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Generate impression based on findings. | Male 20 years old; Reason: consult scan History: testicular pain/swelling. Patient reports an area of firmness within the scrotal sac. RIGHT TESTIS: Right testis measures 4.8 by 2.1 x 3.3 cm and is normal in appearance without focal mass.LEFT TESTIS: The left testis measures 4.3 x 1.9 x 3.1 cm and is normal in appearan... | 1.Normal ultrasound of the testicles. 2.2.2 cm left epididymal cyst, unchanged. 3.Multiple scrotoliths, a benign finding, along the medial aspect of the left scrotum in the area of the patient's palpable abnormality. |
Generate impression based on findings. | Female 46 years old Reason: recent CT with pulmonary nodules concerning for metastatic disease, evaluate for interval change and potential site of primary malignancy History: pulmonary nodules CHEST:LUNGS AND PLEURA: Multiple bilateral subcentimeter lung nodules, the largest in the right lower lobe measures 0.9 x 0.8 c... | 1.Multiple bilateral, subcentimeter lung nodules without lymphadenopathy which may represent an infectious process or metastases. Consider biopsy of the nodule if clinically indicated.2.Single, nonspecific sclerotic lesion in the T11 vertebral body. |
Generate impression based on findings. | 63-year-old male with hematuria. ABDOMEN:LUNG BASES: Mild coronary artery calcifications.LIVER, BILIARY TRACT: Hepatic steatosis without focal lesions. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: The kidneys are norm... | 1.Hepatic steatosis.2.No nephrolithiasis, hydronephrosis, or suspicious renal masses.3.Prostatomegaly. |
Generate impression based on findings. | Prostate cancer, evaluation of disease after 12 cycles of investigational therapy. Please complete PCWG 2 form. There is a new posterior right 10th rib lesion, confirmed on CT, with a new pathologic fracture. There are also new areas of metastatic uptake within the left lateral 5th rib and the left anterior 8th rib. A ... | Progression of disease with multiple new and worsening osseous metastatic lesions; a majority of these lesions appear lytic on CT which limits sensitivity and detection on the bone scan. However, additional new lytic lesions are suspected when reviewing the most recent CT. |
Generate impression based on findings. | Female 26 years old Reason: evaluate for fracture History: Pain at 5th metatarsal, most severe pain along 3rd metatarsal, some pain along 2nd metatarsal. There is moderate soft tissue swelling along the dorsal aspect of the foot with a small joint effusion in the anterior tibiotalar joint. However, there is no underlyi... | No acute fracture or malalignment. |
Generate impression based on findings. | Male 64 years old Reason: Unspecified mechanical complication of internal orthopedic device, implant, and graft History: Postsurgical changes in the right tibia/fibula. The external fixator device has been removed as has the distal syndesmotic screw.Three screws affix a the diaphyseal fracture and three distal metaphys... | Orthopedic fixation of the tibia and fibular fractures as detailed above. |
Generate impression based on findings. | Male 27 years old Reason: evaluate lymph nodes History: testicular cancer 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, U... | No evidence of metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | The right uterine artery was embolized using 500-700 micron Embospheres until near stasis was achieved. The post-embolization angiogram confirmed these findings.LEFT UTERINE ARTERY EMBOLIZATION | Successful bilateral uterine artery embolization.PLAN: The patient is admitted to the gyn-onc service and will be further managed by this service. |
Generate impression based on findings. | Male; 57 years old. Reason: hydronephrosis History: hydronephrosis RIGHT KIDNEY: The right kidney measures 11.2 cm in length. The renal cortex is mildly echogenic. A nephroureteral stent is seen within the collecting system. There is moderate hydronephrosis which is new compared to the prior renal ultrasound. No shadow... | 1.New moderate right hydronephrosis.2.Moderate left hydronephrosis has progressed compared to the prior ultrasound.3.Nonobstructing 1.2 cm left renal stone.4.Bilateral echogenic kidneys suggestive of medical renal disease. |
Generate impression based on findings. | Male 27 years old Reason: evaluate lymph nodes History: testicular cancer 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, U... | No evidence of metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | Ms. Wallace is a 47 year old female with personal history of bilateral mastectomy status post reconstruction. In September 2014 she had drainage of a hematoma in the reconstructed right breast. She presents today with a palpable abnormality in the same location, concerning for reaccumulation of hematoma. The site of in... | No sonographic evidence for malignancy or focal collection at the site marked. All results were relayed to Dr. Chhablani. Patient will follow-up with Dr. Chhablani in clinic.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Hypercalcemia. There is physiologic distribution of the radiopharmaceutical. There is no focus of increased activity to suggest a parathyroid adenoma. There is equivocal slight prominence of the left upper parathyroid gland and possibly both lower parathyroid glands raising the question of possible parathyroid gland hy... | 1.No scintigraphic evidence for parathyroid adenoma.2.Additional findings are equivocal but are of some suspicion for possible parathyroid hyperplasia. |
Generate impression based on findings. | 16 year old female with history of mediastinal lymphoma, 6 months off therapy. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal air space opacity or pleural effusion.MEDIASTINUM AND HILA: Mild interval decrease in size of left paramedian anterior mediastinal mass which measures 3.8 x 2.3 cm, previo... | Mild interval decrease in size of left anterior mediastinal mass. No new sites of disease identified. |
Generate impression based on findings. | Male 84 years old Reason: left knee pain History: left knee pain. Severe osteoarthritic changes affect the left knee with near bone on bone apposition of the medial compartment and tricompartmental osteophytes. A moderate size joint effusion is seen in the suprapatellar pouch.Frontal views of the right knee demonstrate... | Severe osteoarthritis of the left knee. |
Generate impression based on findings. | Female 42 years old Reason: ankle pain History: ankle pain. Oblique fracture of distal fibula is again seen with posterolateral displacement of the distal fracture fragment, which appears unchanged from the prior exam. There is widening of the lateral joint space. There is soft tissue swelling over the lateral malleolu... | Distal fibular fracture with lateral joint space widening, unchanged from the prior exam. |
Generate impression based on findings. | 67-year-old male patient with questionable enterocutaneous fistula in the epigastric area. A 12 gauge catheter was inserted into a small cutaneous fistula and the patient was instructed to hold his index finger over the fistula. Omnipaque was injected and there was immediate opacification of a loop of small bowel. Upon... | Enterocutaneous fistula in the epigastric region with direct communication to small bowel. No fistula tract was visualized. |
Generate impression based on findings. | History of of HL; day 100 post auto sct evaluation History: EvaluateRADIOPHARMACEUTICAL: 10.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 99 mg/dL. Today's CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis.Today's ... | No suspicious FDG avid activity to indicate tumor currently. Please see the same day diagnostic CT report for details of the chest, abdomen, and pelvis. |
Generate impression based on findings. | 15-year-old female with lumbago.VIEWS: Lumbar spine left and right oblique views (two views) 2/19/2015 at 1405 No acute fracture or malalignment. No evidence of spondylolysis. Vertebral body heights are preserved. Nonobstructive bowel gas pattern. | Normal examination. |
Generate impression based on findings. | 63-year-old presents for annual follow-up. History of prior abnormal mammograms. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No new dominant m... | 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. | ReintubationVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube removed in the interval. Cardiothymic silhouette normal. Minimal patchy atelectasis right lower lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis right lower lobe. |
Generate impression based on findings. | 17 month old female with history of left humeral osteomyelitis.VIEWS: Left humerus AP and lateral (two views) 2/19/2015 at 1405 Bony remodeling and cortical thickening seen in the mid humeral diaphysis on prior exam have resolved, compatible with resolution of previous osteomyelitis. No bony erosive changes or foci of ... | No specific radiographic evidence of acute osteomyelitis. |
Generate impression based on findings. | Male 63 years old Reason: shoulder History: shoulder pain Right shoulder: Bone mineralization is normal. Alignment is anatomic. Mild osteoarthritis affects the right shoulder with mild sclerosis of the glenoid and tiny osteophytes.Radiopaque foreign bodies are shown adjacent to the right base of neck. There is a lucenc... | Mild right shoulder osteoarthritis. Left shoulder, appropriate for age. |
Generate impression based on findings. | Bilateral lower extremity pain. Lumbar spine: Severe degenerative disk disease affects the L5/S1 level. The disk spaces are otherwise preserved. The vertebral body heights are preserved. The alignment is anatomic. Moderate osteoarthritis affects the facet joints of the lower lumbar spine.Right hip: Mild osteoarthritis ... | Degenerative changes in the lower lumbar spine and other findings, as above. |
Generate impression based on findings. | History of ALL with osteonecrosis of the hip. Now with bilateral foot pain. The bones are diffusely demineralized. No specific evidence of osteonecrosis. Mild osteoarthritis affects the first MTP joints bilaterally. No fracture or malalignment. | No specific evidence of osteonecrosis. |
Generate impression based on findings. | The posterior fossa is normal in size. The cisterna magna measures approximately 12 mm on axial images. The cerebellar hemispheres and vermis are present and normally formed. The foramen of Magendie is normal. Evaluation of the fetal cerebral parenchyma demonstrates two distinct cerebral hemispheres and thalami. The c... | 1. The cisterna magna measures up to 12 mm in diameter, which may represent very mild enlargement or a variation of normal. No other intracranial abnormalities are seen. 2. Mild dilation of the right renal collecting system. As this examination was tailored for the examination of the fetal brain, the remainder of the f... |
Generate impression based on findings. | 29 year old with bilateral milky nipple discharge for 10 years. Ultrasound for periareolar region was performed bilaterally. No dilated ducts, intraductal lesions or other suspicious findings are seen. | No sonographic evidence of malignancy. Clinical follow up is recommended. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Decreased ROM. No fracture or malalignment of the left shoulder. Normal appearance of the acromioclavicular and glenohumeral joints. No significant degenerative changes noted. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 59 years, Female. Reason: ngt readjustement History: please evaluate for NGT position Enteric feeding tube tip projects over the distal gastric body. Unchanged ileus bowel gas pattern, cholecystectomy staples, biliary stent and right lower quadrant suture material. The pelvis is excluded from the field-of-view. | Enteric feeding tube tip projects over the distal gastric body. |
Generate impression based on findings. | 25-year-old female with history of Ewing's sarcoma of the left tibia CHEST:LUNGS AND PLEURA: There is a new solid pulmonary mass in the left lung at the level of the aortic arch (series 4, image 31) measuring 4.5 x 5.2 cm highly suspicious for metastatic disease. The lesion abuts the posterior aspect of the aortic arch... | 1.New left lung mass measuring 4.5 x 5.2 cm highly suspicious for metastasis.2.Hepatic segment 4 B lesion may represent atypical focal nodular hyperplasia but is incompletely characterized, recommend MRI with and without contrast for further evaluation. |
Generate impression based on findings. | Head injury last night: reports blurred vision and nausea. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. However, the posterior fossa appears to be relatively small and the cerebellar tonsils up to 9 mm inferior to the foramen magnum. The vent... | 1. No evidence of acute intracranial hemorrhage or skull fracture.2. Small posterior fossa and low-lying cerebellar tonsils are suggestive of Chiari I malformation. FUrther evaluation via a brain and spine MRI may be useful. |
Generate impression based on findings. | Spinal cord stimulator lead confirmation There are 11 rib-containing thoracic vertebrae. The first non-rib containing vertebra will be designated L1. There are 6 non-rib-containing lumbar type vertebrae. Degenerative changes of the lower lumbar spine are present, with mild leftward curvature of the lumbar spine.A spina... | Degenerative changes and spinal stimulator device, as above |
Generate impression based on findings. | Frontal sinus: The right frontal sinus is not pneumatized. The left frontal sinus is near completely opacified as is the left frontal ethmoidal recess.Anterior ethmoids: There is near complete opacification of the left anterior ethmoid air cells. The right anterior ethmoid air cells are clear.Maxillary sinuses: There ... | Findings suggestive of left anterior greater than posterior paranasal sinus acute sinusitis. |
Generate impression based on findings. | Male 51 years old Reason: Newly dx HOP cancer with questionable nodal involvement and vessel involvement on poor quality OSH Scan. Needs Pancreas protocol CT Scan here. History: Painless jaundice ABDOMEN:LUNG BASES: No suspicious nodules or masses. No pleural effusion.LIVER, BILIARY TRACT: Common bile duct stent in pla... | 2.Mass of the head of the pancreas without evidence of remote metastatic disease as described above. |
Generate impression based on findings. | Large laryngeal mass, assess extent. There are postoperative findings related to tracheostomy tube insertion with extensive multicompartment emphysema in the neck. There is a heterogenous infiltrative mass centered in the right supraglottic region with extension into the hypopharynx and base of tongue that measures up ... | 1. Postoperative findings related to recent tracheostomy tube insertion with extensive multicompartment emphysema in the neck. 2. A necrotic infiltrative mass centered in the supraglottic region with extension into the tongue base that measures up to at least 4 cm and extends across the midline likely represents a squa... |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (12/1/14, 2/6/15), ultrasound images of right breast (2/6/15), images from ultrasound guided biopsy of right breast and post procedural mammographic images (2/6/15) performed at Northwestern Memorial Hospital. For compari... | Biopsy proven carcinoma in the right breast at 10 o'clock position.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Left breast cancer for left simple mastectomy, left axillary sentinel lymph node biopsy with possible CALND, left axillary reverse mapping, and removal of port. Surgery 2/20/2015 at 1000 am. RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 1.03 mCi Tc-99m filtered sulfur colloid was inj... | Contralateral right axillary lymph node drainage. No ipsilateral left axillary drainage is identified. |
Generate impression based on findings. | 83 year old female with abdominal pain and left hip pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signi... | 1.Colonic diverticulosis without evidence of diverticulitis.2.No evidence of fracture in the visualized portions of the pelvis and bilateral proximal femurs. |
Generate impression based on findings. | 60 year-old female with left big toe and foot pain, tender after binding toe this morningVIEWS: Left foot, AP, lateral, and oblique (3 views) 2/19/15 14:50 Alignment is anatomic. No fracture is evident. The osseous structures are normal for the patient's age. | Normal examination. Findings text paged to Dr. Shi (pager 5718) at the time of dictation. |
Generate impression based on findings. | Ms. Wheeler is a 54 year old female with a personal history of bilateral lumpectomies for IDC in 2009 treated with radiation, chemotherapy and tamoxifen. Patient now presents for a short term follow for a cluster of calcifications in the right breast. She has a family history of breast cancer in maternal grandmother an... | Stable findings, including postsurgical changes in both breasts. 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.RECOMMENDAT... |
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. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular st... | 1. Unremarkable noncontrast MRI of brain.2. Bilateral paranasal sinus and mastoid air cell opacification which is nonspecific, for which clinical correlation is recommended. |
Generate impression based on findings. | 83-year-old with palpable area of concern in the left breast. Three standard views of both breasts and left spot compression views 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 m... | 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 - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign needle biopsies. Two standard digital views 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 suspicious masses, mic... | 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. | Metastatic cancer SCC versus non-SCC per path, prior skin lesions and left neck LAD. There are post-treatment findings in the neck related to left neck dissection and radiation, with diffuse edema in the hypopharyngeal region, denervation changes in the left hemitongue, and diffuse nonspecific stranding of the subcutan... | 1. Post-treatment findings in the neck without definite measurable tumor or significant lymphadenopathy.2. A mass in the left upper mediastinum that measures up to 30 mm likely represents metastatic disease. 3. Tree-in-bud opacities in the partially-imaged lungs may represent bronchiolitis. Please refer to the separate... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Mother with history of breast cancer. 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 and tom... | 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. | Temporal lobe cavernoma resection. There are postoperative findings related to left occipital craniotomy for resection of a cavernous malformation. There is fluid and hemostatic material in the resection cavity, but no evidence of acute intracranial hemorrhage or discernible mass. There is a small amount of pneumocepha... | Expected recent postoperative findings related to left occipital craniotomy for resection of a cavernous malformation, without evidence of acute intracranial hemorrhage or discernible mass. |
Generate impression based on findings. | 33 year old who plans to have breast reduction surgery presents for pre-operative evaluation. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious mass, suspicious microcalcifications... | No mammographic evidence of malignancy. Results were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: There is mild scattered mucosal thickening in the maxillary sinuses, with a couple small left maxillary sinus probable mucosal retention cysts. The ostiomeatal units ar... | No CT findings of chronic or acute sinusitis. Minimal scattered sinus inflammatory changes in the maxillary sinuses. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of mother and cousin 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 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. | 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 retention cyst, but no evidence of acute sinusitis. |
Generate impression based on findings. | RDSVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip at the GE junction. Umbilical catheters unchanged. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally not significantly changed. No pleural effusion or pneumothorax. | Diffuse atelectasis not significantly changed. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of maternal aunt 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 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. | Difficulty swallowing and breathing. Evaluation of anterior mediastinal probable thymoma.RADIOPHARMACEUTICAL: 11 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 100 mg/dL. Today's CT portion grossly demonstrates an ill-defined soft tissue infiltration of the anterior mediastinum appearing similar to the prio... | No FDG avid lesion in the region of the thymus or elsewhere in the neck, chest, abdomen, or pelvis. |
Generate impression based on findings. | 38 year-old female. Hypoxia. Evaluate for PE. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Focal streaky groundglass opacity in the lingula/left upper lobe consistent with infection.Small amount of intraluminal debris within the trachea.Mild lower lobe bronchiectasis and basilar linear scarri... | No evidence of pulmonary embolism. Lingular opacity consistent with pneumonia.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Reason: evidence of PE? Assess ILD History: hypercapnia, hypotension PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Redemonstration of diffuse reticulonodular opacities as well as traction bronchiectasis and subpleural cysts in a coarse honeycombi... | 1. No evidence of pulmonary embolism.2. Marked progression of interstitial lung disease, possibly with superimposed acute exacerbation. The presence of pleural effusions raises the question of a component of CHF.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not ... |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: There are scattered small probable mucosal retention cysts within the maxillary sinuses bilaterally. The ostiomeatal units are clear. There is a small left-sided Haller... | No CT evidence of acute or chronic sinusitis. Very minimal scattered probable mucosal retention cysts in the maxillary sinuses bilaterally. Patent bilateral ostiomeatal units. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of maternal grandmother 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 pat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: Evaluate pneumothorax/chest tube, History: Worsening SOB, left sided chest pain LUNGS AND PLEURA: Moderate-sized left pneumothorax, with only a small amount of pleural fluid in the basilar region.A left chest tube extends to the apex.Surgical sutures from prior biopsy are seen in the left upper and lower lobe r... | 1. Moderate size left pneumothorax with a left chest tube in place.2. Multiple wedge resections bilaterally.3. Possible 14-mm nodule left upper lobe. |
Generate impression based on findings. | 10-year-old male with elbow swelling.VIEWS: Right elbow AP oblique lateral (3 views) 2/19/2015 at 1545 No acute fracture or dislocation. No evidence of elbow joint effusion. | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of BRCA positivity and strong family history of 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 extremely dense, which lowers the sensitivi... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral mastopexy. 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. Postoperative f... | 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. | 49-year-old male. Metastatic cancer SCC versus non-CT per path. Prior skin lesions in left neck LAD. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules highly suspicious metastases, including in the left upper lobe (series 5, image 35). The largest in the right lower lobe is 14 mm (series 5, image 56).Cluster... | 1. Extensive metastatic disease in the chest with pulmonary/pleural metastases and bulky mediastinal and hilar lymphadenopathy invading the left mainstem bronchus and likely also the esophagus. 2. Cluster of tree-in-bud opacities in the left upper lobe consistent with bronchiolitis, likely related to aspiration.3. Soft... |
Generate impression based on findings. | Patient with elevated A-a gradient, hypoxia, tachycardia now on heparin gtt. Please evaluate for pulmonary embolus. The comparison chest radiograph performed on 02/18/2015 demonstrates small bilateral pleural effusions and mild basilar predominate interstitial opacities.The ventilation images show delayed activity on s... | Low probability for pulmonary embolus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Maternal aunt and sister with history of breast cancer. Two standard digital views of both breasts with additional bilateral MLO and cleaveage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unch... | 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. | Reason: 66 yo F with h.o dermatomyositis, evaluate for ILD History: "unresolving PNA" LUNGS AND PLEURA: Multiple focal subpleural reticular and nodular opacities with areas of mild linear scarring. Mild traction bronchiectasis. No evidence of honeycombing.Scattered benign appearing micronodules, some calcified. No susp... | Findings compatible with mild pulmonary fibrosis, possibly with small areas of organizing pneumonia. These findings may be secondary to the patient's known connective tissue disease. No evidence of active infection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral MLO views 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 suspicious masses, microcalcific... | 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. | Asymptomatic female presents for routine screening mammography. Maternal aunt, paternal grandmother and aunt 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 ... | 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. | Biopsy proven DLBCL. Staging.RADIOPHARMACEUTICAL: 15.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 77 mg/dL. Today's CT portion grossly demonstrates a large right jugular lymph node measuring 2 cm. There is a very large soft tissue mass surrounding the left scapula with associated destruction. Numerous l... | Extensive markedly hypermetabolic tumor in the right neck and bilateral thorax, most notably involving a large soft tissue mass in the left shoulder region causing significant destruction of the underlying scapula. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Maternal grandmother 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. No suspicious masses, microcalcifi... | 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. | There are scattered minimal somewhat globular areas of intrinsic T1 hyperintensity and T2 hypointensity with associated susceptibility along the right greater than left tentorium near the midline, as well as more subtle abnormal signal dependently along the posterior left parietal lobe as seen on 1101/10. Trace intrin... | 1. Trace scattered left-sided subacute subdural blood products, likely redistributed since the initial outside exam which is not available.2. No definite structural abnormality identified.3. Very thin left parietal cephalhematoma with evolving blood products. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of prior left benign breast 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 ... | 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. | Female 50 years old Reason: pain History: pain. Trace joint effusion is seen. Tiny osteophytes are seen in the medial compartment. No acute fracture or dislocation.Frontal views of the left knee are unremarkable. | Minimal arthritic changes affect the medial compartment of the right knee. |
Generate impression based on findings. | Female 60 years old Reason: Evaluate for osteomyelitis left hallux History: Non-healing ulcer plantar left hallux with new onset blister formation. Soft tissue defect on the plantar surface likely represents ulcer. Along the lateral surface of the tuft of the first distal phalanx there is a subcortical lucency; this is... | Along the lateral surface of the tuft of the first distal phalanx there is a subtle subcortical lucency; this is equivocal for osteomyelitis. |
Generate impression based on findings. | Reason: 48 yo male with history of CMML; pre-allo SCT evaluation History: evaluate LUNGS AND PLEURA: An 8mm solid right middle lobe nodule along the minor fissure (series 4, image 148) is new from the prior exam dated 09/2014. Additional scattered benign appearing micronodules are stable from the prior exam.No other su... | 1. An 8mm right middle lobe nodule is new from the prior exam dated 09/2014. Given the appearance and time course, a benign etiology is favored, such as granulomatous infection or an intrapulmonary lymph node. Recommend follow-up imaging in 3 to 6 months to confirm stability.2. No other evidence of infection. |
Generate impression based on findings. | Female 63 years old Reason: eval oa, with knee pain s/p fall 01/2015 History: eval oa, with knee pain s/p fall 01/2015. Four views of the right knee show mild arthritic changes and sharpening of the tibial spines, unchanged from the prior exam. No acute fracture or malalignment is seen. There is moderate prepatellar so... | Mild osteoarthritis without evidence of acute fracture or malalignment. Prepatellar soft tissue swelling, right greater than left. |
Generate impression based on findings. | Male 68 years old Reason: s/p endoscopic repair of zenkers diverticulum today (2/19/2015), please evaluate for esophageal leak History: s/p endoscopic repair of zenkers diverticulum today (2/19/2015) No evidence of leak in the region of the cervical esophagus. Remainder of the esophagus demonstrates moderate motor abno... | No evidence of leak. |
Generate impression based on findings. | There is inflammatory mucosal thickening in the sphenoid sinus with sclerotic appearance of the sphenoid sinus wall. There is also abnormal sclerotic appearance in the left pterygoid plates. There is an approximately 9 mm medial-lateral posterior right sphenoid sinus wall defect with a tiny (about 1 mm) defect along t... | 1.Extensive trans-spatial infection involving the central and posterior skull base with extensive permeative destruction. Please see details above and accompanying MRI report. Anteriorly infection appears to extend into the left pharyngeal soft tissues. Posteriorly infection extends in the left neck/paraspinous soft ti... |
Generate impression based on findings. | Ms. Jackson is a 44-year-old female presenting with a 3 week history of right retroareolar erythema, edema, and pain. She initially presented to an outside hospital where 10 to 12 cc of pus was aspirated from the retroareolar abscess. Patient says that she can still feel a residual abscess. She is currently on antibiot... | 5.2 x 1.5 cm right retroareolar abscess with two reactive lymph nodes in the right axilla. A surgical consultation is recommended. All results and recommendations were relayed to the patient and Dr. Chhablani.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 89 year old female with history of HTN, atrial fibrillation, pulmonary HTN, and aortic stenosis presenting for pre-procedural planning of aortic valve replacement. CPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. No thoracic aortic dissection or aneurys... | 1. Severe aortic valve calcification with evidence of extension onto the anterior mitral leaflet. 2. Ascending aortic anatomy as above. 3. Left main height is low and less than the the aortic valve leaflet length. 4. Possible left atrial appendage thrombus. 5. Mild left ventricular hypertrophy with a moderately sigmoid... |
Generate impression based on findings. | Female 32 years old Reason: s/p MVC, neck/shoulder pain with RUE radiation History: same. Four views of the right shoulder show no acute fracture or dislocation.6 views of the cervical spine show preservation of the vertebral body heights and intervertebral disk spaces. Neuroforamina appear patent bilaterally. | No specific radiographic evidence account for patient's pain. |
Generate impression based on findings. | Female 43 years old bilateral foot pain and bunions. There is a mild hallux valgus deformity of the left foot. No acute fracture.Three views of the right foot show a mild hallux valgus deformity. | Mild bilateral hallux valgus deformities. |
Generate impression based on findings. | Male 66 years old Reason: , eval for RA or cppd History: pain and swelling Right hand: Bone mineralization is normal . Alignment is anatomic. Mild osteoarthritis affect the third metacarpal phalangeal joint. No focal erosive changes. No acute fracture or malalignment.Left hand: Bone mineralization is normal. Alignment ... | Mild right hand osteoarthritis. No radiographic evidence of erosions or changes from CPPD. |
Generate impression based on findings. | Male 48 years old; Reason: Pre-op for L UKA History: same Moderate to severe degenerative changes are noted at the knee joint, with focal depression of the weight-bearing surface of the medial femoral condyle suggestive of an insufficiency fracture and similar to the prior MRI. The hip and ankle joints appear unremarka... | Degenerative changes, as above. |
Generate impression based on findings. | Male 54 years old Reason: Right radius malunion History: Right radius malunion Postsurgical changes in the mid radius with plate and screw fixing a transverse radius fracture. There is sclerosis at the fracture margin with a lucency through the fracture. Other pin tracks are noted through the radius.Sideplate and screw... | Plate and screws affixing the radius and ulnar fractures with lucency through the radial fracture. Depending on the age of the fracture this could indicate malunion. |
Generate impression based on findings. | 25-year-old male with pelvic pain, evaluate for abscess. PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: There is a left perirectal fluid collec... | 1.Left perirectal abscess measuring approximately 1.0 x 1.4 cm. In the appropriate clinical setting, MRI may be helpful for further evaluation. |
Generate impression based on findings. | 83 years, Male, Reason: Hx of GIST; evaluate for recurrence (original abdomen/gastrectomy); can do WITHOUT IV DYE if radiologist preference w/renal function History: See Above. Stomach GIST CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Scattered enlarged calcified mediastinal lymph nodes... | 1.Mild nonspecific left inguinal and mediastinal lymphadenopathy.2.No definite evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Female 48 years old Reason: 48 F w/ lupus and new right knee pain with effusion History: see above Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal on these nonweightbearing views. No acute fracture or malalignment. Possible trace joint effusion. | Trace joint effusion; no acute fracture or malalignment. |
Generate impression based on findings. | Male 74 years old Reason: h/o gout with swollen DIP and PIP joints, eval for signs of chronic gout or osteoarthritis History: hand pain Bone mineralization is normal. Alignment is anatomic. There is severe joint space loss with osteophyte formation worst at the fifth proximal interphalangeal joint and second distal int... | Osteoarthritis of the interphalangeal joints. |
Generate impression based on findings. | Female 50 years old Reason: right knee pain History: right knee pain Bone mineralization is normal. Alignment is anatomic. There is mild medial compartment joint space narrowing. No significant osteophyte formation.There is soft tissue swelling along the anterior aspect of the knee. No acute fracture or malalignment. | Soft tissue swelling without evident fracture. |
Generate impression based on findings. | There is redemonstration of a right thalamic and hemorrhage with further expected of motion since prior exams. The hematoma now measures 3.2-cm transverse by 2.5-cm AP, as compared to previous 4.2 x 2.2 cm. Midline shift has improved, now measuring 11 mm to the left as compared to previous 15 mm. Localized mass effect... | 1. Interval expected evolution of right S1 parenchymal hematoma with intraventricular extension. No new intracranial hemorrhage. Slight decreased mass effect.2. Stable ventriculostomy catheter with stable lateral ventricular dilatation.3. Persistent diffuse sulcal effacement and partial basal cistern effacement.4. Prog... |
Generate impression based on findings. | Female 64 years old Reason: pre-op History: pain Moderate to severe osteoarthritis affects the medial compartment of the left knee where there is bone on bone apposition and subchondral sclerosis.There is a moderate joint effusion. There are small tricompartmental osteophytes. No acute fracture or malalignment.Mechanic... | Left knee osteoarthritis as detailed above. |
Generate impression based on findings. | 64-year-old male with history of scrotal swelling and concern for rectal perforation versus traumatic Foley placement. PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedPENIS, TESTICLES: Complex fluid collection in the left scrotum with surrounding wall thickening and edema with inflammation from the s... | 1.Interval incision and drainage of left scrotal abscess. 2.Foley catheter has been repositioned with balloon now within bladder. 3.Peri-rectal foci of gas have resolved. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: There is trace mucosal thickening in the right maxillary sinus. The left maxillary The ostiomeatal units are clear.Posterior ethmoids: The posterior ethmoid air cells a... | 1. No significant sinus inflammatory changes.2. Multiple dental caries with suggestion of periodontal and endodontal disease, for which correlation with dental exam is recommended. |
Generate impression based on findings. | Female 33 years old Reason: s/p ERCP for retained stones post cholecystectomy. now with abdominal pain rule out perf History: same ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Small amount of fluid collection the gallbladder fossa is slightly smaller measuring 1.1 x 0.9 cm on image number 4... | Slight interval decrease in the size of the fluid in the gallbladder fossa, likely postsurgical. |
Generate impression based on findings. | Female 68 years old Reason: r knee pain History: pain in the knee There is a genu varus. Severe osteoarthritis affects the right knee with bone on bone apposition in the medial compartment. There are tricompartmental osteophytes. No joint effusion is evident.No acute fracture. | Severe right knee osteoarthritis. |
Generate impression based on findings. | Female 58 years old Reason: right hip pain History: right hip pain Right hip: Severe osteoarthritis affects the right hip joint with bone on bone apposition, subchondral cystic change and osteophyte formation. Bones are demineralized. There is a band of sclerosis in the right femoral neck that was present on the prior ... | Severe osteoarthritis of the right hip with sclerosis at the femoral neck, unchangedMild left knee osteoarthritis. |
Generate impression based on findings. | Female 79 years old Reason: stability of l-spine History: back pain Bones are demineralized with compression fractures of the L3 and L5 vertebral bodies. There is also compression deformity of superior endplate of T11. There is mild levoconvex scoliosis of the lumbar spine. | Bone mineralization and height loss of the L3 and L5 vertebral bodies. |
Generate impression based on findings. | Male 47 years old Reason: SBO; diverticulitis History: epigastric pain; LLQ pain ABDOMEN:LUNG BASES: Cardiomegaly, unchanged.LIVER, BILIARY TRACT: Mild hepatomegaly, unchanged.SPLEEN: Moderate splenomegaly, unchanged.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URET... | Mild fat stranding around the diverticuli in the sigmoid colon may represent an early mild diverticulitis.Hepato- splenomegaly.Bilateral atrophic kidneys. |
Generate impression based on findings. | Female 70 years old Reason: r/o abd path History: woke up last night with sharp pain on the left side of the abd; feels achy now. No fever or chills or hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: N... | Epiploic appendigitis of the distal descending colon explaining patient's acute abdominal pain. |
Generate impression based on findings. | Male 83 years old Reason: R/o appendicitis, colitis (associated with C. diff), obstruction, perforation History: Febrile This study is limited due to lack of intravenous contrast.ABDOMEN:LUNG BASES: Consultation in the lateral aspect of the right lower lobe, partially imaged may reflect sequela of prior radiation and/o... | Limited study due to lack of intravenous contrast. Bilateral lower lobe lung findings as described above. Pneumonia cannot be excluded. |
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