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Generate impression based on findings. | 76 years, Female, Reason: Metastatic ovarian cancer needs re-evaluation and compare to prior scans. Per RECIST 1:1 bi-dimensional measurements where applicable. History: Metastatic ovarian cancer needs re-evaluation and compare to prior scans. Per RECIST 1:1 bi-dimensional measurements where applicable.. CHEST:LUNGS AN... | 1.Multiple mesenteric masses are minimally increased in size.2.Splenic hypodensity is increased in size.3.Multiple perihepatic lesions are not significantly changed in size.4.Moderate to severe right-sided hydronephrosis is unchanged. |
Generate impression based on findings. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. Myelination appears appropriate. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. ... | Fluid is noted within a few bilateral mastoid air cells. Otherwise negative noncontrast brain MRI. Previously identified possible hypoattenuation of the cerebral white matter is felt to be related to the stage of myelination and not intracranial pathology. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Multiple bilateral benign morphology calcifications and mas... | 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. | Male 49 years old Reason: is there fracture at the left mcp of the 2nd digit? Or along the proximal shaft of the second digit? History: Pain, swelling, s/p injury. A deformity seen along the lateral aspect of the fifth proximal phalanx likely reflects remote trauma. No acute fracture or dislocation is identified. There... | No acute fracture or dislocation. |
Generate impression based on findings. | 57-year-old female with a history of Marfan's syndrome, multiple CVAs, CHF, carotid endarterectomy and visual disturbances. CT head without contrast: There is no evidence of acute intracranial hemorrhage. Encephalomalacia within the right posterior temporal/occipital lobe and right basal ganglia appears similar to prio... | 1. Complete occlusion of the right internal carotid artery of unknown age, although likely chronic. Reconstitution of the distal right ICA from an intact circle of Willis. Mildly attenuated right vertebral artery at its origin.2. 2 x 2 mm saccular outpouching of the left paraclinoid internal carotid artery distal to th... |
Generate impression based on findings. | Male 57 years old Reason: midline cspine pain History: neck pain. Two views of the cervical spine show no acute fracture or malalignment. Cervical vertebral body heights and intervertebral disk spaces Apparent straightening of the cervical spine is likely due to cervical collar. Moderate degenerative arthritic changes ... | Degenerative disk disease as described above without acute fracture or subluxation. Alignment is preserved. |
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. Bilateral benign morphology calcifications and ... | 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. | 13 year old female with injury.VIEWS: Right ankle AP, oblique and lateral (3 views) 3/2/2015 8:28 Alignment is normal. No soft tissue swelling or joint effusion. No fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Reason: h/o tonsil and nasopharynx caRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Unchanged benign-appearing micronodules.No evidence of metastases.Scattered ground glass regions particularly in the right upper lobe are suggestive of aspiration or infection. MEDIASTINUM AND HILA: No m... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left biopsy and sarcoidosis. History of maternal aunt diagnosed with breast cancer. Two standard digital views of both breasts with additional bilateral CC views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchym... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | 68 years, Male. Reason: NGT placement History: as above Enteric feeding tube tip projects over the expected area of the right bronchus intermedius. Nonobstructive bowel gas pattern. Suture material projects over the right lower quadrant and hemipelvis. The lower portion of the pelvis is excluded from the field-of-view. | Enteric feeding tube tip projects over the expected area of the right bronchus intermedius. |
Generate impression based on findings. | 37 years, Female, Reason: assess intraabdominal cyst, r/o hydronephrosis History: RLQ, groin abdominal pain, hematuria. RIGHT KIDNEY: The right kidney measures 10.6 cm in length. No evidence of hydronephrosis or hydroureter. No shadowing caliculi or suspicious lesions evident.LEFT KIDNEY: The left kidney measures 11.4 ... | 1.No hydronephrosis.2.Simple appearing mesenteric cyst in the right lower quadrant, likely benign. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A left central breast focal a... | 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. | 68 years, Male. Reason: ng History: ngt placement Enteric feeding tube tip projects over the distal gastric body. Nonobstructive bowel gas pattern. Suture material projects over the right lower quadrant and right hemipelvis. The lung bases are clear. There is a residual contrast noted in the collecting systems of the b... | Enteric feeding tube tip projects over the distal gastric body. |
Generate impression based on findings. | 54 years, Male. Reason: cause of abdominal and back pain History: abdominal pain Nonobstructive bowel gas pattern with moderate stool burden in the colon. | Nonobstructive bowel gas pattern with moderate stool burden in the colon. |
Generate impression based on findings. | There is a 1.2 x 1.1 cm (series 2, image 16) heterogeneous lesion in the right frontal lobe with a hypointense hemosiderin rim as noted on the T2/FLAIR images; this lesion demonstrates prominent susceptibility effect with evidence of mild internal enhancement. Finding most consistent with a cavernoma. No associated DV... | 1.Right frontal lobe lesion as above most consistent with a cavernoma.2.Nonspecific scattered T2/FLAIR signal foci in the subcortical and periventricular white matter. |
Generate impression based on findings. | Previously treated thyroid cancer. Surveillance. CHEST:LUNGS AND PLEURA: Small left and trace right pleural effusions, new from prior.Interval wedge resection of left upper lobe nodule.No suspicious pulmonary nodules or masses are identified.MEDIASTINUM AND HILA: New mildly enlarged left lower paratracheal lymph node t... | 1. Interval wedge resection of left upper lobe nodule. No evidence of pulmonary metastases. 2. New mildly enlarged left paratracheal lymph node and slightly increased size of small subcentimeter nodes, may be reactive and are of unclear clinical significance. 3. Small bilateral pleural effusions. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy. Questionable coronary calcifications, the heart and pericardium otherwise unremarkable.CHEST WALL: Right ... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | Reason: pleuritic chest pain, history of asthma, recent diagnosis EoE after EGD 1 month ago History: chest pain LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal air space consolidation. No pleural effusions.MEDIASTINUM AND HILA: The heart is normal in size, without pericardial effusion. No visible ... | No acute cardiopulmonary abnormality to account for the patient's symptoms. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Vascular calcifications are noted bilaterally. Left side... | 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. | 13-year-old male, evaluate fourth toe fractureVIEWS: Left foot, AP and lateral (two views) 3/2/15 9:35 Oblique fracture of the fourth proximal phalanx in near anatomic alignment with interval callus formation and sclerosis consistent with healing. | Healing fracture of the fourth proximal phalanx. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | 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. | 64 year old female with history of right mastectomy for DCIS in March 2010. Patient has had left mammoplasty. No new breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, uncha... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral 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. | Reason: evaluate hilar shadow noted on chest x ray (left) History: cough LUNGS AND PLEURA: Mild dependent opacities and calcified granulomata.No sign of malignant disease in the lungs.MEDIASTINUM AND HILA: No evidence of mediastinal or hilar lymphadenopathy.Moderate coronary calcifications are present although the hear... | No significant abnormality. No evidence of mediastinal or hilar mass as questioned in the clinical data provided. |
Generate impression based on findings. | Reason: 51 y/o M with PMH of CHF, rule out COPD/emphysema History: wheezing LUNGS AND PLEURA: Scattered benign-appearing micronodules, some calcified. No suspicious pulmonary nodules or masses.Mild basilar subsegmental atelectasis. No evidence of pulmonary edema. No focal air space consolidation. No pleural effusions.N... | No evidence of emphysema or other acute abnormality to account for the patient's symptoms. |
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. | Postoperative findings from prior sinus surgery.Frontal sinus: Interval improvement in aeration of frontal sinuses without significant mucosal thickening.Anterior ethmoid sinuses: Interval improvement in aeration of bilateral anterior ethmoid sinuses.Maxillary sinuses: significant interval worsening of opacification o... | Sinus inflammatory disease and changes consistent with chronic sinusitis as above. |
Generate impression based on findings. | 88 year-old male with shortness of breath, preoperative evaluation for MVR. ANGIOGRAM: Please see accompanying cardiac CT report for description of thoracic aorta. Mild atherosclerotic disease affects the abdominal aorta and its branches. There is no evidence of abdominal aortic aneurysm, dissection, or significant ste... | 1.Please see dedicated cardiac CT for details regarding the chest and thoracic aorta.2.Abdominal vascular measurements as above including somewhat narrow caliber of the left external iliac artery. Severe tortuosity of the right common iliac artery including kinking < 90 degrees. Moderate tortuosity of left common iliac... |
Generate impression based on findings. | 13-year-old male evaluate for bronchiectasis, ABPA in setting of atypical pneumonia LUNGS AND PLEURA: Ground glass opacities are present in the bilateral lower lobes, right greater than left. On the right the opacities are seen in the superior segment, posterior basal segment, lateral basal segment and medial basal seg... | Bronchiectasis, bronchial wall thickening and ground glass opacities predominantly in the lower lobes, right greater than left. There is no mucoid impaction. Findings are not typical for ABPA since these findings are usually seen in the upper lobes. |
Generate impression based on findings. | Female 61 years old Reason: re-staging of progressive myeloma History: increasing back pain. SKULL: Two views of the skull show multiple lucent lesions of the calvarium compatible with myelomatous deposits, appearing similar to the prior study.CERVICAL SPINE: Two views of the cervical spine. The bones appear diffusely ... | Findings compatible with multiple myeloma as described above without any evidence of interval progression. |
Generate impression based on findings. | Male 56 years old Reason: 55M history of bladder cancer s/p cystectomy, surveillance imaging History: as above ABDOMEN:LUNG BASES: Calcified left lower lobe micronodule, unchanged. No pleural effusion. No evidence of pleural disease.LIVER, BILIARY TRACT: Stable punctate hypodensity in the posterior segment of the right... | 1.Status post cystectomy and ileal conduit with urinary diversion without evidence of tumor recurrence or metastatic disease.2.Interval placement of bilateral nephroureteral stents with resolution of the previously seen left hydronephrosis. There is delayed excretion and slight atrophy of the left kidney compared to pr... |
Generate impression based on findings. | Male 33 years old. Stab wound to forearm. On a both first and second digits on right hand. The bones of the forearm and hand appear normal, without fracture or malalignment.The soft tissues of the forearm and hand are unremarkable, without defects, masses, or hematoma evident. No appreciable soft tissue edema is noted.... | No specific findings to account for the patient's symptoms. If further imaging evaluation is clinically warranted, MRI may be more sensitive for soft tissue evaluation. |
Generate impression based on findings. | Reason: eval esophageal GIST History: esophageal GIST c/b bleeding from necrosis, planning for esophagectomy CHEST:LUNGS AND PLEURA: Scattered areas of groundglass and consolidation in the left upper lobe, decreased in prominence from the prior CT abdomen pelvis dated 2/27/2015. Moderate subsegmental atelectasis and a ... | 1. Scattered areas of groundglass and consolidation in the left upper lobe, improved from the prior CT abdomen pelvis dated 2/27/2015, and likely infectious or aspiration in etiology.2. An approximately 1-cm right middle lobe pleural-based nodule, not significantly changed from 1/3/2015 and not hypermetabolic on recent... |
Generate impression based on findings. | Reason: hx of thoracic compression fx, evaluate healing History: back pain. thoracic spine:There is a superior compression fracture present at T5 with approximately 25% loss of vertebral body height which is new since the 2011 exam. There is a compression fracture present at T10 with approximately 50% loss of vertebral... | 1.Since 2011 new compression fractures have developed at T5 and L1. 2.There are stable compression fractures present at T10 and T12. In general these have a benign appearance.3.There are multilevel degenerative changes present in the lumbar spine associated with a marked levo-curvature and narrowing of neural foramina ... |
Generate impression based on findings. | Male 69 years old; Reason: OSH transfer. Right iliopsoas muscle enlargement seen concerning for hemorrhage. History: right hip pain, swelling There is soft tissue density enlargement involving the right iliacus muscle, measuring 3.4 cm AP x 6.9 cm TV x 8.6 cm CC (series 4, image 47). The fat planes of the iliacus are n... | Soft tissue mass-like enlargement at the right iliacus muscle. The appearance of this lesion is non-specific on CT and may represent a hematoma, however, a neoplasm or infection cannot be entirely excluded. Evaluation with MRI with IV contrast may be helpful. |
Generate impression based on findings. | 84-year-old female with history of chronic sinusitis. The paranasal sinuses are clear. The ostiomeatal units, frontoethmoidal and sphenoethmoidal recesses are clear. The lamina papyracea are intact. The orbits are normal. Mild leftward nasal septum deviation. Mild periventricular and subcortical white matter hypoattenu... | 1. No significant sinus disease.2. Partially imaged periventricular and subcortical white matter hypoattenuation is nonspecific, but appears similar to prior brain MRI. |
Generate impression based on findings. | 18 year old male with left breast lump. With physical exam, left nipple appears larger than right, and there is a soft thickening behind the left nipple. Focused ultrasound of left retroareolar region detects a small amount of hypoechoic tissue consistent with gynecomastia. No solid or cystic masses are detected. | Left retroareolar thickening, consistent with gynecomastia. Clinical follow up is recommended and no further imaging assessment is needed. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
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 extremely dense, which lowers the sensitivity of mammography, denser than on the prior study suggesting interval weight loss. No sus... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.The sensitivity of mammography for detecting breast cancer is decreased in patients with dense breasts such as this patient. Physical exam assumes a more important ro... |
Generate impression based on findings. | 55-year-old male with atrial fibrillation and multiple embolic strokes, evaluate for hemorrhagic transformation Redemonstrated is hypodensity involving gray and white matter located in the left medial frontal lobe involving superior frontal gyrus and cingulate gyrus, unchanged in appearance.Hypodensity involving gray a... | Evolving multiple cerebral infarcts without hemorrhagic transformation. |
Generate impression based on findings. | Ms. Townsend is a 64-year-old female with screen detected area of architectural distortion in the left upper outer breast with a sonographic correlate. She presents today for ultrasound guided biopsy of this area. Left breast ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoecho... | Successful ultrasound-guided core biopsy of the left breast lesion with clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Two year old female with history of fracture.VIEWS: Left femur AP and lateral (two views) 3/2/2015 10:01 Overlying cast obscures fine bony detail. Again noted is fracture involving the proximal diaphysis of the left femur which is in near anatomic alignment. There is continued periosteal reaction and sclerosis compatib... | Continued healing of left femoral fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of maternal aunts with breast cancer. Two standard digital views of both breasts and 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, uncha... | 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 mother with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalci... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast core biopsy. History maternal aunt 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, 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, 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. | 79-year-old female with history of metastatic carcinoid tumor. ABDOMEN:LUNG BASES: New trace right greater than left pleural effusions.LIVER, BILIARY TRACT: Extensive bilobar hepatic metastases are again present with varied appearances, many necrotic and low density from necrosis following treatment, but often with per... | 1.While many liver lesions are unchanged, there is overall a mixed response of hepatic lesions as described above with increase in size of some lesions and interval necrosis of some other lesions.2.Sclerotic T12 and right ileal osseous lesions similar to prior, thought bone scan is more sensitive for osseous metastatic... |
Generate impression based on findings. | 43 year-old female with known left breast cyst presents for followup mammogram. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. The small cyst in the lef... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 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. Bilateral, scattered benign morphology 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. | 68 years old Male. Reason: extent of relapse prior to initiation of chemotherapy. History: relapsed diffuse B cell lymphoma based on bone marrow biopsy from outside hospital. RADIOPHARMACEUTICAL: 13.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 122 mg/dL. Today's CT portion grossly demonstrates splenomeg... | 1.Splenomegaly with increased metabolic activity and wedge-shaped decreased areas of metabolic activity, consistent with tumor involvement and splenic infarcts.2.Lytic lesion in the skeleton with increased activity, consistent with tumor involvement.3.Nonspecific increased bone marrow activity.4.New focus of increased ... |
Generate impression based on findings. | Male 54 years old; Reason: Multiple myeloma with right sided rib pain RIBS: Radiopaque BB markers are noted at the lower lateral right rib cage, indicating the site of the patient's pain. Multiple bilateral rib deformities compatible with myelomatous lesions and/or old healed fractures are present, similar to the prior... | 1. Multiple bilateral rib deformities compatible with myelomatous lesions and/or healed fractures, without definite acute displaced rib fracture.2. Enlargement of the destructive left third rib lesion.3. T8 vertebral body pathological compression fracture, slightly progressed. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. Bilateral ben... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. The small cyst at 12 o'clock position in left breast is not well visualized on current study. No domi... | No mammographic evidence for malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient. |
Generate impression based on findings. | 15-year-old female with crampy lower abdominal pain, evaluate for abscess or obstruction ABDOMEN:LUNG BASES: Minimal atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesion or biliary ductal dilatation. The gallbladder is moderately distended and otherwise normal.SPLEEN: No focal splenic lesion.PANCREAS: Normal pancr... | 1. Nonspecific inflammatory changes in the right lower quadrant involving the distal and terminal ileum extending adjacent to the cecum. The appendix is not visualized. No free or loculated fluid collection. No bowel obstruction. Findings discussed with Dr. Kohler at the time of dictation. 2. Postoperative changes of m... |
Generate impression based on findings. | 65 years, Male. Reason: advanced DHT from earlier placement History: advanced DHT from earlier placement Dobbhoff tube tip projects over the gastric body. Extensive bilateral nonspecific airspace opacities are better evaluated on prior chest radiograph. There is a paucity of bowel gas. Pelvis is excluded from the field... | Dobbhoff tube tip projects over the gastric body. Paucity of bowel gas. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of 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 heterogeneously dense, which may obscure small masses, unchanged in p... | Unchanged bilateral asymmetries. 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. | 65 years, Male. Reason: DHT placement History: DHT placement Note that the examination is mildly limited due to patient motion. Dobbhoff tube tip projects over the gastric body. Note that the pelvis and far lateral left abdomen are excluded from the field-of-view. Nonspecific bilateral opacities are better evaluated on... | Dobbhoff tube tip projects over the gastric body. |
Generate impression based on findings. | 77 years, Male. Reason: obstruction, megacolon History: diarrhea, hx of Cdif Nonobstructive bowel gas pattern. No pneumoperitoneum on upright imaging. Gastrotomy tube projects over the gastric body. Esophageal stent projects over the distal esophagus. Average stool burden in the colon. Surgical clips project over the t... | Nonobstructive bowel gas pattern with average stool burden. |
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. No suspicious masses, microcalcifications or areas of architectural di... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | 81 years, Male. Reason: eval leak History: s/p hepaticojejunostomy, bile in drain Residual enteric contrast is seen in the gastric fundus and colon. Sigmoid colon diverticula noted. Ileus type bowel gas pattern. Surgical drain projects over the right hemiabdomen. Surgical staples project over the right upper quadrant a... | Persistent ileus type bowel gas pattern and residual enteric contrast. |
Generate impression based on findings. | Female 43 years old Reason: right shoulder pain History: right shoulder pain. Four views of the right shoulder show no acute fracture or dislocation. Alignment of the glenohumeral and coracoclavicular joints is within normal limits. | No acute fracture or dislocation. No radiographic evidence account for patient's pain. |
Generate impression based on findings. | 52 year old with history of left mastectomy for IDC grade 3 in 2003, followed by chemotherapy and radiation. Status post bilateral implant placement. No breast complaints. Two standard and pushback views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is comp... | 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. 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. Bilateral benign morphology calcifications are ... | 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. | 62 years, Male. Reason: NGT placement History: above Enteric feeding tube tip projects over the gastric body. Nonobstructive bowel gas pattern. The pelvis is excluded from the field-of-view. | Enteric feeding tube tip projects over the gastric body. |
Generate impression based on findings. | 22 year old female with history of Celiac disease on a gluten free diet and Hashimoto's thyroiditis presents for epigastric pain with occasional vomiting and diarrhea since October. Patient reports a 10 pound weight loss since. Limited single contrast visualization of the esophagus showed no morphologic abnormalities o... | 1.Findings compatible with SMA syndrome as described above.2.Findings suggestive of gastric hypomotility. |
Generate impression based on findings. | 64 years, Male. Reason: r/o obstruction History: as above Gastrostomy tube tip projects over the gastric body. Nonobstructive bowel gas pattern. Presumed T-tack noted in the left lower quadrant. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 42 year-old female patient with history of lupus presents with dysphasia for solids with sensation of food getting caught in cervical esophagus. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Cholecystectomy clips are noted.Double contrast evaluation of... | 1.Provoked gastroesophageal reflux.2.Delayed passage of barium pill in the mid thoracic esophagus without anatomic abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy in 1973. History of mother, maternal aunt, and maternal grandmother 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 par... | 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 29 years old Reason: eval of prox rectum and distal colon for redundancy and motility History: abdominal pain.Additional history: Noonan syndrome. Per patient, history of cholecystectomy, segmental colonic resection of necrotic bowel a few years ago. Inability to evacuate colon for four months. Recent enemas wer... | Limited static and dynamic exam as described.I cannot verify any significant change in the anorectal angle at pelvic floor with either squeezing and or straining. Nevertheless, in the restroom contrast presumably emptied both antegrade and retrograde.No anatomic stricture to explain chronic retention of stool and Sitz ... |
Generate impression based on findings. | Female 55 years old Reason: right knee pain History: r knee pain. Minimal degenerative arthritic changes affect the right knee with sharpening of the tibial spines and tiny osteophyte formation, appears unchanged from the prior exam.Frontal views of the left knee show minimal osteoarthritic changes. | Minimal right knee osteoarthritis, unchanged from the prior exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with additional bilateral MLO and cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of archite... | 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. | There is an area of somewhat convoluted and perhaps thickened cortex along the right central sulcus (series 601, image 6; series 701, image 15). The pattern of myelination is within acceptable limits for the stated age. There are no masses, mass effect or midline shift. The ventricles and sulci are normal in size. The... | Region of somewhat convoluted and perhaps thickened cortex along the right central sulcus suspicious for cortical dysplasia or migrational anomaly. |
Generate impression based on findings. | Male 62 years old Reason: Prosthetic assess History: post-op. AP view of the pelvis and two views hips show hardware components of a right total hip arthroplasty device situated in near anatomic alignment with no radiographic evidence of hardware complication. There is sclerosis and osteophyte formation at the superior... | 1.Left total knee arthroplasty and right total hip arthroplasty as described above.2.Severe osteoarthritis of the left hip joint. |
Generate impression based on findings. | 18 year-old female patient with hypermobile joints, nausea, vomiting and epigastric pain immediately after eating for the past 3 months with associated 18-pound weight loss. Single contrast evaluation of the esophagus showed no morphologic abnormalities. Fluoroscopic evaluation of the esophageal peristalsis demonstrate... | Findings compatible with mild superior mesenteric artery syndrome with normal appearing jejunum. |
Generate impression based on findings. | 73 years, Male. Reason: r/o ileus proximal to ostomy History: no ostomy output Bilateral pleural effusions. Midline surgical staples. Suture material and clips in the midline and left pelvis. Rectal tube and left-sided surgical drain is noted. Gaseous distention of small and large bowel in an ileus type bowel gas patte... | Ileus type bowel gas pattern. |
Generate impression based on findings. | Knee and hip pain. RIGHT HIP/PELVIS: Mild osteoarthritis affects the hip joints bilaterally, right greater than left. Mild degenerative changes are noted at the sacroiliac joints.RIGHT KNEE: Moderate to severe osteoarthritis affects the right knee with marked medial joint space narrowing and tricompartmental osteophyte... | Osteoarthritis, as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of sister with DCIS. 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. There is an area o... | Developing asymmetry with calcifications in the right breast. Asymmetry in the anterior left breast. Spot compression views with possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 30 years old Reason: eval frac History: pain. Again seen is a comminuted intra-articular fracture of the distal radius with the fracture fragments in near anatomic alignment, and not significantly changed from the prior exam. | Distal radial fracture as described above. |
Generate impression based on findings. | No acute intracranial hemorrhage. Since the prior examination, there has been parenchymal volume loss with widening of the sulci and ventricles, particularly affecting the temporal lobes with thinning of the medial temporal structures. Additionally, there is subcortical and periventricular hypoattenuation consistent w... | 1.No acute intracranial abnormality. If there is high clinical concern for acute ischemia, further evaluation with MRI is recommended.2.Chronic infarct in left posterior parietal lobe.3.Global volume loss, particularly affecting the temporal lobes bilaterally in a pattern that is suggestive of a neurodegenerative proce... |
Generate impression based on findings. | 32-year-old male patient with history of Kurd and globus lesions. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities of the mucosal surfaces. On AP im... | Broad based leftward bowing of the esophagus at the cervicothoracic junction from presumed thoracic outlet narrowing. |
Generate impression based on findings. | 68 years, Female. Reason: ngt, eval placement - ngt advanced 10cm History: ngt placement NG tube tip projects over the gastric antrum. Cholecystectomy clips and suture material in the left mid abdomen. Diffuse dilatation of small and large bowel compatible with ileus. Again noted is scarring and volume loss in the righ... | Ileus type bowel gas pattern. NG tube tip projects over the gastric antrum. |
Generate impression based on findings. | Male 57 years old; Reason: s/p ORIF Two views of the right femur demonstrate a plate and screw device affixing a prior distal right femoral fracture in near-anatomic alignment. There is no radiographic evidence of hardware complication. The fracture line is indistinct, with a mature callus along the posterior aspect of... | Healing fixed right distal femoral fracture. |
Generate impression based on findings. | Ms. Sanfratello is a 52 year old female with a personal history of left breast lumpectomy in January 2010 for IDC followed by radiation and tamoxifen therapy. Family history of breast cancer in mother and ovarian cancer in paternal grandmother. She has no current breast relayed complaints. Three standard views of both ... | Stable postsurgical 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnos... |
Generate impression based on findings. | Right breast cancer; surgery 3/2/15. Right breast sentinel node biopsy and Right wire/seed loc partial mast in DCAM. RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 0.51 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is no... | Sentinel node identified in the right axilla. |
Generate impression based on findings. | 68 years, Female. Reason: eval ngt History: ngt NG tube side-port is above the gastroesophageal junction with tip projecting over the gastric cardia. Cholecystectomy clips and suture material in the left mid abdomen. Diffuse dilatation of small and large bowel compatible with ileus. Again noted is scarring and volume l... | Ileus type bowel gas pattern. NG tube tip projects over the gastric cardia with side-port above the GE junction, advancement is recommended. |
Generate impression based on findings. | Follow up NSCLC. This study was performed for restaging.RADIOPHARMACEUTICAL: 16 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 92 mg/dL. Today's CT portion of the neck and pelvis demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest and abdomenToday's PET examinati... | 1. Progression of disease with a new hypermetabolic focus within a right paramediastinal opacity/ the right suprahilar region and slightly increased size of a hypermetabolic focus in the right upper lobe.2. Hypermetabolic foci within the left hilum and a left lower lung subpleural nodule are unchanged.3. No FDG avid le... |
Generate impression based on findings. | Female 60 years old; Reason: History of lumbar fusion, evaluate hardware and stability of spine. Surveillance imaging. Again seen is a posterior stabilization device with screws entering L4 and L5, with an intervertebral spacer device at L4/L5. There is no radiographic evidence of hardware complication. The alignment i... | Postoperative changes, without evidence of instability. |
Generate impression based on findings. | Esophageal Cancer. For restaging.RADIOPHARMACEUTICAL: 12.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 98 mg/dL. Today's CT portion again grossly demonstrates distal esophageal thickening. Enlarged left paratracheal and gastrohepatic lymph nodes are similar in size. Scattered atherosclerotic calcificatio... | Overall interval decreased metabolic activity of the distal esophageal primary malignancy and lymph node metastases. |
Generate impression based on findings. | 59 years, Male. Reason: s/p NG tube placement, eval position and eval status of ileus History: abd pain NG tube tip is above the gastroesophageal junction. Diffuse gaseous dilatation of predominately the large bowel in an ileus type bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | NG tube tip projects over the gastroesophageal junction. Advancement is recommended. |
Generate impression based on findings. | Reason: 68 y/o newly dx lung ca please restage History: see above CHEST:LUNGS AND PLEURA: Mild centrilobular and paraseptal emphysema. An irregular right upper lobe nodule measures 25 x 24 mm (series 6, image 35), not significantly changed from the prior exam dated 12/25/2014, compatible with known primary lung cancer.... | Right upper lobe nodule compatible with known primary lung cancer. Clustered micronodules in the left lower lobe, new from prior, are indeterminate but could be infectious in etiology. Additional scattered small nodules are similar to prior. Continued close interval followup is recommended.No mediastinal or hilar lymph... |
Generate impression based on findings. | Pain. Preoperative. Severe osteoarthritis affects the left knee, with approximately 14 degrees of genu varus deformity. | Osteoarthritis with genu varus deformity, as above. |
Generate impression based on findings. | Female 52 years old; Reason: Bilateral hip pain Mild osteoarthritis affects the hip joints bilaterally. Otherwise, no specific findings are seen to account for the patient's pain. | Mild osteoarthritis of the hips. |
Generate impression based on findings. | 70 year-old male with history of chronic sinusitis. There are postoperative changes of bilateral uncinectomy and antrostomies. There is moderate mucosal thickening within right maxillary sinus and bilateral ethmoid air cells. There is relatively mild mucosal thickening within the left maxillary, bilateral frontal and b... | Postoperative changes and paranasal sinus disease as above, worse in the right maxillary sinus and ethmoid air cells. |
Generate impression based on findings. | Postop follow-up, total hip arthroplasty Pelvis: The right total hip arthroplasty appears unchanged without evidence of new interval complication other than minimal heterotopic bone adjacent to the greater trochanter and superior acetabulum. Moderate osteoarthritic changes of the left hip with more mild degenerative ch... | Right total hip arthroplasty without evidence of complication |
Generate impression based on findings. | Multiple myeloma. In remission. Right sided flank pain, check level T10 Thoracic spine: Scattered moderate degenerative changes throughout the thoracic spine without definite evidence of new interval change. Specifically no specific findings to suggest myelomatous lesions in this limited evaluation. No new compression ... | Scattered degenerative changes without definitive new superimposed focal changes of either the thoracic or lumbar spine to suggest myelomatous involvement. See detail provided above |
Generate impression based on findings. | 80-year-old female with history of confusion. Evaluate for hemorrhage. There is no evidence of acute intracranial hemorrhage. Multiple chronic infarctions are noted within the left cerebellar hemisphere and left parietal lobes. There is mild periventricular and subcortical white matter hypoattenuation compatible with a... | 1. No evidence of acute intracranial hemorrhage.2. Mild age-indeterminate small vessel ischemic disease and chronic left cerebellar/parietal infarcts appearing similar to the prior study. |
Generate impression based on findings. | Chronic knee pain Severe osteoarthritic changes in all 3 compartments but greater in the medial weight-bearing aspect. Bone-on-bone narrowing, sclerosis and osteophytes. Questionable calcific densities are also projected potentially within the lateral posterior aspects, possible loose body. Small effusion. | Severe osteoarthritic with a questionable loose body. |
Generate impression based on findings. | Evaluation for mass is limited by lack of intravenous contrast.HEAD: There is no evidence of intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is unchanged asymmetric nodular calcification in the left lateral ventricle glomus. There is no midline shif... | 1. No acute intracranial hemorrhage.2. Interval development of mild bilateral pleural effusions and diffuse bilateral patchy opacities, which may represent aspiration pneumonitis or be infectious/inflammatory in etiology.3. Right chest wall lesion with destruction of the lateral right third rib again noted, most likely... |
Generate impression based on findings. | 59 years, Male. Reason: advanced NG tube by 6cm, eval position History: NG tube placement NG tube side-port is at the gastroesophageal junction. Diffuse gaseous dilatation of predominately the large bowel in an ileus type bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | NG tube side-port is at the gastroesophageal junction. Advancement is recommended. |
Generate impression based on findings. | Male 55 years old Reason: hx of bladder cancer s/p radical cystectomy with orthotopic neobladder urinary diversion, evaluate for metastatic disease with delayed imaging History: see above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Interval development of diffuse hepatic steatosis. No foca... | 1. Status post cystectomy and continent neobladder formation without evidence of recurrent or metastatic disease.2. Interval resolution of postoperative fluid collections. |
Generate impression based on findings. | Check fusion Definite interval fusion of the first MCP with persistent into medullary screw. No evidence of hardware complication. In addition however a dorsal avulsion fracture involving the base of the distal first phalanx is currently observed, possibly interval injury. Fracture fragment remains well corticated pres... | Interval development of a distal first phalanx avulsion fracture of uncertain chronicity |
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