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Generate impression based on findings. | Male 25 years old Reason: r/o abscess History: Crohn's disease, diffuse ab pain, WBC 30 w/ left shift ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense lesions which are too small to characterize and are unchanged. These likely represent hepatic cysts given stability and ... | 1.Fluid collection in the mid abdomen adjacent to ileo-colonic anastomosis suspicious for abscess.2.Marked enhancement and thickening of the neoterminal ileum. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast reduction surgery 20 years ago. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 82 y/o female with lymphoma and known mets to left shoulder with recent trauma to left shoulder. Please evaluate for fracture. History: Decrease ROM in left shoulder with pain The bones are demineralized. There is mild deformity and mottled appearance of the glenoid and scapular neck, compatible with the patient's know... | Osteoarthritis of the shoulder and known lymphoma of the scapula. We see no fracture. |
Generate impression based on findings. | There are multiple high attenuating intraparenchymal lesions which are highly suspicious for acute hemorrhages and may represent hemorrhagic metastases. Left basal ganglia lesion measures 1.9 x 1.8 cm (series 2, image 19). Right inferior frontal lobe lesion measures 1.6 x 1.4 cm (series 2, image 12). An additional 5-m... | 1. Multiple high attenuating intraparenchymal lesions are highly suspicious for acute hemorrhages and may represent hemorrhagic metastases as above, with associated vasogenic edema and mild mass effect.2. Small anterior frontal extraaxial mass with questioned subtle bony change, likely representing an additional metast... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of a right breast cyst removed. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and dis... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 45 years old; Reason: Multiple cavities, stem cell transplant patient, neutropenic, r/o abscess/infection Note is made of multiple dental fillings. The crowns of the other teeth are missing, presumably secondary to dental caries.Poorly defined round lucency in the left mandibular body at the roots of the left maxi... | Poor dentition as described above. Poorly defined round lucency at the roots of the left mandibular premolars is nonspecific, though we cannot exclude the possibility of an abscess. Dedicated dental radiographs may be helpful if clinically warranted. |
Generate impression based on findings. | Right lower extremity pain Mild curvature of the lumbar spine is noted and may be artifactual from patient positioning.The bones are demineralized. Mild multilevel degenerative disk disease affects the lumbar spine. Mild facet joint osteoarthritis affects the lower lumbar spine, with grade 1 anterolisthesis of L4 on L5... | Degenerative changes, as described above. |
Generate impression based on findings. | Evaluation is somewhat limited a thin section images especially facet joint at postcontrast images were not obtained through the orbits/cavernous sinus. Dedicated IAC images are somewhat limited by patient motion. Direct comparison of the various lesions is somewhat difficult secondary to differences in technique acro... | 1. Somewhat limited exam due to differences in technique compared to prior exams, with lack of dedicated orbital images. Grossly stable left orbital meningioma, left cavernous sinus, and bilateral vestibular schwannomas. Smaller probable meningioma just medial to the cavernous right internal carotid artery is not as we... |
Generate impression based on findings. | 46 year-old female, with right lumpectomy in 2007 followed by mastectomy for recurrent invasive ductal carcinoma, grade III/III on 1/31/2011. Also post radiation and chemotherapy. She had LEFT sentinel lymph nodes biopsy, which were negative for carcinoma. Three standard views of the left breast were performed digitall... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast cyst removed. Maternal aunt with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. An asymmetry i... | Asymmetry in the left breast. Comparison should be made to prior outside examinations. If those cannot be obtained, then this finding should be further evaluated with spot compression views and possible ultrasound.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Reason: Screening visit for EMPROVE clinical trial IRB# 13-0530 History: COPD LUNGS AND PLEURA: Severe lower lobe predominant emphysema, similar in appearance to the prior exam, centrilobular in the upper lobes but possibly panacinar in the lower lobes.Hyper expansion of the lower lobes, with stable compressive atelect... | Severe lower-lobe predominant emphysema, without significant interval change. |
Generate impression based on findings. | Brain: There is a right parietal subgaleal hematoma measuring up to 11 mm (coronal series 80273, image 64) without underlying calvarial fracture. No acute intracranial hemorrhage. Encephalomalacia of the right parietal lobe with associated ex vacuo dilatation consistent with prior remote ischemic insult. There is an a... | 1.Right parietal subgaleal hematoma without evidence of intracranial hemorrhage.2.No acute fracture.3.Multilevel cervical spondylosis with moderate to severe central spinal canal stenosis at C1/2 and C2/3, with extensive soft tissue dorsal to the dens, which may relate to underlying degenerative reactive changes, versu... |
Generate impression based on findings. | Clinical question: Assess for progression of the small cell carcinoma. Signs and symptoms: Gadolinium,. Enhanced head CT:New since prior exam is a single superficially located focus of enhancement along the superior left temporal gyrus posteriorly measuring at 6.5-mm in transaxial dimensions. The findings demonstrates ... | 1.New single 6.5-mm superficially located left superior temporal gyrus (posteriorly) suggestive of a metastatic focus.2.Unremarkable pre-and post enhanced since prior exam. |
Generate impression based on findings. | Female 70 years old Reason: r/o malignancy vs. abscess History: perianal mass for 8mo ABDOMEN:LUNG BASES: Reticular pattern likely representing atelectasis/scarring.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | Perianal induration and edema without discrete fluid collection. MR could be helpful to exclude an underlying mass. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of lymphoma and a maternal aunt with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. There is... | Focal asymmetry in the posterior left breast and asymmetry in the upper left breast for which comparison to prior studies should be made.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OC - OLD FILM FOR COMPARISON |
Generate impression based on findings. | BRAIN: Subgaleal edema along the vertex of the scalp, best appreciated on the coronal series 81176, image 49. No underlying calvarial fracture is identified. There is thin right parietal subgaleal hyperdensity with mild overlying scalp fat stranding. No acute intracranial hemorrhage or CT evidence of acute large terri... | 1.No acute intracranial hemorrhage.2.Comminuted and minimally displaced fracture of the right orbital floor which extends through the infraorbital foramen as above, for which correlation with physical exam is recommended. The right globe and intraconal space appear preserved without evidence of extraocular muscle entra... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast biopsy in 2002. Two standard digital views, additional bilateral MLO views, and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure s... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 56 years old Reason: eval acute process History: abd pain, vomiting, recent UTI ABDOMEN:LUNG BASES: Bibasilar ground glass opacities suggestive of pneumonitis likely secondary to aspiration.LIVER, BILIARY TRACT: Hypodense subcentimeter lesions in the left hepatic lobe, which are unchanged and likely represent hepa... | 1.Interval increase in stool burden with a large amount of desiccated stool in the rectum. No discrete fluid collection or intraperitoneal free air.2.New bibasilar ground glass opacities suggestive of pneumonitis which may be secondary to aspiration3.Diffuse anasarca, unchanged. |
Generate impression based on findings. | 59-year-old female with history of left-sided weakness. Head without contrast: There is no evidence of acute intracranial hemorrhage. There is moderate periventricular and subcortical white matter hypoattenuation compatible with age-indeterminate small vessel ischemic disease. The gray-white differentiation is preserve... | 1. Moderate intracranial atherosclerotic disease particularly of bilateral internal carotid arteries, bilateral PICAs and the right PCA.2. Moderate age-indeterminant small vessel ischemic disease.3. Moderate to severe degenerative disease affecting the cervical spine as above.4. Scattered hypoattenuating thyroid nodule... |
Generate impression based on findings. | Alignment is anatomic. There are no acute fractures or subluxations. No evidence of spinal epidural hematoma as clinically questioned. The visualized paraspinal contents are unremarkable. Partially visualized marked bladder distention.T12/L1: No central spinal canal stenosis.L1/2: No central spinal canal stenosis.L2/3... | 1.No acute epidural hematoma as clinically questioned.2.No central spinal canal stenosis.3.Partially visualized marked bladder distention. |
Generate impression based on findings. | Reason: vascular malformation History: facial twitch Brain CTA: There is redemonstration of a 12 x 13 mm axial dimension and a 14 x 30 mm sagittal dimension extra-axial mass centered along the ventral aspect of the foramen magnum and abutting the odontoid and the clivus. The mass displaces the medulla posteriorly. The ... | 1.Slowly enlarging extra-axial mass compatible with meningioma the level of foramen magnum. This mass abuts, partially surrounds and displaces the left vertebral artery. The mass abuts the vertebrobasilar junction and encases and displaces the adjacent hypoplastic distal right vertebral artery.2.Periventricular and sub... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right excisional biopsy and left needle biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 75-year-old male patient status post laryngectomy with Provox valve in place and Barrett's esophagus. Evaluate motility. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Postsurgical changes are noted in the neck.Focused evaluation of the cervical esophag... | 1.Moderate to severe esophageal motility abnormality.2.No evidence of leak around Provox prosthesis.3.Provoked esophageal reflux to the level of the thoracic inlet. |
Generate impression based on findings. | Female; 73 years old. Reason: Assess progression of small cell carcinoma History: abdominal pain, delirium, biopsy proven small cell lung carcinoma in paraspinal mass. LUNGS AND PLEURA: Small left pleural effusion with overlying compressive atelectasis. No suspicious pulmonary nodules or masses. Minimal dependent atele... | Interval progression of metastatic disease with extensive left neck base, left axillary, and retroperitoneal lymphadenopathy as described above. Please see separate CT abdomen/pelvis report for further details. |
Generate impression based on findings. | Reason: abnormal CXR, immunocompromised pt History: productive cough LUNGS AND PLEURA: Chronic interstitial scarring and traction bronchiectasis, with architectural distortion, compatible with sequela of a known prior history of ARDS.New right-sided central predominant patchy areas of peribronchial ground glass and sma... | 1. New right-sided patchy areas of ground glass and consolidation, compatible with aspiration or atypical infection, including fungal and viral, in an immunocompromised patient.2. Underlying interstitial opacities and bronchiectasis consistent with a known prior history of ARDS. |
Generate impression based on findings. | Five month old male, chronic respiratory diseaseVIEW: Chest AP (one view) 2/24/15 8:14 Tracheostomy tube tip at the thoracic inlet. The cardiothymic silhouette is unchangedInterval increase in right lower lobe atelectasis on a background of chronic lung disease. No pneumothorax. | Increased right lower lobe atelectasis on a background of chronic lung disease. |
Generate impression based on findings. | 7-year-old male, rule out obstructionVIEW: Abdomen AP (one view) 2/23/15 18:50 The bowel gas pattern is nonobstructive. No evidence of bowel wall pneumatosis, portal venous gas or free intraperitoneal air. Small amount of feces is noted in the rectum. | Normal examination. |
Generate impression based on findings. | Postoperative changes of craniofacial reconstruction with barrel stave osteotomies with scattered extra-axial blood products and air. There is focal concavity of the osteotomies at the right frontal parietal region laterally. There is decreased prominence of the previously noted elongated skull morphology. No evidence... | Expected postoperative changes of barrel stave osteotomies as above without large intraparenchymal hemorrhage. Improved calvarial contour. |
Generate impression based on findings. | 13-year-old female, post ankle, rule out fracture VIEW: Right ankle, AP, oblique, and lateral (3 views) 2/23/15 19:08 Alignment is anatomic. There is mild soft tissue swelling about the ankle. No fracture is evident. The ankle mortise is intact. | Mild soft tissue swelling without fracture or dislocation. |
Generate impression based on findings. | 63 years, Male. Reason: etiology of obstruction? History: rigid abdomen Enteric feeding tube tip projects over the antrum. Nonobstructive bowel gas pattern. Gallstones again noted projecting over the right upper quadrant. Patchy airspace opacities are again noted in the lower lungs. | Nonobstructive bowel gas pattern with enteric feeding tube tip projecting over the gastric antrum area. |
Generate impression based on findings. | Patient with graves to get uptake and scan for RAI dose calculation. History of hyperthyroidism. The thyroid images demonstrate an asymmetrically enlarged right thyroid lobe with uniform uptake. There is uniform uptake in the smaller left thyroid lobe. The 4-hour radioactive iodine uptake is 24% and the 21-hour uptake ... | Enlarged right thyroid lobe with increased uptake is consistent with Grave's disease; note the uptake value may be underestimated due to recent synthroid use. |
Generate impression based on findings. | Female 71 years old; Reason: r/o mass History: abd pain. bloating. hx prior SBO. hx colon cancer ABDOMEN:LUNG 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 ... | 1.No CT findings of acute abdominal or pelvic pathology. |
Generate impression based on findings. | Female 50 years old Reason: 50yr old female with history of MM; post-auto sct evaluation History: evaluate. SKULL: Two views of the skull show innumerable punched-out lucent lesions of the calvarium, consistent with multiple myeloma.CERVICAL SPINE: Two views of the cervical spine show no focal lytic lesions. There is d... | Findings consistent with multiple myeloma, appearing similar to the prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy in 2012. Sister with ovarian cancer at age 23 and breast cancer at age 34. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is c... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Given the patient's family history, breast MR as an additional screening tool should be considered. Referral to cancer risk clinic may also be of use. BIRADS: 1 - Ne... |
Generate impression based on findings. | Emesis. NJ-tube placement. Liver transplant.VIEW: Abdomen AP (one view) 02/24/15, 0811 NG tube tip is at duodenojejunal junction. IVC stent continues in place. Postoperative changes of right upper quadrant are again seen. Central line tip is in right atrium. Biliary drain placed on 02/20/15 is in place.Bowel gas patter... | No evidence of obstruction. |
Generate impression based on findings. | Male; 22 years old. Reason: Cough and fever in stem cell transplant pt; right LL opacity seen on radiograph, evaluate for viral vs bacterial infectious process History: Fever, cough. LUNGS AND PLEURA: Bronchial wall thickening, groundglass centrilobular nodules, and basilar consolidation with air bronchograms, left gre... | Findings compatible with multifocal pneumonia and diffuse endobronchial infection, most pronounced in the left lung base. Differential considerations include bacterial and atypical organisms given the patient's immune status. |
Generate impression based on findings. | 59 years, Male, Reason: evaluate hepatic architecture History: cirrhosis. LIVER: Liver is normal in size measuring 16.2 cm in length. Cirrhotic liver morphology with coarse echotexture. No focal hepatic lesions are evident. Portal venous flow is hepatopetal with a peak velocity of 0.2 m/sec. Portal venous flow is noted... | 1.Cirrhotic liver morphology without suspicious lesions evident.2.Cholelithiasis without evidence of cholecystitis.3.Mild splenomegaly.4.Small amount of ascites and small pleural effusions.5.Pulsatile portal venous flow may be seen in the setting of right heart failure. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Breast cancer metastatic to iliac lymph nodes. On anti-estrogen therapy. Evaluate treatment response.RADIOPHARMACEUTICAL: 11.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 164 mg/dL. Today's CT portion grossly demonstrates an ovoid approximately 2 x 4 cm hypodense focus in the medial left breast. An appro... | 1.Marked metabolic response to therapy with near complete to complete interval resolution of previous hypermetabolic right iliac metastatic lymph node tumor activity. Slight residual right iliac activity may be inflammatory or minimal residual tumor uptake.2.Otherwise no convincing metastatic tumor activity. New bibasi... |
Generate impression based on findings. | Reason: hx of lung Ca s/p pneumonectomy with infected space History: cough, weight loss LUNGS AND PLEURA: Status post left pneumonectomy with fluid opacification of the left hemithorax, slightly decreased in volume from the prior exam, with thickened pleura, increased from previous, with scattered pleural calcification... | Persistent fluid opacification of the left hemithorax, with increased pleural thickening and nodularity, although there is no specific evidence of infection. |
Generate impression based on findings. | Right ankle fracture. Left ankle pain.VIEWS: Left ankle AP (one view), right ankle AP/lateral (two views) 02/24/15 In the single plane, the left ankle is normal in appearance. The tibial physis is fusing.The Salter-Harris 4 fracture of the right tibia has healed. The two screws remain in place. The tibial physis is fus... | Fused right tibial physis. Fusing left tibial physis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Benign excisional biopsy of the left breast in 1975. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | History of ulcerative colitis abdominal painVIEWS: Abdomen supine and upright There is an ostomy at the right lower quadrant. Multiple surgical staples in the abdomen from prior surgery. Nonobstructive bowel gas pattern. No abnormal bowel dilation. No pneumatosis or pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Comparison to the right footVIEWS: Left foot AP and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | 17 year-old male with trauma with closed fist to face with tenderness to palpation along the right jaw. Evaluate for jaw fracture.VIEWS: Mandible Panorex (1 views) 2/23/2015 20:45 Mandible appears normal with no evidence of fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Ms. Bales is a 62 year old female with a personal history of right breast lumpectomy in 1998 for IDC crate two followed by chemotherapy, radiation, and tamoxifen therapy. She has a personal history of benign left breast biopsy. Family history of breast cancer in paternal aunt. No current breast related complaints. Thre... | Stable postsurgical changes of the right 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 - Diagno... |
Generate impression based on findings. | Female 41 years old; Reason: 41 yo female with greater than 2 months of abdominal pain and diarrhea and sterile pyuria. Please evaluate for signs of inflammation. History: abdominal pain, diarrhea ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Few scattered hypodensities, the largest measuri... | 1.No acute abdominal or pelvic pathology. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | PainVIEWS: Right foot AP, oblique and lateral There is an acute transverse fracture involving the base of the fifth metatarsal with associated soft tissue swelling. The remainder of the examination is normal. | Fracture involving the base of the fifth metatarsal as described above. |
Generate impression based on findings. | Male; 56 years old. Reason: recurrent tongue cancer with neck mets History: r/o lung mets. LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules without suspicious pulmonary nodules or masses. No pleural effusion or focal airspace opacity.MEDIASTINUM AND HILA: Normal heart size without pericardial effusio... | No evidence of metastatic disease. |
Generate impression based on findings. | 17-year-old male with tenderness along T3 - T4 status post blunt trauma. Evaluate for fracture.VIEWS: Thoracic spine AP, lateral and swimmers (3 views) 2/23/2015 Portions of the upper thoracic spine are obscured due to overlying anatomy on lateral and swimmer's views, however within this limitation, no discrete fractur... | No evidence of fracture or dislocation within the limitations noted above. |
Generate impression based on findings. | Reason: stroke History: left sided weakness There is redemonstration of encephalomalacia along the right parietal lobe.Periventricular and subcortical confluent white matter hypodensities of a moderate degree are present. The lateral ventricles are mildly enlarged.The patient is status post right parietal craniotomy.Th... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3.Encephalomalacia is present along the right parietal lobe is unchanged compared to the prior exam.4.There are periventricular hypodensities present which are unc... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of colon cancer. Two standard digital views of both breasts and an additional right MLO were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pa... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 43 years old Reason: lower back pain History: lower back pain. There is moderate to severe degenerative disk disease at L3/L4. The remaining intervertebral disk spaces appear normal and the vertebral body heights are preserved. Small osteophytes project from the anterior aspect of the lumbar vertebrae. There is ... | Degenerative disk disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional bilateral MLO views, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distributi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 13-year-old male with back pain, tenderness to palpation at T10. Evaluate for thoracic spine fractureVIEWS: Thoracic spine AP, lateral and swimmers (3 views) 2/23/2015 Alignment is normal. No evidence of fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Reason: eval osteomyelitis and vascular insufficiency History: necrotic lesion on dorsum of R foot and fluctuance ABDOMEN:LUNG BASES: Small left pleural effusion noted. Bilateral basilar opacities compatible with aspiration or multifocal infection. ICD lead partially visualized. LIVER, BILIARY TRACT: Status post cholec... | 1.Severe atherosclerotic disease or the aorta and its branches. Complete occlusion of bilateral superficial femoral and popliteal arteries and right femoral-popliteal graft as above. 2.Soft tissue swelling of both lower extremities, right greater than left, most prominent over the dorsum of the right foot. No definite ... |
Generate impression based on findings. | 14-year-old male status post trauma with abdominal pain. ABDOMEN:LUNG BASES: Bibasilar atelectasis, left greater than rightLIVER, BILIARY TRACT: Normal appearance of the liver with no evidence of intra-or extrahepatic biliary ductal dilatation. Gallbladder is normal with no pericholecystic fluid.SPLEEN: Spleen is norma... | Bibasilar atelectasis with no evidence of pathology in the abdomen and pelvis. |
Generate impression based on findings. | Male 68 years old Reason: follow up History: follow up. We have 4 views of the left foot. The previously seen screws affixing the first tarsometatarsal joint have been removed and replaced with a plate and screw device affixing the first metatarsal to the first and second cuneiforms. We see no hardware complications. P... | Orthopedic fixation of Lisfranc joint as described above. |
Generate impression based on findings. | Male; 59 years old. Reason: History of tonsillar cancer. CHEST:LUNGS AND PLEURA: Bronchial wall thickening and mild upper lobe predominant centrilobular emphysema are again noted. No suspicious pulmonary nodules or masses. No pleural effusions or focal areas of consolidation.MEDIASTINUM AND HILA: No significant mediast... | No evidence of metastatic disease or significant interval change. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 55 years, Male, Reason: micro hematuria History: hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty liver, most severe in the right hepatic lobe.SPLEEN: No significant abnormality notedPANCREAS: Hypodensity within the neck of the pancreas measures 0.6 x 0.7 cm (6/55). The... | 1.Diffuse bladder wall thickening is nonspecific but may be seen in the setting of cystitis. No renal lesions or stones identified.2.Cystic lesion within the pancreas. Recommend MRCP for further evaluation. |
Generate impression based on findings. | 60 years, Male, Reason: HCV rule out cirrhosis History: HCV. LIVER: Liver is normal in size measuring 14.6 cm in length. Coarse hepatic echotexture without cirrhotic contour. No focal hepatic lesions are evident. Portal venous flow is hepatopetal with a peak velocity of 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There is a ... | 1.No focal hepatic lesions.2.Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is a partially obscured mass in the left upper, outer breast at middle depth. No... | Mass in the left breast for which comparison to prior outside hospital studies is needed. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | 52 year old with history of benign bilateral breast biopsies. Known left benign mass and bilateral cysts. History of breast cancer in mother diagnosed at age 55 and paternal grandmother diagnosed at the age of 60. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.I personally reviewed the ... |
Generate impression based on findings. | Ms. Braun submitted outside mammograms dated 05/6/2014 and 11/11/2009, from Advanced Medical Imaging Center. Submitted outside studies were compared to the current mammogram dated 02/05/2015. The breast parenchyma is composed of scattered fibroglandular elements. Scattered benign calcifications are present in both brea... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually, due next in Feb 2016.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 75 years old Reason: r/o obstruction vs megacolon History: abdominal pain, positive c diff, worsening abdominal distension Limited examination secondary to lack of intravenous contrast. Evaluation of solid organs and vascular pathology is suboptimal.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIAR... | Limited examination secondary to lack of intravenous contrast which makes evaluation of solid organs suboptimal. Within the limitations, there is diffuse mild dilatation of loops of predominately large bowel consistent which could represent either colonic ileus or megacolon. No evidence of obstruction or intraperitonea... |
Generate impression based on findings. | right rib pain status post trauma. Evaluate for rib fracture.VIEWS: Bilateral ribs AP, right oblique and left oblique No evidence of fracture or dislocation. | Normal examination. |
Generate impression based on findings. | 58 years, Male, Reason: liver/biliary abnormality History: LFT abnormalities, abdominal pain. LIVER: Liver is normal in size measuring 17.4 cm in length. Hepatic echotexture is coarse and contour is cirrhotic. No focal hepatic lesions are evident. Portal venous flow is hepatopetal with a peak velocity of 0.2 m/sec.GALL... | Cirrhotic liver without focal lesions evident. |
Generate impression based on findings. | Visualization of the thorax is limited by the field of view and length of scan, which excludes substantial areas of the lungs.CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Calcified lymph nodes compatible with previous infection.CHEST WALL: No significant abnormality noted.UPPER ABDOME... | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on findings. | 69 years, Male, Reason: 69 year-old male with findings on esophagram of possible esophageal varices. CT TRIPLE-PHASE OF LIVER requested to rule out cirrhosis and evaluate for possible varices History: as above. ABDOMEN:LUNG BASES: Reticular opacities, honeycombing and bronchiectasis in the bilateral lower lobes appears... | 1.Hepatic steatosis without evidence of cirrhosis or esophageal varices.2.Fibrotic changes in the UIP pattern within the visualized lung are grossly unchanged. |
Generate impression based on findings. | 14 year old male status post trauma.VIEWS: Cervical spine AP and lateral (two views) 2/23/2015 23:04 NG tube coiled in the upper esophagus and nasopharyngeal airway. Limited evaluation of the cervical spine as only C1-C6 vertebrae are visualized on the lateral view. Evaluation for prevertebral soft tissue thickening is... | Within the limitations of the study, there is no evidence of subluxation or fracture. Recommend repeat radiograph for definitive evaluation. |
Generate impression based on findings. | 42 years, Female, Reason: of liver, hep b, screen for hcc History: same. LIVER: Liver is normal in size measuring 10.7 cm in length. Hepatic echotexture is coarse. No focal hepatic lesions are evident. Portal venous flow is hepatopetal with a peak velocity of 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Sludge and small stone... | Coarse hepatic echotexture without focal lesions evident. Cholelithiasis. |
Generate impression based on findings. | Evaluate ET tubeVIEW: Chest AP 2/24/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right central line in place. Cardiothymic silhouette cannot be evaluated. Diffuse atelectasis bilaterally not significantly changed. No pleural effusion or pneumothorax. | Diffuse atelectasis bilaterally not significantly changed. |
Generate impression based on findings. | Reason: AIDS with abnormal CXR - further characterization; elevated amylase/lipase - r/o acute pancreatitis History: Left sided chest pain CHEST:LUNGS AND PLEURA: A large mixed-density, somewhat loculated left pleural effusion is new from the prior CT exam and prior radiograph dated 10/2014, with significant associated... | 1. A large mixed-density left pleural effusion contains a component of hemorrhage. A questionable cavitation in the underlying lung is incompletely evaluated on this exam.2. No specific CT evidence of acute pancreatitis. |
Generate impression based on findings. | Ms. Dowling is a 47 year old female with a personal history of left breast mastectomy in February 2013 for IDC treated with chemotherapy, radiation, and tamoxifen therapy. Personal history of benign right breast biopsy in 2013. Three standard views of the right breast were performed digitally and reviewed with the aid ... | Benign calcifications in the right breast. 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: 2 - Benign finding.RECOMMENDATION: ND - Diagn... |
Generate impression based on findings. | 14-year-old male status post trauma.VIEWS: Pelvis AP (one view) 2/23/2015 23:02 No evidence of fracture or dislocation. | Normal examination. |
Generate impression based on findings. | 14-year-old male status post traumaVIEW: Chest AP (one view) 2/23/2015 23:50 NG tube tip coiled in the upper esophagus. ET tube below the thoracic inlet and above the carina.Cardiothymic silhouette is normal. No focal pulmonary. No pleural effusion or pneumothorax. No evidence of fracture or dislocation. | NG tube tip coiled in the upper esophagus. Otherwise no acute abnormality noted. |
Generate impression based on findings. | Muscle weakness. Question of malignancy. RADIOPHARMACEUTICAL: 11.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 82 mg/dL. Today's CT portion grossly demonstrates bibasilar pleural thickening/streaky linear opacities, right greater than left, along with a subpleural right lower lobe nodular density. There ... | 1.Focal uptake in the right lower lobe corresponding to a nodular density may represent infection or tumor. 2.Focal activity within the descending colon may represent normal GI activity, an adenoma, or carcinoma; correlation with history of colonoscopy is suggested. 3.Diffuse, heterogenous muscle uptake may be due to a... |
Generate impression based on findings. | Female 67 years old; Reason: hx of bladder cancer, s/p radical cystectomy with indiana pouch urinary diversion, evaluate for metastatic disease History: see above ABDOMEN:LUNG BASES: Redemonstrated calcified mediastinal and hilar lymph nodes compatible with prior granulomatous disease. Stable pulmonary nodule measuring... | 1.No definite evidence of recurrent or residual disease. |
Generate impression based on findings. | 10-year-old female with concern for typhlitis or appendicitis ABDOMEN:LUNG BASES: Small left pleural effusion.LIVER, BILIARY TRACT: Pericholecystic fluid without adjacent inflammatory changes may relate to low albumin. No biliary ductal dilatation.SPLEEN: No focal lesion.PANCREAS: Normal pancreatic parenchyma.ADRENAL G... | 1. Mild diffuse colonic wall thickening is nonspecific, but may represent diffuse colitis. No free or loculated fluid collection. 2. Small left pleural effusion. |
Generate impression based on findings. | Reason: 62 yo male with history of MDS; pre-allo SCT evaluation History: evaluate LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Moderate coronary calcificationsthe heart and pericardium otherwise unremarkable. No mediastinal or hilar lymphadenopathy noted. CHEST WALL: Mild degenerative change... | No significant abnormality. |
Generate impression based on findings. | 14-year-old female with history of left distal femur osteosarcoma, here for 9 months end of therapy evaluation to rule out lung relapse. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax. MEDIASTINUM AND HILA: Normal sized heart with no pericardial effusion. No evidence of... | No evidence of metastatic disease to the chest. |
Generate impression based on findings. | Male 52 years old Reason: renal mass extending to ureter History: hematuria This study is severely limited due to lack of intravenous and oral contrast.ABDOMEN:LUNG BASES: Retrocrural adenopathy measuring 2.2 x 1.7 cm. this adenopathy is of uncertain etiology and significance. Small left pleural effusion.LIVER, BILIARY... | Severe limited study due to lack of oral and intravenous contrast. Minimal interval decrease in the size of the left rectus sheath hematoma. Otherwise no significant change from previous study. High density material within the collecting system of the transplant kidney may represent blood, debris, plus or neoplasm.Diff... |
Generate impression based on findings. | 78 year old female with DOE, assess for pulmonary fibrosis. Additional history of right breast carcinoma s/p lumpectomy in 2009. LUNGS AND PLEURA: Moderate dependent atelectasis/scarring. Mild bronchiectasis with possible traction and subtle ground glass opacities, best seen on prone views. There is mild subpleural ret... | 1.Mild bronchiectasis and subpleural reticulation with some surrounding ground glass opacity. Findings are nonspecific but suggest a possible NSIP pattern.2.Nonspecific 9 mm gastrohepatic lymph node, slightly more prominent compared to previous CT and for which continued interval follow-up can be considered. |
Generate impression based on findings. | Male, 75 years old, history of lung cancer, with headache. Several scattered hypoattenuating lesions are seen within the brain consistent with the patient's previously demonstrated parenchymal metastatic disease. Most of the smaller lesions seen on the prior MRI are not clearly resolved on the current examination due t... | Interval increase in size of at least one lesion within the posterior left parietal lobe. Further evaluation with contrast-enhanced MRI is recommended. |
Generate impression based on findings. | Male 21 years old Reason: r.o fx History: s/p slip, fall on ice. point ttp over the proximal 5th metatarsal area. We see no fracture or malalignment or other findings for the patient's pain. | No fracture or malalignment. |
Generate impression based on findings. | Male 70 years old Reason: hx lumbar compression fractures, eval healing History: back pain. We have two views of the lumbar spine again showing compression fractures of L1 and L5. The L1 compression fracture appears similar to that seen on the November 2014 skeletal survey. There may have been slight interval progressi... | S1 and L5 compression fractures as described above. |
Generate impression based on findings. | 61 year old with history of left mastectomy in 2004 and reconstruction. No current breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostly fatty replaced. A benign intramammary lymph node is present in the posterior 9... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Patient will submit her old mammograms. Once they are available, current study will be compared to those old mammograms to establish stability. Resul... |
Generate impression based on findings. | Reason: Hx semisolid nodules on CT= One year follow up History: Cough. History of Sjögren syndrome. LUNGS AND PLEURA: Scattered peripheral, basilar predominant reticular interstitial opacities appear similar to the prior exam. Mild traction bronchiectasis.A previously referenced right upper lobe pleural based nodule me... | 1. Stable mild reticular interstitial disease with mild traction bronchiectasis, likely related to underlying connective tissue disorder. 2. A reference 6-mm right upper lobe pleural based nodule is stable from 02/2014, compatible with scarring or prior inflammation, and is no longer regarded as suspicious.3. Unchanged... |
Generate impression based on findings. | Female 80 years old Reason: follow up History: follow up. Three views of the left ankle show a plate and screw device affixing a fracture of the distal fibula in near-anatomic alignment. A small amount of callus formation along the posterior margin of the fracture suggests some interval healing.A linear density along t... | Orthopedic fixation of healing distal fibular fracture. |
Generate impression based on findings. | Male 77 years old Reason: Metatstatic melanoma, s/p ipilimumab. Evaluate disease burden History: Fatigue CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged.MEDIASTINUM AND HILA: Left thyroid nodule is unchanged. It measures 3.4 x 2.6 cm on image number 12, series number 3. Index right hilar node measures 2.2 ... | New mediastinal metastatic adenopathy. Slight interval decrease in the size of the right hilar lymph node. Otherwise no significant change from previous study. |
Generate impression based on findings. | 55 year old with history of stereotactic core needle biopsy for calcifications with results of minimally focal ADH. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female, 49 years old s/p colonic stent removal. RFO Trigger: Look for evidence of stent material in left hemiabdomen. Suspected RFO Location: Left hemiabdomen. Suspected RFO: Stent material No unexpected radiopaque foreign bodies. Surgical clamp projects over the right hemiabdomen believed to be external to the patient... | No unexpected radiopaque foreign bodies. Findings were discussed with attending surgeon, Dr. Roggin, over phone, at 1040 on 2/24/15. |
Generate impression based on findings. | Female 56 years old Reason: spondylosis? History: LBP. There is moderate degenerative disk disease at L4/L5 and L5/S1. There is moderate to severe facet joint osteoarthritis affecting the lower lumbar levels with a grade one anterolistheses of L4 and L5. Vertebral body heights are preserved. A right total hip arthropla... | Degenerative disk disease, facet joint osteoarthritis and anterolistheses as described above. |
Generate impression based on findings. | 12-year-old male with flatfoot.VIEWS: Right and left foot AP and lateral (4 views) 2/24/2015 10:10 Bilateral pes planus. No evidence of fracture or dislocation. No soft tissue swelling or joint effusion. | Bilateral pes planus. |
Generate impression based on findings. | Male 65 years old Reason: R/o separated shoulder/Dislocation History: Pain on abduction . There is mild osteoarthritis of the glenohumeral and acromioclavicular joints. There is a mineralization along the greater tuberosity consistent with calcific subdeltoid bursitis, more prominent on the current study than on the pr... | Mild osteoarthritis and findings consistent with calcific bursitis as described above. |
Generate impression based on findings. | 51-year-old male with history of syncope and headache. There is no evidence of acute intracranial hemorrhage. There is a focus of hypoattenuation measuring 8 x 5 mm within the medial aspect of the right superior temporal gyrus which is nonspecific but appears to measure fluid density. The gray-white differentiation is ... | 1. No acute intracranial abnormality.2. Nonspecific focus of fluid density within the medial aspect of the right superior temporal gyrus, just superomedial to the right temporal horn. A nonemergent MRI is recommended for further evaluation, to evaluate possible cystic lesion and to exclude neoplasm. |
Generate impression based on findings. | Female 56 years old; Reason: pancreatic neuroendocrine tumor with slight pd on previous scan. evaluate for interval change History: neuroendocrine tumor CHEST:LUNGS AND PLEURA: Scattered, stable nonspecific noncalcified lung micronodules. Stable 4-mm groundglass nodule in the right lower lobe (9:58) and left upper lobe... | 1.Grossly stable pancreatic body mass and in involved vasculature accounting for slight differences in technique between both CT scans, as described above. |
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