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Generate impression based on findings. | 63 year old female with recent peritoneal bleed now with drop in hemoglobin. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: Moderate left and small right pleura... | 1.New acute hematoma in the right lower quadrant inferior to the cecum. Additional new blood product along the right anterior inferior abdominal wall. 2.Redemonstration of moderate ascites with additional evolving intraperitoneal hematoma in the left lower quadrant and pelvis.3.End-stage kidneys and renal osteodystroph... |
Generate impression based on findings. | One day old male with bilious emesis. Follow-up of UGI.VIEW: Abdomen AP (one view) 2/26/2015 1:23 Feeding tube tip in the stomach. UVC catheter tip has been retracted in the right atrium. Residual contrast material is again seen in the stomach and small bowel. Decreased amount of gas in the stomach with gas seen in th... | Unchanged bowel gas pattern. |
Generate impression based on findings. | 62 year old female with right lower extremity edema and history of lymphadenopathy, evaluate for abdominal or pelvic mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL G... | 1.Multiple enlarged retroperitoneal and pelvic lymph nodes suspicious for lymphoma.2.Several uterine masses which may represent fibroids but are incompletely characterized. Fluid is also present within the endometrial cavity. Recommend pelvic ultrasound for further evaluation.Findings discussed by on call resident with... |
Generate impression based on findings. | Female 68 years old Reason: hx hilar cholangiocarcinoma, please eval biliary system. R/o portal-biliary fistula History: na ABDOMEN:LUNG BASES: Interstitial reticular thickening unchanged.LIVER, BILIARY TRACT: Slight decrease in intrahepatic biliary dilatation with interval exchange of metallic common bile duct stent w... | 1.No evidence of porto-biliary fistula as clinically questioned.2.Interval decrease in the size of the patient's known common bile duct mass.3.Reference lymph nodes are grossly stable.4.Slight interval increase in peritoneal fat stranding and ascites. Peritoneal carcinomatosis not excluded. |
Generate impression based on findings. | 87 year old female with history of diverticulitis now with right lower quadrant pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. Dilation of the common duct with possible pseudo-gallbladder, likely related to the prior cholecystectomy, appears unchanged. Bilat... | 1.No acute findings to account for the patient's pain.2.Colonic diverticulosis without evidence of diverticulitis.3.Chronic findings including pneumobilia, renal scarring, and severe degenerative changes of the visualized osseous structures appearing similar to prior. |
Generate impression based on findings. | 16-month-old male with fever and respiratory distressVIEW: Chest AP (one view) 2/25/15 17:18 Lower extremity PICC tip extends to the junction of the SVC and right atrium. The cardiothymic silhouette is normal. Bronchial wall thickening without evidence of pneumonia. Dilated bowel loops are again noted in the upper abdo... | Bronchial wall thickening without evidence of pneumonia. |
Generate impression based on findings. | 55 years, Male. Reason: Dobbhoff placement Lung bases are clear. Incompletely imaged right apical air space disease. Dobbhoff tube tip projects over the proximal gastric body. Mildly dilated loops of small and large bowel suggestive of ileus. Note that the pelvis and portion of the left hemiabdomen is excluded from the... | Dobbhoff tube tip projects over the proximal gastric body. Ileus type bowel gas pattern. |
Generate impression based on findings. | Reason: r/o PE History: SOB, h/o PE PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Moderate apical predominant centrilobular emphysema. Basilar atelectasis/scarring, most prominent in the middle lobe, unchanged. Mild to moderate dependent atelecta... | No evidence of pulmonary embolism or other acute abnormality to account for the patient's symptoms.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Male 59 years old Reason: Assess for abscess History: Pain and induration at site of surgical lymph node bx ABDOMEN:LUNG BASES: Bibasilar atelectasis/scarring, unchanged. Increased, nonspecific posterior subpleural fat is noted.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPA... | Nonspecific left inguinal fluid collection which tracks towards the inguinal canal to the scrotum. This may represent a postoperative seroma/hematoma with surrounding inflammatory changes, however, superimposed infection cannot be excluded. |
Generate impression based on findings. | 10-month-old female with increased work of breathingVIEWS: Chest AP/lateral (two views) 2/25/15, 2:25 The cardiothymic silhouette is normal. The aortic arch, cardiac apex, and stomach are left-sided. Bronchial wall thickening and subsegmental atelectasis of the lingula and right middle lobe without evidence of pneumoni... | Bronchiolitis without evidence of pneumonia. |
Generate impression based on findings. | 12-year-old female status post foreign body removal along palmar aspect of handVIEWS: Right hand PA, oblique, and lateral (3 views) 2/25/15 19:56 No radiopaque foreign body or fracture. Alignment is anatomic. The physes are fused with a bone age of 17. | No radiopaque foreign body or fracture. |
Generate impression based on findings. | 15 year-old male with abdominal distention, evaluate for ileusVIEW: Abdomen AP (one view) 2/26/15 4:28 Enteric tube is coiled in the stomach with its tip at the GE junction. The G-tube is not well visualized. Dilated loops of large bowel are again noted likely due to chronic ileus. No small bowel dilatation or evidence... | Dilated large bowel consistent with chronic ileus. |
Generate impression based on findings. | 12-year-old male with pain in upper thigh, severe tenderness for 5 days. Evaluate for evidence of trauma to right femur.VIEWS: Right femur AP and Lateral (two views) 2/25/2015 16:57 Alignment is normal. No evidence of fracture or dislocation. No soft tissue swelling or joint effusion. | Normal examination. |
Generate impression based on findings. | RDSVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right central line in place. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally without pleural effusion or pneumothorax. | Diffuse atelectasis bilaterally not significantly changed. |
Generate impression based on findings. | Female 81 years old Reason: eval for AAA vs obstruction History: abdominal distention, hypotensive, recent defib placement yesterday ABDOMEN: Exam is limited secondary to lack of oral and intravenous contrast. Evaluation of vascular and solid organ pathology is suboptimal without intravenous contrast. Evaluation of bow... | Limited examination secondary to lack of intravenous and oral contrast making evaluation of solid organ and bowel pathology suboptimal. Within these limitations, there is a large multiseptated, cystic pelvic lesion extending superiorly into the abdomen which likely represents an ovarian cystic neoplasm. |
Generate impression based on findings. | 14-year-old female with increased respiratory support.VIEW: Chest AP (one view) 2/26/2015 5:25 Cardiothymic silhouette is normal. Interval improved aeration of the right lung lower lung with persistent basilar opacity likely combination of consolidation and atelectasis. Left base hazy opacity slightly improved. No pneu... | Interval improved aeration of bilateral lung bases. |
Generate impression based on findings. | 14 year old female with increased home O2 requirement. Evaluate for pneumonia.VIEW: Chest AP (one view) 2/25/2015 Gastrostomy tube is again seen.Cardiothymic silhouette is normal. Right lobe opacity likely a combination of consolidation and pleural effusion. Improved aeration of the left lung. No pneumothorax.Disorgani... | Likely consolidation and pleural effusion in the right lower lobe. Interval improved aeration of the left lung. |
Generate impression based on findings. | 17 month old male, rule out pneumonia and obstructionVIEWS: Chest AP, abdomen AP, abdomen left lateral decubitus (3 views) 2/26/15 5:37 The cardiothymic silhouette is normal. No focal pulmonary opacity or pleural effusion. The bowel gas pattern is normal without evidence of obstruction. Moderate rectal stool burden. | Nonobstructive bowel gas pattern. No evidence of pneumonia. |
Generate impression based on findings. | HypoxiaVIEW: Chest AP 2/26/15 ET tube tip at the level of the thoracic inlet. NG tube tip in the distal esophagus. Right central line in place. There is a left upper extremity PICC with tip in the left axillary vein. There is a catheter projected over the left hemithorax at the level of the left lower lobe. Cardiothymi... | Diffuse atelectasis bilaterally not significantly changed. |
Generate impression based on findings. | Reason: SOB, hypoxia History: r/o PE PULMONARY ARTERIES: There is a saddle pulmonary embolus, with extension of the clot into the lobar and segmental pulmonary arteries of the left upper, lower and right middle and lower lobes. There is significant relative enlargement of the right ventricle compared to the left (serie... | Saddle pulmonary embolism with extension into the lobar and segmental branch arteries bilaterally, and with marked associated right heart strain. No specific evidence of pulmonary infarct.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Multiple.Most Proximal: Main.RV Strain: Positive. Findings were dis... |
Generate impression based on findings. | 71 years, Male. Reason: ng tube Dobbhoff tube tip projects over the proximal gastric body. Relative paucity of bowel gas throughout the abdomen. Sternotomy wires and contrast filled diverticula are noted. Note that the pelvis is excluded from the field-of-view. | Dobbhoff tube tip projects over the proximal gastric body. |
Generate impression based on findings. | Female 58 years old Reason: ? intra-hepatic abscess History: h/o ab pain similar ABDOMEN:LUNG BASES: Right basilar atelectasis.LIVER: Near complete resolution of the heterogeneous fluid containing collection measuring 0.8 x 0.8 cm (series 3, image 25), previously 5.7 x 3.8 cm. Additional focus of inferior to the region... | 1.Previously drained posterior hepatic fluid collection is nearly resolved. Additional subcentimeter hypoattenuating lesion within the posterior right hepatic lobe is slightly decreased in size.2.Intramural low-density lesion within the gastric wall is unchanged in size. Differential considerations include a duplicatio... |
Generate impression based on findings. | Prematurity increased vent requirementsVIEW: Chest AP 2/26/15 Tracheostomy tube in place. Cardiothymic silhouette normal. NG tube removed in the interval. Patchy atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis in the left lower lobe. |
Generate impression based on findings. | 75 years, Female. Reason: NGT placement History: s/p ex-lap, HIPEC NG tube tip projects over the gastric body. Midline surgical staples. Four surgical drains are noted - one in the right hemiabdomen, one in the left hemiabdomen, and two with tips projecting over the midline pelvis. Air distended loops of small and larg... | NG tube tip projects over the gastric body. |
Generate impression based on findings. | 14-year-old female with desaturation. Evaluate for new opacity.VIEW: Chest AP (one view) 2/25/2015 19:47 Cardiothymic silhouette is normal. No significant interval change in the right lower lobe opacity likely combination of consolidation and atelectasis. Left basilar hazy opacity unchanged. No pneumothorax. | No interval change in right lower opacity, and left lung basilar hazy opacity. |
Generate impression based on findings. | Female 51 years old Reason: eval metallic foreign body prior to MRI brain History: as above. Two views of the right forearm show a sideplate and screws device affixing a distal radius fracture in anatomic alignment. There is residual deformity at the distal diaphysis of the radius compatible with a healed fracture. No ... | Orthopedic fixation of a healed distal radius fracture as described above. |
Generate impression based on findings. | 78 years, Male. Reason: assess stool burden History: constipated, distended abdomen The lung bases are clear. Residual contrast is noted throughout the colon. Greater than average stool burden. Nonobstructive bowel gas pattern. Right total hip arthoplasty device and overlying surgical clips are noted. The bones appear ... | Moderate stool burden. |
Generate impression based on findings. | 64 years, Female. Reason: NGT adjustment Patient motion artifact mildly limits the examination. Enteric feeding tube has been pulled back with tip projecting over the gastric fundus and sidehole just beyond the gastroesophageal junction. Nonobstructive bowel gas pattern. Lower portion of the pelvis is excluded from the... | Enteric feeding tube has been pulled back with tip projecting over the gastric fundus and sidehole just beyond the gastroesophageal junction. |
Generate impression based on findings. | 59 years, Male. Reason: evaluate og tube Motion degrades the quality of the examination. NG tube side port projects over the gastric body with tip over the gastric antrum. Right femoral vascular catheter tip projects over the L5 level. Nondilated loop of small bowel with otherwise relative paucity of bowel gas.Right gr... | NG tube tip projects over the gastric antrum. |
Generate impression based on findings. | Male 67 years old Reason: Patient with hx of gout, now with R. hand and R. knee pain, please evaluate for erosions History: As above. Three views of the left foot show a questionable erosion of the first metatarsal head raising the possibility of gouty arthritis. There is a mild hallux valgus deformity with mild osteoa... | Questionable erosion of the first metatarsal head of the right foot may reflect underlying gouty arthritis. Left foot, bilateral knees, and bilateral hands show no erosions or other radiographic evidence specific for inflammatory arthritis. |
Generate impression based on findings. | 64 years, Female. Reason: NGT History: NGT Enteric feeding tube is looped in the stomach with tip projecting over the gastric fundus. Nonobstructive gas pattern. The lower portion of the pelvis is excluded from the field-of-view. Central venous catheter tip projects over the cavoatrial junction. | Enteric feeding tube is looped in the stomach with tip projecting over the gastric fundus. |
Generate impression based on findings. | NONCONTRAST CT HEADThere is 41mm x 18mm x 27mm sized left basal ganglia ICH with minimal surrounding edema and mass effects.There is no evidence of acute ischemic lesion on this scan.Left lateral ventricle especially frontal horn appears to be deformed due to mass effect. Otherwise ventricular system appears to be unr... | 1. Left basal ganglia ICH with subtle mass effects as described above.2. No evidence of arterial stenosis, or aneurysm or occlusion or evidence of dissection. |
Generate impression based on findings. | 72 years, Female. Reason: dht placed Enteric feeding tube tip projects over the gastric body. Nonobstructive bowel gas pattern. Support devices and right pleural effusion are unchanged. Interval removal of vertically oriented skin staples. Pelvis is excluded from the field-of-view. | Enteric feeding tube tip projects over the gastric body. |
Generate impression based on findings. | Headache, change in mental status Compared to 11/20/2014, there is slight decrease in size of the ventricular system compared to prior. Right parietal approach ventriculostomy catheter is unchanged. Dysmorphic appearance of the brain parenchyma is unchanged with tip near the interhemispheric fissure. There appears to b... | 1. Compared to 11/20/2014, slight decrease in size of the ventricular system. 2. No intracranial hemorrhage or mass effect.3. Again seen is dysmorphic appearance of the brain parenchyma which can be better assessed with MRI if clinically indicated. There are features of Chiari 2 malformation with dysgenesis of the corp... |
Generate impression based on findings. | Reason: eval PE. Chest pain. PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Scattered benign appearing micronodules, measuring up to 4 mm (series 10, image 73) stable from the prior CT exam. No suspicious pulmonary nodules or masses.Basilar subseg... | 1. No evidence of pulmonary embolism.2. Increasing distal esophageal wall thickening, compatible with a known diagnosis of gastroesophageal cancer, with prominent paraesophageal and gastrohepatic lymph nodes, similar to the prior CT exam.3. The upper end of the stent is directed against the lateral wall of the esophagu... |
Generate impression based on findings. | Female 67 years old Reason: fall History: possible seizure. The C6 through T1 vertebral bodies and cervicothoracic outlet are not well visualized on this examination due to patient positioning and overlying anatomy. Anterior vertebral body osteophytes are seen at C3, C4, and, possibly, C5. There is no acute fracture or... | Limited study of the cervical spine demonstrates no acute fracture or malalignment. |
Generate impression based on findings. | 88 years, Female. Reason: Evaluate stool burden, assess for obstruction History: Constipation Left retrocardiac opacity. Cardiac leads in the right atrium and right ventricle. Calcified uterine fibroids are noted. No significant stool burden. Nonobstructive bowel gas pattern. Right total hip arthoplasty device is noted... | No significant stool burden. |
Generate impression based on findings. | Female 90 years old Reason: eval dislocation History: eval dislocation. Again seen is an impacted comminuted fracture of the surgical neck of the right humerus with minimal medial displacement of the distal fracture fragment. The bones appear demineralized. | Impacted fracture of the right humeral surgical neck as described above. |
Generate impression based on findings. | Male 40 years old Reason: r/o fx History: tib pain after fall with lac. A soft tissue defect, compatible with patient's known laceration, and swelling is seen along the anterior aspect of the tibia. There is no underlying fracture or dislocation. | Anterior tibial soft tissue swelling and defect compatible with patient's known laceration without underlying fracture or dislocation. |
Generate impression based on findings. | Male 62 years old Reason: assess for fx History: pain after fall. Four views of the right knee and a single sunrise view of the right knee show no acute fracture or dislocation. There is an enthesophyte at the quadriceps tendon and osteophytes of the patella. | Degenerative changes as described above without evidence of acute fracture or dislocation. |
Generate impression based on findings. | 58 year-old female with known multiple calcifications in both breasts presents for annual mammogram. History of stomach cancer. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandu... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 64 years, Male. Reason: assess for colitis History: abdominal pain, sepsis Right-sided central venous catheter with tip projected over the right atrium. Cholecystectomy clips noted. Multiple mildly prominent gas-filled bowel loops throughout the abdomen in an ileus pattern. There is a paucity of bowel gas in the descen... | Multiple mildly prominent gas-filled bowel loops throughout the abdomen in an ileus pattern. If there is ongoing clinical concern, CT abdominal imaging should be considered for further evaluation. |
Generate impression based on findings. | 74 years, Female. Reason: assess for obstipation, ileus History: 74 y.o. woman with scleroderma and recent severe pneumonia. History of constipation, now with early satiety. Bilateral pleural effusions, left greater than right. Superimposed infection is a consideration. Percutaneous enteric tube projects over the left ... | Nonspecific bowel gas pattern. |
Generate impression based on findings. | 64 year old who is called back from screening mammogram An ML view and a spot compression view of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Architectural distortions seen on tomosynthesis are ... | Hypoechoic lesion in the left 10 o'clock position, likely corresponding to the tomosynthesis findings. Ultrasound guided biopsy is recommended. Results and recommendations were discussed with the patient. BIRADS:4 - Suspicious Abnormality. RECOMMENDATION:H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Male 54 years old Reason: pain History: pain. Hardware components of a left bipolar hip hemiarthroplasty device are situated in near anatomic alignment with no radiographic evidence of hardware complication. There is no evidence of an acute fracture or dislocation. Note is made of heterotopic bone formation within the ... | Left hip hemiarthroplasty without evidence of fracture or dislocation. |
Generate impression based on findings. | 25-year-old male with right lower quadrant abdominal pain. ABDOMEN:LUNG BASES: Scattered nonspecific pulmonary micronodules. No suspicious nodules or masses.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signific... | 1.No acute findings to account for the patient's symptoms. |
Generate impression based on findings. | Female 66 years old Reason: fx? History: fall, diffuse bruising. Three views of the left ankle show soft tissue swelling about the lateral aspect of the ankle. A well corticated ossicle about the medial malleolus may be related to old trauma. A fracture of the base of the fifth metatarsal is partially visualized.Three ... | Intra-articular fracture of the base of the fifth metatarsal. |
Generate impression based on findings. | Female 64 years old Reason: assess for metastatic disease, h/o stage IB2 cervix cancer s/o chemoradiation History: rectovaginal fistula CHEST:LUNGS AND PLEURA: Basilar atelectasis. No suspicious pulmonary masses or nodules. No pleural effusion. MEDIASTINUM AND HILA: Central venous catheter is incompletely imaged and th... | 1.No evidence of metastatic disease.2.Central venous catheter is incompletely imaged and tip appears to be turned upward into the left brachiocephalic vein. Recommend chest radiograph with increased field of view to include the neck to definitively assess position, if clinically indicated. Findings were discussed by te... |
Generate impression based on findings. | There is mild dolichoectasia of the basilar artery which is significantly tortuous at the level of the internal auditory canals to abut nonenhancing nonspecific T2 hypointense soft tissue along the porus acousticus extending dorsally towards the ventral cerebellum. The soft tissue appears grossly similar to prior exam... | 1. Unremarkable MR appearance of the internal auditory canals. Prominent nonenhancing nonspecific soft tissue along the porus acusticus extending posteriorly which abuts the dolichoectatic and tortuous basilar artery, likely postoperative in etiology. Proximal left seventh and eighth cranial nerves are not well delinea... |
Generate impression based on findings. | Female 24 years old Reason: back pain, cc use of steroids, concern for compression fracture History: back pain . Vertebral body heights and intervertebral disk spaces are preserved. There is no acute fracture. Alignment is within normal limits. | No acute fracture or malalignment. |
Generate impression based on findings. | 83 year old with high probability benign focal asymmetry presents for short-term follow up. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Focal asym... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 58 year-old female with hematuria, fever, and lower abdominal pain. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: The... | 1.Findings suggestive of high grade small bowel obstruction with associated mesenteric stranding, small amount of mesenteric fluid, and pelvic free fluid. No free intraperitoneal air or portal venous gas.2.No nephrolithiasis or hydronephrosis.3.Hepatic steatosis. |
Generate impression based on findings. | Painful thumb. Moderate osteoarthritis affects the basilar joint and mild osteoarthritis affects the interphalangeal joint of the thumb. No fracture or malalignment is present. | Osteoarthritis. |
Generate impression based on findings. | Fullness on radial dorsal wrist Moderate osteoarthritis affects the basilar joint and triscaphe joint. No fracture or dislocation is present. The soft tissues are unremarkable. | Osteoarthritis. |
Generate impression based on findings. | Reason: ? history of ILD on outside CT scan which we are trying to obtain, now worsening symptoms. ILD protocol History: cough. shortness of breath. hypoxia, crackles on exam LUNGS AND PLEURA: Uniformly distributed diffuse groundglass opacity with multiple small radiolucent areas. The groundglass opacity actually repre... | A very fine reticulonodular pulmonary opacity producing a groundglass appearance, with multiple small lucent areas due to airtrapping.Moderate mediastinal lymphadenopathy and fine nodularity of the pleural fissures is also present. These findings raise the question of sarcoidosis or a sarcoid-like reaction to inhaled m... |
Generate impression based on findings. | Left hip pain LEFT HIP: The left total hip arthroplasty device is situated in near anatomical alignment without radiographic evidence of hardware complication and appearing similar to prior. There is heterotopic bone noted superior to the greater trochanter, similar to prior.PELVIS: Mild to moderate osteoarthritis affe... | Left total hip arthroplasty, without evidence of complication. |
Generate impression based on findings. | Esophageal adenocarcinoma T3N3M0 on chemotherapy with neck lymphadenopathy. The known esophageal mass is beyond the field of view of this exam. There are post biopsy findings in the right lower neck with interval decrease in size of an ill-defined right paratracheal lesion, which measures 7 x 10 mm, previously 14 x 20 ... | Interval decrease in size of a right neck metastatic lesion and decrease in size of left supraclavicular and upper mediastinal lymph nodes. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Reason: eval for PE History: chest pain, tachycardia, elevated dimer PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Scattered benign-appearing micronodules. No suspicious pulmonary nodules or masses.No focal airspace consolidation. No pleural effu... | No evidence of pulmonary embolism or other acute abnormality to account for the patient's symptoms.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Mandibular distractor placement.VIEWS: Skull AP/lateral (two views) 02/26/15 Mandibular distractors are in place. There is a tracheostomy tube. Less than 3 mm of distraction is present bilaterally. | Postoperative change. |
Generate impression based on findings. | NONCONTRAST CT HEADThere is 41mm x 18mm x 27mm sized left basal ganglia ICH with minimal surrounding edema and mass effects.There is no evidence of acute ischemic lesion on this scan.Left lateral ventricle especially frontal horn appears to be deformed due to mass effect. Otherwise ventricular system appears to be unr... | 1. Left basal ganglia ICH with subtle mass effects as described above.2. No evidence of arterial stenosis, or aneurysm or occlusion or evidence of dissection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | There are post-treatment findings including left base of tongue and floor of mouth resection with myocutaneous flap reconstruction and denervation left hemitongue atrophy and mandibulotomy with hardware. There is increased size of ill-defined mass centered within the left parapharyngeal space adjacent to the surgical ... | 1.Continued interval tumor progression of extensive metastatic disease in the neck.2.Partially imaged right pleural nodules may also represent metastatic disease. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is extremely dense, limiting the sensitivity of mammography and increasing the importa... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSD - Screening Mammogram. |
Generate impression based on findings. | headache, dizziness 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 hemorrh... | No evidence of acute ischemic or hemorrhagic lesion on this scan.No evidence of aneurysm, significant stenosis, occlusion, dissection or vascular malformation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: eval for PE, post op changes/cyst/abscess History: L axillary pain. s/p bilateral lung transplant on 2/3/15 PULMONARY ARTERIES: There are multiple acute pulmonary emboli within the right middle lobe artery and the segmental arteries of the right upper lobe and left upper and lower lobes. The main pulmonary arte... | 1. Multiple acute pulmonary emboli in the lobar and segmental branches of the right upper and middle lobe and left upper and lower lobe arteries. Bibasilar atelectasis without definite evidence of infarct.2. Interval findings of a recent lung transplant with likely postoperative small fluid/soft tissue density collecti... |
Generate impression based on findings. | 33-day-old male status post mandibular distractionVIEWS: Skull, AP and lateral (two views) 2/25/15 16:32 A mandibular distraction devices is again visualized affixing the mandible without evidence of hardware complication. An OG tube extends inferiorly beyond the field-of-view. | Mandibular distraction device without evidence of hardware complication. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Call back from screening mammogram for a small focal asymmetry in the right breast. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The small focal asymmetry seen on the screening mammogram in the right breast is not well visualized on thi... | High probability benign focal asymmetry in the right breast. Follow up with right unilateral diagnostic mammogram is recommended in 6 months. Results and recommendations were discussed with the patient. BIRADS: 3 - Probably benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 64-year-old female with history of metastatic HCC. There is redemonstration of a large hyperenhancing multilobulated mass centered within the left masticator space measuring 5.4 x 3.3 cm in maximal AP dimensions and 5.7 cm in the craniocaudal dimension. Anteriorly this mass extends and involves the left pterygopalatine... | Redemonstration of large multilobulated enhancing mass centered within the left masticator space with adjacent osseous destruction compatible with metastatic disease. There is near complete effacement of the left nasal passage which may account for the patient's stated symptom of obstructive sensation. |
Generate impression based on findings. | Recurrent sinusitis treated medically without resolution. There are lobulated opacities in the bilateral maxillary sinuses and minimal mucosal thickening in the right ethmoid sinuses. The other paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is deviated slightly towards the left and there ... | Probable retention cysts within the bilateral maxillary sinuses and minimal mucosal thickening in the right ethmoid sinuses. |
Generate impression based on findings. | 66 year old with history of left lumpectomy in 2011 for carcinoma. Patient received radiation therapy. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. St... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Evaluation for malignancy is limited by lack of intravenous contrast. There are subcentimeter round T1 hypointense lesions involving the L3 and L4 vertebral bodies which are nonspecific. No large destructive lesions are appreciated. There is minimal retrolisthesis of L1 on L2 and L2 on L3. There is severe loss of disc... | 1. Evaluation for malignancy is slightly limited due to lack of intravenous contrast. Small T1 hypointense lesions are seen at L3 and L4 vertebral body which are nonspecific. Findings can be correlated with bone scan. No large destructive lesion is appreciated. No epidural tumor. Prior imaging is not available and repe... |
Generate impression based on findings. | known left basal ganglia ICH follow up. Aphasia. No significant interval change of left basal ganglia ICH (42mm x 17mm x 30mm) with minimal surrounding edema and minimal mass effects since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no midline shift. The osseous structures ar... | No significant interval change of the left basal ganglia ICH with minimal surrounding edema and mass effects since prior exam. |
Generate impression based on findings. | Altered mental status. There is no evidence of acute intracranial hemorrhage or mass. There are small low attenuation areas in the bilateral basal ganglia and corona radiata. The grey-white matter differentiation otherwise appears to be grossly intact. The ventricles are normal in size and configuration. There is no mi... | 1. No evidence of acute intracranial hemorrhage or mass. Low attenuation areas in the bilateral basal ganglia and corona radiata may represent lacunar infracts of indeterminate age. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. Partially imaged endotracheal and enteric tu... |
Generate impression based on findings. | Male 82 years old; Reason: Constipation, concern for SBO History: above ABDOMEN:LUNGS BASES: Left basilar atelectasis and chronic elevation left hemidiaphragm.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No sig... | 1.Resolution of previously seen small bowel obstruction. Marked decrease in submucosal edema in the small bowel at the ileocolic anastomosis.2.Other findings as above are unchanged from the prior exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. A small circumscribed mass with a metallic clip in the upper ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 43 years, Female. Reason: Constipation Nonobstructive bowel gas pattern with mild to moderate stool burden. Bilateral tubal ligation and cardiac closure device are again noted. | Nonobstructive bowel gas pattern with mild to moderate stool burden. |
Generate impression based on findings. | Reason: evaluate chest mass History: smoking LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.Mild basilar subsegmental scarring/atelectasis.Excess pleural fat is noted, with associated mild scarring.MEDIASTINUM AND HILA: The heart is normal in size. Small pericardial fluid. Moderate coronary artery calcific... | No suspicious pulmonary nodules or masses. A previously described masslike opacity seen on recent chest radiograph may relate to superimposition, bony spurring, and basilar subsegmental atelectasis. |
Generate impression based on findings. | 70-year-old male patient with elevated left hemidiaphragm. Evaluate for paralysis. Surgical clips are again noted projecting over the mediastinum. There is persistent elevation of the left hemidiaphragm with overlying basilar opacity, suggestive of atelectasis. On inspiration and exhalation there is symmetric and appro... | No left hemidiaphragm paralysis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Multiple benign calcifications are un... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. Scattered benign calcifications are unchanged in both breasts... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign biopsy in the right breast in 2014. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchan... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 35-year-old male with history of Crohn's disease with revision of ileocolectomy on 1/24/2015 with phlegmon on recent CT. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Small low attenuation lesion within hepatic segment 6 is not significantly changed compared to the 2012 exam and most likely ... | 1.Postsurgical changes of ileocecectomy.2.Previously described omental infarct and small fluid collection adjacent to the ileocolic anastomosis both decreasing in size. No evidence of enteric contrast extravasation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 118 cm/sec.Right internal carotid artery: 85 cm/sec.Left middle cerebral artery: 129 cm/sec.Left internal carotid artery: 130 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Male 61 years old Reason: TEA 6 months History: none . Hardware components of a left total elbow arthroplasty device are seen. There has been substantial movement of the proximal humerus prosthesis stem with lateral displacement and cortical erosion which may reflect loosening or infection. There is heterotopic bone fo... | Left total elbow arthroplasty with interval displacement of the humeral component and associated cortical erosion which may reflect loosening or infection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 41-year-old male with history of multiple septal surgeries, now with persistent septal deviation and snoring. Evaluate for degree of septal deviation and amount of remaining bone. Examination is obtained for operative planning. There is mild mucosal thickening of bilateral maxillary sinuses as well as scattered ethmoid... | 1. Significant leftward nasal septal deviation with a prominent left septal spur which narrows the left nasal passage. 2. Minimal mucosal thickening of the paranasal sinuses as above.3. Lytic lesion involving the right superolateral orbit with fat attenuation favored to represent a dermoid/epidermoid. |
Generate impression based on findings. | 62 years, Female. Reason: evaluate stool burden History: Left sided pain after BMs Nonobstructive bowel gas pattern with below average stool burden in the colon. There are nondilated air filled loops of jejunum in the left lower quadrant with questionable thickened folds. Calcified uterine fibroids noted in the pelvis. | Nonobstructive bowel gas pattern with below average stool burden in the colon. Questionable thickened jejunal folds in the left lower quadrant may be due to underdistention, however, recommend clinical correlation for possible enteritis. CT scan may be obtained if clinically indicated. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 50 years old Reason: bilateral knee pain with walking and going up and down stairs. ? OA History: bilateral knee pain . Four views of the left knee show no evidence of fracture, dislocation, or joint effusion.Four views of the right knee show no evidence of fracture, dislocation, or joint effusion. | Bilateral knees appear normal without specific radiographic findings to account for patient's pain. |
Generate impression based on findings. | HypoxiaVIEW: Chest AP Tracheostomy tube in place. NG tube tip in the stomach in the giant omphalocele. Cardiothymic silhouette normal. The left lung is obscured by the omphalocele. Minimal atelectasis in the right upper lobe. Multiple bowel loops in the omphalocele. | Minimal patchy atelectasis in the right upper lobe. |
Generate impression based on findings. | Evaluate reflux. The left kidney demonstrates heterogeneous parenchymal activity with large regions of mildly decreased activity throughout, most notably in the lateral left upper and lower poles. Overall the left kidney is larger than the right with a focal lobular enlargement of the upper portion representing an anat... | 1.Numerous bilateral renal parenchymal defects, although the left is significantly worse than the right. The appearance on the right is suggestive of a small scar. The left could also represent scars but is suspicious for more active pyelonephritis.2.Although the left parenchymal impairment is more significant than the... |
Generate impression based on findings. | 67-year-old female with metastatic ampullary adenocarcinoma with history of duodenal stent placed in September now with nausea and vomiting. Evaluate for stent occlusion. Scout radiograph demonstrates a biliary stent with pneumobilia, duodenal stent, percutaneous biliary drain, and multiple surgical clips in the right ... | Patent duodenal stent with relative luminal narrowing as described above. Findings may be due to neoplasm ingrowth versus debris. |
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