyst aspiration in 2013. She has no current breast related complaints. 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 density, unchange... | 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. | Male 61 years old Reason: History metastatic prostate cancer on trial, assess disease extent History: none CHEST:LUNGS AND PLEURA: Right upper lobe linear subsegmental atelectasis/scarring unchanged. Right lower lobe linear atelectasis, unchanged. Persistent elevation of the right hemidiaphragm.MEDIASTINUM AND HILA: No... | 1.Stable pelvic lymphadenopathy.2.Diffuse osseous metastases are grossly unchanged from prior exam, however, they are better characterized on bone scan from same day. |
Generate impression based on findings. | 18 year-old female with LP shunt. Please assess shunt setting.VIEW: Abdomen lateral (one view) 2/19/2015 at 1048 Codman Hakim valve setting is approximately 110 mm of water. LP shunt catheter enters the spine at approximately L3/L4 and terminates in the pelvis. No kinking or discontinuity is seen in the visualized radi... | Codman Hakim valve setting is approximately 110 cm of water. No evidence of LP shunt malfunction. |
Generate impression based on findings. | Male 25 years old Reason: hx of testicular cancer s/p RPLND eval for mets History: hx of testicular cancer s/p RPLND eval for mets CHEST:LUNGS AND PLEURA: No suspicious nodules or masses.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No si... | Status post left orchiectomy without evidence of metastatic disease. |
Generate impression based on findings. | 66 year old male with history of HCC and HBV, restaging imaging. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The previously described large right hepatic lobe mass (series 9, image 27) measures 7.3 x 9.7 cm on the arterial phase, measured 7.9 x 10.6 cm on 7/31/2014 arterial phase and measu... | 1.Multifocal HCC, stable to slightly decreased in size. 2.Stable aortocaval and gastrohepatic lymphadenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 digital views, cleavage view, and tomosynthesis of both bre... | Cluster of benign-appearing calcifications in the left breast which can be compared to prior, outside images if the patient can provide. 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.RE... |
Generate impression based on findings. | Pain Right wrist: No fracture or malalignment. No significant abnormality noted.Left shoulder/AC joint: No fracture or malalignment. Minimal osteoarthritis affects the left acromioclavicular joint. No significant animality otherwise noted. | Minimal osteoarthritis of the left acromioclavicular joint. No fracture or malalignment. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is complete opacification of the left maxillary sinus with partial opacification of the right maxillary sinus. There is mild b... | 1.Mild right frontal subgaleal scalp soft tissue edema and/or hematoma with no acute intracranial hemorrhage or skull fracture.2.Sinus mucosal thickening as described above. |
Generate impression based on findings. | History preseptal cellulitis and sinusitis; now with worsening right eye swelling. There are postoperative findings related to right dacryorhinocystostomy. There is persistent right preseptal stranding and swelling as well as enlargement of the right lacrimal sac. Otherwise, there is no evidence of postseptal extension... | 1. Persistent right preseptal stranding and swelling is suggestive of cellulitis, but no evidence of postseptal extension of abscess formation.2. Findings compatible with chronic dacrocystitis. 3. Postoperative findings related to endoscopic sinus surgery with extensive chronic sinusitis. |
Generate impression based on findings. | History of Hodgkin lymphoma with new mass at left submandibular area. Evaluate for tumor recurrence.RADIOPHARMACEUTICAL: 8.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 96 mg/dL. Today's CT portion grossly demonstrates mucosal thickening/retentions cysts of the left maxillary sinus. Today's PET examinati... | No abnormal FDG avid lesion is identified. |
Generate impression based on findings. | Female 64 years old Reason: pre-op History: pain. There is severe osteoarthritis of the right hip joint space narrowing and tricompartmental osteophytes. No acute fracture or dislocation.AP view of the pelvis shows moderate to severe osteoarthritis of the left hip and pubic symphysis. There is severe degenerative arthr... | Severe osteoarthritis of the right hip described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast benign biopsies. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in patte... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | 10-year-old male with traumaVIEW: Chest AP (one view), pelvis, AP (one view), cervical spine, AP and lateral (two views) 2/19/15 10:46 Chest: The cardiothymic the silhouette is normal. No focal pulmonary opacity or pneumothorax.Pelvis: No fracture or malalignment. The femoral heads are well directed with respect to the... | Note that the cervical spine is only visualized through C6. If clinically indicated repeat cervical spine radiographs could be obtained for further evaluation. The remainder of the examination is normal. |
Generate impression based on findings. | On anatomic imaging the foramen magnum appears widely patent. The right cerebellar tonsil extends 7 mm below the level of foramen magnum while the left only extends 3 mm. However, both cerebellar tonsils retain a very rounded morphology and there is no significant crowding at this level. CSF flow imaging demonstrates ... | 1. Stable appearance of foramen magnum and rounded cerebellar tonsils, with the right extending 8 mm below the level the foramen magnum without significant crowding. Stable appearance of CSF flow which appears slightly asynchronous and more robust ventrally at this level.2. Redemonstration of cerebellar developmental a... |
Generate impression based on findings. | 69 year old status post benign right breast biopsy. Chronic nipple inversion. Three standard views of both breasts and right spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and d... | 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. | Male 59 years old; Reason: assess prosthesis History: S/P DRUJ arthroplasty Again seen are postoperative changes of a distal ulna resection with a long stem ulnar prosthesis and distal radial side plate and screw device. The alignment is unchanged. There is no radiographic evidence of hardware complication.Osteoarthrit... | Stable postoperative changes. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. In the center of the left breast at middle depth, there is an area of archite... | Architectural distortion in the left breast for which spot compression views and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Bilateral hip pain Osteoarthritis affects the hips bilaterally, moderate to severe on the right and mild on the left. No fracture or malalignment is present. | Osteoarthritis of the hips bilaterally, right greater than left. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast aspiration. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density , unchanged in pattern and distrib... | 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. | 2-year-old male status post LIJ central line removal. VIEW: Chest AP (one view) 2/19/2015 1123 ET tube tip between thoracic inlet and carina. Feeding tube tip in the stomach. Left upper extremity PICC tip in the right atrium. Left internal jugular central venous catheter has been removed. Normal cardiothymic silhouette... | 1.Left upper extremity PICC tip in right atrium.2.Unchanged patchy right upper and left lower lobe atelectasis. |
Generate impression based on findings. | Left shoulder pain No fracture or malalignment is present. No significant degenerative changes are noted. No soft tissue calcifications to suggest calcific tendinosis are evident. | No specific findings to account for the patient's pain. |
Generate impression based on findings. | Male; 55 years old. Reason: aki, concern for obstruction assess for hydronephrosis History: aki, hematuria, patient passing blood clots into Foley catheter bag. RIGHT KIDNEY: The right kidney measures 13.4 cm in length. The renal parenchyma is echogenic. A 0.1 x 0.9 x 0.5 cm nonobstructing stone is seen in the lower po... | 1.Bilateral mild to moderate hydronephrosis. No obstructing renal stone, nonobstructing right intrarenal stone.2.Thickened bladder wall with layering echogenic material seen in bladder. Given the patient's history, the material within the bladder likely represents hemorrhage and clot. |
Generate impression based on findings. | Bilateral knee pain Mild osteoarthritis affects the knees bilaterally, without significant interval change. No joint effusion is evident in either knee. No acute abnormality is otherwise evident. | Mild osteoarthritis of the knees bilaterally. |
Generate impression based on findings. | 49 years, Male, Reason: evaluate for disease progression. please compare to 11/25/14 and 9/9/14 CT scans History: stage IV RCC on pazopanib. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion.Micronodule along the minor fissure is stable and may represent an intrapulmonary lymph node. No suspicious nodu... | Improved lymphadenopathy. No new sites of disease. |
Generate impression based on findings. | Male 36 years old; Reason: Pt. injured his right hand with the car door. R/O fracture of the right thumb No fracture or malalignment is evident. No significant abnormality is otherwise noted. | No fracture or malalignment. There is continued concern for fracture, dedicated first digit radiographs may be considered. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast cyst removed in 1996. 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 an... | 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. | The procedure, indications, benefits, risks/complications and alternatives were described and informed consent was obtained from patient's daughter Ms. McGee over the telephone.The patient was placed in left lateral decubitus position in the lumbar region was prepped with Betadine, draped and anesthetized with 1% lido... | Unsuccessful attempted lumbar puncture as described above. Examination with anesthesia support can be considered if clinically indicated.Total fluoroscopy time is 2.1 minutes. |
Generate impression based on findings. | 15-year-old male with history of small bowel obstruction and increased NG tube output.VIEWS: Abdomen supine and erect (two views) 2/19/2015 at 1115 Nonobstructive bowel gas pattern. No pneumatosis, free air, or portal venous gas. Average fecal burden. Feeding tube tip in the stomach. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Maternal grandmother with history of ovarian cancer. 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 distribu... | 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. | 61-year-old with history of right lumpectomy for DCIS in 2012. History of right oncoplastic surgery and left breast reduction. Prior history of left lumpectomy for DCIS in 2004. Both surgeries were followed by radiation therapy. Three standard views of both breasts and right lumpectomy magnification views were performe... | 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. | Total shoulder arthroplasty in 2006 Right wrist: The bones are demineralized. There is progression of the scapholunate advanced collapse deformity, with further widening of the scapholunate interval and proximal migration of the capitate. There is severe narrowing of the radioscaphoid articulation. The ossicle distal t... | 1. Progressed extensive degenerative changes of the wrist.2. Stable appearance of the right total shoulder arthroplasty. |
Generate impression based on findings. | Male 70 years old; Reason: progressive weakness and demyelinating disease, assess for occult malignancy CHEST:LUNGS AND PLEURA: Left basilar coarse calcification, likely related to prior granulomatous disease. No suspicious lung nodule seen.MEDIASTINUM AND HILA: Subcentimeter pretracheal lymph node.CHEST WALL: Right ch... | 1. Indeterminate 1.7 cm left renal lesion, may be a complex cyst but minimally enhancing cystic neoplasm not entirely excluded based on this nondedicated exam. Further evaluation with dedicated sonography or MRI with and without IV contrast may be considered. |
Generate impression based on findings. | Please note for the purposes of numbering, there are 5 lumbar vertebral bodies with hypoplastic ribs articulating with L1. Vertebral body heights are maintained. There is mild anterolisthesis of L4 on L5. Alignment is otherwise maintained. There is no acute fracture. Degenerative changes are seen at multiple levels wi... | 1. Please note for the purposes of numbering, there are 5 lumbar vertebral bodies with hypoplastic ribs articulating with L1. 2. Multilevel degenerative changes with moderate to severe spinal canal stenosis suspected at the L4-L5 level and moderate to severe neural foraminal stenosis at L4-L5 on the left and bilaterall... |
Generate impression based on findings. | Reason: 71 year old female patient diagnosed with HCC is here for administration of THERASPHERES in conjunction with a nuclear medicine study Please refer to interventional radiology study for description of procedure and images. | Successful Y90 Therasphere administration to liver tumor via the right hepatic artery. Please refer to interventional radiology exam for description of procedure and images. |
Generate impression based on findings. | Female 49 years old Reason: r/o colitis History: abd 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: Punctate... | Limited study due to lack of intravenous contrast. Significantly enlarged leiomyomatous uterus extending superiorly to the level of the liver compressing the bowel segments.Mild right caliectasis, not significantly changed from previous study. This is likely caused by compression of the right ureter by the large uterus... |
Generate impression based on findings. | The ventricles and sulci are increasingly prominent, consistent with progressed and now moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white ... | No acute intracranial abnormality. Slightly progressed mild chronic small vessel ischemic changes. |
Generate impression based on findings. | There is a tiny oval hyperdense structure measuring 3 x 2 mm in greatest axial dimensions on 5/23 along the medial aspect of the left lens. Hounsfield units measure greater than 1000. The anterior chamber appears to be slightly widened as compared to the right side. There is slight disconjugate gaze with the right glo... | 3 x 2 mm significantly hyperdense oval structure along the medial aspect of the left lens with questioned slight widening of the left anterior chamber. While this could represent retained metallic foreign body, as clinically suspected, the possibly of calcification is not entirely excluded. Please correlate with clinic... |
Generate impression based on findings. | Male 56 years old Reason: ct urogram for hematuria History: hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Numerous, subcentimeter hypodense lesions throughout the liver which are too small to accurately characterize but are most likely benign.SPLEEN: No significant abnormality note... | Bilateral punctate stones and simple cysts without evidence of hydronephrosis or solid renal lesions. |
Generate impression based on findings. | Female 82 years old Reason: rule out bowel obstruction History: nausea and vomiting, history of stage IV uterine cancer ABDOMEN:LUNG BASES: Cardiomegaly. Ectatic descending thoracic aorta measuring 4-cm in diameter.LIVER, BILIARY TRACT: Subcentimeter liver lesions, too small to accurately characterize.SPLEEN: No signif... | Severe distal small bowel obstruction which has worsened from previous study. Possible peritoneal implants in the pelvis.Follow-up imaging is recommended for further evaluation of the left renal subcentimeter lesion in 6 months.These findings were discussed and acknowledged by Dr. Tenney at the time of dictation. |
Generate impression based on findings. | Female 71 years old Reason: hematuria work up History: hx of bilateral adrenalectomy, recent microscopic hematurai ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: S... | No evidence of renal stones, or solid renal lesions. |
Generate impression based on findings. | Male 62 years old Reason: Crohn's disease of large and small intestine; evaluate for stricture vs inflammation History: intermittent small bowel obstructions ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormal... | CT findings compatible with mild acute on chronic changes involving a short segment of terminal ileum. Postsurgical changes involving the right lower quadrant small bowel segments. |
Generate impression based on findings. | Reason: Resolution of micronodules, Development of bronchiectasis or parenchymal opacities History: ANCA positive blood test, MAI infection, positive scleroderma antibody. S/P course of prednisone LUNGS AND PLEURA: Nonspecific apical scarring.Scattered punctate micronodules, all benign in appearance.There is no evidenc... | 1. No evidence of interstitial lung disease or pulmonary manifestations of vasculitis.2. Mild bronchial wall thickening.3. Only punctate micronodules, all benign in appearance. |
Generate impression based on findings. | History: chronic sinusitis treated medically without resolution. There is extensive opacification of the bilateral maxillary sinuses with presumed retention cysts. There is partial opacification of the ethmoid sinuses. There are bubbly secretions within the left sphenoid sinus. There is minimal mucosal thickening withi... | 1. Findings suggestive of scattered sinusitis with an acute component in the left sphenoid sinus.2. Dental disease.3. Apparent lucency and cortical thinning involving the spinous process of C2, which is of indeterminate significance. An MRI may be useful for further evaluation. |
Generate impression based on findings. | T2N0 squamous cell carcinoma of the oral tongue status post partial glossectomy with neck dissection on 11/3/2014. There are postoperative findings related to right partial glossectomy with neck dissection. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. T... | 1. Expected postoperative findings without evidence of measurable locoregional tumor or significant cervical lymphadenopathy based on size criteria. 2. A patulous thoracic esophagus may represent achalasia or scleroderma, among other possibilities.3. Dental disease. |
Generate impression based on findings. | Male 62 years old Reason: High NH3 levels, post-OLT evaluate for shunt History: confusion ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic artery, main portal vein and right and left portal vein branches are patent. No evidence of biliary dilatation or focal lesions in the liver.SPLEEN:... | Patent vasculature of the liver transplant without any focal liver lesions. |
Generate impression based on findings. | Female 89 years old; Reason: AS History: Dyspnea ABDOMEN:Evaluation of solid organ parenchyma suboptimal due to arterial timing of IV contrast bolus. LUNGS BASES: Please refer to dedicated chest portion of the exam for additional findings.LIVER, BILIARY TRACT: Layering calcification and debris in gallbladder. In additi... | 1. Gallbladder intraluminal soft tissue focus, underlying neoplasm not entirely excluded, adherent sludge another differential consideration. Further evaluation with dedicated ultrasound imaging or dedicated CT or MRI without and with contrast recommended for further characterization.2. Atherosclerotic disease and aort... |
Generate impression based on findings. | There is persistent asymmetric hypoattenuation in the right posterior frontal, parietal, occipital lobes as well as the left parietal lobe which is similar to the prior examination. There is no acute intracranial hemorrhage or midline shift. The ventricles and sulci are unchanged. There is no hydrocephalus. There is n... | 1.No acute intracranial hemorrhage or midline shift. 2.Persistent multifocal areas of parenchymal low attenuation, similar to the prior exam. Although these abnormal areas of low attenuation could represent subacute infarcts, there is no clear interval evolution from 2/12/2015. Additional differential diagnosis include... |
Generate impression based on findings. | Frequent sinusitis, treated with antibiotics. There are postoperative findings related to endoscopic sinus surgery. There is a punctate left maxillary sinus rentention cyst. The other paranasal sinuses are clear and the neo-infundibula are patent. There are minimal secretions within the nasal cavity. The nasal septum i... | Postoperative findings related to endoscopic sinus surgery with a punctate left maxillary sinus rentention cyst, but no evidence of acute sinusitis. |
Generate impression based on findings. | Right heart failure of unknown etiology. The comparison chest radiograph performed on 2/15/2015 demonstrates stable cardiomegaly but no focal pulmonary opacities or pleural fluid. The ventilation images show a uniform distribution of activity on single-breath and wash-in images. There is no abnormal Xe-133 retention du... | Low probability scan for a pulmonary embolism. |
Generate impression based on findings. | Male 28 years old; Reason: Evaluate for hydrocele vs incarcerated inguinal hernia History: testicular swelling RIGHT TESTIS: Measures 5.2 x 3 x 2.5 cm. No focal parenchymal lesion. Symmetric normal testicular parenchymal vascularity.LEFT TESTIS: Measures 5.1 by 3 x 2.5 cm. No focal parenchymal lesion. Symmetric normal ... | 1. Small bilateral hydroceles and varicoceles. |
Generate impression based on findings. | Relapsed Burkitt lymphoma. Status post 4 cycles of chemo.RADIOPHARMACEUTICAL: 10.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 127 mg/dL. CT: demonstrates a right sided porta cath in the right atrium, tumor infiltration of the peri-rectal fat, scattered osseous sclerotic calcifications and trace pericard... | Probable mixed interval response. While there has essentially been complete resolution of previous extensive soft tissue tumor activity, there are multiple findings suspicious for progression at other soft tissue sites within the abdomen and pelvis. |
Generate impression based on findings. | 88 years, Male. Reason: rising WBC, concern for constipation or infection History: as above IVC filter is again noted. Partially visualized screws noted in the left femoral head. Right internal jugular central venous catheter tip at the superior cavoatrial junction. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 76-year-old female patient with recurrent GI bleeding. Evaluate for small bowel mass or stricture. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 30 minutes. Fluoroscopic evaluation showed normal mucosa throughout the majority of the small bowel, with no ulcers, sinus tracts, ... | Terminal ileum and colonic diverticulosis. Specifically, no small bowel masses or strictures were seen. |
Generate impression based on findings. | 15-year-old female, evaluate for new opacificationVIEW: Chest AP (one view) 2/19/15 11:14 ETT below the thoracic inlet. Right PICC tip unchanged in position. Unchanged spinal hardware. The cardiothymic silhouette is normal.Right pleural effusion and basilar atelectasis and opacity appear similar to the prior exam. | Right pleural effusion and basilar opacity appearing similar to the prior exam. |
Generate impression based on findings. | Reason: AATD, cough, sputum, r/o bronchiectasis History: cough, sob LUNGS AND PLEURA: Moderate apical predominant panacinar emphysema. No evidence of bronchiectasis.No suspicious pulmonary nodules or masses.Moderate basilar subsegmental atelectasis/scarring.Trace right pleural effusion with minimal associated atelectas... | Moderate panacinar emphysema in a patient with known alpha-1 antitrypsin deficiency. No evidence of bronchiectasis or infection. |
Generate impression based on findings. | Ms. Cho is a 48 year old female with a personal history of right breast mastectomy 2007 for cancer. She has no current breast related complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure sm... | 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. | Asymptomatic female presents for routine screening mammography. Mother and sister with history of breast cancer. 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 mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 9-year-old male status post line placementVIEW: Chest AP (one view) 2/19/13 12:35 ETT tip below the thoracic inlet. NG tube is doubled back on itself with its tip in the mid thoracic esophagus. Right pleural drain is unchanged in position. Interval placement of right chest tube with its tip along the lateral chest wall... | Interval placement of right chest tube with tip along the lateral chest wall. Unchanged pleural effusion. NG tube coiled back on itself with its tip in the midthoracic esophagus. |
Generate impression based on findings. | 85-year-old female with dysphagia. EPIC history: recent EGD showed a hiatal hernia and esophagitis in the distal esophagus, and a large bulge in lower esophagus suggestive of extrinsic compression. CHEST:LUNGS AND PLEURA: Significant motion in the bases limits evaluation.Numerous pulmonary nodules diffusely, greater in... | 1. Multiple bilateral pulmonary nodules of varying sizes, of a distribution and size, suspicious for metastases. Comparison to prior studies, particularly CT exams, would be helpful to evaluate for interval growth or stability of these nodules. 2. Enlarged subcarinal lymph node. Right anterior chest wall nonspecific su... |
Generate impression based on findings. | 8-day-old male with RDS.VIEW: Chest AP (one view) 2/19/2015 1134 ET tube tip at thoracic inlet. Feeding tube tip at the GE junction with sidehole in distal esophagus. Umbilical arterial catheter tip at level of T8. Normal cardiothymic silhouette. Diffuse bilateral atelectasis is not significantly changed. No pleural ef... | 1.No significant interval change in diffuse bilateral atelectasis, compatible with RDS.2.Feeding tube tip at the GE junction with sidehole in distal esophagus. |
Generate impression based on findings. | Male 35 years old Reason: r/o dissection History: HTN CT Angiography: There is no evidence of aortic aneurysm, dissection, or significant stenosis. The origins of the great vessels, celiac axis, SMA, and renal arteries are patent. No evidence of atherosclerotic disease. CHEST:LUNGS AND PLEURA: No significant abnormalit... | 1. Concentric left ventricular hypertrophy.2. Enlarged pulmonary artery which is suggestive of pulmonary arterial hypertension.3. There is no evidence of aortic aneurysm, dissection, or significant stenosis. |
Generate impression based on findings. | Mediastinal adenopathy, balance/coordination problems. Question of tumor or sarcoid. RADIOPHARMACEUTICAL: 9.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 93 mg/dL. Today's CT portion grossly demonstrates enlarged paratracheal and bilateral hilar lymph nodes. There are also several mildly enlarged bilater... | 1.Widespread fairly symmetric markedly hypermetabolic lymph nodes most notably in the chest and pelvis with more modest involvement of the neck and abdomen. Given the distribution, sarcoid is a likely etiology. Tumor such as lymphoma is another consideration.2.Markedly hypermetabolic proximal esophageal focus; this cou... |
Generate impression based on findings. | 58 years, Male. Reason: OGT placement, intubated with aspiration PNA and e/o esophageal dysmotility History: as above Enteric feeding tube tip projects over the distal gastric body. Nonobstructive bowel gas pattern. Bilateral pleural effusions.The lower portion of the pelvis is excluded from the field-of-view. | Enteric feeding tube tip projects over the distal gastric body. |
Generate impression based on findings. | Female 46 years old Reason: r/o toe fx to 3rd and 4th toes History: stubbed left foot. There is mild soft tissue swelling about and fourth toes. There is a minimally displaced oblique fracture of the proximal phalanx of the third toe. The bones of the fourth toes appear unremarkable without an evident fracture. | Fracture of the third proximal phalanx. |
Generate impression based on findings. | Reason: Large laryngeal mass, assess for lung disease History: same LUNGS AND PLEURA: Mild to moderate paraseptal emphysema.No suspicious pulmonary nodules or masses.Moderate dependent atelectasis, may relate to aspiration. No other focal areas of consolidation.No pleural effusion.Moderate pneumomediastinum with extens... | 1. Moderate pneumomediastinum and soft tissue emphysema in the anterior chest wall and neck, likely related to recent emergent tracheostomy placement.2. Multiple sclerotic foci of varying sizes throughout the visualized skeleton, which are suspicious for osseous metastases. This particular pattern is seen most commonly... |
Generate impression based on findings. | 26 day old male status post mandibular distraction osteotomy.VIEWS: Mandible AP, right lateral, left lateral (3 views) 2/19/2015 at 1145 Postsurgical changes status post bilateral mandibular distraction are identified. As per discussion with the clinical service, multiple layering plates noted within the left mandibula... | Expected postsurgical changes status post mandibular distraction osteotomy as described above. |
Generate impression based on findings. | 15-year-old female with backache and pain along thoracic spine.VIEWS: Lumbar spine AP, lateral, L5/S1 spot view (3 views) and thoracic spine AP, lateral, Swimmers (3 views), 2/19/2015 at 1241 Thoracic Spine: No acute fracture or malalignment. Vertebral body heights preserved. No acute abnormality identified in the visu... | Normal thoracic and lumbar spinal radiographs. |
Generate impression based on findings. | Evaluate ET tubeVIEW: Chest AP ET tube tip at the level of the thoracic inlet. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Patchy atelectasis right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | ET tube tip at the level of the thoracic inlet. |
Generate impression based on findings. | 16-year-old male with L4 fracture status post gunshot woundVIEWS: Lumbar spine, AP and lateral (two views) 2/19/15 Deformity of the L4 vertebral body consistent with fracture from gunshot wound. A bullet fragment is located just anterior to the L4 vertebral body. A fracture of the right iliac crest is partially visuali... | 1. Bullet fragment adjacent to the fractured L4 vertebral body. Right iliac crest fracture is also noted.2. Dilated small bowel with air-fluid levels, likely representing ileus. |
Generate impression based on findings. | Ms. Hetfield is a 67 year old female with a personal history of right breast lumpectomy 2001 for cancer followed by radiation and tamoxifen therapy. She also had left mammoplasty surgery. She has no current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the ai... | Stable postsurgical changes. 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. | HCC. Concern for metastatic disease. No abnormal osseous foci are identified to indicate metastatic disease. | No evidence of bone metastases. |
Generate impression based on findings. | Chest tube and NG placementVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip at the GE junction. Left upper extremity PICC with tip in the right atrium. Right pigtail catheter again noted. Right chest tube with tip at the right apex. Cardiothymic silhouette normal. Patchy atelectasis bil... | NG tube tip at the GE junction and right chest tube tip at the right apex. |
Generate impression based on findings. | 40 year-old female with history of Hodgkin lymphoma. CHEST:LUNGS AND PLEURA: Right middle lobe nodule (series 5, image 75) measures 7 x 8 mm, previously 8 x 8 mm. Scattered nonspecific pulmonary micronodules, unchanged. No focal pulmonary opacities or pleural effusions.MEDIASTINUM AND HILA: Redemonstration of mediastin... | 1.Reference mediastinal and axillary lymph nodes stable to slightly decreased. No new lymphadenopathy. 2.Stable right middle lobe pulmonary nodule. |
Generate impression based on findings. | Ms. Smith is a 61 year old female with a personal history of benign right breast biopsy in September 2013 for an intraductal papilloma. Family history of breast cancer in sister diagnosed at the age of 31. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast ... | Benign intramammary lymph node in the right breast. 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: 2 - Benign finding.RECOMMENDATION: NS - Scre... |
Generate impression based on findings. | Male 80 years old Reason: pain History: pain Severe osteoarthritis affects the right knee with bone on bone apposition in the medial compartment and tricompartmental osteophytes. There is a small joint effusion. No acute fracture or malalignment.Moderate osteoarthritis affects the left knee with moderate medial compart... | Severe right knee and moderate left knee osteoarthritis. |
Generate impression based on findings. | Male 66 years old Reason: osteoarthritis History: h/o left knee osteoarthritis Bone mineralization is normal. Alignment is near-anatomic. Moderate joint space filling in the medial compartment. There are small osteophytes. There is a small joint effusion. No acute fracture or malalignment | Mild to moderate left knee osteoarthritis. |
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