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Generate impression based on findings. | Evaluate for interval change in ileus, abdominal pain and constipation Enteric tube with sideport seen in gastric fundus and tip in gastric body. Moderate to large stool in colon, no evidence of bowel obstruction. Bilateral tubal ligation clips seen. | When compared to 2/18/2015 abdominal radiography, improvement in degree of bowel dilatation. Moderate to large stool in colon, correlate clinically for constipation. |
Generate impression based on findings. | Abdominal distention, monitoring of ileus Enteric tube seen with side-port beyond gastroesophageal junction, tip located in gastric body. Moderate to large stool seen in colon. Interval increase in amount of air in colon. No evidence of bowel obstruction. Bilateral tubal ligation clips present. | Enteric tube and bowel gas pattern as above. |
Generate impression based on findings. | GJ tube placement, intermittent tube feed intolerance, evaluate stool burden Percutaneous gastrojejunostomy tube with tip located beyond ligament of Treitz in left lateral mid abdomen. Nonobstructive bowel gas pattern. Below average stool burden. Interval evacuation of previously seen residual enteric contrast. Punctat... | Enteric tube as above.Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Evaluate sitz markers, obstipation Mild interval progression in transit of sitz markers with a greater number now seen to the level of the splenic flexure. The markers are seen extending from the distal ascending colon to the proximal descending colon with the highest number seen in the splenic and the hepatic flexures... | Sitz markers as described. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Nasogastric tube placement at outside hospital Enteric tube seen with side-port just beyond gastroesophageal junction. Portion of catheter seen in right thoracic paravertebral area, nonspecific and may be related to a central line, correlation with patient's history recommended. Moderate to large residual contrast seen... | Enteric tube as above. |
Generate impression based on findings. | Dobbhoff tube placement Dobbhoff tube seen with tip in gastric body, tubing mildly kinked at level of guidewire. Incompletely imaged presumed bilateral percutaneous nephrostomy tubes. Left-sided skin staples. Relative lucency seen in right lateral abdomen, pneumoperitoneum a consideration versus artifact or lipomatous ... | 1. Enteric tube as above. Relative lucency seen in right lateral abdomen, pneumoperitoneum a consideration. If there is clinical concern, further evaluation with CT imaging or upright or decubitus radiographic imaging recommended. |
Generate impression based on findings. | Enteric tube placement Enteric tube seen with side-port in gastric body. Moderate to large stool partially seen, nonobstructive bowel gas pattern.Incompletely imaged pulmonary edema and patchy air space disease, blunting of costophrenic angle suggestive of small pleural effusions. | Enteric tube as above. |
Generate impression based on findings. | Enteric tube placement Enteric tube seen with side-port just beyond gastroesophageal junction and further advancing by approximately 9 cm recommended. Small amorphous lucency seen lateral to right hemithorax, nonspecific but may reflect subcutaneous emphysema, please refer to concomitant chest radiography from same day... | Further advancing of enteric tubes recommended.Please refer to concomitant chest radiography from same day for additional findings. |
Generate impression based on findings. | Abdominal pain Mildly dilated small bowel measuring up to 3.5 cm. Small air seen distally in colon. While findings may reflect an ileus type bowel gas pattern, appearance is worrisome for a partial or developing small bowel obstruction. Right upper quadrant surgical clips related to prior cholecystectomy. IVC filter. C... | 1. Mildly dilated small bowel measuring up to 3.5 cm with small air seen distally in colon. While findings may reflect an ileus type bowel gas pattern, appearance worrisome for a partial or developing small bowel obstruction. Correlation with patient's clinical history and continued followup recommended. |
Generate impression based on findings. | Female 64 years old; Reason: history of clear cell vaginal cancer s/p total pelvic exenteration 9/2014 History: asymptomatic CHEST:LUNGS AND PLEURA: Interval resolution of previously seen pleural effusions. Biapical pleural nodularity/scarring. Elongated perifissural 8 mm focus, image 31 series 5, most likely a lymph n... | 1. New heterogeneous striated nephrograms. Differential considerations bilateral pyelonephritis, neoplastic process/metastatic disease or areas of vascular compromise/infarct (unusual however in latter case due to bilaterality of findings, visualized vessels also appear patent). Correlation with patient's clinical hist... |
Generate impression based on findings. | Male 62 years old; Reason: HCC, TheraSphere Procedure History: HCC CHEST:LUNGS AND PLEURA: No suspicious lung nodule.MEDIASTINUM AND HILA: Heart borderline in size. CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Ill-defined infiltrative mass in hepatic segment 8 measures 6.6 x 5.6 cm, image ... | Mild interval decrease in size of hepatic segment 8 mass as described. |
Generate impression based on findings. | Female 64 years old; Reason: 64 y/o appendiceal ca, on a chemo holiday, please compare to prior CT in 11/2014 CHEST:LUNGS AND PLEURA: Slight interval increase in size of reference left lower lobe lung nodule, measuring 1 x 0.8 cm, image 46 series 4, previously measured 1 x 0.6 cm. No pleural effusion.MEDIASTINUM AND HI... | 1. Stable to slight interval increase in size of reference measurements as above. Overall extensive peritoneal/omental tumor burden without apparent change. |
Generate impression based on findings. | Female 55 years old; Reason: questionable history of IVC filter ABDOMEN:LUNGS BASES: Right-sided chest tube seen with interval decrease in size of previously visualized moderate right pleural effusion. Increasing small left pleural effusion present. Innumerable pulmonary and pleural metastatic lesions. Comparison diffi... | 1. Innumerable pulmonary and pleural metastatic lesions. Comparison not optimal but lung metastatic lesions appear to have increased in number when compared to prior study.2. Enlarging hepatic metastases. 3. Gastrohepatic lymphadenopathy, increased in size.4. IVC filter present with small amount of clot. 5. Renal metas... |
Generate impression based on findings. | T4N3M1 HPV+ squamous cell carcinoma of the right tonsil status post treatment. There are post-treatment findings in the neck with diffuse marked supraglottic edema with airway narrowing and superficial areas of hyperenhancement in the right oropharynx. Otherwise, there is no discretely measurable upper aerodigestive tr... | 1. Post-treatment findings in the neck with diffuse marked supraglottic edema with airway narrowing and superficial areas of hyperenhancement in the right oropharynx, which may represent mucositis and/or treated tumor. 2. Continued interval decrease in size of the lymphadenopathy. |
Generate impression based on findings. | Reason: r/o bleed History: assault CT head: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 identified. No edema is identified within the brain parenchyma.CT maxillofacial bones:There is a comminuted... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.There is a comminuted fracture along the anterior and posterior aspect of the maxillary alveolar ridge involving the roots of teeth #21-26 (mandibular incisors and left mandibular canine and left mandibular premolar) associated with anterior tooth d... |
Generate impression based on findings. | Female 43 years old; Reason: PID History: cervical motion tenderness ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, ... | 1. Lobular/bilobed hypoattenuating structure measuring 2.3 x 1.7 cm seen in expected area of endometrial complex. Patient's pregnancy test reportedly negative and patient stated her 'uterine lining' was removed 20 years ago, also status post tubal ligation. Given patient's clinical symptoms of cervical motion tendernes... |
Generate impression based on findings. | Female 45 years old; Reason: necrotizing pancreatitis complications History: Abdominal pain, weight loss ABDOMEN:LUNGS BASES: Large right pleural effusion with underlying compressive atelectasis and mediastinal shift towards left. Left basilar linear atelectasis/scarring.LIVER, BILIARY TRACT: Focal fatty infiltration a... | 1. Peripancreatic and additional lower mediastinal and retroperitoneal fluid collections, given patient's diagnosis of ongoing pancreatitis, suspicious for pseudocyst formation. One such collection contains higher density, nonspecific and may represent adherent debris or age indeterminate blood clot. Correlation with p... |
Generate impression based on findings. | Male 58 years old; Reason: pancreatitis, drainage of over 2L of purulent fluid by interventional GI this PM with subsequent Hgb drop, assess for bleeding/hematoma History: abdominal pain Suboptimal study due to beam hardening artifact from patient's arms, making assessment for layering dependent hyperdensity particular... | 1. Suboptimal assessment for hyperdense fluid as above. Amount of abdominopelvic ascites similar to prior study. Interval decrease in size of left upper abdominal fluid collections. 2. Again seen is diffuse small and large bowel wall thickening with particularly marked thickening involving proximal jejunum, bowel ische... |
Generate impression based on findings. | Female 82 years old; Reason: diverticulitis, colitis History: nausea, vomiting, diarrhea, abdominal pain in 84 yo F ABDOMEN:LUNGS BASES: Mild cardiomegaly.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signifi... | 1. Colonic diverticulosis with mild wall thickening seen involving sigmoid colon, small adjacent pelvic ascites. Findings may be seen in setting of mild acute diverticulitis. Followup to resolution recommended to exclude underlying neoplastic process. 2. Underdistention versus thickening of portions of small bowel and ... |
Generate impression based on findings. | Female 62 years old; Reason: Evaluate for obstruction, appendicitis, ischemia, diverticulitis History: abdominal pain, n/v, (+) lactate (reportedly now trending downward) ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hepatic steatosis with sparing seen near gallbladder fossa. Gallbladder u... | 1. Small fluid alongside right colon with mild ascending colon wall thickening at this level. Findings nonspecific, may be seen in setting of a focal acute colitis, may be of infectious or inflammatory etiology, ischemic etiology not entirely excluded. 2. Bilateral indeterminate adrenal lesions, right larger than left,... |
Generate impression based on findings. | Reason: Evaluate for hydrocephalus s/p SAH History: SAH The patient is status post right-sided craniotomy for anterior communicating artery aneurysm clip placement. Intraventricular blood is no longer visible. There is no evidence for ventriculomegaly.There is hypodensity present along the anterior aspect of the right ... | 1.The lateral ventricles are stable and non-enlarged.2.Status-post recent craniotomy for anterior communicating artery aneurysm clip placement.3.Hypodensities along the anterior aspect of the right temporal lobe as well as the inferomedial aspects of the frontal lobes, right caudate nucleus and the medial left frontal ... |
Generate impression based on findings. | convulsion No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells ... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | unconsciusness There is about 30mm sized CSF space enlargement superior aspect of the vermis without mass effects indicating possible diagnosis of arachnoid cyst, partial vermian agenesis, prior vermian stroke with encephalomalacia or vermis mass with low attenuation (least likely).Brain MRI with and without contrast i... | About 30mm sized low attenuation lesion on the superior aspect of vermis. Differential diagnosis include arachnoid cyst, partial vermian agenesis, post-stroke encephalomalacia or tumorous condition. Brain MRI with and without contrast is recommended.No evidence of acute ischemic or hemorrhagic lesion.This information w... |
Generate impression based on findings. | 26-year-old male with ALL, neutropenia. Now with right shoulder anterior pain. Rule out dislocation/fracture. I see no fracture or malalignment. I see no specific findings to account for the patient's shoulder pain. Right basilar lung opacity has been described in a previous chest radiograph report. | No fracture, dislocation, or other specific findings to account for the patient's shoulder pain. |
Generate impression based on findings. | Back and rib pain. Rule out fracture. Three views of the ribs are provided. Bilateral mild rib deformities, left greater than right, indicate old healed fractures, but I see no acute fracture. The bones appear slightly demineralized. Deformity of the right proximal humerus is incompletely imaged on this study but may r... | Vertebral body compression fractures of indeterminate age other findings as described above. Please refer to the accompanying chest radiograph report for details regarding the lungs, including left basilar consolidation and possible pleural effusion. |
Generate impression based on findings. | cerebrovascular accident No evidence of acute ischemic or hemorrhagic lesion.Patchy low attenuations on bilateral periventricular white matter indicate non specific small vessel ischemic disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or ... | No evidence of acute ischemic or hemorrhagic lesion.Non specific small vessel ischemic disease. |
Generate impression based on findings. | CoughVIEWS: Chest AP and lateral 2/22/15 Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right upper lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | History of right lung collapseVIEW: Chest AP 2/23/15 ET tube tip below thoracic inlet and above the carina. Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe and left lower lobe. No pleural effusion or pneumothorax. | Patchy atelectasis bilaterally without focal pneumonia. |
Generate impression based on findings. | Crush injury. Caught in door.VIEWS: Right hand PA, right thumb AP/lateral (3 views) 02/22/15 Soft tissue swelling is present around the distal phalanx of the long. The bones are normal in appearance. No fracture is identified. | Soft tissue injury. |
Generate impression based on findings. | Decreased breath soundVIEW: Chest AP 2/22/15 ET tube tip at the level of the thoracic inlet. Cardiothymic silhouette normal. Right lung collapse has resolved in the interval. Minimal patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | Right lung collapse resolved in the interval. |
Generate impression based on findings. | 56 year old female with with tachycardia and hypotension, evaluate for intra-abdominal abscess. ABDOMEN:LUNG BASES: Left lower lobe pulmonary mass (series 4, image 11) measures 1.7 x 3.1 cm, measured 1.6 x 2.7 cm previously when similar measurement technique used. New small left and moderate right pleural effusion with... | 1.No intra-abdominal abscess identified. 2.Increase in size of left lower lobe pulmonary mass, while inflammatory/infectious etiology a consideration, neoplastic lesion not entirely excluded. 3.New right greater than left pleural effusions with associated compressive atelectasis/consolidation.4.Diffuse anasarca, increa... |
Generate impression based on findings. | Female 75 years old Reason: evaluate for bowel obstruction History: distention, vomiting with hx of SBO ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significa... | Findings consistent with small bowel obstruction with transition point in the left hemipelvis as above. |
Generate impression based on findings. | Increased work of breathingVIEW: Chest AP 2/22/15 Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe, right middle lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | 50 year old female with painless jaundice, evaluate for biliary dilatation or pancreatic mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. There is marked gallbladder wall thickening. The hepatic parenchyma adjacent to the gallbladder is heterogenous. Additional geographic ... | 1.Cholelithiasis with marked gallbladder wall thickening. Heterogeneity of the adjacent liver parenchyma as well as significant portacaval/gastrohepatic lymphadenopathy. Findings may reflect complicated acute or acute on chronic cholecystitis with adjacent hepatic microabscesses versus metastatic gallbladder cancer, pl... |
Generate impression based on findings. | Abdominal painVIEW: Abdomen AP 2/22/15 G-tube in place. Feeding tube has been removed in the interval. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 75 years, Male. Reason: ro ileus, obstruction History: abdominal pain, Radiodensity projects over the right lower quadrant may represent an calcified lymph node, residual contrast material, or a diverticulum with radiodense debris. Additional radiodensity in the left upper quadrant.Nonobstructive bowel gas pattern. Des... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | History of spinal fusionVIEW: Chest AP 2/23/15 ET tube, NG tube, right PICC and posterior spinal fusion rods again noted. Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe, right middle lobe and left lower lobe minimally increased in the right upper lobe. Blunting of the costophrenic angles lik... | Right upper lobe atelectasis has increased in the interval. |
Generate impression based on findings. | 64-year-old male with history of necrotizing pancreatitis, evaluate collections. ABDOMEN:LUNG BASES: Large left and trace right pleural effusion with associated compressive atelectasis appearing similar to prior. Improving additional basilar subsegmental opacities.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No signifi... | 1.Necrotizing pancreatitis. Interval removal of one percutaneous drain and placement of another percutaneous drain, cyst gastrostomy placement. Large necrotic air and fluid-filled peripancreatic collections appear similar to prior.2.Interval improvement in cecal pneumatosis. Scattered bowel wall thickening likely react... |
Generate impression based on findings. | 14-year-old female with pain, evaluate for elbow fractureVIEWS: Right elbow, AP, oblique, and lateral (3 views) 2/22/15 20:11 Alignment is anatomic. The osseous structures appear normal for the patient's age. No fracture or joint effusion. | Normal examination. |
Generate impression based on findings. | Pain and history of limp. Rule out avascular necrosis.VIEWS: Pelvis AP/frog leg (two views) 02/22/15 The femoral head ossification centers are symmetric. They are well directed into normally formed acetabula. No fracture is seen.A moderate amount of feces is noted in the colon in the right lower quadrant. | Normal examination. |
Generate impression based on findings. | 15-year-old female with pain, evaluate for fracture or dislocationVIEWS: Left ankle, AP, oblique, and lateral (3 views) 2/22/15 21:49 Soft tissue swelling about the lateral ankle. Small joint effusion. The ankle mortise is intact. No fracture or malalignment. | Soft tissue swelling and small joint effusion without fracture or malalignment. |
Generate impression based on findings. | 29 year old female with hematuria and right flank pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenic calcifications compatible with prior granulomatous disease.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormalit... | 1.No nephrolithiasis or hydronephrosis.2.No other specific findings to account for the patient's pain. |
Generate impression based on findings. | Pain, limited range of motion. Evaluate right hip for chronic dislocation. Prior total knee arthroplasty. Left knee pain and stiffness. Two views of the right hip are provided. There is superolateral dislocation of the femoral component of the patient's total hip arthroplasty relative to the acetabular component.The AP... | Dislocated right total hip arthroplasty device and other findings as above. |
Generate impression based on findings. | Cough and chest pain.VIEWS: Chest PA/lateral (two views) 02/22/15 Right central line tip is in SVC/right atrial junction.Cardiac silhouette size is normal. Patchy opacities are present in both lungs and are a new finding in the interval. Lung metastases are not well visualized. Cardiac silhouette size is normal. | Development of multiple patchy opacities most likely due to infection. |
Generate impression based on findings. | 72 years, Female. Reason: passage of capsule History: sp capsule endoscopy Greater than average stool burden. Capsule projects over the right lower quadrant and is likely within the cecum/ascending colon. Nonobstructive bowel gas pattern. | Capsule is likely within the cecum/ascending colon. |
Generate impression based on findings. | 41 year old female with history of lymphoma now with recurrent fevers. CHEST:LUNGS AND PLEURA: Mild dependent atelectasis. No suspicious nodules or masses.MEDIASTINUM AND HILA: Chest port and left-sided central venous catheter with catheter tips at the SVC atrial junction. No hilar or mediastinal lymphadenopathy.CHEST ... | 1.Mildly distended gallbladder, nonspecific and may be further evaluated with ultrasound to exclude acute cholecystitis if there is clinical concern.2.No lymphadenopathy. Mild splenomegaly similar to prior. 3.Pancreas is no longer enlarged. |
Generate impression based on findings. | 12-day-old male, intubated, evaluate ETTVIEW: Chest, AP, abdomen AP (two views) 2/23/15 0:51 ETT tip is below the thoracic inlet. UVC tip in the right atrium. UAC tip at T7. NG tube tip at the EG junction. Abdominal surgical drain tip in the left upper quadrant. Coarse bilateral pulmonary opacities and subsegmental ate... | ETT tip just below the thoracic inlet. NG tube tip at the EG junction. |
Generate impression based on findings. | Respiratory failureVIEW: Chest AP 2/23/15 Left upper extremity PICC with tip in the SVC. Cardiothymic silhouette at the upper limits of normal. Patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | Patchy atelectasis left lower lobe. |
Generate impression based on findings. | Female 75 years old Reason: s/p reduction History: s/p reduction. Overlying cast limits evaluation of fine bone detail. The previously seen tibiotalar dislocation has been reduced to near anatomic alignment. There is minimal displacement of the previously seen distal fibular and posterior malleolar fracture fragments. | Reduction of ankle fracture and dislocation as described above. |
Generate impression based on findings. | 24-year-old male with pleuritic chest pain. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Small filling defect in the posterior segmental branch of the right lower lobe pulmonary artery (series 80424, image 171). Main pulmonary artery measures up to 2.5 cm in caliber, within normal limits. No evidence of right h... | 1. Small filling defect compatible with pulmonary embolism in the posterior branch of the right lower lobe pulmonary artery. 2. No significant interval change in pulmonary metastatic disease, however there are additional cavitary lesions in the right upper lobe. |
Generate impression based on findings. | Male 62 years old Reason: r/o foreign body. History: laceration from glass at 2-3 mcp area. We see no radiopaque foreign body. There is deformity of the fifth metacarpal neck indicating an old healed boxer's fracture. | No radiopaque foreign body evident. |
Generate impression based on findings. | 53-year-old male with worsening abdominal pain, vomiting and diarrhea; evaluate for mesenteric ischemia. ABDOMEN:LUNG BASES: Mild basilar atelectasis. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ab... | 1.Punctate right renal nonobstructive calyceal calculi without hydronephrosis.2.Diverticulosis without diverticulitis. 3.No additional specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 70 years old Reason: evaluate for Fournier's History: erythematous scrotum, perirectal abscess, WBC 27, in DKA The exam is suboptimal secondary to lack of intravenous contrast which limits sensitivity for visceral and vascular pathology.ABDOMEN:LUNG BASES: Motion artifact limits evaluation of fine pulmonary parenc... | 1.Exam is suboptimal secondary to lack of intravenous contrast. Within these limitations, there is edema and fat stranding in the right medial gluteal soft tissues without a discrete fluid collection or definite evidence of Fournier's gangrene. 2.Interval increase in size of the irregularly-shaped right lower lobe lung... |
Generate impression based on findings. | Reason: further eval bilateral airspace opacity History: see CXR LUNGS AND PLEURA: Bilateral patchy and confluent areas of groundglass, with small areas of consolidation.Few scattered irregular cystic spaces with poorly defined walls. Mild traction bronchiectasis may indicate chronic underlying lung disease.No pleural ... | Bilateral patchy and confluent areas of groundglass. Differential considerations include diffuse hemorrhage as well as inflammatory process, including vasculitis. Scattered irregular cystic spaces and traction bronchiectasis may indicate chronic underlying lung disease. |
Generate impression based on findings. | Evaluate pneumothoraxVIEW: Chest AP 2/23/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. The umbilical venous catheter tip in the IVC. Left chest tube in place. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally not significantly changed. No pleural effusion or pneumot... | No evidence of pneumothorax. |
Generate impression based on findings. | Pain. Evaluate left thumb. Again seen are two orthopedic screws affixing the first metacarpophalangeal joint in near anatomic alignment. I see no hardware complications. The articulation remains visible at this time. Density adjacent to the articulation seen on the prior study, presumably representing bone graft, is no... | Postoperative changes of first metacarpophalangeal joint fusion other findings as above. |
Generate impression based on findings. | 38 day old male with congestion, rule out pneumoniaVIEWS: Chest AP/lateral (two views) 2/23/15 2:56 Bronchial wall thickening with posterior upper lobe subsegmental atelectasis suggesting bronchiolitis. No evidence of pneumonia or pleural effusion. The cardiothymic silhouette is normal. The cardiac apex, aortic arch an... | Bronchiolitis without evidence of pneumonia. |
Generate impression based on findings. | Male 56 years old Reason: r/o fx/dislocation History: anterior pain and instability after 7ft fall and landed on feet. There is soft tissue swelling about the knee and mild osteoarthritis. We see no fracture or malalignment. Tiny densities within the intercondylar notch may represent small intra-articular ossicles, but... | Soft tissue swelling and slight depression of the articular surface of the lateral femoral condyle. These findings are nonspecific but if there is clinical concern for internal derangement such as an anterior cruciate ligament tear, MRI is recommended. |
Generate impression based on findings. | 59 years, Male. Reason: New dobhoff placement History: Dobbhoff placement Multiple support devices projected over the abdomen are unchanged in position. Nonobstructive bowel gas pattern. Enteric feeding tube with tip projected over the gastric body. Dobbhoff catheter is looped in the stomach with tip projected over the... | Enteric feeding tube with tip projected over the gastric body. |
Generate impression based on findings. | Elevated CO2VIEW: Chest AP 2/23/15 Tracheostomy tube in place. NG tube tip in the stomach. Left neck PICC unchanged. Cardiothymic silhouette normal. Right upper lobe atelectasis new from prior study. Patchy atelectasis in the right lower lobe. No pleural effusion or pneumothorax. | Right upper lobe atelectasis new from prior study. |
Generate impression based on findings. | Female 56 years old Reason: evaluate for injury History: pain after tripping. The bones appear slightly demineralized. There may be a small joint effusion, but we see no fracture malalignment. | Possible small joint effusion. No fracture is evident. |
Generate impression based on findings. | Pain. Infection with unclear etiology. Two views of the right foot are provided. The bones appear demineralized. There is perhaps mild soft tissue swelling along the dorsal aspect of the forefoot, but I see no underlying osteolysis to suggest osteomyelitis. There is suggestion of a pes cavus deformity. Plantar and post... | Soft tissue swelling of the foot and ankle, poor dentition, and other findings as described above, without specific radiographic features of osteomyelitis. |
Generate impression based on findings. | Female 29 years old Reason: R/O FX History: LATERAL ANKLE PAIN AND SWELLING S/P FALL. There is soft tissue swelling, particularly along the lateral aspect of the ankle, but no fracture is evident. | Soft tissue swelling without fracture. |
Generate impression based on findings. | Female 76 years old Reason: diverticulitis, partial SBO, progression of AAA History: epigastric abdominal pain, history of AAA (4.3x4.5cm), nausea, recent partial SBO ABDOMEN:LUNG BASES: Stable left lower lobe micronodule.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PA... | 1.Interval resolution of partial small bowel obstruction.2.Stable infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | 2-year-old male, new NG tube placement.VIEW: Abdomen AP (one view) 2/23/15 6:37 NG tube tip and side-port in the stomach. The bowel gas pattern is disorganized but nonobstructive. Left lower lobe pulmonary opacity increased from the prior exam. | NG tube tip and side-port in the stomach. Left lower lobe pulmonary opacity increased from the prior exam. |
Generate impression based on findings. | Abdominal pain. Assess for bowel dysfunction.EXAMINATION: Abdomen AP (one view) 02/22/15 A gastrostomy tube is present. A probe is projected over the rectum. There is a left thoracolumbar curve. Mildly to moderately dilated bile is present in a disorganized pattern. No significant stool is seen. | Dilated bowel. |
Generate impression based on findings. | Female 58 years old Reason: r/o abnormality History: c spine pain. C7 and the cervicothoracic junction are not well seen on the lateral view due to overlying anatomy.The cervical spine is slightly kyphotic. There is moderate degenerative disk disease at C4/C5, C5/C6, and C6/C7 with anterior and posterior vertebral body... | Degenerative disk disease and other findings as above. |
Generate impression based on findings. | 36 years, Female. Reason: toxic megacolon, evaluate for ileus History: diarrhea from c diff Nonobstructive bowel gas pattern. Gastrostomy tube tip projects over the mid abdomen. Foley catheter projected over the bladder. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Tachycardia, desaturations. Assess for PE. The comparison chest CT performed on 2/22/2015 demonstrates small bilateral pleural effusions. The ventilation images show minimal delayed activity on single-breath and wash-in images in the bilateral lung bases. There is no abnormal Xe-133 retention during the wash-out phase.... | Very low probability for pulmonary embolism. |
Generate impression based on findings. | 70 years, Female. Reason: 70 yo with previous foreign body ingestion on CT, assess for movement History: foreign body ingestion Vascular calcifications in the pelvis. Sclerotic bone island in the left iliac crest. Greater than average stool burden. Nonobstructive bowel gas pattern. No radiopaque foreign body is identif... | No radiopaque foreign body is identified. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 43 year old who returns for further evaluation of an oval mass in the right breast. History of breast left surgery in 2012. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular densit... | High probability benign complicated cyst which is likely an oil cyst related to the patient's surgery. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram with ultrasound is recommended in 6 months. Results and recommendation were d... |
Generate impression based on findings. | Reason: 3T Scanner, yearly surveillance MRA History: Yearly Aneurysm Surveillance MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no interval change in the wide neck ... | 1. Stable bilateral paraclinoid aneurysms. |
Generate impression based on findings. | Female; 45 years old. Reason: Evaluate for progression of metastatic disease; compare to previous scan History: Sigmoid colon adenocarcinoma CHEST:LUNGS AND PLEURA: Again seen throughout both lungs are multiple pulmonary nodules. These appear stable in size and number compared to the CT from January 2015. The reference... | 1.Interval increase in size of the reference left periaortic lymph node.2.Stable bilateral pulmonary nodules consistent with metastases.3.Enlarged lymph node is again inseparable from the IVC, vascular invasion cannot be excluded. The IVC is patent4.Decrease in size of reference hepatic metastases. Similar appearance o... |
Generate impression based on findings. | 69 years, Female. Reason: VERIFY PASSAGE OF CAPSULE FROM CAPSULE STUDY History: VERIFY PASSAGE OF CAPSULE FROM CAPSULE STUDY LVAD device in situ. Changes related to prior sternotomy. Pacer leads noted.Two metallic densities projected the right quadrant of the appearance of surgical clips. No evidence of capsule. Nonobs... | No evidence of capsule. |
Generate impression based on findings. | Male 60 years old Reason: perforated ulcer History: history of peptic ulcer disease p/w severe epigastric pain radiating to back ABDOMEN:LUNG BASES: Bibasilar atelectasis/scarring. No pleural effusions.LIVER, BILIARY TRACT: Hypodense lesion in the dome of the liver which is too small to characterize.SPLEEN: No signific... | No findings to suggest perforated ulcer. No acute findings delineated on CT study to explain patient's epigastric pain. |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Reason: r/o PE History: SOB, tachycardia, BLE swelling PULMONARY ARTERIES: Exam is limited by poor differential contrast opacification of the pulmonary arteries, due to slow contrast flow. No evidence of pulmonary embolism to the lobar level. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: No suspiciou... | 1. Somewhat limited exam, without evidence of pulmonary embolism to the lobar level. 2. Mild mosaic attenuation pattern is nonspecific, and may relate to chronic pulmonary emboli.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applica... |
Generate impression based on findings. | Female 37 years old Reason: sacral decubitus ulcer History: sacral decubitus ulcer. Evaluation of the sacrum is limited by overlying bowel contents. We cannot confirm or exclude osteomyelitis of the sacrum on the basis of this study. Mild osteoarthritis affects both hips. | Evaluation of the sacrum is limited by overlying bowel contents. We cannot confirm or exclude osteomyelitis. If further imaging is clinically warranted, MRI or CT is recommended. |
Generate impression based on findings. | Again noted are scattered foci of air within the right parapharyngeal space measuring up to 1.1 cm in the axial dimension (series 7, image 21), decreased compared to previous examination; these are likely postoperative in etiology. No focal fluid collections or abscess. There is nonspecific mild parapharyngeal edema w... | Postoperative changes of tonsillectomy with a resolving parapharyngeal air without evidence of fluid collections or abscess. |
Generate impression based on findings. | Female 33 years old Reason: evaluate for injury History: pain s/p trauma. Three views of the left wrist show a transverse fracture through the distal radial metaphysis with minimal dorsal displacement of the distal fracture fragment. | Distal radius fracture as above. |
Generate impression based on findings. | Reason: r/o worsening aneurysms History: hx of multiple aneurysms, 1 s/p clipping. biparietal headache Brain CTA: The patient is status post placement of aneurysm clips along the distal right internal carotid artery. The patient is status post left sided craniotomy probably for removal of a previously noted meningioma.... | 1.The patient is status post placement of aneurysm clips along the distal right internal carotid artery.2.There is a 4-mm aneurysm present at the distal right internal carotid artery proximal to the clip. This is not clearly present on the prior angiogram. Conventional angiography may provide additional information if ... |
Generate impression based on findings. | Male 30 years old Reason: r/o fracture History: pain, swelling, limited mobility. We have 3 views of the right index finger. The proximal interphalangeal joint is held in slight flexion. There is soft tissue swelling, particularly along the dorsal aspect of the proximal interphalangeal joint. There is questionable disr... | Soft tissue swelling dorsal to the head and neck of the proximal phalanx with tiny densities that may represent a combination of fracture fragments and foreign bodies. Mild cortical irregularity along the dorsal aspect of the head of the proximal phalanx could conceivably represent a donor site, although we cannot enti... |
Generate impression based on findings. | Male 80 years old Reason: r/o fracture, nerve root compression, mass History: lumbar spine tenderness, LLE radiculopathy There is severe degenerative disk disease at L1/L2 and moderate degenerative disk disease at L2/L3. There is moderate facet joint osteoarthritis at the lower lumbar levels with probable neuroforamina... | Degenerative disk disease and other findings as described above. We see no fracture. |
Generate impression based on findings. | Congenital maldevelopment of the brain, agenesis of the corpus callosum, and significant atrophic changes; these findings are unchanged compared to previous examination. 8mm of cerebellar tonsillar herniation is noted. Scattered extra-axial and parenchymal calcifications are unchanged. Since the prior examination, flu... | 1.No definite acute intracranial abnormality. 2.Apparent shift in fluid with increased fluid entrapped in the parenchyma in the midline of the brain and decrease in fluid in the extra-axial spaces. No significant interval change in ventriculoperitoneal shunt catheter position. 3.Stable severe dysmorphic changes as abov... |
Generate impression based on findings. | There is a questionable nondisplaced fracture of the ramus of the right mandible, best seen on coronal images. There is a small right maxillary polyp and partial opacification of the ethmoid air cells. Otherwise, the frontal, ethmoid, sphenoid, and maxillary paranasal sinuses, the mastoid air cells, and the middle ear... | Questionable nondisplaced fracture of the ramus of the right mandible. Correlation with physical exam for point tenderness recommended. |
Generate impression based on findings. | 83 years, Male. Reason: Dobbhoff placement/re-positioning History: Dobbhoff placement/re-positioning Dobbhoff catheter is coiled within the stomach with tip projected over the medial gastric fundus. Nonobstructive bowel gas pattern. The pelvis is not imaged. | Dobbhoff catheter is coiled within the stomach with tip projected over the medial gastric fundus. |
Generate impression based on findings. | 28-year-old with left lateral breast mass. A targeted left ultrasound was performed for the patient’s area of concern. There are two benign morphology masses and a cyst. The larger mass is a circumscribed oval hypoechoic mass measuring 2.0 x 1.7 cm. Echogenic foci within the mass may represent calcifications. An additi... | Right breast masses at the site of palpable concern, including a 2 cm solid mass which may represent a fibroadenoma. Surgical consultation is recommended. The patient will be seeing Dr. Chhablani later this week. BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 63 years, Male. Reason: ng History: ng Study is limited by respiratory motion artifact. Enteric feeding tube with tip projected over the mid gastric body. Nonobstructive bowel gas pattern.Patchy basal lung opacities are better evaluated on chest radiograph same date. The pelvis is not imaged. | Enteric feeding tube with tip projected over the mid gastric body. |
Generate impression based on findings. | 59-year-old male with history of laryngeal cancer and CRT. Redemonstrated are extensive postoperative changes related to laryngectomy, tracheostomy, myocutaneous flap reconstruction, lymph node dissection, voice prosthesis, and postradiation therapy. Heterogeneous, irregular mass lateral to the left carotid artery appe... | Postoperative changes with heterogeneous lesion adjacent to the left common carotid appearing similar to prior corresponding to treated tumor recurrence. |
Generate impression based on findings. | Postoperative changes involving the left anterior maxilla and maxillary gingival space with resection of the maxilla and reconstruction with a bone graft. Streak artifact from surgical fixation obscures visualization of the gingival space. Unchanged infiltration and thickening of the overlying soft tissues of the left... | 1.Streak artifact from surgical hardware limits evaluation as above and direct visual inspection of the gingival space is recommended.2.Postoperative changes involving the left anterior maxilla and maxillary gingival space. 3.No pathological adenopathy. |
Generate impression based on findings. | Reason: Evaluate for pneumonia History: new productive cough, elevated WBC, low-grade fevers. But, pt also has advanced heart failure. LUNGS AND PLEURA: Mild septal prominence and bilateral small pleural effusions, right greater than left.Patchy areas of ground glass and consolidation bilaterally, right greater than le... | Mild septal prominence and bilateral pleural effusions may reflect pulmonary edema, likely related to CHF. Patchy areas of ground glass and consolidation likely represent superimposed diffuse infectious process or hemorrhage. |
Generate impression based on findings. | Male; 69 years old. Reason: PE History: RV dilatation on US, shortness of breath, hypotension. PULMONARY ARTERIES: No evidence of acute PE. Enlarged normal main pulmonary artery caliber.LUNGS AND PLEURA: There has been interval progression of basilar and peripherally predominant subpleural reticulation, honeycombing, a... | 1.No evidence of acute pulmonary embolism.2.Findings compatible with right heart strain as discussed above.3.Interval worsening of chronic interstitial lung disease, most likely UIP.4.Contrast extravasation event; please see details in technique section above.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.... |
Generate impression based on findings. | Ms. Williams is a 34 year-old female with a personal history of left breast lumpectomy in February 2013 for triple negative IDC. Patient did not receive any chemotherapy or radiation therapy. She had a recent MRI that showed linear non-mass-enhancement extending anterior to the lumpectomy site. She presents today for M... | Successful MR guided core needle biopsy of the left breast 2 o'clock at the site of linear non-mass enhancement with successful clip placement. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | There is new moderate compression deformity involving L3 with approximately 50% height loss which is likely acute to subacute. A new lytic lesion involving the left L5 vertebral body and pedicle with resultant mild effacement of the L5/S1 foramina and encroachment on the left lateral recess. Additionally, there are ne... | 1.New moderate compression deformity at L3 with at least 50% height loss.2.New lytic metastatic lesions involving L5 vertebral body and pedicle, left sacral alae, and right iliac wing.3.Multilevel degenerative changes as above.Findings relayed to Dr. Jin Choi Kwang over the phone at approximately 1120 hours |
Generate impression based on findings. | 60-year-old with history of calcifications in the right breast but no 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No domina... | 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: Pt with worsening sob and chest pain. r/o pe History: sob, hypoxia, cp PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is mildly enlarged, suggestive of pulmonary hypertension.LUNGS AND PLEURA: A solid, round non-calcified left upper lobe nodule measures 11 x 11 mm (series 10, i... | 1. No evidence of pulmonary embolism. 2. Unchanged 11-mm left upper lobe solid nodule. Recommend continued one year interval followup imaging.3. Mildly prominent septal lines, likely reflective of pulmonary edema, decreased from the prior exam.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: No... |
Generate impression based on findings. | Reason: AMS, vascular risk factors, hypoglycemia in ED, GFR 42 Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.Atherosclerotic calcifications ar... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease.3.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. 4.Lacunar infarcts - age indeterminate- involving the right cerebellar hemisphere and right bas... |
Generate impression based on findings. | 80 year old female with history of RCC and ? recurrence w/ acute onset dyspnea History: acute onset dyspnea and hypoxia. PULMONARY ARTERIES: No evidence of acute pulmonary embolism. Upper normal main pulmonary artery diameter.LUNGS AND PLEURA: Moderate right pleural effusion and small left pleural effusion with fluid i... | 1.No evidence of acute pulmonary embolism.2.Bilateral pleural effusions with overlying air space opacities in the right lower lobe that may represent acute infection or aspiration.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applic... |
Generate impression based on findings. | Postoperative changes of left parietal craniotomy with residual amount of blood products in the resection cavity. Bone flap is well positioned. There has been an erval decrease in the gaseous foci within the resection cavity, compatible with evolving postsurgical changes. There is edema or fluid along the subcutaneous... | 1.Postoperative changes of left parietal extra-axial tumor resection with residual edema and fluid along the subcutaneous tissues adjacent to the craniotomy and perhaps minimal epidural thickening/fluid. 2.The bone flap is well positioned without evidence of erosion. |
Generate impression based on findings. | There is no acute intracranial hemorrhage, mass effect, or midline shift. Mild periventricular hypoattenuation is unchanged. The ventricles, sulci, and cisterns are normal in size and configuration with preserved gray-white differentiation. The calvarium is unremarkable without fracture. The imaged portions of the orb... | No acute intracranial hemorrhage or mass effect. Mild chronic small vessel ischemic disease. |
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