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Generate impression based on findings. | Anosmia and decreased taste; previous CT in 2006 showed mild ethmoid sinus disease. The paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is essentially midline. There are bilateral conchae bullosa. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are c... | The paranasal sinuses and nasal cavity are clear. A dedicated anosmia protocol MRI may be useful for further evaluation if there are no contraindications for this modality. |
Generate impression based on findings. | Male 51 years old Reason: eval osteo History: recent GSW s/p rod to RLE, drainage from incision. Again seen is an intramedullary rod with screws affixing a comminuted fracture of the distal tibial diaphysis in near-anatomic alignment without radiographic evidence of hardware complication. There are numerous surrounding... | Orthopedic fixation of distal tibial fracture as described above. There is no radiographic evidence of osteomyelitis, however, if further imaging is clinically warranted an MRI or triphasic bone scan is recommended. |
Generate impression based on findings. | 45-year-old male with history of metastatic renal cancer. CHEST:LUNGS AND PLEURA: Previously described micronodule (series 5, image 37) measures 5 x 5 mm, measured 4 x 4 mm previously. Additional previously seen micronodules and small nodules have increased in size suspicious for metastatic disease. There are new diffu... | 1.Increase in size of patient's known right renal carcinoma.2.New mild bilateral left greater than right hydroureteronephrosis related to mass effect from extensive retroperitoneal lymphadenopathy. 3.Significant interval increase in metastatic disease including thoracic lymphadenopathy, abdominopelvic lymphadenopathy, ... |
Generate impression based on findings. | Male 77 years old Reason: Evaluate for osteomyelitis left hallux History: Non-healing ulcer plantar left foot with bone exposed through wound (likely proximal phalanx). We have 3 views of the lateral foot which show a soft tissue defect and overlying gas at the plantar aspect of the proximal phalanx of the first toe. T... | Findings suggestive of osteomyelitis of the first toe as described above. |
Generate impression based on findings. | Female 22 years old Reason: eval clicking and left knee "stiffness" associated with occasional swelling,. any OCD History: same . Four views of the left knee show no fracture, dislocation, or joint effusion.Frontal views of the right knee are unremarkable. | Left knee appears normal without specific radiographic findings to account for patient's symptoms. |
Generate impression based on findings. | Female 48 years old Reason: right total hip History: right total hip. Three views of the right hip show hardware components of a right total hip arthroplasty device situated in near anatomic alignment with no radiographic evidence of hardware complication. There is a new area of heterotopic bone ossification of the sof... | Right total hip arthroplasty with interval development of heterotopic ossification as described above. |
Generate impression based on findings. | 36 year old with known right breast cancer presents for research biopsy of I-SPY protocol. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 16 x 20 x 21 mm at the 10 o’clock position with increased vascularity, 10 cm from the nipple. The lesion was re... | Successful ultrasound-guided core biopsy of the right breast cancer. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 4-month-old male with history of subdural fluid collection. There is redemonstration of a right parietal approach ventriculostomy catheter with the tip terminating within the left lateral ventricle. There is an additional anterior parietal subdural drainage catheter with the tip located posteriorly within the extra-axi... | 1. Compared to 2/23/2015, stable appearing right ventriculostomy and left subdural drainage catheters.2. Unchanged bilateral subdural fluid collections and pneumocephalus. Unchanged size of the ventricles.3. Diffuse parenchymal volume loss, markedly progressed since remote CT from 10/13/2014. |
Generate impression based on findings. | Female 62 years old Reason: left hip OA History: left hip pain. AP view of the pelvis demonstrates moderate osteoarthritic changes of the left hip joint with joint space narrowing and osteophyte formation. There is mild loss arthritis of the right hip. Minimal degenerative arthritic changes affect the bilateral sacroil... | Moderate osteoarthritis of the left hip and mild osteoarthritis of the right hip as above. |
Generate impression based on findings. | Female 69 years old Reason: assess prosthesis History: S/P total wrist arthroplasty. Three views of the right hand show proximal row carpectomy of the right wrist and hardware components of a right total wrist arthroplasty device situated in near anatomic alignment without radiographic evidence of hardware complication... | Total wrist arthroplasty. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 137 cm/sec.Right internal carotid artery: 53 cm/sec.Left middle cerebral artery: 129 cm/sec.Left internal carotid artery: 82 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: 25 y/o with h/o osteosarcoma 15 months off therapy History: none LUNGS AND PLEURA: Left pleural base mass with internal calcification is identified posterior and medially at the T6 level. This mass measures 18 mm x 29 mm and is concerning for recurrent neoplasm.Mild bronchial wall thickening with new tree in bu... | 1.Pleural-based left paraspinal mass at the level of T6 compatible with recurrent/ metastatic disease.2.New centrilobular groundglass and tree in bud opacities in the lingula compatible with aspiration /bronchiolitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. History of sister with breast cancer. Two standard digital views of both breasts and additional left MLO were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered f... | Focal asymmetries in the right central breast and left lower breast. Comparison with outside imaging is recommended. Otherwise this will need to be further evaluated with spot compression views and possible ultrasound.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | 7 year-old female with history of tibia/fibula fracture. Evaluate for healing 3 months post fracture.VIEWS: Right knee AP and lateral (2 views) 2/26/2015 10:16 Fracture line in the proximal tibia is sclerotic and alignment is anatomic. Fine horizontal linear bands of sclerosis in the metaphyses of tibia, fibula, and fe... | Healing Salter Harris fracture of the tibia. |
Generate impression based on findings. | Clinical question: History of anaplastic hemangiopericytoma status post RT. Surveillance scan. Signs and symptoms: None. Enhanced head CT:New since prior exam there is a mildly enhancing mass along the medial/anterior aspect of the left middle cranial fossa (axial image 11). It measures approximately 21 x 13 x 20-mm in... | 1.New since prior exam is a mildly enhancing mass (21 x 13 x 20 mm) with a punctate internal calcification in the left middle cranial fossa as detailed. Follow up with MRI is recommended.2.Stable exam otherwise as detailed. |
Generate impression based on findings. | 58 years, Male. Reason: ng/nj tubes need recheck History: as above Bilateral pleural effusions and left basilar opacity. Nasojejunal feeding tube tip is projected beyond the ligament of Treitz, over the right lower quadrant. Nasogastric tube tip projects over the distal gastric body. Contrast material is noted within t... | Nasogastric tube tip projects over the gastric body. Nasojejunal tube projects over the right lower quadrant. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast aspiration. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribu... | Stable, benign appearing calcifications and mass without mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 76 year old with history of benign bilateral breast biopsies. Personal history of renal cell carcinoma. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged ... | 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. | Reason: neutropenic fever, sob, please eval for infection History: sob, ntp fever LUNGS AND PLEURA: Mild basilar atelectasis.Scattered calcified granulomas.No suspicious pulmonary masses.No focal air space opacities.No pleural effusion.MEDIASTINUM AND HILA: Cardiac size is normal without evidence of a pericardial effus... | No acute pulmonary abnormalities identified. No specific evidence of infection. Interval development of ascites. |
Generate impression based on findings. | Reason: evaluate for changes to ILD indicating acute worsening History: worsening DOE LUNGS AND PLEURA: Continued progression of diffuse, predominantly subpleural reticular opacities, without significant basilar predominance. Dense fibrosis, with traction bronchiectasis and a microcystic honeycombing pattern with basil... | Continued increase in diffuse chronic interstitial disease in a pattern most consistent with UIP, compatible with rapid progression of disease from 05/2013. |
Generate impression based on findings. | Spastic quadriplegia.VIEW: Pelvis AP (one view) 02/26/15 Ventriculoperitoneal shunt tubing is noted. Mildly dilated bowel loops are seen.The femoral heads are well directed into the acetabula. Bilateral coxa valga is seen. | Femoral heads well directed into acetabula. |
Generate impression based on findings. | 66-year-old with personal history of left lumpectomy for breast cancer. History of benign right breast biopsy. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distributi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Scattered, bilateral... | Stable bilateral benign-appearing calcifications without mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: ro PE History: tachy, tachypnic, SOB PULMONARY ARTERIES: Evaluation of the pulmonary arteries is somewhat limited by motion artifact. No evidence of pulmonary embolism to the lobar level. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Bilateral small effusions, right greater than left, with le... | 1. limited exam without evidence of large central pulmonary embolus.2. Small pleural effusions and bilateral atelectasis. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 62 year-old history of right breast ILC status post lumpectomy in March 2011, sentinel lymph node biopsy and radiation therapy. 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 unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Status post right ureterolysis and reimplant with persistent right hydronephrosis - please assess for obstruction. There is normal perfusion of the left kidney and overall decreased relative perfusion of the right kidney.The left kidney demonstrates prompt uptake and secretion without evidence of hydronephrosis or obst... | 1.No demonstrable excretory function of the right kidney, most likely due to obstruction of the collecting system. 2.Normal appearing left kidney. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. There is a stable asymmetry in the right medial... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 73-year-old with history of left breast cancer status post mastectomy. Right sided scar from prior Port-A-Cath. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 67-year-old female with large protrusion right of umbilicus. Assess for ventral hernia. Grayscale ultrasound still images and video clips are maintained through the anterior abdominal wound. Large anterior ventral hernia seen to the right of the umbilicus with peristalsis of bowel seen within the hernia contents. No ev... | Large Umbilical ventral wall hernia containing bowel without other complications seen. |
Generate impression based on findings. | Clinical question: Follow-up hydrocephalus. Signs and symptoms: Status post VP shunt revision. Nonenhanced head CT:Examination demonstrates subtle postoperative changes of a right frontal approach shunt revision.There is interval decreased size of lateral ventricles since prior exam and the minimal expected post proced... | 1.Interval decreased size of supratentorial ventricular system since prior study.2.Subtle expected post procedural findings of a right frontal approach shunt revision.3.Stable exam otherwise as mentioned above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of mastopexy and 2011. Personal history of cervical cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patte... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with additional bilateral CC views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcific... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | The ventricles and sulci are prominent consistent with mild global volume loss slightly greater than expected for the patient's stated age. There are a few scattered punctate and oval areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter. The largest of these is in the right... | 1. Scattered white matter lesions, several of which demonstrate subtle enhancement on earlier fat saturated postcontrast images, with orientation of a couple perpendicular to the long axis of the lateral ventricles. Findings are very suggestive of demyelinating disease, without definite infratentorial involvement at th... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | Reason: ? SVC syndrome History: dialysis c cathether in place in R subclavian LUNGS AND PLEURA: Demonstration of a small right pleural effusion.Scattered nonspecific micronodules.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Right central venous catheter with its tip at the SVC/RA junction.There is no... | 1.Demonstration of areas of stenosis involving the SVC /RA junction near the tip of an indwelling catheter as well as at the level of the confluence of the innominate veins. There is subsequent prominence of the azygos system with chest wall collaterals2.Mild right pleural effusion. .3.Multiple prominent mediastinal an... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of mother and aunt diagnosed with breast cancer. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 26-year-old male with sudden onset left flank pain. Assess for stone. 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: No significant abnormality notedLIVER, BILIARY TRAC... | 1. Recent passage of pinpoint stone into bladder wwith left kidney signs indicating origin. 2. Diffuse hepatic steatosis. |
Generate impression based on findings. | CHARGE syndrome with right cochlear implant, now with displacement. Right: There has been interval cochlear implantation into the dysplastic cochlea that features deficient modiolus and interscalar septum with a paucity of turns. The electrode portion of the implant appears to be grossly intact and forms approximately ... | 1. Interval insertion of a right cochlear implant in the setting of inner ear dysplasia associated with CHARGE syndrome. Although the electrode component of the implant appears to be grossly intact and situated within the cochlea, assessment of implant displacement is limited due to the lack of baseline imaging for com... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of colon cancer. Two standard digital views of both breasts and additional right CC were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. There is an enlarged left axillary lymph node, whic... | 1.Left axillary lymph node, partially visualized. This lymph node appears to have normal morphology on the CT from 2/11/15. Correlation with patient's clinical history and physical exam is recommended.2.No mammographic evidence of malignancy in the breasts. As long as the patient's physical examination remains normal, ... |
Generate impression based on findings. | Female 53 years old Reason: pancreatic leak and LUQ abscess s/p transgastric and percutaneous drainage; evaluate interval change History: above ABDOMEN:LUNG BASES: Small left pleural effusion and atelectasis diminished compared to the prior exam. The might be some loculation of fluid in the most lateral portion of the ... | Decrease in size of fluid collection in the distal pancreatectomy bed.Persistent but decreased left pleural effusion.Other findings as above. |
Generate impression based on findings. | Reason: For repeat CT surgery pre-op History: Concern for subacute bacterial endocarditis s/p MV replacement LUNGS AND PLEURA: Scattered pulmonary micronodules, including a 4-mm left upper lobe nodule (series 5, image 106). No suspicious pulmonary nodules or massesno focal air space consolidation. No pleural effusions.... | Surgical changes in the mediastinum, without acute abnormality. No evidence of infection. |
Generate impression based on findings. | Male 76 years old; Reason: Pt has pancreatic cancer s/p duodenal stent for gastric outlet obstruction - please eval for resectability of tumor (portal abutment seen on OSH CT scan uploaded to EPIC) History: Pancreatic cancer ABDOMEN:LUNGS BASES: Pacer wire. Small left effusion. Bibasilar scarring. Some areas but the ap... | 1.Ill-defined mass in the region of the pancreaticoduodenal groove of uncertain origin, pancreatic versus duodenal. No evidence of arterial or venous vascular encasement.2.Highly attenuated celiac artery origin, may be congenital, with extensive large collateral vessels communicating between hepatic artery and superior... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy in 2008. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. B... | Stable bilateral asymmetries without mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography. Regional, coarse calcifications in the left upper outer breast appear ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSD - Screening Mammogram. |
Generate impression based on findings. | Age: 74 years. Sex : Male. Reason for study: Reason: h/o HNC, baseline OPM Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obtained. The exam was negative for... | The exam was negative for penetration and negative for aspiration. Please see speech pathologist report for additional findings and feeding recommendations. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 53 years old Reason: r/o stone and hydro History: urosepsis concern, chronic uti's, foley in place, partial quadriplegic ABDOMEN: Limited examination secondary to lack of oral and intravenous contrast. Evaluation of vascular and solid organ pathology is suboptimal without intravenous contrast. Evaluation of pathol... | 1.Limited examination secondary to lack of oral and intravenous contrast which makes evaluation of solid organ and bowel pathology suboptimal. Within these limitations, there is no definite evidence of abscess. 2.Bilateral, asymmetric perinephric fat stranding, which is unchanged from CT examination from 2012. 3.No evi... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of maternal and paternal grandmothers with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 22-year-old female with scoliosis post partial rod removal. Evaluate healing after removal of spinal fixation.VIEWS: Thoracolumbar spine upright PA and lateral (2 views) 2/26/2015 11:07 Superior aspect of the rods and hooks have been removed. The remaining rods, hooks and pedicle screws extend from approximately T6 to ... | Interval removal of superior portions of the spinal rods and hooks. Unchanged spinal curves. |
Generate impression based on findings. | Ms. Francopayne is a 40-year-old female with screened detected asymmetry in the right inferior breast. An ultrasound correlate was identified and will be the target for today's ultrasound-guided biopsy. Right breast ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a mixed echogenicity... | Successful ultrasound-guided core biopsy of the right breast lesion with clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderately severe age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with... | No acute intracranial hemorrhage. Mild-moderate age-indeterminate small vessel ischemic changes. |
Generate impression based on findings. | 72-year-old male status post LAR with end to side diverting loop ileostomy in August of 2014. Evaluate anastomosis prior to ostomy takedown. Scout radiograph demonstrates to material reflecting a low anterior resection. Degenerative changes affect the lumbar spine. Contrast opacifies a U-shaped segment of colon with a ... | No evidence of leak at the anastomosis as described above. |
Generate impression based on findings. | There is redemonstration of significant abnormal attenuation throughout the left cerebral hemisphere white matter consistent with known vasogenic edema related to a dominant metastasis as well as two smaller lesions towards the vertex. Additional abnormal low density is seen in the right temporal lobe posterior to the... | 1. No acute intracranial hemorrhage.2. Increased confluence of low attenuation at least in part to relating to vasogenic edema involving the left superior posterior temporal lobe, immediately posterior to the dominant previous thick walled metastasis which has likely increased its central necrotic component.3. Stable a... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 66 years old Reason: r/o compression at the cecum. request IV and PO contrast History: had colonoscopy and noted to have extrinsic compression of the cecum. Had study in the past. Any change? ABDOMEN:LUNG BASES: No pleural effusions. Previously seen right lower lobe nodule is outside the field of view.LIVER, BIL... | 1.Long tubular, calcified cystic lesion posterior to the ascending colon which has increased in size with mild extrinsic compression of the cecum. This lesion is consistent with a mucocele likely arising from the appendix.2.No evidence of bowel obstruction. |
Generate impression based on findings. | C6 cord compression evaluate for bony abnormalities. There are multilevel degenerative changes in the cervical spine with severe loss of disk height at the C7-T1 level and to a lesser degree at the C5-C6, C6-C7, and T1-T2 levels. There is 5-mm anterolisthesis of C7 on T1 with vacuum phenomena noted at the C7-T1 level. ... | 1. Advanced endplate destructive changes at the C7-T1 level with anterolisthesis, vacuum disk phenomenon, endplate sclerosis, subchondral cyst formation, and moderate loss of vertebral body height involving the T1 vertebral body. Advanced degenerative changes extend into the bilateral facet joints. Remote trauma or inf... |
Generate impression based on findings. | Ms. Pointer is a 49-year-old female presenting with tenderness at the site of cyst in the left lower inner breast. Patient presents today for ultrasound guided aspiration of cyst. Left breast ultrasound re-identified the target cyst for aspiration. The lesion to be aspirated is an anechoic cyst measuring 0.8 x 0.6 x 1.... | Successful ultrasound-guided aspiration of left breast cyst.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Redemonstrated are postoperative findings related to a left frontal craniotomy and tumor resection. There is unchanged T2 hyperintensity adjacent to the resection cavity, which extends across the genu of the corpus callosum into the right frontal white matter. There is unchanged linear and minimally nodular enhancemen... | Compared to MRI brain of 11/5/2014, no evidence of tumor progression. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images of left breast (9/15/14), ultrasound images of left breast (9/15/14) performed at Northwestern Memorial Hospital, and digital mammographic images (3/5/14, 2/11/14) performed at Central DuPage Hospital. For comparison, dig... | Benign appearing calcifications in the left breast. Follow up left mammogram in 6 months is recommended. Right annual mammogram can be performed at the same time.BIRADS: 3 - Probably benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female 63 years old. Reason: assess disease progression. CHEST:LUNGS AND PLEURA: Mild emphysematous changes.Few scattered nodular opacities in the lingula decreased in extent compared to the prior exam. Series 5 image 56.Nodular opacities in the lateral aspect of the left lower lobe base also decreased in size and exte... | Decreased multifocal nodularity in the lungs as described. Correlate for resolving infection. Much less likely metastatic disease.Status post Whipple with persistent mild to moderate dilatation of the pancreatic duct in the region of the body.Other findings as above. |
Generate impression based on findings. | 25 year old male with seminoma, stage II. Treated with RT to the abdominal and pelvis regions, evaluate response to treatment and serve as baseline for future comparison. CHEST:LUNGS AND PLEURA: No parenchymal lung nodules, masses or evidence of airspace disease. No pleural disease.MEDIASTINUM AND HILA: No adenopathy o... | 1. No evidence for lymphadenopathy and current examination. Prior mildly enlarged isolated lymph nodes in retroperitoneum have markedly reduced in size with barely visible remnants persisting.. |
Generate impression based on findings. | Male 58 years old Reason: CRC stage IV on chemo - evaluate interval change History: none CHEST:LUNGS AND PLEURA: Index cluster of nodules in the left upper lobe, series 5 image 39, 1.2 x 0.6 cm. Previously 1 x 0.7 cm.Index nodule in the posterior aspect of the superior segment of the right lower lobenow demonstrates so... | Increase in size of some lesions as measured above and possible new lung nodule suggesting impression of disease. |
Generate impression based on findings. | There is minimal leftward convexity in the lumbar spine The scout lateral view and the sagittal reformatted images demonstrate the lumbar spine to be in normal alignment, with straightening of the normal lumbar lordosis. There is mild disk narrowing at L3-L4 with vacuum phenomenon. The vertebral body and disk space he... | Mild developmental narrowing of the lumbar spinal canal with superimposed moderate spondylotic changes resulting in up to moderate-severe central spinal canal stenosis at L2-L3, as well as severe right and moderate-severe left foraminal narrowing at L5-S1. |
Generate impression based on findings. | Female 57 years old Reason: HBV evalaute for HCC History: HBV LIMITED ABDOMENLIVER: Limited evaluation shows heterogenous hepatic parenchyma.BILIARY TRACT: No biliary dilatation.PANCREAS: Not well-visualizedKIDNEYS: The right kidney measures approximately 10 cm with suggestion of cortical thinning, but difficult to vis... | 1.Limited examination with no definitive evidence of focal hepatic lesion. |
Generate impression based on findings. | Cerebral palsy.VIEWS: Pelvis AP/frog leg (two views) 02/26/15 In the interval, the right femoral head has migrated from the acetabulum. It is superiorly and laterally displaced. The left femoral head remains well directed into the acetabulum. Very limited left femoral motion is seen.Spinal fusion instrumentation is not... | Right developmental hip dysplasia with dislocation. |
Generate impression based on findings. | 48-year-old male with left lower quadrant pain progressing to right midabdomen. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic morphology again seen with evidence of portal hypertension with marked splenomegaly and diffuse portosystemic collaterals. No focal mass lesion is seen the ... | 1. Cirrhotic liver morphology with evidence of portal hypertension. 2. Cholelithiasis with low density thickening of gallbladder wall unchanged since 2012 -- this most likely relates to chronic liver disease but if concern over cholecystitis exists, CT cannot differentiate this. Stability and lack of change greatly fav... |
Generate impression based on findings. | Fracture.VIEWS: Left elbow AP/lateral (two views) 02/26/15 The two K wires remain in place in the distal humerus. The obliquely oriented transverse fracture of the humeral diametaphysis is again seen. The distal fracture fragment is minimally displaced laterally and appears to be posteriorly angulated in that the anter... | Healing distal humeral fracture. |
Generate impression based on findings. | Postoperative changes from prior left frontal cranioplasty are again seen with predominantly fat signal of the graft. Small left frontal extra-axial collection is stable to slightly smaller. The previously noted nodular enhancement along the inferolateral aspect of the left frontal resection cavity is interval enlarge... | 1. Compared to 10/29/2014, there are findings suggestive of interval tumor progression involving the left inferior frontal lobe where there is slight increase in masslike FLAIR hyperintensity and more prominent increase in enhancing mass now measuring 19 x 23 x 25 mm.2. Remainder of the masslike and non-masslike areas ... |
Generate impression based on findings. | The lumbar spine is in normal alignment, with straightening of the normal lumbar lordosis. The vertebral body and disk heights are stable, with mild disk narrowing especially anteriorly at L3-L4 and disk desiccation at this level through L5-S1. There is mild hyperintensity within the L3 pedicles bilaterally which like... | Mild developmental narrowing of the lumbar spinal canal with no significant interval change in superimposed moderate spondylotic changes resulting in up to moderate-severe central spinal canal stenosis at L2-L3, as well as severe right and moderate-severe left foraminal narrowing at L5-S1. |
Generate impression based on findings. | Chest wall painVIEWS: Chest AP, right rib obliques and left rib obliques No displaced rib fractures noted. Cardiothymic silhouette normal. No focal lung opacity. | No displaced rib fractures noted. |
Generate impression based on findings. | There is minimal grade 1 anterolisthesis of C7 on T1. The cervical spine is otherwise in normal alignment, with significant straightening of the normal cervical lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated.Sagittal T2 weighted images are... | 1. Significantly limited exam second or to patient motion with also difficulty in comparison to prior imaging secondary to previous motion. Grossly similar patchy nonspecific abnormal signal within the cervical cord at C2 level down to C4-C5. While this would be compatible with clinically suspected transverse myelitis,... |
Generate impression based on findings. | Reason: metastatic mucoepidermoid carcinoma History: metastatic mucoepidermoid carcinoma CHEST:LUNGS AND PLEURA: Right sided chest tube unchanged with significant interval reduction in the right-sided pleural effusion. Marked residual pleural thickening and nodularity with loculated right pleural effusion.Increased sep... | Interval progression of metastatic disease. |
Generate impression based on findings. | Reason: Patient with elevated white count s/p CABG, risk for aspiration, please evaluate for PNA, evidence of aspiration, abscess/ fluid collections History: As above LUNGS AND PLEURA: Mild apical predominant centrilobular and paraseptal emphysema. The previously described spiculated right upper lobe nodule measures 14... | 1. Patchy ground glass, tree-in-bud opacities, and areas of consolidation in the dependent lower lobes bilaterally, as well as local bronchial wall thickening, compatible with aspiration and mucous plugging, with possible superimposed infection.2. A spiculated right upper lobe nodule is highly suspicious for malignancy... |
Generate impression based on findings. | 5-year-old male with history of osteosarcoma, end of therapy evaluation. LUNGS AND PLEURA: No nodules or masses.MEDIASTINUM AND HILA: Left port catheter tip extends to the the right atrium. No mediastinal or hilar lymphadenopathy. The heart size is normal.CHEST WALL: Left chest wall port. Status post right upper extrem... | No evidence of metastatic disease |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 159 cm/sec.Right internal carotid artery: 100 cm/sec.Left middle cerebral artery: 126 cm/sec.Left internal carotid artery: 104 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Total knee arthroplasty Two views of the left knee reveal a total knee arthroplasty in anatomic alignment. No evidence of any fractures or dislocations. | Left total knee arthroplasty in anatomic alignment. |
Generate impression based on findings. | 6-year-old female with right hip painVIEWS: Pelvis AP and frog leg (2 views) 2/26/15 11:50 The femoral heads are well directed with respect to the normal acetabula. No evidence of fracture or malalignment. | Normal examination. |
Generate impression based on findings. | 2-year-old male with right tibial shaft fractureVIEWS: Right ankle AP, oblique, and lateral (3 views) 2/26/15 12:09 Oblique distal tibia fracture in near anatomic alignment with adjacent callus formation indicating interval healing. There persistent soft tissue swelling about the distal tibia and ankle. | Healing distal tibia fracture in near anatomic alignment. |
Generate impression based on findings. | 7 year-old male with CPVIEWS: Pelvis AP and frog leg (2 views) 2/26/15 12:08 Bilateral coxa valga deformity. There is approximately 50% lateral uncovering of the left femoral head and a shallow left acetabulum as well as 25% lateral uncovering of the right femoral head and mild right acetabular dysplasia. Large rectal ... | Bilateral hip dysplasia, left greater than right. Large rectal stool burden. |
Generate impression based on findings. | 14 year old male with increasing abdominal distention per clinical service.VIEW: Abdomen AP (one view) 2/26/2015 12:24 Gastrostomy tube is again noted. VP shunt is seen coursing through the right hemi abdomen with tip coiled in the pelvis.There is more gas seen throughout the bowel compared to recent radiograph with no... | More air seen throughout the bowel with no definite evidence of obstruction. No free air based on this single view AP abdominal radiograph. If there is concern for free air, recommend cross-table lateral or lateral decubitus view for further evaluation. Findings were discussed with Dr. Kerby Samuels by phone on 2/26/20... |
Generate impression based on findings. | 58-year-old male with history of biliary obstruction status post ERCP and stent placement. ABDOMEN:LUNG BASES: Previously seen small left pleural effusion has resolved. Severe coronary artery calcifications.LIVER, BILIARY TRACT: Hepatomegaly. Numerous low-attenuation sharply marginated lesions of various sizes with att... | 1.Findings compatible with polycystic kidney and liver disease status post left nephrectomy grossly similar to prior. Some of the right renal cysts have complex features.2.Moderate intrahepatic biliary ductal dilatation similar to prior. Interval placement of a common bile duct stent. One of the hepatic cysts in the ca... |
Generate impression based on findings. | Wrist pain. Evaluate fracture Three views of the right wrist reveal a cortical break in the distal radial metaphysis consistent with a nondisplaced fracture. No change from previous exam. Incidental note is made of negative ulnar variance. | Nondisplaced distal radius fracture unchanged from previous |
Generate impression based on findings. | 5-year-old male with osteosarcoma, status post disarticulationVIEWS: Shoulder, AP external and internal rotation (2 views) 2/26/15 12:36 Interval right upper extremity amputation. The remaining osseous structures are normal for the patient's age. A left central venous catheter is partially visualized. | Interval right upper extremity amputation. |
Generate impression based on findings. | Male 53 years old Reason: pt slipped on ice 2 days ago, unable to walk on right ankle History: pain and swelling to lateral and medial aspect of right ankle. Three views of the right ankle show an oblique/spiral fracture of the distal fibula extending to the joint line with minimal lateral displacement of the distal fr... | Distal fibular fracture as described above. |
Generate impression based on findings. | Ankle injury several weeks ago Three views of the right ankle reveal no evidence of any fractures or dislocations. Note is made of a plantar heel spur. | No fractures or dislocations |
Generate impression based on findings. | 49 years, Female. Reason: evaluate for obstruction vs. ileus in patient s/p RYGB History: nausea, emesis Bibasilar atelectasis. Surgical clips project over the right and left upper quadrant. Air distended loops of predominantly large bowel. Average stool burden. | Large bowel ileus pattern. |
Generate impression based on findings. | Reason: extent of disease History: esophageal cancer s/p stent, chemotherapy LUNGS AND PLEURA: Apical predominant centrilobular emphysema.Bilateral linear and nodular parenchymal and pleural scarring is unchanged. Prominent left lower lobe focus of bronchiectasis/scarring is unchanged from prior exams, may be related t... | 1. Unchanged distal esophageal thickening around the esophageal stent. Soft tissue extending into the upper and lower ends of the stent is increased from prior exam, and may represent tumor or granulomatous tissue. Lymphadenopathy is stable, with reference measurements as above. No new sites of disease.2. New small ple... |
Generate impression based on findings. | Ankle injury playing roller Derby Four views of the left knee are unremarkable. No fractures or dislocations. | Negative left knee exam |
Generate impression based on findings. | Female 53 years old Reason: Rule out AAA, other intaabdominal process, LLQ pain History: Abd pain CHEST:LUNGS AND PLEURA: Bibasilar dependent atelectasis. No pleural effusions.MEDIASTINUM AND HILA: Mild mediastinal lymphadenopathy. Reference prevascular lymph node measures 1.3 x 1.2 cm (series 3, image 24). CHEST WALL:... | 1.Limited exam secondary to lack of intravenous and oral contrast. Within these limitations, there is high grade mechanical small bowel obstruction. Unclear transition point although it is likely located in the pelvis and secondary to adhesions. No intraperitoneal free air or pneumatosis. Small perihepatic free fluid.2... |
Generate impression based on findings. | Status post fall. Evaluate for fracture. Two views of the right hip reveal no evidence of fractures or dislocations. | No evidence of fractures or dislocations |
Generate impression based on findings. | Pain at metatarsals and dorsum of foot Three views of the right ankle are unremarkable. No fractures or dislocations. | Negative right foot exam |
Generate impression based on findings. | 7-year-old male history of seizures and altered mental status. Evaluate for encephalitis. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged pa... | No evidence of acute intracranial hemorrhage, mass, or discernible cerebral edema. However, non-contrast CT is insensitive for the evaluation of encephalitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | IgA plasmacytoma of left parotid/neck/face resected 2012, now with IgA kappa spike.RADIOPHARMACEUTICAL: 6.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion grossly demonstrates a large approximately 4.5 x 7.0 cm soft tissue density mass in the gastrohepatic region. No additional... | 1.Large markedly hypermetabolic gastrohepatic lymph node mass, compatible with tumor activity.2.No FDG avid tumor identified elsewhere on whole body PET.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 63 years, Male. Reason: distention History: decreased stool output and distention Enteric feeding tube tip projects over the gastric body. Nonobstructive bowel gas pattern with less than average stool burden in the colon. Round radiodensity projects over the right upper quadrant. Bilateral air space opacities are bette... | Enteric feeding tube tip projects over the gastric body. Nonobstructive bowel gas pattern with less than average stool burden in the colon. Round radiodensity projecting over the right upper quadrant may represent enteric/ingested material versus cholelithiasis, recommend correlation with patient history. |
Generate impression based on findings. | 55-year-old female had left lower quadrant persistent pain for two months. Rule-out ovarian pathology. History of breast cancer. ABDOMEN:LUNG BASES: No significant abnormality noted LIVER, BILIARY TRACT: No significant abnormality noted in the liver. Patient is status post cholecystectomy with slightly prominent intrah... | 1. Status post cholecystectomy with mildly prominent intrahepatic and extra bile ducts but without findings seen to suggest biliary obstruction. 2. Status post gastric surgery changes without complication seen. 3. No evidence for ovarian or adnexal mass or other abnormality. |
Generate impression based on findings. | Multiple myeloma. Pre-autoSCT The bones are demineralized, limiting evaluation.SKULL: Innumerable lytic lesions compatible with myeloma are noted.CERVICAL SPINE: Innumerable lytic lesions compatible with myeloma are noted. There is perhaps mild vertebral body height loss at C5. No malalignment is noted. THORACIC SPINE:... | Innumerable myelomatous lesions and other findings throughout the axial skeleton, as described above. |
Generate impression based on findings. | Male 53 years old Reason: ankle pain at left medial malleolus, assess for fracture History: ankle pain at left medial malleolus, assess for fracture . No acute fracture or dislocation. Mild to moderate osteoarthritic changes affect the midfoot. | Osteoarthritis without evidence of fracture or dislocation. |
Generate impression based on findings. | Pain Severe osteoarthritis affects the left knee. A Pellegrini-Stieda lesion is noted, indicating prior left MCL injury. There are 6 degrees of genu valgum.A right total knee arthroplasty device appears in anatomic alignment as seen on the frontal view. A Pellegrini-Stieda lesion is noted, indicating prior right MCL in... | Osteoarthritis and other findings, as above. |
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