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Generate impression based on findings. | Two year old female status post trauma. Evaluate for fracture of right fifth digit.VIEWS: Right hand PA and oblique (two views) 3/1/2015 Limited study due to suboptimal patient positioning and only two views were obtained (PA and oblique) with no lateral view. Linear lucency is present through the distal aspect of the ... | Limited study however there is a probable nondisplaced fracture of the distal aspect of the proximal fifth phalanx. |
Generate impression based on findings. | weakness, metastatis Multifocal various sized low attenuations involving left posterior temporal lobe, left parietal lobe, and right cerebellar hemisphere indicate possible mixed acute and chronic ischemic infarction. No acute hemorrhagic lesion is seen.The ventricles, sulci, and cisterns are symmetric and unremarkable... | Multifocal low attenuation lesions indicating multi-age ischemic infarctions.No hemorrhagic lesion is seen.Brain MRI is indicated for further evaluation. |
Generate impression based on findings. | 41 years, Female. Reason: obstruction History: Crohn, abd pain The lung bases are clear. No pneumoperitoneum. Relative paucity of bowel gas with small amount of air within loops of bowel in the pelvis. Ostomy projects over the right lower quadrant. | Nonspecific bowel gas pattern. |
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 and diffuse bilateral subarachnoid hemorrhage extending into the ventricles appears similar to prior. A coil mass is present in the right... | Right frontal hematoma surrounding the drainage catheter and diffuse bilateral subarachnoid hemorrhage extending into the ventricles appears similar to prior. |
Generate impression based on findings. | There is no evidence of calvarial fractures. No acute intracranial hemorrhage. No CT evidence of acute large territorial infarction. There are no masses, mass effect or midline shift. The ventricles and sulci are normal in size. There are no extraaxial fluid collections or subdural hematomas. The visualized portions o... | No acute intracranial hemorrhage. |
Generate impression based on findings. | 59 years, Male. Reason: etiology of significant bloating History: abdominal distention Sternotomy wires and surgical clips in the left inguinal area. No pneumoperitoneum. Above average stool burden. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 34 years, Female. Reason: constipation History: generalized abd pain Moderate to above average stool burden. Nonobstructive bowel gas pattern. | Moderate to above average stool burden. |
Generate impression based on findings. | 19 day-old male with history of right lung atelectasis. Evaluate lung fields.VIEW: Chest AP (one view) 3/2/2015 6:05 ET tube tip below the thoracic inlet and above the carina. Feeding tube tip at the GE junction. Right upper extremity PICC tip in the right atrium. Left upper extremity PICC tip likely in the left cephal... | Slightly improved bilateral hazy lung opacities. |
Generate impression based on findings. | 59 years, Male. Reason: 59yo m w nsclc, abd pain History: abd pain Diffuse gaseous distention of the colon compatible with large bowel ileus. No pneumatosis. No evidence of obstruction. Decrease in stool burden since the prior exam. | Findings compatible with large bowel ileus. |
Generate impression based on findings. | 56-year-old male with convulsions and altered mental status A right trans-frontal tract is redemonstrated. Periventricular and subcortical white matter hypodensities are again noted. Hypodensities are also redemonstrated in the root of the thalami , basal ganglia, internal capsules, the left cerebral peduncle and pons.... | No CT evidence of acute intracranial process that would explain the patient's symptoms. |
Generate impression based on findings. | Reversal of normal cervical lordosis may be secondary to positioning. Vertebral body heights are well-maintained. There are no acute fractures or traumatic subluxations. Sclerotic focus within C6 vertebral body likely benign bone island. Partial opacification of the left sphenoid sinus. Visualized intracranial structu... | 1.No acute fracture or subluxation.2.Multilevel degenerative changes without significant central spinal canal stenosis. |
Generate impression based on findings. | Chest tube removal.VIEW: Chest AP (one view) 03/01/15, 1240 Left chest tube has been removed and a moderate left pneumothorax is present.Left upper extremity PICC tip is in right atrium.Cardiac silhouette is upper limits of normal to mildly enlarged in size. Streaky opacities are present in the right lower lobe. Focal ... | Moderate pneumothorax after left chest tube removal. |
Generate impression based on findings. | 10 day old former 30 week gestational age patient with dilated bowel. Is there any evidence of NEC?VIEWS: Chest and abdomen AP (two views) 03/01/15, 1836 Feeding tube tip is in gastric body and the side-port is at GE junction. Right lower extremity PICC tip is at junction of superior vena cava and right atrium. Umbilic... | Continued lung opacities. Dilated, disorganized bowel gas pattern. |
Generate impression based on findings. | 80 year-old female with altered mental status Redemonstrated is hypodense within the left frontal lobe involving the left middle and inferior frontal gyrus with possible sulcal effacement and overlying gray matter which is unchanged in appearance. No intracranial hemorrhage, mass, or mass-effect is identified. No midli... | Redemonstrated is an age-indeterminant hypodensity in the left frontal lobe with suggestion of mild sulcal effacement and involvement of overlying gray matter. Finding may represent a subacute to early chronic infarct and MRI should be considered for further evaluation as clinically indicated. No volume loss to definit... |
Generate impression based on findings. | Dyspnea on exertion and shortness of breath. The comparison chest radiograph performed on 2/27/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show a uniform distribution of activity on single-breath and wash-in images. There is no abnormal Xe-133 retention during the wash-out ph... | Single moderate to large mismatched defect in the inferior lingula makes this technically an intermediate probability V/Q scan for pulmonary embolus. Findings were discussed with Dr. Miedema, the primary attending physician taking care of the patient at the time of this final dictation and clinical correlation is param... |
Generate impression based on findings. | 19-day-old male with increasing FiO2. Evaluate ET tube placement and lung fields.VIEW: Chest AP (one view) 3/1/2015 14:22 ET tube tip below the thoracic inlet and above the carina. Feeding tube tip at the GE junction. Right upper extremity PICC tip in the right atrium. Left upper extremity PICC tip likely in the left c... | Bilateral hazy lung opacities increased from prior study. Probable PIE in the left lower. Probable PDA. |
Generate impression based on findings. | 14-year-old male, evaluate for retained foreign bodyVIEWS: Right foot, AP, oblique, and lateral (3 views) 3/1/15 21:44 Splint material obscures underlying osseous and soft tissue detail. Interval removal of foreign bodies. No definite residual radiopaque foreign body is noted. Alignment is anatomic. No fracture is seen... | Interval splinting and removal of foreign bodies without definite residual radiopaque foreign body. |
Generate impression based on findings. | 1-year-old male fell over with larger person, will not bear weight. No focal tenderness.VIEWS: Left and right femur AP and lateral (4 views) 3/1/2015 Linear lucency is present along the medial cortex of the proximal metaphysis of the left femur. No additional fractures are noted bilaterally. Alignment is otherwise norm... | Likely nondisplaced proximal metaphyseal fracture of the left tibia. Follow up is recommended. |
Generate impression based on findings. | Brain: There has been resolution of the right subdural hematoma with minimal extra-axial fluid when compared to the CT 2/4/2015 exam. No acute intracranial hemorrhage. The ventricles and sulci are unchanged in size and configuration. No CT evidence of acute large territorial ischemia. There are no masses, mass effect ... | 1.Near complete resolution of right subdural hematoma when compared to the 2/4/2014 exam. No significant interval change when compared to the CT head earlier on 3/1/20152.No significant change in the small luminal outpouching on the distal right ICA which may represent a small aneurysm versus infundibulum.3.Unchanged m... |
Generate impression based on findings. | Male 58 years old Reason: r/o dissection History: chest pain CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodule. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effusion. CT angiography: Aortic dissection extending from the... | 1.Stable diameter and craniocaudal extent of the aortic dissection status post endovascular repair. 2.No new acute findings. |
Generate impression based on findings. | Abdominal pain. History of pancreaticobiliary cancer. Angiographic images are unremarkable. Prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the liver is present. A heterogenous region of uptake similar to the liver is noted along the inferior margin of the liver extending i... | Lack of filling of the gallbladder at 1 and 4 hours is nonspecific yet highly and most suspicious for acute cholecystitis. |
Generate impression based on findings. | 14-year-old male, evaluate for foreign bodyVIEWS: Right foot, AP, oblique, and lateral (3 views) 3/1/1519:35 Numerous radiopaque foreign bodies are identified within the plantar soft tissues beneath the fourth and fifth metatarsals. There is soft tissue swelling along the plantar foot. No fracture or malalignment. | Multiple radiopaque foreign bodies and soft tissue swelling without fracture or malalignment. |
Generate impression based on findings. | 11 day old former 30 week gestational age patient with abdominal distention and presumed NEC.VIEW: Abdomen AP (one view) 03/02/15, 0602 Feeding tube tip is in gastric body. Right lower extremity PICC has its tip at junction of IVC and right atrium. Umbilical venous line has been removed thereMildly dilated bowel loops ... | Disorganized, dilated bowel gas pattern. |
Generate impression based on findings. | 77-year-old male. Acute right sided pleuritic chest pain with shortness of breath. Stage for lung cancer. Evaluate for PE. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Interval enlargement of spiculated left lower lobe mass, measuring 33 x 34 mm (series 8, image 116), previously 27 x 28 mm.En... | 1. No evidence of pulmonary embolism.2. Interval enlargement of the known left lower lobe primary lung malignancy. Progression of metastatic disease with new mediastinal and hilar lymphadenopathy, a new suspicious 6 mm pulmonary nodule as well as a new liver lesion.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not appli... |
Generate impression based on findings. | 81 years, Male. Reason: 81yo M w/ dysphagia, s/p Dobbhoff History: as above Dobbhoff tube tip projects over the gastric body. Residual contrast is noted throughout the colon. Diffuse gaseous distention of small and large bowel compatible with ileus type bowel gas pattern. Surgical clips and suture material projects ove... | Dobbhoff tube tip projects over the gastric body. Ileus type bowel gas pattern. |
Generate impression based on findings. | There are a few scattered punctate foci of T2 hyperintensity primarily within subcortical white matter locations without mass effect, restricted diffusion, or susceptibility abnormality. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midl... | 1.There are a few scattered punctate foci of T2 hyperintensity primarily within subcortical white matter locations without mass effect, restricted diffusion, or susceptibility abnormality. These findings are nonspecific and the differential diagnosis would most likely include small vessel disease, migraine sequelae, or... |
Generate impression based on findings. | 68 years, Female. Reason: 68yoF with L flank pain s/p paracentesis r/o free air History: L flank pain Cholecystectomy clips and suture material in left midabdomen. Diffuse dilatation of small and large bowel compatible with known ileus. Residual enteric contrast in loops of small bowel. Scarring and volume loss in the ... | No large pneumoperitoneum on this limited supine examination. If concern for pneumoperitoneum persists, lateral decubitus, crosstable lateral, or upright views are recommended. Ileus type bowel gas pattern. |
Generate impression based on findings. | 9 month old male with right lower extremity painVIEWS: Right tibia and fibula AP and lateral (two views), right femur AP and lateral (two views) 3/1/15 22:15 Tibia and fibula are intact without fracture or malalignment. The femoral head is well directed towards the acetabulum. No femur fracture. | Normal examination. |
Generate impression based on findings. | Reason: 44 y/o M hx of arthritis w/ inability to bear weight on L knee s/p fall r/o acute fracture History: Inability to bear weight Mild to moderate osteoarthritis affects the left knee, with small osteophytes and patellar enthesophytes. A small knee joint effusion is noted. No fracture or malalignment is evident. | Osteoarthritis, without fracture |
Generate impression based on findings. | Status post reduction Overlying cast material obscures bone detail.There is a transverse fracture through the distal radius, which is not well visualized due to the aforementioned cast material. | Distal radius fracture. |
Generate impression based on findings. | Male 63 years old Reason: left hip pain - rule out fracture - history of chronic prednisone use History: left hip pain. Two views left show no acute fracture or dislocation. No radiographic evidence of osteonecrosis. Mild arthritic changes affect the hip joints with tiny osteophyte formation. | No acute fracture or dislocation. |
Generate impression based on findings. | 17-year-old male with fifth digit swellingVIEWS: Left hand, PA, left fifth finger, oblique and lateral (3 views) 3/1/15 22:26 There is marked soft tissue swelling about the PIP joint of the fifth digit without fracture or malalignment. | Soft tissue swelling without fracture or dislocation. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | 5th metacarpal pain There is an acute nondisplaced fracture through the fifth metacarpal head with possible intra-articular extension. Chronic appearing underlying deformity of the fifth metacarpal likely reflects an old healed fracture as well. | Fifth metacarpal fracture, as above. |
Generate impression based on findings. | 1-year-old male will not bear weightVIEWS: Left tibia/fibula AP and lateral, Left foot AP, oblique and lateral (5 views) 3/1/2015 Short linear lucency is noted along the medial cortex of the proximal left tibial metaphysis. Alignment is otherwise normal. No soft tissue swelling or joint effusion. No fracture or disloca... | Likely nondisplaced fracture is again seen along the medial cortex of the proximal left tibial metaphysis. Follow up is recommended. |
Generate impression based on findings. | 64 years, Female. Reason: assess stent placement History: abd pain Right nephroureterostomy tube and reticular peritoneal shunt with tip in the left upper quadrant. Multiple surgical clips and staples are noted in the left paramedian abdomen. Above average amorphous stool burden. Nonobstructive bowel gas pattern. | Right nephroureterostomy tube is in place. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 5-year-old male with history of chronic constipation with one month of absent bowel movements, leakage of liquid stoolVIEWS: Abdomen, erect and supine (two views) 3/1/15 22:39 Moderate colonic stool burden without evidence of obstruction. No bowel wall pneumatosis, portal venous gas or free intraperitoneal air. Bilater... | Moderate colonic stool burden. No evidence of obstruction. |
Generate impression based on findings. | Female 66 years old Reason: post reduction 4th and 5th finger fracture History: finger fractures Overlying splint material obscures fine bone detail. There is been interval splinting of the fractures seen at the base of the fourth and fifth proximal phalanges with the distal fracture fragments now appearing in near-ana... | Post reduction of fourth and fifth finger fractures as described above. |
Generate impression based on findings. | Pain Right shoulder: Moderate osteoarthritis affects the right shoulder, without fracture or malalignment.Right humerus: No fracture or malalignment is present.Right elbow: No fracture or malalignment is present. No joint effusion is evident. | No fracture or malalignment. |
Generate impression based on findings. | There has been near complete resolution of the right subdural hematoma with minimal residual extra-axial fluid when compared to the CT 2/4/2015 exam. No acute intracranial hemorrhage. The ventricles and sulci are unchanged in size and configuration. No CT evidence of acute large territorial ischemia. There are no mass... | 1.No acute intracranial abnormality.2.Near complete resolution of right subdural hematoma. |
Generate impression based on findings. | 1-year-old male will not bear weight.VIEWS: Right foot AP, oblique and lateral, Right Tibia/Fibula AP and Lateral (5 views) 3/1/2015 No soft tissue swelling or joint effusion. Alignment is normal. No fracture or dislocation. | Normal examination. |
Generate impression based on findings. | 84-year-old female with altered mental status There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. Findings are again suggestive of mild to moderate indeterminate small vessel ischemic disease within the periventricular and subcortica... | No acute cranial hemorrhage. Small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | CT head: No acute intracranial hemorrhage. No CT evidence of acute large territorial ischemia. Mild prominence of the ventricles and sulci, likely age related volume loss. There are no masses, mass effect or midline shift. There are no extraaxial fluid collections or subdural hematomas. CT facial:Frontal sinuses: No s... | 1.No acute intracranial hemorrhage.2.Interval worsening of pan-sinus disease as above.3.Opacification of bilateral mastoid air cells with fluid in bilateral middle ear cavity, unchanged. |
Generate impression based on findings. | Female 66 years old Reason: fracture History: pain to 5th metacarpal and left hip post fall. Three views of the right hand show no acute fracture or dislocation. Minimal osteoarthritic changes affect the distal interphalangeal joints. A well-defined small lucent lesion with a minimally sclerotic border seen at the base... | Osteoarthritis of the bilateral hips and right hand as described above, without acute fracture or dislocation. |
Generate impression based on findings. | Female 82 years old Reason: r/o constipation vs. opioid induced ileus vs. SBO History: h/o metastatic bladder ca s/p resection p/w abd pain, constipation ABDOMEN:LUNG BASES: Reference right basilar nodule measures 1.0 x 1.4 cm (series 4, image 25) and previously 1.1 x 1.3 cm. Adjacent spiculated nodule does not appear ... | 1.No evidence of bowel obstruction. Large stool burden within the colon compatible with constipation. 2.Increasing size of the several masses along the bilateral pelvic sidewalls and right labia, which when combined with recent PET imaging, are highly suspicious for metastatic disease.3.Bilateral pulmonary nodules whic... |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. Specifically, there are no CT findings to explain the patient's symptomatology. |
Generate impression based on findings. | newly diagnosed lung cancer, multifocal ischemic infarctions on MRI NONCONTRAST CT HEADRedemonstration of left posterior temporal lobe, left parietal lobe, and right cerebellar hemisphere low attenuation lesions, no change since prior scan.No evidence of acute hemorrhagic lesion on this scan.The ventricles, sulci, and ... | 1. No change of multifocal ischemic lesions as described above since prior exam.2. No evidence of significant luminal stenosis or occlusion of craniocervical vasculnature. No intracranial aneurysm. 3. Large right lung mass with possible involvement of adjacent pleura. |
Generate impression based on findings. | Six week old male with respiratory distressVIEWS: Chest AP/lateral (two views) 3/1/15 14:25 The cardiothymic silhouette is normal. Bronchial wall thickening, large lung volumes and subsegmental atelectasis without evidence of pneumonia. | Bronchiolitis without evidence of pneumonia. |
Generate impression based on findings. | Male 53 years old Reason: eval fracture, fall, L sided pain History: L sided pain. There is no acute fracture or subluxation. The lumbar vertebral body heights and intervertebral disk spaces are preserved. Tiny anterior vertebral body osteophytes are seen in L2, L3, L4, L5, and S1. | No acute fracture or subluxation. |
Generate impression based on findings. | No acute intracranial hemorrhage. No CT evidence of acute large territorial ischemia. There is mild cerebellar atrophy. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There are no extraaxial fluid collections or subdural hematomas. Mild mucosal thickening of bilateral e... | No acute intracranial hemorrhage. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 29 years old Reason: fracture History: s/p fall; previous L knee surgery 2014. A plate and screws device affixes a previously seen fracture of the proximal tibia in near-anatomic alignment without evidence of hardware complication. The fracture line is indistinct suggestive of healing. There is no new fracture o... | Orthopedic fixation of a healed proximal tibial fracture. |
Generate impression based on findings. | 18 year-old male with history of pneumonia and empyemaVIEW: Chest AP (one view) 3/2/15 3:47 Right chest tube is directed apically. Tracheostomy tube tip below the thoracic inlet. G-tube again noted. Right thoracic and left thoracolumbar curves.Redistribution of right pleural effusion with increased opacity at the right... | Right pleural effusion and bilateral patchy opacities as described above. |
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 almost entirely fatty, unchanged in pattern and distribution. Benign-appearing calcifications and asymmetries throughout both breast... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Male 20 years old Reason: r/o fracture History: pain, swelling. There is no acute fracture or dislocation. The bones appear normal. | No acute fracture or dislocation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign bilateral breast biopsies. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distrib... | 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. | Female 53 years old Reason: r/o fracture History: fall Three views of the left wrist show mild soft tissue swelling without evidence of underlying fracture or dislocation. Note is made of an ulnar minus variant.Three views of the right ankle show no acute fracture or dislocation. | No acute fracture or dislocation of the left wrist or right ankle. |
Generate impression based on findings. | 15-year-old male, assess fractureVIEWS: Left wrist, PA and lateral, (two views) 3/2/15 8:14 A cast obscures underlying osseous detail. Sclerosis of the distal radial metaphysis consistent with healing fracture in near anatomic alignment. | Healing distal radius fracture. |
Generate impression based on findings. | Female 25 years old Reason: r/o stone History: known L pelvic kidney, l salpingectomy Exam is limited secondary to lack of oral and intravenous contrast. Lack of intravenous contrast makes evaluation of solid organ and vascular pathology suboptimal. Lack of oral contrast makes the evaluation of bowel pathology suboptim... | Left pelvic kidney without evidence of hydronephrosis or nephroureteral calculi. |
Generate impression based on findings. | ASD closureVIEW: Chest AP 3/2/15 Midline sternal wires again noted. Right internal jugular central line with tip in the right atrium. Cardiothymic silhouette at the upper limits of normal. Patchy atelectasis in the right lower lobe and left lower lobe not significantly changed. No pleural effusion or pneumothorax. | Bilateral patchy atelectasis not significantly changed. |
Generate impression based on findings. | Reason: 3T Scanner, 6 months basilar artery aneurysm surveillance History: 6 month follow up MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is redemonstration of a 5 mm... | 1.Stable basilar tip aneurysm measuring 6 x 5 mm |
Generate impression based on findings. | Concern for NECVIEW: Abdomen AP NG tube tip in the stomach. Disorganized nonobstructive bowel gas pattern. Mild bowel dilation in the midline. No pneumatosis or pneumoperitoneum. | Mild bowel dilation in the midline new from prior study and continue follow-up recommended. |
Generate impression based on findings. | BPDVIEW: Chest AP Cardiothymic silhouette normal. Minimal patchy atelectasis in the right upper lobe in a background of chronic lung disease. No pleural effusion or pneumothorax. | Minimal patchy atelectasis in the right upper lobe in a background of chronic lung disease. |
Generate impression based on findings. | Reason: persistent tachycardia, r/o PE History: see above PULMONARY ARTERIES: Exam is limited by suboptimal contrast opacification of the pulmonary arteries. No large central pulmonary emboli. The main pulmonary artery is upper normal in caliber. Questionable right heart strain, not well evaluated due to phase of contr... | 1. Limited exam without evidence of large central pulmonary emboli. Possible right heart strain.2. Scattered small solid nodules measuring up to 5 mm, and indeterminate small nodules with surrounding scarring in the right upper lobe, along with right hilar lymphadenopathy. Recommend followup imaging in 6 months to eval... |
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. Stable focal asymmetries in the right breast. N... | 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. | Chest tube adjustmentVIEW: Chest AP NG tube tip at the GE junction. Right central line with tip in the right atrium. Left chest tube with tip in the midline. Cardiothymic silhouette normal. Bilateral lung opacities but improved from prior study. There is a small left-sided pleural effusion. | Bilateral lung opacities improved from prior study. |
Generate impression based on findings. | Status post left lumpectomy for breast cancer (DCIS) in 2012, presents today for routine follow up. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in p... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of great aunt with breast cancer. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and d... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 64 years old; Reason: evaluate metastatic disease History: carcinosarcoma, pulmonary hypertension, AICD CHEST:LUNGS AND PLEURA: Nonspecific pulmonary micronodule (3:44) along the right minor fissure. Minimal nodular thickening of the left major fissure (3:39), also nonspecific. Scattered reticular and hazy opaci... | 1.Enlarged heterogenous spleen enhancing uterus with expanded. Endometrial canal and suggestion of enhancing internal endometrial tissue, further described above, likely related to known history of uterine cancer. Small exophytic projections are likely fibroids. No definitive evidence of metastatic disease.2.Nonspecifi... |
Generate impression based on findings. | Tachycardia/SVT status post lung transplant. Evaluate for PE. PULMONARY ARTERIES: Acute pulmonary emboli in lobar and segmental/subsegmental arteries in the left lower lobe and segmental/subsegmental arteries of the right upper and lower lobes. Normal caliber of the main pulmonary artery.LUNGS AND PLEURA: Post-surgical... | 1. Acute pulmonary emboli with likely multifocal pulmonary infarcts. 2. Moderate right and small left pleural effusions. Loculated pleural fluid abutting the right heart border, may represent post-operative hematoma or seroma.3. Nonspecific patchy bilateral apical groundglass opacities, differential is hemorrhage, infe... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy in 1967. History of maternal cousin and paternal cousin with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scatte... | 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. History of benign right breast biopsy. History of maternal aunt with breast cancer. Two standard digital views of both breasts with an additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of sca... | 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. | Reason: h/o tonsil and nasopharynx caRT,compare to previous, measurements pls History: none There is some mild infiltration of the fat plane surrounding the right carotid space which has been present on prior exams and has not changed compared a 7-mm nodule at the level of the hyoid bone measures 7 mm short axis dimens... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, bilateral tomosynthesis, and bilateral ML views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: Hx of CLL s/p SCT c/b GVHD p/w AMS w/ Hx of PNA, r/o PNA or acute pulmonary infection History: AMS LUNGS AND PLEURA: Diffuse bronchial wall thickening and bronchiolitis with tree in bud opacities, slightly decreased from the prior exam. Bronchiectasis in the bilateral lower lobes appears unchanged.The previousl... | Diffuse bronchiolitis is minimally decreased from the prior exam. Findings are compatible with infectious etiology, including opportunistic agents in an immunocompromised patient, or GVHD. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 66 years old Reason: r/o fracture History: swelling, deformity. Three views of the left hand show transverse fractures of the base of the proximal phalanges of the fourth and fifth fingers with dorsal angulation of the distal fracture fragments. The fracture lines may extend to the intra-articular surfaces, but ... | Fourth and fifth proximal phalangeal fractures, with possible extension to the intra-articular space as described above. |
Generate impression based on findings. | 60 year old with history of right lumpectomy and sentinel lymph node biopsy in 2012 for IDC, grade 2. Patient received radiation therapy. History of breast carcinoma in sister. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast pa... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of maternal grandmother with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribut... | 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. | 49-year-old man with GERD admitted for atrial flutter. Possible lung mass. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Right apical mass extends to the pleural surface and is contiguous with the right hilum, highly suspicious for a primary lung malignancy. Its margins are obscured by adjacen... | 1. No evidence of pulmonary embolism.2. Large right apical mass obstructing the right upper lobe bronchus, highly suspicious for a primary lung malignancy.3. Mediastinal and right hilar lymphadenopathy. Right supraclavicular lymphadenopathy, which could be further evaluated with dedicated CT soft tissue neck imaging if... |
Generate impression based on findings. | 26 year old with bilateral milky nipple discharge for a month. History of nipple ring placement 8 months ago. Focused ultrasound for nipple areolar area was performed for both breasts. There are no dilated ducts or fluid collection. No solid or cystic mass are detected. | No sonographic evidence of malignancy. Clinical follow up is recommended. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female 60 years old Reason: r/o fracture History: r/o fracture Mild degenerative arthritic changes affect the right hip joint with small osteophyte formation. There is no acute fracture or dislocation. | Mild degenerative changes of the right hip without acute fracture or dislocation. |
Generate impression based on findings. | Reason: r/o PE History: SOB, hypoxia Scout images without significant abnormality. | Incomplete study due to contrast extravasation. See details above.PULMONARY EMBOLISM: PE: Indeterminate.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 27 years old Reason: Patient with history of lower back pain, now with flair, assess for bony pathology History: back pain. The lumbar vertebral body heights and intervertebral disk spaces are preserved. Alignment is anatomic. No acute fracture or dislocation. No suspicious bone lesions. The sacroiliac joints ar... | No specific radiographic findings to account for patient's pain. |
Generate impression based on findings. | 55 year old with history of left breast lumpectomy and radiation therapy for IDC/DCIS in 2011. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. Agai... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 72 years old Reason: r/o effusion or fxr History: L knee pain, warmth, and swelling. There is diffuse soft tissue reticulation about the knee. There is a small joint effusion. There is no acute fracture or dislocation. There is no cortical disruption to suggest osteomyelitis. Severe osteoarthritic changes affect... | No radiographic evidence of acute fracture or osteomyelitis. |
Generate impression based on findings. | 70 years, Female, Reason: Assess vasculature prior to kidney transplant History: pre-transplant clearance. ABDOMEN:LUNG BASES: Moderate right-sided pleural effusion is increased since the prior exam. Small pericardial effusion, decreased from the prior exam..LIVER, BILIARY TRACT: Cholelithiasis without evidence of chol... | 1.Vasculature as described above.2.Moderate abdominal ascites, increased from the prior exam3.Increased moderate right pleural effusion.4.Decreased small pericardial effusion. |
Generate impression based on findings. | Postoperative condition.VIEW: Pelvis AP (one view) 03/02/15 Cast has been removed. Compression plate and screws device in the left proximal femur is intact and is single plain. Callus formation medially has increased. The femoral head remains well directed into the acetabulum.Postoperative changes on the right continue... | Left femoral head remains well directed into acetabulum. |
Generate impression based on findings. | Reason: NSCLC s/p RUlobectomy, followed by recurrence in R shoulder (supraacromion) and supraclavicular nodes now s/p radiotherapy to both locations with no other signs of disease at that time, now for routine surveillance History: none, mild dyspnea CHEST:LUNGS AND PLEURA: Postsurgical changes of a right upper lobe re... | New and increased pulmonary nodules bilaterally, including a new 1cm right lower lobe solid nodule. Findings are suspicious for recurrent/metastatic disease. Repeat PET imaging may be useful for further evaluation. |
Generate impression based on findings. | Male 55 years old Reason: 55M w/ AML, p/w neutropenic fever and GPC in BCx, CT sinus findings for possible periapical abscess around ADA 15, eval for abscess History: fevers, neutropenia. AP the mandible shows poor dentition and a left superior missing tooth, in the expected location of ADA 15, but no overlying gas or ... | No definite radiograph evidence of a periapical abscess or osteonecrosis. |
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. | Male 66 years old Reason: lower rib pain History: rib pain. Contrast is seen in the bowel and obscures visualization of the lower thoracic ribs. Within this limitation, no acute fracture or malalignment is seen. A right CVC tip terminates at the cavoatrial junction. A left upper lobe airspace opacity likely represents ... | No rib fracture or radiographic findings to account for patient's rib pain. |
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 almost entirely fatty, unchanged in pattern and distribution. Bilateral benign morphology calcifications and a small left anterior b... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Prominent subarachnoid spaces are noted anteriorly, and along the anterior falx, with the patient lying supine. The ventricles and sulci are normal in size. Myelination appears appropriate. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal i... | 1.Benign enlargement of the subarachnoid spaces which usually resolves by two years of age.2.A small amount of fluid is present in bilateral mastoid air cells.3.No MRI findings to explain the patient's symptoms. |
Generate impression based on findings. | 56 year old with history of left mastectomy for ILC in 2013. History of chemotherapy and radiation for left breast cancer. No current breast complaints. Three standard 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 fibroglandul... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of maternal aunt and paternal aunt 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 su... | 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. | Ms. Stone is a 61 year old female with biopsy proven IDC in the right breast. She presents today for needle localization prior to surgery. Targeted right breast ultrasound was performed to re-identify the biopsy proven malignancy in the right lateral breast. However, no sonographic correlate was seen corresponding to t... | Successful needle localization of the right breast malignancy.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 52-year-old female with non-Hodgkin lymphoma. Reevaluation and compared to previous. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Scattered small normal sized mediastinal lymph nodes seen unchanged. No enlarged lymph nodes seen to suggest lymphadenopathy..CHEST WALL: Several normal siz... | Stable examination with with no change in appearance of scattered small, normal-sized lymph nodes. No significant abnormality seen. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas... | 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 can be submitted, then an addendum to this re... |
Generate impression based on findings. | Male 21 years old Reason: assess right 5th metacarpal frx (boxer) History: right hand pain. Interval removal of splint material. Again seen is a comminuted fracture of the fifth metacarpal neck with approximately 35 degrees of volar angulation of the distal fracture fragment. The fracture line remains distinct and ther... | Fifth metacarpal fracture as described above. |
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