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Generate impression based on findings. | The patient submitted outside digital mammograms dated 10/2/2012, 9/18/2012 and 10/6/2011 from Mt. Sinai Medical Center in Chicago IL. Submitted outside studies were compared to the current mammogram dated 11/28/2014. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern a... | No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 25-year-old male with pain in wrist for one month following minimal trauma Alignment is anatomic. No fracture or other specific findings to account for patient's symptoms. | No fracture or other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Male, 65 years old. Reason: please assess Dobbhoff tube placement History: new tube placement Interval placement of Dobbhoff tube, with tip overlying the region of the pylorus.Examination is limited by overlying lines and tubes. Nonobstructive bowel gas pattern.Postsurgical changes, support devices come and tubes are a... | Dobbhoff tube with tip overlying the region of the pylorus. |
Generate impression based on findings. | 56 year old female status post L1/S1 ALIF+PSF Posterior stabilization members with transpedicular screws entering the vertebral bodies of L1 through L5 and S1 in near-anatomic alignment without evidence of complication. Status post diskectomies with interbody bone graft within the disk spaces of L1/2, L2/3, L3/4 and L4... | Postoperative lumbar fixation as described above without evidence of complication. |
Generate impression based on findings. | Male, 64 years old. Reason: r/o obstruction History: nausea, low urine output The lower abdomen and pelvis are excluded from the field-of-view. Partially visualized nonobstructive bowel gas pattern.Surgical changes of a median sternotomy and aortic stent graft. | Partially visualized nonobstructive bowel gas pattern. See same day CT abdomen pelvis for additional findings. |
Generate impression based on findings. | Evaluate for CVA, left-sided facial droop and left arm heaviness No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocepha... | No evidence of acute intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | 65-year-old male with shoulder pain, question of acromio-clavicular joint OA. Glenohumeral alignment is within normal limits. There is moderate osteoarthritis affecting the acromioclavicular joint and mild osteoarthritis affecting the glenohumeral joint. | Osteoarthritis, as described above. |
Generate impression based on findings. | 40 year-old female with history of hypoxia and shortness of breath, chest pain. Evaluate for PE. Smoking history, so evaluate for underlying lung disease. PULMONARY ARTERIES: No pulmonary embolus. The main pulmonary artery diameter is 3.4 cm, which may be seen in cases of pulmonary arterial hypertension.LUNGS AND PLEUR... | 1.No pulmonary embolus. 2.Bronchial wall thickening and subsegmental atelectasis, are suggestive of reactive airway disease/bronchitis with areas of mucus plugging.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 2-year-old male with suspected sepsis. Evaluate lung fields.VIEW: Chest AP (one view) 1/7/2015, 1908 The aortic arch, cardiac apex, and stomach are left-sided.Focal right middle lobe opacity may represent atelectasis or consolidation.Normal cardiothymic silhouette. | Right middle lobe atelectasis or consolidation. |
Generate impression based on findings. | 56-year-old male status post right TKA Hardware components of a right TKA revision with long tibial and femoral stem are present in near-anatomic alignment without evidence of complication. Drain, staples and gas in the soft tissues reflect recent surgery. | TKA revision without evidence of complication. |
Generate impression based on findings. | Male, 77 years old. Reason: assess for ileus History: distension Gas-filled colon with small to moderate stool burden. No specific evidence of bowel obstruction.Degenerative disease of the spine. Left hip prosthesis. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: tachycardia, SOB - assess for PE History: tachycardia, SOB - assess for PE PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery is of normal caliber.LUNGS AND PLEURA: Debris is noted within the trachea.Severe centrilobular and paraseptal emphysema; apical bullae/scarring.Masslike pleural... | 1. No evidence of pulmonary embolism.2. Interval development of bilateral pleural effusions and consolidation/atelectasis, which may represent developing pneumonia in the left lower lobe.3. Interval growth of left lower lobe pleural-based nodule, concerning for recurrent/metastatic disease.4. Interval enlargement of mu... |
Generate impression based on findings. | Bilious emesis. Sepsis.VIEW: Abdomen AP (one view) 1/8/15 0534 NG tube tip is in the antropyloric region. Partially imaged central line is present, with tip in the right atrium.The bowel gas pattern is disorganized and nonobstructive, with an ileus pattern similar to prior. The previously seen tubular loop of bowel in ... | Unchanged ileus bowel gas pattern. |
Generate impression based on findings. | 68 years old, Male, Reason: Rule out obstruction. PLease comment on gall bladder History: Abd pain, n/v/d ABDOMEN:LUNG BASES: Mild bibasilar atelectasis.LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis. No evidence of biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: Punc... | 1. No evidence of obstruction as clinically questioned. No specific findings to account for the patient's symptoms.2. Punctate foci in the body and tail of the pancreas are unchanged and may represent small foci of intrapancreatic fat or much less likely cystic pancreatic neoplasm such as IPMN. |
Generate impression based on findings. | Female 35 years old Reason: concern for intraabdominal process s/p ir drain placement History: nausea/vomiting ABDOMEN:LUNG BASES: Small bilateral pleural effusions with associated compressive atelectasis.LIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or focal mass lesion within the hepatic par... | 1.Small bowel obstruction with multifocal transition points seen within the pelvis likely reflecting small bowel adhesive disease. New ascites in the setting of small bowel obstruction is worrisome for possible ischemia.2.Decrease in size of the deep left pelvic fluid collection.3.Small bilateral pleural effusions.Thes... |
Generate impression based on findings. | 5-month-old female with desaturations, tachypnea. Evaluate for signs of pneumonia, consolidation.VIEWS: Chest AP/lateral (two views) 1/7/2015, 2303 hrs. The aortic arch, cardiac apex and stomach are left-sided.Mild peribronchial thickening is present.Scattered subsegmental atelectasis.No pleural effusion or pneumothora... | Bronchiolitis/reactive airways disease pattern. |
Generate impression based on findings. | The patient submitted outside digital mammograms dated 10/2/2012, 9/18/2012 and 10/6/2011 from Mt. Sinai Medical Center in Chicago IL. Submitted outside studies were compared to the current mammogram dated 11/28/2014. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern a... | No mammographic evidence of malignancy. As long as the patient's physical examination is unremarkable, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Fever and abdominal pain. History of left adrenal neuroblastoma. ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis is present, without pleural effusions. Partially imaged central line is noted, with tip in the right atrium.LIVER, BILIARY TRACT: The liver is normal in appearance without focal hepatic lesions. The m... | 1. Ileus bowel gas pattern.2. Slightly decreased size of the left adrenal mass. |
Generate impression based on findings. | There is a prominent right lateral parietal subgaleal hematoma measuring 9 mm in greatest thickness. Along its posterior margin, there is a nondisplaced fracture extending from the convexity down through the anterior margin of the subgaleal hematoma. Intracranially, there is thin underlying extra axial mild hyperdensi... | Prominent right lateral parietal subgaleal hematoma with underlying nondisplaced right parietal bone fracture and trace subacute subdural hematoma. |
Generate impression based on findings. | 4-month-old male status post PICC. PICC placement.VIEWS: Chest and abdomen AP (two views) 1/8/2015, 0440 Tracheostomy tube tip at the thoracic inlet. Two enteric tubes terminate in the stomach, which is within the giant omphalocele as seen on recent CT.Lung bases are obscured by the omphalocele. No focal pulmonary opac... | Increasing bowel loop distention. Obstruction cannot be excluded. |
Generate impression based on findings. | Female 56 years old Reason: eval for appendicitis History: RLQ pain for one week ABDOMEN:LUNG BASES: Trace bibasilar atelectasis.LIVER, BILIARY TRACT: There is an apparent partially calcified stone in the neck of the gallbladder, without evidence of cholecystitis. The connection between the fundus of the gallbladder ne... | No specific findings seen to account for the patient's pain, specifically no evidence of appendicitis or diverticulitis. |
Generate impression based on findings. | 56 year old female status post fall, rule out fracture There is mild sharpening of the tibial spines and small osteophytes consistent with mild osteoarthritis. No fracture is identified. | Mild osteoarthritis without fracture evident. |
Generate impression based on findings. | 88-year-old female s/p ORIF, assess intramedullary nail A dynamic screw transverses the comminuted intertrochanteric fracture without evidence of hardware complication. Foci of gas, soft tissue swelling and clips reflect recent surgery. | Orthopedic fixation as described above without evidence of complication. |
Generate impression based on findings. | 61-year-old female with right knee edema/erythema There is diffuse soft tissue swelling about the knee and calf. Bandages obscure underlying osseous detail. A small joint effusion is identified. Mild osteoarthritis affects the knee. There is no osteolysis.There is a small soft tissue defect along the anterior tibia at ... | 1. Soft tissue abnormalities as described above without radiographic evidence of osteomyelitis.2. Small joint effusion. |
Generate impression based on findings. | 25-year-old male w/ hx saw injury, eval for healed PIP fusion The fingers appear demineralized.Index finger: Two K wires affix the PIP joint in near-anatomic alignment with minimal osseous bridging without evidence of hardware complication. Soft tissue swelling is present about the finger.Middle finger: Two K wires aff... | PIP joint fixations as described above without evidence of complication |
Generate impression based on findings. | 15-year-old female with hand pain after fall. Rule out fracture, infection.VIEWS: Right hand PA/lateral/oblique (3 views), right wrist PA/lateral/oblique (3 views), 1/8/2015, 0211 hours. Marked, diffuse soft tissue swelling about the hand, particularly at the dorsal and lateral aspects. There is also focal swelling at ... | No evidence of fracture or osteomyelitis. |
Generate impression based on findings. | 89-year-old woman with history of fall, evaluate for fracture. Mild osteoarthritis affects the lower lumbar spine and sacroiliac joints. Mild to moderate osteoarthritis affects the bilateral hips with superior joint space narrowing and osteophyte formation. There is no acute fracture or malalignment. | Osteoarthritis without acute fracture or malalignment. |
Generate impression based on findings. | Female 19 years old Reason: 19F with celiac disease and UC, s/p J-pouch in past, ileostomy takedown on 12/15/14 c/b pain, fevers. underwent re-creation of ileostomy at OSH with drainage of abscess. please eval for any intraabdominal processes. History: 19F with celiac disease and UC, s/p J-pouch in past, ileostomy take... | Extensive postsurgical changes related to total colectomy, J-pouch formation and ileostomy creation, with multiple complex interconnected postoperative fluid collections in the pelvis, which are possibly infected. |
Generate impression based on findings. | 32 years old, Male, Reason: 32M HIV, h/o rectal abscess, with recurring draining perianal wound History: draining perianal wound PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No evidence of obstruction... | 1.No rectal abscess. Induration in the area of the right buttock consistent with residual fibrotic tract of chronic perianal wound.2.Small focus of air in the left buttock consistent with known recent intramuscular penicillin injection. |
Generate impression based on findings. | 75 year-old woman with history of gangrene, evaluate for osteomyelitis. There is soft tissue swelling of the first and second toes, but there is no evidence of osteolysis. Arterial calcifications are noted. We see no acute fracture or malalignment. | No acute fracture, malalignment, or evidence of osteomyelitis. |
Generate impression based on findings. | 21 year old female with history of tachycardia, shortness of breath, anxiety and d-dimer. PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: No consolidation, no pleural effusion and no suspicious nodules or masses. No pneumothorax. Mild bronchial wall thickening, which in this age group is most consistent with... | 1. No pulmonary embolus.2.Mild bronchial wall thickening, which in this age is most consistent with asthma.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 2-day-old male with abdominal distention. Evaluate for perforation.VIEW: Abdomen left lateral decubitus AP (one view) 1/8/2015, 0343 Dilated rectosigmoid colon is again seen. Distal bowel obstruction pattern without evidence of perforation. | Distal bowel obstruction pattern without evidence of perforation. |
Generate impression based on findings. | 27 year-old woman with history of stepping on glass, evaluate for foreign body. The right foot appears normal without acute fracture or malalignment. There is no unexpected radiopaque foreign body. | No acute fracture, malalignment, or radiopaque foreign body. |
Generate impression based on findings. | There has been no significant interval change in the appearance of a 9-10 mm right lateral parietal subgaleal hematoma. Along its posterior margin, there is a nondisplaced fracture extending from the convexity down through the inferior margin of the subgaleal hematoma. Intracranially, there is redemonstration of thin ... | Stable right lateral parietal subgaleal hematoma with underlying nondisplaced right parietal bone fracture and trace subacute subdural hematoma. |
Generate impression based on findings. | 62-year-old man with history of right great toe pain, evaluate for osteomyelitis. There is soft tissue ulceration along the medial aspect of the first interphalangeal joint with extension to the underlying bone. There is cortical destruction involving the proximal and distal aspects of the distal first phalanx. Degener... | Findings of osteomyelitis affecting the first distal phalanx. |
Generate impression based on findings. | 2 year old male with NB 2 days status post SCT with fevers and tachycardia. VIEW: Chest AP and Abdomen AP (2 views) 1/7/15 1656 Left PICC tip is in the right atrium. Right jugular venous catheter tip is in the SVC. The cardiothymic silhouette is normal. Left lower lobe subsegmental atelectasis is present, without focal... | Ileus bowel gas pattern. |
Generate impression based on findings. | Female 84 years old Reason: eval for diverticulitis History: loose stiool, fever, abd pain hx dumping syndrome, hx chole, appy ABDOMEN:LUNG BASES: New small left pleural effusion with associated compressive atelectasis.LIVER, BILIARY TRACT: Hypoattenuating lesions scattered throughout the hepatic parenchyma are unchang... | 1.No specific findings seen to account for the patient's abdominal pain.2.Bilateral renal masses worrisome for synchronous renal malignancies.3.Nonspecific mild intrahepatic biliary ductal dilatation, slightly increased from the prior examination, likely related to prior cholecystectomy.4.Large hiatal hernia as detaile... |
Generate impression based on findings. | 2-day-old male with abdominal distention. Evaluate for free air.VIEW: Chest AP upright (one view) 1/8/2015, 0340 hours. Enteric tube tip in the stomach. Scattered streaky lung opacities, suggestive of atelectasis. No pleural effusion or pneumothorax. Dilated bowel seen incompletely evaluated. No gross intraperitoneal f... | Dilated bowel in the upper abdomen, better evaluated on abdomen radiographs. |
Generate impression based on findings. | 2 day old male with abdominal distension. Evaluate for perforation.VIEWS: Abdomen AP and cross-table lateral (two views) 1/8/2015, 0245 Dilated rectosigmoid colon. Multiple differential air-fluid levels. Distal bowel obstruction pattern. No free air is identified. | Distal bowel obstruction pattern without evidence of perforation. |
Generate impression based on findings. | Pain and fullness in right superior breast since 2013. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A circumscri... | No mammographic or sonographic correlate for patient's complaint of tender fullness in the right superior breast. Patient's complaint should be managed clinically. Benign bilateral circumscribed masses. No mammographic evidence for malignancy. If patient's physical examination is unremarkable, screening mammogram in on... |
Generate impression based on findings. | Exam is limited by patient motion and difficulty in patient positioning. The ventricles and sulci are prominent, consistent with moderate age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyper... | 1. No gross acute abnormality within limitations of significant motion artifact. Mild chronic small vessel ischemic changes.2. Left greater than right mastoid air cell fluid opacification and left middle ear opacification. Aerated secretions in the sphenoid sinus. Please correlate clinically. |
Generate impression based on findings. | Battery this morning with large scalp hematoma, confusion, and neck pain BrainNo intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift, or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits withou... | 1. No evidence of acute intracranial hemorrhage or mass effect. Subgaleal hematoma in the left frontal and right parietal region.2. No acute fracture or subluxation in the cervical spine. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal to mild low attenuations on bilateral periventricular white matter indicating non specific small vessel disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is norm... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | Reason: PE History: DOE; recently diagnosed DVT PULMONARY ARTERIES: Multiple bilateral pulmonary emboli. The most proximal of which is in the distal left pulmonary artery, extending predominantly into the inferior segmental and subsegmental levels.On the right, there are also numerous pulmonary emboli involving the inf... | Bilateral pulmonary emboli, most proximal of which is in the distal left main pulmonary artery. PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Multiple.Most Proximal: Main.RV Strain: Negative. |
Generate impression based on findings. | 50 years old, Male, Reason: diverticulitis; intra-abdminal abscess History: LLQ abd pain; diarrhea ABDOMEN:LUNG BASES: Mild bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorma... | Diverticulosis without evidence of diverticulitis. No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | LIVER: 9.7 cm in length. The liver echogenicity is within normal limits. No focal hepatic lesions are seen. The portal vein is patent with hepatopetal flow. GALLBLADDER, BILIARY TRACT: The gallbladder appearance is within normal limits. There is no intrahepatic or extrahepatic biliary ductal dilatation. PANCREAS: Norm... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Chronic constipationVIEW: Abdomen AP 1/7/15 Moderate amount of fecal burden. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Moderate amount of fecal burden without obstruction. |
Generate impression based on findings. | ARDS intubatedVIEW: Chest AP 1/8/15 ET tube tip below thoracic inlet and above the carina. Feeding tube tip extends below the hemidiaphragm and not visualized. Right central line in place. Cardiothymic silhouette normal. Interval improvement in the left lower lobe atelectasis. Patchy opacities in the right lower lobe. ... | Left lower lobe atelectasis improved in the interval. |
Generate impression based on findings. | fall downstairs There is localized acute subarachnoid hemorrhage on the right sylvian fissure posterior limb with overlying scalp hematoma on the right parietal area indicating possible traumatic nature.There is no evidence of overlying skull fracture.The ventricles, sulci, and cisterns are symmetric and unremarkable. ... | Traumatic acute subarachnoid hemorrhage on the right sylvian fissure posterior limb with evidence of overlying parietal area scalp hematoma but without overlying skull fracture. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. Prominent u... | No acute intracranial abnormality. |
Generate impression based on findings. | Intracranial hemorrhage, intubatedVIEW: Chest AP 1/8/15 ET tube tip immediately above the carina. NG tube tip at the pyloric region of the stomach. Left central line with tip in the left brachiocephalic vein. Cardiothymic silhouette normal. Bilateral atelectasis in the right lower lobe and left lower lobe not significa... | Bilateral atelectasis and pleural effusions not significantly changed. |
Generate impression based on findings. | PneumothoraxVIEW: Chest AP 1/8/15 ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. Left upper extremity PICC unchanged. There are three chest tubes on the right with the upper chest tube sidehole in the subcutaneous tissue. There is moderate right pneumothorax not significantly change with mi... | Moderate right pneumothorax not significantly changed. |
Generate impression based on findings. | Images are somewhat limited by patient motion artifact. T2* images are not diagnostic. The ventricles and sulci are prominent, consistent with mild-moderate age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are minimal scattered punctate foci and confluent areas... | 1. No acute abnormality. Probable mild chronic small vessel ischemic changes, without gross enhancement given motion limitation.2. Significantly motion limited cervical spine exam without definite cord abnormality. Previously questioned cord signal abnormality was artifactual. C4-C5 and C5-C6 moderate to severe right f... |
Generate impression based on findings. | There is restricted diffusion involving the splenium of the corpus callosum on the left, posterior lateral left thalamus, as well as the left hippocampal tail and posterior left parahippocampal gyrus. Punctate focus also seen in the left occipital lobe. There is associated flair hyperintensity with mild expansile appe... | 1. Restricted diffusion involving the left callosal splenium, posterior thalamus, left hippocampal tail/posterior parahippocampal gyrus, and left occipital lobe consistent with acute infarcts. There is mild expansile appearance associated likely related to edema. 2. Evidence of chronic small vessel ischemic disease and... |
Generate impression based on findings. | Respiratory insufficiencyVIEW: Chest AP 1/8/15 Left upper extremity PICC with tip in the right atrium. Cardiothymic silhouette at the upper limits of normal. Patchy atelectasis bilaterally in the right lower lobe and left lower lobe. Probable bilateral small pleural effusions. Multiple surgical clips in the upper abdom... | Bilateral atelectasis in the right lower lobe and left lower lobe increased in the interval. |
Generate impression based on findings. | 76 your old male with history of base of tongue mass. LUNGS AND PLEURA: Scattered nonspecific stable pulmonary micronodules, consistent with prior granulomatous disease. No pleural effusion, and no pulmonary metastases. Small amount of debris/secretions in the airway.MEDIASTINUM AND HILA: Heart size within normal limit... | No metastatic disease, and no interval change. |
Generate impression based on findings. | Pleural effusionVIEW: Chest AP 1/8/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left PICC and left chest tube unchanged. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally but improved from prior study. No pleural effusion or pneumothorax. | Bilateral atelectasis improved from prior study. |
Generate impression based on findings. | 60 year-old male, postoperative evaluation There has been resection of the proximal interphalangeal joints of the fingers and replacement with hinged type prostheses. There is a partially healed fracture deformity of the base of the middle phalanx of the fourth digit. Mild diffuse soft tissue swelling involves the fing... | Postoperative and degenerative changes as described above. |
Generate impression based on findings. | Abdominal distentionVIEW: Abdomen AP 1/8/15 NG tube tip in the stomach. There is absent bowel gas within the abdomen. Patchy atelectasis in the right lower lobe and left lower lobe with small pleural effusions bilaterally. No evidence of pneumoperitoneum. | Absent bowel gas unchanged from prior study. |
Generate impression based on findings. | Suspected pseudoaneurysm on MRA and stroke, with history of alcohol use. There is a focal high-grade stenosis of the P1 segment of the left posterior cerebral artery. There is also mild stenosis of the right posterior cerebral artery. There is moderate stenosis at the left carotid bifurcation, with an irregular contour... | 1. The recent infarct in the posterior limb of the left internal capsule, chronic lacunar infarcts, and chronic small vessel ischemic disease in the cerebral white matter are better depicted on the prior MRI.2. Focal high-grade stenosis of the left posterior cerebral artery.3. Moderate stenosis at the left carotid bifu... |
Generate impression based on findings. | Sickle cell disease hypoxiaVIEWS: Chest AP and lateral Cardiomegaly unchanged. Minimal prominence to the pulmonary vasculature unchanged. Patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. Bony changes representing sickle cell disease unchanged. | Patchy atelectasis left lower lobe new from prior study. |
Generate impression based on findings. | History of right lumpectomy 3/2014 for DCIS. Patient received radiation. No new breast complaints. Three standard views of both breasts and two right spot magnification 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,... | Expected 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic... |
Generate impression based on findings. | T3N1M0 right tonsil squamous cell carcinoma, completed FHX in May 2010. There are post-treatment findings in the neck. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. There is mild atherosclerotic pla... | 1. Post-treatment findings in the neck without evidence of measurable mass lesions or significant cervical lymphadenopathy.2. Secretions within the trachea may indicate aspiration.3. Chronic right temporo-occipital and left cerebellar infarctions. |
Generate impression based on findings. | 64 year old female with history of Sjogren's/SLE and severe lung disease with scoliosis. Evaluate for ILD. LUNGS AND PLEURA: Bibasilar linear scarring, similar to prior. No focal consolidation or pleural effusions. Stable scattered pulmonary micronodules, some of which are calcified. No significant air trapping. No evi... | Persistent bibasilar scarring, without interval change. No evidence of interstitial lung disease. |
Generate impression based on findings. | 78 year-old female with history of syncope and bilateral 100% internal carotid artery occlusions on recent Doppler. CT head without contrast: No evidence of intracranial hemorrhage. There is a wedge-shaped area of hypoattenuation within the left posterior temporal and occipital lobe compatible with evolving infarction.... | 1. Age indeterminate likely to be older than subacute, evolving ischemic infarcts in the left frontal and left temporo-occipital lobes.2. Moderate age indeterminant small vessel ischemic disease.3. Bilateral complete occlusion of extracranial internal carotid arteries at the bifurcation with the anterior circulation be... |
Generate impression based on findings. | 23 years old, Male, Reason: History metastatic metastatic teratoma from GCT testes, s/p several surgeries, assess extent of disease CHEST:LUNGS AND PLEURA: Postsurgical changes multiple wedge resections with stable soft tissue around the suture lines. There has been interval wedge resection of previously noted right lo... | 1.Enlargement of left lower lobe metastasis.2.New hepatic metastasis. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mild left maxillary sinus mucosal thickening. The imaged mastoid air cells are clear. The skull and extracranial soft tissu... | No evidence of intracranial hemorrhage or mass effect. If there is continued suspicion for intracranial structural abnormality, consider MRI for more sensitive evaluation. |
Generate impression based on findings. | Left neck mass. Assess for lymphadenopathy. There is no evidence of mass lesions. There are multiple upper cervical subcentimeter lymph nodes, though no significant cervical lymphadenopathy by CT size criteria. The major salivary glands are unremarkable. There is a subcentimeter hypoattenuating right thyroid nodule. Th... | 1. No significant cervical lymphadenopathy.2. Hypoattenuating right thyroid nodule; correlate with prior thyroid ultrasound. |
Generate impression based on findings. | IntubatedVIEW: Chest AP (one view) 1/8/15 0417 ET tube tip is at the thoracic inlet. Enteric tube tip is in the stomach.The cardiothymic silhouette is normal.Peribronchial thickening is present, with increased bilateral subsegmental atelectasis. No focal lung opacities or pleural effusions are evident. | Bronchiolitis/reactive airway disease pattern with increased atelectasis. |
Generate impression based on findings. | 17 year-old female status post MVA. Rule out foreign body/glass in wound.VIEWS: Skull AP/lateral (two views) 1/7/2015, 1726 hrs. No skull fracture or lesion is identified. No evidence of unexpected radiopaque foreign body. Paranasal sinuses are clear. Dental hardware is noted. | No unexpected radiopaque foreign body. |
Generate impression based on findings. | 56-year-old female with history of known lung cancer. Evaluate for metastases. Additional history per EPIC "Stage 4 RUL adenocarcinoma, COPD" CHEST:LUNGS AND PLEURA: Approximately 4 x 4.1 x 3.5 cm right upper lobe soft tissue mass which abuts the hilum and invades the adjacent mediastinum. There is mild associated obst... | 1.Right upper lobe soft tissue mass abutting the hilum and extending into the mediastinum, consistent with given history of primary lung adenocarcinoma, with multiple right lung, pleural and chest wall nodules, and small right pleural effusion.2.Mediastinal and right axillary lymphadenopathy. |
Generate impression based on findings. | 11-year-old male with pain after fall.VIEWS: Left shoulder AP internal/external rotation, left humerus AP/lateral, left elbow AP/lateral/oblique (7 views), 1/8/2015, 0912 hours. Humerus:Moderate soft tissue swelling about the upper arm. There is a comminuted, minimally displaced, mid left humeral diaphyseal fracture an... | Humerus fractures, as above.Findings relayed via telephone to Dr. DeFrates at 10:06 a.m. on 1/8/2015. |
Generate impression based on findings. | Oxygen dependentVIEW: Chest AP 1/8/15 NG tube and left PICC have been removed in the interval. Cardiothymic silhouette normal. Bilateral patchy atelectasis in the right lower lobe and left lower lobe new from prior study. No pleural effusion or pneumothorax. | Bilateral atelectasis new from prior study. |
Generate impression based on findings. | headache, concern for subarachnoid hemorrhage NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous struct... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. No evidence of intracranial arterial aneurysm or significant arterial stenosis. |
Generate impression based on findings. | Male 64 years old Reason: s/p EVAR with b/l renal stents, now w/ oliguria, eval graft and renal flow. GFR = 25, but benefits outweighs the risks of contrast toxicity History: above ANGIOGRAM: There has been interval placement of an aortobi-iliac bypass graft as well as stents within the origins of the bilateral renal a... | 1.Postsurgical changes related to aortobiiliac bypass graft placement as well as proximal renal artery stents. The aortobiiliac stent grafts are patent; however, the patency of the renal stent cannot be assessed secondary to poor contrast opacification.2.Renal parenchymal hypoattenuation and striated nephrograms, consi... |
Generate impression based on findings. | Recurrent hyperparathyroidism with abnormal parathyroid activity near the isthmus. There are postoperative findings related to anterior neck exploration. There is a soft tissue attenuation mass that measures up to 25 mm in the midline of the neck anterior to the larynx, adjacent to a surgical clip. The mass is indistin... | 1. A soft tissue attenuation mass in the midline of the neck anterior to the larynx that measures up to 25 mm may represent a recurrent parathyroid adenoma or carcinoma, lymph node metastasis, among other possibilities. The mass appears to be intimately associated with the underlying strap muscles, but the laryngeal ca... |
Generate impression based on findings. | 18-month-old male with sleep apnea. Evaluate for adenoid hypertrophy.VIEWS: Soft tissue neck lateral (one views) 1/7/2015, 1711 hrs. There is mild enlargement of the adenoids without obstruction of the nasopharyngeal airway. The subglottic airway is also patent. No prevertebral soft tissue swelling is present. The visu... | Mild enlargement of the adenoids without nasopharyngeal airway compromise. |
Generate impression based on findings. | Midline tenderness status-post fall two days ago. Question of fracture. Head: There is no evidence of acute intracranial hemorrhage. The grey-white matter differentiation appears to be intact. There is mild periventricular white matter hypoattenuation which is nonspecific but likely represents small vessel ischemic dis... | 1. No evidence of acute intracranial hemorrhage.2. Multilevel cervical degenerative changes, most predominately at C5-C6, without acute fracture. |
Generate impression based on findings. | worst headache of life. NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hem... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. No evidence of intracranial arterial aneurysm or stenosis.3. Extracranial cervico-carotid arterial system appears to be normal. |
Generate impression based on findings. | There are postoperative changes of a suboccipital decompression with a suboccipital pseudomeningocele measuring approximately 4.7 x 1.3 x 3.2 cm (AP x craniocaudal x transverse), which is slightly larger in size compared to the most recent study. There is right cerebellar tonsillar herniation through the neo-foramen m... | 1. Post-operative findings of a Chiari I decompression with a slightly larger suboccipital pseudomeningocele.2. Decreased CSF flow through the fourth ventricle and dorsal to the medulla, but flow identified ventral and dorsal to the upper cervical cord. Grossly similar tonsillar position.3. No significant change in siz... |
Generate impression based on findings. | Male 50 years old Reason: eval for recurrence History: h/o RCC. CHEST:LUNGS AND PLEURA: Region of groundglass opacity seen in the lingula series 5 image 64 seen on prior exams, including earliest scan of record 4/23/14. This can be followed.No concerning nodules or effusions.MEDIASTINUM AND HILA: No significant abnorma... | No evidence of metastatic disease. Continued visualization of postsurgical changes left kidney decreasing in size. Stable small retroperitoneal nodes. Punctate nephrolithiasis bilaterally.Stable groundglass opacity lingula.9-mm nonspecific hypodensity right lower pole may be slightly increased in size compared to July ... |
Generate impression based on findings. | Bilateral worsening knee pain. Rule-out fracture. Most likely Osgood-Schlatter.VIEWS: Right knee AP/lateral/oblique (3 views), left knee AP/lateral/oblique (3 views) 01/08/15 No joint effusion is present. There appears to be a small defect in the articular surface of the lateral aspect of the left medial femoral condyl... | Possible left osteochondral defect. MR may be helpful in further evaluation. |
Generate impression based on findings. | 49 years old, Female, Reason: evaluate hepatic vasculature and echotexture, compare to previous imaging. also pt has h/o of hematuria please eval pelvis History: Biliary Cirrhosis, drains in place, history of hematuria, being evaluated for liver transplant Lack of IV contrast limits evaluation of abdominal parenchyma. ... | 1.Nodular contour of the liver and large amount ascites consistent with cirrhosis. No calcifications of the hepatic vasculature.2.Left pleural effusion with associated atelectasis and/or consolidation. Underlying infection cannot be excluded.3.No evidence of nephrolithiasis or calculus within the ureters. |
Generate impression based on findings. | Male 48 years old Reason: pain History: pain Bone mineralization is normal. Alignment is anatomic. The joint spaces are appropriate for age. No acute fracture is evident. | Unremarkable right hand radiographs. |
Generate impression based on findings. | 55 year old female with chest pain and shortness of breath, evaluate for pulmonary embolism The comparison chest radiograph performed on 1/8/2015 demonstrates a band of subsegmental atelectasis in the left lower lobe.The ventilation images show mild decreased radiotracer in the left lower lobe on single-breath and wash... | Intermediate probability for pulmonary embolism. |
Generate impression based on findings. | Reason: Pleural mesothelioma please compare to prior exam per recist. History: Pleural mesothelioma CHEST:LUNGS AND PLEURA: Extensive nodular pleural thickening in the right hemithorax consistent with mesothelioma with a moderately large pleural effusion.Reference measurements as follows:1. At the level of the aortic a... | Interval increase in pleural thickening in the right hemithorax with chest wall, diaphragmatic and pericardial invasion. |
Generate impression based on findings. | Male 58 years old Reason: NHL, re-eval and compare to previous History: right inguinal and femoral CHEST:LUNGS AND PLEURA: Pulmonary micronodules unchanged.MEDIASTINUM AND HILA: Mild coronary arterial calcifications. There is no evidence of mediastinal or hilar lymphadenopathy on the basis of size criteria.CHEST WALL: ... | 1.Interval increase in size of the right-sided pelvic and inguinal lymphadenopathy.2.No new foci of lymphadenopathy identified. |
Generate impression based on findings. | There is interval evolution/redistribution of the focus of subarachnoid hemorrhage in the posterior limb of the right sylvian fissure which is no longer clearly seen. No new hemorrhage. There is no significant mass effect, or cerebral edema. The ventricles and basal cisterns are unchanged. There is no midline shift or... | interval evolution/redistribution of the small focus of subarachnoid hemorrhage in the posterior limb of the right sylvian fissure which is no longer clearly seen. No new hemorrhage. |
Generate impression based on findings. | 59-year-old female with palpitations and tenderness with concern for pheochromocytoma. There is no abnormal focus of activity to indicate current MIBG avid tumor.There is a focus of increased MIBG activity just inferior to the liver which corresponds on CT to physiologic excretion in a prominent right renal collecting ... | No MIBG avid lesion to suggest pheochromocytoma. |
Generate impression based on findings. | Male 80 years old Reason: evaluation of gross hematuria History: hematuria ABDOMEN:LUNG BASES: New left basilar patchy consolidation, most like reflecting aspiration. Calcified mediastinal and hilar lymph nodes consistent with prior granulomatous disease. There are severe atherosclerotic calcifications of the coronary ... | 1.Mild bladder wall thickening, which is nonspecific but could reflect chronic inflammation. Otherwise, no specific finding seen to account for the patient's hematuria.2.Mesenteric and retroperitoneal fat stranding about the hepatic flexure of the colon could reflect diverticulitis, although this is a nonspecific findi... |
Generate impression based on findings. | Male 81 years old Reason: Colon cancer; evaluate for response to therapy History: See Above CHEST:LUNGS AND PLEURA: Diffuse bilateral nodules, grossly unchanged.Index right upper lobe nodule series 4 image 111, 5 x 4 mm previously described is 6 x 5 mm on series 4 image 112 on the 10/3/14 exam.Index left upper lobe nod... | Index lesions as above are stable with some nodes slightly decreased in size.Bilateral inguinal hernias with portion of urinary bladder in the left inguinal hernia. |
Generate impression based on findings. | 29-year-old male with history of squamous cell carcinoma of the left lateral tongue status post partial glossectomy and left neck dissection. LUNGS AND PLEURA: Stable scattered bilateral pulmonary micronodules, without suspicious nodules or masses.MEDIASTINUM AND HILA: Residual thymic tissue, unchanged. Heart size with... | No significant abnormality, no evidence of metastatic disease. |
Generate impression based on findings. | 29 year-old woman with history of right thumb pain. The right thumb appears normal without acute fracture, malalignment, or significant degenerative change. | No specific finding to account for the patient's pain. |
Generate impression based on findings. | 18-year-old man with history of distal ulnar fracture. No fracture line is identified. There is no malalignment. | No fracture identified. |
Generate impression based on findings. | Ms. Coffey is a 49 year old female with a personal history of left breast lumpectomy in Feb 2014 for DCIS followed by radiation therapy. She has no current breast related complaints. Three standard views of both breasts, additional left ML view and three left spot magnification views were performed digitally and review... | Expected postsurgical changes in the left breast. Stable right breast mass. 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.... |
Generate impression based on findings. | Reason: lung nodule History: metastatic renal cell carcinoma, s/p LLL wedge, following RML nodule LUNGS AND PLEURA: Left lower lobe postsurgical scarring, pleural thickening and loculated effusion, unchanged.Reference right middle lobe subpleural nodule (series 4/66) 11 x 8 mm, not significantly changed.Right upper lob... | Stable disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard and two implant pushback 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. Retropectoral... | 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 63 years old Reason: hx of left renal cyst, please evaluate change History: see above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nodular hepatic contour suggestive of chronic liver disease.SPLEEN: Punctate intraparenchymal calcifications suggest prior granulomatous disease.PANCREAS... | Stable left adrenal nodule and minimally complex left adrenal cyst, without significant interval change from 11/2011 examination. |
Generate impression based on findings. | 60 year-old male with history of chronic tobacco use and chronic pulmonary nodules, with concern for Langerhans versus chronic infection. LUNGS AND PLEURA: Multiple bilateral solid/sub-solid pulmonary nodules are again seen, decreased in size and number from previous exam. Several previously seen nodules are now predom... | Interval improvement in the multiple bilateral pulmonary nodules, with some of which having completely resolved. Scattered bilateral thin-walled cysts are present where many of the solid/sub-solid lesions were previously seen. |
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. Few scattered benign calcifications bilaterally are present. No suspicious ma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
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