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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 is prese... | 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: yearly follow up with CTA sp craniotomy aneurysm clipping wth 2nd untreated aneurysm, evaluate for changes History: yearly follow up, pain Brain CTA: There is redemonstration of a 3.5 x 5 mm aneurysm at the right carotid terminus which is directed superiorly. It previously measured the same. The patient is stat... | 1.A right ICA terminus aneurysm remains stable compared to the prior exam.2.There is a significant amount beam hardening artifact present which obscures visualization for residual aneurysms at the distal left internal carotid artery. |
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. | Metastatic lung cancer treated with 14 cycles of MPDL3280A. There is apparent interval increase in size of an ill-defined conglomerate of right level 4 lymph nodes, which measures up to 19 x 20 mm, previously 12 x 16 mm. There is also interval increase size of the necrotic right paratracheal lymph node, which measures ... | 1.Interval increase in size of the metastatic right cervical and upper mediastinal lymphadenopathy.2. Micronodules within the partially imaged lungs. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Pain. Right hip: The bones are demineralized. Moderate osteoarthritis affects the right hip. No fracture or malalignment is present.Lumbar spine: There is moderate multilevel degenerative disk disease, most prominent at L4/L5. There is grade 1 anterolisthesis of L4 on L5. The vertebral body heights are preserved. Sever... | Degenerative changes, 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. 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 mostly fatty replaced, unchanged in pattern and distribution. A circumscribed mass in the right retroareolar region, and a ... | 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. | 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. | Surveillance exam for multiple subpleural nodules, previously read as probable infection. Malignant neoplasm of supraglottis. LUNGS AND PLEURA: Severe emphysema. Scarring and bronchiectasis in the right middle lobe, with several nodules and micronodules, some of which are new. The location and pattern is consistent wit... | Numerous pulmonary nodules, most consistent with active endobronchial spread of atypical mycobacterial infection such as MAI. |
Generate impression based on findings. | Hyperparathyroidism. Evaluate for adenoma. There is physiologic distribution of the radiopharmaceutical. A focus of increased radiotracer uptake is noted inferior to the lower pole of the left thyroid lobe. The right thyroid lobe appears to measure 4.4 cm and the left lobe 4.8 cm in length. | Focus of uptake inferior to the lower pole of the left thyroid lobe is suspicious for a parathyroid adenoma. |
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 is a possible architectural distortion at lower outer q... | A possible architectural distortion lower outer quadrant in the right breast, for which spot compression views and ultrasound study, if needed, are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormaliti... | Negative noncontrast brain MRI. Specifically, there are no MRI findings to explain the patient's seizure. |
Generate impression based on findings. | Female 49 years old Reason: s/p radiation therapy to known rectal carcinoma, rising CEA, please compare to previous exam History: rectal cancer, lung nodules, rising CEA CHEST:LUNGS AND PLEURA: Stable, nonspecific pulmonary micronodules in the right upper lobe and left lower lobe (series 4, images 52 and 62), both of w... | 1.No evidence of metastatic disease within the abdomen or pelvis.2.Nonspecific, stable pulmonary micronodules. 3.Heterogeneous appearance of the uterus which may be secondary to underlying leiomyomatosis. Recommend pelvic ultrasound to better characterize. |
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. History of benign biopsy of left axillary lymph node in 2014. 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 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. | Ms. Grenoble is a 56 year old female recalled from screening mammogram for calcifications in the right breast. She has a family history of breast cancer in her paternal aunt. An ML view and two spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast pare... | Benign calcifications of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Ma... |
Generate impression based on findings. | Streaky hemoptysis right lower chest wall pain cough history of lung cancer 12 years ago. LUNGS AND PLEURA: Emphysema. Left apical pleural retraction and scarring unchanged. Left paramediastinal fibrosis. Right paramediastinal mass inseparable from adjacent lymphadenopathy, occluding the upper lobe apical segmental bro... | Confluent right hilar tumor and mediastinal lymphadenopathy with epicenter in the paramediastinal right upper lobe as detailed in the body of the report. This is most consistent with a new primary tumor as the site of the patient's treated contralateral tumor is unchanged over multiple prior examinations. SVC syndrome. |
Generate impression based on findings. | Ankle swelling Soft tissue swelling is present about the ankle. No fracture or malalignment is present. Note is made of an os trigonum. | Soft tissue swelling, without fracture or malalignment. |
Generate impression based on findings. | 23-year-old male with neutropenia, evaluate for sinusitis There has been interval progression of opacification throughout all the paranasal sinuses including superimposed air-fluid levels throughout. Additionally, new fluid is present within bilateral middle ear cavities and left mastoid air cells. Occlusion is present... | There has been interval progression of opacification throughout all the paranasal sinuses including superimposed air-fluid levels throughout. Additionally, new fluid is present within bilateral middle ear cavities and left mastoid air cells. |
Generate impression based on findings. | Male 62 years old; Reason: Assess vasculature prior to kidney transplant; assess thoracic vessels History: pre-kidney transplant and Marfan-like habitus CHEST:LUNGS AND PLEURA: Multiple left lower lobe lung nodules, largest of which measures up to 7 mm, image 71 series 3. Calcified 3 mm right apical nodule, like a gran... | 1. Focal dissection involving ectatic right common iliac artery. 2. Multiple left lower lobe lung nodules, measuring up to 7 mm, correlation with patient's clinical history recommended, findings nonspecific and may be postinflammatory/infectious but underlying neoplastic process not excluded.3. Sequela of chronic calci... |
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. Multiple circumscribed masses in both... | 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. | 16 year old female with right knee pain instability after fallVIEWS: Right knee, AP, lateral, and oblique (3 views) 2/20/15 14:16 Alignment is anatomic. No fracture is visualized. A small joint effusion is noted. | Small joint effusion without fracture or dislocation. |
Generate impression based on findings. | T4aN2b right parotid oncocytic carcinoma, status post chemoradiation cycle 6/6 TFHX. Redemonstrated are postoperative findings related to right parotidectomy with free flap reconstruction and modified radical neck dissection. There is no definite evidence of measurable mass lesions. There is no significant cervical lym... | 1. Postoperative findings related to right parotid tumor resection without evidence of measurable tumor. 2. Slight prominence of a few cervical lymph nodes, which are not enlarged based on size criteria with preserved fatty hila, may be reactive in nature. |
Generate impression based on findings. | Male 44 years old Reason: left ankle pain History: left ankle pain No acute fracture or dislocation. Ankle joint alignment is preserved. | No acute fracture or dislocation. |
Generate impression based on findings. | Removal of chest tubeVIEW: Chest AP 2/20/15 Right central line and epicardial pacer leads are again noted. Right chest tube has been removed in the interval. No evidence of pneumothorax. Cardiothymic silhouette at the upper limits of normal. Minimal patchy atelectasis left lower lobe. | Removal of right chest tube without evidence of pneumothorax. |
Generate impression based on findings. | Ms. McClain is a 81 year old female with a personal history of bilateral breast cysts. She has a personal history of cervical cancer diagnosed at the age of 51. No current breast-related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parench... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Male 44 years old Reason: Right knee pain History: Right knee pain. Four views of the right knee demonstrate a partially imaged intramedullary rod within the distal femur without radiographic evidence of hardware complication. Osseous tunnels within the distal femur likely reflects prior ACL reconstruction. There are t... | Postsurgical changes of the right knee with mild osteoarthritis as described above. |
Generate impression based on findings. | Small cell, right upper lobe scarring. Is this recurrence? Cough. LUNGS AND PLEURA: Small right pleural effusion is new. Centrilobular and paraseptal emphysema. Bronchial wall thickening with adjacent groundglass opacities and architectural distortion, most consistent with radiation pneumonitis and evolving radiation f... | Significant interval improvement in disease since the previous examination of 5/5/2014 with decrease in size of the dominant right upper lobe nodule and significant improvement in lymphadenopathy. Opacities in the right upper lobe are compatible with radiation pneumonitis. New small volume of pericardial and lateral pl... |
Generate impression based on findings. | History of T4 laryngeal cancer with recurrence. RADIOPHARMACEUTICAL: 9.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 80 mg/dL. Today's CT portion grossly demonstrates an ill-defined irregularity within the right larynx. There is right middle and lower lobe atelectasis. There are severe coronary artery ca... | 1.Right laryngeal/oropharyngeal abnormal FDG uptake is highly suspicious for recurrent or residual disease, decreased from the prior examination. 2.Focus of activity within the right prostate gland has decreased.3.Left inguinal hernia containing colon without evidence of obstruction. |
Generate impression based on findings. | Female 88 years old Reason: right femur fracture s/p nail History: fracture. Sensitivity of the study is limited by overlying bowel gas and stool. The bones are diffusely demineralized. There is mild osteoarthritis of the hips. Again seen is an intramedullary rod and screw device with the attempt affixation of a commin... | Attempt orthopedic fixation of a comminuted intertrochanteric fracture unchanged in position. |
Generate impression based on findings. | History of metastatic medullary thyroid cancer. Compare to previous. Measurements please. CHEST:LUNGS AND PLEURA: Right middle lobe reference nodule is 23 x 21 mm (series 4, image 61), previously 21 x 20 mm, not significantly changed.Basilar subsegmental atelectasis and/or scarring, including along the left major fissu... | Stable metastatic disease. Findings suggestive of mild pulmonary edema. |
Generate impression based on findings. | Female 44 years old; Reason: evaluate for metastasis. History: colon cancer; desmoid. CHEST:LUNGS AND PLEURA: Scattered micronodules. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. There are calcified right hilar lymph nodes. No coronary calcif... | 1.Status post resection of the abdominal wall lesions and the colon. No definite CT evidence of metastatic disease. |
Generate impression based on findings. | 54 year old woman with focal asymmetry seen on screening mammogram in the right breast. Three standard views and 2 spot compression CC and ML views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pa... | Mammographic asymmetry which disperses on ML compression view and for which no sonographic correlate could be found. Recommend returning to diagnostic mammography in 6 months to confirm stability (a bilateral mammogram will be due at that time) and also obtaining old studies for comparison if available. Results and rec... |
Generate impression based on findings. | Pedestrian versus automobile. Right shoulder pain. No fracture or malalignment. No significant abnormality otherwise noted. | No radiographic findings to account for the patient's symptoms. |
Generate impression based on findings. | Ms. Smith is a 58 year old female with a personal history of right breast lumpectomy in 2008 and left breast lumpectomy in 2014 for IDC followed by radiation and hormonal therapy. She has no current breast related complaints. Three standard views of both breasts and three left spot magnification views were performed di... | High probability benign calcifications in the left breast. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months to confirm stability of these findings. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.... |
Generate impression based on findings. | 57 year-old male with history of pancreatic cyst, surveillance. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodensities in the right hepatic lobe too small to characterize but are not significantly changed and are likely benign. Gallbladder is no longer distended. SPLEEN: N... | 1.Hypodense 5 mm lesion within the head of the pancreas unchanged and given apparent fat attenuation, consistent a benign lipoma. |
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. | History of prior stroke with slurred speech and left facial droop, with unclear time of onset. Evaluate for stroke and intracranial hemorrhage. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and sulci are mildly prominent, consistent with mild parenchymal volume loss. There is ence... | 1. No evidence of acute intracranial hemorrhage, edema or mass effect.2. Encephalomalacia of the left cerebellar hemisphere, related to a prior infarct. Please note that CT is insensitive for the early detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern and no contraindications, MRI... |
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 30 years old Reason: neck pain History: Left UE radiculopathy. Vertebral body heights and intravertebral disk spaces are preserved. No acute fracture or malalignment is seen. Neuroforamina are patent. | No radiographic evidence to account for patient's finding. If further imaging is clinically warranted an MRI is recommended. |
Generate impression based on findings. | 19 year-old female, knee gave out with swellingVIEWS: Right knee, AP, oblique, and lateral (3 views) 2/20/15 14:41 Interval placement of two orthopedic screws affixing the tibial tubercle without evidence of hardware complication. The patella tendon appears thin. Small ossicle anterior to tibial plateau is likely chron... | No acute fracture or dislocation and additional findings as described above. Discussed with Dr. Mitchell (pager 9946) at the time of dictation. |
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. | Newly diagnosed locally advance left base of tongue cancer. Neck: There is an infiltrative mass centered in the left tongue base region with extension into the oral tongue and across the midline, as well as invasion of the left mylohyoid muscle and left submandibular space. Overall, the mass measures approximately up t... | 1. An infiltrative mass centered in the left tongue base region with extension into the oral tongue and across the midline, as well as invasion of the left mylohyoid muscle and left submandibular space is compatible with squamous cell carcinoma. Overall, the mass measures approximately up to 5 cm, but is partially obsc... |
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... | New mass at anterior upper outer quadrant in the right breast, for which spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 23-year-old male with history of AML presents with productive cough. LUNGS AND PLEURA: Scattered nodular ground glass opacities are again noted with interval improvement in tree-in-bud opacities previously seen in the right lung. No focal areas of consolidation or pleural effusions.MEDIASTINUM AND HILA: Normal heart si... | Interval improvement in tree in bud opacities with persistent scattered nodular ground glass opacities. Findings can be seen in the setting of airway inflammation or aspirated secretions. |
Generate impression based on findings. | Right knee pain. RIGHT KNEE: The right knee is normal in appearance without significant degenerative changes. No large joint effusion is evident.RIGHT HIP/PELVIS: Mild osteoarthritis affects the right hip. No significant abnormality is otherwise evident. | Mild right hip 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. 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 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. | 58 year old female with history of metastatic uterine cancer undergoing neoadjuvant chemotherapy. ABDOMEN:LUNG BASES: Subcentimeter cardiophrenic lymph nodes continue to decrease in size.LIVER, BILIARY TRACT: Metallic biliary stent in place with expected pneumobilia. Stable minimal intrahepatic biliary ductal dilatatio... | 1.Interval hysterectomy and debulking with decrease in number and size of peritoneal implants.2.Interval ventral hernia repair. Small amount of edema superficial to the hernia repair mesh which is nonspecific. Previously seen right rectus sheath mass is no longer discretely visualized.3.Slight interval increase in larg... |
Generate impression based on findings. | Female 44 years old Reason: Evaluate for avulsion fracture medial ankle History: Pain and edema medial ankle left along course of tibialis posterior tendon. There is mild soft tissue swelling along the dorsal aspect of the foot. There is no underlying fracture or malalignment. Ankle joint space is preserved. | No acute fracture or malalignment. |
Generate impression based on findings. | Male, 45 years old, with low back pain, status post fusion L4 through S1 in 2011. Instrumented posterior spinal fusion has been performed from L4 through S1. Bilateral pedicle screws are present at each of these levels and affixed to posterior stabilization rods. The screws are well seated and no instrument complicatio... | 1. Expected findings related to posterior instrumented spinal fusion without evidence of complication.2. No areas of high-grade spinal canal or neuroforaminal stenosis are suspected within the limitations of CT. At most, there is ill-defined soft tissue within the surgically widened right L5-S1 neural foramen which is ... |
Generate impression based on findings. | Daytime sweats. Screening for lung cancer. LUNGS AND PLEURA: No pleural fluid or pneumothorax. No suspicious pulmonary nodules or masses.Few scattered foci of distal bronchiolar impaction/debris within the right upper lobe (series 5 images 56 and 50) which are unlikely to be of clinical significance.MEDIASTINUM AND HIL... | No signs of neoplasm or other acute abnormality. Mild coronary artery calcification. Nonspecific calcifications in the thyroid gland and right breast. |
Generate impression based on findings. | 66 years old male with a history of non-small cell lung cancer, status-post chemoradiation on the 11/2013. This study was performed for restaging.RADIOPHARMACEUTICAL: 15.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 121 mg/dL. Today's CT portion grossly demonstrates a large right pleural refusion with co... | 1.Diffuse and mildly to moderately increased metabolic activity in the collapsed right lung and right pleura, which can be due to tumor or posttreatment change.2.Mediastinal and hilar lymphadenopathy with mildly to moderately increased metabolic activity, which can be due to tumor or posttherapy change.3.Intense FDG up... |
Generate impression based on findings. | 11-year-old male with abdominal pain, poor weight gain, evaluate extent of Crohn's disease.EXAMINATION: MR enterography with and without IV contrast, 2/20/15 14:04 ABDOMEN:LIVER, BILIARY TRACT: Normal hepatic morphology and enhancement without focal lesion. No biliary ductal dilatation.SPLEEN: Normal splenic morphology... | Normal examination. |
Generate impression based on findings. | Ms. McDonald is a 72 year old female recalled from screening mammogram for calcifications in the left breast. She has a family history of breast cancer in her maternal aunt and cousins. An ML view and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The b... | High probability benign cluster of calcifications in the left breast. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months to confirm stability of these findings. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably beni... |
Generate impression based on findings. | 49-year-old female. Cough and wheezing. Shortness of breath. LUNGS AND PLEURA: Mild bronchial wall thickening suggestive of bronchitis or asthma.Basilar linear scarring and/or atelectasis, increased from prior.New fine mild subpleural reticular opacities in the bases, anteriorly and posteriorly, which may represent sub... | 1. Mild bronchial wall thickening suggestive of bronchitis or asthma. 2. New mild subpleural reticular opacities in the bases, which may represent subpleural edema or early fibrosis. Further evaluation with dedicated ILD protocol CT is recommended when feasible.3. Nonspecific mildly enlarged left hilar lymph node, whic... |
Generate impression based on findings. | 2-year-old male with swelling and tenderness after jumping off of bedVIEWS: Right elbow, AP, oblique, and lateral (3 views) 2/20/15 15:19 Moderate joint effusion. Subtle supracondylar lucency consistent with a supracondylar fracture. | Supracondylar fracture and joint effusion. |
Generate impression based on findings. | 5-year-old female needs evaluation of wrist size.VIEWS: Left wrist AP oblique lateral (3 views) and right wrist AP oblique lateral (3 views), 2/20/2015 at 1452 No acute fracture or dislocation in either wrist. Alignment is anatomic. The wrists appear symmetric. | Normal examination with symmetric right and left wrists. |
Generate impression based on findings. | Lung cancer chemotherapy follow-up. Status post 14 cycles of MPDL3280A. LUNGS AND PLEURA: Right upper lobe mass (5/35) measures 4.2 x 1.3 cm, previously 4.6 x 1.3 cm.Right middle lobe mass at the reference level now appears distinct from adjacent subpleural scar, measuring 12 x 14 mm in its posterior component and 8 mi... | Interval development of left phrenic nerve paralysis due to the necrotic left anterior mediastinal mass. As a result, the transaxial dimensions of the lesion are not comparable to the previous studies. Subjectively and when measured in craniocaudal length, the lesion has overall slightly decreased in size. Additional l... |
Generate impression based on findings. | Medulloblastoma undergoing STC workup. Please evaluate GFR prior as part of pre-transplant workup. The patient’s weight of 11.4 kg and height of 90 cm were used for all calculations.Raw GFR = 42 mL/minBSA = 0.5577 m2Estimated GFR/m2 = 76 mL/min/m2Estimated GFR/m2 * 1.73 m2 (average adult BSA) = 131 mL/min (adult GFR eq... | GFR measurements as above. |
Generate impression based on findings. | Pedestrian versus automobile. Ankle swelling and tenderness to palpation over the lateral malleolus. Vertically oriented nondisplaced fracture through the medial malleolus. The ankle mortise appears intact. No fibular fracture is evident in the imaged distal fibula. | Medial malleolar fracture, as above. Dedicated tibia/fibula radiographs should be considered to evaluate for a proximal fibular fracture. |
Generate impression based on findings. | Tremor hands, head, mouth. Possible Parkinson's disease, tremor is increasing. There is slightly decreased activity within the right putamen compared to the contralateral side. | Slightly decreased activity within the right putamen; clinical correlation is suggested. |
Generate impression based on findings. | 2-year-old male with medulloblastoma, status post craniotomy and induction chemotherapy, assess disease status CHEST:LUNGS AND PLEURA: No nodules or masses. Evaluation of the lung bases is limited due to motion artifact. Note is made of an azygous pseudo-lobe. Mild basilar atelectasis.MEDIASTINUM AND HILA: Right centra... | No evidence of metastatic disease in the chest, abdomen or pelvis. Small focus of calcification adjacent to the distal lumbar spinal canal of uncertain significance. |
Generate impression based on findings. | 70 years, Female. Reason: constipation History: abdominal pain Nonobstructive bowel gas pattern with less than average stool burden in the colon. Dense vascular calcifications are noted. | Nonobstructive bowel gas pattern with less than average stool burden in the colon. |
Generate impression based on findings. | 86 years, Male. Reason: Rule out obstruction History: pain and constipation along with belching Mildly distended loops of small bowel in the abdomen and air in the rectum. Degenerative arthritic changes in the bones and a total right hip arthroplasty is noted. | Mildly distended loops of small bowel and air in the rectum may represent partial small bowel obstruction versus ileus. |
Generate impression based on findings. | 70 years, Male. Reason: DHT placement History: DHT placement Enteric feeding tube tip projects over the distal gastric body. Nonobstructive bowel gas pattern. The pelvis is excluded from the field-of-view. | Enteric feeding tube tip projects over the distal gastric body. |
Generate impression based on findings. | 79-year-old male with newly diagnosed lung cancer, evaluate for brain metastases There are no intracranial enhancing foci to suggest the presence of metastatic disease. No intracranial hemorrhage, mass, mass effect, midline shift is identified. Gray-white differentiation is maintained. Sulci and ventricles are within n... | There are no intracranial enhancing foci to suggest the presence of metastatic disease. |
Generate impression based on findings. | Prolonged SOB and cough with left chest pain. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Mild bronchial wall thickening suggestive of bronchitis or asthma.Left lower lobe focal consolidation extending to the pleural surface with adjacent tree-in-bud opacities consistent with pneumonia.MEDIA... | No evidence of pulmonary embolism. Left lower lobe pneumonia.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Preop left total hip arthroplasty. Pain. Near severe osteoarthritis affects the left hip with joint space narrowing and bulky osteophytes.The soft tissues of the left hip are otherwise unremarkable. The visualized intra-abdominal contents are unremarkable. | Near severe left hip osteoarthritis. |
Generate impression based on findings. | Male 71 years old Reason: please evaluate for source of infection History: sepsis in VAD pt with recent E.coli pneumonia CHEST:LUNGS AND PLEURA: Interval development of interlobular septal thickening superimposed on ground glass opacities within the left upper lobe, lingula, and left lower lobe (series 5, image 57). Im... | 1.Interval development of ground glass opacities with associated septal thickening involving portions of left upper lobe, lingula and left lower lobe, findings may be secondary to infection/organizing pneumonia particularly given pt's reported history of sepsis, other differential considerations include edema or sequel... |
Generate impression based on findings. | Newly diagnosed lung cancer. Initial staging.RADIOPHARMACEUTICAL: 11.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 110 mg/dL. Today's CT portion of the neck demonstrates a linear filling defect within the right internal jugular vein which appears to be adherent to the wall inferiorly and is non-obstructi... | 1.Markedly hypermetabolic left upper lobe mass consistent with non-small cell lung cancer. No evidence of locoregional or distant FDG avid metastases. 2.Non-obstructive, linear filling defect within the right internal jugular vein is suspicious for subacute thrombus. Finding discussed with Dr Villaflor via telephone at... |
Generate impression based on findings. | Male 26 years old Reason: left elbow pain History: left elbow pain. No acute fracture or dislocation. No definite joint effusion. | No acute fracture or dislocation. |
Generate impression based on findings. | 71 years, Female, Reason: gross hematuria, recurrent UTI History: gross hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Right hepatic cyst. Subcentimeter foci in the left hepatic lobe are too small to characterize. SPLEEN: Subcentimeter splenic hypodensity is nonspecific.PANCREAS: M... | 1.No findings to explain patient's symptoms.2.Three pancreatic hypodensities with normal appearing pancreatic duct. Recommend MRCP for further evaluation. |
Generate impression based on findings. | Male 67 years old Reason: 67yr old male with history of MM; pre-auto sct evalution History: evaluate. SKULL: Mottled appearance along the posterior skull is suspicious for myelomatous lesions.CERVICAL SPINE: Straightening of the cervical spine with moderate degenerative changes, most prominent at C5/C6. No discrete mye... | Lytic lesions within the skull, ribs, right radius and left humerus as described above are suspicious for myelomatous depositions. |
Generate impression based on findings. | History of PE, recent surgery, desaturation. PULMONARY ARTERIES: No evidence of pulmonary embolism to the segmental level.LUNGS AND PLEURA: Very small pleural effusions, greater on the left.Endoluminal debris in the trachea and mainstem bronchi as well as scattered impaction of segmental bronchi.Significant atelectasis... | 1. No evidence of pulmonary embolism to the segmental level. 2. Significant basilar atelectasis and patchy groundglass opacities in the dependent right lung related to aspiration. Fluid filled patulous esophagus makes patient at risk for continued aspiration.3. Very small bilateral pleural effusions.4. Post-operative c... |
Generate impression based on findings. | Pleuritic chest pain. PULMONARY ARTERIES: Technically diagnostic quality examination. No evidence of pulmonary embolus. LUNGS AND PLEURA: Clustered areas of emphysema-like cystic lung disease with sparing of the lung periphery. This may represent an atypical manifestation of pulmonary histiocytosis or lymphocytic inter... | No evidence of pulmonary embolus. Cystic lung disease atypical for the patient's age which may represent an atypical manifestation of pulmonary histiocytosis or lymphocytic interstitial pneumonitis in the appropriate clinical context. Consider pulmonary medicine consultation.PULMONARY EMBOLISM: PE: Negative.Chronicity:... |
Generate impression based on findings. | 79 years, Male, Reason: new head\T\neck ca wiht lung lesion, please stage History: Squamous cell carcinoma of the vocal cord For findings in the neck, please see dedicated neck CT performed on the same day.CHEST:LUNGS AND PLEURA: Left upper lobe mass is increased in size measuring 3.2 x 2.6 cm (4/35), previously 2.7 x ... | 1.Left upper lobe mass is increased in size.2.Nonspecific inguinal lymphadenopathy.3.Calcification of the distal pancreas with focal dilatation of the pancreatic duct. This may represent chronic pancreatitis, although a main duct IPMN cannot be excluded. Recommend MRCP for further evaluation. |
Generate impression based on findings. | Male, 68 years old, with history of glottic cancer, restaging exam post treatment. The mucosa of the supraglottic larynx is mildly edematous and shows a patchy hyperemic appearance similar to prior. No definite mass is seen. Irregularity at the level of the glottis is nonspecific but potentially related to therapy.No p... | Treatment related findings without evidence of locally recurrent tumor or pathologic adenopathy. |
Generate impression based on findings. | Female 30 years old Reason: evaluate for acute appendicitis History: abdominal pain/guarding ABDOMEN:LUNG BASES: No focal consolidation or pleural effusions.LIVER, BILIARY TRACT: Lobulated, septated fluid containing structure in the right upper quadrant which is likely separate from the focal colitis, see below (series... | 1.Findings consistent with focal colitis in the hepatic flexure. No pneumatosis or intraperitoneal free air. No evidence of abscess.2.Lobulated, septated fluid containing structure in the right upper quadrant which is likely unrelated to the focal colitis. Favor benign etiology such as lymphangioma or duplication cyst.... |
Generate impression based on findings. | 70 year-old male with history of abnormal MRI suspicious for carotid artery and jugular vein irregularities. Head without contrast: There is no acute intracranial hemorrhage. Mild periventricular white matter hypoattenuation compatible with age indeterminate small vessel ischemic disease. The gray-white differentiation... | 1.Intermittent multifocal thrombi within the right internal jugular vein with the largest clot burden located at the level of the hyoid bone. The dural venous sinuses appear unaffected.2.No evidence of carotid artery stenosis as clinically queried.3.Mild age-indeterminant small vessel ischemic disease. |
Generate impression based on findings. | 14 month old male with history of fever.VIEW: Chest and abdomen AP (two views) 2/20/2015 at 1555 Chest: Unchanged cardiothymic silhouette. Sternal wires and bifid right 11th and 12th ribs are again noted. No focal airspace opacity, pleural effusion, or pneumothorax.Abdomen: Gastrostomy tube in place. Nonobstructive bow... | No specific evidence of pneumonia. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 17 year-old female, assess for AVNVIEW: Pelvis, AP and frog leg (two views) 2/20/15 15:51 The femoral heads are well directed within the normally formed acetabula. No evidence of AVN. The osseous structures of the pelvis appear normal for the patient's age. | Normal examination without radiographic evidence of AVN. |
Generate impression based on findings. | 29 year old man with RV dysfunction referred to rule out cardiac shuntCPT: 75572 Left Ventricle: The left ventricle is severely hypertrophied.Right Ventricle: The right ventricle is severely dilated. Atria: The left atrium is mildly dilated. There is no evidence of left atrial appendage thrombus. All 4 pulmonary veins ... | 1. Severe left ventricular hypertrophy with mild left atrial dilation. 2. Severe right ventricular dilation with severe right atrial dilation. 3. A small atrial septal defect or a large patent foramen ovale is noted. 4. Normal pulmonary venous drainage. 5. Mild dilation of the pulmonary arteries. 6. Normal origin of t... |
Generate impression based on findings. | Male 55 years old Reason: s/p R 1st ray amputation, concern for infection/osteo History: open wound, erythema. Status post first ray amputation. There is a superficial soft tissue defect. There is cortical disruption of the first metatarsal osteotomy and medial surface of the second proximal phalanx compatible with ost... | Postoperative changes of the first metatarsal with osteomyelitis as described above. |
Generate impression based on findings. | CAD status post recent DES placement for severe CAD. Patient with new chest pain and DOE. LHC 2/20 shows patent stents but elevated PA pressures. Question of PE as etiology of symptoms. The comparison chest radiograph performed on 2/19/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation ima... | Low probability of pulmonary embolus. |
Generate impression based on findings. | Reason: head and neck cancer evaluate for treatment. History: as above CHEST:LUNGS AND PLEURA: Several calcified granulomata are present, but there is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Mild symmetric thyroid enlargement.No mediastinal or hilar lymphadenopathy although there are calcif... | 1. No evidence of metastases.2. Extensive cholelithiasis without cholecystitis.3. Severe coronary artery calcifications. |
Generate impression based on findings. | 35-year-old male with history of trauma. Head: No evidence of acute intracranial hemorrhage. The gray-white differentiation is preserved. No midline shift or mass effect. The basal cisterns are intact. The ventricles and sulci are symmetric. The mastoids are clear. The orbits are intact. The calvarium and soft tissues ... | No evidence of acute intracranial hemorrhage or maxillofacial fracture. |
Generate impression based on findings. | Assess prosthesis. Left acromion fracture. Left reverse total shoulder arthroplasty device situated in near-anatomic alignment, without evidence of hardware complication. Unchanged suspected left acromion fracture. Interstitial changes are again noted in the left lung. | Left total shoulder arthroplasty, as above. |
Generate impression based on findings. | Fell 1 week ago. Persistent pain in the palm. No fracture or malalignment. Minimal - degenerative changes are present in the basilar joint. Note is made of an ulnar minus variance. | No fracture or malalignment. |
Generate impression based on findings. | postop follow up after right frontal meningioma surgery There is evidence of right fronto-parietal craniotmy with post resection status of the tumor on the right frontal lobe. Most of tumor has been resected, but there is about 7mm thickness x 20mm length dural thickening with enhancement which most likely imply postop... | Postop status (near total or total resection of right frontal lobe meningioma)7mm x 20mm sized dural thickening with enhancement on operation site likely representing postoperative changes.Right parietal meningioma and subcutaneous sebaceous cysts, no change since prior exam. |
Generate impression based on findings. | Female 56 years old Reason: evaluate generalized abdominal pain History: pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. No focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sig... | Left nephrolithiasis without evidence of hydronephrosis.Diffuse fatty infiltration of liver. |
Generate impression based on findings. | Right hemiarthroplasty Two views of the right hip demonstrate hardware components of the right hip hemiarthroplasty device situated in near-anatomic alignment, without radiographic evidence of hardware complication. Skin staples and soft tissue gas reflect recent surgery. | Right hip hemiarthroplasty, as above. |
Generate impression based on findings. | 89-year-old female with history of CVA. There is no evidence of acute intracranial hemorrhage. Moderate periventricular and subcortical white matter hypoattenuation compatible with chronic small vessel ischemic disease. Tiny hypoattenuating foci in the basal ganglia compatible with chronic lacunar infarcts. The gray-wh... | 1. No acute intracranial abnormality. Please note that CT is insensitive for the detection of an acute ischemic infarct. If patient care warrants further imaging, an MRI may be obtained.2. Moderate chronic small vessel ischemic disease. |
Generate impression based on findings. | 74 year old woman with possible anomalous right coronary artery. She is referred for further evaluation.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and trifurcates into the left anterior descending, ramus intermedius, and left circumflex coronary ... | 1. Anomalous origin of the right coronary artery with an intra-arterial course. The vessel is acutely angled at its origin and appears to be moderately compressed by the aorta and pulmonary artery. There is no associated resting myocardial perfusion defect noted. 2. Non-obstructive coronary atherosclerosis. The distal ... |
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. | 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. A few circumscribed benign masses in... | 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. | 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 biopsy clip is present in the left ... | 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. | 59 year old man referred for assessment of coronary calcification for further risk stratification.CPT: 75571 Calcium Score:LM: 0LAD: 0LCx: 0RCA: 0Total: 0.Coronary anatomy: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumf... | 1.Patient has no coronary artery calcification.2. His ascending aorta is mildly dilated.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpreted by the attending chest radiologist and included as an addendum to this report. |
Generate impression based on findings. | Lateral malleoli are pain and swelling, hit by car Foot: Mild osteoarthritic changes of the first MTP without additional acute abnormality. Soft tissue and alignment otherwise preserved. Hindfoot specifically appears normal.Lower leg: Soft tissue swelling overlying the lateral malleolus with an associated vertical luce... | Old subacute medial malleolus fracture with lateral soft tissue swelling. Questionable minimal irregularity underlying the distal fibula, ligamentous injury cannot be excluded |
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