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Generate impression based on findings. | 81 years, Female. Reason: abdominal pain Differential air-fluid levels are noted on upright imaging and a general paucity of small bowel gas without specific evidence of bowel obstruction. Moderate to large stool burden in the colon with air in the rectum. Soft tissue density noted in the pelvis, correlating with patie... | No specific evidence of bowel obstruction. Moderate to large stool burden in the colon. Soft tissue density in the pelvis correlates with known pelvic cystic neoplasm. |
Generate impression based on findings. | Male 54 years old; Reason: right total hip The right hip total arthroplasty device is situated in near-anatomic alignment without radiographic evidence of hardware complication. Skin staples overlie the right hip.Severe osteoarthritis affects the left hip as seen on the single frontal view of the pelvis. | Right total hip arthroplasty, without evidence of complication. |
Generate impression based on findings. | Female 42 years old Reason: ankle fx History: ankle fx A spiral fracture of the distal fibula extending to the joint line is again seen with posterolateral displacement of distal fracture fragment, which appears unchanged from the prior exam. There is widening of the lateral joint space. There is no widening of the med... | Distal fibular fracture as described above, unchanged from prior exam. |
Generate impression based on findings. | 87 year-old female with lung mass on chest x-ray -- evaluate for malignancy workup. Weight loss. CHEST:LUNGS AND PLEURA: Left upper lobe large mass (series 5, image 42) measuring 4.5 x 5.4 cm, abuts the mediastinal fat at the aortopulmonary window and it is associated with distal loculated pleural effusion anteriorly. ... | 1. Large left upper lobe along mass most consistent with primary carcinoma. 2. clustered small mediastinal lymph nodes suspicious for metastases but not meeting CT criteria for lymphadenopathy. 3. No evidence for metastatic disease L2 air in the chest, abdomen or pelvis. |
Generate impression based on findings. | Initial treatment strategy for lymphoma. Lymphadenopathy on recent neck and chest CTs.RADIOPHARMACEUTICAL: 11.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 88 mg/dL. Today's CT portion grossly demonstrates an enlarged conglomerate of lymph nodes in the left inferior posterior jugular region. Borderline e... | 1.Markedly hypermetabolic lymph nodes/masses involving the left postero-inferior jugular, bilateral axillary, and abdominal mesenteric stations, consistent with FDG avid lymphoma.2.Note the majority of the enlarged abdominal lymph node masses are not FDG avid, suggestive of a coexisting more indolent tumor/lymphoprolif... |
Generate impression based on findings. | Female 43 years old; Reason: eval sagittal balance- preop planning for possible fusion History: back and bilateral leg pain . There is 13 degrees of thoracic dextroscoliosis measured from the superior endplate of T4 to the inferior endplate of T12. There is 10 degrees of lumbar levoscoliosis measured from the superior ... | Scoliosis and positive sagittal balance, as above. |
Generate impression based on findings. | Evaluation of pulmonary nodulesRADIOPHARMACEUTICAL: 10.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 185 mg/dL. Today's CT portion grossly demonstrates multiple enlarged lymph nodes throughout the left neck measuring up to 3 cm. A surgical clip is also noted in the left neck. The right neck cystic fluid ... | Extensive hypermetabolic metastases including lymph nodes of the left neck and chest as well as bilateral pulmonary nodules and osseous metastasis at C3. Given the metastatic distribution and patient's history, thyroid cancer is considered likely. |
Generate impression based on findings. | 75 years, Male. Reason: evaluate ileus History: abdominal pain The lung bases are clear. Postsurgical changes from fundoplication surgery again noted. NG tube tip projects over the gastric antrum. Residual contrast is noted throughout the colon. No pneumoperitoneum. Unchanged bowel gas pattern. Osteophyte formation at ... | Unchanged bowel gas pattern compatible with ileus. |
Generate impression based on findings. | 58-year-old female patient with end colostomy and remaining rectal pouch. The scout film showed a nonspecific bowel gas pattern without any evidence of obstruction or ileus. Suture material projects over the right lower quadrant and hemipelvis.A urinary catheter was inserted into the rectal pouch and contrast was injec... | 1.Rectal pouch without leak. 2.Colon containing stool as described above. |
Generate impression based on findings. | 63 years, Female. Reason: Recheck placement of NGT placed yesterday History: Recheck placement of NGT placed yesterday NG tube is coiled with tip projecting over the gastric cardia. Subcutaneous drain and surgical staples overlie the lower abdomen. A pessary device is noted. Interval increase in gaseous distention of s... | NG tube tip projects over the gastric cardia. Interval increase in small bowel dilatation may represent ileus although small bowel obstruction is not entirely excluded. Clinical correlation is advised. |
Generate impression based on findings. | Reason: eval for infection, retained Hickman, persistently septic LUNGS AND PLEURA: Scattered punctate micronodules. No suspicious pulmonary nodules or masses.Mild subsegmental atelectasis/scarring and mild chronic interstitial abnormalities. Moderate dependent atelectasis. No focal airspace consolidation. No pleural e... | 1. No evidence of infection.2. A catheter fragment extends along the course of the left brachiocephalic vein and SVC, terminating in the right atrium. This appears to be unchanged in position dating back to 2008.3. The pulmonary arteries are severely enlarged, suggestive of pulmonary hypertension. |
Generate impression based on findings. | 51-year-old male with history of pancreatic cancer, s/p surgery and chemoradiation therapy. Evaluate for response and establish new baseline. CHEST:LUNGS AND PLEURA: Calcified micronodules likely from prior granulomatous disease. No suspicious nodules or masses.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopa... | 1.Postsurgical changes of Whipple procedure for pancreatic neoplasm.2.Portacaval soft tissue which was hypermetabolic on recent PET and is suspicious for neoplastic recurrence stable in size. 3.Fatty infiltration of the liver. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 97 cm/sec.Right internal carotid artery: 115 cm/sec.Left middle cerebral artery: 122 cm/sec.Left internal carotid artery: 146 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Male 56 years old; Reason: assess rotator cuff History: left shoulder pain, S/P TSA Evaluation of the shoulder is limited by streak artifact from the patient's left total shoulder arthroplasty.The left total shoulder arthroplasty device is situated in near-anatomic alignment, without radiographic evidence of hardware c... | No specific evidence of a full-thickness rotator cuff tear. |
Generate impression based on findings. | 35-year-old female patient with history of Crohn's disease presents with nausea and vomiting. Concern for bowel obstruction or delayed gastric gastric emptying. UPPER GI:Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, no spon... | 1.No evidence of bowel obstruction or delayed gastric emptying.2.Hypoperistaltic bowel proximal to the ileostomy. Deviation of jejunal loop into pelvis seen on early imaging, may represent nonobstructive adhesive disease versus iatrogenic fixation of bowel. Recommend correlation with surgical history.3.Small duodenal d... |
Generate impression based on findings. | Clinical question: Bodytom. Signs and symptoms: Bodytom intraoperative CT. Nonenhanced head CT:Examination is performed after a surgical/treatment planning the study and is not a true diagnostic test.There is no detectable complication from placement of stereotactic device on patient calvarium.Extensive post operative ... | 1.Expected postoperative changes of DBS placement with out detectable complication.2.The appropriateness of the placement of the electrodes should be determined by referring physician. |
Generate impression based on findings. | The risks (including, but not limited to, those of bleeding, infection, allergic reaction, temporary nerve block, pain, and inability to access the joint) and benefits of the procedure were explained to the patient, and informed written consent was obtained. A pre-procedural “time-out” form was completed.The patient w... | Successful left shoulder arthrogram injection. Please refer to the subsequent CT report for further information. |
Generate impression based on findings. | Reason: s/p 4.5 right lower lobectomy following neoadjuvant therapy for stage IIIa NSCLC History: annual f/u LUNGS AND PLEURA: Scarring and mild bronchiectasis in the anterior segment of the right upper lobe, unchanged.As post right lower lobectomy.9-mm nonsolid nodule in the left lower lobe with thickening in the wall... | 1. No evidence of metastases.2. Persistent very small left lower lobe sub-solid nodule, unchanged, but with morphology still somewhat suspicious for indolent adenocarcinoma, and continued long-term follow-up is recommended. |
Generate impression based on findings. | Female 21 years old; Reason: Are there degenerative changes at the 1st MTP joint? History: pain and limited mobility at the 1st MTPJ Mild hallux pelvis deformity is present at the first metatarsophalangeal joint. No fracture or dislocation is present. Otherwise, no specific findings are seen to account for the patient'... | Mild first toe hallux valgus deformity, without fracture or dislocation. |
Generate impression based on findings. | Male 18 years old; Reason: Evaluate fracture. History: pain Two vertically-oriented intramedullary orthopedic screws affix the patella in anatomic alignment, without radiographic evidence of hardware complication. The fracture line is indistinct, indicating some healing, appearing similar to the prior study. No additio... | Postoperative changes of a patellar fracture fixation. |
Generate impression based on findings. | Pain. Preop. Severe osteoarthritis affects the right knee with tricompartmental osteophyte formation and bone on bone apposition in the medial tibiofemoral compartment. A joint effusion is present. There are 11 degrees of genu varum.The left total knee arthroplasty device appears in near-anatomic alignment as seen on t... | Osteoarthritis, as above. |
Generate impression based on findings. | Reason: new dx lung cancer, baseline/pre-chemo scan, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: A left upper lobe spiculated mass with central cavitation and adjacent stranding groundglass was hypermetabolic on recent PET/CT, compatible with a known diagnosis of non-small cell lung canc... | A large left upper lobe spiculated mass compatible with a known diagnosis of non-small cell lung cancer, with left lung base pleural-based nodules, mediastinal lymphadenopathy, and a left adrenal mass all of which likely represent metastatic disease. |
Generate impression based on findings. | 55 year old with history of multiple screening call-back presents for annual mammogram. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. Subcentimeter masses in both breasts are ... | 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. | Reason: 69 yo with large neck mass, bx c/w scc, unknown primary, imaging to screen for lung, liver and other organ involvement History: large left-neck mass CHEST:LUNGS AND PLEURA: Multiple micronodules, some of which are calcified, compatible with previous infection.No suspicious nodules.Moderate upper zone centrilobu... | Small left pleural effusion and with rounded atelectasis at the left base. No specific evidence of metastatic disease in the chest. |
Generate impression based on findings. | Ms. McCall is a 60 years year old female with a personal history of bilateral benign breast biopsies (right breast -- intraductal papilloma, left breast -- UDH). She has no current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breas... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 48 year old with inflamed skin lesion presents for mammographic study. Two standard 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. A triangular marker is placed at lower inn... | Inflamed skin lesion in the left lower inner region. No mammographic evidence for malignancy. Clinical follow up is recommended for the skin lesion. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Increased hip pain Mild osteoarthritis affects the right hip. No fracture or malalignment is present. | Mild osteoarthritis of the right hip. |
Generate impression based on findings. | 10 month old male with history of right femur fracture. Evaluate for healing.VIEWS: Right femur AP and Lateral (2 views) 2/26/2015 14:02 Interval removal of cast material. Transverse fracture through the distal femoral metaphysis is in anatomic alignment. Callus has been incorporated into the cortex compatible with hea... | Continued healing of distal femoral metaphyseal fracture. |
Generate impression based on findings. | Clinical question: Memory loss. Signs and symptoms: Memory loss. Nonenhanced head CT:Examination demonstrates patchy foci of periventricular and subcortical low attenuation white matter suggestive of age indeterminate small vessel ischemic strokes with subtle interval progression since prior exam.Additionally there is ... | 1.No acute findings.2.Findings suggestive of mild to moderate age indeterminate small less ischemic stroke with interval progression.3.Chronic high right posterior frontal ischemic stroke which is new since prior exam from 2008. |
Generate impression based on findings. | Multiple myeloma. Evaluate for sternal or rib fracture. No rib fracture or displaced sternal fracture is evident. No pneumothorax is present.The vertebral body heights are preserved. Mild multilevel degenerative disk disease affects the thoracic spine.No discrete myelomatous lesions are evident. | No rib fracture or vertebral body compression fracture evident. No displaced sternal fracture is evident, however radiographs are insensitive for the detection of sternal fractures. If further evaluation of the sternum is clinically warranted, chest CT is recommended.Findings discussed with APN Dimeglio at 3 p.m. on 2/... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in sister and maternal cousin. Two standard digital views of both breasts with additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular den... | Left breast asymmetry for which spot compression views and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 41 years old Reason: left hip pain s/p Dr. Leland hip scope History: left hip pain. Two views of the left hip show mild osteoarthritic affecting the left hip.The AP view of the pelvis again demonstrates mild osteoarthritic changes of the left hip as well as very mild degenerative changes of the right hip with mi... | Mild osteoarthritis of the left hip as described above. |
Generate impression based on findings. | Male 28 years old; Reason: left ankle ORIF History: left ankle ORIF A side plate and screw device as well as two syndesmotic screws affix the distal fibula in anatomic alignment. Two additional screws affix the medial malleolus. The tibial fracture line is indistinct, compatible with healing. There is increased surroun... | Orthopedic fixation of healing ankle fractures, as above. |
Generate impression based on findings. | Pain at fifth metatarsal base No fracture or malalignment is identified. No significant abnormality is otherwise seen. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of mastopexy in 1994. 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 distribution.... | 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. | Male 64 years old Reason: right lower extremity alignment History: right knee pain. Right bone length study reveals one degree of varus angulation of the knee compared to the neutral mechanical axis. Hardware components of a right total knee arthroplasty device seen in anatomic alignment without radiographic evidence o... | 1.One degree of varus angulation of the knee compared to the neutral mechanical axis.2.Osteoarthritic changes of the right hip and left knee as described above. |
Generate impression based on findings. | Dorsal wrist pain No fracture is identified. There is a positive ulnar variance. Subtle sclerosis at the proximal ulnar portion of the lunate likely represents ulnar abutment. | Findings compatible with ulnar abutment of the lunate. |
Generate impression based on findings. | 55-year-old male with history of AML and neutropenic sepsis now with abdominal pain. ABDOMEN:LUNG BASES: Mild basilar atelectasis without consolidation or pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | 1.Interval appendectomy.2.No acute findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 48 years old Reason: SEVere PAIN History: Right elbow PAin: can't use . Four views of the right elbow show no joint effusion, fracture, or dislocation. No radiographic findings to account for patient's pain. | Four views of the right elbow show no specific radiographic findings to account for patient's pain. |
Generate impression based on findings. | Female 65 years old; Reason: pre-op right THA robotic History: pain There is severe osteoarthritis of the right hip with joint space narrowing, osteophyte formation, and subchondral cysts.A lumbar spine fusion is partially visualized. Degenerative changes are noted at the right sacroiliac joint. Mild osteoarthritis aff... | Osteoarthritis. |
Generate impression based on findings. | Male 63 years old; Reason: LLQ pain, wound drainage., hx of Crohn's s/p partial colectomy with diverting loop ileostomy c/b wound dehiscence and persistent ventral hernia. perforation?abscess? colitis? History: as above. Exam is not sensitive for detecting lesions in the solid organs or vasculature to the lack of intra... | Absent abdominal wall musculature with broad based weakness and herniation. No evidence of bowel obstruction. No fat stranding or loculated fluid to suggest abscess.Mild fat stranding around the sigmoid colon could represent mild diverticulitis or activity of Crohn's disease. |
Generate impression based on findings. | Pain around AC joint after fall. There is mild widening of the acromioclavicular joint likely representing traumatic AC joint separation, given the clinical history. No fracture is seen. The glenohumeral joint alignment is normal. | Mild widening of the acromioclavicular joint likely representing traumatic AC joint separation, given the clinical history. |
Generate impression based on findings. | Status post fracture There has been interval removal of the cast. Again seen is a transverse fracture of the distal radius with fracture fragments in near anatomicalignment. The fracture line is less distinct, compatible with some interval healing. The ulnar styloid fracture appears similar to prior.Mild osteoarthritis... | Healing fracture of the distal radius. |
Generate impression based on findings. | Reason: Hypoxia, evalute for acute etiologies, evalute size of pulmonary vasculature History: Hypoxia LUNGS AND PLEURA: Moderate predominantly upper zone centrilobular emphysema.Moderately large bilateral pleural effusions with underlying dependent atelectasis.Interstitial opacity with multiple septal lines at the base... | Findings consistent with CHF with focal subpleural opacities that could represent infarction secondary to pulmonary embolism. This could be evaluated by contrast-enhanced CT or a ventilation perfusion radionuclide scan. |
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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Bilateral stable, be... | Stable bilateral asymmetries and 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. | 9-year-old male, rule out pneumothorax after pigtail catheter removalVIEW: Chest AP (one view) 2/26/15 14:22 Interval removal of right pigtail catheter without pneumothorax. A left chest tube is directed apically. Left PICC tip in right atrium.The previous noted left subpulmonic pneumothorax is not well-visualized. Pat... | Interval removal of right pigtail catheter without residual pneumothorax. |
Generate impression based on findings. | Female 33 years old Reason: pt struck a box with the top of her right foot, no ankle pain History: point pain to dorsal aspect of right foot . There is mild soft tissue swelling along the dorsal aspect of the foot. Otherwise, there is no evident fracture or dislocation. | Soft tissue swelling without underlying fracture or dislocation. |
Generate impression based on findings. | Male 53 years old Reason: R ankle stress view History: above . Two views of the right ankle show a distal spiral fibular fracture extending to the joint line with widening of the medial ankle joint space neutral and stress views | Distal fibular fracture with widening of the medial joint space as described above. |
Generate impression based on findings. | 53-year-old male with history of rectal cancer status post low anterior resection with ileostomy and ileostomy reversal presenting with possible right ischial abscess Hand injection of water soluble contrast demonstrated opacification a U-shaped, end-to-side anastomosis of colon to the rectum. Opacification of a comple... | 1. Right colocutaneous fistula involving the neorectum and gluteus.2. Complex web of sinus tracts at the level of the anastomosis, primarily on the right, extending superiorly. Largest collection measures 1.9 x 1.6 cm, an abscess cavity a consideration. 3. CT may be considered for further evaluation of the intraabdomin... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of maternal aunt 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 composed of scattered fibroglandular density, unchanged in pattern and distribution. No... | 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 57 years old Reason: HCC screening History: hep C cirrhosis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nodular liver morphology consistent with cirrhosis. No focal enhancing hepatic lesions. Small nonspecific hypodense focus in segment 7 seen on delayed imaging (series 13, image 19).... | Cirrhotic liver morphology. No focal hepatic lesion suspicious for HCC. |
Generate impression based on findings. | Female 87 years old Reason: 87F hx pancreatitis and CT with concern of pancreatic cysts s/p EGD/EUS with evidence of IPMN vs. complicated pancreatitis. Now with gastric perforation History: r/o gastric perforation s/p clips The exam is not sensitive for detecting lesions in the solid organs of vasculature to the lack o... | Intrathoracic stomach with marked submucosal edema. No evidence of extraluminal contrast to suggest active perforation or leak.Limited due to lack of IV contrast, but probable pseudocyst in the region of the tail of the pancreas and extensive fat stranding around the pancreas and around the perigastric fat within the t... |
Generate impression based on findings. | Clinical question: Aneurysm. Signs and symptoms: Headache, syncope. Nonenhanced head CT: Examination demonstrates no detectable acute intracranial process and no interval change since prior exam.The cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation remains within n... | 1.Unremarkable nonenhanced head CT.2.Unremarkable head CTA.3.CTA of the neck demonstrate no evidence of any vascular lumen compromise or stenosis. There is a short segmental mild ectasia of the distal tortuous right internal carotid artery which may be secondary to atherosclerotic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of mastopexy in 2003. 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, unchanged in pattern and distribution. No suspicious masses, microcalcification... | 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. History of aspirated left breast abscess. 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 in pattern and distributi... | 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. | 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. No suspicious masses, microcalcifications or areas of architectural di... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | 67 years, Male. Reason: LLQ pain, BRBPR, C.diff infection, evaluate for megacolon History: LLQ pain, BRBPR Nonobstructive bowel gas pattern. Right percutaneous biliary drain tip and multiple surgical clips project over the right upper quadrant. IVC filter is again noted. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Benign left biopsy in 1992. 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 in pattern and distribution. No suspici... | 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. | Male 50 years old Reason: evaluate TSA, perform after arthogram History: same. Evaluation of the shoulder is limited due to streak artifact related to the total shoulder arthroplasty device. There is no evidence of contrast extravasation to suggest a rotator cuff tear. Hardware components of a right total shoulder arth... | Limited evaluation of the shoulder due to streak artifact related to a total shoulder arthroplasty device without gross evidence of hardware complication or contrast extravasation to suggest a full-thickness tear. |
Generate impression based on findings. | Female 81 years old Reason: metastatic breast cancer - evaluate response to treatment and compare to previous scan on 1/5/15 per recist 1.1 with bidimensional measurements History: pulmonary mets and adenopathy CHEST: LUNGS AND PLEURA: Reference right middle lobe subpleural nodule unchanged, measuring 1.6 x 0.7 cm (ser... | Stable examination without change in pulmonary nodules or right axillary lymph node. |
Generate impression based on findings. | Female 74 years old Reason: eval EVAR with bilateral iliac artery stents History: AAA with bilateral iliac artery aneurysm ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Two large hepatic cysts and several smaller ones are again seen scattered throughout the liver, unchanged. No biliary dilat... | Slight decrease in size of aneurysm sac. Patent stents with no evidence of endo- leak.Numerous chronic findings including bilateral nephrolithiasis, right adnexal cystic mass with calcifications, numerous hepatic cysts. |
Generate impression based on findings. | 46 year old with high probability benign mass in the right breast presents for follow up ultrasound study. Focused ultrasound was performed for the known mass in the right breast. Detected is an isoechoic mass surrounded by hyperechoic component, measuring 7 x 3 x 7 mm at 10 o'clock position, a cm from nipple. The size... | Stable mass in the right breast, likely fibroadenoma. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended in October 2015. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 83 cm/sec.Right internal carotid artery: 160 cm/sec.Left middle cerebral artery: 166 cm/sec.Left internal carotid artery: 99 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Mr. Clemons is a 45 year old male presenting with a painful nodule in the medial right breast for the past two months. Three standard views of both breasts and two right spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular... | Benign gynecomastia of the right breast. No mammographic evidence of malignancy. The etiology and causes of gynecomastia were explained to the patient. No further workup is necessary at this time. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Male 53 years old Reason: eval bony deformity 2 MT, callous and pain at plantar 2nd MT head History: same. Three views of the right foot appear normal. Specifically, there is no evidence of a bony deformity or fracture involving the second metatarsal. | Normal appearing right foot as described above without evidence of acute fracture or deformity. |
Generate impression based on findings. | History of right-sided facial pain radiating to right ear and nose. There is no significant paranasal sinus mucosal thickening. Haller air cells are present on the left. The infraorbital nerves appear to be partly dehiscent bilaterally, which is an anatomic variant. The infundibulae, frontoethmoidal, and sphenoethmoida... | Mild nasal septal deviation, but clear paranasal sinuses without evidence of sinonasal mass lesions. A trigeminal nerve MRI may be useful for further evaluation, however. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 10-year-old female, evaluate healing of fractureVIEWS: Left ankle, AP, oblique, and lateral (3 views) 2/26/15 14:47 An oblique fracture line extends from the distal tibial metadiaphysis to the epiphysis, consistent with a Salter Harris IV fracture in anatomic alignment. Periosteal reaction about the distal tibia is con... | Healing Salter Harris IV fracture of the distal tibia in anatomic alignment. |
Generate impression based on findings. | 69-year-old female with history of thyroid cancer with bone metastases. Compared to previous. CHEST:LUNGS AND PLEURA: Left apical sub-solid nodule (series 5, image 17) and left upper lobe nodule (series 5 come image 46) are unchanged the left upper lobe nodule measures 0.8 cm compared with 0.9 cm previously. A right su... | 1. Multiple foci of osseous metastases with increasing number of foci seen suggesting progressive metastatic disease -- nuclear medicine bone scintigraphy is a more accurate indicator of skeletal metastatic disease activity. 2. Subluxed left hip prosthesis with adjacent destructive bony changes of the acetabulum. Uncha... |
Generate impression based on findings. | 13 year old female with right upper quadrant and right lower quadrant pain with quiescent colitis on recent colonoscopy. Evaluate for small bowel inflammation.EXAMINATION: MR enterography without and with IV contrast 2/26/2015 ABDOMEN:LIVER, BILIARY TRACT: Normal with no evidence of intra-or extrahepatic biliary ductal... | Normal examination. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 154 cm/sec.Right internal carotid artery: 114 cm/sec.Left middle cerebral artery: 123 cm/sec.Left internal carotid artery: 116 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | 46 year-old female with left lower quadrant abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No sig... | 1.Acute sigmoid diverticulitis with probable microperforations but without drainable abscess. |
Generate impression based on findings. | 47-year-old male with history of LVAD with pain at drive line site. ABDOMEN:LUNG BASES: Trace left pleural effusion and left basilar atelectasis, decreased from prior. Cardiomegaly. Partially visualized LVAD device which causes metallic streak artifact obscuring adjacent structures. A small amount of fluid is present i... | 1.Cardiomegaly and LVAD. Subcentimeter focus of soft tissue attenuation at the medial aspect of the drive line as it exits the anterior abdominal wall is nonspecific but could represent a small focus of infection. No drainable fluid collections. 2.Findings compatible with chronic pancreatitis.3.Trace left pleural effus... |
Generate impression based on findings. | 5-month-old male, left humerus fractureVIEWS: Left humerus, AP and lateral (two views) 2/26/15 15:03 Bridging callus formation about the proximal humerus fracture with progression of remodeling consistent with continued healing. | Healing proximal humeral fracture in near anatomic alignment. |
Generate impression based on findings. | Male 67 years old Reason: bladder cancer History: bladder cancer Exam is not sensitive for detecting lesions in the solid organs of vasculature due to lack of intravenous contrast. Given nodes limitations, the following observations are made:CHEST:LUNGS AND PLEURA: Calcific granuloma right upper lobe. No other lung nod... | New small fluid collection in the right hemipelvis dorsal to the common iliac vein. Differential diagnosis as above. Correlate clinically to rule infection. Discussed with Dr. Patricia Yates. |
Generate impression based on findings. | 69 years, Male, Reason: acute pain, passage of clots, possible stone passed; history of prostate cancer History: as above. Exam is not sensitive for detecting lesions in the solid organs of vasculature to the lack of intravenous contrast. Given that limitation, the following observations are made:ABDOMEN:LUNG BASES: At... | No evidence of metastatic disease. Atherosclerotic disease. No evidence of nephrolithiasis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Hyperparathyroidism. A subtle focus of mild activity posterior to the right upper pole of the thyroid is noted which faintly persists on delayed imaging. There is even more faintly increased activity corresponding to posterior bilateral lower poles which faintly persists on the left on delayed imaging. The right lower ... | Three subtle foci of abnormal activity posterior to the right upper and bilateral lower poles are suspicious for abnormally functioning parathyroid tissue either representing hyperplasia or multiple adenomas. Given the only faint activity, hyperplasia is considered more likely. Of the three, the right upper is the most... |
Generate impression based on findings. | Assess mandibular anatomy and airway. Pierre Robin sequence with airway compromise. There is severe micrognathia with 16 mm of overjet and glossoptosis that results in oropharyngeal airway stenosis, which measures a minimal of 8 mm in the anteroposterior dimension. There is also a cleft palate. The temporomandibular jo... | Stigmata of Pierre Robin sequence with severe micrognathia with 16 mm of overjet and glossoptosis that results in mild oropharyngeal airway stenosis. |
Generate impression based on findings. | Prostate cancer status post total radical proctectomy one year ago with positive lymph nodes. Now with elevated PSA.RADIOPHARMACEUTICAL: 11.9 mCi F-18 sodium fluoride (NaF). Today's CT portion grossly demonstrates sinusitis involving sphenoid, bilateral maxillary, and ethmoid air cells. Right chest Port-A-Cath with tip... | No convincing evidence of osseous metastases. Three faint left rib foci considered most likely benign. |
Generate impression based on findings. | Male 27 years old; Reason: Left Testicular Nodule, Distal Aspect, 0.25cm, Firm, Nodular, Fixed, Tender. RIGHT TESTIS: Measures 4.2 x 3.0 x 2.1 cm with normal echotexture. There is a single punctate calcification. No worrisome mass is identified. Color Doppler flow is symmetric.LEFT TESTIS: Measures 4.0 x 2.8 x 2.3 cm w... | 1.No suspicious testicular lesion is identified.2.Bilateral simple epididymal cysts. A 2 mm epididymal cyst is seen deep to the area of the patient's palpated abnormality.3.Small bilateral hydrocele and varicocele. |
Generate impression based on findings. | 83 years, Male. Reason: dht placement History: dht Dobbhoff tube is coiled in the fundus with tip projecting over the expected area of the pylorus. Numerous external staples are scattered over the thorax, abdomen and pelvis. Air filled redundant colon with small to moderate stool burden. Nonobstructive bowel gas patter... | Dobbhoff tube tip projects over the expected area of the pylorus. |
Generate impression based on findings. | 65-year-old female with history of bladder cancer status post cystectomy and nephrectomy, evaluate for metastatic disease. Within the limits of a non-IV contrast enhanced examination, which limits ability to evaluate solid parenchymal organs and vascular, the following observations can be made:ABDOMEN:LUNG BASES: No si... | 1. Status post cystectomy with urinary diversion . Numeral head increasing size of several retroperitoneal lymph nodes worrisome for metastatic disease -- reference measurements are provided above. 3. No other changes since prior CT examination. |
Generate impression based on findings. | Male 64 years old; Reason: abscess, assess PFCs after 2nd necrosectomy History: sepsis The exam is not sensitive detecting lesions in the solid organs of vasculature to the lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNGS BASES: Persistent large left pleural effus... | 1. Decrease in size of air-fluid collection in the pancreatic bed and lesser sac. Persistent large volume ascites. Persistent bilateral pleural effusions and atelectasis consolidation, large on the left. Other findings as above. |
Generate impression based on findings. | For the purposes of numbering, there are 5 lumbar type vertebral bodies. Vertebral body heights are maintained. There is levocurvature of the lumbar spine with apex at the L2-L3 level. Alignment is otherwise maintained. Particularly, alignment at the L5-S1 level is normal.Postsurgical changes of posterior interbody fu... | Postsurgical changes of posterior interbody fusion at L5-S1 and left L5-S1 facetectomy as detailed above. Hardware is intact and well positioned without evidence of complication. |
Generate impression based on findings. | 10-year-old female status post surgical repair of large ASD.VIEW: Chest AP (one view) 2/26/2015 15:27 Sternotomy wires intact. Right internal jugular central venous catheter tip in the right atrium. Cardiothymic silhouette is normal. Pulmonary vascularity is still slightly increased however improved from prior study. N... | Small right apical pneumothorax. Interval improvement in bilateral pulmonary vascular engorgement. |
Generate impression based on findings. | Reason: mets lung cancer. has been on Nivolumab, pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Scar like nodular opacity with internal calcifications at the right apex, unchanged.Additional micronodules and emphysema also unchanged.MEDIASTINUM AND HILA: Reference right hilar ... | Stable disease. |
Generate impression based on findings. | Refractory epilepsy.RADIOPHARMACEUTICAL: 14.0 mCi F-18 fluorodeoxyglucose (FDG)BLOOD GLUCOSE (FASTING): 79 mg/dL Today's CT portion demonstrates no gross intracranial pathology.Today's PET examination demonstrates no significant cerebral hypometabolism to indicate an interictal focus.Slight hypometabolism is seen throu... | Slight hypometabolism throughout the right cerebellar hemisphere raises the question of a left cerebral seizure focus although no cerebral hypometabolic focus is visualized on this exam. |
Generate impression based on findings. | 44-year-old female with abdominal pain, fevers chills.? Cholecystitis. LIVER: No significant abnormalities noted. Normal portal venous flow.GALLBLADDER, BILIARY TRACT: Multiple gallstones with shadowing is seen. Gallbladder is normal in caliber without wall thickening. No pericholecystic fluid. Patient did not exhibit ... | 1. Cholelithiasis without other evidence biliary complication. |
Generate impression based on findings. | Female 55 years old Reason: probable soft tissue, meniscal injury, eval fx History: effusion, limited ROM, pain medial joint line . We have 4 views of the left knee. A small joint effusion is seen. There is marked osteoarthritis of the left knee with joint space narrowing of the medial compartment and tricompartmental ... | Severe osteoarthritis of the right knee as described above. |
Generate impression based on findings. | Reason: evidence of mets History: pt with recent dx of invasive gallbladder adeno; already had CT ab/pelv LUNGS AND PLEURA: Scattered benign-appearing micronodules. No suspicious pulmonary nodules or masses.Minimal basilar subsegmental atelectasis. No focal airspace consolidation. No pleural effusions.MEDIASTINUM AND H... | No evidence of thoracic metastases. |
Generate impression based on findings. | Male 33 years old Reason: pt in MVA yesterday around 1800 History: tender in midline L-spine. We have 6 views of the lumbar spine. The lumbar vertebral body heights and intervertebral disk spaces are preserved. There is no acute fracture or subluxation.We have 3 views of the thoracic spine. The thoracic vertebral body ... | No acute fracture or dislocation of the lumbar spine, thoracic spine, or pelvis as described above. |
Generate impression based on findings. | Facial swelling, poor dentition, new periorbital involvement. There are multiple dental caries. There is a crescentic peripherally-enhancing fluid collection that measures up to approximately 8 x 20 mm overlying the left maxillary alveolus, which appears focally dehiscent. There is extensive stranding and swelling of t... | Dental caries with associated left maxillary alveolar region abscess that measures up to 20 mm with associated facial cellulitis and acute sinusitis, but no evidence of post-septal extension. |
Generate impression based on findings. | Status post patella fracture TECHNIQUE 4: Views including weight-bearing Four views the right knee reveal a horizontal fracture of the patella in anatomic alignment. Fracture line is last distinct than on the previous exam of February 5. | Healing nondisplaced fracture of the patella |
Generate impression based on findings. | Reason: r/o fluid collection around LVAD History: left upperquadrant abd pain CHEST:LUNGS AND PLEURA: Bilateral paramediastinal radiation reaction, consistent with a remote history of Hodgkin's disease.Mild pleural thickening at the left base but no pleural effusion.Elevation of the left hemidiaphragm.MEDIASTINUM AND H... | Suboptimal examination due to streak artifact and respiratory motion with no visible evidence of a fluid collection around the LVAD. |
Generate impression based on findings. | Hand pain Three views of the right hand reveal vascular calcifications. Patient is unable to hold flattened the hand and in the fingers are held in flexion .no acute abnormalities. No fractures or dislocations. | The fingers are held in flexion. No fractures or dislocations |
Generate impression based on findings. | Male 53 years old Reason: mortise and lateral only please. s/p right ankle fracture and splinting History: above. Overlying splint material obscures fine bone detail. Interval splinting of right distal fibular fracture with the distal fracture fragment in anatomic alignment. | Interval splinting of distal fibular fracture as described above. |
Generate impression based on findings. | Evaluate pes planus No significant pes planus deformity is noted. Mild osteoarthritis affects the foot. | No significant pes planus deformity. |
Generate impression based on findings. | Female 49 years old Reason: dislocation of shoulder vs fracture after fall History: shoulder pain and asymmetry We have views of the right shoulder. The alignment of the glenohumeral and acromioclavicular joints is within normal limits. There is no acute fracture or dislocation. Minimal osteoarthritic changes affect th... | Mild osteoarthritis of the right shoulder without evidence of fracture or dislocation of the right shoulder or humerus. |
Generate impression based on findings. | Severe pain after fall PELVIS: Multiple surgical clips are noted throughout the pelvis, similar to prior. Mild arthritis affects the hip joints bilaterally. Sclerotic deformity of the left iliac wing likely represents a prior bone graft donor site or may be posttraumatic, though unchanged since 2005. No fracture or mal... | No fracture evident. Osteoarthritis and other findings as described above. |
Generate impression based on findings. | Wrist pain Four views of the right wrist are unremarkable. No fractures or malalignments. The radial and ulnar deviation views are unremarkable | Negative right wrist exam |
Generate impression based on findings. | Papillary thyroid carcinoma with bone metastases. Neck: There are postoperative findings related to total thyroidectomy. There is no evidence of measurable locoregional mass lesions or significant cervical lymphadenopathy. The salivary glands are unremarkable. The major cervical vessels are patent. There is multilevel ... | 1. No evidence of recurrent tumor or significant lymphadenopathy.2. No evidence of intracranial metastases.3. Several subcentimeter nodules in the partially imaged lungs. Please refer to the separate chest CT report for additional details. |
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