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Generate impression based on findings. | Reason: r/o mass, stroke, other acute intracranial process History: new onset seizure The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. A focus of encephalomalacia is present in the right occipi... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. 3.Small focus of encephalomalacia is redemonstrated in the right occipital lobe |
Generate impression based on findings. | Reason: mucoepidermoid of lung; reccurrent disease @ right main stem bronchus/ paramediastium. S/p 4 cycles of adjuvant chemo. Pls c/w previous PET sand CT scan s to evalaute tx response and dx status History: mucoepidermoid tuor of lung CHEST:LUNGS AND PLEURA: Postop change right upper lobectomy. Reference 2-mm nodule... | Stable CT with reference measurements as above. |
Generate impression based on findings. | Reason: c/f new stroke R MCA territory History: LUE weakness, new hypodensity on CT Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET crite... | 1.Findings suggest subacute infarction involving left middle frontal gyrus and to a lesser degree left inferior frontal gyrus. 2.Findings along bilateral internal carotid arteries suggest vasculopathy - possibly fibromuscular dysplasia. Findings suggests pseudoaneurysm formations along the cervical portions of the inte... |
Generate impression based on findings. | There is no significant adenopathy by CT size criteria. Index right level 2 a lymph node measures 6 x 6 mm (series 6, image 42), previously measuring 7 x 7 mm (series 2, image 28). An additional index left level IIb lymph node which measures 5 x 5 mm (series 6, image 32), previously measuring 4 x 2 mm (series 2, image... | Significant interval decrease in lymphadenopathy when compared to the remote examination from November 2013. No new or progressive adenopathy by CT size criteria. |
Generate impression based on findings. | 72 years Female with throat pain for 6-7 months and difficulty swallowing. There are mildly enlarged nonspecific left submandibular and submental lymph nodes. There is no discrete mass lesion. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unrem... | 1. No soft tissue mass or other specific findings to account for the patient's symptoms. 2. Mildly enlarged nonspecific left submandibular and submental lymph nodes which are likely reactive. |
Generate impression based on findings. | 71 year old woman with history of left breast IDC, s/p mastectomy 2012. Three standard views of the right breast 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. Benign-appearing calci... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Left upper quadrant abdominal pain. Intermittent luq pain with shortness of breath. PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.Mild basilar and subpleural subsegmental atelectasis/scarring.No focal air... | No evidence of pulmonary embolism or other acute abnormality to account for the patient's symptoms.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Reason: 61 yo woman with hx of upper lobe opacities in 2008, please evaluate for interval change History: nodules and shortness of breath LUNGS AND PLEURA: Scattered residual subcentimeter upper lobe opacities (right > left), now more scar like in appearance, though overall significantly decreased in number and distrib... | Scattered residual subcentimeter bilateral upper lobe opacities, now more scar like in appearance, though overall significantly decreased in number and distribution. These are presumably post inflammatory. Also consider respiratory bronchiolitis, sarcoidosis, or hypersensitivity pneumonitis. Continued follow-up is reco... |
Generate impression based on findings. | Male 73 years old Reason: Hodgkin's disease History: f/u; compare with 8/14 CT, presented from outside CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules, unchanged. Reference left lower lobe micronodule measuring 2 mm (series 6, image 67). No pleural effusions.MEDIASTINUM AND HILA: Small scatter... | Mild upper abdominal adenopathy, improved. Circumferential thickening of the mid to distal esophagus, which is similar to prior exam, correlate clinically for esophagitis. |
Generate impression based on findings. | 60 year-old male with vertigo and nausea. Evaluate VP shunt.VIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 2/22/2015 21:30 Again seen is a ventriculostomy tube with tip adjacent to the midline in the middle cranial fossa connected to the reservoir in the ... | No evidence of shunt malfunction. |
Generate impression based on findings. | Evaluate PICCVIEW: Chest AP and abdomen AP 2/23/15 Tracheostomy tube tip at the level of the thoracic inlet. Feeding tube tip in the stomach within the giant omphalocele. Left lower extremity PICC with tip in the left common iliac vein. Cardiothymic silhouette cannot be evaluated. Minimal perihilar atelectasis not sign... | Left lower extremity PICC with tip in the left common iliac vein. |
Generate impression based on findings. | Ms. Smith is a 56 year old female with a personal history of left breast lumpectomy in 2009 for IDC/DCIS followed by radiation and hormonal therapy (Femara therapy). Family history of breast cancer in maternal aunt and paternal aunt. No current breast related complaints. Three standard views of both breasts were perfor... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnos... |
Generate impression based on findings. | Reason: Evaluate for interval change in nodules History: Former smoker with lung nodules on serial CT scans LUNGS AND PLEURA: Centrilobular emphysema. Sub-solid irregularly shaped nodule in the left upper lobe is stable measuring 10 mm (image 28/102). Groundglass nodule in the right middle lobe with a central subsolid ... | Left upper lobe and right middle lobe sub-solid and groundglass nodules persist, are unchanged in size and are suspicious for indolent adenocarcinoma. Recommend continued follow-up. |
Generate impression based on findings. | Suspicion of shaken baby syndrome and a subdural hematoma and underwent removal and then replacement of cranioplasty bone in October of 2014. History of brain injury and trauma. Evaluate skull fracture healing. There interval absence of the right parietal bone flap, with a skull defect that measures up to approximately... | Interval resorption of the right parietal bone flap with a skull defect that measures up to 6 cm and increase in size of the cystic components of the right parietal lobe encephalomalacia, which is perhaps in proportion to interval head growth, but it protrudes slightly through the skull defect. Smaller areas of encepha... |
Generate impression based on findings. | Left breast cancer. RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.463 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is noted in the left axilla, representing the sentinel node(s). This region was marked with an indelib... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | Reason: h/o upper gum cancer, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Basilar dependent edema. Scattered punctate micronodules are unchanged and presumably benign. No new pulmonary nodules.MEDIASTINUM AND HILA: Right chest port tip at RA/SVC junction.CHEST WALL: No significa... | No evidence of metastatic disease. |
Generate impression based on findings. | Again noted is a 3 cm sized cystic lesion in the superior vermian cistern which follows CSF signal and exerts downward mass effect on the vermis. No diffusion restriction to suggest ischemia. No masses or midline shift. No acute intracranial hemorrhage, extra-axial fluid collections, or subdural hematomas. The ventric... | 1.No acute intracranial abnormality. 2.Cystic lesion in the superior vermian cistern is most likely an arachnoid cyst. |
Generate impression based on findings. | Reason: transplant work up History: heart failure LUNGS AND PLEURA: Very mild emphysema. Scattered punctate micronodules, some of which are calcified, are presumably post inflammatory.MEDIASTINUM AND HILA: Status post CABG. severe coronary calcification. Multi-lead ICD present with some orphaned leads. Battery pack in ... | No acute cardiopulmonary normality. |
Generate impression based on findings. | Male; 70 years old. Reason: assess for pneumonia vs. interstitial lung disease vs. chronic aspiration as cause of recurrent respiratory symptoms History: SOB, cough. Diagnostic sensitivity is limited by patient motion.LUNGS AND PLEURA: Small to moderate bilateral pleural effusions, right greater than left. Marked bronc... | 1.Marked bronchial wall thickening with scattered tree in bud/nodular opacities. Findings are suggestive of bronchitis with possible superimposed aspiration or atypical infection.2.Moderate bilateral pleural effusions, right greater than left. |
Generate impression based on findings. | Reason: CVA History: CVA. Speech disturbance Since the prior exam the patient has developed a new hypodense focus involving gray and white matter in the left middle frontal gyrus extending to the left inferior frontal gyrus measuring 26 x 35 mm axial dimensions. It is associated with adjacent sulcal effacement.There is... | 1.Findings suggest subacute infarction involving left middle frontal gyrus and to a lesser degree left inferior frontal gyrus. No associated acute intracranial hemorrhage is appreciated.2.Multiple foci of encephalomalacia are present in both hemispheres as detailed above. |
Generate impression based on findings. | Female 28 years old Reason: elbow dislocation f/u History: pain. There is a fracture of the coronoid process minimal volar displacement of the distal fracture fragment, which is unchanged from the prior exam and known to be comminuted based on prior CT. There is surrounding callus formation indicating interval healing. | Healing proximal ulnar fracture as described. |
Generate impression based on findings. | Reason: thyroid cancer with mediastinal and lung nodules History: none CHEST:LUNGS AND PLEURA: Diffuse pulmonary metastases grossly stable in size and number. Reference right upper lobe nodule near the fissure measures 12 x 12-mm (image 39/121), unchanged.Adjacent to the diaphragm, a left lower lobe nodule (image 67/12... | Stable pulmonary metastases and intrathoracic lymphadenopathy. |
Generate impression based on findings. | 71 years, Female, Reason: cirrhosis, s/p RFA forHCC. please evaluate. History: same. ABDOMEN:LUNG BASES: 7-mm nodule along the minor fissure (10/4) has the appearance of an intrapulmonary lymph node.LIVER, BILIARY TRACT:Cirrhotic liver morphology. Portal vein is narrowed but appears patent. The common bile duct is mass... | 1.Hepatic dome lesion is unchanged in size status post RFA without enhancement.2.Arterially enhancing lesions seen on the prior study are not evident. No new suspicious lesions are present.3.Stable enlargement of the common bile duct |
Generate impression based on findings. | 56 year old woman with history of bilateral partial mastectomy in 2014 for bilateral IDC. Three standard views of both breasts, magnification ML and CC views of both breasts and a left exaggerated CC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fi... | Post-operative changes but no mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 90 years old Reason: rule out osteomyelitis / foreign body History: R foot necrotic lesion. This is a limited study of the right foot for evaluation of osteomyelitis. The bones appear diffusely demineralized. Evaluation of the midfoot and metatarsal bones is limited due to overlapping structures. There is soft t... | Limited study of the right foot shows soft tissue swelling with questionable gas overlying the dorsal aspect of the foot, concern for infection and osteomyelitis cannot be excluded without additional imaging. If further imaging evaluation is clinically warranted, an MRI or triphasic bone scan should be considered. Find... |
Generate impression based on findings. | 10-year-old female, evaluate for fractureVIEWS: Left ankle, AP, oblique, and lateral (3 views) 2/23/15 9:31 Cast obscures underlying osseous detail. Alignment is near anatomic. The distal fibular fracture is poorly visualized. | Casted ankle fracture in near anatomic alignment. |
Generate impression based on findings. | Ms. Martinez is a 68-year-old female with biopsy proven malignancy within the right breast, 9 o'clock location. She presents today for ultrasound guided seed localization prior to surgery on 1/27/2015 with Dr. Chhablani. On review of the prior studies, there is a 0.8 x 0.5 x 0.8 cm mass at the 9 o'clock position of the... | Successful radioactive seed localization of the right breast malignancy.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male; 59 years old. Reason: h/o laryngeal cancer and CRT, compare to previous, measurements please. CHEST:LUNGS AND PLEURA: Postoperative change is again noted in the right upper lobe. 4 mm micronodule in the right lower lobe is unchanged (series 5, image 69). Lateral pleural-based micronodule (series 5, image 76) and ... | 1.Stable pulmonary micronodules, more likely benign than malignant. However, continued follow-up is recommended. 2.No new suspicious lesions identified in the chest or abdomen. |
Generate impression based on findings. | FractureVIEWS: Pelvis AP Avulsion fracture involving the right anterior inferior iliac spine is again noted and unchanged. Both the femoral heads are seated within the acetabula. | Fracture of the right anterior inferior iliac spine unchanged. |
Generate impression based on findings. | 65 year old woman with history of left breast lumpectomy in 1995. 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. Scar marker over left breast wit... | Post-operative changes of left lumpectomy but no mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnosti... |
Generate impression based on findings. | Ms. Gilchrese is a 65 year old female with a personal history of left breast lumpectomy for IDC/DCIS in 04/2014 followed by radiation therapy and endocrine therapy. She has no current breast related complaints. Three standard views of both breasts with three left spot magnification views were performed digitally and re... | Expected postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagn... |
Generate impression based on findings. | 63 years, Male. Reason: NG advanced History: NG advanced, please compare NG tube has been advanced with tip projecting over the gastric antrum. Gallstones in the right upper quadrant. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | NG tube tip projects over the gastric antrum. |
Generate impression based on findings. | Postop prosthetic assessment Two views of the right hip show components of a total hip arthroplasty device situated near anatomic alignment without radiographic evidence of hardware complication. There has been some maturation of heterotopic ossification between the trochanters and acetabulum.AP view of the pelvis reve... | Right total hip arthroplasty as above. |
Generate impression based on findings. | Metastatic lung cancer with right thigh pain. Evaluate for metastases. Two views of the right hip are provided. I see no focal lesions to suggest metastatic disease to bone. Minimal osteoarthritis affects the hip, essentially within normal limits considering the patient's age. Note is made of an aortobiiliac stent and ... | Small calcified focus in the femoral diaphysis of is of doubtful clinical significance. There is mild osteoarthritis of the hip and additional degenerative and postoperative changes as described above, but I see no focal lesions to suggest metastatic disease to bone. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: mets lung cancer. On Nivolumab. Pls c/w previous study and evauate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Postsurgical changes of a left lower lobectomy and left upper lobe resection, with stable linear and nodular scarring adjacent to the suture line. Mild upper lobe predominant centrilobular em... | 1. Decrease in size of a cluster of subcentimeter right upper lobe nodules, likely benign and post-inflammatory in origin.2. Otherwise unchanged exam, without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 85 years, Female. Reason: colitis on CT, continues without bowel movement, now not passing flatus, eval free air or obstruction History: abdominal pain Surgical clips, sutures material, and sternotomy wires are unchanged. Dilated loops of small bowel with multiple air fluid levels and a dilated cecum are noted. Residua... | Findings suggestive of at least a partial small bowel obstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. 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. If the patient submits her old mammograms, we can compare them with the current study to establish stability.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening M... |
Generate impression based on findings. | Male; 82 years old. Reason: pulmonary aspergillus, please assess cavity History: cough. LUNGS AND PLEURA: Large right apical cavitary lesion with surrounding consolidation and adjacent pleural thickening. While some debris within the cavity has cleared since the prior outside CT from December 2014, the overall appearan... | 1.Large right apical cavitary lesion with surrounding atelectasis and bronchiectasis, which can be seen in mycobacterium avium-intracellulare (MAI) infection. While some debris within the cavity has cleared since the prior outside CT, the overall appearance of the lesion is not significantly changed since January 2014.... |
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. | 40 year-old male with right hip pain. Mild osteoarthritis affects the hip. I otherwise see no findings to account for the patient's pain. | Mild osteoarthritis. |
Generate impression based on findings. | Female 50 years old; Reason: abdominal pain ABDOMEN:LUNGS BASES: Trace pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Symmetric renal parenc... | 1. Fat and bowel containing umbilical hernia, stable. No bowel obstruction. 2. Unremarkable exam otherwise. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 65-year-old male with history of multiple myeloma, pre-auto stem cell transplant evaluation. SKULL: I see no definite myelomatous lesionsCERVICAL SPINE: Severe degenerative disk disease affects the lower cervical spine, but I see no lytic lesions. There is loss of the normal cervical lordosis. THORACIC SPINE: There is ... | Although I see no definite myelomatous deposits, small poorly-defined lucencies within the proximal humeral diaphyses could conceivably represent myelomatous deposits or simply a manifestation of mild osteopenia. |
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. | 2-year-old male with right foot injuryVIEWS: Right foot, AP and lateral (two views), right tibia and fibula, AP and lateral (2 views views) 2/23/15 10:01 Foot: Periosteal reaction and subtle sclerosis about the proximal aspect of the first metatarsal consistent with a healing nondisplaced fracture. There are questionab... | Healing nondisplaced fracture of the first metatarsal and additional findings as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. There is a new circumscribed asymmetry at inner aspect in the... | New circumscribed asymmetry at inner aspect in the left breast on the CC view for which spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Small masses in the lower outer right... | 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. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 53 year old woman with history of left breast cancer on neoadjuvant chemotherapy. Three standard views of the left 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 pattern and distribution. Biopsy clips are noted... | Decrease in left axillary lymph nodes and asymmetry in the left breast in the area of calcifications compatible with treatment response. Followup with surgery scheduled. Results and recommendations discussed with patient. BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Fracture.VIEWS: Left great toe AP/lateral (two views) 02/23/15 Salter Harris II fracture of distal phalanx is unchanged in appearance. The physis remains widened. A metaphyseal fragment is seen anteriorly. No bone destruction is present. | Unchanged Salter-Harris fracture distal phalanx of great toe. |
Generate impression based on findings. | Six weeks postop status post right total hip arthroplasty Three views of the right hip are provided. Components of a total hip arthroplasty device are situated in near anatomic alignment appearing similar to the prior study. A small amount of heterotopic mineralization is noted between the greater trochanter and acetab... | Total hip arthroplasty as above. |
Generate impression based on findings. | 34 year old female with history of metastatic breast cancer, evaluate for response to treatment. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules decreased in number from prior. No new suspicious nodules or masses. Post radiation changes are present in the upper lobe of the left lung.MEDIASTINUM AND HILA: No hi... | 1.Multiple hepatic metastases, grossly unchanged in size but with decreased enhancement compared to prior.2.Splenic lesions suspicious for metastases, grossly unchanged in size but with decreased enhancement compared to prior.3.Multiple subcentimeter pulmonary micronodules suspicious for metastases, decreased in number... |
Generate impression based on findings. | 15-year-old male with history of fractureVIEWS: Right wrist, AP, oblique, and lateral (3 views views) 2/23/15 10:19 Splint obscures underlying osseous detail. Again visualized is a transverse fracture through the fifth metacarpal with mild volar angulation of the distal fracture fragment. | 5th metacarpal fracture as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Knee pain Four views of the left knee are provided. Tricompartmental osteophytes indicate mild osteoarthritis. Mild osteoarthritis also affects the right knee as seen on the frontal views. | Mild osteoarthritis. |
Generate impression based on findings. | Wrist drop. Question joint subluxation.VIEWS: Right wrist PA/lateral/oblique (3 views) 02/23/15 A splint obscures detail. The bones are normal in appearance. No fracture is identified. | Normal examination. |
Generate impression based on findings. | Pain Four views of the left knee are provided. There is deformity of the distal femoral diaphysis likely representing an old healed fracture, incompletely imaged on this study. There is moderate narrowing of the medial tibiofemoral compartment and tricompartmental osteophytes indicating moderate osteoarthritis. There a... | Osteoarthritis and other findings as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense. There is an asymmetry at lateral aspect in the left breast on the CC view. No suspicious microcalcif... | Asymmetry at lateral aspect in the left breast on the CC view. Comparison to old mammograms is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison. |
Generate impression based on findings. | Male 86 years old Reason: dysphagia rule out obstruction History: as above Double contrast evaluation of the esophagus again demonstrated a large right posterolateral diverticulum which filled with contrast during swallowing. The appearance is consistent with a large Zenker's diverticulum. This measures approximately 3... | 1. Large right posterolateral Zenker's diverticulum, unchanged compared to prior study. 2. Mild motility abnormality.Fluoroscopy time: Four minutes and 37 seconds. |
Generate impression based on findings. | 48 year old male with history of metastatic melanoma, evaluate response to treatment. CHEST:LUNGS AND PLEURA: No suspicious nodules or masses. Mild coronary artery calcifications.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.CHEST WALL: Left axillary soft tissue thickening measures 1.0 x 1.5 cm (series ... | 1.Stable size of hepatic metastasis. No new metastatic lesions identified. 2.Stable left axillary soft tissue thickening which may represent surgical scarring.3.Previously seen perianal abscess not included in the field-of-view. |
Generate impression based on findings. | Male 75 years old Reason: Any evidence of obstruction History: Pt has feeling food gets stuck Double contrast evaluation of the esophagus revealed no mucosal abnormalities. There was an abnormal indentation on the posterior aspect of the pharynx with abnormal outpouching of the right posterolateral esophagus immediatel... | Discoordination of swallow, felt to be secondary to spasm of the inferior pharyngeal constrictor muscle.Fluoroscopy time: Five minutes and 9 seconds. |
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. Scattered benign calcifications have ... | 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. | Prominent fluid is noted bilaterally overlying the frontal lobes which appears to cause mild underlying gyral flattening, however without significant mass effect and no resulting herniations. These measure up to 10 mm bilaterally. Similar appearing fluid collections are also seen bilaterally overlying the cerebellar h... | Prominent fluid is noted bilaterally overlying the frontal lobes which appears to cause mild underlying gyral flattening, however without significant mass effect and no resulting herniations. These measure up to 10 mm bilaterally. Similar appearing fluid collections are also seen bilaterally overlying the cerebellar he... |
Generate impression based on findings. | Female 51 years old Reason: eval RT wrist History: pain. A comminuted distal radial fracture with overlying fixation otherwise appears intact, without change in alignment. There is a mild increase of visibility of the fracture planes compatible with subacute healing. Mild lunate subluxation persists. | Healing distal radial fracture as described above. |
Generate impression based on findings. | Female; 71 years old. Reason: r/o PE, oxygen desat History: oxy desat, post operative. PULMONARY ARTERIES: No evidence of acute pulmonary embolism. Normal main pulmonary trunk diameter.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Small right pleural effusion with overlying consolidation which may repres... | 1.No evidence of acute pulmonary embolism.2.Small right pleural effusion with overlying consolidation, possibly secondary to aspiration or mucus plugging.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 71 years, Female, Reason: PNET History: active surveillance. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. Scattered calcified and noncalcified micronodules are nonspecific. No suspicious nodules or masses.MEDIASTINUM AND HILA: Enlarged heterogeneous thyroid is unchanged. Atherosclerotic calcifica... | Stable exam. |
Generate impression based on findings. | 10-year-old male, assess fractureVIEWS: Right humerus, AP and lateral (two views) 2/23/15 10:32 Deformity and extensive callus formation about the proximal humeral metadiaphysis consistent with healing fracture with mild medial angulation of the distal fragment. | Healing proximal humerus fracture. |
Generate impression based on findings. | There has been evolution of immediate postoperative findings related to right MCA aneurysm clipping and right pterional craniotomy. Pneumocephalus, right frontal extra-axial fluid collection have resolved with improvement in mass effect with leftward midline shift of 5 mm, previously 7 mm. Streak artifact related to t... | 1.No acute intracranial hemorrhage. 2.Evolution of immediate postoperative findings with decreased mass effect and midline shift. 3.Right frontal lobe area of low-attenuation redemonstrated, probably representing postsurgical change. |
Generate impression based on findings. | Female 47 years old Reason: hx non-erosive RA, evaluate for interval change History: hx non-erosive RA, evaluate for interval change Right hand: No erosions or other radiographic evidence specific for inflammatory arthritis are present. Minimal degenerative changes are otherwise observed. The left hand was not imaged s... | Mild degenerative arthritic changes affecting the first metatarsophalangeal joints bilaterally are minimally progressed from the prior exam. Otherwise, no specific radiographic evidence of inflammatory arthritis is present. Please note, patient refused full hand series, so symmetry cannot be appropriately evaluated. |
Generate impression based on findings. | Ms. Johnson is a 47 year old female with a personal history of right breast mastectomy in March 2014 for DCIS followed by hormonal therapy and implant based reconstruction on the left breast. She has no current breast related complaints. Three implant-displaced views and two full field views of the left breast were per... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. In 11/2013, a 6 month MRI was recommended to confirm stability of findings noted in the left breast. MRI should be obtained, especially given her extreme br... |
Generate impression based on findings. | Female 57 years old Reason: Large B Cell NHL History: s/p 3 cycles of chemotherapy CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Small amount of fluid in the prevascular space, which is slightly increased since exam from 12/3/2014. Heart size is normal without pericardial effusion. Left... | Stable to mildly decreased size of the right renal mass and associated adenopathy as described. |
Generate impression based on findings. | Reason: 76 yo man with hx of sarcoid found to have nodules on prior CT scan. Please eval interval change History: cough LUNGS AND PLEURA: UIP pattern with traction bronchiectasis, subpleural honeycombing and reticulation, stable in severity and distribution. Reference left upper lobe nodule is stable to marginally decr... | Stable pulmonary fibrosis and nonspecific small pulmonary nodules. The nodules are most likely inflammatory, though continued follow up is recommended. |
Generate impression based on findings. | There is a small right parafalcine focus of hyperdensity located in the same location as that described on previous MRI as a small hemorrhagic focus, which is overall unchanged in size and morphology given differences in technique.Redemonstrated are multiple foci of encephalomalacia in the right hemisphere compatible ... | There is a small right parafalcine focus of hyperdensity located in the same location as that described on previous MRI as a small hemorrhagic focus, which is overall unchanged in size and morphology given differences in technique. The differential diagnosis would include a small subdural hematoma. However, on occasion... |
Generate impression based on findings. | Female 59 years old; Reason: Esophageal cancer History: evaluate, compare to previous ABDOMEN:LUNGS BASES: Left basilar pleural bleb formation. Stable trace left pleural effusion.LIVER, BILIARY TRACT: Status post cholecystectomy. Unchanged mild prominence of common bile duct, measuring up to 7 mm.SPLEEN: No significant... | New moderate pneumoperitoneum, given the proximity of air to hepatic flexure, appearance worrisome for colonic perforation, may be treatment related and correlation with patient's clinical history recommended. Esophageal wall thickening, compatible with patient's known history of esophageal cancer, without significant ... |
Generate impression based on findings. | 67 year old female with history of squamous cell esophageal cancer, compare to previous. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary and nodules/masses are again seen, not significantly changed. Reference measurements are provided as follows:Cavitary left upper lobe nodule (series 4, image 47) measures 1.3 x 1... | 1.Stable mild thickening of the mid/distal esophagus. 2.Stable pulmonary metastases. 3.Stable appearance of lytic left fifth rib lesion. |
Generate impression based on findings. | BPDVIEW: Chest AP 2/23/15 Endotracheal tube and NG tube have been removed in the interval. Cardiothymic silhouette normal. Patchy atelectasis in the right lower lobe and left lower lobe in a background of chronic lung disease. No pleural effusion or pneumothorax. | Bilateral patchy atelectasis in a background of chronic lung disease. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response \T\ extent of disease. History: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response \T\ extent of disease. CHEST:LUNGS AND PLEURA: Stable 5-mm right lower lobe pulmonar... | Interval decrease in left axillary node. Other findings stable. |
Generate impression based on findings. | Reason: metastatic sarcoma. History: sarcoma LUNGS AND PLEURA: Demonstration of multiple bilateral pulmonary nodules of varying sizes demonstrating mild progressive interval increase in size over the last two exams.Reference right upper lobe nodule (image 40 series 6) now measures 15 mm x 16 mm . This lesion measured 1... | Multiple bilateral pulmonary nodules/masses demonstrating mild interval progression in size of these lesions over the last several exams. No new sites of disease identified. |
Generate impression based on findings. | Reason: surviellance imaging History: nasopharynx cancer s/p XRT CHEST:LUNGS AND PLEURA: Mild to moderate apical predominant centrilobular emphysema. No suspicious pulmonary nodules or masses.Mild dependent atelectasis. No focal airspace consolidation. No pleural effusions.MEDIASTINUM AND HILA: The heart is normal in s... | No evidence of metastatic disease. |
Generate impression based on findings. | 2 months old, premature birth, 30 weeks, severe micrognathia and partial soft palate cleft. The morphology and attenuation characteristics of the brain are compatible with stated gestational age. No mass effect, edema or loss of gray-white distinction is suspected. No intracranial hemorrhage or abnormal extra-axial flu... | 1. Severe micrognathia with near complete airway effacement.2. Cleft palate. |
Generate impression based on findings. | Male 65 years old; Reason: prostate cancer History: prostate cancer and please compare with previous CT scan CHEST:LUNGS AND PLEURA: Reticular opacities, likely atelectasis or scarring.MEDIASTINUM AND HILA: Coronary artery calcifications. Status post right thyroidectomy. Questionable tiny hiatal hernia.CHEST WALL: No s... | 1.No evidence of metastatic disease. |
Generate impression based on findings. | Reason: lung cancer, resected T2aN0, lobectomy, now prior to chemo History: dyspnea CHEST:LUNGS AND PLEURA: Postop right upper lobectomy. There is small right pleural effusion with mild right basilar scarring and atelectasis. Scattered punctate micronodules, some of which are calcified, are unchanged. Emphysema. Scatte... | Post op changes from right upper lobectomy with a small right pleural effusion. No definitive measurable disease though there are borderline lymph nodes which should be followed to confirm that they are reactive rather than neoplastic. |
Generate impression based on findings. | 61 year old woman with history of right breast lumpectomy in 2003. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. There are post-operative findings of rig... | Post-operative changes but no mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: metastatic breast ca History: metastatic breast ca CHEST:LUNGS AND PLEURA: Right lower lobe scattered tree-in-bud opacities and scarring, likely related to aspiration. Two new micronodules, including a 4-mm nodule in the right lower lobe (series 4, image 118) were not clearly seen on the prior exam, and may rel... | 1. Increase in size of a hypodense lesion in the hepatic dome, suspicious for metastasis.2. New small micronodules in the right lower lobe, in the setting of local scattered tree-in-bud opacities and scarring, may be related to inflammatory process including aspiration. Metastasis is not excluded. Recommend continued f... |
Generate impression based on findings. | Ms. Nelson is a 42 year old female recalled from screening mammogram for an asymmetry in the left breast. She has no current breast related complaints. An ML view, CC view and four spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is hetero... | 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. | Reason: patient with SAH , follow up procedure History: SAH, negative angio on admission Right subclavian artery: There is no evidence for arteriovenous fistula. No evidence for vertebral dissection.Right ascending cervical artery: No evidence for arteriovenous fistula. Right vertebral artery: There is opacification of... | 1.No evidence for cerebral aneurysm, AVM, arteriovenous fistula, carotid or vertebral dissection or vasculitis.2.Mild narrowing of the proximal intracranial vertebral arteries and right PCOMA are likely related to vasospasm. |
Generate impression based on findings. | Bilateral knee pain Severe osteoarthritis affects both knees, right greater than left, with tricompartmental joint space narrowing and osteophytes. Possible subcentimeter loose body in the suprapatellar right knee joint. | Severe osteoarthritis. |
Generate impression based on findings. | Medial knee pain Near severe osteoarthritis affects the left knee with joint space narrowing and osteophyte formation. A moderate-sized left knee joint effusion is evident. There is approximately 8 degrees of genu varus. Moderate osteoarthritis affects the right knee, left hip, and left ankle. | Osteoarthritis, as above. |
Generate impression based on findings. | Right total hip arthroplasty Right total hip arthroplasty device situated in near-anatomic alignment. Subtle thin lucency is noted about the acetabular component, however, the acetabular component is not changed in position or orientation compared to prior.Moderate osteoporosis affects the visualized lower lumbar spine... | Right hip arthroplasty, as above. Osteoarthritic changes, as above. |
Generate impression based on findings. | 4-month-old male with NJ tube. Evaluate placement.VIEW: Abdomen AP (one view) 2/23/2015 11:32 Feeding tube tip in the left upper quadrant likely in the stomach. Disorganized nonobstructive bowel gas pattern. | Feeding tube tip in the left upper quadrant likely stomach. |
Generate impression based on findings. | 56 year old woman with history of right breast enhancing lesion on MR. Patient gives history of clear discharge from the right breast. A targeted right ultrasound was performed for the area of concern seen on recent MR. There is a dilated duct at the 6:00 position immediately behind the right nipple. Within this dilate... | Intraductal soft tissue mass in the right breast which likely represents a papilloma. Further characterization with possible ultrasound guided biopsy is recommended in addition to consultation with surgery. Results and recommendation discussed with patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical... |
Generate impression based on findings. | Reason: lung cancer now wiht cough s/p chemorads ck response History: cough and lethargy CHEST:LUNGS AND PLEURA: Left upper lobe mass stable to marginally decreased now measuring 46 x 40 mm on image 38/160 (43 x 47 mm previously)Interval increase in adjacent opacities and pleural thickening consistent with radiation pn... | Left upper lobe mass stable to marginally decreased.Interval increase in adjacent opacities and pleural thickening suggestive of radiation pneumonitis though continued follow up is recommended. |
Generate impression based on findings. | Male 50 years old; Reason: ampullary cancer compare to last CT, measure 1) right basilar pleural based mass, 2) medial pleural based mass, 3) cardiophrenic node, 4) right hepatic lobe lesion, 5) LUQ mass, 6) left omental based mass History: post 2 cycles of chemo CHEST:LUNGS AND PLEURA: Basilar pleural-based masses con... | 1. Pleural-based, osseous, nodal, hepatic and omental/peritoneal neoplastic disease, similar in appearance to prior study with stable to mild decrease in size of reference lesions as described. |
Generate impression based on findings. | Multiple myeloma SKULL: Multiple lucencies consistent with venous lakes, no discrete focal changes to support a distinct myelomatous lesionCERVICAL SPINE: Moderate to severe degenerative changes, largely involving the mid cervical spine. Again no discrete focal lesions to support myelomatous involvementTHORACIC SPINE: ... | Scattered degenerative changes without discrete focal changes to support myelomatous disease. See descriptions level by level above |
Generate impression based on findings. | Elevated lipase and nausea ABDOMEN:LUNG BASES: Calcified hilar lymph nodesLIVER, BILIARY TRACT: 1 cm presumed hemangioma in the right lobe of the liver image number 22, series number 10. Liver is otherwise unremarkable without evidence of biliary dilatation.SPLEEN: Multiple punctate calcifications in the spleen.PANCREA... | Unremarkable pancreas. Other findings as described above. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is soft tissue crowding at the foramen magnum without evidence of Chiari I malformation. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mast... | No acute intracranial hemorrhage or mass-effect. Low-lying cerebellar tonsils without Chiari I malformation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
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