instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | LP shunt revision.VIEWS: Abdomen AP/lateral (two views) two Intraspinal catheter tip is at T8/T9 level. The catheter exits the spinal canal at the L3 level. The programmable valve is set at 120 mm of water. The distal tubing is intact and has its tip in the left lower quadrant. Bowel gas pattern is disorganized. | Valve set at 120 mm of water. |
Generate impression based on findings. | Female 30 years old Reason: eval for additional fractures History: fall on R hand and wrist, known colles fx. Overlying casting material obscures fine bone detail. There is interval casting of the right hand and wrist. The previously seen distal radial fracture is again seen on this examination appears to be in near-an... | Distal radial fracture in near-anatomic alignment, unchanged from the prior exam without evidence of a new fracture or dislocation. |
Generate impression based on findings. | Female 42 years old; Reason: scoliosis? History: LBP Frontal and lateral views of the spine were obtained using scoliosis technique. There is approximately 12 degrees of cervicothoracic levoscoliosis as measured from the superior endplate of C6 to the inferior endplate of T6. There is approximately 15 degrees of thorac... | Degenerative disk disease and scoliosis, as described above. |
Generate impression based on findings. | Male 33 years old; Reason: septic emboli? 33M with NK lymphoma, HLH, neutropenic s/p chemo with strep mitis bacteremia History: neutropenic fever, oral ulcer with pain, strep mitis bacteremia. LUNGS AND PLEURA: There is a new focal dense atelectasis/consolidation in the superior right lower lobe. No pleural effusion or... | 1. New right lower lobe atelectasis/consolidation which is likely related to aspiration. 2. New splenic infarct. |
Generate impression based on findings. | Reason: Hx base of tongue CA with lung lesions. Status post chemo, compare to previous scan and measurements pls. History: none CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules, presumed to be metastatic, are no longer seen on this exam, now with small, extremely thin-walled air filled cysts at these locati... | Interval resolution of multiple presumed metastatic pulmonary nodules, with residual thin walled cysts without any measurable solid component, compatible with response to treatment. No other acute changes or new sites of disease. |
Generate impression based on findings. | 2-year-old female, evaluate for hip subluxationVIEW: Pelvis AP and frog leg (two view) 3/3/2015 12:44 Bilateral coxa valga is again noted. The femoral heads are well directed into the acetabula. There is lateral uncovering of the femoral heads, 20% on the left and 10% on the right.Small to moderate colonic fecal burden... | Bilateral coxa valga and lateral uncovering of the femoral heads, left greater than right. |
Generate impression based on findings. | Fracture.VIEWS: Right elbow AP/lateral (two views) 03/03/15 The cast has been removed. Two K wires continue in place in the distal humerus. Alignment is anatomic. Periosteal reaction encircles the distal humerus. | Healing distal humeral fracture. |
Generate impression based on findings. | Male; 65 years old. Reason: esoph/GEJ carcinoma on FOLFOX chemo with liver mets check response to chemo, NEED TRIPLE PHASE for liver mets. CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules, not significantly changed. No suspicious nodules or masses. No pleural effusions or focal areas ... | 1.New mediastinal and gastrohepatic lymphadenopathy with measurements above, compatible with progression of metastatic disease. 2.No significant interval change in scattered hypodense liver lesions as described above, including segment 8 metastasis. Please note that for follow up imaging studies, single portal venous p... |
Generate impression based on findings. | Reason: 59 Y.O. F with HPT History: HPT There are several nodules present in the soft tissues of the lower neck . Their locations and serial Hounsfield units on dynamic CT or listed below along with some density units of normal structures:Houndsfield units through nodules (0seconds, 25 seconds, 55 seconds, 85 seconds):... | 1.There is a 7x2.5mm nodule between trachea and left common carotid artery at the C7 vertebral level which is suspicious for a parathyroid adenoma.2.Parathyroid venous sampling suggests location of parathyroid adenoma in the left lower neck. |
Generate impression based on findings. | Female 96 years old; Reason: evaluate for fx, infection. History: L hand and wrist swelling LEFT WRIST: There is soft tissue swelling about the wrist, particularly over the distal radius. Moderate osteoarthritis affects the basilar joint. Chondrocalcinosis is present in the left wrist, and there is calcification adjace... | Soft tissue swelling and degenerative arthritic changes, as described above, including chondrocalcinosis of the wrist and periarticular calcification along the basilar joint. The possibility of pseudogout is considered. |
Generate impression based on findings. | Female 30 years old Reason: lower ext pain History: r/o cystic mass. A well-defined homogenous appearing mass with perhaps slight rim enhancement is seen along the medial aspect of the left lower extremity extending from the level of the patellar joints to the mid tibial diaphysis. It is situated between the subcutaneo... | Mass within the medial soft tissues of the lower leg is most likely fluid filled. Possibilities include a hematoma, abscess, or posttraumatic fluid collection such as a Morel Lavallee lesion. Tumor is thought to be less likely given the low attenuation and lack of internal calcifications or septations, but cannot be en... |
Generate impression based on findings. | BRAIN: There are greater than 10 supratentorial T2/FLAIR hyperintense foci including the pericallosal and periventricular white matter with the largest left lateral periventricular focus measuring 19 x 15 mm (series 801, image 19). An additional larger focus adjacent to the left lateral ventricle measures 9 mm (series... | 1. Greater than 10 T2/FLAIR hyperintense lesions in the supratentorial and one in the infratentorial white matter consistent with known demyelinating disease. There are two lesions with enhancement as detailed above consistent with active demyelination. 2. No lesions within the cervical cord or abnormal enhancement. |
Generate impression based on findings. | Left hip pain Severe osteoarthritis affects the left hip. Additional ossific densities overlying the left hip could represent loose bodies or heterotopic ossification. Scattered arterial calcifications are noted. | Severe osteoarthritis. |
Generate impression based on findings. | Reason: head and neck cancer recurrence, evaluate right upper lung nodule History: head and neck reucrrence eval for mets CHEST:LUNGS AND PLEURA: Patchy nodular air space and groundglass opacity in the right upper and right lower lobe consistent with aspiration.No suspicious nodules.MEDIASTINUM AND HILA: No significant... | Air space and groundglass opacities in the right lung consistent with aspiration.No evidence of metastases. |
Generate impression based on findings. | Male 56 years old; Reason: metastatic head and neck cancer, compare to previous with measurements. CHEST:LUNGS AND PLEURA: There is no significant change in a moderate right pleural effusion. A loculated left subpulmonic effusion is unchanged. Apical scarring is compatible with post radiation change. A left upper lobe ... | Interval increase in size of left upper lobe pulmonary nodules and a left pleural based nodule with new mediastinal lymphadenopathy, consistent with progression of disease. |
Generate impression based on findings. | Low back pain Three views lumbar spine demonstrate slight rightward curvature of the lumbar spine. There is bilateral spondylolysis at L4 with a grade 1 anterolisthesis of L4 on L5. Mild to moderate degenerative disk disease affects the L4/L5 level. Mild facet joint osteoarthritis affects the lower lumbar spine.Surgica... | L4 spondylolysis and spondylolisthesis, and degenerative changes as described above. |
Generate impression based on findings. | Pain. Preoperative. Severe osteoarthritis affects the left knee. There is approximately 11 degrees of varus angulation with respect to the neutral mechanical axis of the left lower extremity. | Osteoarthritis and varus deformity. |
Generate impression based on findings. | Reason: nodules in past History: COPD LUNGS AND PLEURA: Moderately severe diffuse centrilobular emphysema.Scattered micronodules and focal scarring, unchanged.Diffuse bronchial thickening consistent with bronchitis.No suspicious nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy.Mild coronary artery calcifica... | Bronchitis and emphysema. No suspicious nodules.. |
Generate impression based on findings. | 74 year old female status post left lumpectomy in 1997 for breast cancer, presents today for routine follow up. Patient received radiation and hormonal 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... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnos... |
Generate impression based on findings. | Female 40 years old; Reason: spondylosis? History: LBP after lifting The vertebral body heights are within normal limits. Small osteophytes project off the anterior aspects of the L1 and L2 vertebral bodies. Mild degenerative disk disease affects the L1/L2 level, appearing similar to prior. The remaining intervertebral... | Mild degenerative disease at L1/L2, appearing similar to prior. |
Generate impression based on findings. | Male 20 years old with left hand BB pellet x 2 months. Shot self with gun. Right hand injured 5th metacarpal 2 months ago. Punched a brick. Tenderness. 3 views of the left hand: A metallic foreign body is seen in the soft tissues between the second and third metatarsal heads. There is no acute fracture or dislocation. ... | Metallic foreign body in soft tissues of the left hand likely reflects BB bullet per patient's history. No acute fracture or dislocation in the bilateral hands. |
Generate impression based on findings. | Female 47 years old; Reason: fusion status. History: s/p ACDF Evaluation of the C7/T1 level is limited due to overlying anatomy.Again seen is an anterior fixation device with screws entering the C7 and T1 vertebrae, with intervertebral disk spacer at C7/T1. There may perhaps be some bony bridging at this level, however... | Postoperative changes of ACDF appearing similar to those seen on the prior study. |
Generate impression based on findings. | Reason: suspected dermatomyositis, evaluate for ILD History: suspected dermatomyositis, evaluate for ILD LUNGS AND PLEURA: Small scar at the left costophrenic angle.No sign of diffuse interstitial lung disease.No pleural effusions.No significant airtrapping on the expiration scan.MEDIASTINUM AND HILA: No significant ly... | No sign of interstitial lung disease or other significant pulmonary abnormalities. |
Generate impression based on findings. | Male 57 years old; Reason: obstruction History: abdominal distention, pain A stent projects over the right upper abdomen.There is mild gaseous distention of the stomach. There are a few air-filled dilated small bowel loops measuring up to 3 cm. Supine view is inadequate to evaluate for free air or air-fluid levels.Dege... | 1.Dilated small bowel loops suggestive of an obstruction |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. There is a possible group of faint calcifications in linear distributi... | Possible faint calcifications in the right outer breast for which spot magnification views and possible ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 38 years old back pain with radiation to the hips. Known moderate DID of L-Spine. There is no acute fracture or dislocation. The lumbar vertebral body heights and intervertebral disk spaces are preserved. The alignment is anatomic. A tiny anterior vertebral body osteophyte is seen at L3. Otherwise, there are no ... | Unremarkable lumbar spine with no specific radiographic findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 72 years old; Reason: Pain between the 2nd and 3rd metatarsals on the left. Evaluate for Morton's neuroma. The bones are demineralized, suggesting osteopenia.We see no soft tissue mass, however we cannot exclude the possibility of a Morton's neuroma on conventional radiographs.Minimal osteoarthritis affects the fo... | 1. No specific radiographic features of a Morton's neuroma. If further imaging evaluation is clinically warranted, ultrasound or MRI may be considered. 2. Other findings as described above. |
Generate impression based on findings. | Male 55 years old Reason: fall onto knee s/p arthroscopy History: pain. 4 views of the right knee show slight joint space narrowing of the medial compartment. There is a small effusion and small osteophyte formation at the patellofemoral compartment. There is no acute fracture or dislocation. | Mild osteoarthritis without evidence of acute fracture or dislocation. |
Generate impression based on findings. | BRAIN: There is stable diffuse parenchymal volume loss, which appears advanced for age. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is no midline shift or herniation. The imaged mastoid air cells are clear. MAXILLOFACIAL: There are chronic fracture deformities involving the bilatera... | 1.No acute intracranial abnormality.2.Chronic maxillofacial fractures without evidence of acute fracture of the maxillofacial structures or the cervical spine.3.Multilevel cervical spondylosis. |
Generate impression based on findings. | Instability. Rheumatoid arthritis. CERVICAL SPINE: Minimal anterolisthesis (less than or equal to 1 mm) of C3 on C4 on flexion views, with minimal retrolisthesis of these levels on extension views is of doubtful clinical significance. We see no gross instability. The vertebral body heights and disk spaces are normal. T... | Postoperative and degenerative changes of the lumbar spine as described above. |
Generate impression based on findings. | 13 year old female with right knee injury. Evaluate for medial meniscus tear, possible patellofemoral dislocation. MENISCI: The menisci are intact with no evidence of tear.ARTICULAR CARTILAGE AND BONE: The articular cartilage is normal. Along the anterior lateral surface of the patella, a 0.5 cm area of increased signa... | Medial patella contusion. |
Generate impression based on findings. | 81 years, Male. Reason: Determine if barium still in abdomen History: as above Persistent barium in the gastric fundus, colon and rectum is unchanged from prior examinations. Dilated loops of small bowel may represent ileus versus small bowel obstruction. Drain, surgical clips, and skin staples project over the right h... | Persistent barium in the gastric fundus, colon and rectum is unchanged from prior examinations. Dilated loops of small bowel may represent ileus versus small bowel obstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Maternal aunt with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Focal asymmetry with calcifications in the right bre... | Focal asymmetry with calcifications in the right breast. Comparison should be made to prior study, otherwise spot compression views with possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Left hand and thumb pain.VIEWS: Left hand AP, lateral and oblique 3/3/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male 10 years old Reason: injury VIEWS: Right ankle AP, lateral and oblique 3/3/15 (3 views) There is no evidence of acute or healing fracture, malalignment, joint effusion or soft tissue swelling. Distal tibial physis lucency with metaphyseal sclerotic margin is normal variant (Kump hump). | Normal examination. |
Generate impression based on findings. | Female, 59 years old, with history of metastatic thyroid cancer. Neck:Since the prior examination, a right carotid endarterectomy has been performed with significant improvement in the luminal caliber. There is, however, a large hypoattenuating fluid collection tracking along the right carotid space from the level of t... | 1. Stable reference lesions with no findings to suggest thyroid cancer progression.2. Findings compatible with right carotid endarterectomy with significant improvement in vascular luminal caliber. However, there is a sizable postoperative fluid collection tracking along the right carotid space which may represent a se... |
Generate impression based on findings. | Male 27 years old Reason: bilateral knee pain History: bilateral knee pain. 4 views of the right knee show no joint effusion, fracture, or dislocation. The knee appears unremarkable. 4 views of the left knee show no joint effusion, fracture, or dislocation. The knee appears unremarkable. | Normal appearing knees without evidence of fracture or dislocation. |
Generate impression based on findings. | Female 64 years old Reason: left knee pain History: left knee pain. Mild degenerative arthritic changes affect the left knee, including small osteophyte formations along the undersurface of the patella. There is a small joint effusion. | Mild osteoarthritis. |
Generate impression based on findings. | Status post LVAD. Chronic VAD drive line infection. Evaluate for fluid collection. Worsening drive line drainage. CHEST:LUNGS AND PLEURA: No focal airspace opacity, pleural effusion, or pneumothorax. Mild paraseptal emphysema. Minimal bibasilar atelectasis/scarring.MEDIASTINUM AND HILA: There is a intrathoracic LVAD wi... | 1.Increased soft tissue density and inflammatory change around the VAD driveline within the subcutaneous soft tissues is compatible with infection. No specific evidence of a mediastinal or intraperitoneal fluid collection.2. Thrombus within the efferent cannula of the LVAD which decreases the lumen size by slightly mor... |
Generate impression based on findings. | Female 62 years old Reason: BL knee pain History: BL knee pain. 4 views of the right knee show calcifications along the superoanterior aspect of the patella suggestive of calcific tendinopathy of the quadriceps tendon. There is severe osteoarthritis with joint space narrowing and bone on bone apposition of the medial, ... | Severe osteoarthritis of the knees, right greater than left. |
Generate impression based on findings. | Male 72 years old Reason: R hand thumb/4th/5th digit pain and limited ROM History: R hand thumb/4th/5th digit pain and limited ROM. The right hand appears normal without fracture or dislocation. There are no radiographic findings to account for the patient's pain. | Normal appearing hand without radiographic findings to account for the patient's pain. |
Generate impression based on findings. | Frontal sinuses: Frontal sinuses are underpneumatized but clear. Anterior ethmoid sinuses: Mild mucosal thickening of the anterior ethmoid sinuses. Maxillary sinuses: Mild opacification of bilateral maxillary sinuses. The ostiomeatal units are patent bilaterally.Posterior ethmoid sinuses: Minimal mucosal thickening of... | Mild sinus disease as above without specific findings to suggest chronic sinusitis. |
Generate impression based on findings. | Please note that dedicated orbit images were not requested. No definite optic nerve enhancement or abnormal signal is appreciated on dedicated axial brain images. Coronal T2 whole brain images suggest mild expansion of the proximal post-chiasmatic left optic nerve, with questioned T2 hyperintensity on 201/17.There is ... | 1. Extensive cervical and thoracic cord signal abnormality, with patchy enhancement becoming more confluent from C7-T1 down to T6-T7 as well as mild diffuse cord expansion with effacement of CSF space within the thecal sac most conspicuous along the upper to midthoracic spine. The findings are progressed since previous... |
Generate impression based on findings. | Total hip arthroplasty One view of the pelvis and one view of the hip obtained in the recovery room and time-stamped 1156 at 1153, respectively, demonstrate hardware components of a left total hip arthroplasty device situated in near-anatomic alignment. We see no radiographic evidence of hardware complication. Surgical... | Left total hip arthroplasty, as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of maternal cousin with breast cancer. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Right knee pain Four views of the right knee demonstrate tricompartmental osteophytes indicating mild osteoarthritis. A moderate-sized joint effusion is present. Mild osteoarthritis affects the left knee as seen on the frontal views. | Osteoarthritis and joint effusion. |
Generate impression based on findings. | 62-year-old female with multiple abdominal surgeries for ventral hernia with question of enterocutaneous fistula and partial small bowel obstruction. The scout film shows surgical sutures in the left hemiabdomen with gas distended small bowel loops. Cholecystectomy clips in the right upper quadrant.Manual injection of ... | Enterocutaneous fistula to loop of jejunum at the site of prior anastomosis as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast core biopsy in 2007. Two standard digital views of both breasts, bilateral additional MLO, cleavage view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Assess fracture Three views of the right wrist reveal a density a sideplate and multiple screws the distal radius. The fracture line is indistinct consistent with healing. The bones are in anatomic alignment. Note is made of an ununited ulnar styloid fracture. | Distal radial fracture in anatomic alignment. No change from previous. |
Generate impression based on findings. | Female 66 years old Reason: history of SI joint fusion. assess integrity of fusion History: pain. The right sacroiliac joint is traversed by two orthopedic screws, unchanged from the prior exam. but there is no bony fusion seen. Vacuum phenomena are seen in the bilateral sacroiliac joints, suggesting that there is no f... | Postoperative and degenerative changes as described above, without evidence of bony fusion in the right sacroiliac joint. |
Generate impression based on findings. | Female 86 years old; Reason: S/p Rt TKA Two views of the right knee obtained in the recovery room and time-stamped 1208 and 1209 demonstrate hardware components of a total knee arthroplasty device situated in near-anatomic alignment. We see no radiographic evidence of hardware complication. Skin staples, surgical drain... | Right total knee arthroplasty, as above. |
Generate impression based on findings. | Bilateral knee pain Four views of the left knee demonstrate tiny osteophytes indicating minimal osteoarthritis, essentially within normal limits for the patient's age.A tiny density projecting along the intercondylar eminence of the tibia may represent a small loose body or simply ligamentous calcification. We see no f... | Minimal osteoarthritis. |
Generate impression based on findings. | Blurry vision and decreased sensation of the left lower and upper extremity. Evaluate for stroke. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mild mucosal thickening of the... | 1. No acute intracranial hemorrhage or mass effect. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern, MRI of the brain is recommended.2. Air-fluid level in the right maxillary sinus. Please correlate for sinusitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right cyst aspiration in 1993. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSD - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Bilateral, benign-morphology calcifications. No... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Status post TPA for acute stroke. Evaluate for bleed. There is evolution of a now declared acute left middle cerebral artery territory infarct with a mildly hyperdense left middle cerebral artery likely relating to thrombus. There are small focal chronic infarcts in the right cerebellar hemisphere. There is no evidence... | 1. Evolution of recent left middle cerebral artery territory infarct. Mild mass effect on left lateral ventricle and trace left to right midline shift measuring 1-2 mm. No acute intracranial hemorrhage. 2. Chronic infarcts in the right cerebellar hemisphere. |
Generate impression based on findings. | Access fracturesTECHNIQUE 3 views left hand Three views of the left knee reveal a nondisplaced radial styloid fracture. There's also an nondisplaced fracture through the base of the third metacarpal. The bones are in anatomic alignment. No change from previous. | Fractures of the distal radius and third metacarpal in anatomic alignment. |
Generate impression based on findings. | 24 years old Male. Reason: in remission - any PET avidity? History: history of lymphoblastic lymphoma with mediastinal mass and left cervical adenopathy now in remission. RADIOPHARMACEUTICAL: 13.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 110 mg/dL. Today's CT portion grossly demonstrates opacification... | 1.No definite evidence of FDG avid tumor.2. Hypermetabolic skin thickening in the umbilicus, which is most likely due to infection. Suggest clinical correlation.3.Right maxillary sinusitis.4. Inflammatory change or post procedural change in the right hip. |
Generate impression based on findings. | Evaluate progression of ILD, history of RA. Now worsening shortness of breath and hypoxia. Brown sputum. LUNGS AND PLEURA: There is redemonstration of lower lobe predominant peripheral subpleural reticulation, septal thickening, and mild traction bronchiectasis. There are scattered small subpleural cysts suggestive of ... | 1. Stable RA associated interstitial lung disease.2. New left lower lobe focal subpleural consolidation likely related to aspirated secretions. |
Generate impression based on findings. | Male; 65 years old. Reason: HCC, s/p Therasphere administration. CHEST:LUNGS AND PLEURA: There is apical predominant centrilobular and paraseptal emphysema. No suspicious pulmonary nodules or masses. New moderate left pleural effusion. MEDIASTINUM AND HILA: Normal heart size without significant pericardial effusion. Se... | 1.Post-treatment changes and new occlusion of the anterior division of the right portal vein. The recently treated arterially enhancing mass in the right liver remains stable in size. 2.Mild interval decrease in size of dominant right hepatic mass representing the patient's more remotely treated HCC. However, there rem... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of grandmother with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, micro... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 18 year-old female with chronic abdominal pain particularly after meals with bloating and vomiting. Patient experienced approximately 20 pounds of weight loss over the two years she has been having abdominal pain. Scout radiograph demonstrated an air-fluid level in the stomach. Limited single contrast visualization of ... | 1.Elongated, J-shaped stomach with residual fluid in the stomach may reflect chronic delayed gastric motility. 2.Slight to and fro motion and minimal delay but eventual passage of contrast past midline. |
Generate impression based on findings. | 57-year-old female with a history of Marfan's syndrome, multiple CVAs, CHF, carotid endarterectomy and visual disturbances. CT head without contrast: There is no evidence of acute intracranial hemorrhage. Encephalomalacia within the right posterior temporal/occipital lobe and right basal ganglia appears similar to prio... | 1. Complete occlusion of the right internal carotid artery of unknown age, although likely chronic. Reconstitution of the distal right ICA from an intact circle of Willis. Mildly attenuated right vertebral artery at its origin.2. 2 x 2 mm saccular outpouching of the left paraclinoid internal carotid artery distal to th... |
Generate impression based on findings. | Stenosis in cervical region. Follow-up. There is an anterior plate with screws entering the C4, C5, and C6 vertebrae. The head of one of the C6 screws is not flush with the underlying plate, but this is comparable to that seen on prior CT scans and hence may not be of any current clinical significance. There is bony fu... | Postoperative changes of cervical spine fusion and laminoplasty as above. |
Generate impression based on findings. | 78-year-old female with history of right facial droop. There is asymmetric volume loss, left greater than right. There is no evidence of acute intracranial hemorrhage. There is mild periventricular and subcortical white matter hypoattenuation compatible with chronic small vessel ischemic disease. The gray-white differe... | 1. No evidence of acute ischemic infarction. CT is insensitive for the detection of an acute nonhemorrhagic infarction. If patient care warrants further imaging, an MRI may be obtained.2. Mild chronic small vessel ischemic disease.3. Opacification of the right maxillary sinus, likely chronic, with an ovoid opacity exte... |
Generate impression based on findings. | Clinical question: Rule out fracture. Signs and symptoms: Neck pain. Nonenhanced cervical CT:There is no evidence of a fracture and the alignment of the vertebral column is within normal. There is no perispinal abnormality.Mild degenerative changes of the cervical spine are present without suggestion of spinal or neura... | No fracture or malalignment. |
Generate impression based on findings. | Prostate cancer with bone metastases. Multiple foci of radiotracer activity in the axial and appendicular skeleton are redemonstrated. The L1 vertebral body lesion appears more confluent although less intense. The L5 lesion appears improved. The right T1 posterior paraspinal rib appears improved. The T8 posterior rib l... | Overall stable exam without new lesions. |
Generate impression based on findings. | 13-year-old male with right leg painVIEWS: Right tibia and fibula, AP and lateral (two views), right knee, AP, oblique, and lateral (3 views) 3/3/15 15:18 Knee: Soft tissue swelling obscures the patellar ligament. No fracture or dislocation. Small corticated ossicle is noted anterior to the tibial plateau.Tibia and fib... | Anterior soft tissue swelling obscures the patella ligament, suggesting injury. No fracture or malalignment. Further evaluation with MRI may be considered if clinically warranted. |
Generate impression based on findings. | History of pathological fracture through breast-cancer metastasis. Two views of the right humerus reveal a mid diaphyseal pathological fracture fixed with a long internodular. The fracture appears in anatomic alignment. There is no change in position from the previous exam of December. | A right humerus pathological fracture internally fixed in anatomic alignment. |
Generate impression based on findings. | 58-year-old female with iron deficiency anemia. The scout film shows a nonobstructive bowel gas pattern. Fluoroscopic evaluation showed normal mucosa throughout the small bowel, with no ulcers, sinus tracts, fistulae, or adhesions. No separation of bowel loops was present to suggest fibrofatty proliferation. The bowel ... | Normal examination of the small bowel and proximal colon. |
Generate impression based on findings. | 52 year old female who was recalled from screening mammogram for right breast calcifications. No family history of breast cancer. Family history of ovarian carcinoma in her maternal grandmother. An ML view and two spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD ... | High probability benign calcifications within the upper outer right breast. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - ... |
Generate impression based on findings. | 58-year-old female status post Billroth II one month ago with bile return via abdominal JP drain. Limited single contrast evaluation demonstrated postsurgical anatomy reflecting a Billroth II. Contrast opacification of the stomach, proximal biliary limb and enteric limb was obtained without extravasation of contrast no... | No specific evidence of leak at the gastrojejunostomy site. Incomplete contrast opacification of the biliary limb thus a leak at the duodenal stump cannot be excluded. |
Generate impression based on findings. | 42 year old woman with history of palpable right breast lump associated with smoking, currently not palpable. 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 distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.If the palpable areas of concern return, additional targeted ultrasound should be performed. BIRADS: 2 -... |
Generate impression based on findings. | Male 54 years old Reason: r/o fx History: fall. We have 3 views of the right ankle. There is mild soft tissue swelling about the ankle, but we see no acute fracture. Note is made of osteoarthritis of the first metatarsophalangeal joint. There are arterial calcifications in the soft tissues of the ankle. Please note tha... | Limited study showing no fracture. |
Generate impression based on findings. | Male, 45 years old, history of long-standing seizures with increased seizures after head trauma. Asymmetry of the gyri recti is seen with suspected encephalomalacia on the right. No evidence of mass effect, parenchymal edema or loss of gray-white distinction is seen. There is no evidence for acute intracranial hemorrha... | 1. Suspected encephalomalacia of the right gyrus rectus is of uncertain significance relative to the patient's presenting complaint. Correlation with prior history, particularly the timing of the head trauma, and comparison with prior imaging would be helpful.2. No other intracranial abnormality or other specific findi... |
Generate impression based on findings. | Fell on elbow on February 28. Pain; cannot fully extend. There is a prominent enthesophyte projecting from the dorsal aspect of the olecranon. A linear lucency traverses the base of this enthesophyte, perhaps representing a fracture that is nondisplaced. There is minimal associated soft tissue swelling. The triceps sil... | Possible nondisplaced fracture through an olecranon enthesophyte as described above. This finding was relayed directly to Dr. Altkorn by phone at the time of dictation. |
Generate impression based on findings. | Female 44 years old Reason: left arm pain question of cyst in neck region on vascular ultrasound History: left arm pain. We have two views of the forearm. The radius and ulna appear normal. The soft tissues appear normal. We see no findings to account for the patient's arm pain.We have 6 views of the cervical spine. Mo... | Degenerative disk disease and other findings as described above, we see no masses. If further imaging is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Two year-old female, assess fractureVIEWS: Left forearm, AP and lateral (two views) 3/3/15 15:20 Cast obscures underlying osseous detail. Sclerosis along the distal diaphyses of the radius and ulna, consistent with healing fractures with mild dorsal angulation of distal radial fragment. | Healing distal forearm fractures. |
Generate impression based on findings. | Male 59 years old Reason: right hip pain History: r hip pain. We have two views of the right hip and an AP view of the pelvis. Severe osteoarthritis affects the right hip with bone on bone apposition superiorly. There appears to be mild lateralization of the femoral head. There is prominence of the anterior lateral asp... | Osteoarthritis as above. |
Generate impression based on findings. | There is mild left lateral malar superficial subcutaneous soft tissue stranding, and left preseptal soft tissue swelling. No acute facial bone fracture is identified. The temporomandibular joints are intact. No orbital fracture is identified. The globes are intact. There is no evidence of intraorbital hematoma or stra... | Mild left malar and preseptal soft tissue swelling without acute maxillofacial fracture. |
Generate impression based on findings. | Status post extraction right tooth number 3. Evaluate for bone destruction Single Panorex view of the mandible reveals no gross bone destruction | No gross bone destruction |
Generate impression based on findings. | Male 14 years old Reason: fracture History: fractureVIEWS: Left hand AP, lateral and oblique 3/3/15 (3 views) Cast material obscures fine bone detail. Healing buckle fracture of the metaphysis of the first metacarpal bone is in anatomic alignment. | Healing fracture in anatomic alignment after cast placement. |
Generate impression based on findings. | 67 years old with a history of colorectal cancer, status chemotherapy.RADIOPHARMACEUTICAL: 9.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion grossly demonstrates several enlarged anterior mediastinal lymph nodes. There is a soft tissue density in the right cardiophrenic angle.... | 1.Extensive hypermetabolic lymph nodes in the mediastinum, portocaval space and retroperitoneal cavity in the abdomen, which can be due to nodal metastasis, lymphoma, sarcoidosis or granulomatous disease.2.Mild FDG uptake in the cervical normal-sized lymph nodes, which are nonspecific.3.Mildly increased metabolic activ... |
Generate impression based on findings. | Postoperative changes are seen from previous posterior and anterior surgical fusion of L5-S1, with resultant susceptibility artifact from the instrumentation limiting evaluation of surrounding structures. There is minimal 3-mm grade 1 anterolisthesis of L5 on S1. The lumbar spine is otherwise in normal alignment, with... | Postoperative changes L5-S1 with minimal grade 1 anterolisthesis. Within limitations of susceptibility artifact from spinal instrumentation, no significant foraminal narrowing with limited evaluation of L5-S1. Mild central spinal canal stenosis at L4-L5 due to mild spondylotic changes. |
Generate impression based on findings. | Neck pain. Back pain. Two views of the cervical spine reveal marked right carotid artery calcification. There may be fusion of C4-5. There is a first degree anterolisthesis of C6 on C7. No evidence is seen of compression fractures. Three views 30 thoracic spine reveal marked scoliosis and kyphosis. No definite compress... | No definite compression fractures are seen |
Generate impression based on findings. | 10-year-old male, status right foot painVIEWS: Right foot, AP and lateral (two views) 3/3/15 15:36 Alignment anatomic. No fracture or other specific finding to account for patient's symptoms. | Normal examination. |
Generate impression based on findings. | Pain RIGHT KNEE: Sharpening of the tibial spines indicates minimal osteoarthritis, essentially within normal limits for the patient's age. There may be a small joint effusion, however this is equivocal.LEFT KNEE: Sharpening of the tibial spines indicates minimal osteoarthritis, essentially within normal limits for the ... | Minimal degenerative arthritic changes, as described above. |
Generate impression based on findings. | History of trauma. Beckwith Wiedemann syndrome.VIEW: Pelvis AP standing (one view) 03/03/15 Bilateral coxa valga is present. Lateral uncovering of both femoral heads seen. The left femoral head is approximately 30% uncovered on the right 25%. The acetabula are mildly dysplastic.A moderate amount of feces is seen in the... | Bilateral coxa valga. |
Generate impression based on findings. | Evaluate for fracture of the ischium Single AP view of the pelvis reveals mild degenerative changes in the hips. No evidence of any fractures or dislocations. | No fractures or dislocations. |
Generate impression based on findings. | Reason: mets lung cancer, s/p chemo and RT, on ABT-700 + Erlotinb. pls c/w previous study and evaluate tx response. History: lung ca LUNGS AND PLEURA: Postsurgical changes of a right upper lobectomy, and radiation fibrosis, similar to the prior exam. Prominent left upper lobe bulla.Moderate pleural effusions, similar t... | Stable post-treatment findings, pleural effusions, and likely treated metastases including unchanged vertebral body and left adrenal lesions. No new sites of disease identified. |
Generate impression based on findings. | Female 56 years old; Reason: Evaluate for progression of metastatic disease. Compare to previous exam, if available History: Pelvic discomfort ABDOMEN:LUNGS BASES: Please refer to concomitant CT chest exam for additional findings.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality ... | 1. Stable indeterminant left flank soft tissue focus, nonspecific but metastatic disease not entirely excluded.2. Please refer to concomitant CT chest exam from same day for additional findings. |
Generate impression based on findings. | History cirrhosis with vasculitis and lower extremity edema, weight loss, and night sweats CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology again noted without mass... | Cirrhotic morphology again noted without mass or ductal dilatation. Worsening portal venous hypertension manifest by interval appearance of moderate splenomegaly and mild ascites.Splenic infarct.Multifocal contour deformities involving right kidney; favor infarcts. |
Generate impression based on findings. | There are areas of scattered diffusion restriction along the peripheral right frontal, temporal, and occipital lobes with associated susceptibility, corresponding to areas of previously seen contusion/parenchymal hemorrhage on the outside CT. The largest confluent area involves the right mid to inferior frontal lobe, ... | 1. Expected evolution of previously seen posttraumatic findings, including now extensive areas of encephalomalacia and gliosis evidence of hemosiderin deposition involving the right frontal, temporal, and occipital lobes, with ex vacuo dilatation of portions of the right lateral ventricle.2. Evidence of previous right ... |
Generate impression based on findings. | Reason: lung cancer, on chemotherapy, assess response. History: fatigue. CHEST:LUNGS AND PLEURA: Severe apical predominant paraseptal emphysema. Prominent bullae near the apices, right greater than left.No focal airspace consolidation. No pleural lesions.Scattered calcified pulmonary micronodules.The right paraspinal m... | 1. A right paraspinal mass with local destruction of the adjacent vertebral bodies and posterior ribs appears decreased from the prior exam, compatible with changes of interval treatment.2. Bilateral adrenal masses, new from 07/2014, and increased from 10/2014, compatible with progression of metastases.3. A round lytic... |
Generate impression based on findings. | Female 43 years old Reason: stone History: L flank pain; s/p stent removal ABDOMEN: Exam is limited secondary to lack of intravenous and oral contrast. Lack of intravenous contrast makes evaluation of solid organ and vascular pathology suboptimal. Lack of oral contrast makes evaluation of pathology suboptimal. Within t... | 1. Lack of intravenous contrast makes evaluation of solid organ and vascular pathology suboptimal. Within the limitations, there is mild hydronephrosis and asymmetric right renal parenchymal edema, which could be secondary to a recently passed stone/pyelonephritis or vascular compromise, IVC filter in conjunction with ... |
Generate impression based on findings. | Female, 75 years old, history of left breast cancer now with left supraclavicular fullness. Scarring and dystrophic calcifications or perhaps surgical material is partially visualized in the left axilla. More superiorly, in the supraclavicular fossa, no concerning lesions are seen.No pathologic adenopathy is detected i... | 1. Scarring in the left axilla is partially visualized and presumably postsurgical in nature.2. No concerning findings are seen within the left supraclavicular fossa to account for the reported increased fullness. No pathologic adenopathy or any other definite evidence of active neoplastic disease is seen in the neck.3... |
Generate impression based on findings. | 13 year-old female with injuryVIEWS: Right ankle, AP, oblique, and lateral (3 views) 3/3/15 16:14 Marked soft tissue swelling about the lateral malleolus without underlying fracture or malalignment. | Soft tissue swelling without fracture or dislocation. |
Generate impression based on findings. | Reason: head and neck cancer History: as above CHEST:LUNGS AND PLEURA: Innumerable subcentimeter pulmonary nodules are increased in number and size when compared to the prior exam dated 08/2014. The reference right lower lobe pulmonary nodule measures 5 mm (series 4, image 69), now solid without a perceptible cavitary ... | Subjective increase in number and size of multiple very small metastatic pulmonary nodules when compared to 08/2014, although the reference nodule is not significantly changed in dimension. Additional findings are unchanged. |
Generate impression based on findings. | Male 37 years old Reason: assess for stone History: flank pain ABDOMEN: Exam is limited secondary to lack of intravenous and oral contrast. Lack of intravenous contrast makes evaluation of solid organ and vascular pathology suboptimal. Lack of oral contrast makes evaluation of pathology suboptimal. Within these limitat... | 1.Limited study due to lack of intravenous contrast making evaluation of solid organ pathology suboptimal. Within the limitations, there is mild left perirenal fat stranding and mild prominence of the left renal collecting system which may represent a recently passed stone or pyelonephritis. Please correlate clinically... |
Generate impression based on findings. | Again demonstrated is a vascular right thigh mass of homogeneous echogenicity measuring 8.3 x 4.8 x 5.9, not significantly changed compared with the prior exam, although there were differences in measuring technique. Multiple feeding vessels and draining veins are again noted.DOPPLER | Vascular right thigh mass consistent with the history of Kaposiform hemangioendothelioma, not significantly changed from the prior exam. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.