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Generate impression based on findings. | Head CT: There is no acute intracranial hemorrhage, mass-effect, or midline shift. There is mild hypoattenuation of the white matter of the cerebral hemispheres most consistent with mild chronic small vessel ischemic disease. Gray-white differentiation is preserved. The ventricles and cisterns appear normal. The calva... | 1. No acute intracranial abnormalities. 2. No maxillofacial fracture. Chronic left medial orbital blowout fracture.3. No cervical spine or skull fracture. 4. Nasal septal perforation. 5. 1 cm right parotid nodule. Differentials include enlarged lymph node and primary parotid neoplasm. |
Generate impression based on findings. | 68-year-old male with squamous cell carcinoma base of tongue and new diagnosis prostate cancer. Evaluate for metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADR... | 1. Diffuse sclerotic foci throughout the abdominal/pelvic bony structures most consistent with prostate carcinoma metastases. Nuclear medicine bone scan is a more accurate indicator of skeletal metastatic disease activity. 2. No evidence for adenopathy although lack of intra-abdominal fat makes delineation of soft tiss... |
Generate impression based on findings. | 65 years, Male, Reason: eval for progression History: metastatic RCC. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. Subcentimeter nodules along the minor fissure is likely represents intrapulmonary lymph nodes. No suspicious nodules or masses.MEDIASTINUM AND HILA: Mildly enlarged precarinal node m... | 1.Large sacral lesion with a soft tissue component is increased in size and likely represents a metastases.2.Left adrenal lesion is increased in size well, suspicious for metastases.3.Mild mediastinal and retroperitoneal lymphadenopathy is increased.4.Perisplenic nodule is higher attenuation than the spleen, suspicious... |
Generate impression based on findings. | The lumbar spine is in normal alignment, with a normal lumbar lordosis. There is mild rightward convexity of the lumbar spine. The vertebral body and disk heights are not significantly changed, although there is mild disk desiccation along the mid lumbar spine. No worrisome focal marrow signal abnormality is appreciat... | No significant interval change in mild scattered spondylotic changes except for recent Schmorl's node formation along the inferior endplate of L1 and possible impending Schmorl's formation at the L2-L3 level. A mild to moderate central spine canal stenosis at L3-L4 and mild to moderate left foraminal narrowing at L2-L3... |
Generate impression based on findings. | TachypneaVIEW: Chest AP Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right upper lobe and left lower lobe. No pleural effusion or pneumothorax. Probable gallstones at the right upper quadrant. | Patchy atelectasis bilaterally without focal lung opacity. |
Generate impression based on findings. | There are atherosclerotic changes involving the bilateral cavernous internal carotid arteries. The intracranial internal carotid arteries demonstrate no significant stenosis. The middle and anterior cerebral arteries are also patent. There is diffuse irregularity and mild narrowing involving the distal vertebral arter... | Overall mild intracranial and extracranial atherosclerotic disease. There is at least moderate focal stenosis involving the right distal vertebral artery proximal to the vertebrobasilar junction, which is better seen on the postcontrast images. There is more diffuse mild narrowing of the bilateral distal vertebral arte... |
Generate impression based on findings. | 76-year-old male with hemorrhage of gastrointestinal tract.? Diverticulosis.? Diverticulitis.? Recurrent renal carcinoma. ABDOMEN:LUNG BASES: Calcified right base granulomas. No other significant abnormalities.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Calcified granulomas without other significant a... | 1. Right colon, descending colon and sigmoid diverticular changes as described above. No evidence complication seen. 2. Marked atherosclerotic changes of the aorta and iliac arteries. 3. Status post right nephrectomy without evidence for recurrent or metastatic tumor. 4. No other significant abnormalities seen. |
Generate impression based on findings. | Pain and swelling Moderate osteoarthritis affects the interphalangeal joint of the thumb. A small ossicle along the radial aspect of the IP joint is noted. | Osteoarthritis. |
Generate impression based on findings. | Female 71 years old Reason: diastasis vs. Hernia History: probably diastasis on CT chest. The exam is not sensitive for detecting lesions in the solid organs of vasculature due to lack of intravenous contrast. Given nodes limitation, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality not... | Cholelithiasis. Broad-based ventral hernia in the upper abdomen and generally protuberant abdomen with thinned (but not diastatic) musculature.Osseous changes in the lumbosacral spine suggestive of ankylosing spondylitis. |
Generate impression based on findings. | 65 year old woman with history of right breast cancer s/p mastectomy. Now with right supraclavicular lymphadenopathy, core biopsy for ER, PR, and HER2. Right ultrasound re-identified the target lymph node for biopsy. The lesion to be targeted is a large, predominantly hypoechoic mass measuring 3.5 x 2.6 cm in the right... | Successful ultrasound guided core biopsy of an abnormal right supraclavicular lymph node obtained for markers. Pathology is pending at this time.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female 75 years old Reason: pain History: pain. Severe osteoarthritis affects the right hip and mild osteoarthritis affects left hip. Chronic enthesopathic changes along the iliac wings may not be of any current clinical significance. Degenerative arthritic changes affect the lower lumbar spine. Mild osteoarthritis als... | Osteoarthritis as above. |
Generate impression based on findings. | Female 49 years old Reason: prosthetic assess History: post-op. Two views of the left hip show hardware components of a left total hip arthroplasty device situated in near anatomic alignment with no radiographic evidence of hardware complication. AP view of the pelvis shows the aforementioned left total hip arthroplast... | Left total hip arthroplasty. |
Generate impression based on findings. | New squamous cell carcinoma of larynx, status post urgent tracheostomy and elevated PSA concerning for prostate malignancy. There are postoperative findings related to tracheostomy tube insertion with interval resolution of the extensive multicompartment emphysema in the neck. There is a heterogeneous, infiltrative mas... | 1. Postoperative findings related to tracheostomy tube insertion with interval resolution of extensive multicompartment emphysema in the neck. 2. A necrotic infiltrative mass centered in the supraglottic region with extension into the tongue base that measures up to at least 4 cm and extends across the midline is compa... |
Generate impression based on findings. | Left chest painVIEW: Chest AP Cardiothymic silhouette normal. No focal lung opacity. No pleural effusion or pneumothorax. No displaced rib fracture. | No displaced rib fracture. If there is continued clinical concern for rib injury, dedicated rib radiographs could be obtained for further evaluation. |
Generate impression based on findings. | Male 46 years old Reason: mass or stone? History: asymptomatic hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, UR... | No radiographic findings to explain patient's hematuria. |
Generate impression based on findings. | NG placementVIEW: Chest AP and abdomen AP ET tube tip below thoracic inlet and above the carina. Placement of a nasogastric tube with interval decompression of the stomach which is located in the right hemithorax. The liver is herniated into the right hemithorax with the tip of the umbilical vein within the left portal... | Placement of a nasogastric tube with interval decompression of the stomach. Right-sided diaphragmatic hernia as described above. |
Generate impression based on findings. | Male 48 years old; Reason: Pre-op for L UKA History: same Moderate to severe degenerative changes are noted at the knee joint, with focal depression of the weight-bearing surface of the medial femoral condyle suggestive of an insufficiency fracture and similar to the prior MRI. The hip and ankle joints appear unremarka... | Degenerative changes, as above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Images are somewhat limited by patient motion. There is mild diffuse ill-defined diffusion restriction within the cerebral white matter bilaterally predominantly in the frontal lobes, involving the centrum semiovale and extending along the corona radiata into the posterior limb of the internal capsules. The pattern is... | Symmetric appearing abnormal mild diffusion restriction within the cerebral white matter bilaterally, predominantly anteriorly within the centrum semiovale extending into the posterior limb of the internal capsules. There is also symmetric involvement of the central pons and bilateral brachium pontis.Differential diagn... |
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. There is a focal asymmetry at upper i... | A focal asymmetry at upper inner quadrant in the right breast. Spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Follow-up of metastatic nasopharyngeal carcinoma that progressed through carboplatin/cetuximab/5FU. Neck: There is no evidence of measurable mass lesions in the nasopahrynx. There is an unchanged mildly prominent right level 1A lymph node that measures up to 9 mm in short axis. Otherwise, there is no significant lympha... | 1. No evidence of measurable mass lesions in the nasopharynx. 2. Unchanged nonspecific mildly prominent right level 1A lymph node.3. No evidence of intracranial metastases.4. Partially imaged upper mediastinal lymphadenopathy compatible with metastatic disease. Please refer to the separate chest CT report for additiona... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 66 years old Reason: Assess for metastatic cancer History: Iron def anemia; 50 # wt loss, CEA 17. CHEST:LUNGS AND PLEURA: Large right middle lobe mass adjacent to and just inferior to the minor fissure which measures 5.3 x 4.3 cm (series 4, image 63). There is an additional nonspecific micronodule in the right low... | 1.Large right middle lobe lung mass as above.2.No definitive primary or metastatic lesion is visualized.3.Pelvic lymphadenopathy. |
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 mostly fatty replaced. Three benign circumscribed masses are present in the right b... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Male 56 years old Reason: prosthetic assess History: post-op. Two views of the right hip show hardware components of a right total hip arthroplasty device situated in near anatomic alignment with no radiographic evidence of hardware complication. Two views of the left hip show hardware components of a left total hip ar... | Bilateral total hip arthroplasties in near-anatomic alignment. |
Generate impression based on findings. | Deviated nasal septum; recurrent epistaxis. The paranasal sinuses are clear. The nasal cavity is also clear. There is a left concha bullosa. The nasal septum is slightly deviated towards the right. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasophary... | 1. Slight nasal septal deviation to the right with associated left concha bullosa. 2. No evidence of sinusitis. |
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 mostly fatty replaced, 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Male 65 years old Reason: pain History: pain. We have two views of the right hip and 3 views of the pelvis showing hardware components of a right total hip arthroplasty device situated in near anatomic alignment. Slightly eccentric positioning of the prosthetic femoral head in the acetabular cup may reflect minimal lin... | Right total hip arthroplasty and other findings as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign biopsy in 2006. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. There is a circumscribed oval shaped mass ... | No mammographic evidence of malignancy. Clinical correlation is recommended for the previously biopsied mass in the left breast. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammo... |
Generate impression based on findings. | PICC placement. Perforated appendicitis.VIEW: Chest AP (one view) 02/25/15, 0839 Feeding tube tip is in gastric antrum. Left upper extremity PICC has its tip in right atrium.Bilateral pleural effusion with right larger is noted. Opacities are seen in medial bases. Cardiac silhouette size is normal. The aortic arch, car... | Left upper extremity PICC tip in right atrium. |
Generate impression based on findings. | 4 year old female with cystic kidney. KIDNEYS Cortical Echogenicity: Normal echogenicity with multiple scattered cortical based cysts bilaterally which are unchanged, the largest measuring 0.6 cm x 0.6 cm x 0.7 cm on the right and 1.4 cm x 1.5 cm x 1.0 cm on the left. Nonspecific punctate echogenic focus with no shado... | 1. Multiple renal cysts not significantly changed.2. Debris in the bladder. 3. Nonspecific punctate echogenic focus in the left kidney.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade... |
Generate impression based on findings. | 71-year-old male with breast cancer; surgery 2/25/15 Left SNBx left mastectomy possible CALND with reverse mapping.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.52 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. Three foci of increased activity were ... | Three sentinel nodes were identified in the left axilla and marked. |
Generate impression based on findings. | 77-year-old male with renal failure. Status post renal transplant. Within the limits of a non-IV contrast-enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Chronic interstitial parenchymal disease at left lu... | 1. Prior cystoprostatectomy. Abnormal calcified density in surgical bed most likely represents postoperative benign process, but comparison with prior outside imaging if available would be helpful to confirm stability. 2. Atrophic native kidneys and hydronephrotic transplant right iliac fossa kidney. Numerous in right ... |
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. Scattered benign calc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 69 year old woman with history of right breast DCIS, on therapy. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Biopsy clips are noted in the right lo... | Stable appearing calcifications in the right breast without new mass or suspicious calcifications. Recommend followup with and clinical management as per breast surgery. Results and recommendations discussed with patient. BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 35 years, Female. Reason: constipation? History: constipation, abdominal bloating Cardiomediastinal silhouette is normal. No focal pulmonary opacities. No pleural effusion or pneumothorax.Nonobstructive bowel gas pattern. No significant stool burden. No pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female; 65 years old. Reason: endometrial cancer compare to last CT and measure 1) retroperitoneal soft tissue attenuation, 2) left paraaortic lymph node 3) left external iliac lymph node. History: post 2 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Scattered punctate micronodules seen bilaterally are unchanged. No ... | 1.No significant interval change in retroperitoneal and pelvic lymph nodes. Please see reference measurements above. 2.No new sites of disease identified. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Scattered benign calcifications and m... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 63 years, Male. Reason: eval for sbo History: abdominal pain Dobbhoff tube projects over the proximal gastric body. Nonobstructive bowel gas pattern. Partially visualized central venous catheter tip is at the superior cavoatrial junction. | Dobbhoff tube projects over the proximal gastric body. |
Generate impression based on findings. | 9-year-old female, evaluate for pes planus deformityVIEW: Right foot, AP, oblique, and lateral (3 views), left foot, AP, oblique, and lateral (3 views) Right foot: Alignment is anatomic. No pes planus deformity. The osseous structures are normal for the patient's age.Left foot: Alignment is anatomic without pes planus ... | Normal examination without pes planus deformity. |
Generate impression based on findings. | Female 51 years old; Reason: Patient with pain at wrist after pulling injury. Concern for microfracture. History: pain with movement of left thumb We see no fracture. The alignment is within normal limits. Mild osteoarthritis affects the basilar joint and interphalangeal joints. | Mild osteoarthritis without fracture.Findings were discussed with Dr. Alonso by telephone at 10:40 a.m. on 2/25/15 |
Generate impression based on findings. | 11-year-old male with knee pain while playing sports and tenderness over tibial tubercles VIEWS: Knees standing AP/notch, knees merchant, right knee lateral, left knee lateral (right knee - 4 views, left knee - 4 views) Alignment is anatomic. No fracture, joint effusion, or other specific finding to account for the pat... | Normal examination. |
Generate impression based on findings. | Head and neck cancer/ pre protocol scans. CHEST:LUNGS AND PLEURA: The right upper lobe pulmonary nodule has decreased in size compared to the most recent study, which was post-biopsy, but is not significantly changed compared to a more remote study. The nodule measures approximately 26 x 20 mm (image 34, series 4), pre... | Interval enlargement of several non-reference pulmonary nodules and new mediastinal lymphadenopathy consistent with disease progression. The right upper lobe nodule is not significantly changed in size when compared to a more remote study on 11/17/2014. |
Generate impression based on findings. | 45-year-old recall from screening for a mass in the right breast. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Spot co... | Right breast cysts. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Scoliosis. Pain. A posterior stabilization device extends from T5 to L2 affixing the spine via laminar hooks. We see no radiographic evidence of hardware complication. There is approximately 40 degrees of dextroscoliosis of the thoracic spine, as measured from the superior endplate of T4 to the inferior endplate of T11... | Spinal fixation and scoliosis, as described above. |
Generate impression based on findings. | 42-day-old male with tachypnea and increased O2 requirements during feedsEXAMINATION: Oropharyngeal motility study 2/25/15:00 Julie Ecclestone (pager 8293), speech and language therapist, supervised the examination. 20 seconds of fluoroscopy was used.No penetration or aspiration was identified with thin liquids via slo... | Increased suck to swallow ratio as feeds progressed suggests fatigue. Nasopharyngeal reflux and mild penetration with nectar. No aspiration.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | 8-year-old male feels right shoulder not functioning well while playing basketballVIEWS: Right shoulder internal/external rotation (2 views) 2/25/15 9:48 The humeral head is well directed with respect to the glenoid fossa The osseous structures are normal for the patient's age. No fracture is evident. | Normal examination. |
Generate impression based on findings. | 36-year-old female with weight loss, abdominal pain with eating. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted in the liver parenchyma. Low density gallstones are identified in the gallbladder without other biliary tract complication.SPLEEN: No significant ab... | 1. Numerous intraluminal gallstones without other gallbladder complication seen. Numeral. No other significant abnormality seen. |
Generate impression based on findings. | Left breast pain and thickening for 6 years. Three standard views of both breasts and left spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No dominant mass, sus... | No mammographic evidence of malignancy. Clinical correlation is also recommended to ensure that these benign findings are concordant with physical exam. As long as the patient's physical examination remains benign, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the... |
Generate impression based on findings. | AORTOGRAM: The visualized portions of the thoracic aorta are without any significant disease. The brachia cephalic artery, visualized portions of the right subclavian artery, right common carotid artery, and right vertebral artery without significant disease. The visualized portions of the left common carotid artery w... | Occlusion of the left subclavian artery with provocative maneuvers suggestive of arterial thoracic outlet syndrome.PLAN: The patient will follow-up with vascular surgery to discuss thoracic outlet decompression. |
Generate impression based on findings. | HEAD: There is minimal motion degradation limiting evaluation. There is no gross intracranial hemorrhage, mass effect, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The sk... | 1.Motion degraded CT of the head with no evidence of acute intracranial hemorrhage or skull fracture.2.No acute cervical spine fracture or subluxation.3.Mild cervical spine degenerative changes. |
Generate impression based on findings. | 92 years, Female, Reason: evaluate for hydronephrosis History: hx of right hydronephrosis. RIGHT KIDNEY: The right kidney measures 10.2 cm in length. Moderate to severe right-sided hydronephrosis, likely unchanged from prior CT. The distal right ureter is not dilated.LEFT KIDNEY: The left kidney measures 11.5 cm in len... | Moderate to severe right-sided hydronephrosis. |
Generate impression based on findings. | 69 year old presents with a new palpable mass in the right breast. Three standard views of both breasts and multiple right breast spot views 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. The... | Two highly suspicious right breast masses. Surgical consultation is recommended. The patient will see Dr. Swati Kulkarni today. She will then return for image guided biopsy.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Ms. Thomas is a 61 year old female with a personal history of left breast lumpectomy in August 2008 for IDC/DCIS followed by chemotherapy and radiation. She has no current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parench... | Stable postsurgical changes of the left breast. Stable masses 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 f... |
Generate impression based on findings. | Reason: new diagnosis lung cancer History: lung cancer CHEST:LUNGS AND PLEURA: Severe apical predominant centrilobular and paraseptal emphysema.The large spiculated right upper lobe nodule measures 3.1 x 2.5 centimeters (series 6, image 37), unchanged accounting for differences in measurement technique, compatible with... | 1. A spiculated right upper lobe nodule, consistent with a known diagnosis of lung cancer, is not significantly changed from the prior exam dated 12/2014.2. Additional scattered small pulmonary nodules are unchanged, including a somewhat suspicious part-solid nodule in the superior segment of the left lower lobe. Stabl... |
Generate impression based on findings. | Frequent sinusitis; known allergic rhinitis and leftward deviated nasal septum. There are subcentimeter retention cysts in the bilateral maxillary sinuses. The other paranasal sinuses are clear. The nasal cavity is clear. The nasal septum is deviated slightly to the left. There is a partially paradoxical right middle t... | 1. Subcentimeter retention cysts in the bilateral maxillary sinuses. The other paranasal sinuses and nasal cavity are clear. 2. The nasal septum is deviated slightly to the left.3. Partially-imaged periodontal disease at tooth # 4. |
Generate impression based on findings. | Male 57 years old Reason: s/p bilateral proximal femur replacements, complaining of left thigh pain and right groin pain History: above. We have two views of the left femur. The head of the femoral endoprosthesis device is dislocated slightly superolaterally from the acetabular component, which is new when compared to ... | Postoperative changes of bilateral femoral reconstructions as described above with dislocation of the left femoral component relative to the acetabular component. |
Generate impression based on findings. | Male 50 years old Reason: Ileocolonic Crohn's disease; evaluate for inflammation vs structuring disease History: intermittent obstructions; nausea and vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No biliary ductal dilatation or focal hepatic mass.SPLEEN: No significant abnormality ... | No evidence of active Crohn's disease. Ileocolonic anastomosis is widely patent without evidence of stricturing. |
Generate impression based on findings. | 62 years, Male, Reason: Pleural/ peritoneal mesothelioma. Please compare to prior exam per recist criteria. History: Pleural/peritoneal mesothelioma. CHEST:LUNGS AND PLEURA: Small right pleural effusion is unchanged. No suspicious nodules or masses.MEDIASTINUM AND HILA: Right hilar lymph node measures 2.1I2 .6 cm (3/44... | 1.No significant change of omental disease.2.Right hilar and mediastinal lymphadenopathy with minor increase in measurements. |
Generate impression based on findings. | 65 year old woman with history of left breast lesion noted on screening mammogram. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a circumscribed, oval, hypoechoic mass measuring 5 x 4 x 3 mm at the 8 o’clock position with increased central vascularity, 1 cm from the nipple. Th... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | There are foci of susceptibility dependently in the occipital horns which likely relate to previous germinal matrix hemorrhage. There may be a small developmental venous anomaly extending towards left occipital horn, demonstrated as linear susceptibility. There are additional scattered foci along the margins of the la... | 1. Moderate symmetric predominantly lateral ventriculomegaly. Evidence of chronic hemosiderin deposition in the lateral ventricles likely related to previously identified germinal matrix hemorrhage, suggestive of grade 3.2. Cerebellar hypoplasia with prominent retrocerebellar subarachnoid space which may in part relate... |
Generate impression based on findings. | Left hip pain The bones appear slightly demineralized. Moderate osteoarthritis affects the left hip.A right total hip arthroplasty device is situated in near-anatomic alignment as seen on the AP view, however the distal most aspect of this device is not included on the field of view.Degenerative disk disease affects th... | Left hip osteoarthritis and other findings as described above. |
Generate impression based on findings. | NHL, re-evaluate and compare to previous. LUNGS AND PLEURA: There is redemonstration of a right lower lobe pulmonary nodule abutting the posterior cardiac border measuring 17 x 14 mm (image 64, series 6), unchanged. A 5 mm dense left lingular nodule is also unchanged (image 48, series 6). A dense, prominent peripheral ... | 1. Unchanged right lower lobe and lingular solid nodules remain highly suspicious for extranodal lymphoma.2. New and enlarging perifissural densities within the right middle lobe may be benign in etiology . Continued observation is recommended. |
Generate impression based on findings. | Male 65 years old; Reason: prosthetic assessment. History: post-op Two views of the right hip and one view the pelvis demonstrate hardware components of the right total hip arthroplasty device situated in near anatomic alignment, without radiographic evidence of hardware complication.Mild osteoarthritis affects the lef... | Right total hip arthroplasty and other findings as described above. |
Generate impression based on findings. | Female 54 years old Reason: Evaluate for fracture 2-3-4 metatarsals left foot History: Pain, ecchymosis, and edema left foot after dropping a can of soup on it yesterday. We have 3 views of the left foot. There may be mild soft tissue swelling along the dorsal aspect of the midfoot, but we see no underlying fracture. M... | Mild soft tissue swelling and osteoarthritic changes without fracture evident. |
Generate impression based on findings. | 6-year-old male with ALL with chest pain.VIEWS: Chest AP/lateral (two views) 2/25/2015 Left chest port catheter tip in the cavoatrial junction.Cardiothymic silhouette is normal. No focal pulmonary opacity. No pleural effusion or pneumothorax. | Normal examination. |
Generate impression based on findings. | Male 80 years old; Reason: hx of bladder cancer, evaluate for metastatic disease History: see above The exam is not sensitive for detecting lesions in the solid organs of vasculature due to lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNGS BASES: Emphysematous chan... | 1.With the limitations of no IV contrast common no detectable metastatic disease.2.Expected postsurgical changes. Previously seen hematoma in the pelvis is resolved.3.Limitations of no IV contrast, punctate calcification left kidney and possible gallstones, unchanged. 4.Heavy Atherosclerotic changes.5.Chronic changes l... |
Generate impression based on findings. | 48 year-old female with Murphy sign on exam, evaluate for gallstones. LIVER: Liver is normal in size measuring 15.3 cm in length. Coarse and echogenic liver parenchyma compatible with fatty infiltration. Hepatic contour is normal. No focal hepatic lesions are evident. Portal venous flow is hepatopetal with a peak veloc... | 1.No gallstones or sonographic evidence of cholecystitis as clinically questioned.2.Fatty liver infiltration. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 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 heterogeneously dense, unchanged in pattern and distribution. There is a new cluster of calcifications at posterior 6 o'clo... | A new cluster of calcifications at posterior 6 o'clock position in the right breast. Spot magnification views 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. There is a new cluster of calcificati... | A new cluster of calcifications at posterior upper outer quadrant in the right breast. Spot magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is 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. | Female 66 years old Reason: eval for fx History: s/p fall onto r shoulder now w r shoulder pain. We see no acute fracture. There is mild osteoarthritis of the glenohumeral and acromioclavicular joints. There is spurring of the anterior aspect of the acromion process. There are mild chronic appearing enthesopathic chang... | Degenerative arthritic changes as described above, without fracture. |
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. Benign arterial calcifications are pr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Scattered bilateral benign calcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Metastatic lung cancer status post chemotherapy with disease progression. Status post RT to chest and left adrenal. LUNGS AND PLEURA: A left upper lobe mass which invades the mediastinum with internal areas of necrosis is decreased in size now measuring 30 x 30 mm (image 22, series 7), previously 33 x 38 mm. Contiguous... | 1. Interval decrease in size of the left upper lobe mass and ipsilateral mediastinal and hilar lymphadenopathy.2. Please refer to separate dedicated CT abdomen and pelvis report for additional findings. |
Generate impression based on findings. | Osteosarcoma. 18 months off therapy.VIEWS: Chest PA/lateral (two views) 02/25/15 Left posterior sixth rib has been resected. Eventration of the posteromedial left hemidiaphragm is again seen.Cardiac silhouette size is normal. On the lateral view, a round opacity measuring approximately 2 cm in diameter overlies the pos... | Round opacity overlying T7 and lateral view. A metastatic lesion cannot be excluded and chest CT is recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Multiple scattered benign appearing c... | 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. | 14-month-old male, evaluate for obstruction.VIEW: Chest and Abdomen AP (two views) 2/25/2015 Tracheostomy tube unchanged. Gastrostomy tube unchanged. Cardiothymic silhouette is normal. No focal pulmonary opacity. Bibasilar atelectasis. No pleural effusion or pneumothorax.Nonobstructive bowel gas pattern. | Bibasilar atelectasis with no evidence of pneumonia. No evidence of obstruction. |
Generate impression based on findings. | Reason: follow lung nodule R costophrenic angle History: dyspnea Patient contractures, scoliosis and positioning limit evaluation on this exam.LUNGS AND PLEURA: Decreased left lung volume related to marked deformity of the spine.Scattered subsegmental atelectasis is unchanged.A well marginated pleural-based nodule in t... | Stable 7mm nodule in the right costophrenic angle. Continued monitoring as scheduled is advised. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 46 years old Reason: Assess Crohn's disease History: Epigastric abd pain, worsening diarrhea; Hx of small bowel Crohn's disease ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. No biliary dilatation. No focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS:... | Patent ileocolic anastomosis. Wide-caliber of what is probably the distal ileum proximal to the anastomosis. Moderately long segment homogeneous mild wall thickening in the distal ileum without evidence of active disease or obstruction. No evidence of ascites.Cholelithiasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left benign biopsy in 2013. 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 element... | 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. | 67 years, Female, Reason: HCV, Cirrhosis, eval for HCC History: HCV, Cirrhosis. LIVER: Liver is normal in size measuring 13.2 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: Status post cho... | Coarse echotexture without suspicious lesion evident. |
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. Tomosynthesis images are also obtained. The breast parenchyma is mostly fatty replaced, 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: NSA - Screening Mammogram. |
Generate impression based on findings. | 77 year old woman with history of right IDC s/p lumpectomy in 2007. Also has history of bilateral mastopexy. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. An asymmetry at left axillary region is unchanged. No suspici... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 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. | 49 years, Male, Reason: Hx of pancreatic pseudocyst History: Pseudocyst. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy with a trace amount of fluid in the gallbladder fossa, change.SPLEEN: Multiple coils from splenic artery embolization obscure visualization. Peri... | 1.Likely resolution of perisplenic collection with a small amount of residual splenic tissue which was inseparable from the collection on the prior CT.2.No peripancreatic collections are visualized, however the distal pancreas is partially obscured by embolization coils. |
Generate impression based on findings. | Male 60 years old Reason: h/o FL and large cell transformation History: Masses (pelvic) CHEST:LUNGS AND PLEURA: Small right middle lobe subpleural nodule measuring 8 mm (series 8, image 65), previously 8 mm.Stable scattered calcified and noncalcified micronodules. No new suspicious nodules or masses.Mosaic attenuation ... | New axillary lymphadenopathy and pelvic subcutaneous nodule consistent with progression of 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. 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. | Prosthetic assessment. Postoperative. RIGHT HIP: Two views of the right hip demonstrate hardware components of a right total hip arthroplasty device situated in near anatomic alignment, without radiographic evidence of hardware complication. A small amount of heterotropic ossification is present lateral to the acetabul... | Total right hip and knee arthroplasties and other findings as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and 2 implant displaced 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. Bilater... | 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. |
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