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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. | Male 72 years old Reason: evaluate for response/progression. History: metastatic soft tissue sarcoma CHEST:LUNGS AND PLEURA: Interval increase in size of the left upper lobe pulmonary lesion measuring 1.8 x 1.7 (series 5, image 35), previously 1.3 x 1.1 cm. New left upper lobe nodule measuring up to 5 mm (series 5, ima... | 1.Interval increase in size of the primary right thigh sarcoma and multiple known sites suspicious for metastasis. 2.New small left upper lobe nodule is suspicious for an additional site of metastatic disease. |
Generate impression based on findings. | 56-year-old male with history of left MCA aneurysm rupture and clipping. CT head without contrast: There are postoperative changes from left frontotemporal craniotomy and aneurysm clips in the left M1 region. There is encephalomalacia within the left middle and inferior frontal gyri, left superior parietal lobule, and ... | 1. Prior left MCA M1 aneurysm clipping and stenting with adequate opacification of the MCA distal to the clips and stent. Overall, this appears similar to the prior exam from 1/2014.2. Moderate diffuse atherosclerotic disease of the intracranial vasculature.3. Chronic left cerebral encephalomalacia and chronic small ve... |
Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease; compare to previous scan History: none CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules, compatible with metastatic disease, not significantly changed from the prior exam. Reference right middle lobe nodule measures 3.7 by 3.3 cm (series 5, image 56), unchanged... | Stable pulmonary metastases. No new sites of disease identified. |
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. | Male 60 years old Reason: follow up History: follow up. Again seen are tension wires affixing a transverse fracture of the patella in near anatomic alignment. Posteriorly, the fracture appears slightly less distinct on the current study than on the prior study, suggesting some interval healing. There is a small joint e... | Orthopedic fixation of healing patellar fracture. |
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. | 68 year old female status post right lumpectomy in 2004 for IDC, presents today for routine follow up. Patient received radiation and Arimidex. History of benign left breast biopsy. No current breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digitally and review... | 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, 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. Scattered benign calcifications are again seen in both breast... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | 4-year-old female with painful swelling fourth fingerVIEWS: Left hand, PA, left fourth digit, PA and lateral (2 views) 3/3/15 9:30 There is soft tissue swelling about the fourth digit without underlying fracture identified. Alignment is within normal limits. | Soft tissue swelling without fracture. |
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. | Male; 74 years old. Reason: Pleural mesothelioma, please compare to prior exam per RECIST criteria. ABDOMEN:LUNG BASES: Please see separately dictated chest CT report. LIVER, BILIARY TRACT: Scattered subcentimeter hepatic hypodensities, too small to characterize but unchanged and likely benign. Trace perihepatic ascite... | 1. Interval increase in abdominal mesenteric haziness and omental soft tissue infiltration/thickening, with new extension of disease into the upper pelvis. Findings are suspicious for progression of metastatic mesothelioma. 2. Mild dilatation of left sided small bowel loops, with lack of visualized colonic contrast and... |
Generate impression based on findings. | Female, 25 years old, history of stage IIa Hodgkin's lymphoma status post chemotherapy. Seven months off therapy. No pathologic adenopathy is detected by size criteria. Surgical clips are demonstrated in the left supra-clavicular neck. The aerodigestive mucosa is normal. The salivary glands and thyroid are free of foca... | No evidence of active disease in the neck. |
Generate impression based on findings. | Reason: Pleural mesothelioma please compare to prior exam per recist criteria. History: Pleural mesothelioma LUNGS AND PLEURA: Postsurgical changes in the right hemithorax, with associated volume loss, and findings of a diaphragmatic mesh or prior pleurodesis.Nodular thickening in the right hemithorax is again demonstr... | Mild interval increase in nodular pleural thickening, with reference measurements as above. Increasing pleural/pericardial thickening adjacent to the right atrium as well as increasing mediastinal lymphadenopathy. See same day CT abdomen pelvis report for additional findings. |
Generate impression based on findings. | There is a slightly displaced fracture involving the left frontal bone, the inferior-most extent of which extends to the left lambdoid suture. Soft tissue swelling and scalp hematoma is noted overlying the fracture. There is no underlying brain parenchymal associated abnormality. The ventricles and sulci are normal in... | There is a slightly displaced fracture involving the left parietal bone, the inferior-most extent of which extends to the left lambdoid suture. Soft tissue swelling and scalp hematoma is noted overlying the fracture. There is no underlying brain parenchymal associated abnormality. |
Generate impression based on findings. | Female, 55 years old, with locally recurrent oral tongue squamous cell carcinoma. Postsurgical findings are again seen including evidence of right partial glossectomy with flap reconstruction, right partial mandibulectomy with bone graft repair, and extensive bilateral neck dissection.Again seen is a bulky infiltrative... | Progression of disease with increasing size of a bulky left masticator space/pharyngeal mucosal space tumor, as well as evidence of tumor spread to the contralateral right pharyngeal space. The soft tissues of the left face are progressively ulcerated with a new orocutaneous fistula.Tumor erodes through the floor of th... |
Generate impression based on findings. | 13-year-old female with hip painVIEWS: Pelvis AP and frog leg (two views) 3/3/2015 10:11 Sclerosis of the left femoral head is again seen and confined to the medial and posterior surfaces. The left femoral head is flattened and slightly broadened. Subchondral lucency is predominantly along the posterior surface of the ... | Avascular necrosis of the left femoral head which is unchanged. |
Generate impression based on findings. | 22-year-old male with history of lymphoblastic lymphoma on therapy. LUNGS AND PLEURA: No pulmonary nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Heart size is normal with no pericardial effusion. No mediastinal or hilar lymphadenopathy.CHEST WALL: Right-sided chest port catheter tip termi... | No evidence of recurrent disease or metastases. |
Generate impression based on findings. | Metastatic renal cell carcinoma status post left nephrectomy and right lower lobe wedge resection CHEST:LUNGS AND PLEURA: Postoperative changes right lower lobe status post wedge resection.Soft tissue focus associated with the suture line best seen on image 63 of series 5 measures 4.8 x 1.3 cm.MEDIASTINUM AND HILA: Mod... | Postoperative changes right lower lobe consistent with wedge resection. Soft tissue focus associated with suture line; favor postoperative finding; however would recommend special attention to this area on future surveillance scans.New trace ascites. No evidence for new metastatic focus. |
Generate impression based on findings. | 59 year old woman with history of right IDC s/p lumpectomy in 2011. Three standard views of both breasts, an exaggerated right CC view and a spot compression left CC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unc... | 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. | Head and neck cancer per protocol scans. CHEST:LUNGS AND PLEURA: There are new patchy centrilobular and tree in bud opacities within the inferior right upper lobe and superior right lower lobe is suggestive of aspiration and/or infection. No suspicious pulmonary nodules are identified. Apical scarring/post-radiation ch... | 1. New patchy centrilobular nodular opacities within the right upper and lower lobes is suggestive of aspiration and/or infection.2. No significant interval change in a non-specific left paratracheal lymph which may be reactive or due to tumor involvement. |
Generate impression based on findings. | 65 year old female status post right lumpectomy in 2002 for IDC and DCIS, presents today for routine follow up. Patient received radiation and chemotherapy. No current breast complaints. Family history of breast carcinoma in her paternal aunt and two paternal cousins. Three standard views of both breasts were performed... | 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. | 76 year old female with history of subarachnoid hemorrhage. CT head without contrast: Bilateral frontal ventriculostomy catheters are unchanged in position. Right frontal hematoma with surrounding edema adjacent to the catheter is stable in size and appearance. There is a new small hematoma within the left anterior fro... | 1. New small left frontal hematoma as above.2. Normal perfusion bilaterally with no evidence of vasospasm.3. Distal right ICA stent and PCOM coil mass are unremarkable with no evidence of thrombosis or complication.4. Stable bifrontal ventriculostomy catheters, diffuse subarachnoid hemorrhage, and right intraparenchyma... |
Generate impression based on findings. | Male 65 years old; Reason: Pancreas cancer s/p neoadjuvant chemo, please assess per pancreas protocol imaging for treatment response prior to Whipple surgery and provide index lesion measurements for RECIST CHEST:LUNGS AND PLEURA: Small subcentimeter nodular foci seen along right major fissure without significant chang... | 1. Mild interval decrease in size of pancreatic tail mass. Unchanged moderate to marked narrowing of adjacent splenic vein, which remains patent. 2. Remainder of exam without significant change as above. |
Generate impression based on findings. | Seven-year old male, evaluate Perthes lesionVIEWS: Pelvis, AP (one view) 3/3/15 10:27 Sclerosis and collapse of the left femoral head and broadening of the femoral neck appear similar to the prior exam. There is remodeling of the left acetabulum. The right femoral head is normally formed and well directed with respect ... | Unchanged left Perthes disease. |
Generate impression based on findings. | LIVER: The liver measures 8.1 cm. No focal lesion.GALLBLADDER, BILIARY TRACT: The gallbladder is moderately distended and otherwise, normal. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.SPLEEN: The spleen measures 5.5 cm.KIDNEYS: The right kidney measures 5.9 cm. The left kidney measures 5.6 cm. No foc... | Normal examination. |
Generate impression based on findings. | Knee pain Four views of the right knee are provided. There is narrowing of the medial tibiofemoral compartment with near bone on bone apposition. There are also tricompartmental osteophytes. These findings indicate severe osteoarthritis. There is a slight varus deformity of the knee.Osteoarthritis also affects the left... | Osteoarthritis. |
Generate impression based on findings. | Right knee pain, osteoarthritis Four views of the right knee are provided. Tricompartmental osteophytes and mild joint narrowing indicate moderate osteoarthritis, particularly considering the patient's relatively young age. Similar osteoarthritic changes affect the left knee as seen on the frontal views. | Osteoarthritis. |
Generate impression based on findings. | 82 years, Female, Reason: 82F with gross hematuria History: gross hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Enlarged common bile that measuring 1.4 cm with mild intrahepatic biliary ductal dilatation is unchanged.SPLEEN: No significant abnormality notedPANCREAS: Prominent panc... | Enhancing lesion in the right renal pelvis is suspicious for a transitional cell carcinoma. No regional adenopathy or metastatic lesion.Findings discussed with Dr. Alberts on 3/3/2015 at 11:30 a.m. |
Generate impression based on findings. | Female; 71 years old. Reason: Assess Crohn's History: Abdominal pain; worsening diarrhea. Hx of multiple small and large bowel obstructions for Crohn's. ABDOMEN:LUNG BASES: Minimal dependent scarring/atelectasis. No pleural effusions or focal areas of consolidation.LIVER, BILIARY TRACT: No suspicious hepatic lesions or... | Extensive postsurgical changes as described above without evidence of active inflammatory bowel disease. |
Generate impression based on findings. | Pain. Arthroplasty follow-up. Components of the "reverse" total shoulder arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. A small focus of gas density is seen within the soft tissues beneath the acromion process; I suspect that this may reflect a recent... | Postoperative changes of left total shoulder arthroplasty as described above. |
Generate impression based on findings. | Female 53 years old Reason: eval for fx, dislocation History: fall. Three views of the left shoulder show a comminuted surgical neck fracture of the humerus which appears slightly impacted and there is medial displacement of the distal fracture fragment. There is no dislocation of the shoulder joint. The acromioclavicu... | Left humeral comminuted surgical neck fracture as described above. |
Generate impression based on findings. | 57 year old female status post left lumpectomy in 2009 for DCIS, presents today for routine follow up. Patient received radiation and tamoxifen therapy. No current breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3... | 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. | Headache and visual field cut. Evaluate for tumor, status post left occipital tumor resection and stereotactic radiosurgery. RADIOPHARMACEUTICAL: 11.2 mCi F-18 fluorodeoxyglucose (FDG)BLOOD GLUCOSE (FASTING): 100 mg/dL Today's PET brain demonstrates a large area of predominantly decreased FDG uptake within the region o... | Findings suspicious for recurrent or residual tumor within the left medial occipital lobe. |
Generate impression based on findings. | Female 21 years old Reason: assess healing History: s/p IMN. Two views of the right femur show an intramedullary rod with two fixation screws both proximally and distally affixing a comminuted femoral diaphyseal fracture unchanged in position and in near-anatomic alignment. There is no radiographic evidence of hardware... | Orthopedic fixation of a comminuted femoral diaphyseal fracture. Normal-appearing right ankle. |
Generate impression based on findings. | There is no evidence of mass lesions or significant cervical lymphadenopathy. The Waldeyer ring structures are within normal limits. The thyroid and major salivary glands are unremarkable. There is a right chest wall Mediport catheter again seen. There is unchanged chronic occlusion of the left internal jugular vein. ... | 1.Stable exam with no significant cervical lymphadenopathy by CT size criteria.2.Chronically occluded left internal jugular vein. |
Generate impression based on findings. | Male 53 years old with shoulder pain and ventral foot pain. Three views of the right shoulder show no acute fracture or dislocation. A rounded ossicle in the area of the axillary recess may represent a loose body the joint. There is no radiographic evidence to account for patient's pain.Three views of the right foot sh... | Unremarkable right shoulder shoulder and right foot described above without radiographic evidence to account the patient's pain. |
Generate impression based on findings. | 2 y/o M w/ repaired spina bifida and VP shunt EXAMINATION: Oropharyngeal motility study 3/3/15 10:45 Julie Ecclestone (pager 8293), speech and language therapist, supervised the examination.26 seconds of fluoroscopy was used.Limited exam due to oral aversion. Immature oral skills were noted including munching rather th... | Oral aversion and limited oral skills, without penetration or aspiration. Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Female 62 years old Reason: r/o DJD psoriatic arthritis right basilar joint History: joint pain; psoriasis. There is osteoarthritis of the distal interphalangeal joints with osteophyte formation. Radiopaque densities lung the ulnar aspect of the fifth proximal interphalangeal joint of unknown significance may represent... | Osteoarthritis, predominantly of the distal interphalangeal joints, with an osteophyte of the third metacarpal head suggestive of CPPD arthropathy. |
Generate impression based on findings. | Male 63 years old; Reason: NSCLC/AC; on ceritinib, follow-up ABDOMEN:LUNGS BASES: Please refer to concomitant CT chest exam from same day for additional findings.LIVER, BILIARY TRACT: Hepatic dome and inferior right hepatic lobe hypoattenuating lesions, too small to characterize but stable.SPLEEN: Splenule present. Mul... | 1. Osseous metastatic disease, without significant interval change.2. Collapsed stomach but diffuse moderate circumferential wall thickening suggested, correlation with patient's clinical history recommended to exclude underlying gastritis.3. Please refer to concomitant CT chest study from same day for additional findi... |
Generate impression based on findings. | Images are limited by patient motion. Postoperative changes are again seen from previous right frontal parietal temporal craniotomy, with underlying right frontal, parietal, and temporal lobe encephalomalacia, with areas of confluent T2/FLAIR hyperintensity within the white matter. There is again ex vacuo dilatation o... | 1. Motion limited exam with limited comparison to outside exam. Within these limitations, no significant interval change in appearance of an extra-axial homogeneously enhancing bilobed appearing mass centered on the medial right lesser sphenoid wing with extension inferior to the right anterior clinoid process. Abutmen... |
Generate impression based on findings. | Male 49 years old; Reason: pre-op eval for Mako Stryker robotic system left uni-arthroplasty knee History: pain. LEFT HIP: Axial scan was performed through the left hip. Mild osteoarthritis affects the left hip.LEFT KNEE: Severe tricompartmental osteoarthritis affects the left knee, particularly at the medial tibiofemo... | Osteoarthritis. |
Generate impression based on findings. | Tachypnea and concern for pneumatosis. Two day old former 39 week gestational age patient.VIEWS: Chest and abdomen AP (two views) 03/03/15 Feeding tube tip is in gastric body. Umbilical venous catheter tip is at junction of right atrium and SVC. Cardiothymic silhouette is upper limits of normal in size. No focal lung o... | No focal lung opacity. No evidence of NEC. |
Generate impression based on findings. | 58 years, Female, Reason: metastatic breast cancer with bidimensional measurements per recist 1.1 History: liver mets. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious nodules or masses.MEDIASTINUM AND HILA: Right chest port tip terminates in SVC.CHEST WALL: Fluid collection in the late... | Mild Progression of size of some hepatic metastases. Others unchanged. |
Generate impression based on findings. | 52 year old female status post left mastectomy in 2008 for IDC, with implant reconstruction and placement of right sided implant, presents today for routine follow up. Patient received chemotherapy, or radiation, and tamoxifen therapy. Family history of breast carcinoma in her maternal grandmother at age 38 and materna... | 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. | 12 y/o F restaging osteosarcoma s/p chemotherapy VIEWS: Left femur AP, lateral (2 views) 3/3/15 11:01 Lucent expansile lesion of the distal femoral diaphysis extends approximately 15 cm in length with poorly defined proximal and distal margins. Note is made of associated cortical thinning and medial soft tissue mass as... | Findings consistent with left femoral diaphyseal osteosarcoma. |
Generate impression based on findings. | Female 69 years old Reason: liver ultrasound, s/p tips, evaluate for clot LIVER: The liver measures 16.6 cm in length. The liver has a nodular contour. The parenchyma is diffusely heterogeneous and echogenic. No worrisome mass is identified. Status post TIPS. There is no ascites. BILIARY TRACT: Status post cholecystect... | 1.Cirrhotic liver. No worrisome mass is identified.2.Patent TIPS without evidence of clot. Persistent hepatopetal flow in the undivided left portal vein. No ascites.3.3.9 cm simple appearing right renal cyst, stable compared to the recent MRI. |
Generate impression based on findings. | Chest pain radiating to back, shortness of breath, hypotension. Question of pulmonary embolism and dissection. PULMONARY ARTERIES: Technically adequate study without evidence of an acute pulmonary embolus. The main pulmonary artery is enlarged which can be seen in the setting of pulmonary arterial hypertension.LUNGS AN... | 1. No evidence of an acute pulmonary embolus or other specific finding to account for the patient's symptoms. 2. Suboptimal evaluation for aortic pathology without gross evidence of thoracic aortic dissection.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not app... |
Generate impression based on findings. | 78 year old female status post right mastectomy in 2007 for DCIS, presents today for routine follow up. Patient received hormonal therapy. No current breast complaints. No given family history of breast cancer. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left 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. | 12 y/o F w/ L femur osteosarcoma, eval for metastases LUNGS AND PLEURA: No suspicious pulmonary nodules. No focal consolidation, pleural effusion, or pneumothorax. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal with no pericardial effusion. Left central venous catheter tip extends t... | Normal exam without evidence of metastatic disease. |
Generate impression based on findings. | Reason: mets lung cancer, ALK+, on Ceritinib now. pls c/w previous study and evaluate tx response. History: lung ca LUNGS AND PLEURA: Moderate bilateral pleural effusions, mildly increased from the prior exam.The left upper lobe calcified perihilar mass (series 6, image 41) is unchanged, without measurable residual sof... | 1. Clustered small nodules in lateral left upper lobe are slightly more prominent compared to the prior exam. Nonspecific and may be postinfectious in etiology, but continued close interval followup is recommended.2. Mildly increased pleural effusions.3. Additional findings, including osseous metastases, are stable fro... |
Generate impression based on findings. | Metastatic melanoma.RADIOPHARMACEUTICAL: 13.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 97 mg/dL. Today's CT portion grossly demonstrates right lower lobe linear atelectasis, unchanged. Coronary arterial calcifications are present. Postsurgical changes from a cholecystectomy and a left nephrectomy are ... | 1.No suspicious FDG avid lesion.2.Stable to decreased nonspecific activity in the distal esophagus. |
Generate impression based on findings. | Status post fall. Unable to bear weight. Three views of the right ankle reveal lateral soft tissue swelling. There is also a joint effusion. No osseous abnormalities. No fractures or dislocations. | Soft tissue swelling laterally but no evidence of any fractures or dislocations |
Generate impression based on findings. | 58-year-old male with prostate cancer status post prostatectomy with rising PSA. Assess for metastatic disease. ABDOMEN:LUNG BASES: No Significant abnormality seen.LIVER, BILIARY TRACT: Punctate segment 7 hypodensity most likely benign cyst. No other parenchymal abnormalities are seen. Gallbladder and biliary tract app... | 1. Status post prostatectomy. 2. No evidence for metastatic disease seen. |
Generate impression based on findings. | Female 68 years old; Reason: pancreatic ca s/p July Whipple procedure History: re-staging CHEST:LUNGS AND PLEURA: Small left base atelectasis, mild interval improvement in small left pleural effusion with trace residual fluid seen. Mild emphysema.MEDIASTINUM AND HILA: Mild to moderate calcified coronary artery disease.... | 1. Stable pneumobilia. Status post Whipple surgery with interval increase in amount of air in pancreatic duct.2. Moderate to large stool seen throughout colon, correlate clinically for constipation. Ventral abdominal hernia as above.3. No definite evidence of recurrent or metastatic disease. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is minimal patchy periventricular and subcortical white matter hypoattenuation which is nonspecific, likely representing trace age indeterminate microvascular ischemic changes. The ventricles and basal cisterns are unchanged. There is no m... | No acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke. |
Generate impression based on findings. | Male 65 years old; Reason: 65M with AMS post-extubation, DHT in place but now with secretions that smell like TF per RN, ?DHT positioning History: 65M with AMS post-extubation, DHT in place but now with secretions that smell like TF per RN, ?DHT positioning Paucity of bowel gas.Enteric tube projects in the left upper a... | 1.Enteric tube projects in the region of the gastric body. |
Generate impression based on findings. | 15 year old male with recurrent pain, no swelling, normal exam. VIEWS: Left knee AP, Oblique, Lateral (3 views) 3/3/2015 11:47 Alignment is normal. No joint effusion or soft tissue swelling. No fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Retractions. Respiratory rate in the 90s.VIEW: Chest AP (one view) 03/03/15, 11:30 Lung volumes are large. Mild peribronchial thickening is noted. Subsegmental atelectasis is present bilaterally.Cardiothymic silhouette is normal. The aortic arch, cardiac apex, and stomach are left-sided.The stomach is distended with ga... | Bronchiolitis/reactive airways disease pattern. |
Generate impression based on findings. | Prior L2-S1 fusion and pain pump. Lumbar puncture to evaluate for infection. The procedure, indications, benefits, risks/complications and alternatives were described to the patient and informed consent was obtained. The patient was placed in the prone position and the inferior back was prepped with Betadine, draped an... | Successful fluoroscopic guide lumbar puncture without immediate complications. |
Generate impression based on findings. | Multiple abdominal surgeries with colectomy and ileostomy. Bilious emesis.VIEWS: Abdomen AP/left lateral decubitus (two views) 03/03/15 A right lower quadrant stoma is present. Cholecystectomy clips are identified. Multiple fine staple lines are seen.Many dilated small bowel loops are present containing air-fluid level... | Obstructed bowel gas pattern. |
Generate impression based on findings. | Reason: eval chiari History: slurred speech, BLE weakness The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of th... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | History of base of tongue cancer with lung nodules. Status post chemotherapy. Again seen are post-treatment findings in the neck, including asymmetric volume loss of the right tongue base, without evidence of tumor in this location. There are bilateral tonsilloliths. There is no evidence of significant cervical lymphad... | Post-treatment findings in the neck without evidence of local tumor recurrence or significant cervical lymphadenopathy. Please refer to separate report for findings in the chest. |
Generate impression based on findings. | Prominence of spine. Scoliosis.VIEWS: Spine standing PA/lateral (two views) 03/03/15 No fusion or segmentation abnormalities are seen. Right curve between L1 and L4 measures 12 degrees. The right iliac crest may be slightly lower than the left. The lateral view is normal.A moderate amount of feces is present in the rec... | Right lumbar curve of 12 degrees. |
Generate impression based on findings. | 41-year-old female with history of colectomy with ostomy, presenting with right upper quadrant, epigastric pain. No history of gallbladder disease. Please evaluate for etiology. Better today but on morphine p.r.n. LIVER: No significant abnormalities noted.GALLBLADDER, BILIARY TRACT: Normal appearing gallbladder without... | Normal right upper quadrant ultrasound examination. |
Generate impression based on findings. | Reason: stroke History: left sided weakness There is redemonstration of small hypodense foci in the left cerebellar hemisphere associated with the volume loss. There is redemonstration of encephalomalacia along the left occipital pole.Periventricular and subcortical white matter hypodensities of a moderate degree are p... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Foci of encephalomalacia are present in the left cerebellar hemisphere and the left occipital lobe. Could very well be vascular related.3.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are... |
Generate impression based on findings. | Fracture.VIEWS: Left femur AP/lateral (two views) 03/03/15 A cast obscures bone detail. Oblique fracture of the proximal mid femoral diaphysis is again seen. Overlap and medial displacement of the distal fracture fragment is unchanged. Callus formation surrounds the fracture. | Healing femoral fracture. |
Generate impression based on findings. | Ankle and foot pain. Evaluate for fibular fracture. Status post fall.VIEWS: Left ankle AP, lateral and oblique 3/3/15 (3 views) Soft tissue swelling and small ankle joint effusion with no evidence of fracture or malalignment. | Soft tissue swelling and small joint effusion, as described. |
Generate impression based on findings. | 59 year-old male with prostate cancer with pain and bone metastases. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Scattered sclerotic lesions are seen in the ribs and vertebral bodies unchanged from 12/30/14.ABDOMEN:LIVER, BILIARY TRACT: No si... | 1. Increasing pelvic lymphadenopathy has delineated and measured above. Numeral and multiple scattered sclerotic foci of skeletal metastases -- these appear stable and CT examination but medicine bone scintigraphy is a more accurate estimate of activity of skeletal metastatic disease. 3. Stable appearing nodular soft t... |
Generate impression based on findings. | Female, 58 years old, history of metastatic breast cancer with progression of disease on CT scan. Assess for brain metastases. No definite evidence of any parenchymal mass, mass effect, edema or pathologic enhancement is seen to suggest the presence of intracranial metastatic disease. Mild periventricular hypoattenuati... | 1. No evidence of intracranial metastatic disease, but please note that even with contrast, CT is insensitive for small lesions. If clinically warranted, MRI may be considered for a more definitive assessment.2. Nonspecific periventricular hypoattenuation may reflect age indeterminate small vessel ischemic disease or a... |
Generate impression based on findings. | There is minimal mucosal thickening involving the left frontal sinus, improved since 4/1/2013. Frontal sinuses are otherwise clear. There is minimal mucosal thickening lining the bilateral ethmoid cavities. There is minimal mucosal thickening involving the right maxillary sinus. There is moderate mucosal thickening in... | Previously seen mucosal thickening involving the left frontal and right sphenoid sinuses is improved. There are mild frothy secretions within the left sphenoid sinus which are new since 4/1/2013. Otherwise, there is no significant change to suggest acute sinusitis. Again seen is evidence of chronic sinusitis with mild ... |
Generate impression based on findings. | Pain in knees.EXAMINATION: Right knee AP/lateral (two views), left knee AP/lateral (two views) 03/03/15 There may be a right joint effusion. The bones are normal in appearance. No fracture or destruction is seen. | Possible right joint effusion. No bone abnormality. |
Generate impression based on findings. | 70 year-old male -- rule-out portal vein thrombosis. LIMITED ABDOMENLIVER: Heterogeneous appearance to liver parenchyma seen consistent with fatty infiltration and/or underlying cirrhosis. No focal mass lesions are identified. See vascular section below.BILIARY TRACT: Gallbladder not visualized. No intrahepatic or extr... | 1. Main and right portal veins intraluminal occlusive thrombus with surrounding collateral flow and increased arterial flow. In retrospect this was identified on CT examination of 2/23/15. 2. Tardus parvus waveform in the hepatic and splenic artery distributions suggestive of celiac artery stenosis. |
Generate impression based on findings. | Male 76 years old; Reason: Evaluate for SBO History: pancreatic ca, h/o SBO, abdominal pain, vomiting, no BM, no flatus ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hypoattenuating subcentimeter liver parenchymal foci, too small to characterize. Scattered hepatic calcified granulomata. Oc... | 1. Status post distal pancreatectomy and splenectomy with associated postsurgical clips. Hypoattenuating structure seen in expected region of pancreatic body, located left lateral to surgical clips, measures 4.1 x 1.6 x 2.4 cm, may be a postoperative collection/seroma or phlegmon, abscess a consideration, no internal g... |
Generate impression based on findings. | Left tonsillectomy and chemoradiation for tonsillar squamous cell carcinoma, HPV+. Lung nodules. Neck: There are post-treatment findings in the neck including left tonsillectomy, left lymph node dissection, and the effects of radiation therapy. There is no evidence of measurable mass lesions or significant cervical lym... | 1. Post-treatment findings in the neck without measurable mass lesions or significant cervical lymphadenopathy based on size criteria. 2. Partially-imaged pulmonary nodules, right pleural effusion, and mildly enlarged upper mediastinal lymph nodes. Please refer to the separate chest CT report for additional details.3. ... |
Generate impression based on findings. | Male, 69 years old, with history of T4aN2b squamous cell carcinoma of the left alveolar ridge status post composite resection, rim mandibulectomy, bilateral selective neck dissection, and supraclavicular island flap and cervical rotation flap reconstruction in October, 2013, followed by chemoradiation completed Februar... | 1. Complete or near complete resolution of a small superficial fluid collection within the left facial soft tissues at the level of the mandibulectomy. 2. The residual portions of the left mandible remain slight sclerotic and irregular along the surgical margins, but without significant interval change.3. No evidence t... |
Generate impression based on findings. | Metastatic lung carcinoma ABDOMEN:LUNG BASES: Please see separate chest report.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Stable reference left adrenal nodule best seen on image 52 of series 7 measuring 2.3 x 1.... | Stable examination. |
Generate impression based on findings. | 58 years old Male. Reason: evaluate for metastatic disease. History: head and neck recurrence. This study was performed for restaging.RADIOPHARMACEUTICAL: 14.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 122 mg/dL. Today's CT portion of the neck and pelvis demonstrates soft tissue fullness in the right t... | 1. Increased metabolic activity in the right tongue base and right pharyngeal/laryngeal wall, consistent with local recurrence of the head/neck cancer.2. No definite evidence of FDG avid nodal or distant metastasis.3. Patchy and nodular opacities in right lung and the right hilum, which are most likely due to infection... |
Generate impression based on findings. | The paranasal sinuses are clear. There are no air-fluid levels or significant mucosal thickening. The mastoid air cells are clear. There is a chronic right lamina papyracea fracture with herniation of extraconal intraorbital fat, however, the extraocular muscles are intact without herniation. The nasal septum is minim... | 1.Paranasal sinuses are clear.2.Chronic right medial orbital blowout fracture with medial herniation of orbital fat.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 62 years old; Reason: Rule out obstruction History: Constipation, abdominal distension Multiple air fluid levels are noted in the small bowel on the upright view. There is scattered gas within the colon.A percutaneous gastrostomy catheter projects over the left upper abdomen and kidneys in the region of the gastri... | 1.Multiple air fluid levels on the upright view suggestive of a mechanical small bowel obstruction. |
Generate impression based on findings. | History of CHF on IABP and DAH. Evaluate for change. LUNGS AND PLEURA: There has been significant interval improvement in areas of bilateral patchy ground glass opacity and consolidation. Interval resolution of small bilateral pleural effusions. There is mild centrilobular emphysema.MEDIASTINUM AND HILA: The heart size... | Significant interval improvement in bilateral ground glass opacities and consolidation and resolution of pleural effusions compatible with resolving diffuse alveolar hemorrhage. |
Generate impression based on findings. | Male 19 months old Reason: Any evidence of trauma, fracture History: Limping on left leg per historyVIEWS: Left tibia-fibula AP and lateral 3/3/15 (two views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Clinical question: Hydrocephalus. Signs and symptoms:SAH Unenhanced head CT:Examination redemonstrates enlarged supratentorial ventricular system without convincing evidence of any interval change in size. Multiple measurements at the level of temporal horns, frontal horns and the anterior third ventricle are nearly id... | 1.No evidence of an acute or new finding since prior exam.2.Stable enlarged supratentorial ventricular system and minute right occipital horn hemorrhage.3.Region of cortical low-attenuation/ ischemic changes in the left anterior frontal lobe and along the interhemispheric aspect of bilateral inferior frontal lobes simi... |
Generate impression based on findings. | Papillary renal cell carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Contour deformity involving left ki... | Stable examination without acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Shortness of breath, hypoxia. Question of PE. PULMONARY ARTERIES: No evidence of an acute pulmonary embolus. The main pulmonary artery is not enlarged.LUNGS AND PLEURA: There is dependent atelectasis. No specific evidence of infection. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: There is no significant me... | 1. No evidence of an acute pulmonary embolus or other specific finding to account for the patient's symptoms.2. Right eighth rib fracture.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 57 years old; Reason: look for cancer source History: brain biopsy showing adenocarcinoma CHEST:LUNGS AND PLEURA: New left upper lobe lung lesion, measuring 1.9 x 1.6 cm image 21 series 4. Remainder of exam similar to earlier study with patchy bilateral mid to lower lung predominant ground glass opacity and subp... | 1. New left upper lobe pulmonary lesion, suspicious for primary lung malignancy.2. Mild mediastinal adenopathy, stable to mildly improved from prior study, nonspecific. 3. Indeterminate left adrenal nodularity.4. Partially imaged heterogeneous thyroid gland.5. Distended esophagus containing contrast, may reflect gastro... |
Generate impression based on findings. | Nausea and gastro-paralysis. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 76.4 % of peak activity (normal >70 %)1 hour: 47.9 % of peak activity (normal 30-90 %) 2 hours: 18.8 % of peak activity (normal <60 %) 4 hours: ... | Gastric emptying within normal limits. |
Generate impression based on findings. | Patient with cystic fibrosis, admitted with fevers and increased sputum production. Assess for cavitary lesions and abnormality seen on chest radiograph. LUNGS AND PLEURA: There is redemonstration of extensive upper lobe predominant bronchial wall thickening, bronchiectasis, and mucus plugging compatible stated history... | New areas of consolidation and possible cavitation suggestive of infection superimposed on background lung changes of cystic fibrosis. |
Generate impression based on findings. | Urothelial carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Right nephrectomy site clear.RETROPERITONEUM,... | Stable examination without acute, inflammatory, or metastatic process. |
Generate impression based on findings. | 59 year old female status post right mastectomy in 2011 for IDC and DCIS, presents today for routine follow up. Patient received Arimidex. History of left breast reduction mammoplasty. No current breast complaints. Family history breast carcinoma in her mother at age 60, sister at age 45, and maternal grandmother at ag... | High probability benign calcifications in the lower central left breast. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Foll... |
Generate impression based on findings. | Metastatic breast cancer. No abnormal osseous foci are identified to indicate metastatic disease. Degenerative changes are noted in the bilateral shoulders, sacroiliac joints and knees. | Degenerative changes without evidence of bone metastases. |
Generate impression based on findings. | Multiple myeloma.RADIOPHARMACEUTICAL: 15 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 86 mg/dL. Today's CT portion grossly demonstrates multifocal stable lytic osseous lesions, most notably in the right ischium. Healing rib fractures are seen in the left third anteriorly and right 10th postero-laterally. ... | 1.Mixed response with progression of activity within the osseous lesions and improvement within the lymph nodes.2.Increased activity within the nonspecific focus of activity in the right facial region which could represent tumor. |
Generate impression based on findings. | Female 70 years old Reason: please evaluate disease prior to starting clinical trial. Please provide bidimensional measurements per RECIST v1.1 History: Renal cell carcinoma CHEST:LUNGS AND PLEURA: Pulmonary and pleural based neoplastic disease. Multiple bilateral lung nodules suspicious for metastatic disease which ha... | 1.Marked interval increase in diffuse lung, pleural, and mediastinal involvement as above.2.Large left pleural effusion with complete collapse of the left lower lobe.3.Extensive osseous lytic vertebral body and sacral involvement which is similar in extent but increased in size since study from 2013. |
Generate impression based on findings. | Prostate cancer. A focal region of increased activity is noted in the frontal region of the skull which is nonspecific and could represent a focal irregularity of the bone or an adjacent soft tissue abnormality. There is also abnormal increased activity within the body of one of the mid cervical spinal vertebrae. This ... | Abnormal activity within the frontal region of the skull and mid cervical vertebral body which are nonspecific but can be further evaluated with a head and neck CT. |
Generate impression based on findings. | Ankle fracture.VIEWS: Left ankle AP/lateral/oblique (3 views) 03/03/15 A cast obscures bone detail. Alignment is anatomic. There appears to be periosteal reaction around the fibula. The fracture line of the fibula is well seen. The fracture line of the tibia is not well seen. | Healing fractures of distal tibia and fibula. |
Generate impression based on findings. | History of left breast cancer with increased thickening near the surgical scar Three standard views of the left breast and left laterally exaggerated CC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pat... | No mammographically concerning finding, though the patient left our department before a targeted ultrasound could be performed for her area of increasing thickening. She should return to have a targeted ultrasound. A message was left on the patient's home phone notifying her of this recommendation by Carla Razor, mammo... |
Generate impression based on findings. | Postoperative changes from previous left transfrontal biopsy are again seen, with minimal chronic hemosiderin deposition along the surgical tract. There is further decreased intrinsic T1 hyperintensity with minimal, if any, residual superimposed lace-like enhancement involving the left frontal corona radiata, globus p... | 1. Expected evolution of post treatment changes with very minimal wispy enhancement remaining along the left frontal corona radiata extending to the midbrain.2. Slight increased cranial extent of associated T2 hyperintensity in the area of the previous enhancing mass likely representing posttreatment changes and gliosi... |
Generate impression based on findings. | No structural lesions are appreciated within the brain parenchyma. Sulcation and myelination appear within normal limits. Posterior fossa and midline structures including the corpus callosum appear within normal limits. No evidence of infarct, intracranial mass, or mass effect. No hydrocephalus. No extra-axial collect... | 1. No intracranial structural abnormalities are appreciated.2. Moderate opacification of the left mastoid air cells and middle ear cavity, which is new since prior CT of the temporal bones from 12/2/2014. |
Generate impression based on findings. | Pain, tenderness and shortness of breath. Follow-up of NSCLC. The comparison chest CT performed on 3/2/2015 demonstrates no focal areas of consolidation or pleural fluid. Matched ventilation perfusion defects in much of the right lung and smaller matched ventilation perfusion defects in the left lung.Quantitation of re... | 1.Matched ventilation perfusion defects in much of the right lung and smaller matched ventilation perfusion defects in the left lung. 2.The vast majority of ventilation and perfusion in left lung with minimal contribution from the right lung. |
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