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Generate impression based on findings. | Female 56 years old; Reason: pt with history colon cancer c/o left lower quadrant abdominal pain History: Abdominal pain CHEST:LUNGS AND PLEURA: Right greater than left bibasilar atelectasis. Right lower lobe small focal air space disease/consolidation, image 45 series 3, most likely related to discoid atelectasis but ... | 1. Left adnexal simple cystic lesion, may be physiologic and represent a dominant follicle, likely the etiology of patient's reported left lower quadrant pain. If clinically warranted, may be further assessed with dedicated sonography.2. Hepatic metastatic disease as described. 3. Left chest wall port seen with tip in ... |
Generate impression based on findings. | The scout lateral view and the sagittal reformatted images demonstrate the lumbar spine to be in normal alignment, with a normal lumbar lordosis. The vertebral body and disk space heights are well-maintained, although there is a vacuum phenomenon at L5-S1. There is slight prominence of dorsal epidural fat along the lu... | 1. Mild-moderate lower lumbar spondylotic changes, with findings most prominent at L4-L5 where there is a diffuse disk bulge with right foraminal/far lateral prominence resulting in likely impingement of the exiting right L4 nerve root, although MR would better delineate the abnormality. Moderate central spinal canal s... |
Generate impression based on findings. | 81 years, Male, Reason: s/p chole c/b CBD injury s/p hepaticoj, look for fluid collections, bile duct injury History: as above. IV contrast only, no po contrast. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with left basilar atelectasis and right basilar atelectasis/consolidation. Thickening and mucosal hypere... | 1. Organized fluid collection in the pelvis, suspicious for abscess.2. Mildly dilated mid abdominal bowel loops may be related to ileus, however continued follow up is recommended.3. Splenic subcapsular fluid collection.4. Small amount of unorganized fluid in the gallbladder fossa. Scattered mesenteric edema.5. Thicken... |
Generate impression based on findings. | The fifth DIP joint is held in flexion and there is an ossific density dorsally. This is most likely secondary to an old mallet fracture. No acute fractures are seen. | No acute fractures or dislocations. |
Generate impression based on findings. | Male 72 years old Reason: mets esophageal cancer, liver mets, on FOLFOX therapy. Pls c/w previous study and evaluate tx response. History: esophageal ca CHEST:LUNGS AND PLEURA: The previously seen nonspecific 5 mm right upper lobe pulmonary nodule seen on previous exam is not clearly visualized and was likely inflammat... | 1.Esophageal wall stent in place without evidence of complication.2.Enlarged mediastinal and gastrohepatic ligament nodes are not significantly changed in size.3.Hepatic metastases, some of which have decreased and others which are stable in size. 4.No new sites of metastatic disease. 5.Nonspecific right upper lobe pul... |
Generate impression based on findings. | Right wrist pain status post fall. Right fifth finger pain status post fall. There is a comminuted but predominantly transverse fracture through the neck of the fifth metacarpal with mild volar and radial angulation of the distal fracture fragment. The phalanges of the fifth finger appear intact. The bones of the wrist... | Fifth metacarpal fracture as above. |
Generate impression based on findings. | Status post left total hip arthroplasty The AP view of the hip shows components of a total hip arthroplasty device situated in near-anatomic alignment without radiographic evidence of complication. A drain and foci of gas density within the adjacent soft tissues reflect recent surgery.The AP view of the pelvis reveals ... | Postoperative changes of total hip arthroplasty as above. |
Generate impression based on findings. | Male 69 years old Reason: eval sagittal balance, eval scoliosis, possible preop planning for fusion History: back and left leg pain. Severe degenerative disk disease affects the lumbar spine, with relatively mild degenerative disk disease affecting the thoracic spine. Moderate to severe degenerative disk disease affect... | Degenerative disk disease, scoliosis, and other findings as above. |
Generate impression based on findings. | Reason: Pleural mesothelioma. Please compare to prior exam per RECIST criteria History: Pleural mesothelioma CHEST:LUNGS AND PLEURA: Redemonstration of diffuse nodular right pleural thickening compatible with a known history of mesothelioma, not significantly changed from the prior exam. Reference measurements are as f... | Stable nodular pleural thickening and mediastinal/hilar lymphadenopathy. Reference measurements as above. No new sites of disease identified. |
Generate impression based on findings. | Reason: 42 y.o. M with advanced HF and impella with chest infiltrate, evalute for infection and other abnormalities History: SOB LUNGS AND PLEURA: Multiple small groundglass and air space nodules throughout the lungs, suspicious for infection.Focal consolidation and atelectasis in the dependent portions of the lower lo... | Somewhat limited examination due to streak artifacts from internal and external hardware as well as respiratory motion artifact. Multiple small ill-defined groundglass and air space nodules are present throughout the lungs, compatible with infection, possibly viral or fungal in etiology. Multiple septic emboli are also... |
Generate impression based on findings. | Clinical question: Rule out intracranial abnormalities. Signs and symptoms: AMS. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are patchy periventricular and subcortical low attenuation of white matter ... | 1.No acute intracranial process.2.Mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | seizure No evidence of acute ischemic or hemorrhagic lesion.Minimal non specific small vessel ischemic disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkab... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | fall, head laceration, No evidence of acute ischemic or hemorrhagic lesion.Focal lacune on the left side basal ganglia, no change since prior scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or... | No evidence of acute ischemic or hemorrhagic lesion.No change of left basal ganglia lacunar infarction. |
Generate impression based on findings. | Clinical question: Stroke. Signs and symptoms: Stroke. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early dictation of acute nonhemorrhagic ischemic strokes.There are diffuse patchy foci of subcortical and periventricular white matter as well as bilateral thalami ... | 1.No acute intracranial process.2.Age indeterminate small vessel ischemic strokes as detailed. |
Generate impression based on findings. | Clinical question: Patient fell a week ago with loss of consciousness and increasing headache since. Signs and symptoms: As above. Nonenhanced head CT:Detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | possible infection, rash, post meningioma resection There is left fronto-temporal craniotomy with left temporal pole and anterior aspect of superior temporal gyrus tissue loss indicate postoperative changes, no change since prior exam.Minimally enhancing soft tissue mass on the left parasellar area (18mm x13mm), no sig... | 1. No change of residual left parasellar mass since prior exam.2. No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Clinical question: Rule-out acute process. Signs and symptoms: Syncope with head trauma. Nonenhanced head CT:Extensive bilateral anterior frontal encephalomalacia secondary to prior gunshot wound is noted. There are multiple small metallic fragments and a small bony fragment in bilateral frontal lobes and left frontal ... | 1.No detectable acute intracranial process.2.Very thin linear bony defect traversing the right superior orbital ridge and frontal bone along the lateral right anterior cranial fossa without associated intracranial or soft tissues of the scalp findings. Considering prior gunshot wound to the head this finding may repres... |
Generate impression based on findings. | Clinical question: Intracranial lesion. Signs and symptoms:Set of seizure. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There is a focus of encephalomalacia along the medial aspect of right posterior temporal lobe an... | 1.No acute intracranial process.2.Chronic right PCA territory ischemic stroke.3.Unremarkable exam otherwise. |
Generate impression based on findings. | follow up of multifocal ischemic stroke No evidence of hemorrhagic transformation on this scan.Multifocal various sized bihemispheric ischemic infarctions are again demonstrated, no change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. The p... | Multifocal various sized acute ischemic infarctions with surrounding edema, no change since prior exam.No evidence of hemorrhagic transformation. |
Generate impression based on findings. | Clinical question: Treatment planning CT. Signs and symptoms: Treatment planning CT. Nonenhanced stealth head CT:This examination is performed as a surgical/treatment planning the study and is not a diagnostic test.The study is performed while a stereotactic device is secured to patient's calvarium. There is no detecta... | Expected postoperative changes of bilateral frontal approach DBS placement as detailed. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion.Mild non specific small vessel ischemic disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are... | No evidence of acute ischemic or hemorrhagic lesion.Mild non specific small vessel ischemic disease. |
Generate impression based on findings. | post SAH, IVH, stent assisted coiling for the ruptured right distal ICA aneurysm. SAH, IVH with mild ventriculomegaly, bifrontal ICH (right ventriculostomy track hematoma and the left anterior frontal lobe ICH associated with local SAH), no significant interval change since prior exam.No evidence of new ischemic or hem... | No interval change of SAH, IVH, ICH, ventriculostomy tube position and mild ventricular enlargement since prior exam.No evidence of new ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Clinical question: Status post left tumor resection. Signs and symptoms: Same. Nonenhanced head CT:Examination demonstrate post operative changes of a left mid temporal craniotomy. A surgical cavity measuring approximately 13 x 17 mm in transaxial dimensions is noted superficially in the left temporal lobe which contai... | 1.Status post left temporal craniotomy. Minimal left mastoid air cell opacification.2.Expected intracranial postoperative changes of left temporal lobe tumor resection as detailed.3.Unremarkable exam otherwise. |
Generate impression based on findings. | post right frontal lobe mass resection follow up. Re-demonstration of right frontal craniotomy, resection cavity on the right frontal lobe with air and fluid attenuations as well as minimal midline shift toward left side across the incisura indicating postoperative changes, no change since prior exam.There is no eviden... | Expected post operative findings as described above.No evidence of new hemorrhagic or ischemic lesion. |
Generate impression based on findings. | 58 year old female with history of Billroth II with persistent abdominal pain. ABDOMEN:LUNG BASES: Moderate left and trace right pleural effusions with overlying atelectasis.LIVER, BILIARY TRACT: Cirrhotic liver morphology. Status post cholecystectomy. Hepatic vasculature remains patent. No biliary ductal dilatation.SP... | 1.Postsurgical changes of Billroth II without evidence of enteric contrast extravasation.2.Interval improvement of colonic wall thickening. Mild ileus pattern without obstruction. 3.Cirrhotic liver morphology with moderate abdominopelvic ascites and small left pleural effusion.4.Right upper pole renal lesion is incompl... |
Generate impression based on findings. | Clinical question: Endometrial cancer with progressive disease. Assess for brain metastases. Signs and symptoms: As above. Enhanced head CT:There is no detectable abnormal parenchymal or leptomeningeal enhancement to suggest metastatic disease. It is also no detectable lytic or sclerotic changes of calvarium to suggest... | 1.No detectable metastatic lesion.2.Unremarkable enhanced head CT.3.Chronic left-sided lamina papyracea blowout fracture. |
Generate impression based on findings. | 69 years, Female. Reason: Patient s/p cystectomy/Ileal conduit with abdominal pain, bloating and nausea History: as above Bilateral ureteral stents appear unchanged in position compared to prior CT. Pigtail drain projects over the right lower pelvis. Midline pelvic surgical skin staples and suture were material project... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 40 year-old female with history of diverticulitis now with lower abdominal and back pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality not... | 1.No evidence of diverticulitis. 2.Right renal punctate nonobstructive calyceal calculi without hydronephrosis. |
Generate impression based on findings. | Clinical question: Drowsiness after tumor resection. Signs and symptoms: Not is in its after tumor resection. Nonenhanced head CT:Since prior exam there is evidence of increased high density blood product within the right frontal surgical cavity. Although the finding could represent a small amount of new hemorrhage pos... | 1.Slight interval increased high-density round within the surgical cavity in the right frontal lobe.2.Stable extensive postoperative changes of right frontal tumor resection otherwise and the trace leftward midline shift. |
Generate impression based on findings. | left neck pain, possible dissection. CTA NECKThe right vertebral artery appears to be completely occluded at the level of C7 but the left vertebral artery is robust and open.There is normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The bilateral vertebral artery... | Right vertebral artery occlusion at its origin otherwise unremarkable neck CTA.Comment: if carotid dissection is clinically suspected, neck MR angiography with dissection protocol can be considered since that study can demonstrate dissection related carotid mural hematoma without creating carotid luminal narrowing. |
Generate impression based on findings. | 57-year-old male with history of pancreatic cancer and recent pulmonary embolism now with abdominal pain and dilated small bowel on plain film, evaluate for obstruction. ABDOMEN:LUNG BASES: Bilateral partially visualized pulmonary emboli and right upper lobe pulmonary infarct. Main pulmonary artery is incompletely visu... | 1.Metastatic pancreatic cancer with interval increase in size of hepatic metastases and progression of portal vein thrombosis.2.Bilateral partially visualized pulmonary emboli and right upper lobe pulmonary infarct.3.No evidence of bowel obstruction. |
Generate impression based on findings. | 14--week-old female with recurrent left chest effusion status post tube placement.VIEW: Chest AP (one view) 3/4/2015 7:38 Left chest tube tip has been retracted and now lies in the left hemithorax. Feeding tube tip coursing below the left hemidiaphragm and extending beyond the inferior margin of the image. Right centra... | Left chest tube tip now in the left hemithorax. Bilateral coarse pulmonary opacities and slight interval improvement in left pleural effusion. |
Generate impression based on findings. | Female 24 years old Reason: r/o acute process History: abd pain. History of sickle cell disease. ABDOMEN:LUNG BASES: Small areas of focal consolidation in the right middle lobe, right lower lobe, and lingula which may represent infection, edema, or infarction. Favor chronic inflammation. LIVER, BILIARY TRACT: Hepatomeg... | 1.Left adnexal corpus luteum cyst with small amount of free fluid in the pelvis, likely physiologic.2.Hepatomegaly and mild cardiomegaly.3.Areas of focal pulmonary consolidation bilaterally which may represent infection, edema, or infarction. Favor chronic inflammation. |
Generate impression based on findings. | Female, 44 years old.Elevated BMI. No unexpected radiopaque foreign objects. Enteric feeding tube is looped in the stomach with tip projecting over the gastroesophageal junction area. Nonobstructive bowel gas pattern. | No unexpected radiopaque foreign objects.Findings communicated via telephone to Dr. Umanskiy at 18:45 hours on 3/3/2015 by Dr. Ramakrishna. |
Generate impression based on findings. | 65 years, Male. Reason: 65M with AMS, DHT for TF, just advanced DHT after report of TF suctioned from throat, ?placement History: 65M with AMS, DHT for TF, just advanced DHT after report of TF suctioned from throat, ?placement Dobbhoff tube tip projects over the proximal gastric body. Two central venous catheter tips p... | Dobbhoff tube tip projects over the proximal gastric body. |
Generate impression based on findings. | 14-week-old female, evaluate for interval change in chest tube positioning.VIEWS: Chest AP and cross-table lateral (two views) 3/3/2015 20:34 Left chest tube still crossing the midline with tip retracted from prior now towards the midline along the left side of the trachea. Feeding tube tip in the stomach. Right centra... | Left chest tube tip slightly retracted from prior study now towards the midline. Interval decrease in left sided pneumothorax. Bilateral coarse pulmonary opacities increased from prior study. Small left pleural effusion. |
Generate impression based on findings. | 26 year old male with abdominal pain, evaluate for hernia. 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: No sign... | 1.Negative examination. |
Generate impression based on findings. | 64 years, Female. Reason: Please assess NGT position History: s/p NGT placement NG tube tip projects over the pyloric area. Bilateral nephroureterostomy stents are again noted, unchanged. Interval increase in diffuse small bowel dilatation measuring up to 3.4 cm and relative paucity of bowel gas in the colon. Note that... | NG tube tip projects over the gastric pyloric area. Obstructive bowel gas pattern but given recent surgery, post operative ileus is probable. |
Generate impression based on findings. | 37 year old female with drop in hemoglobin, evaluate for hematoma. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY... | 1.No abnormal fluid collections are identified in the abdomen or pelvis.2.Splenomegaly. Few nonspecific mildly prominent retroperitoneal lymph nodes. |
Generate impression based on findings. | 31-year-old male with history of Crohn's disease now with right lower quadrant abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorm... | 1.Wall thickening and inflammatory changes involving the terminal ileum and proximal cecum compatible with active Crohn's disease similar in appearance to recent MRI. Ileum just proximal to inflamed terminal ileum is mildly dilated, stable to slightly increased. No abscesses identified. |
Generate impression based on findings. | Female 9 years old Reason: rule out fracture/dislocation History: back pain s/p fallVIEWS: Lumbar spine AP lateral. Sacrum, lateral view. 3/3/15 (3 views) Vertebral body heights and disk spaces are maintained. No evidence of fracture or malalignment. No evidence of spondylolyses. | Normal examination. |
Generate impression based on findings. | Male, 62 years old.Liver transplant surgery over 8 hours. No unexpected radiopaque foreign objects. Two surgical drains and surgical clips project over the right upper quadrant. Enteric feeding tube tip projects over the distal gastric body. Right femoral central venous catheter noted. Expected postoperative pneumoperi... | No unexpected radiopaque foreign objects.Findings communicated to the attending physician, Dr. Renz, via telephone at 00:50 on 3/4/2015 hours by Dr. Ramakrishna. |
Generate impression based on findings. | No diffusion restriction to suggest acute ischemia. There are no masses, mass effect, or midline shift. No acute intracranial hemorrhage. Postoperative changes of sub-occipital craniectomy for Chiari decompression with expansion of the thecal sac and exaggerated dorsiflexion of the dens. There are no extraaxial fluid ... | 1.No findings to suggest acute ischemia.2.Postoperative changes of sub-occipital craniectomy for Chiari decompression. |
Generate impression based on findings. | Reason: pt with LLE swelling off Xarelto x 3-4 weeks with left sided stabbing CP that began last night History: left sided pleuritic CP PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Mild apical predominant paraseptal emphysema, unchanged.Clustered, p... | No evidence of pulmonary embolism or other acute abnormality to account for the patient's symptoms.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Male 77 years old Reason: LLQ abdominal pain History: above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Prominence of the hepatic fissure with mild contour nodularity likely representing cirrhotic changes. No focal hepatic mass. Unchanged cholelithiasis without acute inflammation.SPLEEN: N... | 1.No acute abnormality.2.Fissural prominence and mild contour nodularity of the liver suggestive of mild cirrhosis.3.Well-circumscribed, peripherally calcified lesion which is inseparable from the antrum and has slightly increased in size since 2005. Favor low grade GIST. |
Generate impression based on findings. | 36 years, Male. Reason: OG tube placement History: intubated NG tube side-port and tip project over the GE junction and gastric body, respectively. Bilateral, left greater than right, pleural effusions. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | NG tube side port projects over the gastroesophageal junction. Slight advancement is recommended. |
Generate impression based on findings. | 13-year-old male with bruising and swellingVIEWS: Left hand, PA, left fifth digit PA and lateral (two is views) 3/3/15 20:26 Soft tissue swelling about the PIP joint. No fracture or malalignment. | Soft tissue swelling without fracture or malalignment. |
Generate impression based on findings. | 81 years, Male. Reason: Dobbhoff History: Dobbhoff Dobbhoff tube tip projects over the proximal gastric body. Diffuse gaseous distention of small and large bowel in an ileus type bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | Dobbhoff tube tip projects over the proximal gastric body. |
Generate impression based on findings. | Right knee painVIEWS: Right knee AP, lateral and oblique on 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. | 46-year-old female with right lower extremity pain. Ankle: Diffuse soft tissue swelling without acute fracture or dislocation. Note is made of a calcaneal heel spur.Tibia/fibula: No acute fracture or dislocation. Alignment is anatomic.Knee: No acute fracture or dislocation. Mild degenerative osteophytes are noted in th... | 1.No acute fractures identified. Diffuse ankle swelling. 2.Mild osteoarthritis of the knee and hip. |
Generate impression based on findings. | 16 year-old male, twisted left ankle, rule out fractureVIEWS: Left ankle, AP, oblique, and lateral (3 views) 3/3/15 22:54 Moderate soft tissue swelling about the ankle. Joint effusion. Alignment is anatomic. No fracture is evident. | Soft tissue swelling and joint effusion without fracture or dislocation. |
Generate impression based on findings. | Male 62 years old Reason: eval for obstruction History: constipation, SBO on KUB ABDOMEN:LUNG BASES: No focal consolidation or pleural effusion. Decreased amount of fluid or pleural thickening along the right major fissure.LIVER, BILIARY TRACT: Subcentimeter low attenuation lesion in segment 6 of the liver (series 3, i... | No evidence of small bowel obstruction. |
Generate impression based on findings. | Please note, no 3-D images were acquired at the time of this interpretation.There is a large right frontoparietal subgaleal hematoma measuring up to 9 mm as noted in coronal series image 39. No underlying depressed calvarial fractures. No acute intracranial hemorrhage. The ventricles and sulci are normal in size. Ther... | 1.Large right frontoparietal subgaleal hematoma without acute intracranial abnormality.2.Findings concerning for bilateral otitis media with extensive opacification of the mastoid air cells.Findings relayed to Dr. McKee in the emergency department over the phone at 0957 hours. |
Generate impression based on findings. | 54 years, Male. Reason: eval NJ tube History: pulled NJ out 10cm Dobbhoff tube tip projects over the proximal gastric body. Interval placement of a gastrostomy tube now projecting over the gastric body. Bilateral pleural effusions, partially loculated on the left. Diffuse pulmonary opacities better evaluated on a prior... | Dobbhoff tube tip projects over the proximal gastric body. |
Generate impression based on findings. | Male 54 years old Reason: r/o fx History: fall. We have 3 views of the thoracic spine. We see no fracture or malalignment. There are tiny anterior vertebral body osteophytes.We have 5 views of the lumbar spine. We see no fracture. The alignment is within normal limits. There is, perhaps, mild facet joint osteoarthritis... | Mild degenerative arthritic changes without fracture evident. |
Generate impression based on findings. | 5-year-old male with abdominal discomfort discomfort, assess for foreign bodyVIEW: Abdomen AP (one view) 3/3/15 23:25 Round metallic density within the gastric body. The bowel gas pattern is nonobstructive. | Radiopaque foreign body in the stomach, likely a coin. |
Generate impression based on findings. | Female 23 years old Reason: 2 wk sp lap chole now w epigastric pain, N/V History: above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Interval cholecystectomy with small amount of fluid in the gallbladder fossa which is expected in the postoperative period.SPLEEN: No significant abnormality ... | Expected postoperative changes without acute abnormality. |
Generate impression based on findings. | Female 50 years old Reason: post-reduction films History: post-reduction. Evaluation is limited by overlying cast material. The previously seen comminuted fracture of the distal radius has been reduced to anatomic alignment. Ulnar styloid fracture fragment also appears to be in near-anatomic alignment. | Reduction of distal radius and ulnar styloid fractures. |
Generate impression based on findings. | Male; 33 years old. Reason: s/p reduction History: ankle dislocation. Evaluation of bony detail is limited by overlying casting material. There has been interval reduction of the tibiotalar joint which is now in anatomic alignment. No fractures are identified. | Interval reduction of tibiotalar joint. |
Generate impression based on findings. | Female 50 years old Reason: eval for fx, dislocation; FOOSH History: R wrist deformity. Three views of the right wrist show a comminuted fracture of the distal radius that appears to extend to the dorsal aspect of the articular surface of the radiocarpal joint. There is approximately 6 mm of dorsal displacement, as wel... | Distal radius and ulnar styloid fractures as above. |
Generate impression based on findings. | Male; 33 years old. Reason: eval for fx, dislocation History: ankle injury. Complete tibiotalar joint dislocation with lateral displacement of the talus and fibula with respect to the tibia. No definite associated fracture is identified. No ankle joint effusion. | Complete tibiotalar joint dislocation as described above. No fracture identified. |
Generate impression based on findings. | 68 years, Male. Reason: eval og tube History: og pulled back 5cm The lung bases are clear. NG tube side-port and tip project over the gastric cardia and gastric fundus, respectively. Nonobstructive bowel gas pattern. | NG tube tip projects over the gastric fundus. |
Generate impression based on findings. | Male 18 years old Reason: injury History: pain Three views of the right ring finger show a comminuted but nondisplaced fracture of the tuft of the distal phalanx.Three views of the right middle finger show a hairline lucency extending obliquely through the tuft of the distal phalanx that may represent a nondisplaced fr... | Nondisplaced fracture of the tuft of the distal phalanx of the ring finger and possible nondisplaced hairline fracture of the tuft of the distal phalanx of the middle finger. |
Generate impression based on findings. | For the purposes of numbering, there are 5 lumbar type vertebral bodies. Vertebral body heights are maintained. Alignment is maintained. There is no acute fracture. There are degenerative changes throughout the lumbar spine with severe loss of intravertebral disk space at T12-L1, L1-L2, and to a lesser degree at L2-L3... | Multilevel degenerative changes are again seen including severe endplate degenerative changes at the L1-L2 intravertebral disk level with vacuum disk phenomena, subchondral cyst formation, and endplate sclerosis. These findings correlate with the T2 hyperintensity within the disk space seen on MRI. No findings to sugge... |
Generate impression based on findings. | 15-month-old male with left thumb crush injury, rule out fractureVIEWS: Left thumb, AP, lateral, left hand, PA (two views) 3/4/15 3:46 Soft tissue swelling about the thumb. Irregularity along the medial base of the distal phalanx of the thumb compatible with fracture. Alignment is maintained. | Nondisplaced fracture of the base of the distal phalanx of the thumb. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. Bilateral benign morphology masses. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 28 years old Reason: chronic back pain, please eval for fracture, subluxation, or other etiology for pain History: chronic back pain. Three views of the thoracic spine show no fracture or malalignment. There is mild narrowing of the intervertebral disk spaces of the upper thoracic spine, suggesting mild degenerati... | Mild degenerative arthritic changes of the upper thoracic spine and other findings as above, but we otherwise see no findings to account for the patient's pain. |
Generate impression based on findings. | Male; 39 years old. Reason: Rule out dislocation History: Pain No acute fracture or malalignment. No degenerative changes are noted about the glenohumeral joint. | Normal examination. |
Generate impression based on findings. | Female 70 years old Reason: ? diverticulitis History: RLQ pain and tenderness ABDOMEN:LUNG BASES: Stable bronchiectasis of the left lower lobe. No pleural effusion.LIVER, BILIARY TRACT: No focal hepatic masses or biliary ductal dilatation. Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No... | Suboptimal exam secondary to the beam hardening artifact from spinal fixation hardware. Within these limitations, there is significant colonic diverticulosis without acute diverticulitis. |
Generate impression based on findings. | BRAIN No abnormal T2 signal abnormalities. No evidence of optic nerve abnormalities on this non-dedicated exam. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. ... | 1.No abnormal intracranial T2 signal to suggest neurofibromas.2.No evidence of optic gliomas on this non-dedicated examination. Further evaluation with dedicated orbital MRI examination may be considered if clinically indicated.3.No specific findings to suggest spinal neurofibromas or significant central spinal canal s... |
Generate impression based on findings. | Female; 58 years old. Reason: Fall, pain in hip and shoulder. Shoulder: No acute fracture or dislocation. Mild degenerative changes are noted with inferior glenohumeral joint osteophytes.Hip: No acute fracture or dislocation. Severe joint space narrowing with near bone-on-bone apposition, bony sclerosis, and acetabular... | Severe left hip osteoarthritis without acute fracture identified in the hip or shoulder. |
Generate impression based on findings. | Images are slightly limited by patient motion. There is a large T1 hypointense and heterogeneously T2 hyperintense slightly irregular but overall oval structure within the left submandibular space with a thick rind of enhancement. The collection measures 2.0-cm transverse by 2.3-cm AP by 2.2 cm CC. There are other sma... | 1. Findings consistent with large left submandibular space abscess with surrounding significant inflammatory changes. Mild localized mass effect as detailed above, with minimal extension into adjacent neck spaces.2. Mild likely reactive left-sided cervical lymphadenopathy.3. Likely thrombus versus less likely slow flow... |
Generate impression based on findings. | Female 64 years old Reason: evidence of osteomyelitis? History: pt with infected ulcers, DM, want to assess for osteo. Avoiding MRI due to defibrillator. Primarily concerned about 3rd finger of L hand. There is a focal ulceration along the radial aspect of the proximal interphalangeal joint of the middle finger. There ... | Ulceration and soft tissue swelling of the middle finger; we see no specific radiographic features of osteomyelitis. |
Generate impression based on findings. | Reason: Eval for PE; hx of multiple myeloma History: SOB PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Scattered benign-appearing micronodules and small pleural based nodules measuring up to 9 x 5 mm (series 7, image 70).Moderate right pleural ef... | 1. No evidence of pulmonary embolism.2. Moderate right pleural effusion with layering higher density component in the right paraspinal region, which may be an extension of myeloma into the pleural cavity however blood products within the effusion cannot be excluded. Consider bedside ultrasound in the decubitus position... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, repeat bilateral MLO views and tomosynthesis 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. N... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 18 years male with sore throat, fever, voice changes, worsening tonsillar edema. There is hypertrophy of the adenoid and palatine tonsils with associated mild narrowing of the nasopharynx. There is no evidence of fluid collection or abscess. However, there is mild narrowing of the pharyngeal airway. There are mildly pr... | 1. Findings consistent with tonsillitis with associated mild narrowing of the nasopharynx. No evidence of abscess. 2. Nonspecific paranasal sinus opacification. |
Generate impression based on findings. | 18 year-old male status post foreign body removalVIEW: Abdomen, AP, Chest AP (two views) 3/4/15 3:08 Right PICC tip in the right atrium. ETT below thoracic inlet. The cardiothymic silhouette is unchanged. Low lung volumes and basilar predominant opacities appear similar to the prior exam.A zipper pull is again noted in... | Interval decrease in bowel dilatation. Unchanged pulmonary opacities. |
Generate impression based on findings. | Female 44 years old Reason: s/p l tsa and fall History: same. Four views of left shoulder and two views of the left humerus are provided. There is anterior dislocation of the humeral component of the patient's total shoulder arthroplasty with respect to the glenoid component. Discontinuity of the greater tuberosity as ... | Anterior dislocation of left total shoulder arthroplasty. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, repeat left CC view and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Fever. Increased respiratory rate.VIEW: Chest AP (one view) 3/3/15 at 1711 hrs. Skeletal deformities and spinal hardware are again noted. Cardiac silhouette is non sizable. Small right lung volume is concerning for right lung base atelectases or pneumonia. No effusions or pneumothorax. | Right lung base atelectasis or pneumonia. |
Generate impression based on findings. | 61 years, Female, Reason: endometrial cancer with lung, liver and bone mets History: pre chemo. CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules are overall significantly increased from the prior exam.Reference left lower lobe nodule measures 1.3 by 1.1 cm (5/23), previously 0.7 x 0.8 cm. Reference right lower lob... | Overall progression of disease with increased pulmonary metastases, hepatic metastases, lymphadenopathy, cystic pelvic lesion and sclerotic bone lesions. |
Generate impression based on findings. | 61-year-old with intraductal papilloma with atypia in left breast presents for a seed localization. Target mass with marker clip is located in the left breast in the retroareolar region. The procedure, risks including bleeding and infection, and benefits of I-125 seed localization were discussed with the patient. Quest... | Successful seed localization of the left breast mass.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 73 year old woman with history of biopsied left fibroadenoma, followup of calcifications seen on prior mammogram. Three standard views of both breasts with additional bilateral MLO and cleavage view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogla... | 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.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Male 3 days old History: respiratory distress, tachypnea.VIEW: Chest and abdomen AP (two views) 3/3/15 at 2250 hrs. UVC terminates at the right atrium. Cardiac silhouette size is normal. No focal opacities effusions thorax.Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosi... | UVC terminates at the right atrium.No focal lung opacities.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | RSV and pneumonia. Now with pneumomediastinum. Increasing oxygen apartment.VIEWS: Chest AP/lateral (two views) 03/04/15, 0220 and 0228 Endotracheal tube tip is below thoracic inlet. A gastrostomy tube is present. Left upper extremity PICC has its tip at junction of brachiocephalic veins. Surgical clips are present at t... | Continued pneumomediastinum. Small right pneumothorax. |
Generate impression based on findings. | High-frequency nasal cannula with worsening desaturations.VIEW: Chest AP (one view) 03/03/15, 2124 Endotracheal tube tip is below the thoracic inlet. Left upper extremity PICC tip is in the superior vena cava. A gastrostomy tube is present. Surgical clips are seen at the level of the GE junction.Pneumomediastinum has d... | Development of pneumomediastinum. |
Generate impression based on findings. | Male 18 years old Reason: Eval lung fields History: PNA with R side pleural effusionVIEW: Chest AP (one view) 3/4/15 at 317 hours. Skeletal deformity and tracheostomy tube again noted. Cardiac silhouette size is normal. Amputation of the right mainstem bronchus with minimal right-sided mediastinal shift and complete op... | Right lung atelectasis development likely due to mucous plugging of the right mainstem bronchus. |
Generate impression based on findings. | There is nonspecific mild straightening of the cervical spine in the sagittal plane. There is multilevel degenerative cervical spondylosis with severe disc space narrowing at C4-5 and C5-6 and moderate disc space narrowing at C6-7 with areas of disc calcification. There is also ossification of the right ligamentum fla... | 1. Straightening of the usual cervical lordosis and multilevel degenerative cervical spondylosis that is most pronounced at C4-5 and C5-6. Otherwise, no evidence of cervical spine fracture or spondylolisthesis. 2. Diffusely enlarged heterogeneous thyroid gland, which may be further evaluated with thyroid ultrasound as ... |
Generate impression based on findings. | There is tiny focus of opacification involving the left inferior aspect of the frontal sinus. The frontal sinus and frontoethmoidal recesses are otherwise clear. The anterior ethmoid air cells are clear. The posterior ethmoid air cells are clear. The maxillary sinuses are clear. The ostiomeatal units are clear. The sp... | 1. No significant paranasal sinus disease.2. Leftward nasal septal deviation. |
Generate impression based on findings. | 74 years, Male. Reason: NGT placement History: post NGT placement Enteric feeding tube tip projects over the pyloric area. Midline skin staples again noted. Nonobstructive bowel gas pattern. Left lower lobe airspace opacity. The pelvis is excluded from the field-of-view. | Enteric feeding tube tip projects over the pyloric area. |
Generate impression based on findings. | Pneumothorax. Pneumopericardium.VIEWS: Chest AP/lateral (two views) 03/03/15, 2206 and 2212 Endotracheal tube tip is below thoracic inlet. Left upper extremity PICC tip is in superior vena cava. A gastrostomy tube is present. Surgical clips are seen around the GE junction.Pneumomediastinum is again visualized. Air is n... | Pneumomediastinum. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 heterogeneously dense, which may obscure small masses. A round obscured mass is present in the right inner breast.... | Right breast mass for which comparison to prior mammograms is needed. If these cannot be submitted, then further evaluation with spot compression and ultrasound will be necessary.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OC - OLD FILM FOR COMPARISON |
Generate impression based on findings. | 68 years, Male. Reason: NGT adjustment History: NGT adjustment Enteric feeding tube tip projects over the pyloric area. Persistent ileus type bowel gas pattern. Suture material projects over the right lower quadrant. Pelvis is excluded from the field-of-view. | Enteric feeding tube tip projects over the pyloric area. |
Generate impression based on findings. | 53 years, Female. Reason: OG tube placement History: Line placement Enteric feeding tube tip projects over the gastric body. Nonobstructive bowel gas pattern. Surgical clips project over the pelvis. | Enteric feeding tube tip projects over the gastric body. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 composed of scattered fibroglandular density. A left sided catheter obscures portions of the left axilla on the ML... | 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. | There is no acute intracranial hemorrhage, mass effect, or midline shift. There are mildly prominent bifrontal extra-axial CSF spaces measuring up to 6 mm in thickness which may represent atrophic changes, subdural hygroma, or possibly chronic subdural hematomas. The ventricles, sulci, and cisterns are normal in size ... | 1. No acute intracranial hemorrhage or mass effect. No convincing evidence of global anoxic injury. Follow-up CT or MRI can be considered as clinically appropriate. 2. Mildly prominent bifrontal extra-axial CSF spaces measuring up to 6 mm in thickness which may be related to volume loss (favored) or small chronic subdu... |
Generate impression based on findings. | Reason: r/o PE History: increased pleuritic CP, SOB, hx of PE, missed Lovenox PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery is upper normal in caliber.LUNGS AND PLEURA: Severe apical predominant centrilobular and paraseptal emphysema. Marked biapical pleural scarring.Large left chest wall... | 1. No evidence of pulmonary embolism.2. Large mucus plug/retained secretions extending over the carina and into the bilateral mainstem bronchi.3. Left chest wall mass, with bony destruction of the left fifth and sixth ribs, increased from the prior exam.4. No new sites of disease identified.5. Severe emphysema and pleu... |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. Beam hardening artifact through the brainstem limits evaluation for subtle abnormalities. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is and mildly atelectatic right maxi... | No acute intracranial hemorrhage or mass-effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | Female; 68 years old. Reason: OA History: pain Inferior glenohumeral joint osteophytes as well as subchondral cysts in the humeral head, compatible with mild osteoarthritis. No acute fracture or dislocation. | Mild osteoarthritis without acute fracture evident. |
Generate impression based on findings. | Male 17 years old Reason: reassess obstructive pattern. Generalized abdominal painVIEW: Abdomen AP (one view) 3/4/15 at 615 hours. Surgical plates and right sided ostomy are again noted. Persistent minimal bowel distention concerning for obstruction or ileus. No pneumoperitoneum. | Persistent minimal bowel distention concerning for obstruction or ileus. |
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