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Generate impression based on findings. | 12-year-old male, evaluate for shunt malfunctionVIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 3/3/15 3:27 Right VP shunt catheter projects to the left of the midline. The shunt tubing courses down the right neck, anterior chest wall and abdomen, and is c... | No evidence of shunt malfunction. |
Generate impression based on findings. | Mild reversal of normal cervical lordosis may be secondary to positioning. There are no acute fractures or subluxations. The visualized intracranial and paraspinal contents are unremarkable.C2/3: No significant central spinal canal stenosis.C3/4: No significant central spinal canal stenosis.C4/5: No significant centra... | No acute fracture or traumatic subluxation. |
Generate impression based on findings. | Metastatic colon carcinoma CHEST:LUNGS AND PLEURA: No significant change in reference right lower lobe nodule best seen on image 72 series 4 measuring 0.5 cm in diameter. While the majority of the micronodules have remained stable, there has been interval appearance of a few new micronodules. A representative new micro... | Interval progression in metastatic tumor burden as described. Worsening left hydronephrosis; bilateral moderate hydronephrosis now present. |
Generate impression based on findings. | Female 96 years old Reason: eval fracture History: eval fracture. Six views of the lumbar spine show marked disk space narrowing with vacuum phenomenon at the L5/S1 and disk space narrowing at L4/L5 with mild anterolisthesis of L4 on L5. Tiny anterior vertebral body osteophytes are noted. There is no acute fracture or ... | No acute fracture or dislocation. Right total knee arthroplasty as described above. |
Generate impression based on findings. | Female 67 years old; pain RIGHT SHOULDER: Mild osteoarthritis affects the right acromioclavicular joint. Mild enthesopathic changes are present at the greater tuberosity, appearing similar to the prior study. LEFT SHOULDER: Mild osteoarthritis affects the left acromioclavicular and glenohumeral joints. Mild enthesopath... | Mild osteoarthritis and other findings as described above, appearing similar to prior. |
Generate impression based on findings. | 59 years, Male. Reason: Eval stool burden, obstruction History: Abdominal pain Above average stool burden mainly within the ascending colon, transverse colon, and rectum. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. Right femoral screw is incompletely imaged. | Above average stool burden. |
Generate impression based on findings. | Reason: cxr with features concerning for possible sarcoidosis - family history of same in mother - CT for further clarification History: mediastinal lymphadenopathy LUNGS AND PLEURA: Scattered, benign-appearing micronodules. No suspicious pulmonary nodules or masses.No focal airspace consolidation. No pleural effusion.... | Moderate bilateral hilar and mediastinal lymphadenopathy without acute pulmonary abnormality. These findings are nonspecific but compatible with sarcoidosis. |
Generate impression based on findings. | 25 years, Male. Reason: Patient with back pain and hx of kidney stones History: back pain Multiple 3-4 mm radiodense foci in the distribution of bilateral kidneys is consistent with renal stones as demonstrated on prior CT. A 3-mm radiodensity adjacent to the right transverse process of L5 may represent suture material... | A 3-mm radiodensity adjacent to the right transverse process of L5 may represent either suture material or a ureteral stone. CT is recommended if clinical suspicion persists. |
Generate impression based on findings. | Female 56 years old; Reason: left hip pain Mild osteoarthritis affects the left hip, with small osteophytes along the lateral femoral head. The lateral center edge angle measures 37 degrees, not accounting for slight pelvic obliquity/rotation. The anterior center edge angle measures 36 degrees to the sourcil. The femor... | Mild osteoarthritis with measurements as described above. |
Generate impression based on findings. | The patient submitted outside mammogram dated 8/6/09. Submitted outside study was compared to the current mammogram dated 2/13/15. An asymmetry in the inner left breast, on the CC view is stable.A cluster of coarse calcifications in the left lower inner aspect is new. | A new cluster of coarse calcifications in the left lower inner aspect. Spot magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 42 years old Reason: r/o fx or dislocation History: pain after fall. Three views of left shoulder show no acute fracture or dislocation. Alignment of the glenohumeral and acromioclavicular joints is within normal limits. | No acute fracture or dislocation. |
Generate impression based on findings. | Female 81 years old Reason: need inlet and outlet views; open book History: s/p fall. AP view of the pelvis, two views of the bilateral hips, and inlet and outlet views of the pelvis show a comminuted fracture of the left superior and inferior pubic rami. Overlying bowel gas obscures detail and limits the evaluation of... | Comminuted left superior and inferior pubic rami fractures. Due to overlying bowel gas, an associated sacral fracture cannot be entirely excluded and a CT is recommended to evaluate the sacrum and sacroiliac joints. |
Generate impression based on findings. | The patient submitted outside mammogram dated 8/6/09. Submitted outside study was compared to the current mammogram dated 2/13/15. An asymmetry in the inner left breast, on the CC view is stable.A cluster of coarse calcifications in the left lower inner aspect is new. | A new cluster of coarse calcifications in the left lower inner aspect. Spot magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 62 years old; Reason: left maxillary sinusitis History: sinusitis, possible dental origin on the left Multiple teeth are absent. Multiple dental fillings and implants are noted. There is no protrusion of the dental roots into the maxillary sinuses. No dental caries are seen. | No specific findings suggestive of a dental origin of the patient's left maxillary sinusitis. If further imaging is clinically warranted, dental radiographs are recommended. |
Generate impression based on findings. | Female 58 years old; Reason: US concerning for 2.7x1.9x2.5cm pancreatic mass. EUS on 3/2/15 no mass seen Suboptimal study due to paucity of intraabdominal fat.ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Patent portal veins, splenic vein narrowed along its course but patent, patent SMV. P... | 1. Suboptimal study due to paucity of intraabdominal fat.2. Pancreatic duct mildly prominent but measures 2 mm at level of neck which is within limits of normal, no discrete pancreatic mass delineated.3. Distended mildly thickwalled stomach containing large amount of layering debris/ingested material. Moderate wall thi... |
Generate impression based on findings. | Female 19 years old Reason: please evaluate renal cyst History: complex renal cyst on abdominal U/S, recurrent N/V and abdominal pain ABDOMEN: Lack of oral contrast makes evaluation of bowel pathology suboptimal. Within these limitations, the following observations can be made:LUNG BASES: No significant abnormality not... | Indeterminate left renal cyst with characteristics which could reflect a mildly complex cyst but given the equivocal Hounsfield units and thin enhancing septa demonstrated on postcontrast imaging, a mildly enhancing renal cell carcinoma such as papillary type cannot be excluded. Based on the findings, the cyst is class... |
Generate impression based on findings. | Pain. Breast cancer. The bones are slightly demineralized, suggesting osteopenia. Mild osteoarthritis affects the glenohumeral and acromioclavicular joints. | Mild osteoarthritis. |
Generate impression based on findings. | Female 35 years old Reason: r/o fxr History: fall onto R knee. Four views of the right knee show no acute fracture or dislocation. No large joint effusion. | Normal-appearing knee without acute fracture or dislocation. |
Generate impression based on findings. | Shortness of breath, ongoing crackles. Question of new diagnosis of ILD or due to heart failure. LUNGS AND PLEURA: There is diffuse bronchial wall thickening and bronchiectasis which is most predominate in the right middle lobe, lingula, and lung bases. There are multiple nodules, patchy areas of consolidation with air... | Extensive right middle lobe, lingular, and lower lobe bronchiectasis with patchy areas of consolidation, pulmonary nodules, and tree-in-bud opacities. These findings most likely represent a chronic infectious process due to MAI or other atypical mycobacterium. Sarcoidosis is a secondary possibility given the severity o... |
Generate impression based on findings. | Pain RIGHT HIP: Mild to moderate osteoarthritis affects the right hip.LUMBAR SPINE: Severe degenerative disk disease affects the L5/S1 level. The remaining intervertebral disk spaces and vertebral body heights are maintained. Moderate facet joint osteoarthritis affects the lower lumbar spine. There is mild grade 1 ante... | Degenerative arthritic changes, as described above. |
Generate impression based on findings. | Female 34 years old Reason: r/o fx History: peds vs auto. AP view of the pelvis shows no acute fracture or dislocation. A radiopaque density seen just to the right of the midline pelvis likely represents an artifact.Two views of the right tibia/fibula show no soft tissue swelling. There is no fracture or dislocation. | No acute fracture or dislocation seen in the pelvis or the right tibia/fibula. |
Generate impression based on findings. | 17 year-old male status post right upper extremity gunshot wound two months prior, now with contracture. Evaluate for fracture.VIEWS: Right elbow AP, oblique and lateral, Right humerus AP and lateral (5 views) 3/2/2015 Alignment is normal. No joint effusion or soft tissue swelling. No fracture or dislocation.Two adjace... | No fracture or dislocation. |
Generate impression based on findings. | Female 44 years old; Reason: NGT position History: same Enteric tube is coiled in the stomach with its tip in the proximal gastric body.Excreted intravenous contrast noted in the pelvic calyceal system of the kidneys. | 1.Enteric tube terminates in the proximal gastric body |
Generate impression based on findings. | Male 52 years old Reason: evaluate for shoulder dislocation and fracture History: limited ROM and shoulder pain s/p fall from standing on ice. Three views of the right shoulder show no acute fracture or dislocation. A chronic appearing deformity of the distal capital likely reflects prior trauma. There is ossification ... | No acute fracture or dislocation of the right shoulder. |
Generate impression based on findings. | Male 29 years old Reason: r/o fxr, dislocation History: swelling of L thumb MCP joint and thenar eminence s/p axial load injury to thumb while playing basketball. Three views of the left hand show no acute fracture or dislocation. A chronic appearing nonspecific defect seen on one the lateral side of the first metacarp... | No acute fracture or dislocation of the left hand. |
Generate impression based on findings. | 10-year-old male with history of distal fibular metaphyseal fracture and medial malleolus fracture.VIEWS: Left ankle AP, oblique and lateral (3 views) 3/3/2015 8:21 3 K wires in the distal tibia and two screws in the distal fibula are intact and unchanged. Fracture lines are not visible. Alignment is anatomic. Deminera... | Healing ankle fractures. |
Generate impression based on findings. | There is minimal reversal of the normal cervical lordosis. There is no evidence of fracture or subluxation. The vertebral body and disc space heights are preserved. There is no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable. | No acute fracture or subluxation. |
Generate impression based on findings. | Male; 25 years old. Reason: HCC by liver biopsy. CT with volumes ( total, right and left lobes) and triple phase liver protocol. Need to evaluate vascular invasion and extent of involvement prior to consideration of surgical resection. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusi... | 1.Large mass occupying the entire right liver lobe which demonstrates arterial enhancement and washout. While the size and imaging appearance favor HCC, adenoma cannot be entirely excluded. 2.Conventional hepatic vasculature which is distorted and/or attenuated by the mass as described above, without definite evidence ... |
Generate impression based on findings. | Biopsy proven triple negative IDC. Presenting for placement of a radioactive seed for presurgical localization. On review of the prior studies, there is a clip in the right upper outer breast with no residual enhancing focus seen on MR.The procedure, risks including bleeding, mistargeting and infection, and benefits of... | Successful seed placement for the known right breast cancer.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Abdominal distention.VIEW: Abdomen AP (one view) 3/3/15 at 703 hours. NG tube terminates in the stomach. Right lower extremity central line tip is at the IVC. Normal abdominal gas pattern. No evidence of obstruction or free air. No pneumatosis intestinalis or portal venous gas. No ascites. | Normal examination. |
Generate impression based on findings. | Female 62 years old Reason: assess for Osteoarthritis History: bilateral knee pain. Four views of the left knee: Severe osteoarthritic changes affect the knee with tricompartmental osteophyte formation and joint space narrowing with near bone on bone apposition of the medial compartment. No large joint effusion is seen... | Severe osteoarthritis as described above. |
Generate impression based on findings. | The thyroid gland appears normal with the right lobe measuring 1.4 x 1.4 x 4.3 cm and the left lobe measuring 1.3 x 0.8 x 3.2 cm. The isthmus is normal size, measuring 0.2 cm. Thyroid parenchyma is normal homogeneous echogenicity. Prominent left level 3 cervical lymph node measures 1.0 x 0.5 x 2.2 cm. Additional smal... | Normal thyroid gland. Prominent cervical lymph nodes, largest on the left, which are likely reactive in etiology. No fluid collection. |
Generate impression based on findings. | 62 years, Male. Reason: ngt adjusted History: ngt NG tube tip projects over the gastric antrum. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | NG tube tip projects over the gastric antrum. |
Generate impression based on findings. | Squamous cell carcinoma of the left buccal mucosa status post excision and CRTDecember 2012 with right neck recurrence status post excision January 2014. Hiccups, acute 10 days. There are post-treatment findings related to left partial mandibulectomy, neck dissection, left buccal mucosal tumor resection and regional ra... | 1. Post-treatment findings in the neck with no definite evidence of measurable locoregional tumor recurrence.2. Multiple dental caries. Slight interval decrease in size of soft tissue along the left posterior maxillary alveolar process. 3. Multiple upper lung nodules. Please refer to the separate chest CT report for ad... |
Generate impression based on findings. | 18 year-old male, rule out osteomyelitis.VIEW: Right elbow AP and lateral Alignment is normal. Small posterior joint effusion is present. No bone destruction is seen. No fracture or dislocation. | No bone destruction. |
Generate impression based on findings. | 62 years, Male. Reason: replace NGT` History: replace NGT NG tube tip projects over the gastric body, unchanged. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | NG tube tip projects over the gastric body. |
Generate impression based on findings. | 40-day-old male with fall, loss of consciousnessEXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left oblique, pelvis AP, right femur AP, left femur AP... | Left parietal skull fracture with additional fracture identified. |
Generate impression based on findings. | 68 years, Male. Reason: NGT replacement History: NGT replacement NG tube tip is partially visualized projecting over upper esophagus. Surgical suture material is seen in the right hemiabdomen. Diffuse gaseous distention of small and large bowel. Note that the pelvis is excluded from the field-of-view. | NG tube tip projects over the upper esophagus. |
Generate impression based on findings. | 83 year old female status post lumpectomy and complete axillary dissection in 2006 for IDC and DCIS, presents today for routine follow up. Patient received radiation, chemotherapy, and Arimidex. No current breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digital... | 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 - Diagnostic Mammogram. |
Generate impression based on findings. | Sitz marker placement.VIEW: Abdomen AP (one view) 03/03/15, 0532 and 0531 22 Sitz markers are identified including 6 in the rectum.Gastrostomy tube and left thoracolumbar curve are seen. Bilateral developmental hip dysplasia is again noted. Retained contrast is identified in the rectum. Mildly to moderately dilated bow... | 22 Sitz markers are identified including 6 in the rectum. |
Generate impression based on findings. | 72 year old woman with history of right lumpectomy for triple negative IDC in 2005. 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 density, unchanged in pattern and distribution. Local architectural dis... | 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 - Diagnostic Mammogram. |
Generate impression based on findings. | Exam is limited by patient motion despite multiple repeated sequences. The ventricles and sulci are prominent, consistent with mild age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci and extensive confluent areas of abnormal T2/FLAIR h... | 1. No acute infarct. Extensive white matter abnormalities likely representing moderate-severe chronic small vessel schema changes advanced for the patient stated age.2. Evidence of previous hemorrhages in the right basal ganglia and left thalamus which may hypertensive in origin, now with persistent areas of encephalom... |
Generate impression based on findings. | Evidence of osteomyelitis. One view of the left hip demonstrates superior and lateral subluxation of the femoral head relative to the acetabulum, as seen on the prior CT scans. Deformity of the femoral head and acetabulum is compatible with sequela of septic arthritis and osteomyelitis. Erosive deformity of the femoral... | Subluxation and deformity of the left hip compatible with sequelae of septic arthritis and osteomyelitis. |
Generate impression based on findings. | 68 years, Male. Reason: NGT History: NGT Interval advancement of NG tube with side-port and tip projecting over the distal esophagus and proximal gastric body, respectively. Surgical suture material is seen in the right hemiabdomen. Diffuse gaseous distention of small and large bowel. Note that the pelvis is excluded f... | NG tube side-port and tip projects over the distal esophagus and proximal gastric body, respectively. |
Generate impression based on findings. | 68 years, Male. Reason: NGT adjusted History: NGT Slight interval advancement of NG tube with side-port and tip projecting over the gastroesophageal junction and gastric cardia, respectively. Surgical suture material is seen in the right hemiabdomen. Diffuse gaseous distention of small and large bowel. Note that the pe... | NG tube side-port and tip projects over the gastroesophageal junction and gastric cardia, respectively. |
Generate impression based on findings. | Knee pain Four views of the right knee demonstrate severe osteoarthritis, particularly at the lateral tibiofemoral and patellofemoral compartments. A small joint effusion is present with a loose body in the suprapatellar pouch.Moderate osteoarthritis affects the left knee as seen on frontal views. An ossific density pr... | Severe osteoarthritis. |
Generate impression based on findings. | Male 51 years old Reason: assess for acute intraabdominal process History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nonspecific, subcentimeter hypodense lesion in the right lobe of the liver which is too small to characterize.SPLEEN: No significant abnormality notedPANCRE... | No findings to explain the patient's abdominal pain. |
Generate impression based on findings. | There is streak artifact from dental amalgam that limits evaluation. Again identified are postoperative findings from prior right-sided superficial parotidectomy with right neck subcutaneous edema and fat stranding as well as loss of fat planes. In the region of the right parotid gland, there are nodular foci of mild ... | 1.Postoperative changes in the right neck with nodular foci of mild enhancement in the surgical bed which have increased in prominence since prior. These are somewhat suspicious for tumor recurrence, although treatment related change remains a possibility. There is mild uptake within this region on prior PET. Ultrasoun... |
Generate impression based on findings. | 68 years, Male. Reason: NGT History: NGT Interval advancement of NG tube with tip projecting over the gastric antrum. Surgical suture material is seen in the right hemiabdomen. Diffuse gaseous distention of small and large bowel. Note that the pelvis is excluded from the field-of-view. | NG tube with tip projects over the gastric antrum. |
Generate impression based on findings. | Female 75 years old; Reason: lower back buttock pain There is mild to moderate dextrorotoscoliosis of the lumbar spine. The bones are demineralized, suggesting osteopenia. Severe multilevel degenerative disk disease affects the lumbar spine. The vertebral body heights are maintained. There is hypertrophy of the spinous... | Severe degenerative disk disease and other findings 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, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. There are new loosely clustered calcifications in the upper o... | New loosely clustered calcifications in the upper outer left breast. Magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 65 years old; Reason: left knee pain Moderate osteoarthritis affects the left knee, with narrowing of the medial tibiofemoral compartment and small osteophytes. A large joint effusion is present. There is a focal depression of the medial articular surface of the medial femoral condyle, which may be chronic, but ... | Osteoarthritis, joint effusion, and focal depression of the medial articular surface of the medial femoral condyle, which may be chronic, but could represent a stress fracture or "SONK." |
Generate impression based on findings. | 25-year-old female with history of stage IIa Hodgkin's lymphoma status post chemotherapy LUNGS AND PLEURA: No suspicious nodule or mass.MEDIASTINUM AND HILA: Small reference right paratracheal lymph node measures 5 mm (image 33 series 3), unchanged. No residual mediastinal or hilar lymphadenopathy. The heart size is no... | No residual lymphadenopathy. |
Generate impression based on findings. | Reason: Breast CA, and possible primary lung CA in LLL. Followup scan History: none CHEST:LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular and paraseptal emphysema.A solid nodule at the left lung base measures 12 x 11 mm (series 5, image 188). This nodule measured 9 mm on 10/2013 and measured 7mm on 08/2... | A slowly growing left lower lobe pulmonary nodule remains moderately suspicious for indolent primary carcinoma. This nodule was not hypermetabolic on recent PET imaging, although sensitivity is decreased by motion artifact. Additional considerations include carcinoid tumor or less likely hamartoma. Metastasis is consid... |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 33 years old; Reason: follow up. Fracture. Bone detail is obscured by the overlying cast..The distal radial fracture seen on the prior radiographs is not visualized on this study, however, the alignment is within normal limits. | Limited study due to overlying cast, however, the alignment of the distal radius is within normal limits |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 60 year old female status post left mastectomy for DCIS in 2012, presents today for routine follow up. No current breast complaints. No family history of breast cancer. 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 scatter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 66 years old; Reason: 66yr old male with history of MM; pre-auto SCT evaluation SKULL: No significant abnormality noted. No discrete lytic lesions are seen.CERVICAL SPINE: Degenerative disk disease affects the lower cervical spine. No discrete lytic lesions are seen.THORACIC SPINE: Mild degenerative arthritic chan... | Findings compatible with multiple myeloma in the lumbar spine, 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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Stable benign intramammary lymph node... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Hiccups for 10 days. Question of worsening pulmonary or other disease to explain hiccups. LUNGS AND PLEURA: There are multiple pulmonary nodules with some enlarging in size. A non-reference left upper lobe pulmonary nodule contiguous with a scarlike opacity has increased in size to 13 mm (image 25, series 6), 9 mm on a... | Enlarging pulmonary and pleural metastatic lesions compatible with progression of disease. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 58 years old Reason: follow up History: follow up. Two views of the right femur again show an intramedullary rod and screw device affixing a short oblique fracture of the mid femoral diaphysis in near-anatomic alignment, without radiographic evidence of hardware complication. The fracture line is slightly less dis... | Orthopedic fixation of healing femoral fracture. |
Generate impression based on findings. | 68 year old woman with history of IDC s/p right lumpectomy in 2006. 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 density, unchanged in pattern and distribution. Local architectural distortion, parench... | 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 - 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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is mostly fatty replaced. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Reason: pt w/ history of NSCLC from OSH pls eval for mets History: adenocarcinoma LUNGS AND PLEURA: Large enhancing soft tissue mass at the right apex, with invasion of the right chest wall and local osseous destruction of the right third and fourth ribs. The mass measures up to 6.6 x 5.2 by 6.2 cm (series 5, image 26;... | Large right apical mass compatible with known primary lung cancer, with local extension into the chest wall. Multiple foci of metastatic disease including mediastinal/hilar lymphadenopathy, a right lateral chest wall lesion and a large left adrenal mass. |
Generate impression based on findings. | Female 20 years old Reason: right hip pain History: right hip pain. The lateral center edge angle is 28 degrees. The anterior center edge angle is 29 degrees measured to the sourcil. There is a very slight right coxa profunda deformity. The femoral neck shaft angle is 127 degrees. There is slight prominence of the ante... | Possible minimal Cam deformity 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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | There is no evidence of fracture. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The paravertebral soft tissues are unremarkable.T12-L1: No significant disc bulge, spinal canal or foraminal stenosis. L1-L2: Disc bulge, thickening of the ligamentum flavum and bilateral... | Mild degenerative changes of the lumbar spine, most prominent at L5-S1, with mild spinal canal stenosis and severe bilateral foraminal stenosis. Mild bilateral foraminal stenosis at L3-L4 and L4-L5. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribut... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 67 years old; Reason: Evaluate for abdominal pain, L chest pain, recent G-tube insertion History: L chest pain, upper abdominal pain, recent G-tube insertion Postsurgical changes in the abdomen and multiple suture staples. Multiple leads project over the right. There are clips in the right upper abdomen. A gastr... | 1.Etiology for the patient's abdominal pain is not evident on the current exam consider CT scan if the symptoms persist. |
Generate impression based on findings. | 58 year old female status post right lumpectomy in 2009 for IDC with DCIS, presents today for routine follow up. Patient received radiation, chemotherapy, and hormonal therapy. History of benign left breast biopsy. Family history of breast carcinoma in her mother at age 76 and sister at age 60. No current breast compla... | 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 - Diagnostic Mammogram. |
Generate impression based on findings. | Female; 61 years old. Reason: Staging for T3N1b colon adenocarcinoma History: 61 F s/p sigmoid resection of cancer, path report T3N1b - 3/17 nodes positive. Patient motion limits diagnostic sensitivity. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Dependent atelectasis/scarring. No pleural effusio... | Postsurgical changes without evidence of metastatic disease. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements.An intramammary lymph node is present at upper outer quadrant in the left bre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 74 years old; Reason: evaluate metastatic colon cancer response to treatment History: occasional blood in stool, fatigue CHEST:LUNGS AND PLEURA: Visualized lung fields without significant change, including micronodules (for example, 2 mm left lower lobe pleural-based nodular focus, image 75 series 3) and perifissu... | 1. Decreased size and conspicuity of hepatic metastatic lesions.2. Again seen heterogeneous enlarged prostate gland with relative hypertrophy of the median lobe, likely reflecting component of underlying benign prostatic hypertrophy. Additionally, correlation with patient's clinical history and PSA values recommended. |
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, version 9.3. The breast parenchyma is heterogeneously dense. Scattered benign calcifications including coarse calcifications at posterior left breast are present... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 4-year-old male with history of headache. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of accurate nonhemorrhagic ischemic strokes.The cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation is withi... | 1.Unremarkable nonenhanced head CT.2.Extensive pansinusitis.3.Bilateral otitis media. |
Generate impression based on findings. | Reason: is there a mass in the right sinus? History: chronic sinus pain b/l The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The nasal septum is deviated towards the right side and has a bones spur associated with it narrowing the right nasal passage.... | 1.Pedunculated lesion along the right maxillary sinus has changed position but not size since the prior exam. It is not particularly characteristic of mucous retention cyst. This could represent a polypoid mass. Lack of interval change in size and lack of bony destruction suggest that this is less likely aggressive. Pl... |
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, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 41 years old; Reason: Constipation History: Abd pain Catheter type device projects over the left upper abdomen. Bowel gas pattern is nonobstructive. There is centralization of the bowel loops possibly due to ascites or other peritoneal disease.Stool burden is average. | 1.Nonobstructive bowel gas pattern |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - 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, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Loosely clustered calcifications at lower inner quadrant in t... | Developing calcifications at lower inner quadrant in the left breast. Magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 75 years, Male. Reason: eval ileus History: abd pain NG tube tip projects over the gastric antrum. Postsurgical changes from fundoplications surgery are again noted. Gas distended stomach is noted. Diffuse gaseous distention of small and large bowel is noted. Residual enteric contrast is noted in the transverse and des... | Findings compatible with ileus. |
Generate impression based on findings. | Male 59 years old; Reason: NG advancement History: NG advancement Mild gaseous distention of the colon persists.Obstruction at the level of the anus is not excluded.Enteric tube is coiled in the stomach with its tip in the gastric body. | 1.Enteric tube tip in mid gastric body. |
Generate impression based on findings. | Male 52 years old Reason: left THA History: left THA. Three views of the left hip show hardware components of a left total hip arthroplasty device situated in near anatomic alignment with no radiographic evidence of hardware complication. Since the prior study, the drain has been removed. Skin staples are noted lateral... | Left total hip arthroplasty and right hip osteoarthritis as above. |
Generate impression based on findings. | 48-year-old male with history of left arm weakness. Evaluate for stroke. There is a moderate-sized wedge-shaped area of hypoattenuation within the right inferior parietal lobule compatible with acute to subacute ischemic infarction likely in the distribution of the posterior parietal branch of the right MCA. There is e... | Moderate-sized wedge-shaped area of hypoattenuation within the right inferior parietal lobule compatible with acute to subacute ischemic infarction likely in the distribution of the posterior parietal branch of the right MCA. An MRI could be useful if clinically warranted. |
Generate impression based on findings. | Male 54 years old; Reason: Constipation History: Constipation Bowel gas pattern is nonobstructive.Large free air. Catheter type device projects over the mid pelvis. | 1.No the bowel gas pattern.2.Persistent pneumoperitoneumfindings discussed with ANYANWU, EMEKA COLLINS at the time of the dictation |
Generate impression based on findings. | Cough. Evaluation of pulmonary infiltrates seen on cardiac MRI. Past smoker (quit in 1993). LUNGS AND PLEURA: There is a cluster of calcified and non-calcified pulmonary micronodules in the inferior right upper lobe which is likely post-infectious in etiology; these do not require follow up imaging. No suspicious pulmo... | No acute findings in the chest or evidence of infection. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. A round circumscribed... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 74 years old; Reason: NGT placement History: above Postsurgical changes in the upper abdomen and multiple skin suture staples.The bowel gas pattern is not obstructive. Airspace disease is noted in the left lower lobe.Enteric tube terminates in the region of the gastric fundus. | 1.Enteric tube tip is in the region of the gastric fundus |
Generate impression based on findings. | Male 54 years old Reason: left knee pain History: knee pain. Four views of the left knee show narrowing of the medial tibiofemoral compartment and small osteophytes indicating mild osteoarthritis. There is slight lateral tilting and translation of the patella relative to the femoral trochlea. Lucencies within the femor... | Osteoarthritis as above. |
Generate impression based on findings. | Female 16 years old Reason: s/p l knee acl reconstruction History: s/p l knee acl reconstruction. Two views of the left knee show findings consistent with an ACL reconstruction, including distal tibial and proximal femoral tunnels and fixation devices. A small amount of heterotopic mineralization overlies Hoffa's fat p... | Orthopedic left ACL repair 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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | A small area of architectural distortion at posterior upper outer quadrant in the right breast. Spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 72 years old Reason: s/p MVA. Evaluate for evidence of fracture vs. degenerative changes. History: neck pain/stiffness and some radicular pain left arm and left tibial pain. We have two views of the left tibia/fibula. There is swelling of the soft tissues of the lower leg and ankle, but we see no radiographic fi... | Degenerative disk disease and osteoarthritis as described above. We see no fracture. |
Generate impression based on findings. | Metastatic melanoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable reference subcarinal lymph node best seen on image 39 of series 3 measuring 1.9 x 0.8 cm.CHEST WALL: Stable reference left axillary lymph node best seen on image 13 of series 3 measuring 1.9 x 1.1 cm. Left anterior... | Stable examination. |
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