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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Paternal aunts 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. No suspicious masses, microcalcif... | 1. No mammographic evidence of malignancy in the breasts. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.2. Prominent symmetric axillary lymph nodes for which correlation with physical exam and history of any underlying systemic causes is recommended. B... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of colon cancer, diagnosed approximately 20 years ago. 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. Linear markers... | 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. | 11 day old male with PICC pulled back 1 cm, evaluate placement.VIEW: Chest AP (one view) 2/27/2015 14:58 Left upper extremity PICC has been retracted with tip located in the left internal jugular vein. Interval removal of umbilical venous catheter. Cardiothymic silhouette is upper limits of normal. No focal pulmonary o... | Left upper extremity PICC tip located in the left internal jugular vein. |
Generate impression based on findings. | 36-year-old male with opacity noted right lower lung field on CXR and dilated veins noted on anterior abdominal and chest wall. Evaluate for IVC patency, portal HTN, masses. CHEST:LUNGS AND PLEURA: Mild basilar scarring without consolidation or pleural effusions. Calcified granuloma in the left lung base.MEDIASTINUM AN... | 1.Complete SVC stenosis just superior to right atrium with extensive venous collateralization. Etiology uncertain, but may be related to prior catheter. 2.Postsurgical changes of partial duodenectomy with Billroth II gastrojejunostomy and right hemicolectomy with right lower quadrant ileostomy and left lower quadrant m... |
Generate impression based on findings. | Bone metastases. Activity is again noted in the thoracolumbar spine and right humerus. The activity within the T12 vertebral body has become more prominent in the interim. The abnormal increased of activity in a right lateral 8th thoracic rib has also become more prominent. There is a questionable new focus of activity... | Interval increased intensity of the T12 vertebral body lesion and the right 8th rib and questionable new lesion in the right 7th rib represents possible progression of metastases. |
Generate impression based on findings. | Grey-white differentiation appears decreased diffusely, although cortex remains discernible in terms of difference in attenuation with respect to white matter. Is a small focus of abnormal density along the left caudate head. No definite abnormal attenuation is appreciated along the globus pallidus or putamen at this ... | No acute intracranial hemorrhage. Diffuse decreased gray white differentiation, suggesting diffuse hypoxic ischemic injury. Small area of focal low-density in the left caudate which may represent an age indeterminate lacunar infarct. MRI could be obtained for further evaluation, as clinically indicated. |
Generate impression based on findings. | Female 41 years old Reason: 41yo female with advanced stage cervical cancer, completed radiation 8/2014, right LE doppler showed reduced venous flow but no DVT, please evaluate vasculature for pelvic DVT versus extrinsic compression of vein from pelvic mass History: Right groin pain, right LE pain, right LE edema, pain... | 1.Marked increase in size of the right pelvic mass which invades the pelvis side wall and encases the vasculature including the right common and external iliac veins and arteries. 2.New bibasilar atelectasis/consolidations which may represent infectious etiology. 3.Interval development of mild cardiomegaly with small p... |
Generate impression based on findings. | 45 years, Female. Reason: 45yo known pancreatitis w/pseudocyst with recent drainage. Increasing abd distention. Eval for r/o obstruction, ileus, volume overload History: abd distention Nonspecific patchy basal opacities. Nasointestinal feeding tube in situ. Gastrocystostomy stent is projected over the left upper quadra... | Prominent central small bowel loops, likely reflecting ileus pattern. |
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. A subtle area of architectural distortion is identified in ... | Subtle area of architectural distortion 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. | Female 76 years old Reason: OGT History: intubated Enteric tube with tip projected over the proximal gastric body. Intravenous contrast material opacifies the bilateral collecting systems and bladder. Nonobstructive bowel gas pattern. | Enteric tube with tip projecting over the proximal gastric body. |
Generate impression based on findings. | 66 years, Female. Reason: Evaluate bowel gas pattern, stool burden History: abdominal pain, constipation Surgical clips projected over the right quadrant. Venous catheter in situ. Multiple prominent gas filled loops of small and large bowel likely reflecting an ileus pattern. The lower pelvis is not imaged. | Multiple prominent gas filled loops of small and large bowel likely reflecting an ileus pattern. |
Generate impression based on findings. | Male 59 years old; Reason: eval dht placement History: dht placement Dobbhoff tube terminates at the antropyloric region.Multiple lines tubes and support devices project over the chest and abdomen.Upper abdominal bowel gas pattern is nonobstructive.Cardiomegaly and left lower lobe pulmonary opacity. | 1.Enteric tube terminates at the antropyloric region. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt and cousin. 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 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. | PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The right submandibular gland is somewhat more rounded and larger than the contralateral side, underlying a ... | No evidence of cervical lymphadenopathy. Slight asymmetric prominence of the right submandibular gland underlying the skin surface marker in area of patient's palpable concern, with more superficial normal sized nonpathologic lymph node. |
Generate impression based on findings. | 50 year old woman with history of bilateral breast cysts. Complains of cyclical bilateral breat pain. Three standard views of both breasts along with CC and ML compression views of the breasts bilaterally were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, w... | Bilateral simple cysts but no mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, given the complex appearance of the patient's breasts, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS... |
Generate impression based on findings. | Female 43 years old Reason: 43 F with UC s/p J pouch now with anal stenosis and high frequency bowel movements. S/p EUA today and unable to determine location of proximal lumen History: anal stenosis, frequent BM Omnipaque flowed freely through the J-pouch. There is a focal area of approximately 60% luminal narrowing a... | 1. Focal stenosis of the J-pouch approximately 6 cm from the anal verge. Rigid featureless appearance to the pouch suggestive of ongoing inflammation.2. Abnormal fistulous connection between the pouch and an adjacent loop of mid ileum.The imaging appearance is suspicious for inflammatory bowel disease. |
Generate impression based on findings. | 57 year old presents for routine mammogram. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements. There is a small benign intramammary lymph node in the left upper outer quadrant.No suspicious mass,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Headaches, HTN, mild proptosis, and history of PCOS. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Effusion and osteoarthritis Near severe osteoarthritis affects the left knee with medial joint space narrowing and tricompartmental osteophytes. These findings have progressed since 2008. A moderate joint fusion is present. Chondrocalcinosis of the menisci is notedNear severe osteoarthritis affects the right knee as se... | Near severe osteoarthritis and chondrocalcinosis. |
Generate impression based on findings. | Male; 33 years old. Reason: status of transplant graft. History: pain over transplant site RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: Again seen is a complex fluid collection along the posterior aspect of the transplanted kidney. When measured similarly it is 1.9 x 1.8 x 0.6 centimeters (previ... | 1.Patent renal transplant vasculature.2.Mild hydronephrosis, unchanged compared to the prior ultrasound.3.Stable size of peritransplant hematoma. |
Generate impression based on findings. | There is a stable right frontal approach ventriculostomy catheter, with its tip near the right foramen of Monro. There is no interval increase in extent of parenchymal hemorrhage surrounding the catheter in the right frontal lobe, with the hematoma now measuring 1.6-cm transverse by 2.8 cm AP, compared to previous 1.2... | 1. Stable right frontal ventriculostomy catheter with slight interval increased size of the lateral ventricles.2. Interval increase in size of right frontal pericatheter parenchymal hematoma.Dr. Yang contacted Dr. GINA BRADLEY on 2/27/2015 3:32 PM with these findings, and the referring service confirmed it was aware. |
Generate impression based on findings. | Reason: sputum + MAI, also need to r/o bronchiectasis History: cough LUNGS AND PLEURA: Moderate apical predominant centrilobular emphysema.No suspicious pulmonary nodules or masses. Moderate scattered basilar scarring/subsegmental atelectasis, decreased in prominence from the prior exam. No focal airspace consolidation... | 1. Mild basilar scarring without evidence of acute inflammatory or infectious process. No evidence of bronchiectasis.2. Marked enlargement of the pulmonary artery suggests pulmonary hypertension.3. Moderate centrilobular emphysema. |
Generate impression based on findings. | Left ankle fracture The oblique fracture of the distal fibula with approximately one shaft width posterolateral displacement of the distal fracture fragment is again seen, with increased callus formation reflecting some interval healing.The posterior subluxation of the talus relative to the long axis of the tibia with ... | Ankle fracture/subluxation, as described above. |
Generate impression based on findings. | Female 69 years old; Reason: eval for acute change History: abdominal pain Contrast from prior CT scan now resides within the colon. There is mucosal thickening of the small bowel loops in the right lower abdomen.Postsurgical changes with a surgical staple line in the right upper abdomen and multiple abdominal clips.IV... | 1.Abnormal small bowel mucosal pattern in the right lower abdomen.2.No plain film radiographic findings of obstruction.3.Consider further evaluation with MR enterography for evaluating the small bowel. |
Generate impression based on findings. | Female 58 years old Reason: ? gallstones, chronic abscess History: Abd pain after colonoscopy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic mass or biliary ductal dilatation. No ascites. No cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: Abrupt dilatation of... | 1.Abrupt dilatation of the distal pancreatic duct is suspicious for malignancy. Further characterization with MRCP is recommended.2.Mild dilatation of the small bowel which is suggestive of ileus.3.No evidence of cholelithiasis or intra-abdominal fluid collection, as clinically questioned.The findings were discussed by... |
Generate impression based on findings. | Pain after crush injury in the long and ring fingers. No fracture or malalignment is evident. Otherwise, no specific findings to account for the patient's pain are seen. | No fracture or malalignment. |
Generate impression based on findings. | Female 42 years old; Reason: s/p shoulder arthroscopy, continued pain and decreased ROM Rotator cuff anchor noted in the humeral head. No fracture or malalignment is present. Mild acromioclavicular joint osteoarthritis is noted, similar to prior. The humeral head is demineralized, possibly secondary to disuse. | No specific radiographic findings to account for the patient's pain. |
Generate impression based on findings. | Shoulder pain No fracture or malalignment is seen. Minimal osteoarthritis affects the glenohumeral joint. Otherwise, no specific findings to account for the patient's pain. | No specific findings to account for the patient's pain. |
Generate impression based on findings. | Shortness of breath. The comparison chest radiograph performed on 2/27/2015 demonstrates cardiomegaly but no focal pulmonary opacities or pleural fluid. The ventilation images show a delayed wash-in of activity on single-breath and wash-in images. There is diffusely retained Xe-133 during the wash-out phase. The perfus... | Delayed washout on ventilation images with a low probability scan for a PE. |
Generate impression based on findings. | Reason: H/o AML and presumed fungal pneumonia, improved on Ambisome then remained stable on oral agents. Now back on Ampho x 2 weeks, please eval for improvement. History: fungal pna LUNGS AND PLEURA: Persistent right lower lobe consolidation is not significantly changed from the prior exam.Scattered right basilar subs... | Stable right lower lobe consolidation, with decreased associated right pleural effusion. No new areas of infection or other acute abnormality identified. Recommend follow-up to complete radiographic resolution. |
Generate impression based on findings. | 19 year-old female with intermittent acute abdominal pain, nausea, and vomiting evaluate for intussusception, volvulus, ovarian cyst. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality not... | 1.No specific findings to account for patient's pain.2.Adnexa are not well visualized. If there is clinical concern for adnexal pathology, recommend pelvic ultrasound. |
Generate impression based on findings. | Postoperative changes are seen from previous right frontal craniotomy/cranioplasty with underlying right frontal lobe hypoattenuating encephalomalacia. There is diffuse enlargement of the bony sella, with associated abnormal soft tissue mass filling the sella and suprasellar cistern. The mass demonstrates diffuse homo... | 1. Large enhancing bilobed appearing mass centered in the sella with extensive suprasellar extension and presumed elevation of the optic chiasm although this is not well delineated on CT, and MRI sella is recommended for further evaluation. This most likely represents a pituitary macroadenoma. Mild splaying and elevati... |
Generate impression based on findings. | Female 71 years old Reason: dislocation History: fracture humeral head . Four views of the right shoulder show a transverse comminuted fracture of the surgical neck of the right humerus with the distal fracture fragment in near anatomic alignment. | Comminuted humeral fracture. |
Generate impression based on findings. | Female 27 years old; Reason: signs of obstruction History: abdominal pain Mild gaseous distention of small bowel in the left upper abdomen. There is colonic gas scattered throughout the colon. The bowel gas pattern is nonobstructive. No definite intraperitoneal free air. | 1.Nonobstructive bowel gas pattern |
Generate impression based on findings. | Reason: 67y/o with h/o AML, who has recently undergone a stem cell transplant and is immunosuppressed. Has persistent cough for about 3 weeks. History: persistent cough in an immunosuppressed host. LUNGS AND PLEURA: Scattered benign-appearing micronodules and calcified granulomas are unchanged.Apical pleural scarring, ... | No evidence of infection or other acute abnormality. |
Generate impression based on findings. | Pain. Evaluate for leg length discrepancy The femoral heads, femoral condyles, tibial plateaus, and ankle mortises are symmetric in the craniocaudal plane when comparing right and left. Moderate osteoarthritis affects the knee joints bilaterally, particularly at the lateral compartments. Calcifications projecting over ... | No leg length discrepancy apparent. |
Generate impression based on findings. | Facial swelling, poor dentition, new periorbital involvement. There are multiple dental caries. There is an apparent crescentic low-attenuation area overlying the left maxillary alveolus, which appears focally dehiscent. There is also extensive stranding and swelling of the overlying facial soft tissues, including the ... | Dental caries associated with acute sinusitis and facial cellulitis with possible early abscess formation, but no evidence of post-septal extension. |
Generate impression based on findings. | History of marginal zone lymphoma. Re-evaluation.RADIOPHARMACEUTICAL: 15 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 82 mg/dL. Today's CT portion grossly demonstrates small level II lymph nodes. There is redemonstration of a left paramediastinal opacity with air bronchograms and associated hilar enlargem... | Slight decrease in activity of the left paramediastinal opacity which likely is inflammatory or post-therapeutic change. No evidence of FDG avid tumor. |
Generate impression based on findings. | Left knee pain The left knee is status post ACL repair. Small osteophytes are noted. No fracture or malalignment is present. No large joint effusion is evident.The right knee is status post ACL repair as well, as seen on frontal views. | Small left knee osteophytes, without fracture or malalignment. |
Generate impression based on findings. | Left total knee arthroplasty. The left total knee arthroplasty device is situated in near anatomic alignment, without radiographic evidence of hardware complication. Soft tissue gas, skin staples, and surgical drain reflect recent surgery. | Left total knee arthroplasty. |
Generate impression based on findings. | There is no evidence of mass lesions or significant cervical lymphadenopathy. There is mild prominence of the bilateral palatine tonsils. There is mild diffuse enlargement of thyroid gland with a subcentimeter left thyroid lobe hypoattenuating nodule. There are a few nonspecific subcentimeter bilateral parotid gland s... | 1.No suspicious neck masses or evidence of airway narrowing. No apparent upper esophageal or tracheal abnormality. May consider esophagram/swallow study for evaluation of dysphagia if clinically indicated.2.Mild diffuse thyroid enlargement with subcentimeter left thyroid lobe hypoattenuating nodule. No significant asso... |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with slightly progressed moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are confluent areas of abnormal low density in predominantly the middle to inferior frontal periventricular and subcortical ... | No acute intracranial hemorrhage. Progression of abnormal low density in the white matter of the middle to intervention lobes which may relate to post traumatic encephalomalacia and/or small vessel ischemic changes. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended. |
Generate impression based on findings. | Female 74 years old Reason: 74 yo feamle who was found to have a abnormality of pancreas on PET Scan. EUS done here 6cm distal pancreas mass. Needs Pancreas protocol Ct Scan to evaluate lesion. History: none ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Wedge-shaped, nonspecific hypodensity ... | Interval increase in the size of the uniloculated, well-defined cystic lesion in the body/tail of the pancreas suspicious for a mucinous cystic neoplasm.Nonspecific wedge-shaped hypodensity in the liver is unchanged. |
Generate impression based on findings. | 80 years, Male, Reason: History of melenic stools, Hgb at admission 6.1, EGD/Colonscopy with 2 small AVM cauterized, no evidence of active bleelding or obvious source of bleeding. Please evaluate History: As above. ABDOMEN:LUNG BASES: Mild basilar atelectasis. Mitral valve calcifications.LIVER, BILIARY TRACT: Calcifica... | 1.No evidence of active gastrointestinal hemorrhage.2.Severe right-sided hydronephrosis which is likely chronic.3.Mild aneurysmal dilatation of the infrarenal abdominal aorta.4.Contrast extravasation as above. |
Generate impression based on findings. | Metastatic prostate cancer, evaluate of disease as baseline for initiation of investigational therapy. There are multiple foci of abnormal uptake within the left 3rd rib, left 4th rib, left scapula, and proximal right humerus. Activity within the left third rib has become more confluent to involve nearly the entire rib... | Progression of osseous metastatic disease. |
Generate impression based on findings. | Female 74 years old Reason: 74 yo feamle who was found to have a abnormality of pancreas on PET Scan. EUS done here 6cm distal pancreas mass. Needs Pancreas protocol Ct Scan to evaluate lesion. History: none ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Wedge-shaped, nonspecific hypodensity ... | Interval increase in the size of the uniloculated, well-defined cystic lesion in the body/tail of the pancreas suspicious for a mucinous cystic neoplasm.Nonspecific wedge-shaped hypodensity in the liver is unchanged. |
Generate impression based on findings. | Male 65 years old Reason: staging exam History: prostate cancer This study is performed for research purposes. | Research CT. |
Generate impression based on findings. | esophageal cancer on chemotheraphy, reduced cognitive ability. No evidence of acute ischemic or hemorrhagic lesion on this scan.No evidence of abnormal enhancement.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/ac... | No evidence of acute ischemic or hemorrhagic lesion on this scan.No evidence of abnormal enhancement |
Generate impression based on findings. | Female 62 years old Reason: eval OA History: above. Four views of the right shoulder show tiny osteophytes and sclerosis of the glenohumeral joint. No acute fracture or dislocation. | Mild osteoarthritis of the glenohumeral joint. |
Generate impression based on findings. | Female 57 years old Reason: 57 yo female with newly dx Pancreatic Neuroendocrine Tumor. Pancreas Neuroendocrine. History: Abdominal Pain ABDOMEN:LUNG BASES: A subcentimeter cyst in the inferior aspect of the right lobe of the liver.LIVER, BILIARY TRACT: No significant abnormality noted. There is an accessory left hepat... | Large mass in the head of the pancreas causing moderate biliary and mild pancreatic ductal dilatation. The mass indents the left renal vein. Renal vein invasion cannot be excluded. |
Generate impression based on findings. | Female 52 years old Reason: Evaluate left knee for DJD History: Left knee pain x 6 mos. Four views of the left knee show a small effusion is seen in the suprapatellar pouch. There are tricompartmental osteophytes affecting the left knee. There is narrowing of the patellofemoral compartment with near bone on bone apposi... | Moderate osteoarthritis of the left as described above. |
Generate impression based on findings. | 48 year-old male with epigastric pain radiating to the back with normal lipase, evaluate for chronic pancreatitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Punctate hypodensity in hepatic segment 4a/4b is too small to characterize but similar to prior. Status post cholecystectomy. Perha... | 1.No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Status post roux en Y now with concern for bile duct leak. Angiographic images are unremarkable. Prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the liver is present. There is normal excretion of tracer through the hepaticojejunostomy. However, there is progressive accumula... | Findings compatible with bile duct leak.Findings communicated via phone to A. Suah prior to dictation. |
Generate impression based on findings. | 88 years old, gentleman, with a history of severe mitral regurgitation and Atrial fibrillation. He is planned for mitral valve repair and cryo maze for Atrial fibrillation. He is now referred for cardiac CT.CPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching patter... | 1. Aortic root mildly dilated. Thoracic aorta with mild calcification but without aneurysm or dissection. 2. Mild left ventricular hypertrophy. 3. Severe LAD calcification with evidence of large, resting perfusion defect in the usual territory of the left anterior descending artery. 4. Severe biatrial dilation. 5. Mod... |
Generate impression based on findings. | Female 55 years old Reason: eval for mass causing bleeding History: recurrent GI bleeds Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was one hour. Fluoroscopic evaluation showed normal mucosa throughout the small bowel, with no large masses, ulcers, sinus tracts, fistulae, or ad... | Normal examination of the small bowel and proximal colon. Etiology for the patient's small bowel bleeding is not evident on the current exam. Given the patient was not NPO prior to examination follow up enterography is suggested for further evaluation of the bowel mucosa. |
Generate impression based on findings. | 1-year-old male, fall to hands and knees, with forearm painVIEWS: Right forearm, AP and lateral (two views) 2/27/15 16:43 Nondisplaced transverse fracture of the mid-diaphysis of the radius and slight buckling of the mid-diaphysis of the ulna. | Nondisplaced mid-diaphyseal fractures of the radius and ulna. |
Generate impression based on findings. | Reason: fracture/dislocation, chronic arthritic changes? inflamed, effusion, warm No fracture or malalignment is seen. A moderate-sized joint effusion is present.No significant degenerative changes are noted. Vascular calcifications are present in the soft tissues. | Moderate sized joint effusion, without acute abnormality otherwise evident. |
Generate impression based on findings. | Fracture Interval cast placement obscures fine osseous detail. Again seen is the fifth metacarpal diaphyseal fracture, now in gross anatomic alignment, improved compared to prior. | Interval reduction and casting of the fifth metacarpal fracture. |
Generate impression based on findings. | Female 42 years old; Reason: 42 yo F with SLE with R knee pain started one month ago after she heard a crack in her knee while getting out of car History: as above; no warmth or swelling No fracture or malalignment is present. A moderate-sized joint effusion is present. No significant degenerative changes are otherwise... | Moderate-sized joint effusion, without acute abnormality otherwise evident. |
Generate impression based on findings. | 60 years old Male. Reason: evaluate for PE as part of pre-lung transplant evaluation History: shortness of breath. The comparison chest radiograph performed on 02/26/2015 demonstrates diffuse bilateral interstitial changes and air space opacities, predominantly in the mid and lower lungs.The ventilation images show dec... | Intermediate probability for pulmonary embolism.Please note that ventilation portion of the study is limited. |
Generate impression based on findings. | Forehead hematoma, check for fracture Osseous structures are intact. Specifically sinuses are fully visualized and well aerated. No definite soft tissue focus to support the hematoma, however CT evaluation would be more sensitive. | Normal |
Generate impression based on findings. | Pain Hand and wrist: Incomplete extension of the digits with diffuse moderate soft tissue swelling most pronounced on the dorsal aspect. Underlying this osseous structures are significant for demineralization however no discrete focal acute abnormality is observed. Moderate degenerative changes involving the base of th... | Diffuse swelling without distinct underlying acute osseous abnormalities superimposed upon mild to moderate degenerative changes |
Generate impression based on findings. | Reason: Known history of CLL and PE, now with cough accompanied by dry right basilar crackles and wheeze. ? Etiology History: As above LUNGS AND PLEURA: New small scattered areas of focal bronchiectasis and mucous plugging in the middle lobe and lingula, and to lesser extent than the lower lobes, with scattered mild br... | Mild diffuse, scattered bronchial wall thickening and focal areas of bronchial mucous plugging, most prominent in the middle lobe and lingula, but also seen in the lower lobes. Findings are compatible with infection, most likely bacterial, however the differential diagnosis also includes MAI infection. |
Generate impression based on findings. | Male 79 years old Reason: intraabdominal or retroperitoneal bleeding History: s/p fall on coumadin; LBP Exam is limited secondary to lack of oral and intravenous contrast. Lack of intravenous contrast makes the evaluation of solid organ and vascular pathology suboptimal. Lack of oral contrast makes evaluation of bowel ... | 1.No evidence of hematoma.2.Interval increase in the mixed sclerotic and lytic abnormalities within the pelvis, most prominent in the right hemipelvis, correlate with patient's clinical history to assess for underlying infiltrative process or metastatic disease. Nuclear medicine bone scintigraphy may be obtained if cli... |
Generate impression based on findings. | Reason: Eval for PE History: tachycardia PULMONARY ARTERIES: Exam is significantly limited by motion artifact and suboptimal differential contrast opacification of the pulmonary arteries. Within these limitations, there is a large central filling defect in the enlarged left lower lobe pulmonary artery extending into it... | Large pulmonary emboli in the bilateral lower zone pulmonary arteries. Bibasilar subpleural opacities are suspicious for infarcts.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Multiple.Most Proximal: Lobar.RV Strain: Negative. |
Generate impression based on findings. | Three year old with anemia, fever, thrombocytosis, and bone pain. Evaluate for masses. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Heart size is normal with no pericardial effusion. No mediastinal or hilar adenopathy.CHEST WALL: Chest wall... | Findings compatible with an infectious or inflammatory enteritis with reactive lymph nodes. |
Generate impression based on findings. | Male 18 years old Reason: evaluate for kidney stone History: LUQ and L CVA TTP Exam is limited secondary to lack of oral and intravenous contrast. Lack of intravenous contrast makes the evaluation of solid organ and vascular pathology suboptimal. Lack of oral contrast makes evaluation of bowel pathology suboptimal. Wit... | 1.Limited exam secondary to lack of oral and intravenous contrast. Within these limitations, there are no findings to explain patient's left upper quadrant pain.2.No evidence of obstructing renal stone or hydronephrosis. |
Generate impression based on findings. | Female 27 years old Reason: cause of abdominal pain History: abdominal pain, history of AML. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No biliary ductal dilatation or focal hepatic mass.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | Diffuse colonic wall thickening and enhancement consistent with a pancolitis such as pseudomembranous colitis. |
Generate impression based on findings. | Reason: PE History: tachy, hypoxic PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Areas of consolidation throughout the dependent portions of the right middle and lower lobes. Patchy right basilar air space opacities are increased from prior same ... | 1. No evidence of pulmonary embolism.2. Consolidation and atelectasis involving multiple lung lobes. Increasing patchy air space opacity at the right lung base is compatible aspiration and possible pneumonia. Extensive atelectasis throughout the left lung is compatible with mucous plugging.PULMONARY EMBOLISM: PE: Negat... |
Generate impression based on findings. | 8 year old male with fever, tachypnea, secretions. Evaluate for effusion or atelectasis.VIEW: Chest AP (one view) 2/28/2015 3:28 Thoracolumbar levoscoliosis is again seen with associated elevation of the right hemidiaphragm. Surgical clips in the left upper quadrant. Cardiothymic silhouette is normal. Bilateral peribro... | Reactive airway disease or bronchiolitis pattern. |
Generate impression based on findings. | 8 year old male status post traumaVIEWS: Lumbar spine AP and lateral (2 views) 2/27/2015 Alignment is normal. Vertebral body height and disk spaces are maintained. No fracture or dislocation. No spondylolysis. Gaseous distention of the stomach is again seen. Small to moderate fecal burden with no evidence of obstructio... | Normal examination. |
Generate impression based on findings. | 8 year old male status post traumaVIEWS: Cervical spine AP and lateral (two views) 2/27/2015 18:58 Straightening of the cervical spine likely related to c-collar placement. Vertebral body heights and disk spaces are maintained. No evidence of fracture or dislocation. No prevertebral soft tissue thickening.Adenoids are ... | Normal examination. |
Generate impression based on findings. | Male 38 years old Reason: r/o fxr History: bite. There is mild soft tissue swelling about the first and second fingers. There is no acute fracture or dislocation. There is no evidence of a radiopaque foreign body. | No evidence of acute fracture, dislocation, or radiopaque foreign body. |
Generate impression based on findings. | Female 64 years old Reason: eval for widening of medial clear space History: R distal fibula fracture. Again seen is a nondisplaced distal spiral fibular fracture with soft tissue swelling overlying the lateral ankle. The medial and lateral aspects of the ankle mortise joint are preserved without evidence of widening. | Right fibular fracture as described above. |
Generate impression based on findings. | Reason: assess for pulmonary abnl, pulm hemorrhage History: SOB, hemoptysis; history ILD, LUL adenocarcinoma, esophageal bleed 2013, can't get contrast to r/o PE LUNGS AND PLEURA: Basilar predominant subpleural fibrosis with honeycombing and bronchiectasis, similar in appearance to the prior exam. No new areas of opaci... | Extensive interstitial lung disease in a UIP pattern, compatible with the known history of collagen-vascular disease, not significantly changed from the prior exam. No new areas of opacity to suggest hemorrhage, and no evidence of other acute superimposed process. |
Generate impression based on findings. | There are predominantly low density bilateral frontal convexity extra-axial fluid collections again seen. The collection on the left measures up to 8 mm in maximal thickness, and the collection on the right measures up to 4 mm in maximal thickness. While these collections are not changed significantly in terms of maxi... | 1.Mildly worsened bilateral frontal and parietal convexity extra-axial collections with mild local mass effect. No definite hyperdensity within the collections to suggest acute traumatic hemorrhage.2.Chronic left ACA-MCA watershed territory infarcts.Findings were discussed with resident Dr. Tripp from the ED over the t... |
Generate impression based on findings. | Female 60 years old Reason: r/o fx History: pain Three views of the right shoulder again show a vertically oriented fracture of the greater tuberosity of the humeral head with minimal lateral displacement of the fracture fragment. There is no evidence of dislocation. There is small osteophyte formation of the glenohume... | Humeral head fracture as described above. |
Generate impression based on findings. | 8-year-old male status post traumaVIEWS: Pelvis AP (one views) 2/27/2015 18:59 Angiocatheter overlies the pelvis.The femoral heads are well directed into normally formed acetabula. No evidence of fracture or dislocation. Small to moderate fecal burden in the lower abdomen and pelvis with no evidence of obstruction. | Normal examination. |
Generate impression based on findings. | Female 64 years old Reason: is there a fracture History: ankle pain sp fall. Three views of the right ankle show a nondisplaced distal fibular spiral fracture without definite evidence of intra-articular extension. There is soft tissue swelling about the lateral aspect of the ankle and a small anterior tibiotalar joint... | Nondisplaced distal fibular fracture as described above. |
Generate impression based on findings. | 8 year old male status post traumaVIEWS: Thoracic spine AP and lateral (two views) 2/27/2015 Alignment is normal. Vertebral body heights and disk spaces are maintained. No evidence of fracture or dislocation. Gaseous distention of the stomach is noted. Small to moderate fecal burden in the upper abdomen. | Normal examination. |
Generate impression based on findings. | Female 60 years old Reason: r/o fx History: arm pain. There is a vertically oriented lucency involving the greater tuberosity of the humeral head highly suspicious for humeral head fracture. There is no definite evidence of dislocation. Mild degenerative arthritic changes affect the glenohumeral joint. | Vertically oriented lucency along the greater tuberosity of the humeral head highly suspicious for humeral head fracture. Dedicated shoulder radiographs are recommended for further characterization. |
Generate impression based on findings. | 15-year-old male with right knee pain. Evaluate for right tibial plateau fracture. A comminuted fracture of the tibial plateau posteriorly extends to the articular surface (series 5, image 89; series 80340, image 29) with about 2 mm displacement of the fracture fragment. The articular cortex of the fracture fragment is... | Comminuted fracture of the posterior tibial plateau with displacement as described above. |
Generate impression based on findings. | 79-year-old male with history of fall. Evaluate for hemorrhage. No intracranial hemorrhage is identified. There is moderate periventricular and subcortical white matter hypoattenuation which is likely secondary to chronic small vessel ischemic disease. There is age-related volume loss. No intracranial mass or evidence ... | 1. No acute intracranial hemorrhage.2. Moderate chronic small vessel ischemic disease which has progressed since 2007. |
Generate impression based on findings. | Female 42 years old Reason: r/o fx History: pain. Three views of the left ankle show mild soft tissue swelling predominantly about the lateral aspect of the ankle, without evidence of an underlying fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | Female 30 years old Reason: r/o malignancy History: mass . No acute fracture or dislocation. No definite mass is seen on this radiograph. There is no joint effusion or bony lesion to suggest underlying malignancy. | No evidence of malignancy on radiographs. If further imaging is clinically warranted, a dedicated MRI or CT is recommended. |
Generate impression based on findings. | Male 23 years old Reason: r/o fracture History: MVC. 3 views of the cervical spine show no acute fracture or dislocation. The cervical vertebral body heights and intervertebral disk spaces are preserved. The prevertebral soft tissues are within normal limits.3 views of the thoracic spine show no acute fracture or sublu... | No acute fracture or dislocation. |
Generate impression based on findings. | 76 year old female history of subarachnoid hemorrhage. Bilateral frontal ventriculostomy catheters are unchanged in position. Right frontal hematoma surrounding the drainage catheter is stable in size and appearance. There is a small amount of air within the nondependent aspect of the left lateral ventricle which may b... | 1. Stable extensive bilateral subarachnoid and intraventricular hemorrhage with slight evolution. Ventricular size remains similar to prior.2. Unchanged bilateral frontal ventriculostomy catheters with associated right frontal hematoma. |
Generate impression based on findings. | Male 58 years old Reason: r/o fracture History: foot pain s/p fall. Mild degenerative changes affect the midfoot and tarsophalangeal joints. A thin lucency traversing the base of the first metatarsal is only seen on one view and could conceivably represent a non-displaced fracture if this correlates with point tenderne... | Lucency at the base of the first metatarsal could represent a non-displaced fracture if this correlates with point tenderness on physical exam. |
Generate impression based on findings. | 76-year-old female with history of EVD placement. There has been interval placement of a left frontal ventriculostomy catheter. Right ventriculostomy catheter with surrounding hemorrhage is unchanged measuring approximately 2.9 x 1.6 cm. Diffuse bilateral subarachnoid hemorrhage extending into the ventricles appears si... | 1. Interval placement of left ventriculostomy catheter with small amount of postoperative pneumocephalus in the left frontal region. Similar caliber of the ventricular system.2. Unchanged right frontal hematoma surrounding the right frontal EVD. 3. Stable appearing extensive bilateral subarachnoid hemorrhage extending ... |
Generate impression based on findings. | Reason: r/o pe History: chest pain PULMONARY ARTERIES: Very small weblike defects in some segmental and subsegmental right-sided pulmonary arteries, compatible with small webs, likely a sequela of prior chronic emboli. A filling defect in a left lower lobe subsegmental pulmonary artery (series 7, image 222) and a quest... | Two very small subsegmental emboli in the left lung of uncertain chronicity and clinical significance. Very small weblike defects in some right segmental and subsegmental pulmonary arteries, compatible with small webs, likely sequelae of prior emboli. No other acute abnormality.PULMONARY EMBOLISM: PE: Positive.Chronici... |
Generate impression based on findings. | Male 51 years old Reason: r/o traumatic injury History: knee pain. There is a nondisplaced fracture of the proximal fibular diaphysis with overlying callus formation suggestive of partial healing. There is a small joint effusion. Mixed lytic/sclerotic appearing lesion in the distal femur likely represents a prior bone ... | Healing proximal fibula fracture as described above. |
Generate impression based on findings. | 1-year-old male with nondisplaced mid diaphyseal fracture of the radius and ulna. Evaluate for fracture/dislocation.VIEWS: Right elbow AP and lateral (two views) 2/27/2015 Again seen is nondisplaced fracture of the mid diaphysis of the radius. Alignment is intact. No joint effusion or soft tissue swelling. | Elbow is normal. |
Generate impression based on findings. | Male 54 years old Reason: assess for bony mets to Right hip History: metastatic thyroid cancer, Right hip pain. 2 views of the right hip show lytic appearing lesions, one near the lesser trochanter, and one in the proximal diaphysis of the femur, compatible with patient's known metastatic thyroid carcinoma. There is no... | Femoral metastatic disease as described above, without definite evidence of an impending fracture. |
Generate impression based on findings. | 1-year-old male status post fall from standing with nondisplaced mid diaphyseal fractures of the radius and ulna. Evaluate for fracture.VIEWS: Right wrist PA and lateral (two views) 2/27/2015 Wrist is intact with normal alignment. No joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 16-year-old female with history of patellar dislocation. Evaluate patella. VIEW: Left knee sunrise (one view) 2/28/2015 1:30 Well corticated osseous fragment seen along the inferomedial aspect of the patella is again seen which represents an accessory ossification center, a normal variant. No evidence of patellar fract... | Normal examination. |
Generate impression based on findings. | 16 year-old female cheer leading injury, felt knee pop in and out with tenderness over inferior patella. Evaluate for fracture. VIEWS: Left knee AP, oblique, lateral (3 views) 2/27/2015 22:24 Small joint effusion is noted. The patellar ligament is thickened. Crescent shaped cortical irregularity is seen along the artic... | Based on the findings, ligamentous injury cannot be excluded. Recommend MRI for further evaluation. Findings were discussed with ED physician Dr. Benjamin Heilbrunn by phone on 2/28/2015 at 9:55 AM. |
Generate impression based on findings. | Female 74 years old Reason: mention of mild inflammatory changes along SI joints on 2013 film, though joints patent, please evaluate for change History: mention of mild inflammatory changes along SI joints on 2013 film, though joints patent, please evaluate for change. There is some subchondral sclerosis of the right s... | Degenerative changes of the right sacroiliac joint appearing similar to the prior study. The left sacroiliac joint is difficult to visualize on this study and if further imaging is clinically warranted, an MRI is recommended. |
Generate impression based on findings. | Female 50 years old Reason: s/p orif History: none Overlying cast material obscures fine bone detail. A sideplate and screws device affixes a distal fibular fracture in near-anatomic alignment with two syndesmotic screws in position. Two K wires affix a medial malleolus fracture in near anatomic alignment. The fracture... | Orthopedic fixation of distal fibular and medial malleolar fractures as described above. |
Generate impression based on findings. | 8-year-old male with history of trauma. 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 without evidence of hydrocephalus. There ... | No evidence of acute intracranial hemorrhage or calvarial fracture. |
Generate impression based on findings. | Female 48 years old Reason: eval for fracture, OA, erosion History: L shoulder pain, effusion. Four views of the left shoulder show a questionable loose body in the inferior axillary pouch. Otherwise there is no fracture or dislocation. | No acute fracture or dislocation. |
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