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Generate impression based on findings. | HypotensionVIEW: Chest AP and abdomen AP 2/20/15 ET tube tip below thoracic inlet and above the carina. NG tube tip at the GE junction. The umbilical venous catheter tip likely in the umbilical vein. The umbilical arterial catheter tip at T8. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally unchanged. No... | Diffuse atelectasis bilaterally unchanged. |
Generate impression based on findings. | 9-year-old male with right pleural effusion/empyema.VIEWS: Chest PA/lateral (two views) 2/20/2015 at 0524 ET tube tip between the thoracic inlet and carina. Feeding tube has been advanced with tip and sidehole now in the stomach. Left upper extremity PICC tip in right atrium. Right pigtail catheter unchanged. Right che... | No significant interval change in bilateral pleural effusions and overlying patchy atelectasis. |
Generate impression based on findings. | 9-year-old male with right-sided pleural effusion.VIEW: Chest AP (one view) 2/19/2015 at 1857 ET tube tip between the thoracic inlet and carina. Feeding tube has been advanced with tip and sidehole now in the stomach. Left upper extremity PICC tip in right atrium. Right pigtail catheter unchanged. Right chest tube tip ... | No significant interval change in bilateral pleural effusions and overlying patchy atelectasis. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - 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, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - 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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | There is extensive artifact related to dental amalgam limiting evaluation of the oral cavity. Mild thickening of the right-sided cervical esophageal wall along the posterior aspect of the trachea at the level of the thyroid gland is unchanged measuring 1.0 x 1.4 cm. No significant cervical lymphadenopathy is seen. Bil... | 1.Unchanged nonspecific soft tissue thickening along the cervical esophagus at the level of the thyroid gland along the posterior margin of the trachea.2.No significant cervical lymphadenopathy.3.Unchanged subcentimeter thyroid nodules. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Stable benign mass is... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 2-year-old male with bilious emesis.VIEW: Abdomen AP (one view) 2/19/2015 at 1914 Feeding tube tip in the stomach. Disorganized but nonobstructive bowel gas pattern. No pneumatosis, free air, or portal venous gas. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Four month old male with a ventriculoperitoneal shunt and lethargy.VIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 2/19/2015 at 1948 Ventricular catheter tip terminates at the cranial midline and exits the skull via a right parietal burr hole. The catheter... | No evidence of VP shunt malfunction. |
Generate impression based on findings. | Male 66 years old ABDOMEN:LUNGS BASES: Scattered lung parenchymal calcifications and subcentimeter right hilar calcification, likely sequela from prior granulomatous disease. Dystrophic calcification seen in region of aortic valve. Relatively hypoattenuated appearance of intracardiac blood pool, suggesting underlying a... | Outside exam read:1. Findings compatible with acute diverticulitis as described, no associated bowel perforation or abscess formation seen. Small adjacent fluid and pelvic ascites seen, likely reactive. Follow up to resolution suggested to exclude possibility of underlying neoplasm. |
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, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. Stable benign masses are unchanged in both breasts.No suspici... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 4-year-old female with new wheezing and feverVIEWS: Chest AP/lateral (two views) 2/19/15 20:04 The cardiac apex, aortic arch and stomach are left-sided. The cardiothymic silhouette is normal.Bronchial wall thickening and large lung volumes compatible with bronchiolitis or reactive airway disease. No evidence of pneumon... | Bronchiolitis or reactive airway disease without evidence of pneumonia. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. Architectural distortion is present at posterior upper quadr... | Architectural distortion at posterior upper quadrant in the left breast. Spot compression views and possible ultrasound study are recommended. Submission of old mammogram is also recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 42 years, Female, Reason: cholangiocarcinoma with peritoneal/adnexal mets, on palliative chemotherapy. Evaluate interval change CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. Scattered small micronodules in the right middle lobe are new but nonspecific. No suspicious nodule.MEDIASTINUM AND HILA: La... | 1.Interval decrease in size of liver lesions, pelvic masses and extensive peritoneal and omental carcinomatosis.2.Increased abdominal ascites.3.Resolution of left-sided hydronephrosis.4.Slightly dilated bowel loops may represent partial obstruction, unchanged. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A percutaneously placed clip within t... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - 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, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. There are developing amorphic calcifications at upper outer q... | Developing amorphic calcifications at upper outer quadrant in the left breast. A spot magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 12-year-old male with history of megaureter status post left ureteral reimplantation. Nephroureteral stent has been removed. BLADDER Wall Thickness: Normal Contents: Distended with scattered debris. Distal Ureter -- SFU Grade** Right: 0 Left: 2 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortica... | 1.Grade 2 dilatation of the distal left ureter, which may represent postsurgical change status post left ureteral implantation and stent removal.2.No hydronephrosis. *SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addi... |
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, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. A few coarse benign calcifications are seen in the left breas... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. The patient has lost 110 pounds since the last examination. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is extremely dense, limiting the sensitivity of mammography and in... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSD - Screening Mammogram. |
Generate impression based on findings. | Female, 30 years old, with AML, neutropenia, and sinus pressure. Also with bilateral neck pain and swelling. The aerodigestive mucosa is unremarkable. Scattered small lymph nodes are identified on both sides of the neck, but none with pathologic or aggressive features. No evidence of any discrete fluid collection or an... | 1.No specific findings are seen to account for patient's neck pain.2.Mild scattered patchy areas of mucosal thickening and opacification are seen in the paranasal sinuses, slightly progressed in some areas and slightly improved in others. |
Generate impression based on findings. | 77 year old female with with metastatic colorectal cancer; needs surveillance CT scans. CHEST:LUNGS AND PLEURA: Reference right lower lobe pulmonary nodule (series 5, image 50) measures 0.8 x 1.1 cm, measured 0.8 x 1.1 cm previously. Non-reference small pulmonary (series 5, image 66) has slightly increased in size. Add... | 1.Stable reference pulmonary nodule and mediastinal lymph nodes. Slight interval increase in size of non-reference mediastinal lymph nodes and right lower lobe pulmonary nodule. 2.Interval increase in size of hepatic lesions.3.Moderate right pleural effusion, increased in size from prior. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. End-stage renal disease. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Trabecular t... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: eval for acute intracranial abnormality History: altered mental status, DKA, diabetes. Chronic hepatitis c without mention of hepatic coma The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is ide... | 1.No evidence for acute intracranial hemorrhage, mass effect or edema.2.There is incompletely included hyperdense opacification of the right maxillary expanding into the nasal cavity. Based on comparison to an MRI from 6/6/2003 this most likely represents inspissated secretions and is chronic. A fungal infection in a p... |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. A circumscribed mass is present at upper outer quadrant 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. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 63 year old woman with history of DCIS s/p left lumpectomy 2002. 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, unchanged in pattern and distribution. Post-surgical findings of left lumpectomy ... | 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic 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, version 9.3. The breast parenchyma is heterogeneously dense. Scattered benign calcifications are present in both breasts.No suspicious masses, microcalcification... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 41 years old Reason: follow up History: follow up. 4 views of the right foot again show transverse fractures through the bases of the second, third, and fourth metatarsals. The fracture lines appear slightly less distinct on the current study than on the prior study suggesting some interval healing. | Healing fractures of the second, third, and fourth metatarsals. |
Generate impression based on findings. | Reason: status of lung transplant History: dyspnea LUNGS AND PLEURA: Redemonstration of postsurgical findings of a right lung transplant.Severe apical predominant centrilobular and paraseptal emphysema in the left lung, similar in appearance to the prior exam.Scattered benign appearing micronodules in both lungs, stabl... | Status post right lung transplant. Stable moderate right pleural effusion, without additional evidence of complication or other acute abnormality. |
Generate impression based on findings. | Ms. Hayducak is a 64 year old female with a personal history of left breast lumpectomy in February 2010 for IDC/DCIS followed by radiation and hormonal therapy. She has a family history of breast cancer in mother and two maternal aunts. No current breast related complaints. Three standard views of both breasts were per... | Stable postsurgical changes of the left breast. 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 - Diagnos... |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: GE Junction esophageal cancer. Please compare to prior exam per RECIST criteria. History: Esophageal cancer CHEST:LUNGS AND PLEURA: Interval partial clearing of multiple areas of groundglass opacity which may have been secondary to aspiration.Slightly increased focal airspace opacity in the posterior basal segm... | 1. Pulmonary abnormalities suggestive of aspiration, mainly in the left lower lobe.2. Distal esophageal thickening, not significantly changed. 3. Stable residual celiac lymphadenopathy. |
Generate impression based on findings. | Two years after lung resection for Stage I NSCLC. LUNGS AND PLEURA: Stable post surgical findings of a right upper lobectomy without evidence of recurrence.Small peripheral groundglass opacity subjacent to the right major fissure (series 5, image 59), unchanged and likely represents scarring.Mild centrilobular emphysem... | No specific evidence of recurrent disease or metastases. |
Generate impression based on findings. | 7-year-old male with history of Beckwith Weidman syndrome, assess for tumor LIVER: The liver measures 12.9 cm. No focal hepatic lesion.GALLBLADDER, BILIARY TRACT: The gallbladder is distended and otherwise normal. No biliary ductal dilatation. The common bile duct measures 3 mm. Limited color and spectral Doppler evalu... | Normal examination. |
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, version 9.3. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - 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, version 9.3. The breast parenchyma is extremely dense, limiting the sensitivity of mammography and increasing the importance of physical examination, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSD - 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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A circumscribed mass at 6 o'clock pos... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 82 years, Male. Reason: evaluate bowel gas pattern History: abdominal distension and pain Dilated loops of small and large bowel with air fluid levels are compatible with early small bowel obstruction. High-grade ileus is considered less likely. Chronic elevation of the left hemidiaphragm. Note that the pelvis is exclu... | Findings compatible with early small bowel obstruction. High-grade ileus is considered less likely. |
Generate impression based on findings. | 45-year-old male with metastatic rectal cancer. CHEST:LUNGS AND PLEURA: No suspicious nodules or masses.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Left-sided chest port with catheter tip in the inferior SVC.ABDOMEN:LIVER, BILIARY TRACT: Hypoattenuating lesion within segment 8 consistent with pati... | 1.Slight interval increase in size of hepatic metastasis. 2.Stable left rectal wall thickening and perirectal lymph node. 3.No new sites of metastatic disease are identified. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male; 70 years old. Reason: assess L renal cyst History: dysuria, wt loss RIGHT KIDNEY: The right kidney measures 9.7 cm in length. There is no hydronephrosis or shadowing renal stone.LEFT KIDNEY: The left kidney measures 11.3 cm in length. There is no hydronephrosis or shadowing renal stone. Within the upper pole of t... | 2.3 cm predominantly solid left upper pole renal lesion is indeterminate but concerning for neoplasm. |
Generate impression based on findings. | Soft palate cancer status post CRT. Compare to previous measurements. CHEST:LUNGS AND PLEURA: Mild paraseptal and centrilobular emphysema.Intraluminal debris in multiple right lower lobe bronchi (series 5, image 61). No focal airspace consolidation or pleural effusion.Stable left upper lobe micronodule, most likely ben... | No evidence of metastatic disease. Right lower lobe bronchi aspirated debris without evidence of pneumonia. |
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, version 9.3. The breast parenchyma is heterogeneously dense. Focal asymmetry is present at upper inner quadrant in the left breast. No suspicious masses, microca... | Focal asymmetry at upper inner quadrant in the left breast. Comparison to old mammograms is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison. |
Generate impression based on findings. | 71 year-old woman history of left DCIS with microinvasion status post lumpectomy in 2009. 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, unchanged in pattern and distribution. Post-surgical cha... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Benign calcifications are again present appreciated in the ri... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: Hisotry of left breast triple negative breast cancer in 2012. Now with left prominence of medial infraclavicular area, around ribs 1-2, r/o internal mammary nodes. History: Hisotry of left breast triple negative breast cancer in 2012. Now with left prominence of medial infraclavicular area, around ribs 1-2, r/o... | No chest wall lymphadenopathy or other evidence of metastatic disease. |
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, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 79 years old Reason: fx, eval healing History: above. Again seen is a fracture of the proximal humerus involving the surgical neck and greater tuberosity with mild impaction. There is, perhaps, a small amount of callus adjacent to the fracture suggesting early healing. Glenohumeral alignment is within normal lim... | Proximal humerus fracture as above. |
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, version 9.3. The breast parenchyma is extremely dense, limiting the sensitivity of mammography and increasing the importance of physical examination, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSD - Screening Mammogram. |
Generate impression based on findings. | 69 years, Female. Reason: please assess capsule position History: gib, vce study LVAD, median sternotomy wires/plates, and pacer leads are noted. Metallic radiodensities in the right lower quadrant, presumed to represent the capsule, is likely in the terminal ileum/cecum. Nonobstructive bowel gas pattern. | Presumed capsule in the right lower quadrant as described above. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: weight loss 25 lbs. lung nodule noticed on recent ct a/p. evaluate for change/progression History: lung nodule LUNGS AND PLEURA: Focal reticulonodular opacities at the left apex anteriorly, unchanged since 2010, likely secondary to previous infection.Subpleural nodular opacity in the superior segment of the lef... | 1. No suspicious pulmonary nodules.2. Single moderately enlarged nonspecific high right paraesophageal lymph node, most likely reactive. |
Generate impression based on findings. | Pain Moderate to severe osteoarthritis affects the left hip, which appears to have progressed slightly when compared to the prior study.Relatively mild osteoarthritis affects the right hip as seen on the single frontal view.Degenerative disk disease affects the visualized lower lumbar spine. | Osteoarthritis. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 60 years, Female. Reason: r/o air fluid levels or thumbprinting History: elevated lactate to 20, ?abdominal pain NG tube tip projects over the gastric antrum. Cholecystectomy clips, IVC filter, and lower lumbar spinal fixation hardware are noted. Vascular calcifications are noted. Catheter projects over the left inguin... | Nonspecific bowel gas pattern. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - 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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - 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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. There are several masses in both breasts. Most of them are circumscribed and... | Mass in the right retroareolar region. Comparison to old mammogram is recommended. If old mammograms are not available, patient will be called back and spot compression views and possible ultrasound study will be performed. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comp... |
Generate impression based on findings. | Ms. Swift is a 49 year old female with a personal history of right breast mastectomy in December 2014 for locally advanced IDC/DCIS treated with chemotherapy. She has no current breast-related complaints. Three standard views of the left breast, additional left MLO view and one left spot compression view were performed... | 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. | Reason: s/p bronch, left extended pleurectomy decortication (1/14/2015) for epithelioid mesothelioma History: follow up LUNGS AND PLEURA: Interval changes of a recent left pleurectomy and decortication.Left basilar atelectasis and consolidation consistent with postoperative status.A new loculated fluid collection withi... | 1. Mild residual pleural nodularity and left interlobar adenopathy as detailed above are nonspecific in the immediate postoperative setting. Continued close follow up is recommended to evaluate for changes in these findings.2. A 12-mm subsolid right upper lobe nodule, suspicious for adenocarcinoma in situ or minimally ... |
Generate impression based on findings. | Cervical esophageal cancer. Compare to previous. CHEST:LUNGS AND PLEURA: Stable superior paramediastinal reticular opacities, likely post-radiation change.Calcified and noncalcified micronodules are unchanged, most likely post-inflammatory. New small nodular opacity in the left lower lobe likely represents atelectasis ... | No evidence of metastasis. Stable pancreatic cystic lesion, likely an IPMN. |
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, version 9.3. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 58 years old Reason: pt with hx of gastric cancer s/p CRT needs surveillance scans History: lower abdominal pain CHEST:LUNGS AND PLEURA: Stable emphysematous disease. Left lower lobe nodule along the fissure is unchanged (series 4, image 74) and likely represents an intrapulmonary lymph node. Small area of groun... | 1.Left paraesophageal cystic focus, which has been present since CT examination from July 2014, but has slowly increased in size. This could be due to a benign etiology such as a duplication cyst, however with the slight interval increase in size, metastatic disease cannot be excluded. Recommend PET study for further c... |
Generate impression based on findings. | Male, 63 years old, status post cervical decompression. Findings is seen compatible with recent cervical laminoplasty. Laminectomy/laminotomy has been performed from C3 through C7 with spinous process resection. The posterior bony arches have been canted posteriorly and to the right, and reinforced with bone graft mate... | Expected findings status post recent cervical laminoplasty. No complications are suspected. Multilevel spinal canal stenoses seen on the preoperative examination have been relieved. |
Generate impression based on findings. | 62-year-old male patient with history of familial adenomatous polyposis status post colectomy and ileal anal pouch. Concern for small bowel polyps. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the anal verge was 45 minutes. There is a 1 cm filling defect seen in the third segment of the d... | 1 cm filling defect compatible with a polyp in the third portion of the duodenum. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. A small asymmetry is present at central right breast on CC view.No suspiciou... | Small asymmetry is present at central right breast on CC view. Comparison to old mammogram is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison. |
Generate impression based on findings. | Reason: please compare to PACS. LLL with questionable AVM and cysts. History: cough PULMONARY ARTERIES AND VEINS: Complex abnormality in the left lower lobe with multiple large cysts measuring up to 3 cm in diameter and multiple tortuous and dilated pulmonary veins, draining into the left inferior pulmonary vein which ... | Markedly enlarged left lower lobe pulmonary veins with partial anomalous pulmonary venous drainage and a markedly enlarged left inferior pulmonary vein, but without direct evidence of arteriovenous fistula. However enlarged subpleural vessels in the costophrenic angle may represent multiple small AV fistulae. Multiple ... |
Generate impression based on findings. | There is mild reversal of cervical lordosis. The craniocervical junction alignment is normal. There is no acute fracture, subluxation, or prevertebral soft tissue swelling. There are mild cervical degenerative changes including small disk osteophyte complexes at C4-5, C5-6 and C6-7 without significant spinal canal ste... | No acute fracture. Mild cervical degenerative changes. |
Generate impression based on findings. | Unchanged right calvarial postoperative changes and encephalomalacia involving the right temporal, occipital, and posterior parietal lobe with ex vacuo dilatation of the right lateral ventricle atrium. No acute intracranial hemorrhage. No evidence of mass, mass-effect, or midline shift. There are no extraaxial fluid c... | 1.No acute intracranial hemorrhage or mass effect.2.Unchanged encephalomalacia in the right cerebral hemisphere. |
Generate impression based on findings. | 19 year-old male with abdominal pain status post esophageal dilation. Evaluate for free air.VIEWS: Abdomen supine and erect (two views) 2/19/2015 at 2131 Nonobstructive bowel gas pattern. No pneumatosis or free air. Average fecal burden. Gastrostomy tube in expected position. | Normal examination. No specific findings to account for the patient's pain. |
Generate impression based on findings. | History of right submandibular gland malignancy (intracapsular carcinosarcoma). There are postoperative findings related to right submandibular gland resection. There is no definite evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid appear unremarkable. There... | Postoperative findings related to right submandibular gland resection without definite evidence of recurrent tumor or significant lymphadenopathy in the neck, although assessment is limited by the lack of intravenous contrast. |
Generate impression based on findings. | There has been mild to moderate improvement in the supraglottic laryngeal edema. Again noted is irregular contour of the aryepiglottic folds, which is nonspecific. No obvious residual tumor/mass in the supraglottic region. The airway is patent.The parotid and submandibular glands are normal in size and symmetric bilat... | 1.Posttreatment changes as above without measurable recurrent tumor.2.Moderate stenosis at the left proximal internal carotid artery. |
Generate impression based on findings. | 74-year-old male with history of gallbladder carcinoma with known right pelvic bone metastasis status post radiotherapy. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Right lower lobe micronodule with irregular margins (series 6, image 91) appears to have slightly increased in size. Additional multiple scattere... | 1.Findings compatible with primary gallbladder malignancy with interval increase in hepatic metastatic disease.2.Right inferior pubic ramus destructive metastatic osseous lesion appearing similar to prior.3.Slight increase in size of right lower lobe micronodule, suspicious for metastatic disease. Attention on subseque... |
Generate impression based on findings. | History of left parotidectomy for carcinoma ex pleomorphic adenoma. Evaluate for recurrence. Redemonstrated are postoperative findings related to a partial left parotidectomy for resection of parotid mass. There is unchanged patchy soft tissue and clips in the surgical bed. There is no evidence of significant cervical ... | 1. Postoperative findings related to a partial left parotidectomy with unchanged soft tissue in the surgical bed that likely represents postsurgical granulation tissues and/or scarring, but otherwise no evidence of measurable mass lesion in this region. 2. No significant cervical lymphadenopathy, although several left ... |
Generate impression based on findings. | Ms. Davis is a 56 year old female with a personal history of left breast lumpectomy in 2008 for IDC/DCIS followed by radiation, chemotherapy, and hormonal therapy. Personal history of benign right breast biopsy in 2006. Family history of breast cancer in second maternal cousin. She presents today for short term follow-... | Benign dystrophic calcifications in the left lumpectomy bed. 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:... |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP and abdomen AP ET tube tip below thoracic inlet and above the carina. The umbilical venous catheter tip in the IVC. The umbilical arterial catheter tip at T8. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. No focal lung opacity. No pleural effusion or pne... | No focal lung opacity. |
Generate impression based on findings. | PainVIEWS: Left forearm AP and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Reason: r/o acute abnormalities History: abdominal mass c/ for adenocarcinoma LUNGS AND PLEURA: Scattered benign appearing micronodules and calcified granulomas. No suspicious pulmonary nodules or masses.No focal airspace consolidation. No pleural effusions.MEDIASTINUM AND HILA: The heart is normal in size, without sig... | No evidence of pulmonary metastases. |
Generate impression based on findings. | FractureVIEWS: Left shoulder three views There is a transverse fracture of the proximal metadiaphysis of the left humerus with lateral and posterior angulation not significantly change. No evidence of shoulder dislocation | Fracture of the left proximal humerus with lateral and posterior angulation not significantly changed. |
Generate impression based on findings. | 2-year-old male with history of hemihypertrophy. Evaluate for hepatic and renal tumors. LIVER: The liver measures 9.2 cm in length. No focal hepatic lesions or biliary ductal dilatation. The main portal vein is patent and exhibits normal directional flow. GALLBLADDER, BILIARY TRACT: No shadowing gallstones, gallbladder... | Normal examination. |
Generate impression based on findings. | Male 74 years old Reason: Esophageal cancer post chemo/rt prior to surgery History: Esophageal cancer Scout radiograph shows no mediastinal widening however, there is a palmar opacity in the left lower lobe.The right chest wall port terminates at the cavoatrial junction..Double contrast evaluation of the esophagus and ... | Mid esophageal narrowing possibly the area of radiation with small raised lesion. |
Generate impression based on findings. | Male 63 years old Reason: left upper tract transitional cell carcinoma ( hx of) - s/p left nephro-u History: left upper tract transitional cell carcinoma ( hx of) - s/p left nephro-u Examination is limited by lack of oral and intravenous contrast. Evaluation of visceral, vascular, and bowel pathology is suboptimal. Wit... | 1.Status post right nephroureterectomy. 2.Ability to assess for visceral pathology is limited by lack of intravenous contrast. Within the limitations, the contour of the left kidney is normal and there is no evidence of disease recurrence in the right renal fossa.3.Stable size of the infrarenal abdominal aortic aneurys... |
Generate impression based on findings. | 65-year-old man with history of laryngeal cancer and appendiceal lesion, compare to previous. CHEST:LUNGS AND PLEURA: Mild apical predominant emphysema. Scattered nonspecific pulmonary micronodules appearing similar to prior. No new suspicious nodules or masses.MEDIASTINUM AND HILA: Postsurgical changes along the right... | 1.No specific evidence of metastatic disease.2.Continued decrease in size of appendix and periappendiceal soft tissue, thus favor improving indolent/chronic appendicitis as opposed to mucocele/metastatic disease. 3.Cholelithiasis.4.Diverticulosis. |
Generate impression based on findings. | Female 48 years old Reason: LUMBAR PAIN History: LUMBAR PAIN. There is a slight rightward curvature of the lumbar spine. There are small anterior vertebral body osteophytes, but the intervertebral disk spaces and vertebral body heights are preserved. A pump device overlying the right hemiabdomen is incompletely imaged ... | Intrathecal catheter and other findings as described above. |
Generate impression based on findings. | Female 50 years old; Reason: 50F with MM s/p auto-SCT x 2 with relapsed disease SKULL: No significant abnormality noted. No discrete myelomatous lesions are seen.CERVICAL SPINE: A nonspecific small lucency in the spinous process of C4 may possibly represent a myelomatous lesion or cyst. Moderate degenerative disk disea... | Small lucency in the spinous process of C4 which is nonspecific and may represent a myelomatous lesion or simply a cyst. Otherwise, no discrete myelomatous lesions are seen. |
Generate impression based on findings. | Female 55 years old Reason: shoulder pain History: same. There is a small lucency within the glenoid that may either represent a degenerative cyst or a postoperative defect. Shoulder otherwise appears normal for age. Leads of a cardiac conduction device are incompletely imaged on this study. | Small lucency in the glenoid may represent a cyst or a postoperative defect. Shoulder otherwise appears normal. |
Generate impression based on findings. | 5-year-old female, thumb fractureVIEWS: Left thumb, AP, oblique, and lateral (3 views) 2/20/15 8:55 Interval removal of cast. Fracture through the base of the proximal phalanx of the thumb with dorsal angulation of the distal fracture fragment is again visualized with mild adjacent callus formation | Fracture of the proximal phalanx of the thumb as described above. |
Generate impression based on findings. | 9-month-old male, evaluate for deformityVIEWS: Right and left hands, AP, lateral, and oblique (3 views) 2/20/15 9:09 Right hand: Flexion deformity is noted at the PIP joint of the ring finger of the right hand. The osseous structures appear normal for the patient's age.Left hand: Alignment is anatomic. The osseous stru... | Flexion deformity of the ring finger of the right hand with otherwise normal osseous structures. |
Generate impression based on findings. | Male 83 years old Reason: eval for fx or gout, pain with weight-bearing x 1 day History: pain and swelling. The bones appear slightly demineralized. Severe osteoarthritis affects the first metatarsophalangeal joint. Mild osteoarthritis affects the interphalangeal joints and the midfoot articulations. A defect along the... | Osteoarthritis and other findings as described above. |
Generate impression based on findings. | 68 years, Male, Reason: 68 yo M with HCV cirrhosis c/b HCC s/p TACE/RFA 2/17-2/18 now with fever and tachycardia, evaluate for liver abscess formation, eval biliary dilatation History: hepatocellular carcinoma s/p chemo-embo and ablation, now with fever, tachycardia. LIVER: Liver is normal in size measuring 16.7 cm in ... | 1.No evidence of abscess or biliary ductal dilatation.2.Segment 8 lesion compatible with known HCC, increased from prior ultrasound.3.Small right pleural effusion.4.Bilateral medical renal disease with small right upper pole stone. |
Generate impression based on findings. | Male 19 years old Reason: evaluating for fracture History: s/p fall on ice 11pm last night landing on left wrist. +swelling, limited ROM due to pain, diffuse ttp, ttp over both radial, ulnar, and also 5th metacarpal, no snuff box ttp. There is a poorly defined linear lucency traversing the waist of the scaphoid concern... | Findings concerning for a scaphoid fracture as described above.These findings were verbally relayed to Dr. Kristen Lipstreuer at 1120 am on 2/20/2015. |
Generate impression based on findings. | 54 year old woman with history of multiple breast cysts. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Multiple round, circ... | Stable cysts bilaterally, but 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. | Reason: Head and neck cancer. Post CRT evaluation please compare to previous and provide measurements History: as above CHEST:LUNGS AND PLEURA: No evidence of pulmonary pleural metastases, or other pulmonary abnormality. MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.Mild coronary artery calcifi... | No evidence of metastases, or other significant abnormality. |
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