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Generate impression based on findings. | Female 80 years old Reason: land hand pain , swelling, effusion History: eval for fracture. Three views of the left hand show soft tissue swelling along the dorsum of the hand and wrist, but we see no underlying fracture. The bones appear demineralized. Mild osteoarthritis affects the interphalangeal joints and moderat... | Soft tissue swelling and degenerative arthritic changes without fracture evident. |
Generate impression based on findings. | Visualization of the thorax is limited by the field of view and length of scan, which excludes substantial areas of the lungs.CHEST:LUNGS AND PLEURA: Left upper lobe micronodules and left lower lobe scar compatible with previous infection.MEDIASTINUM AND HILA: No significant abnormality noted in the extracardiovascula... | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on findings. | 39-year-old female patient with infertility. Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with free spillage on both sides into the pelvis, i... | Normal uterine cavity and patent fallopian tubes. |
Generate impression based on findings. | HypoxiaVIEW: Chest AP Tracheostomy tube in place. NG tube tip in the stomach. Cardiothymic silhouette normal. Patchy atelectasis bilaterally and new in the right upper lobe in a background of chronic lung disease. The atelectasis in the right lower lobe has improved. | Right upper lobe atelectasis new from prior study with interval improvement in the atelectasis at the right lower lobe. |
Generate impression based on findings. | 62 years, Male. Reason: 62M w/ met h\T\N cancer, recent diarrhea, now constipation vs. low stool output 2/2 anorexia History: constipation vs. low stool output There is a desiccated stool ball in the rectum. There are a few prominent loops of small bowel in the left hemiabdomen, but no definite evidence of obstruction. | Desiccated stool ball in the rectum without definite evidence of bowel obstruction. Continue to follow radiographically as clinically indicated. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Calcified right upper lobe granuloma compatible with previous infection.MEDIASTINUM AND HILA: No significant abnormality noted in the extracardiovascular portions of the mediastinum.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: No significant abnormality noted. | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on findings. | Female 30 years old Reason: evaluate for retained foreign body and fracture History: laceration. Three views of the left hand show no fracture or foreign body. | No fracture or foreign body evident. |
Generate impression based on findings. | Reason: Follow up exam to 8/6/14 which resulted possible signs of infection History: none LUNGS AND PLEURA: Mild apical predominant centrilobular emphysema. Scattered micronodules. No suspicious pulmonary nodules or masses.Minimal subsegmental atelectasis. Minimal basilar septal thickening, without significant pulmonar... | 1. Interval resolution of substernal collection with mild residual pericardial thickening and enhancement.2 Resolution of small pleural effusions and left basilar consolidation.3. Very mild hypervolemia. |
Generate impression based on findings. | CHEST: Patchy pulmonary abnormalities including emphysema, scarring and mosaic perfusion are present. A complete CT scan of the chest was performed earlier on the same day which provides more complete evaluation of the extra cardiovascular structures. | Chronic pulmonary abnormalities, more completely evaluated on the complete thoracic CT scan performed earlier on the same day. |
Generate impression based on findings. | 55 years, Male. Reason: confirm PD stent absence History: pancreatic duct stent placed 2/13 Interval removal of temporary pancreatic duct stent. Common biliary duct stent is again noted. Nonobstructive bowel gas pattern. The lower portion of the pelvis is excluded from the field-of-view. | Interval removal of temporary pancreatic duct stent. |
Generate impression based on findings. | Male; 56 years old. Reason: Appendiceal cancer, please measure 1) right inguinal node and 2) anterior right hemipelvis lesion. Also evaluate lung micronodules. History: Status post 2 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: New mild right perihilar bronchial wall thickening with some tree in bud and clustered no... | 1.Interval enlargement of right inguinal lymph node. Soft tissue nodule in anterior right hemipelvis is unchanged; please see reference measurements above. 2.Findings compatible with small bowel obstruction, possible transition point in right lower quadrant, and small amount of ascites. In the absence of other etiologi... |
Generate impression based on findings. | 67 years, Female. Reason: ALS, GI dysmotility History: constipation Nonobstructive bowel gas pattern with average stool burden in the colon. Surgical staples project over the contour of the stomach. Posterior fusion hardware projects over the lower lumbar spine. | Nonobstructive bowel gas pattern with average stool burden in the colon. |
Generate impression based on findings. | 73 years, Female. Reason: 73yoF with metastatic breast cancer, abdominal pain History: abdominal pain Gastrostomy tube tip projects over the gastric fundus. Partially visualized central venous catheter tip is noted in the superior vena cava. Vertebroplasty cement is noted in the L1 vertebral body. Compression deformity... | Nonobstructive bowel gas pattern with average stool burden in the colon. |
Generate impression based on findings. | Visualization of the thorax is limited by the field of view and length of scan, which excludes substantial areas of the lungs.CHEST:LUNGS AND PLEURA: Mild posterior scarring in the right upper lobe.Mild bilateral lower lobe bronchiectasis.No acute abnormalities.MEDIASTINUM AND HILA: No significant abnormality noted in... | Mild bronchiectasis and no acute pulmonary abnormalities. |
Generate impression based on findings. | 32 year-old female patient with infertility. Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with free spillage on both sides into the pelvis, i... | Normal uterine cavity and patent fallopian tubes. |
Generate impression based on findings. | Female 30 years old Reason: eval for fracture History: s/p punched glass. Three views of the right hand show no fracture or foreign body. There is slight widening of the scapholunate interval that may represent ligamentous laxity or disruption, but may not be of current clinical significance. | No fracture or foreign body evident. Slight widening of the scapholunate interval of questionable significance. |
Generate impression based on findings. | Breast cancer history. Insomnia CHEST:LUNGS AND PLEURA: Marked interval progression in both size and number of numerous bilateral nodules and masses compatible with extensive pulmonary metastatic disease. Changes are greater in both lung bases and for reference, a right lower lobe nodule currently measures 2.3 cm in di... | Interval progression of extensive intrapulmonary bilateral metastatic foci and sclerotic osseous metastatic disease. Reference measurements provided |
Generate impression based on findings. | 62 year old female with h/o medial left knee pain. Evaluate for arthritis vs fluid vs fx. No erythema or effusion on exam. We have two views of the left knee. There is sharpening of the tibial spines suggestive of minimal osteoarthritis, which is essentially within normal limits for age. We see no fracture or joint eff... | Sharpening of the tibial spines is suggestive of minimal osteoarthritis. Otherwise, we see no specific findings to account for the patient's pain. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions, decreased compared to the previous scan.Motion artifact due to respiration degrades pulmonary detail. No gross abnormalities are visible.MEDIASTINUM AND HILA: Moderate enlargement of the right thyroid lobe.No significant lymphadenopathy.CHEST WALL: Degenerativ... | Small pleural effusions, decreased compared to the previous scan. |
Generate impression based on findings. | Review of lung nodules. LUNGS AND PLEURA: A reference pulmonary nodule near the left hemidiaphragm measuring 5 mm is unchanged since 2012 (image 33, series 5) and likely benign in etiology. Two new micronodules on the prior examination are smaller in size and less conspicuous on this examination favoring a benign etiol... | Interval decrease in size and conspicuity of two right upper lobe pulmonary micronodules favoring a benign process; these can be conservatively followed in 6 to 12 months if required. Additional pulmonary micronodules are unchanged and consistent with benign lesions. |
Generate impression based on findings. | 78 years, Female, Reason: eval for obstruction History: pt with abdominal distension and vomiting with prior abd surgery. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Punctate right hepatic hypodensity is stable. Mild intrahepatic biliary ductal dilatation is unchanged. Prominent common bile duct is ... | Bilateral broad based regions of renal hypoattenuation, right greater than left. Differential includes vascular etiologies such as infarction as well as infection, correlate with UA. |
Generate impression based on findings. | Female 30 years old; Reason: assess for fracture History: left wrist pain Three views of the left wrist demonstrate no fracture or malalignment. We see no specific findings to account for the patient's pain. | No specific findings to account for the patient's pain. |
Generate impression based on findings. | 73 year old woman with personal history of ovarian cancer and bilateral benign biopsies. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Biopsy cl... | 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. | HEAD: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is diffuse global volume loss greater than expected for patient age, unchanged. There is mild nonspecific periventricular and subcortical white matter hypoattenuation, also unchanged. There is unchanged mild asymmetry of the lateral ... | 1.No acute intracranial hemorrhage or skull fracture.2.No acute cervical spine fracture or subluxation.3.Multilevel cervical degenerative changes without significant change except for development of ground glass density along the left facet with likely a soft tissue inflammatory component, perhaps relating to CPPD.4.Po... |
Generate impression based on findings. | 84 year-old female with dysphagia to solids and occasionally liquids, evaluate for achalasia Scout radiograph of the chest shows a tortuous aorta. Density at the right cardiophrenic border is presumed to be a dilated esophagus. No focal pulmonary opacities.Test swallow of barium demonstrated narrowing at the gastroesop... | 1.Dilated, debris-filled esophagus with obstructive, "beak-like" narrowing at the gastroesophageal junction consistent with achalasia. 2.Major motor abnormality of the esophagus as described above.Findings discussed with Dr. Konda, covering for Dr. Kavitt, at 1117. |
Generate impression based on findings. | Female 30 years old; Reason: Evaluate tenderness at dorsum of foot. There is perhaps mild swelling of the dorsal soft tissues over the midfoot, however this is equivocal. Tiny midfoot osteophytes indicate minimal osteoarthritis. We see no fracture or malalignment. | Equivocal mild dorsal soft tissue swelling with tiny underlying midfoot osteophytes. Otherwise no specific findings to account for the patient's pain. |
Generate impression based on findings. | Female 90 years old Reason: pain swelling post fall History: pain swelling. There is a predominantly transverse comminuted fracture of the surgical neck of the humerus with approximately 1 cm of medial displacement of the distal fracture fragment. The bones appear demineralized suggesting osteopenia. Severe osteoarthri... | Mildly displaced fracture of the surgical neck of the humerus as described above. |
Generate impression based on findings. | Female 90 years old; Reason: Fracture follow-up. History: pain Four views of the right elbow demonstrate two pins and a tension wire affixing an olecranon fracture in anatomic alignment. The fracture line is indistinct, indicating some interval healing. The bones are demineralized, suggesting osteopenia. | Orthopedic fixation of a healing olecranon fracture. |
Generate impression based on findings. | Male; 77 years old. Reason: evaluate transplanted kidney in patient w AKI on CKD History: elevated creatinine, nausea/vomiting RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No perinephric fluid collections KIDNEY: The transplant kidney measures 16.7 cm in length. There is a 2.3 x 2.3 x 3.5 cm sim... | 1.Marked hydronephrosis of the transplant kidney with thickening of the urothelium, similar to the same day CT.2.Patent renal transplant vasculature. |
Generate impression based on findings. | There is redemonstration of multiple scattered foci of T2/FLAIR hyperintensity within the periventricular and subcortical white matter bilaterally, consistent with patient's known history of demyelinating disease. Many of these are oriented perpendicular to the long axis of the lateral ventricles. There is a single ne... | Redemonstration of demyelinating white matter lesions, with overall mild-moderate T1 as well as T2 burden of disease. Interval development of a single new lesion in the left posterior corona radiata. |
Generate impression based on findings. | Visualization of the thorax is limited by the field of view and length of scan, which excludes substantial areas of the lungs.CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted in the extracardiovascular portions of the mediastinum.CHEST WALL: No significant... | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on findings. | There is mild leftward convexity of the mid cervical spine. The scout lateral view and the sagittal reformatted images demonstrate trace grade 1 anterolisthesis of C2 on C3 and C3 on C4, as well as minimal retrolisthesis of C4 on C5 through C6 on C7. There is also minimal grade 1 anterolisthesis of C7 on T1. There is ... | Multilevel mild degenerative grade 1 subluxations as detailed above, with overall moderate spondylotic changes resulting in up to mild-moderate central spinal canal stenosis at C5-C6 and C6-C7, as well as several scattered levels of high-grade foraminal narrowing as noted above. |
Generate impression based on findings. | Patient with history of NSCLC. CHEST:LUNGS AND PLEURA: The patient is status post right upper lobe resection. A right lower lobe pulmonary nodule measures 9 x 9 mm (image 44, series 7), previously 10 x 10 mm. Previously noted nodular opacities in the lingula are unchanged. There is new linear atelectasis/consolidation ... | 1. No significant change in size of a right lower lobe pulmonary nodule. 2. New right lower lobe linear atelectasis/consolidation; in the appropriate clinical context, this may represent subacute radiation pneumonitis and can continue to be followed. |
Generate impression based on findings. | Female 72 years old Reason: gi bleeding History: anemia, gi bleeding ABDOMEN:LUNGS BASES: Emphysematous changes with mild bibasilar atelectasis.LIVER, BILIARY TRACT: Hypodense lesion in the dome of the liver likely representing hepatic cyst. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality ... | No CT evidence of gastrointestinal bleeding. |
Generate impression based on findings. | 58 year-old female with a history of carcinoid and chronic diarrhea. Patient was unable to tolerate the full prescribed amount of oral contrast. The small bowel is suboptimally distended which somewhat limits evaluation.ABDOMEN:LUNG BASES: Calcified nodule in the right lower lobe likely from prior granulomatous disease... | 1.Postsurgical changes of right hemicolectomy.2.Several punctate hepatic segment 7/6 hypervascular lesions are nonspecific but given history of carcinoid may represent carcinoid metastases. Recommend MRI for further evaluation. 3.Evaluation of small bowel mildly limited by suboptimal distention of the proximal small bo... |
Generate impression based on findings. | Female 80 years old Reason: Establish baseline placement of esophageal stent History: Esoph stent . A stent overlies the expected location of the esophagus with its proximal margin at the level of T3 and its distal margin at the level of T7. Mild degenerative arthritis affects the cervical spine. | Esophageal stent as above. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Small scarlike opacities in micronodules, compatible with previous infection.MEDIASTINUM AND HILA: No significant abnormality noted in the extracardiovascular portions of the mediastinum.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: No significant abnormality noted. | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on findings. | Female; 57 years old. Reason: left lower abscess, diverticulitis? History: on chemo, vomiting, fever, abdominal pain. ABDOMEN:LUNG BASES: There is a spiculated right lower lobe mass with adjacent scarring that measures 3.4 x 2.6 cm, unchanged since recent chest CT and compatible with the patient's known history of prim... | 1.Findings compatible with acute diverticulitis of the distal descending colon with small intramural abscess. No free air. 2.Spiculated right lower lobe mass, consistent with the patient's known primary lung carcinoma. 3.Bilateral adrenal nodularity, right greater than left, which appears more prominent compared to pri... |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is unchanged encephalomalacia in the right parietal, occipital and temporal lobes with ex vacuo dilatation of the atrium of the right lateral ventricle. There is patchy periventricular and subcortical white matter hypoattenuation consisten... | 1.No acute intracranial hemorrhage or mass-effect.2.Unchanged encephalomalacia in the right cerebral hemisphere. |
Generate impression based on findings. | Male 66 years old Reason: prostate cancer Gleason 9 History: prostate cancer Gleason 9 ABDOMEN:LUNG BASES: No pleural effusions. No suspicious nodules or masses.LIVER, BILIARY TRACT: Diffuse fatty liver parenchyma.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | No evidence of metastatic disease. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Bilateral upper zone subpleural scarring.MEDIASTINUM AND HILA: No significant abnormality noted in the extracardiovascular portions of the mediastinum.CHEST WALL: Bilateral mammoplasties.UPPER ABDOMEN: Minor benign findings as detailed on an abdominal CT scan performed 3 days earlier. | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on findings. | The scout lateral view and the sagittal reformatted images demonstrate the lumbar spine to be in moderate central spinal canal stenosis normal sagittal alignment, with straightening of the normal lumbar lordosis. There is rotatory scoliosis of the visualized thoracolumbar spine, with apex coverage of the right at T12-... | 1. Multilevel moderate-severe degenerative disk disease as detailed above, with evidence of previous L4 laminectomy were central spinal canal is widely patent. Up to mild to moderate central spine canal stenosis at L2-L3 although there is scattered high-grade foraminal narrowing at multiple levels as noted above.2. Rot... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Almost complete interval resolution of the previously noted left apical spiculated nodule.This measures 5 mm on the current exam (image 10 40 series 4) previously measuring 12 mm.New adjacent groundglass nodule (image 13 ser... | 1.No significant interval decrease and almost complete resolution of the previously noted left apical spiculated nodule.2.Demonstration of multiple new solid and groundglass nodules concerning for progression of metastatic disease.3.Progressive interval growth over two years of a hypoattenuating left renal cortical les... |
Generate impression based on findings. | 54 years, Male. Reason: ng tube placed History: ftt Enteric feeding tube tip projects over the expected location of the gastric body. Nonobstructive bowel gas pattern. Please refer to chest radiograph obtained the same day for chest findings. | Enteric feeding tube tip projects over the expected location of the gastric body. |
Generate impression based on findings. | 68 years old Male with history of head and neck cancer ( Left buccal SCC). This study was performed for restaging. Chronic renal disease precluding ordering CT with contrast and/or MRI. RADIOPHARMACEUTICAL: 11.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 83 mg/dL. Today's CT portion grossly demonstrates... | Multiple normal-size lymph nodes with mildly to moderate increase metabolic activity in the left neck and left superior mediastinum, which can be due to tumor or post-therapy/reactive change. The left submandibular lymph node is more suspicious for nodal metastasis.Intense FDG uptake in the right proximal femur, which ... |
Generate impression based on findings. | 52-year-old male with metastatic lung cancer status post treatment. Compare with previous evaluate disease status. ABDOMEN:LUNG BASES: Bilateral pleural effusions left greater than right . See concurrent chest CT examination from 2/25/15 report.LIVER, BILIARY TRACT: Unchanged left hepatic lobe benign cyst. The prior no... | 1. Increasing size and number of presumed liver metastatic lesions. 2. Increasing omental disease with now large omental cake mass. 3. Diffuse skeletal sclerotic foci consistent with metastatic disease unchanged in CT appearance -- nuclear medicine scintigraphy is a more accurate indicator of activity of skeletal metas... |
Generate impression based on findings. | 71 years, Male. Reason: NGT History: NGT Enteric feeding tube is advanced with tip projecting over the expected location of the gastric body.Sternotomy wires and contrast filled diverticula are unchanged. The pelvis is excluded from the field-of-view. | Enteric feeding tube is advanced with tip projecting over the expected location of the gastric body. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Basilar scarring and subsegmental atelectasis, not significantly changed.MEDIASTINUM AND HILA: No significant abnormality noted in the extracardiovascular portions of the mediastinum.CHEST WALL: Healed manubrial fracture, unchanged.UPPER ABDOMEN: No significant abnormality noted. | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on findings. | 71 years, Male. Reason: confirm dobhoff placement History: none Enteric feeding tube is advanced with tip projecting over the gastroesophageal junction.Sternotomy wires and contrast filled colonic diverticula are unchanged. The pelvis is excluded from the field-of-view. | Enteric feeding tube is advanced with tip projecting over the gastroesophageal junction. |
Generate impression based on findings. | Female 44 years old Reason: pain History: pain. Three views of the right hand show no fracture or malalignment. There is mild osteoarthritis of the proximal interphalangeal joint of the fifth finger with a tiny adjacent ossicle, perhaps due to remote trauma.We have 3 views of the right ankle. There is diffuse soft tiss... | 1.No evidence of right hand fracture.2.Soft tissue swelling of the ankle and ossicle posterior to talus that we suspect represents a normal variant os trigonum. However, if there is strong clinical concern for fracture of the posterior process of the talus, CT may be considered. |
Generate impression based on findings. | Female 61 years old Reason: RUQ Abdominal Pain. For Gallbladder. History: RUQ Abdominal Pain. For Gallbladder. ABDOMEN:LUNG BASES: Left lower lobe nodule measuring up to 7 mm (series 4, image 12). Additional nonspecific micronodule in the left lower lobe (series 4, image 19). No pleural effusions.LIVER, BILIARY TRACT: ... | 1.No evidence of cholelithiasis or acute cholecystitis as clinically questioned. No finding to explain patient's right upper quadrant abdominal pain.2.Left lower lobe pulmonary nodule measuring up to 7 mm. Recommend follow-up thoracic CT in 6-12 months to assess stability. |
Generate impression based on findings. | Male 67 years old Reason: evaluate cirrhosis, ascites History: abdominal pain, distension LIMITED ABDOMENLIVER: The liver measures 18.6 cm in length. The liver has a nodular contour. The parenchyma is diffusely increased in echogenicity and heterogeneous in echotexture. No focal mass is identified. There is no ascites.... | 1.Hepatosplenomegaly and cirrhotic liver morphology. No ascites.2.Echogenic kidneys compatible medical renal disease.3.Slightly increased velocity in the hepatic arteries which is nonspecific. |
Generate impression based on findings. | 71 years, Male. Reason: Confirm position of NGT History: none Enteric feeding tube tip projects over the expected location of the distal esophagus.Sternotomy wires and contrast filled colonic diverticula are unchanged. The pelvis is excluded from the field-of-view. | Enteric feeding tube tip projects over the expected location of the distal esophagus. |
Generate impression based on findings. | Male 56 years old Reason: pain History: pain. We have 4 views of the right knee. There is moderate to severe osteoarthritis of the right knee, particularly affecting the lateral compartment, that appears to have progressed when compared to the prior study. There is a valgus deformity of the right knee.Relatively mild o... | Osteoarthritis. |
Generate impression based on findings. | CHEST: LUNGS AND PLEURA:Mild subpleural scarring and dependent atelectasis.MEDIASTINUM AND HILA: Large hiatal hernia.CHEST WALL: Pacemaker generator in the left anterior chest wall.Marked kyphosis with associated degenerative disease in the spine.UPPER ABDOMEN: Left renal cyst. | Large hiatal hernia and no acute extra cardiovascular findings in the chest. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Small calcified granulomas compatible with previous infection.MEDIASTINUM AND HILA: Mildly enlarged nonspecific lymph nodes, likely reactive.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: No significant abnormality noted. | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on findings. | 63 years, Female. Reason: Check NGT Placement History: Check NGT Placement Note that the pelvis is excluded from the field-of-view and the study is slightly limited due to patient motion. Enteric feeding tube is looped with tip projecting over the expected location of the gastric body. Vertically oriented skin staples ... | Enteric feeding tube is looped with tip projecting over the expected location of the gastric body. |
Generate impression based on findings. | Chemotherapy for non-small cell lung cancer, follow-up LUNGS AND PLEURA: Similar appearing right upper lobe. Visual cavitating mass (image 37 series 6) again measuring 2.9 x 2.2 cm. The associated solid component remains unchanged, and measuring 10 x 6 mm when measured similarly. Persistent thickening in the adjacent f... | Interval stability in the right upper lobe cavitary nodule, reference measurements provided. Essentially unchanged sclerotic foci within thoracic vertebrae |
Generate impression based on findings. | Reason: Tonsillar cancer; follow up; with measurements History: as above CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.Minimal dependent atelectasis. No focal airspace consolidation. No pleural effusions.MEDIASTINUM AND HILA: The heart is normal in size, with no pericardial effusion. No visible coro... | No evidence of metastatic disease. |
Generate impression based on findings. | CHEST: No significant abnormality noted in the extracardiovascular portions of the mediastinum.LUNGS AND PLEURA: Large bilateral pleural effusions with associated compressive atelectasis.MEDIASTINUM AND HILA: No significant extra cardiovascular abnormality noted.CHEST WALL: Status post median sternotomy.UPPER ABDOMEN:... | Large pleural effusions and compressive atelectasis. |
Generate impression based on findings. | Female 62 years old Reason: s/p ORIF History: above . Four views of the left elbow show a plate and screws device affixing an olecranon fracture in near anatomic alignment. The fracture line is indistinct suggesting healing. We see no hardware complications. Mild osteoarthritis affects the elbow.Four views of the left ... | Orthopedic fixation of olecranon and proximal humerus fractures appearing similar to prior studies. |
Generate impression based on findings. | Female 54 years old Reason: pain History: pain. The bones appear slightly demineralized suggesting osteopenia. Osteoarthritis affects the midfoot. There may be mild soft tissue swelling about the ankle. | Mild midfoot osteoarthritis and possible soft tissue swelling about the ankle. |
Generate impression based on findings. | Male 44 years old Reason: ankle fracture History: ankle fracture. Three views of the left ankle show an oblique fracture of the distal fibula extending to the level of the tibiotalar joint with approximately one cortical width of lateral displacement of the distal fracture fragment. The fracture appears similar to that... | Distal fibular fracture appearing similar to the prior study. |
Generate impression based on findings. | 14-year-old male with respiratory distress, increasing oxygen requirement, constipation.VIEW: Chest AP and Abdomen AP (two views) 14:56 Gastrostomy tube is noted. VP shunt is seen coursing through the right hemithorax and abdomen with tip coiled in the pelvis.Cardiac silhouette is normal. Elevation of the right hemidia... | No evidence of pneumonia or bowel obstruction. |
Generate impression based on findings. | Newly diagnosed right upper lung adenocarcinoma. For staging.RADIOPHARMACEUTICAL: 12.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 84 mg/dL. Today's CT portion grossly demonstrates the semi-solid right upper lobe mass which appears similar to the recent chest CT. Bilateral lung lesions corresponding with... | 1.Abnormal increased FDG avid activity within superior lobe of the right lung is consistent with the patient's known primary lung malignancy.2.A hypermetabolic lesion within the right diaphragmatic crus is suspicious for metastasis.3.Mild mediastinal and hilar FDG avid activity, which is nonspecific. |
Generate impression based on findings. | Fall. Unable to walk. We see no fracture or malalignment. There is soft tissue swelling of the posterior ankle. The silhouette of the Achilles tendon is indistinct several centimeters above its insertion suspicious for a tear in the correct clinical context. | No fracture. Poorly-defined Achilles tendon suspicious for a tear in the correct clinical context. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Small basilar scar like opacities.MEDIASTINUM AND HILA: No significant abnormality noted in the extracardiovascular portions of the mediastinum.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Please see the report of the abdominal CT scan performed on the same day. | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on findings. | Female 38 years old; Reason: Evaluate neck pain with paresthesias/pain extending into BUE, hx MVA 2012 Minimal degenerative disk disease affects C5/C6 and C6/C7 with small posterior vertebral body osteophytes. There is perhaps mild neural foraminal narrowing on the right at C4/C5 and C5/C6 and on the left at C5/C6. | Minimal degenerative disk disease with mild neural foraminal narrowing, as described above. This may be better evaluated with cross sectional imaging, if clinically warranted. |
Generate impression based on findings. | Left total knee arthroplasty Two views of the left knee demonstrate hardware components of a left total knee arthroplasty device situated in near-anatomic alignment, without radiographic evidence of hardware complication. A surgical drain, soft tissue gas, and skin staples reflect recent surgery. | Postoperative changes of a left total knee arthroplasty. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular st... | Unremarkable noncontrast MRI brain. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Elevation of the left hemidiaphragm with overlying subsegmental atelectasis.MEDIASTINUM AND HILA: No significant abnormality noted in the extracardiovascular portions of the mediastinum.CHEST WALL: Status post median sternotomy.UPPER ABDOMEN: Please see the report for the abdominal CT scan perf... | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on findings. | Metastatic lung cancer, malignant pleural effusion. PD from Erlotinib. LUNGS AND PLEURA: There is a large, loculated right pleural effusion with compressive atelectasis of the right lower lobe. There are post-surgical changes of a partial right middle lobectomy. There is pleural thickening along the right lower hemitho... | 1. Loculated large right pleural effusion and right pleural thickening. 2. Prominent right paratracheal lymph node corresponding to hypermetabolic node on OSH PET. |
Generate impression based on findings. | Follow-up examination. Status post surgery. Again seen are postoperative changes of a bunion correction surgery, with screws in the first metatarsal and affixing the first tarsometatarsal joint and first intercuneiform joint in near-anatomic alignment. The first tarsometatarsal joint appears more indistinct on the curr... | Postoperative changes of a bunion correction surgery, as described above. |
Generate impression based on findings. | Neuroblastoma, pre-ENCIT-1. There has been interval decrease in the size of the proximal MIBG avid femur lesions bilaterally as well as a decrease in the size of the distal right femur lesion. MIBG avid tumor previously visualized at the level of the mesenteric root is no longer visualized and has likely resolved. The ... | Overall improvement in the osseous and soft tissue MIBG avid metastases. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Nonspecific noncalcified subpleural nodule measuring 9 mm the right upper lobe (series 10/110). This is indeterminate and a follow-up CT scan is recommended in approximately 3 months to confirm stability.Focal scarlike opacity in the lingula and left lower lobe.MEDIASTINUM AND HILA: No signific... | Noncalcified 9 mm nodule in the right upper lobe for which a follow-up scan is recommended in approximately 3 months. |
Generate impression based on findings. | Postoperative changes are again seen from previous left hemiglossectomy, floor of mouth resection with flap reconstruction, and left neck dissection. There is again fatty atrophy of the residual right tongue, and mucosal thickening of the oropharynx and hypopharynx. There is persistent nonspecific soft tissue thickeni... | 1. Redemonstration of extensive postoperative changes, without definite evidence of local tumor recurrence or lymphadenopathy.2. Redemonstration of biapical pulmonary micronodules, with interval biopsy of spiculated left apical nodule. Suggestion of slight increased size of largest visualized right apical pulmonary nod... |
Generate impression based on findings. | Female 78 years old Reason: mets lung cancer, PD from Erlotinib. Pls evaluate dz status @ pelvis History: lung ca ABDOMEN:LUNG BASES: Large right pleural effusion. Full thoracic findings will be reported on separate CT chest study. LIVER, BILIARY TRACT: New focal area of relatively high attenuation adjacent to the dome... | 1.New nonspecific, focal area adjacent to the dome of the liver of uncertain clinical significance. If there has been a recent procedure in this area, favor benign etiology such as a resolving hematoma, however, malignant soft tissue infiltration cannot be excluded.2.No additional findings concerning for metastatic dis... |
Generate impression based on findings. | 74 years old male with a history of gastric cancer. Please assess prior to the start of therapy. RADIOPHARMACEUTICAL: 12.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 84 mg/dL. Today's CT portion of the neck demonstrates a mass in the left lobe of thyroid. Please see diagnostic CT reports for details of ... | 1.Multifocal peritoneal FDG uptake, predominantly in the perihepatic space and soft tissue thickening in the left upper abdomen, highly suspicious for peritoneal carcinomatosis.2.Intense hypermetabolic thyroid mass, suspicious for thyroid cancer versus metastasis.3.Normal-sized lymph nodes with mildly increased metabol... |
Generate impression based on findings. | Left ear pain, history previous stroke, but no focal findings. There is no evidence of acute intracranial hemorrhage or mass. There is unchanged encephalomalacia in the left corona radiata and scattered patchy mild cerebral white matter hypoattenuation. The ventricles are normal in size and configuration. There is a pa... | Chronic lacunar infraction and mild small vessel ischemic disease. No evidence of acute intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | 5-month-old male NICU infant with pulmonary hypertension, RUL atelectasis VIEW: Chest AP (one view) 2/25/15 16:13 Tracheostomy tube tip at the thoracic inlet. Enteric tube tip and side-port in the stomach. The cardiothymic silhouette is normal. Interval increase in right upper lobe atelectasis in a background of chroni... | Increased right upper lobe atelectasis in a background of chronic lung disease. No pneumothorax. |
Generate impression based on findings. | Altered mental status, left sided weakness, and fall. History of drug and ETOH abuse. There is no evidence of acute intracranial hemorrhage or mass. There is moderate patchy cerebral white matter hypoattenuation, similar to the previous exam. There is also an unchanged subcentimeter defect in the left posterior limb if... | 1. Chronic infarcts in the posterior circulation distribution and small vessel ischemic disease, but no evidence of acute intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. Predominant cerebellar vermian volume loss may be related to alcohol ab... |
Generate impression based on findings. | History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. There has been no interval change in the abnormal activity suspicious for osseous metastases within the skull base, spine or distal femur. No change in the activity within the humeral heads and knees... | Stable osseous metastases as described above. No new lesions. |
Generate impression based on findings. | 48 year old woman with chest pain referred to rule out coronary artery disease.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significant stenoses pr... | 1. There are no severe coronary artery stenoses present. 2. Mild burden of coronary atherosclerosis is present. 3. Modest burden of epicardial/ pericardial fat is present.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpret... |
Generate impression based on findings. | Visualization of the thorax is limited by the field of view and length of scan, which excludes substantial areas of the lungs.CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted in the extracardiovascular portions of the mediastinum.CHEST WALL: No significant... | No significant extra cardiovascular abnormalities in the visualized portion of the thorax. |
Generate impression based on findings. | Metstatic lung cancer. EGFR +, on Erlotinib, now progressive disease, baseline status for trial. There is no evidence of intracranial mass. The grey-white matter differentiation appears to be intact. There is no abnormal intracranial enhancement. The ventricles are normal in size and configuration. There is no midline ... | No evidence of intracranial metastases. |
Generate impression based on findings. | There are stable postoperative and posttreatment changes which include effacement of fat planes in the right neck associated with scattered surgical clips. PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abno... | Stable posttreatment changes without evidence of local tumor recurrence or cervical lymphadenopathy. |
Generate impression based on findings. | 84 year old woman with severe aortic stenosis who presents for cardiac CT for evaluation prior to possible TAVRCPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. The brachiocephalic vessels are very tortuous. There is mild atherosclerosis of the proximal ... | 1. Severe aortic valve calcification 2. Thoracic aortic anatomy as above. 3. Severely tortuous brachiocephalic vessels. 4. Severely sigmoid septum associated with severe systolic anterior motion of the mitral leaflets. 5. Aortic valve leaflet greater than left main height. 6. Resting myocardial perfusion defect in LAD... |
Generate impression based on findings. | Visualization of the thorax is limited by the field of view and length of scan, which excludes substantial areas of the lungs.CHEST:LUNGS AND PLEURA: Pleural and pulmonary scarring in the left lower hemithorax, not significantly changed.MEDIASTINUM AND HILA: No significant abnormality noted in the extracardiovascular ... | Scarring with pleural thickening a main left lower hemithorax, unchanged from previous. |
Generate impression based on findings. | Male; 74 years old. Reason: Gastric cancer please assess and provide index lesion measurements for RECIST please capture previous measurements from OSH imaging 2/13 series 2 image 64/68. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, the largest of which measures 6 mm and demonstrates a more prominent appear... | 1. Findings compatible with extensive peritoneal carcinomatosis and persistent perihepatic ascites as described above. Interval improvement in pelvic ascites.2. Stable enlarged peripancreatic lymph node and right adrenal nodule which appears more prominent. Please see reference measurements above.3. Prominent heterogen... |
Generate impression based on findings. | Male 54 years old Reason: assess for fx in pt with increased ground level falls History: increased falls. AP view of the pelvis shows no fracture. The bones appear slightly demineralized. Components of a left hip bipolar hemiarthroplasty device are situated in near anatomic alignment without radiographic evidence of ha... | No fracture evident. Left hemiarthroplasty and right hip osteoarthritis. |
Generate impression based on findings. | 49-year-old female with abdominal pain and vomiting, recent ventral hernia repair. Evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted in liver parenchyma. Slight increased punctate density in dependent gallbladder may represen... | 1. Repair of the anterior umbilical ventral hernia without complication seen. 2. No change in loculated fluid collection anterior to left pelvic psoas muscle unchanged since 2010 and thought to represent endstage obstructed pelvic kidney. 3. No other abnormalities or changes seen and no findings seen to account for pat... |
Generate impression based on findings. | History of HCC: here for Theraspheres Mapping along with a MAA. The MAA tracer was identified in the liver. Thyroid gland, salivary gland, kidney and stomach activity most likely represents free technetium. No abnormal distribution of tracer activity was noted within the abdominal cavity. The liver to lung shunt fracti... | 1.Expected distribution of the MAA tracer in the liver and free technetium elsewhere as described above.2.Liver to lung shunt fraction of approximately 4% as described above. |
Generate impression based on findings. | headache No evidence of acute ischemic or hemorrhagic lesion.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 hemorrhage. The osseous structures are unremarkabl... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | fall and hit head, no LOC, dizziness No evidence of acute ischemic or hemorrhagic lesion.Underlying brain shows diffuse brain atrophy with small vessel ischemic changes, slightly progress since prior exam.Subtle scalp swelling along the vertex without underlying skull fracture.The ventricles, sulci, and cisterns are sy... | No evidence of acute ischemic or hemorrhagic lesion.Underlying brain shows diffuse brain atrophy with small vessel ischemic changes, slightly progress since prior exam. |
Generate impression based on findings. | Clinical question:? Mass. Signs and symptoms: Short term memory loss. Nonenhanced head CT:There is no detectable acute intracranial process. The cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation is within normal for age.Unremarkable calvarium and soft tissues of th... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule out new CVA. Signs and symptoms: AMS. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive insensitive for early detection of acute nonhemorrhagic ischemic strokes. Examination however demonstrate patchy foci of periventricular and subcortical as well ... | 1.No acute intracranial process.2.Findings of moderate age indeterminate small vessel ischemic strokes as detailed. |
Generate impression based on findings. | Clinical question: Rule out ICH. Signs and symptoms: Fall with head trauma. Unenhanced head CT: There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation ... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 36 years, Male. Reason: assess og tube placement History: s/p og tube Enteric feeding tube side hole projects over the fundus and tip projects over the expected location of the gastric body. Incompletely imaged bowel distension. Large lung volumes compatible with emphysema and scarring again noted. | Enteric feeding tube tip projects over the gastric body. |
Generate impression based on findings. | 64 years, Male. Reason: NJ tube placement History: s/p NJ tube placement Enteric feeding tube extends beyond the ligament of Treitz with tip in the lower abdomen. Nonobstructive bowel gas pattern. Right sided central venous catheter tip is at the cavoatrial junction, unchanged. Right pleural effusion and right airspace... | NJ tube extends beyond the ligament of Treitz with tip in the lower abdomen. |
Generate impression based on findings. | hydrocephalus, ventriculostomy, EVD clamped. No evidence of acute ischemic lesion.Minimal amount of IVH especially on the right lateral ventricle occipital horn, no change since prior exam.Right frontal approached ventriculostomy tube with the tip position on the right side foramen of Monroe, no change since prior exam... | No change of ventricle size and EVD tube position since prior exam.No change of minimal IVH since prior exam.No acute ischemic lesion on this scan. |
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