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Generate impression based on findings. | Intractable epilepsy respiratory distressVIEW: Chest AP 2/27/15 Cardiothymic silhouette normal. Bilateral patchy lung opacities increased in the right upper lobe and right lower lobe. There are also patchy opacities at the left lower lobe. No pleural effusion or pneumothorax. There is a radiopaque foreign body projecte... | Bilateral patchy lung opacities concerning for infection or aspiration. |
Generate impression based on findings. | 41 years, Female. Reason: Assess nasogastric tube placement History: as above Dobbhoff tube with tip projected over the gastric pylorus. Nonobstructive bowel gas pattern. | Dobbhoff tube with tip projected over the gastric pylorus. |
Generate impression based on findings. | 11 year old female with increased oxygen requirementsVIEW: Chest AP (one view) 2/26/15 23:28 Tracheostomy tube, tip at the thoracic inlet. Low lung volumes and basilar atelectasis appears similar to the prior exam. Thoracolumbar levoscoliosis is again noted. | Scoliosis and atelectasis without specific evidence of pneumonia. |
Generate impression based on findings. | Hit face and fall from standing No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. ... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. No calvarial or orbital fracture.3. Soft tissue hematoma in the right periorbital and right forehead region. No retro-orbital hematoma.4. Moderate chronic small vessel ischemic disease. |
Generate impression based on findings. | 29 years, Female. Reason: Abdominal pain eval for constipation and bowel dilatation History: abdominal pain Surgical clips in the upper abdomen bilaterally. Suture material in the left upper quadrant. Tip of central catheter is projected over the left hilar region.Large bowel loops are distended with gas in the left up... | Sitz markers have mildly progressed compared to prior study with holdup demonstrated in the left upper quadrant. |
Generate impression based on findings. | 17-year-old male with history of MVC. Evaluate for intracranial hemorrhage. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. The ventricles are within normal limits witho... | No evidence of acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Reason: LLL nodule. growth? History: cough LUNGS AND PLEURA: A round, well marginated sub pleural solid nodule measures 1.5 cm (series 5, image 85), unchanged. No calcification or fat density is identified within the nodule.An additional nodule in the superior segment of the left lower lobe measures 4 mm (series 4, ima... | Left lower lobe 1.5 cm round, well marginated solid nodule is unchanged from 05/2014. Benign etiology is likely, although additional followup imaging in 12-18 months is recommended to confirm stability. |
Generate impression based on findings. | 83 years, Male. Reason: s/p dht placement History: s/p dht placement Dobbhoff tube is projected over the proximal gastric body and tip is pointing at the gastric fundus. Incompletely imaged central venous catheter with tip projected over the right atrium. Additional support lines overlie the patient. Multiple surgical ... | Dobbhoff tube is projected over the proximal gastric body and tip is pointing at the gastric fundus. |
Generate impression based on findings. | Sciatica Severe degenerative disk disease affects the L5/S1 level. Bilateral spondylolyses are noted at L5 with a grade 2 anterolisthesis of L5 on S1. Moderate-severe facet joint osteoarthritis affects the lower lumbar spine. Small osteophytes project from the anterior aspects of the lumbar vertebral bodies. | Bilateral L5 spondylolyses with spondylolisthesis and degenerative changes, as described above. |
Generate impression based on findings. | Female 42 years old Reason: Neck pain and lumbar radiculopathy History: Neck pain and lumbar radiculopathy. We have two views of the cervical spine. There is straightening of the spine, but alignment is within normal limits. The cervical vertebral body heights and intervertebral disk spaces are normal. Paravertebral so... | Sacralization of L5 and slight straightening of the cervical spine, but otherwise no specific findings to account for patient's pain. |
Generate impression based on findings. | 58 years, Female. Reason: Eval gas pattern History: ileus Nonspecific basal air space opacities. Ingested enteric contrast material resides within large bowel. Persistent dilated gas-filled loops of small bowel projected over the central abdomen. Gas is identified within the rectum. The pattern is consistent with impro... | Improving obstruction/ileus pattern. |
Generate impression based on findings. | 60 year-old male with history of incoherent speech. There is no evidence of acute intracranial hemorrhage. Encephalomalacia involving the right temporal lobe with adjacent ex vacuo dilatation appears similar to the prior study. The ventricles and sulci are otherwise symmetric. There is no evidence of herniation. No mid... | 1. No evidence of acute intracranial hemorrhage or intracranial mass effect.2. Stable encephalomalacia of the right temporal lobe and chronic facial bone deformities as above. |
Generate impression based on findings. | 72 years, Female. Reason: history of constipation. Please count number and location of sitz markers. History: constipation Above-average stool burden. Nonobstructive bowel gas pattern. No Sitz markers are projected over the abdomen or pelvis. The stomach is excluded on this image. | Above-average stool burden. Nonobstructive bowel gas pattern. No Sitz markers are projected over the abdomen or pelvis. |
Generate impression based on findings. | Ms. Dietrichson is a 64 year old female with a personal history of right breast lumpectomy in 1997 for cancer followed by radiation and chemotherapy. She also has a personal history of bilateral cyst aspiration. No current breast related complaints. Three standard views of both breasts were performed digitally and revi... | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagno... |
Generate impression based on findings. | 6-year-old female status post ORIF. Evaluate for fracture healing. VIEWS: Left elbow AP and Lateral (2 views) 2/27/2015 8:36 Interval removal of three K wires. Distal humeral fracture in near anatomic alignment with continued callus formation compatible with healing. | Continued healing of distal humeral fracture. |
Generate impression based on findings. | Thyroid cancer with metastases, compare to previous measurements CHEST:LUNGS AND PLEURA: Previously described left upper lobe endobronchial lesion demonstrates minimal decreased size at 16 mm (5/29), compared to 17-mm. A second reference lesion within the left upper lobe (5/56) adjacent to the diaphragm and left latera... | Minimal change in size of the left upper lobe endobronchial lesion. Interval growth of second reference subpleural nodule now 8 x 10 mm, as compared to 7 x 8 mm. Additional pulmonary nodules stable in size and number.No interval lymphadenopathy. |
Generate impression based on findings. | Reason: s/p malignant peritoneal/pleural mesothelioma s/p resection and HIPEC and s/p pleurecomy/decortication and s/p adjuvant pem/carbo in 08/09 History: f/u Respiratory motion limits evaluation of the diaphragm (80219/20)LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.Scattered linear scarring/subsegment... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of unilateral left milky nipple discharge for the past 35 years. Family history of breast cancer in maternal niece and uterine cancer in mother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD ... | 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. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy in 2014. Family history of breast cancer in sister. 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 scat... | 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. | Asymptomatic female presents for routine screening mammography. Maternal aunt and multiple cousins 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 almost entirely fatty, unchanged in pattern and distribution. Bilateral, circ... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | ESRD status post renal transplant in 3/2014 now with sinus pain and drainage. Please eval for infection. There is mild mucosal thickening within the bilateral sphenoid sinuses. The other paranasal sinuses are essentially clear. There is mild bubbly opacification of the anterior nasal cavity. The nasal septum is essenti... | 1. Mild mucosal thickening within the bilateral sphenoid sinuses and mild bubbly opacification of the anterior nasal cavity, perhaps due to rhinosinusitis. 2. Partial opacification of the left mastoid air cells may represent mastoiditis. 3. Findings suggestive of renal osteodystrophy. |
Generate impression based on findings. | Ms. Williams is a 57 year old female with a personal history of benign right lumpectomy in 2000 and a benign left excisional biopsy for a papilloma in 2009. Family history of breast cancer in maternal aunt. She presents today for a short-term follow-up for multiple findings in the central left breast. Three standard vi... | High probability benign cysts with internal layering calcium. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months to confirm stability of these findings. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.REC... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and cleavage view (11 images total) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Bilateral, benign-morphology calci... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is a focal asymmetry in the right lower inner breast, near the skin surface of t... | Two focal asymmetries in the right breast 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. | Fall with head trauma Head: No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. Ther... | 1. No evidence of intracranial hemorrhage or mass effect. Calvarium is intact.2. No acute fracture or subluxation within the cervical spine.3. Degenerative changes in the cervical spine with at least moderate spinal canal and neural foraminal stenosis at multiple levels as detailed above.4. Significantly distended air-... |
Generate impression based on findings. | 16-year-old male with pain and decreased range of motion, movement at AC joint on exam. Evaluate for AC joint separationVIEWS: Right and left shoulder AP, right shoulder Zanca and axially view (right shoulder 3 views, left shoulder one view) 2/27/2015 9:10 Humeral head is well directed in the glenoid fossa. The AC join... | No evidence of AC joint dislocation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign excisional biopsy 1978. History of mother 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 fibroglandul... | 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. | Female 25 years old Reason: ro fracture, assess ACL graft History: hx of ACL repair in 2010. There are surgical tunnels in the distal femur and proximal tibia indicating prior ACL reconstruction. There is a small orthopedic button along the distal femur, securing the femoral portion of the graft. The knee otherwise app... | Findings consistent with prior ACL reconstruction as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of colon cancer diagnosed at the age of 45. Family history of breast cancer in maternal grandmother. 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 sc... | 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. | Invasive keratinizing squamous cell carcinoma of the esophagus. Head: There is no evidence of intracranial mass or abnormal enhancement. 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 mastoid air cells are cle... | 1. An irregular and infiltrative mass involving of the cervical esophagus corresponds to recently diagnosed squamous cell carcinoma.2. Bilateral lower neck and upper mediastinal lymphadenopathy, right larger than left, with suggestion of extracapsular extension, are compatible with metastatic disease.3. No evidence of ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | 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 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. Focal asymmetry is identified in the central left breast (f... | Focal asymmetry in the central left breast. Attempts should be made to obtain patient's prior mammograms for comparison purposes. If not possible, then additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging eva... |
Generate impression based on findings. | 63 years, Male, Reason: carcinoid tumor compare to last Ct \T\ measure 1) aortopulmonary node, 2) hepatic dome lesion, 3) right inguinal node and 4) L2 vertebral body lesion History: post 2 cycles of therapy. CHEST:LUNGS AND PLEURA: Nonspecific right apical ground glass opacity is unchanged measuring 8 mm (9/20), previ... | 1.Overall stable examination with unchanged innumerable hepatic metastases, sclerotic bone metastases, reference lymph nodes and perirenal soft tissue nodule.2.Nonspecific groundglass opacities are stable. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal niece. 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 patt... | 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. | Adenocarcinoma of the lung follow up. CHEST:LUNGS AND PLEURA: Surgical changes of a right lower lobe resection, with stable scarring adjacent to the suture line.Scattered benign appearing micronodules, some calcified, are unchanged. No new suspicious pulmonary nodules or masses.Mild basilar scarring/atelectasis. No foc... | No evidence of recurrent or metastatic disease. |
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. A round right breast asymmetry is seen centrally on the MLO view. Scattered benign cal... | Right breast asymmetry for which comparison to prior studies is needed. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. She complains of bilateral milky nipple discharge for the past 25 years. 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. No s... | 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 57 years old Reason: r/o left sided fracture s/p fall History: pain s/p fall. No definite rib fracture or underlying rib abnormalities are identified. There is cardiomegaly. A right-sided CVC tip in is seen at the cavoatrial junction. Sternotomy hardware and wires are noted. ICD and LVAD positions are unchanged fr... | No acute rib fracture as clinically questioned. |
Generate impression based on findings. | Right hip pain. Possible avascular necrosis. There is curvilinear signal abnormality within both femoral heads indicating avascular necrosis. I see no subchondral fracture or articular surface collapse, nor do I see any marrow edema within the femoral heads.There is an approximately 1.5 cm focus of abnormal signal inte... | 1.Focal lesion of the posterior column of the right acetabulum as described above presumed to represent a metastasis from the patient's known thymic carcinoma, with intra-articular extension into the hip.2.Bilateral femoral head avascular necrosis and other findings as described above. |
Generate impression based on findings. | Female 53 years old Reason: fx eval healing History: above. We have 3 views of the left wrist. The distal radius fracture is less distinct on the current study than on the prior study suggesting some interval healing, with a 4-5mm ossicle noted along the radial styloid. The ulnar styloid fracture line is also less dist... | Healing fractures as described above. |
Generate impression based on findings. | Male 64 years old Reason: lymphoma, please restage, after BMT History: please compare to last CT scan and follow on the renal mass CHEST:LUNGS AND PLEURA: Bibasilar atelectasis. Right lower lobe nodule, measuring 7 mm (series 5, image 51), is unchanged. Calcification along the right lateral pleura with associated scarr... | 1.No new lymphadenopathy. Small hilar lymph node is stable.2.Right lower lobe lung nodule is unchanged.3.Indeterminate exophytic right renal lesion is stable in size, but could represent a small malignancy. |
Generate impression based on findings. | 68 year-old female patient with history of Crohn's disease presents with nausea and vomiting. Evaluate for obstruction. UPPER GI:Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, provoked reflux and emesis was noted. Fluoroscop... | 1.Minor motility abnormality and provoked reflux.2.Mildly delayed transit through the small bowel without evidence of bowel obstruction or evidence of active Crohn's disease. |
Generate impression based on findings. | Seizures status post right craniotomy. There are postsurgical findings related to right-sided craniotomy for right temporal lobe tumor resection. There is pneumocephalus along the resection cavity and the right frontal convexity. Minimal hyperattenuation is noted along the resection margin, likely representing minimal ... | 1. Expected postsurgical findings related to right-sided craniotomy for right temporal lobe tumor resection. Slightly improved right to left midline shift measuring 4 mm. MRI can better assess for residual tumor.2. Left parietal mass measuring up to 27 mm with associated vasogenic edema as seen previously. |
Generate impression based on findings. | 12-year-old female with history of right elbow fracture. Evaluate for healing.VIEWS: Right elbow AP, oblique and lateral (3 views) 2/27/2015 9:30 Medial condylar fracture extends to the articular surface with the fracture fragment rotated and displaced anteriorly. The fracture fragment is approximately 2 cm in diameter... | Nonunion of medial condylar fracture which extends to the articular surface with fracture fragment rotated and displaced anteriorly. |
Generate impression based on findings. | Male 53 years old Reason: 52 yo male with history of amyloidosis; pre-auto SCT evaluation History: evaluate. SKULL: We have two views of the skull showing a couple of small subcentimeter lucencies in the parietal calvarium.CERVICAL SPINE: We have two views of the cervical spine. The cervicothoracic junction is not well... | Demineralized bones with poorly defined lucencies and endosteal scalloping as described above that may reflect multiple myeloma |
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. No suspicious masses, microcalcifications or areas of archi... | 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. | 66 years, Male, Reason: metastatic prostate cancer, intrapulmonary LN. eval for progression History: prostate cancer, lung nodule. CHEST:LUNGS AND PLEURA: Nodular pleural-based mass along the posterior aspect of the left apex is increased in size from the prior exam measuring 1.4-cm is in thickness (3/16), previously 0... | 1.New bilateral adrenal nodules and pleural based masses, suspicious for neoplasm.2.Diffuse sclerotic metastasis and reference nodes are unchanged.3.Inguinal hernia containing loops of small bowel, increased since the prior exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior history of skin cancer. Two standard digital views, repeat bilateral MLO 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, u... | 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. | History of stage IIIA mucinous adenocarcinoma of the uterus, s/p TAH/BSO 2009, with recurrence at vaginal cuff with acute vaginal bleeding, planned for surgery on 3/2/15, rule out distant metastasis.RADIOPHARMACEUTICAL: 4.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 97 mg/dL. Today's CT portion grossly ... | 1.Mild increased activity anteriorly along the left vaginal cuff suspicious for possible tumor recurrence. 2.Left sided inguinal lymphadenopathy is suspicious for possible lymph node metastases.3.Thickening of the gall bladder wall with mild activity is nonspecific but could represent inflammation or edema. Right upper... |
Generate impression based on findings. | Age: 66 years. Sex : Male. Reason for study: Reason: r/o aspiration History: URI, oxygen requirement, cough. 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 o... | The exam was positive for penetration and negative for aspiration. Please see speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | Female 37 years old Reason: IV dedicated renal CT w/ cortical nephrogram and delayed phases; define mass R flank History: R flank pain; found to have large cyst ABDOMEN: The exam is limited secondary to lack of oral contrast. Evaluation of bowel pathology is suboptimal.LUNG BASES: No significant abnormality notedLIVER,... | 1.Thin-walled fluid collection again seen without solid component or apparent septations. Differential is unchanged and includes a benign cystic lesions such as a lymphangioma, duplication cyst, mesenteric cyst such as a mesothelial/epithelial cyst, or lymphocele. 2.No focal renal mass or ureteral filling defect seen. ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother (diagnosed in her 60s), maternal aunt (diagnosed in her 40s), and maternal cousin (diagnosed in her 30s). Two standard digital views of both breasts were performed 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, 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. Family history of breast cancer in mother and maternal grandmother. 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... | Bilateral benign calcifications. 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: evaluate vessel stenosis, thrombosis, aneurysm, emboli History: acute ischemic stroke, A-fib, bacteremia Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch.... | 1.There is a left internal carotid artery string sign present with high-grade proximal left internal artery stenosis. The left middle cerebral artery territory is supplied from via the posterior communicating artery. The left anterior cerebral artery territory is supplied via the anterior communicating artery. The arte... |
Generate impression based on findings. | Metastatic esophageal cancer. Evaluation for mets.RADIOPHARMACEUTICAL: 12.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 87 mg/dL. Today's CT portion grossly demonstrates lower cervical and upper thoracic circumferential esophageal thickening. There are enlarged right supraclavicular and prominent right u... | 1.Markedly hypermetabolic upper esophageal thickening compatible with provided history of esophageal cancer.2.Markedly hypermetabolic right supraclavicular, upper left paraesophageal, and upper mediastinal lymph nodes compatible with metastatic disease.3.Mildly hypermetabolic, symmetric lower mediastinal and hilar lymp... |
Generate impression based on findings. | Thyroid nodule FNA follicular neoplasm, low TSH. Concern for toxic nodule. The thyroid images demonstrate a large hypofunctioning nodule occupying most of the left thyroid lobe. There is otherwise uniform uptake within and enlarged right thyroid lobe. Uptake is also noted in a pyramidal lobe. The 4-hour radioactive iod... | 1. Large hypofunctioning nodule within the left thyroid lobe; correlate with ultrasound/biopsy. 2. Overall thyroid uptake is upper limits of normal; in the setting of a low TSH, this is abnormal and is suggestive of Grave's disease considering an enlarged right thyroid lobe and presence of a pyramidal lobe. |
Generate impression based on findings. | Female 76 years old Reason: evaluate for disease progression History: ra. Three views of the left hand again show findings compatible with advanced rheumatoid arthritis. There has been progression of erosion within the distal radius and possibly along the base of the first metacarpal. There appears to be increased soft... | Findings indicating advanced rheumatoid arthritis as described above, with progression of erosions of the left hand. |
Generate impression based on findings. | Ms. Cook is a 53 year old female with a personal history of benign right breast biopsy in 1999 and known bilateral breast calcifications. Family history of breast cancer in mother diagnosed at the age of 62. She has no current breast related complaints. Three standard views of both breasts were performed digitally and ... | Bilateral benign calcifications. 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. | Metastatic thyroid cancer, carcinoid tumor of the lung, and Hurthle cell cancer. Neck: There are postoperative findings related to total thyroidectomy. There is no evidence of mass lesions or significant cervical lymphadenopathy. The salivary glands are unchanged. The osseous structures are unchanged. The airways are p... | 1. Stable postoperative findings in the neck without evidence of measurable tumor recurrence or significant lymphadenopathy in the neck, although the evaluation is limited by the lack of intravenous contrast.2. No evidence of intracranial metastases, although the evaluation is limited by the lack of intravenous contras... |
Generate impression based on findings. | Limited neck ROM, previous C2-3 fracture with no surgical repair Moderate multilevel degenerative disk disease affects the cervical spine, predominantly at C5/6 and C6/7. The alignment is anatomic. There is no evidence of instability. | Degenerative disk disease without evidence of instability. |
Generate impression based on findings. | Chronic cough, nasal congestion. There is mild scattered mucosal thickening in the paranasal sinuses. The nasal cavity is clear. The nasal septum is deviated to the left with an associated spur. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The facial soft ... | 1. Mild scattered paranasal sinus mucosal thickening.2. Extensive degenerative changes involving the left temporomandibular joint and mild degenerative changes involving the right temporomandibular joint.3. The nasal septum is deviated to the left with an associated spur. 4. Partially-empty sella. |
Generate impression based on findings. | Pain Mild osteoarthritis affects both hip joints, right greater than left. An intrauterine device is noted. | Osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother, diagnosed at age of 52. 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 ... | 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. | 84 year old female with shortness of breath, pre-operative evaluation for TAVR. ANGIOGRAM: Please see accompanying cardiac CT report for description of thoracic aorta. Moderate atherosclerotic disease affects the abdominal aorta and its branches. There is no evidence of abdominal aortic aneurysm or dissection. The sple... | 1.Moderate atherosclerotic disease. Vascular measurements of the abdominal aorta and its branches as described above. Mild narrowing of the right common iliac artery to approximately 8 mm. Relatively small caliber of common femoral arteries. 2.Please see dedicated cardiac CT from same day for full details regarding the... |
Generate impression based on findings. | Right shoulder pain No fracture or malalignment is seen. Minimal osteoarthritic changes affect the glenohumeral joint. The acromiohumeral interval is within normal limits. | Minimal osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother and maternal aunt. BRCA1 positive. 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 obsc... | Stable benign morphology mass in the left breast. 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of mother and daughter 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 in patt... | 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: Monitor of pulmonary nodule for transplant listing History: As above LUNGS AND PLEURA: Very faint focal ground glass nodular opacity in the anterior segment of left upper lobe measuring approximately 12 mm (series 5/116) has not significantly changed. This includes nodular fibrosis, atypical adenomatous hyperpl... | Persistent very faint left upper lobe 12-mm groundglass nodule with a differential diagnosis that includes nodular fibrosis, atypical adenomatous hyperplasia and adenocarcinoma in situ. Long-term follow-up is recommended for such lesions, because they tend to be extremely indolent, and even they have malignant potentia... |
Generate impression based on findings. | Female 76 years old Reason: Standing views. Evaluate degree of osteoarthritis. History: Left knee pain . We have 4 views of the left knee. There is perhaps mild medial compartment narrowing but otherwise we see no frank osteoarthritic changes. Ossification along the medial femoral condyle likely reflects prior injury t... | Mild medial compartment narrowing may reflect very mild osteoarthritis. |
Generate impression based on findings. | Ms. Krolak submitted outside mammograms dated 07/10/2013 and 08/03/2009, from Pronger Smith Medical Care. Submitted outside studies were compared to the current mammogram dated 02/12/2015. The breast parenchyma is heterogeneously dense, which may obscure small masses. There is a focal asymmetry in the right upper outer... | Focal asymmetry in the right breast. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Ms. Krolak submitted outside mammograms dated 07/10/2013 and 08/03/2009, from Pronger Smith Medical Care. Submitted outside studies were compared to the current mammogram dated 02/12/2015. The breast parenchyma is heterogeneously dense, which may obscure small masses. There is a focal asymmetry in the right upper outer... | Focal asymmetry in the right breast. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 12-year-old female, evaluate healing of left shoulder fractureVIEWS: Left shoulder, neutral, AP and Grashey (3 views) 2/27/15 10:29 Again visualized is a transverse fracture of the proximal humeral metadiaphysis with mild posterior and lateral angulation of the distal fracture fragment. No significant periosteal reacti... | Proximal humeral fracture with mild posterior and lateral angulation appearing similar to the prior exam. |
Generate impression based on findings. | pain with walking after injury during danceVIEWS: Right foot AP, oblique and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | 64-year-old male metastatic prostate cancer to bone and pulmonary nodules for evaluation after treatment. CHEST:LUNGS AND PLEURA: There are scattered small nodular opacities with tree in bud appearance bilaterally common new from the prior exam with resolution of previous nodularity. The findings are consistent with br... | Findings in the lungs consistent with bronchiolitis.Stable metastatic disease involving bones and right pelvis. |
Generate impression based on findings. | Epilepsy and respiratory distress.VIEW: Chest AP (one view) 02/27/15, 0955 Endotracheal tube tip is in right brain stem bronchus. There appears to be a metal zipper tab in the gastric antrum.Airspace disease is present in the right lung. Left lower lobe opacity is a new finding and is most likely due to atelectasis fro... | Right mainstem bronchus intubation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 46 years old Reason: hx relapsed hodgkins, s/p allo SCT day 100 eval disease status History: hx relapsed hodgkins CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Reference large mediastinal adenopathy now measures 11 . 4 x 11.4 cm on image number 38, series number 3, not significantly... | There large infiltrative mediastinal adenopathy encasing the major vessels as described above, not significantly changed from previous study.Diffuse fatty infiltration of the liver, unchanged. |
Generate impression based on findings. | 72-year-old male with history of known SMA stenosis now with abdominal pain, evaluate for mesenteric ischemia. CT Angiography: Severe atherosclerotic disease affects the abdominal aorta and its branches. There is no evidence of aortic aneurysm or dissection. The origin of the celiac axis is patent. There is severe narr... | 1.Severe narrowing of the proximal SMA with flow present distally. No specific evidence of bowel ischemia.2.Left ureterovesical junction 2-mm calculus with associated moderate left hydroureteronephrosis.3.Left adrenal nodule which does not meet requirements for benign adenoma and is incompletely characterized. Metastas... |
Generate impression based on findings. | Ms. Ransmeier is a 39 year old female who initially presented with a palpable mass in the left superior breast. Prior ultrasound demonstrated a mixed echogenic lesion with internal calcifications, suggestive of fat necrosis versus an unusual galactocele. She presents today for a short-term ultrasound follow-up. Upon ph... | Evolving fat necrosis with dystrophic calcifications in the left breast. As long as the patient's physical examination remains stable, a bilateral diagnostic mammogram with possible ultrasound is recommended in 6 months in order to confirm stability of these findings.BIRADS: 3 - Probably benign finding.RECOMMENDATION: ... |
Generate impression based on findings. | Right leg limping.VIEWS: Pelvis AP/frog leg (two views), right tibia-fibula AP/lateral (two views) 02/27/15 The femoral head ossification centers are symmetric and well directed into normally formed acetabula. Femoral abduction and external rotation are performed symmetrically. A small amount of feces is seen in the re... | Normal pelvis and tibia-fibula. |
Generate impression based on findings. | S.O.B. and chest pain status post bronchial thermoplasty #1. History of iodine/CT dye allergy-SBP and rash. Premedicated. PULMONARY ARTERIES: Diagnostic 20 effusion without evidence of pulmonary embolus.LUNGS AND PLEURA: Motion artifact degrades image quality. Consolidation surrounding the airways of the right lower lo... | No evidence of pulmonary embolus. Mild lymphadenopathy and extensive consolidation surrounding the airways of the right lower lobe may be post procedural and should be correlated with site of thermoplasty.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applica... |
Generate impression based on findings. | Male 76 years old Reason: 75-year-old male patient with history of prostate cancer. Evaluate for progression History: NA CHEST:LUNGS AND PLEURA: Biapical scarring, unchanged. Calcified granuloma in the right lower lobe is unchanged. Subcentimeter noncalcified nodule in the right middle lobe is also unchanged.MEDIASTINU... | No significant change from previous study. |
Generate impression based on findings. | Male 45 years old Reason: HIP TOTAL ARTHROPLASTY PRIMARY UNCEMENT (Left HIP) . Components of a left total hip arthroplasty device are situated in near anatomic alignment. Gas density in the soft tissues reflects the surgical wound. A ringlike metallic density in the greater trochanter represents prior orthopedic interv... | Total hip arthroplasty (intra-operative) as above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 12 year old female with history of old avulsion injury of the right elbow. Medial condylar fracture traversing the articular surface with the distal fracture fragment displaced medially and anteriorly. The distal fracture fragment measures 1.7 cm x 1.5 cm. No joint effusion or soft tissue swelling is noted. | Medial condylar fracture with anterior and medial displacement of the distal fracture fragment. |
Generate impression based on findings. | Relapsed Hodgkin's s/p allo SCT. There are postoperative findings in the right lower neck. There is no significant cervical lymphadenopathy. For example, a right level 2 lymph node measures 8 mm in short axis, previously also 8 mm. There is unchanged mild prominence of the Waldeyer ring structures. The major salivary g... | 1. No significant cervical lymphadenopathy.2. Partially imaged mediastinal mass. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Male 71 years old Reason: Pt is a 70 y/o male with h/o urothelial cancer and h/o lung cancer, evaluate for recurrence, evaluate hydro History: urotheilal cancer, lung cancer CHEST:LUNGS AND PLEURA: Status post left upper lobectomy. Scattered micronodules and apical scarring, unchanged.MEDIASTINUM AND HILA: No significa... | Interval resolution of the bilateral hydronephrosis. |
Generate impression based on findings. | Multiple syncopal episodes and hitting head. Evaluate for bleed. There is no evidence of intracranial hemorrhage or mass effect. The ventricles and basal cisterns are unchanged in size and configuration. No hydrocephalus. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are cl... | No evidence of intracranial hemorrhage or mass effect. If there is suspicion for acute ischemia, MRI can be considered for further evaluation. |
Generate impression based on findings. | Reason: Stage IVa NSCLC with pleural studding now s/p RT to proximal mass with good control of cough and dyspnea for routine surveillance eval History: none CHEST:LUNGS AND PLEURA: A right upper lobe perihilar soft tissue mass, with invasion into the adjacent mediastinum, now measures 3.5 x 2.8 x 3.4 cm (series 3, imag... | 1. Decrease in size of a right upper lobe soft tissue mass abutting the hilum and extending into the mediastinum, compatible with a known history of primary lung adenocarcinoma.2. Extensive metastatic disease throughout the right hemithorax is similar in appearance to the prior exam. Small nodules in the left lung are ... |
Generate impression based on findings. | Male 67 years old Reason: Pt w/ necrotizing pancreatitis s/p multiple IR drains in fluid collections, most recent 12/29, please eval for resolution History: Abdominal abscess This study is limited due to lack of intravenous contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable subcen... | Limited study due to lack of intravenous contrast. New complete resolution of the patient's known collection near the pancreatic tail. |
Generate impression based on findings. | Male 69 years old Reason: Pt is a 68 y/o male with prostate cancer, hematuria, check CT urogram, delayed views, 3D reconstruction History: prostate cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver. Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No signif... | Cirrhotic liver.Bilateral nephrolithiasis. |
Generate impression based on findings. | Anisocoria, unresponsive pupils. Evaluate for bleed or herniation. Image quality is significantly degraded by motion artifact and portable technique. There is no definite evidence of intracranial hemorrhage or mass effect. There is global parenchymal volume loss. There is unchanged encephalomalacia in the right parieta... | 1. Limited study due to motion artifact. No gross acute intracranial hemorrhage. No intracranial mass effect or herniation.2. Unchanged encephalomalacia in the right cerebral hemisphere. |
Generate impression based on findings. | Metastatic prostate cancer to bones. There are multiple osseous foci of uptake with slight increase in conspicuity of some lesions. Specifically, there is increased confluence and uptake within the bilateral ilia, pubic bones, spine, and proximal femurs. Metastatic lesions within the ribs also appear more confluent. | Stable distribution of numerous osseous metastatic lesions. No definite new lesions are identified. |
Generate impression based on findings. | Male 73 years old Reason: history of metastatic prostate cancer to bones, nodes reeval History: prostate cancer to bones CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules are overall unchanged. Index left lower lobe nodule measures 1.2 by 1 cm on image number 84, series number 5.MEDIASTINUM AND HILA: Small mediastina... | Interval decrease in the size of the anterior abdominal wall fluid collection. Bone metastases are grossly stable. Lung nodules are also stable. |
Generate impression based on findings. | 12 year old female with right elbow varus deformity. Assess alignment.VIEWS: Right humerus AP and lateral (two views) 2/27/2015 10:55 Redemonstration of medial condylar fracture in the distal humerus as described on recent elbow radiograph. The proximal and mid humerus is normal in alignment with no evidence of fractur... | Distal humeral medial condylar fracture with no other abnormality in the remaining humerus. |
Generate impression based on findings. | Female 25 years old Reason: 25F s/p lap chole c/b peritonitis/leak requiring takeback for ex lap washout with placement of drains x 3 all have been since removed. eval for any recurrence of intraabdominal collections History: s/p ex lap, washout for leak following lap chole. drains out, on oral abx, please eval for int... | Interval improvement in multiloculated abdominal fluid collection status post removal of intraperitoneal drains. Small residual scattered loculated fluid collections. |
Generate impression based on findings. | Nearly 2 year history of right neck/jaw swelling that was first noted in 2013 with fever and mild swelling to face. There is prominent right level 2B lymphadenopathy, measuring up to 3 cm. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unremarka... | Right upper cervical lymphadenopathy. Differential considerations include infectious, inflammatory or granulomatous, and neoplastic processes. |
Generate impression based on findings. | Ms. Martinez is a 68 year old female with biopsy proven malignancy within the right breast, 9 o'clock location. She had an ultrasound guided seed localization on 2/23/2015 in preparation for lumpectomy on 2/27/2015. Two specimen radiographs were obtained. The biopsy proven malignancy, Hydromark clip, and radioactive se... | Specimen radiograph contains malignancy, biopsy clip and seed. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 65 year old woman with history of left breast surgery, patient unable to remember why and no clinical history in chart. Three standard views of both breasts and ML and CC spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of sc... | 1. Right breast cysts.2. Left breast calcifications, not clearly benign in morphology. Short term followup is recommended with a left unilateral diagnostic mammogram in 6 months. Results and recommendation were discussed with the patient.3. Post-operative findings of left lumpectomy and left axillary surgery. BIRADS: 3... |
Generate impression based on findings. | 44 year old woman with history of right breast/skin mass x 5 years. History of maternal aunts with breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No dominant mass, suspi... | 1. 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.2. Small area of focal skin thickening in the right medial breast without underlying mass or abscess.... |
Generate impression based on findings. | 55 year old with known bilateral calcifications and cysts. History of bilateral biopsies and aspirations. No new 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 heterogeneously dense, unchanged in pattern and distributio... | 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. |
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