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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother, maternal second cousins and maternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast parenchyma is heterogeneously dense, w... | 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. | ETT placement.VIEW: Chest AP (one view) 1/7/15 2007 ET tube tip is below the thoracic inlet and above the carina. The cardiothymic silhouette is normal.Peribronchial thickening is present, with increased bilateral subsegmental atelectasis. No focal lung opacities or pleural effusions are evident. | Bronchiolitis/reactive airway disease pattern with increased atelectasis. |
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. Tomosynthesis was performed. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Focal asymmetry 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: NSB - Screening Mammogram. |
Generate impression based on findings. | 22-year-old female with pain to right hand after MVC Alignment is anatomic. There is no fracture or other specific finding to account for the patient's pain. | Normal hand and wrist without specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 60 year-old male with pain, preoperative evaluation There is approximately 8 degrees valgus deformity about the knee and severe osteoarthritis affecting the knee joint with lateral greater than medial joint space narrowing. | Osteoarthritis and valgus deformity. |
Generate impression based on findings. | Cough and fever.VIEW: Chest AP (one view) 1/7/15 1817 The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal.Lingular opacity is suspicious for infection. Right upper lobe opacity likely represents atelectasis. No pleural effusions are evident. | Lingular pneumonia. |
Generate impression based on findings. | Reason: r/o atypical infection, change in lung lesion, HIV status (well-controlled) History: persistent cough, now blood streaked LUNGS AND PLEURA: Stable appearance of left lower lobe cavitary lesions, mild surrounding atelectasis. Mild dependent atelectasis on the right.Stable scarring in the left upper lobe.Mild bil... | 1. Unchanged appearance of left lower lobe cavitary lesions, and no obvious source of hemorrhage.2 Multiple thoracic compression deformities, not significant change when compared prior. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in a sister. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Sc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 54-year-old male with left basilar joint osteoarthritis There is moderate basilar joint and triscaphe joint narrowing. No fracture or dislocation. | Moderate osteoarthritis. |
Generate impression based on findings. | 52 year-old female with history of total right knee arthroplasty Hardware components of a total right knee arthroplasty are situated near anatomic alignment without evidence of complication. Osteoarthritis affects the left knee is seen on the frontal view. | TKA in near-anatomic alignment. |
Generate impression based on findings. | 49 years old, Female, Reason: LUQ abdominal pain, evaluate Stoma RLQ, hernia RLQ, L kidney History: as obove ABDOMEN:LUNG BASES: Bibasilar scarring and atelectasis. There is subpleural reticulation and honeycombing present. Mild traction bronchiectasis in the left. These findings are not significantly changed from ches... | 1.Multiple loops of bowel are present within a parastomal hernia without evidence of obstruction, bowel wall edema, or other complication.2.Interstitial lung disease unchanged. |
Generate impression based on findings. | Crohn's disease recently started on Imuran, with subsequent development of fevers, head and neck pain, and joint pains. Neck: There is no evidence of measurable mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseou... | 1. No evidence of head and neck abscess, sinusitis, or mastoiditis. However, CT is relatively insensitive for the detection of meningitis.2. Nonspecific subcentimeter nodule in the skin of the left lateral neck at the level of the larynx. |
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. Tomosynthesis was performed. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspic... | 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. History of breast carcinoma in maternal great aunt. Two standard digital views of both breasts, including repeat right MLO view were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast parenchyma is composed of scatte... | Stable benign bilateral masses. 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. | 53-year-old female, evaluate hallux valgus deformity. There is marked hallux valgus deformity and mild osteoarthritis affecting the first MTP and interphalangeal joints. Mild osteoarthritis affect the midfoot. | Marked hallux valgus deformity and additional findings as described above. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (12/2/14, 12/4/14), ultrasound images of left breast (12/4/14), images from ultrasound guided biopsy of left breast and post procedural left mammographic images (12/10/14) performed at Hinsdale Imaging Center. DIGITAL MAM... | Status post biopsy of a suspicious mass in the left breast at 5 o'clock position.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother (age 76) and paternal grandmother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged... | 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. | History of right lumpectomy in 2009 for DCIS. Patient received adjuvant radiation therapy. History of multiple percutaneous biopsies of the right breast. Short-term follow-up for high probability benign calcifications in the right lumpectomy bed. Three standard views of both breasts and two right spot magnification vie... | Stable postsurgical changes and calcifications in the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMEN... |
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. Tomosynthesis was performed. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. Bi... | Progression of bilateral upper outer calcifications. Further evaluation with straight ML views and CC and ML spot magnification views to evaluate for milk of calcium is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: ED - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 19 year-old female with shoulder pain Glenohumeral alignment is normal limits. The osseous structures appear within normal limits. | Normal shoulder. |
Generate impression based on findings. | 29-year-old male with history of squamous cell carcinoma of the left lateral tongue status post glossectomy and left neck dissection 1/2014. Redemonstrated are postsurgical changes from left neck dissection and partial glossectomy. There is stable asymmetric appearance of the left lateral base of tongue. On axial image... | Subtle enhancement of the left lateral oral tongue seems to be related to asymmetric position and volume loss, although correlation with direct visual inspection is recommended. No evidence of cervical lymphadenopathy. |
Generate impression based on findings. | Female 58 years old Reason: history of vaginal cancer, evaluation for disease and for bowel status. CHEST:LUNGS AND PLEURA: Scattered bilateral lung nodules consistent with metastatic disease. Based on comparison to the lung bases on the prior abdominal CT it least some of these nodules are new. For example right middl... | Progression of disease in the chest. Postsurgical changes abdomen pelvis.Nonobstructive adhesions pelvic loops of small bowel. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of maternal breast cancer, diagnosed at age 65. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast parenchyma is composed of scattered fibroglandular den... | 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 66 years old Reason: S/p lap distal pancreatectomy s splenectomy 9/16/13 for a 2.4cm well diff neuroendocrine tumor, LN Neg. Had surveillance scan in 7/13/14 at OSH questionable recurrence in pancreas. IOE of the CT Scan, fluid coll, post -op bed, \T\ rt liver lesion. History: none ABDOMEN:LUNG BASES: Trace bibasi... | 1.Postsurgical changes related to distal pancreatectomy, with an unchanged fluid collection within the pancreatic bed, without significant interval change in size.2.No evidence of metastatic disease or locoregional recurrence. 3.Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | Cloacal repair constipationVIEW: Abdomen AP There is a suprapubic catheter in place. Again noted surgical sutures and sacrum malformation. Moderate amount of fecal burden without obstruction. | Moderate amount of fecal burden. |
Generate impression based on findings. | 26 year-old female with right hip pain after fall Alignment is anatomic. No hip or pelvic fracture is visualized. The osseous structures appear normal. | No fracture or dislocation. |
Generate impression based on findings. | 67-year-old man with history of pain in the shoulder and hand. Right shoulder: Mild degenerative change affects the glenohumeral joint. There is no acute fracture or malalignment.Right hand: There is narrowing of the second and third metacarpophalangeal joints with beaklike osteophyte involving the third metacarpal hea... | Degenerative changes as described above with those of the hand most likely related to CPPD arthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Benign coarse calcifications in both breasts, u... | 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. | 55-year-old man with history of tibial plateau fracture. A nondisplaced fracture through the proximal tibia extending to the lateral tibial plateau is again noted. Additionally, there is a nondisplaced fracture of the fibula which also appears unchanged. Osteophytes arising from the medial compartment and undersurface ... | Tibial plateau and proximal fibular fractures appearing similar to the prior examination. |
Generate impression based on findings. | Imperforate anus constipationVIEW: Abdomen AP Moderate amount of fecal burden without obstruction. No abnormal bowel dilation. No pneumatosis or pneumoperitoneum. | Moderate amount of fecal burden. |
Generate impression based on findings. | Evaluate for CVA. There is no evidence of acute intracranial hemorrhage. There is mild periventricular and subcortical white matter hypoattenuation compatible with age indeterminate ischemic small vessel disease. The superior cerebellar cistern is slightly prominent. The ventricles and sulci are age-appropriate. There ... | Mild age indeterminate ischemic small vessel disease. Please note that CT is insensitive for the detection of acute ischemic infarction. If there is strong clinical concern, an MRI should be considered.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 50 year-old female with shoulder pain, evaluate rotator cuff Intra-articular contrast is noted extending across a full-thickness defect through the distal supraspinatus tendon at its insertion on the greater tuberosity consistent with a full-thickness distal rotator cuff tear. Several additional contrast-filled linear ... | Full thickness distal supraspinatus tear as described above |
Generate impression based on findings. | 33 year-old woman with history of tibial plateau fracture. A side plate and screw device and an orthopedic pin are seen affixing a tibial plateau fracture in near anatomic alignment. The fracture lines are not visible and indicate healing. There is no evidence of hardware complication. | Orthopedic fixation of healing tibial plateau fracture. |
Generate impression based on findings. | 47-year-old female with left hip pain Left hip: Alignment is anatomic. The joint appears within normal limits. Pelvis: No pelvic fracture. Note is made of a right os acetabuli.Right knee: Mild osteophyte formation, consistent with mild degenerative changes. Left knee: There are small tibiofemoral osteophytes consistent... | Mild osteoarthritis without specific findings to account for the patient's left hip pain. |
Generate impression based on findings. | Male 42 years old Reason: pain History: same Status post debridement, plate and screw fixation of a comminuted proximal fifth metacarpal fracture. The fracture fragments are in near anatomic alignment. No hardware complication is evident. | Surgical changes in the base of the fifth metacarpal as detailed above. |
Generate impression based on findings. | Female 35 years old Reason: 35 yo female s/p lap chole on 12/23; c/o abdominal pain; please evaluate for any abnormalities History: abdominal pain ABDOMEN:LUNG BASES: Punctate ossific density along the left lateral chest wall likely reflects heterotopic ossification, but is nonspecific.LIVER, BILIARY TRACT: Patient sta... | 1.Postoperative changes related to cholecystectomy, with a small amount of fluid within Morison's pouch, presumably postoperative in etiology. 2.No specific findings are seen to account for the patient's abdominal pain. |
Generate impression based on findings. | Female, 67 years old. Reason: please eval for ileus; free air likely 2/2 micro perf of diverticula. S/p OR washout History: see above Air filled loops of small and large bowel. Contrast within the colon from recent prior exam. Diffuse lucency over the right upper quadrant on supine imaging likely represents post-proced... | Nonobstructive bowel gas pattern. Findings on supine imaging suggestive of post-procedural free air. |
Generate impression based on findings. | 61-year-old man with history of left knee pain. Mild osteoarthritic affects the left knee with small tricompartmental osteophytes and mild medial joint space narrowing. Mild osteoarthritis also affects the right knee as seen on the frontal view. Alignment is within normal limits. | Mild osteoarthritis of the left knee. |
Generate impression based on findings. | Female 56 years old Reason: Hx of composite NHL History: Evaluate for continued remission CHEST:LUNGS AND PLEURA: Calcified and noncalcified pulmonary micronodules are nonspecific likely post infectious or post inflammatory in etiology. MEDIASTINUM AND HILA: The heart size is normal as is the caliber the great vessels.... | There is no evidence of lymphadenopathy in the chest, abdomen or pelvis to suggest disease recurrence. |
Generate impression based on findings. | Female, 21 years old. Reason: abdominal pain / assess for stool burden History: abdominal pain / gas / diarrhea Nonobstructive bowel gas pattern. Gas and stool filled loops of colon. Moderate colonic stool burden, predominantly in the ascending colon. | Moderate colonic stool burden. |
Generate impression based on findings. | Female, 35 years old. Reason: confirm NG tube placement History: N/V Interval placement of nasogastric tube with tip overlying the gastric fundus and distal sideport below the level of the GE junction.Multiple dilated loops of small bowel located centrally within the abdomen compatible with small bowel obstruction as s... | Nasogastric tube with distal sideport below the level of the GE junction.Findings compatible with small bowel obstruction, similar in appearance to recent CT examination. |
Generate impression based on findings. | 15-year-old female status post MVA and significant back pain. Rule out fracture.VIEWS: Thoracic spine AP/lateral/swimmers view, lumbar spine AP/lateral/L5 view (6 views), 1/8/2015, 1111 hrs. Vertebral body heights, intervertebral disk spaces, and alignment are maintained in the thoracic and lumbar spine. No evidence of... | Normal examination. |
Generate impression based on findings. | Reason: 29F with Crohn's, multiple peristomal abscesses. please eval the small bowel History: peristomal abscesses. please eval small bowel Scout radiograph showed a nonobstructive bowel gas pattern. After administration of oral contrast, transit time to the ileostomy was one hour. Fluoroscopic evaluation showed normal... | Normal examination of the small bowel, neo-terminal ileum and proximal colon. No specific evidence of stricture or obvious fistula in this patient with Crohn's disease. |
Generate impression based on findings. | Osteogenesis imperfecta and femur fracture.VIEWS: Left femur AP/lateral (two views) 01/08/15 The fracture has healed. Residual modeling abnormality is present with expansion of the medullary space and thinning of the cortex. Compression plate and screws are in place. | Healed proximal femoral fracture. |
Generate impression based on findings. | Ms. Isa is a 30-year-old female with known right breast cancer. Status post neoadjuvant chemotherapy. She presents today for ultrasound guided seed localization prior to surgery on 1/9/2015. Ultrasound examination of the biopsy-proven mass in the right breast 9 o'clock position (approximately 7 cm from the nipple), now... | Successful radioactive seed localization of the right breast malignancy.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 20-year-old man with history of right knee pain, catching, and clicking. The right knee appears normal without acute fracture, malalignment, or significant degenerative changes. | Normal appearance of the right knee without finding to explain the patient's pain. |
Generate impression based on findings. | 57-year-old male for evaluation prior to lung transplant The comparison chest radiograph performed on 1/8/2015 demonstrates extensive chronic changes of cystic fibrosis.The ventilation images show large foci of decreased activity in the right upper and lower lung with slight gradual wash in on equilibrium images. There... | Markedly decreased ventilation and perfusion to the right lung. |
Generate impression based on findings. | History of excision of right nipple ducts in 2010 for an intraductal papilloma. History of benign right breast biopsy. Personal history of colon cancer. Family history of ovarian cancer in maternal grandmother and breast cancer in maternal cousin, paternal aunt and paternal cousin. No new breast complaints. Three stand... | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic M... |
Generate impression based on findings. | 32 year-old woman with history of pain. Again seen is a minimally displaced fracture through the base of the fifth metatarsal with mild periosteal reaction suggesting interval healing. Dorsal soft tissue swelling persists. No additional fractures are identified and alignment is grossly anatomic. | Healing fracture of the base of the fifth metatarsal. |
Generate impression based on findings. | 30 year-old female. Morbid obesity, pre-op for bariatric surgery. Examination is somewhat limited by patient's body habitus. Single contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. Limited upright fluoroscopic evaluation of esophageal peristalsis dem... | Lap band device in appropriate position, without abnormal stricture, stenosis or fistula. No hiatal hernia or obvious slippage of the lap band. Otherwise normal limited examination of the esophagus and stomach. |
Generate impression based on findings. | 73-year-old male with dyspnea and history of stage III lung cancer status post radiation therapy ending November 9, 2014. Please evaluate disease progression prior to chemotherapy.RADIOPHARMACEUTICAL: 10.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 41 mg/dL. Today's CT portion grossly demonstrates a 4.5... | 1.Markedly hypermetabolic right posterior perihilar focus compatible with the patient's known lung cancer.2.Hypermetabolic right perihilar lymph node consistent with ipsilateral lymph node metastasis.3.No contralateral thoracic or extrathoracic FDG-avid metastatic disease identified. 4.Cystic right renal lesion with hi... |
Generate impression based on findings. | 86 year old woman with history of right total hip arthroplasty. There is been interval placement of a right total hip arthroplasty device in near anatomic alignment. There is no evidence of hardware complication. Foci of gas and a drain in the adjacent soft tissues reflect recent surgery. Moderate osteophyte is affects... | Right total hip arthroplasty without evidence of complication. |
Generate impression based on findings. | History of left lumpectomy in 2013 for invasive ductal carcinoma, mucinous type. Patient received neoadjuvant chemotherapy and adjuvant radiation therapy. Currently on an aromatase inhibitor. No new breast complaints. History of breast cancer in mother diagnosed at age 59, sister diagnosed at age 62, maternal aunt, mat... | Expected post treatment changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnosti... |
Generate impression based on findings. | Male 23 years old; Reason: hx of testicular cancer, evaluate for metastatic disease. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality... | 1.No evidence of recurrent disease. |
Generate impression based on findings. | AML and severe abdominal pain.VIEW: Abdomen AP (one view) 01/08/15, 1134 Six coils are present in the right lower quadrant. No significantly dilated bowel loops are present. No abnormal calcifications are present. Focal opacities are present in both lower lobes. | No evidence of obstruction. Right lower quadrant coils may be related to ovarian pexy. |
Generate impression based on findings. | Scalp melanoma.RADIOPHARMACEUTICAL: The scalp at the right calvarial vertex was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four intradermal injections surrounding the tumor excision site. Multiple foci of increased activity are identified in the right posterior neck,... | Sentinel nodes identified in the posterior right neck. |
Generate impression based on findings. | A counting sequence was not performed. Assuming 12 rib bearing vertebrae, there is redemonstration of a moderate compression deformity involving T10, with associated STIR hyperintensity indicating a component of acuity. There is trace vertebral fracture fragments super endplate which indents the ventral thecal sac alt... | 1. Moderate recent compression deformity involving T10 is redemonstrated with trace retropulsion of fracture fragments, without significant stenosis. Likely also mild anterior T9 vertebral body compression although without significant height loss at this time. Evaluation by neurointerventional radiology at pager 9287 m... |
Generate impression based on findings. | Lung cancer initial staging.RADIOPHARMACEUTICAL: 12.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 130 mg/dL. Today's CT portion grossly demonstrates an approximately 4-cm left upper lobe mass with central cavitation and adjacent surrounding groundglass abnormalities. Multiple additional pleural-based sof... | 1.Markedly hypermetabolic left upper lobe mass, compatible with the patient's diagnosis of lung cancer.2.Several markedly hypermetabolic pleural based soft tissue density nodules at the left lung base, compatible with metastatic disease.3.Markedly hypermetabolic left adrenal gland mass, compatible with an additional me... |
Generate impression based on findings. | Recall from screening mammogram for calcifications in the right retroareolar region. History of benign left breast biopsy. A ML view and 3 spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density,... | High probability benign group of calcifications in the right breast. Right unilateral mammogram in 6 months is recommended. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear. Incidental note is again made of an oval exostosis projecting into the left frontal sinus medially which may relate to osteoma formation, although central lucency is present.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary si... | No significant sinus inflammatory changes. |
Generate impression based on findings. | Moya Moya disease and multiple strokes. Central line placement.VIEW: Chest AP (one view) 01/08/15, 1107 Feeding tube tip is in body of stomach. Left upper extremity PICC tip is at junction of brachiocephalic veins. Right upper extremity PICC tip is lateral to costal border. Contrast material is seen in transverse colon... | Left upper extremity PICC tip is located centrally. |
Generate impression based on findings. | Susceptibility artifact is present the right occipital region from a shunt. The cervical spine is in normal alignment, with trace reversal of the normal cervical lordosis centered at C4. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cor... | 1. Slight decreased conspicuity of subtle ill-defined T2 hyperintensity within the cord at the C1-C2 level.2. Redemonstration of abnormal cerebellar tonsillar caudal extension through the foramen magnum with crowding suggestive of a Chiari one malformation, which may be very minimally progressed. Slight interval increa... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her mother at age 80. 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 dist... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her mother and a second cousin. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, u... | New mass in the right lower breast may represent a benign lesion such as a cyst. However, characterization with spot compression mammography and diagnostic ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 79 years old Reason: RCC History: none The exam is not sensitive detecting lesions in the solid organs or vasculature due to the lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A few small nonspec... | Given limitation of no intravenous contrast, no evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Strong family history of breast cancer, BRCA 2 mutation carrier. 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: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Previous benign left breast biopsy in 2001. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 26 years old; Reason: Evaluate for celiac artery compression, concern for median arcuate ligament syndrome ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: 2 cm splenule. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant ab... | No significant celiac artery compression secondary to the median arcuate ligament seen. Mild extrinsic impression on proximal celiac artery in expiration, likely related to the median arcuate ligament, with minimal to no poststenotic dilatation; no definite collateral flow via gastroduodenal artery delineated. |
Generate impression based on findings. | Female 51 years old Reason: Weight bearing views of left knee. Evaluate degree of osteoarthritis. History: left knee pain Bone mineralization is normal. Alignment is anatomic. There is mild joint space loss .There are tiny osteophytes. No acute fracture.No joint effusion. | Minimal left knee osteoarthritis. |
Generate impression based on findings. | Female 54 years old Reason: right hip pain History: right hip pain Single view of the pelvis shows normal bone mineralization. Alignment is anatomic. Mild degenerative changes affect the pubic symphysis and sacroiliac joints.The right hip shows normal bone mineralization. Alignment is anatomic. Joint spaces are normal.... | No significant right hip degenerative change. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild periventricular and subcortical white matter hypoattenuation which is nonspecific, likely representing chronic microvascular ischemic changes as noted on the prior exam. The ventricles and basal cisterns are normal in size and conf... | No acute intracranial abnormality or other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Recall from screening mammogram for increasing asymmetry in the left upper outer quadrant. History of breast cancer in sister and paternal grandmother. LEFT UNILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: A ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Right testicular swelling RIGHT TESTIS: Status post right orchiectomy.LEFT TESTIS: Testicle measures 4.3 x 2.7 x 2.2 cm. Testicular parenchyma heterogeneous, no focal parenchymal lesion delineated. Degree of parenchymal vascularity mildly improved when compared to prior exam. No evidence of testicular torsion or acute ... | Again seen moderate scrotal edema and wall thickening, degree of heterogeneity and more focal sites of fluid improved/less pronounced. Findings may reflect improving cellulitis and correlation with patient's clinical history and physical exam recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her grandmother, an aunt and 3 cousins. Two standard digital views of both breasts and repeat left CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandu... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | There is a hyperdense 11 mm AP x 20 mm ML x 16 mm CC parenchymal hematoma in the left parietal lobe with surrounding vasogenic edema, causing local mass effect with sulcal effacement, and possibly mild mass effect on the left lateral ventricle. The ventricles and basal cisterns are otherwise normal in size and configu... | 1.Acute left posterior frontal/anterior left parietal lobe parenchymal hematoma with surrounding vasogenic edema and regional mass effect. No midline shift or herniation. 2.Age indeterminate small vessel ischemic changes.Findings were discussed with ED Dr. Christine Babcock at 1:33 PM today over the telephone. |
Generate impression based on findings. | Pubis fracture Three views of the pelvis reveal a fracture through the superior pubic ramus and the ischium on the right. No other fractures are identified. No significant change from the previous exam of December 18. | Fractures of the right superior pubic ramus and right ischium |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | 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. | Status post orthotopic liver transplant, elevated LFTs, evaluate vasculature and assess for fluid collection, status post exploratory laparotomy, portal vein thrombectomy and ligation a splenorenal shunt on January 3, 2015 PORTAL VENOUS: Main portal vein appears patent with normal hepatopetal flow and velocity 40 cm/se... | Patent hepatic vasculature and incompletely imaged pleural effusion and ascites. |
Generate impression based on findings. | Female 71 years old Reason: SLL with progression over one year.+ Right hip symptoms. Early restage to r/o development of bulky dz History: hip pain CHEST:LUNGS AND PLEURA: Right lower lobe nodule now measures 1.1 x 1.0 cm (image 82, series 5), previously 1.1 x 1.0 cm. Additional scattered calcified and noncalcified ple... | Interval increase in size of the axillary and mediastinal lymphadenopathy, with stable retroperitoneal and pelvic lymphadenopathy as detailed above. |
Generate impression based on findings. | Chest wall pain Three views of the ribs reveal no evidence of any fractures. | No evidence of rib fractures |
Generate impression based on findings. | 75-year-old male with history of prostate cancer Increased radiotracer uptake is again seen in the left medial clavicle, right posterior fifth rib, left posterior sixth rib, and bilateral iliac wings. The right posterior fifth rib focus and bilateral pelvic foci appear slightly bigger compared to the prior exam.Increas... | Slight progression in size of several osseous metastatic lesions. No new osseous lesions are identified. |
Generate impression based on findings. | 26-year-old female status post fall, unable to bear weight Glenohumeral alignment is within normal limits. No hip or pelvic fracture is visualized. The visualized soft tissue structures appear unremarkable. A 4.7-cm left cystic adnexal lesion is likely physiologic given the patient's age. | No fracture or other findings to explain the patient's symptoms. |
Generate impression based on findings. | 80 year-old female status post fall two days ago with left hip pain Hip: Small osteophytes consistent with osteoarthritis. No fracture or malalignment.Lumbar spine: Lumbar spinal alignment is within normal limits. Vertebral body heights are maintained. Small anterior osteophytes are noted.Thoracic spine: There is marke... | Degenerative arthritic changes without fracture or malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign needle aspirations. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patter... | 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. | 58 showed female, evaluate for lytic bone disease SKULL: No discrete lytic lesion.CERVICAL SPINE: No discrete lytic lesion.THORACIC SPINE: No discrete lytic lesion. Mild degenerative arthritic changes.LUMBAR SPINE: No discrete lytic lesion. Small anterior vertebral body osteophytes.RIBS: No discrete lytic lesion.PELVIS... | No evidence of lytic bone disease. |
Generate impression based on findings. | Reason: eval pleural effusion. (left) History: sob, fevers Motion somewhat limits sensitivity.LUNGS AND PLEURA: Patchy upper lobe predominant ground glass opacities, which may be secondary to atypical edema, aspiration, or infection.Interval development of small right pleural effusion, and enlargement of left pleural e... | 1. Bilateral pleural effusions, left greater than right with associated consolidation/atelectasis, more pronounced at the left lung base, which is suggestive of developing pulmonary/pleural infection. Recommend follow-up CT studies with IV contrast.2. New mediastinal/axillary lymphadenopathy is nonspecific, but likely ... |
Generate impression based on findings. | 21-year-old male with history of fall. Evaluate for intracranial hemorrhage. No evidence of acute intracranial hemorrhage. The gray-white differentiation is preserved. The ventricles and cisterns are symmetric. There is no midline shift or mass effect. There is a minimal amount of fluid within the dependent aspect of t... | No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Fever and coughVIEWS: Chest AP/lateral (two views) 1/8/15, 1301 The cardiothymic silhouette is normal.Peribronchial thickening is present, without focal lung opacities or pleural effusions. Subsegmental atelectasis is noted in the lingula. The lung volumes are large. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Female, 59 years old. Reason: r/o bowel obstruction/ischemic bowel History: nausea, post-op hernia repair. Hypoactive bowel sounds Multiple air-filled loops of small and large bowel, with moderate stool burden predominantly within the rectum and enteric contrast within the rectum from recent prior study. Gas seen withi... | Findings of partial small bowel obstruction unchanged to slightly improved from recent CT exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left-sided benign biopsy. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 65-year-old female with history of hypoxemia, tachypnea and tachycardia. PULMONARY ARTERIES: No PE is seen to the segmental level.LUNGS AND PLEURA: Bibasilar dependent linear subsegmental atelectasis. Small focus of consolidation in the right lung base may also represent atelectasis, although cannot exclude superimpose... | 1.Limited exam, however no pulmonary embolus to the segmental level.2.Mild dependent atelectasis and mild apical predominant emphysema.3.Contrast extravasation.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Male, 68 years old. Reason: Ileus History: As above Significant gaseous distention of the colon is again seen, compatible with colonic ileus as seen on recent prior CT examination. Small bowel gas pattern is nonspecific. Enteric tube with tip overlying the gastric body and distal side-port just below the level of the G... | Findings compatible with colonic ileus as seen on recent prior CT examination. Enteric tube tip overlying the gastric body and distal side-port just below the level of the GE junction. Recommend to advance approximately 3-4 cm. |
Generate impression based on findings. | Anemia and weight loss. Bone pain at night.VIEWS: Right knee AP/oblique/lateral (3 views), left knee AP/oblique/lateral (3 views), right elbow AP/oblique/lateral (3 views), left elbow AP/oblique/lateral (3 views), 1/8/15 KNEES: The osseous mineralization is normal. No fracture or malalignment is present. No focal osseo... | Normal examinations. |
Generate impression based on findings. | Reason: Mediastinal Adenopathy History: Metastic Papillary Thyroid Ca LUNGS AND PLEURA: Innumerable pulmonary micronodules and nodules, more prominent in the lower lobes, with the largest measuring 7 mm lateral with only metastases.No pleural effusions.MEDIASTINUM AND HILA: Status post thyroidectomy.Prevascular 11-mm l... | 1.Innumerable pulmonary micronodules and nodules compatible with metastatic disease.2.Mediastinal and hilar lymphadenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of skin cancer diagnosed at the age of 42 now in remission. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular... | 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. | 41 year-old female with left flank pain. RIGHT KIDNEY: The right kidney measures 8.7 cm in length without hydronephrosis or shadowing calculus.LEFT KIDNEY: The left kidney measures 8.2 cm in length without hydronephrosis or shadowing calculus. There is an inferior pole markedly hypervascular nidus on color Doppler ultr... | 1. No hydronephrosis or shadowing calculus.2. Findings suggestive of a left inferior pole arteriovenous fistula, which is likely iatrogenic given the reported history of prior renal biopsy. |
Generate impression based on findings. | Female 54 years old Reason: right knee pain History: right knee pain Bone mineralization is normal. Alignment is anatomic. There is minimal joint space loss with tiny osteophytes.Possible trace joint effusion. No acute fracture or dislocation.Comparison left knee shows minimal osteoarthritis. | Minimal right knee osteoarthritis. |
Generate impression based on findings. | History of breast cysts. Soft mobile palpable masses at the 12 o'clock position of both breasts. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: Three standard views and two spot compression views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, w... | Right breast cysts, one of which has a calcified wall. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - S... |
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