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Generate impression based on findings. | Female 31 years old Reason: ankle fx History: above. Possible degenerative changes of the lateral process of the talus, without definite fracture. Overlying soft tissue swelling has decreased when compared to the prior exam. | No definite fracture. Interval decrease in overlying soft tissue swelling. |
Generate impression based on findings. | 63 year old female with recent open repair of incarcerated umbilical hernia now with leukocytosis, evaluate for infectious process or fluid collection. ABDOMEN:LUNG BASES: Basilar atelectasis/consolidation and small pleural effusions, slightly increased. Cardiomegaly. LIVER, BILIARY TRACT: No significant abnormality no... | 1.Focally dilated loops of small bowel in the pelvis likely representing postoperative ileus, slightly increased in size.2.Postoperative changes of recent ventral hernia repair without drainable fluid collections.3.Interval placement of pessary and replacement of ureters into the pelvis. The uterus has a heterogenous a... |
Generate impression based on findings. | Evaluate for hemorrhage and abnormality of the larynx after right sided head injury, now with severe headache; persistent throat pain and dysphagia. Head: There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is a left cerebellar hemisphere deve... | 1. No evidence of acute intracranial hemorrhage or mass.2. No evidence of laryngeal disruption or airway stenosis.3. Prominent anterior cervical osteophytes. 4. Degenerative changes in the left temporomandibular joint. |
Generate impression based on findings. | PICC placement. Respiratory failure.VIEW: Chest AP (one view) 02/27/15, 1112 Right upper extremity PICC tip is at junction of right atrium and inferior vena cava. Endotracheal tube tip is at carina with tip directed toward right mainstem bronchus. There appears to be a zipper tab in the gastric fundus. A gastrostomy tu... | Right PICC tip at junction of right atrium and inferior vena cava. Endotracheal tube tip at carina with tip directed into right mainstem bronchus. Bilateral lung opacities. |
Generate impression based on findings. | Reason: h/o oral mandibular/alveolus ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Scattered benign-appearing nodules and calcified granulomas appear similar to the prior scan. No new suspicious pulmonary nodules or masses.No focal air space consolidation. No pleural effusions.... | No evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. 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. No suspicious masses, microcalcifica... | 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. | Female 78 years old Reason: metastatic bladder cancer. needs restaging exam History: metastatic bladder cancer to lungs Within the limits of a non IV contrast enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: CHEST:LUNGS AND P... | 1.Interval resolution of bilateral pleural effusions and multiple nodules thought to be related to metastatic disease. These likely represent a now resolved infectious process.2.Significant interval increase in size of the patient's pelvic lymphadenopathy, likely representing progression of disease. |
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. Scattered benign calcifications, including arterial calcifi... | 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 heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of architectural distortio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of lung cancer, diagnosed at the age of 50. 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 ... | Stable focal asymmetry in central 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: NSB - Screening Mammogram. |
Generate impression based on findings. | 79 year old man with aortic valve mass referred for evaluation of coronary anatomy prior to surgery.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no se... | 1.There are no significant coronary artery stenoses present. 2.Mild coronary stenosis in the left main. 3.Small papillary fibroelastoma noted on aortic valve. 4.Mild to moderate dilation of the right ventricle and right atrium. This portion of the report pertains to the heart and great vessels only. The remaining soft ... |
Generate impression based on findings. | Male 59 years old; Reason: eval for collection History: tender scrotum, abscess on CT pelvis RIGHT TESTIS: Measures 4.6 x 2.4 x 2.9 cm. There is extensive microlithiasis. No suspicious lesion is identified. Normal, symmetric vascular flow.LEFT TESTIS: Measures 5.0 x 2.8 to 2.8 cm. There is extensive microlithiasis. No ... | 1.Large, complex fluid collection with foci of gas in left groin.. Foci of air may be related to the recently removed surgical drains.2.Moderate simple appearing left hydrocele and thickening of the scrotal wall, likely reactive.3.Extensive bilateral testicular microlithiasis. |
Generate impression based on findings. | NECK: There are postoperative findings related to thyroidectomy. There is interval increase in size of the necrotic right paratracheal lymph node, which measures 26 x 37 mm, previously 13 x 27 mm. The lesion is inseparable from the tracheal wall. There is also interval increase in size of a necrotic right level 4 lymp... | 1.Interval increase in size of the metastatic right paratracheal and right level 4 lymphadenopathy.2.No evidence of intracranial metastasis.3.Pulmonary micronodules. Please refer to the separate chest CT report for additional details.4. Secretions within the trachea may be due to aspiration. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of right cyst aspiration. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious ma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Male, 40 days old, with possible seizures in a neonate. The cerebral and cerebellar hemispheres and brainstem are normal for age in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The ventricular system is normal in ... | No acute intracranial abnormality and no findings to account for the patient's possible seizures. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother, diagnosed at the age of 63. Two standard digital views of both breasts with additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglan... | 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 84 years old Reason: mediastinal and hilar LAD with smoldering myeloma and IgM MGUS, r/o lymphoma (Waldenstroms or other B cell) History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heterogeneous thyroid... | No lymphadenopathy or other evidence of metastatic disease. |
Generate impression based on findings. | Dedicated images through the sella demonstrate a normal height of the pituitary gland. The suspected area of differential enhancement seen on the prior study is not well appreciated on this study. No other discrete lesion is seen within the pituitary gland. The pituitary stalk lies in the midline. Suprasellar cistern,... | 1. Suspected area of differential enhancement seen on the prior study is not well appreciated on this study. No other discrete lesion is seen within the pituitary gland. 2. Stable incidental findings in the brain. |
Generate impression based on findings. | - 50 year old male with renal transplant and abnormal function. RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: No significant abnormality noted.COLLECTING SYSTEM/URETER: No hydronephrosis.URINARY BLADDER: No significant abnormality notedVASCULAR DOPPLER DATA... | No hydronephrosis. No renal artery stenosis. |
Generate impression based on findings. | Female 80 years old Reason: gastric cancer, carcinomatosis restaging CT. Exam is not sensitive for detecting lesions in the solid organs vasculature due to lack of intravenous contrast. Given those limitations following Osler's;CHEST:LUNGS AND PLEURA: Previously seen small left pleural effusion is resolved.Fibrotic int... | Roughly stable disease. Index measurements as above. Persistent but slightly decreased pleural effusions. |
Generate impression based on findings. | 51-year-old male with tenderness at site of transplanted kidney. RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: Transplanted kidney measures 13.9 cm in length. There is very mild prominence of the renal collecting system and proximal ureter.COLLECTING SYSTEM... | Mild dilatation of the renal collecting system.Patent vasculature.Question small amount of linear calcification in the adjacent iliac artery. |
Generate impression based on findings. | Male 61 years old; Reason: metastatic prostate cancer with rising PSA. needs reeval. outside lab creat 12/26/14 0.9 History: metastatic prostate cancer ABDOMEN:LUNGS BASES: Micronodule right middle lobe series 4 image 5 and image 9. This could be followed.LIVER, BILIARY TRACT: About 10 hypodense lesions in the liver co... | 1.Multifocal hypodense lesions in the liver consistent with metastases. Portal and significant retroperitoneal nodes.2.Soft tissue mass the region of the right lobe of the prostate inseparable from bladder and seminal vesicle.3.Bilateral nephrolithiasis.4.Nonspecific micronodules lung base.5.No visible osseous lesions. |
Generate impression based on findings. | Bilateral hip pain. Limited walking. Two views of the right hip are provided. Mild osteoarthritis affects the hip appearing similar to that seen on the prior study.Two views of the left hip are provided. Mild osteoarthritis affects the hip.Scattered arterial calcifications are seen within the pelvis and proximal thighs... | Mild osteoarthritis. |
Generate impression based on findings. | 65-year-old male with solitary right kidney and acute renal failure. RIGHT KIDNEY: The right kidney measures 12.4 cm in length. Echotexture appears normal and the parenchyma is well-preserved. There is a 1.2 cm cyst in the lower pole. No hydronephrosis, shadowing calculus or solid massLEFT KIDNEY: Post nephrectomyURINA... | No change in right kidney. No hydronephrosis. |
Generate impression based on findings. | Redemonstrated are multiple small T1 hyperintense, mildly enhancing lesions with associated susceptibility effect, some of which are stable in size and some of which are slightly increased in size. These include the lesions in the right paracentral lobule measuring 8 mm, previously 7 mm, and in the right inferior fron... | Slight interval increase in size of some of the multiple lesions along the cortical surfaces with intrinsic T1 hyperintensity, which may represent metastases with blood product. |
Generate impression based on findings. | Female 46 years old Reason: re-evaluation of extent of metastatic disease in patient with cholangiocarcinoma History: obstructive jaundice ABDOMEN:LUNG BASES: New right retrocaval lymph node series 2 image 85.LIVER, BILIARY TRACT: Previously seen biliary dilatation is resolved. There are new, numerous small hypodense l... | Progression of disease with new adenopathy and liver lesions. |
Generate impression based on findings. | Lumbago. Evaluate for DDD, spondylolisthesis. For the sake of consistency with the prior study, I will designate 5 lumbar vertebrae with hypoplastic ribs at L1. Again seen is a bilateral spondylolysis of L4 with a grade 2 anterolisthesis of L4 that appears to have progressed when compared with the prior study. Moderate... | L4 spondylolysis with progression of spondylolisthesis and degenerative disk disease as described above. |
Generate impression based on findings. | 68-year-old male with history of rectal cancer status post colorectal anastomosis and ileostomy takedown. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Low-attenuation segment 8 hepatic lesion measures 6 mm (series 3, image 35), unchanged since 2013.SPLEEN: No significant abnormality notedPA... | 1.Interval takedown of right lower quadrant ileostomy without evidence of complication.2.Postsurgical changes to the rectum and presacral space appearing similar to prior.3.Mildly prominent right common and external iliac nodes not significantly changed. |
Generate impression based on findings. | Reason: stem cell transplant patient with recent xray concerning for new LUL opacity. Want CT to rule out fungal pneumonia History: N/A LUNGS AND PLEURA: Scattered micronodules are unchanged. A previously visualized nodular pleural-based opacity in the right lower lobe within an area of scarring is no longer seen, now ... | 1. No suspicious pulmonary nodules or masses. No evidence of fungal pneumonia.2. A punctate focus of air and a small amount of fluid surrounding the right chest port may be signs of infection if the port was not placed recently.3. Mild bronchiolitis, likely related to microaspiration. |
Generate impression based on findings. | Right breast cancer -12.8 mm. Needs lymphoscintigraphy for surgery scheduled 2-27-15 at 1pm in dCAM wt=170 1bs.RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 0.52 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is noted in... | Sentinel node identified in the right axilla. |
Generate impression based on findings. | Female 53 years old Reason: RA History: same Right hand: There is narrowing of the radial carpal joint, with sclerosis and subchondral cysts, which is unchanged from the prior exam. There may be increased narrowing of the distal radioulnar joint, which may be, in part, due to patient positioning. Again seen is a lucenc... | 1. Lucency in ulnar styloid may represent a small erosion, but this is equivocal.2. Degenerative changes more pronounced in the right wrist then in the left wrist, appearing similar to the prior study. 3. Additional degenerative changes involving the feet are unchanged from prior exam. |
Generate impression based on findings. | Female 54 years old Reason: fall History: same. We have 3 views of the left wrist. Various swelling along the dorsal aspect of the wrist. A small fragment within the dorsum of the wrist is compatible with a triquetral fracture fragment. | Triquetral fracture as described above. |
Generate impression based on findings. | Newly diagnosed ascending colon cancer. Had initial staging CT Scan on 2/11/15 here with a round superior mediastinal mass with CEA over 25ng/ml. Needs PET Scan for initial staging.RADIOPHARMACEUTICAL: 10.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 109 mg/dL. Today's CT portion grossly demonstrates a r... | 1.Ascending colon lesion with significantly abnormal FDG avid activity, compatible with colonic malignancy. 2.Significantly abnormal FDG avid activity in the fundus of the stomach may be due to gastric cancer, an upper endoscopy may provide further information.3.Activity within lymph nodes in the mediastinum, external ... |
Generate impression based on findings. | Female 65 years old Reason: fx f/u History: pain. Left shoulder and left clavicle: Hardware components of a left shoulder hemiarthroplasty device are situated in near anatomic alignment. Again seen is chronic erosive remodeling of the glenoid, which has not significantly progressed from the prior exam. Distal clavicula... | Left shoulder hemiarthroplasty and distal clavicular fracture as described above. |
Generate impression based on findings. | Nausea and vomiting. Question of gastroparesis. Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 71 % of peak activity (normal >70 %)1 hour: 65 % of peak act... | Gastric emptying within normal limits. |
Generate impression based on findings. | Male 69 years old; Reason: cirrhosis, PVT and SMVT - follow up on thromboses History: hypercoagulable state ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhotic morphology with associated chronic portal, splenic and superior mesenteric vein thrombosis with extensive collateral formation... | 1.Diffuse portal splenic and superior mesenteric vein thrombosis with collateral formation. Small amount of ascites. 2.Mark splenomegaly. 3.Right-sided clonic wall thickening consistent with portal hypertension effect. 4.Gallstones.5.Left renal cyst come atherosclerotic disease with mild bulging the abdominal aorta.6.S... |
Generate impression based on findings. | History of diabetes type II, now with persistent Nausea/Vomiting, concern for gastric gastroparesis History: h/o DM2, now with persistent Nausea/Vomiting, concern for gastric gastroparesis Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric act... | Gastric emptying within normal limits. |
Generate impression based on findings. | Reason: s/p coiling History: same The CSF spaces are appropriate for the patient's stated age with no midline shift. Since the previous examination a ventriculostomy tube is in place in the right frontal bone into the right lateral ventricle. There is a small amount of intraparenchymal blood surrounding the ventriculos... | 1.Since the prior exam the patient has undergone right-sided ventriculostomy and aneurysm coil placement for the right posterior communicating artery aneurysm. 2.The ventricles remain stable. 3.A small focal hemorrhage is developed in the right frontal lobe. |
Generate impression based on findings. | History of prostate cancer. Evaluate for progression. Abnormal foci of uptake are again noted in the left anterior ribs, right posterior ribs, calvarium, and distal right humerus. New focus of uptake within the lateral right 7th rib corresponds to a healing fracture on CT from the same date. Degenerative uptake is note... | No significant change in size or number of osseous metastatic lesions. |
Generate impression based on findings. | High oxygen requirements, chest pain evaluate for PE. Mesothelioma. PULMONARY ARTERIES: Technically adequate contrast infusion without evidence of pulmonary embolus to the distal segment level. Exam is limited by motion artifact. LUNGS AND PLEURA: Subpleural pneumatoceles in the right lung most likely reflect chest tub... | No evidence of pulmonary embolus to the distal segmental level. Postoperative changes from recent thoracotomy and decortication limit sensitivity for detection of residual tumor which may have a similar radiographic appearance to postoperative blood products. Pulmonary edema. Right lower and middle lobe post operative ... |
Generate impression based on findings. | Reason: r/o PE History: chest pain, (+) d dimer The bilateral inferior most posterior costophrenic angles are not included on this exam.PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No focal airspace cons... | No evidence of pulmonary embolism or other acute abnormality to account for patient's symptoms.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Check lytic lesions. Patient with right rib and hip pain. Patient with myeloma Diffuse demineralization limits sensitivitySKULL: No discrete myelomatous deposits. Small lucencies likely represent venous lakes.CERVICAL SPINE: Multilevel degenerative changes including a grade 1 retrolisthesis of C4 on 5, unchanged. No di... | Unchanged appearance without discrete myelomatous lesions. Particular attention was placed in the area of the left ischium and femur previously identified. Please see specific detail provided above |
Generate impression based on findings. | Female 49 years old Reason: patient s/p roux-en-y gastric bypass asses jejuno-jejunal anastomosis History: nausea and vomiting, . Omnipaque 350 was orally ingested and flowed without holdup through the esophago-jejunal anastomosis and opacified the proximal small bowel. Contrast passed through the two anastomoses witho... | Status post Roux-en-Y gastric bypass with jejuno-jejunal anastomosis. No evidence of leak or obstruction. |
Generate impression based on findings. | Frontal sinus: The frontal sinuses are clear. There is trace mucosal thickening in both frontal ethmoidal recesses.Anterior ethmoids: There is mild-moderate patchy opacification and mucosal thickening within the anterior ethmoid air cells.Maxillary sinuses: There is mild mucosal thickening in the maxillary sinuses. Th... | 1. Overall, mild-moderate scattered sinus inflammatory changes with opacification of both ostiomeatal units in the left sphenoethmoidal recess. Minimal aerated secretions in the left sphenoid sinus which can be seen with acute sinusitis.2. Mild leftward nasoseptal deviation with small bony spur. |
Generate impression based on findings. | Pain. Preoperative. Moderate osteoarthritis affects the left knee, with 4 degrees of genu varus. Mild osteoarthritis affects the left hip. | Osteoarthritis. |
Generate impression based on findings. | Reason: metastatic head and neck restaging History: as above CHEST:LUNGS AND PLEURA: Moderate apical predominant centrilobular and paraseptal emphysema, with apical bullae, unchanged.A right lower lobe solid nodule measures 22 x 17 mm (series 5, image 249), previously 17 x 14 mm. Additional scattered micronodules, some... | 1. Increasing mediastinal lymphadenopathy is suspicious for metastatic disease. Right hilar lymphadenopathy nonspecific and could be postinfectious or metastatic.2. Right lower lobe nodule slightly larger.3. New nodular consolidation in the right lower lobe which may represent aspiration pneumonia however is isoattenua... |
Generate impression based on findings. | History of right tonsil T1N0SCCA. The study was performed for restaging.RADIOPHARMACEUTICAL:13.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 108 mg/dL. Today's CT portion grossly demonstrates post-surgical changes in the right neck. Hepatic steatosis is noted. A single kidney is seen on the right. A tubu... | 1.No evidence of FDG avid tumor. 2.Bilateral axillary lymph node activity is likely reactive. 3.Increased skin activity in the right upper chest is likely inflammatory in etiology. |
Generate impression based on findings. | 68 years, Male. Reason: assess NG tube placement History: s/p NG placement Note that patient body habitus and motion artifact limits evaluation. Enteric feeding tube tip projects over the fundus and sidehole is immediately proximal to the gastroesophageal junction. No significant interval change in gaseous colonic dist... | Enteric feeding tube tip projects over the fundus and sidehole is immediately proximal to the gastroesophageal junction. |
Generate impression based on findings. | Evaluate OA - evaluate for unicompartmental arthroplasty MAKO protocol History: pain Mild osteoarthritis affects the left hip. Irregularity at the left hamstring insertion likely reflects old injury. Moderate osteoarthritis affects the left knee. | Osteoarthritis. |
Generate impression based on findings. | History of PTLD, greater than 2.5 years status post allogeneic SCT.RADIOPHARMACEUTICAL: 4.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 130 mg/dL. Today's CT portion grossly demonstrates mucosal thickening of the bilateral ethmoid, sphenoid, and maxillary sinuses. There multiple prominent to enlarged lev... | Slight interval improvement with decreased number of hypermetabolic lymph nodes in the neck and pelvis. No new FDG avid lesion is identified. |
Generate impression based on findings. | Pain Knee: Severe and marked osteoarthritic changes observed in both knees greater on the left and more pronounced in the lateral compartments. Changes have significantly progressed since 2013. Small effusion with a questionable loose body projected behind the knee. Heavy atherosclerotic disease.Leg length: 16 degrees ... | Severe osteoarthritic the left knee with valgus angulation |
Generate impression based on findings. | 55 years, Male. Reason: corpak placement History: corpak Enteric feeding tube is looped in the gastric fundus with tip projecting over the gastric body. Nonobstructive bowel gas pattern. | Enteric feeding tube is looped in the gastric fundus with tip projecting over the gastric body. |
Generate impression based on findings. | 55-year-old male history of metastatic prostate cancer and shortness of breath, compare to previous scans. CHEST:LUNGS AND PLEURA: No suspicious nodules or masses. No focal consolidation or pleural effusion. MEDIASTINUM AND HILA: Small right thyroid nodule is unchanged. Enlarged AP window lymph node (series 3, image 42... | 1.Overall stable exam without significant change in bilateral adrenal nodules, inguinal and mediastinal lymphadenopathy, and sclerotic osseous metastases. Please note that nuclear medicine bone scan is more sensitive in assessing osseous metastases. 2.Mild peripancreatic stranding likely related to prior pancreatitis, ... |
Generate impression based on findings. | 90 years, Female. Reason: eval obstruction, ileus History: ileus Residual enteric contrast is now noted in the rectum, indicating slow bowel transit. There is interval removal of the enteric feeding tube. There is interval improvement in multiple dilated loops of small bowel compatible with small bowel obstruction. No ... | Improving small bowel dilatation compatible with small bowel obstruction. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images of left breast (1/7/15, 11/10/14), ultrasound images of left breast (1/7/15, 11/10/14) performed at Veterans Affairs Medical Center. For comparison, digital mammographic images (3/25/14) are available. DIGITAL MAMMOGRAPHI... | Rapidly enlarging malignant mass in the left breast with multiple enlarged left axillary lymph nodes.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Lung cancer. CHEST:LUNGS AND PLEURA: Left upper lobe cystic and solid mass measures 3.6 x 5 cm (4/33), previously 3.7 x 5 cm. Small clustered nodules associated with the mass are similar in appearance.Numerous nodules elsewhere in the left upper lobe are similar in size and number.Solid left lower lobe mass has decreas... | 1. Interval decrease in size of the left lower lobe mass.2. No significant change in left upper lobe mass, small mediastinal lymph nodes or numerous left upper lobe pulmonary nodules. |
Generate impression based on findings. | Prostate cancer with bone mets. There is redemonstration of multiple osseous metastatic lesions within the axial and appendicular skeleton. Some lesions appear to have increased radiotracer uptake and size while others have slightly decreased. However, no new lesions are identified. | Overall, stable distribution of multiple osseous metastatic lesions without new lesion. |
Generate impression based on findings. | 23-year-old male patient with history of Crohn's disease status post terminal ileum resection and narrowing at the ileocolonic anastomosis seen on colonoscopy. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 45 minutes. Fluoroscopic evaluation showed fixed narrowing of a 8 cm s... | Severely narrowed long segment fibrostenotic disease at the neoterminal ileum compatible with active on chronic Crohn's disease. |
Generate impression based on findings. | Left shoulder and elbow pain. Three views of the left shoulder demonstrate no fracture or malalignment. No specific findings to account for the patient's symptoms are present.Four views of the left elbow demonstrate minimal osteoarthritis. No fracture or malalignment is present. | No acute findings to account for the patient's symptoms. |
Generate impression based on findings. | 37-year-old male patient status post total gastrectomy on 2/23/2015. Evaluate for leak. Scout radiograph of the lower chest and upper abdomen demonstrated postsurgical free air under the diaphragm, suture material and surgical staples in the right up quadrant, and a partially visualized percutaneous jejunostomy tube. M... | Post surgical changes from total gastrectomy without evidence of leak. |
Generate impression based on findings. | Male 54 years old Reason: History of Hodgkin's lymphoma History: NOne Exam is limited secondary to lack of intravenous contrast. Evaluation of solid organs and vascular pathology is suboptimal. Within these limitations, the following observations are made:CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTI... | Stable right axillary lymphadenopathy and prominent mildly enlarged left cervical level 3/4 lymph nodes. No new sites of lymphadenopathy. |
Generate impression based on findings. | Injury There is a transverse fracture through the mid diaphysis of the fifth metacarpal, with volar angulation and full-width dorsal displacement of the distal fracture fragment. | Fifth metacarpal fracture, as above. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage, within the limitations of only postcontrast imaging. There are no areas of abnormal attenuation or pathological enhancement. There is redemonstration of a left cerebellar developmental veno... | No evidence of metastatic disease. Stable left frontal scalp postoperative changes. |
Generate impression based on findings. | Metastatic prostate cancer. Re-evaluation. No abnormal osseous foci are identified to indicate metastatic disease. Degenerative uptake noted in the shoulders, knees, cervical spine, and lower lumbar spine. | No evidence of bone metastases. |
Generate impression based on findings. | 56 years, Male. Reason: confirm ogt placement History: see above Enteric feeding tube tip projects over the distal gastric body. Common bile duct stent is again noted. Nonobstructive bowel gas pattern. Central venous catheter tip at the cavoatrial junction. Pelvis is excluded from the field-of-view. | Enteric feeding tube tip projects over the distal gastric body. |
Generate impression based on findings. | 48 years, Male. Reason: s/p renal transplant stent removed in Urology History: confirm removal Nonobstructive bowel gas pattern with moderate to large stool burden in the colon. Interval nephrostomy stent removal. Postsurgical changes project over the left hemipelvis. | Interval nephrostomy stent removal. |
Generate impression based on findings. | Left knee pain Severe osteoarthritis affects the left knee, with medial joint space narrowing and varus angulation. This has minimally progressed since 2012.The right total knee arthroplasty device appears in near-anatomic alignment, as seen on frontal views. | Severe left knee osteoarthritis, minimally progressed. |
Generate impression based on findings. | 14-week-old former 27 week gestational age patient with increased work of breathing. Chest tube dislodged.VIEW: Chest AP (one view) 02/27/15, 1251 Left chest tube is no longer visualized. Right internal jugular line tip is at junction of right atrium and inferior vena cava. Feeding tube tip is distal to proximal body o... | Increase in size of left pneumothorax after chest tube removal. |
Generate impression based on findings. | Bilateral knee pain RIGHT KNEE: Near severe osteoarthritis affects the right knee, with medial compartment narrowing and tricompartmental osteophytes. A moderate sized joint effusion is present.LEFT KNEE: Near severe osteoarthritis affects the left knee, with medial compartment narrowing and tricompartmental osteophyte... | Osteoarthritis, as above. |
Generate impression based on findings. | Ms. Cole is a 63 year old female presenting for routine mammogram. Per patient, she has radiating pain down the right shoulder and arm. She has no specific breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed ... | No mammographic evidence of malignancy. Patient's right shoulder/arm pain should be managed clinically. 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: ND ... |
Generate impression based on findings. | Neurosarcoidosis, chronic sinusitis, smoker and cough. LUNGS AND PLEURA: Faint new basilar and peribronchial ground glass opacities in the lower lobes and lingula, left greater than right. No signs of pulmonary edema. Mild emphysema. Mild left lower lobe bronchiectasis.MEDIASTINUM AND HILA: Normal heart size. No visibl... | Significant improvement in mediastinal and hilar lymphadenopathy since previous examination. On the current study, there are scattered groundglass opacities which are nonspecific in appearance at this time but could represent an early manifestation of alveolar sarcoidosis in the absence of clinical signs of infection. ... |
Generate impression based on findings. | Reason: life long non smoker with 2 months cough, CXR demonstrating a RUL cavitary lesion History: cough LUNGS AND PLEURA: Scattered benign-appearing micronodules. No suspicious pulmonary nodules or masses.Minimal scattered ground glass opacity and nodularity through the dependent right upper and right middle lobes. Mi... | 1. No suspicious pulmonary nodules or masses. No evidence of cavitary lesion.2. Mild patchy ground glass opacity may be postinflammatory in origin, including prior aspiration or infection. 3. Mild bronchiectasis, diffuse basilar ground glass density and reticulation may represent early pulmonary fibrosis. Recommend fol... |
Generate impression based on findings. | 62-year-old male patient status post reconstruction of esophagus with transverse cervical flap with history of fistula status post repair. Evaluate for leak/patency. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Enteric feeding tube extends beyond the ... | Persistent connection between the anterior wall of the esophagus the posterior wall of the trachea, measuring up to 6 mm in craniocaudal dimension. |
Generate impression based on findings. | 39-year-old male with epigastric and mid abdominal pain in the area of previous wound. 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 no... | Unusual pattern of adenopathy in the peripancreatic region of unknown significance.Posttraumatic bony changes as noted above. |
Generate impression based on findings. | There is a calculus that measures up to 35 mm in the superior aspect of the right submandibular gland with associated right intraglandular ductal dilatation. These findings are grossly similar to the CT cervical spine exam from 2007. There is no associated soft tissue stranding or edema. There is no significant cervic... | 1. Large right submandibular sialolith with intraglandular ductal dilatation, but no associated inflammatory changes.2. Extensive dental disease. |
Generate impression based on findings. | 79-year-old male with remote history of bladder cancer now with irritative voiding symptoms. ABDOMEN:LUNG BASES: Minimal basilar atelectasis. Previously referenced left hilar lymph node is not included in the field of view.LIVER, BILIARY TRACT: Diffuse low-attenuation of the liver compatible with hepatic steatosis. The... | 1.Cirrhotic appearing liver with two enhancing lesions which appear to have increased in size and remain concerning for possible HCC. Dedicated MR of the liver should be considered in the appropriate clinical setting.2.Stable retroperitoneal and pelvic reference lymph nodes.3.Stable adrenal nodule likely representing a... |
Generate impression based on findings. | There are punctate foci of diffusion restriction in the left centrum semiovale and in the left paramedian cerebellum. There is corresponding T2/FLAIR hyperintensity in these locations. There is punctate enhancement associated with the left paramedian inferior cerebellar focus of diffusion restriction. There is mild di... | 1. Multiple scattered evolving infarcts, including punctate acute infarcts in the left centrum semiovale. Subacute infarcts are seen involving the right frontal, parietal, and occipital lobes, with smaller areas in the left frontal and parietal lobes, as well as the left cerebellum.2. Numerous foci of scattered suscept... |
Generate impression based on findings. | Bilateral vesicoureteral reflux. Please evaluate for renal scarring. Sequential DMSA renal images show the kidneys to be of normal size, morphology,and position. Both kidneys demonstrate prompt homogenous diffuse cortical uptake with nofocal defects evident.The estimated contribution of the right kidney to total renal ... | Normal examination. No focal renal cortical defects. |
Generate impression based on findings. | Severe emphysema, Alpha I deficiency, severe S.O.B. and weight loss. Cough. LUNGS AND PLEURA: Severe emphysema with hyperexpansion of the right lung. Abrupt angulation of the right upper lobe bronchus is noted, though it remains patent. The anterior segmental bronchus of the right upper lobe is patent. The posterior se... | Severe emphysema. Collapse of the right upper lobe posterior segment with smooth borders, most consistent with atelectasis; a proximally obstructing lesion or a lesion within the collapsed lung cannot be excluded by CT. If there is clinical suspicion for malignancy, consider further assessment with FDG- PET scan. The m... |
Generate impression based on findings. | Reason: r/o intracranial bleed History: s/p total artificial heart, neuro exam altered Examination performed on the portable CT scanner which provides lower contrast resolution and then a conventional CT scanner furthermore there are metal wires surround the patient's head and create artifacts.There are no early stigma... | 1.There is a small subdural hematoma adjacent to the right parietal lobe extending down to the right occipital lobe.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3.Examination was performed on a portable scanner as well as associated with artifacts. As a result subtle abnormali... |
Generate impression based on findings. | Chronic sinusitis. There are postoperative findings related to endoscopic sinonasal surgery with bilateral uncinectomy and medial upper antrostomy, partial ethmoidectomy, and inferior turbinectomy. There are persistent bilateral maxillary sinus retention cysts, partial opacification of the right neo-infundibulum and mi... | Postoperative findings related to endoscopic sinonasal surgery with scattered paranasal sinus opacification including persistent bilateral maxillary sinus retention cysts. Of note, the absence of the bilateral inferior turbinates can predispose to empty nose syndrome. |
Generate impression based on findings. | Female 72 years old Reason: Shoulder pain History: Pain. Left shoulder: The bones appear demineralized. There are moderate to severe degenerative arthritic changes of the glenohumeral and acromioclavicular joints with sclerosis and joint space narrowing, osteophyte formation, and subchondral cysts. There is no acute fr... | Moderate to severe osteoarthritis of the left shoulder joint and severe osteoarthritis of the right shoulder joint. |
Generate impression based on findings. | Reason: signs of infection History: neutropenic fever LUNGS AND PLEURA: Multifocal areas of peribronchovascular groundglass opacity. Prominent septal lines. Small bilateral pleural effusions, with minimal dependent atelectasis.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart is normal in size, ... | 1. Mild patchy areas of groundglass opacity nonspecific and may represent edema given the presence of septal thickening and new pleural and pericardial fluid. Infectious process is a differential consideration in a neutropenic patient, including viral pneumonia; pneumocystis pneumonia is possible, but considered less l... |
Generate impression based on findings. | 18 month status post left lower lobe lung resection. LUNGS AND PLEURA: Nodule containing an air bronchogram in the posterior right upper lobe abutting the fissure (5/42) has enlarged, measuring 5 x 9 mm, previously 4-mm in diameter, now suspicious for a metastasis.Severe emphysema. Bronchial wall thickening and ended b... | Interval enlargement of a right upper lobe pulmonary nodule, now suspicious for a metastasis. No signs of localized recurrence at the resection site. Slight decrease in volume of loculated pleural fluid on the right with chronic thickening of the visceral and parietal pleural surfaces . |
Generate impression based on findings. | Reason: is there evidence stroke History: speech difficulty yesterday - resolved after 20 minutes (occurred yest am 830) The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. Atherosclerotic calcifi... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. These have progress... |
Generate impression based on findings. | Female 66 years old Reason: SLE/RA overlap with recurrent pain at L trochanteric bursa and hip - rule out bony lesion History: SLE/RA overlap with recurrent pain at L trochanteric bursa and hip - rule out bony lesion Mild degenerative arthritic changes affect the left hip joint with enthesophyte formation at the anteri... | Degenerative arthritic changes of the left hip joint with enthesophyte formation at the anterior superior iliac spine. |
Generate impression based on findings. | Again demonstrated is a vascular right thigh mass of homogeneous echogenicity measuring 8.3 x 4.8 x 5.9, not significantly changed compared with the prior exam, although there were differences in measuring technique. Multiple feeding vessels and draining veins are again noted.DOPPLER | Vascular right thigh mass consistent with the history of Kaposiform hemangioendothelioma, not significantly changed from the prior exam. |
Generate impression based on findings. | Asbestos exposure weight loss rule out malignancy. LUNGS AND PLEURA: Bilateral nodular pleural plaques and calcification consistent with prior asbestos exposure. Linear scarring at the right lung base. No pulmonary masses or suspicious nodules.MEDIASTINUM AND HILA: Mild cardiomegaly. Calcification involving the aortic ... | Emphysema, signs of asbestos exposure and mild coronary artery disease, but no suspicious findings to suggest the presence of pulmonary malignancy. Small anterior mediastinal soft tissue nodule is probably benign given its chronicity can be conservatively followed with CT in 4 months unless there is a high enough level... |
Generate impression based on findings. | Female 43 years old Reason: fx f/u History: pain. Three views of the left wrist show a minimally laterally displaced transverse fracture of the radial styloid extending to the articular surface of the radiocarpal joint. The fracture line appears somewhat indistinct indicating partial healing. A fracture of the ulnar st... | Partial healing of intra-articular radial and ulnar styloid fractures. |
Generate impression based on findings. | Female 71 years old Reason: r/o fracture History: swelling, pain. Two views of the right humerus show a comminuted transverse fracture of the surgical neck of the right humerus with mild medial displacement of the distal fracture fragment. | Comminuted fracture of the surgical neck of the humerus as described above. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (9/12/14) performed at St. Anthony Hospital. For comparison, digital mammographic images (5/7/13, 10/1/10, 1/6/09, 8/14/07) are available. The breast parenchyma is composed of scattered fibroglandular elements, unchanged ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Female 45 years old Reason: r/o foriegn body History: laceration. There is diffuse soft tissue swelling about the hand. No acute fracture or dislocation is present. No radio opaque foreign body is evident. | No radiopaque foreign body is evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior benign biopsies bilaterally. 3 sisters with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in... | 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. Family history of breast cancer in maternal aunt. 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 suspicious masses, micro... | 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. | Suspicion of shaken baby syndrome and a subdural hematoma and underwent removal and then replacement of cranioplasty bone in October of 2014. History of brain injury and trauma. Evaluate skull fracture healing. There interval absence of the right parietal bone flap, with a skull defect that measures up to approximately... | Interval resorption of the right parietal bone flap with a skull defect that measures up to 6 cm and increase in size of the cystic components of the right parietal lobe encephalomalacia, which is perhaps in proportion to interval head growth, but it protrudes slightly through the skull defect. Smaller areas of encepha... |
Generate impression based on findings. | 12-year-old female with history of LP shunt with difficulty reprogramming, continued headache.EXAMINATION: Fluoroscopic guidance for reprogramming of Codman Hakim programmable valve 02/27/15 Fluoroscopic guidance was provided for reprogramming of Codman Hakim programmable valve. Reprogramming was performed by nurse pra... | Fluoroscopic guidance provided for reprogramming of Codman Hakim programmable valve which is now set at 70 mm of water. |
Generate impression based on findings. | Female 68 years old Reason: Pt presented to OSH with Painless jaundice was stented by ERCP. Bile duct mass. Pt had imaging at OSH no definitive pancreas mass with with CBD dilatation. Needs pancreas protocol Ct Scan History: none ABDOMEN:LUNG BASES: Small bilateral pleural effusions, left greater than right, with inter... | 1.No definitive visualization of a bile duct or pancreatic mass.2.Interval improvement in pleural effusions and ascites. |
Generate impression based on findings. | 18-month-old female with history of trauma. Evaluate for intracranial hemorrhage or fracture. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The image... | No evidence of acute intracranial hemorrhage or calvarial fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign right breast MR guided biopsy and a history of bilateral breast reduction. Strong family history of breast cancer, including mother, maternal aunt, maternal cousin, and paternal grandmother. Two standard digital views and tomosyn... | 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. |
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